HIGHLIGHTS OF PRESCRIBING INFORMATION
These highlights do not include all the information needed to us e
M-M-R II safely and effectively. See full prescribing information
for M-M-R II.
M-M-R® II (Measles, Mumps, and Rubella Virus Vaccine Live)
Suspension for subcutaneous injection
Initial U.S. Approv al: 1978
-------------------------------INDICATIONS AND USAGE-------------------------------
M-M-R II is a vaccine indicated for active immunization for the
prevention of measles, mumps, and rubella in individuals 12 months of
age and older. (1)
-------------------------- DOSAGE AND ADMINISTRATION--------------------------
Administer a 0.5-mL dose of M-M-R II subcutaneously. (2.1)
• The first dose is administered at 12 to 15 months of age. (2.1)
• The second dose is administered at 4 to 6 years of age. (2.1)
------------------------DOSAGE FORMS AND STRENGTHS -----------------------
Suspension for injection (0.5-mL dose) supplied as a lyophilized
vaccine to be reconstituted using accompanying sterile diluent. (3)
---------------------------------- CONTRAINDICATIONS ----------------------------------
• Hypersensitivity to any componentof the vaccine. (4.1)
• Immunosuppression. (4.2)
• Moderate or severe febrile illness. (4.3)
• Active untreated tuberculosis. (4.4)
• Pregnancy. (4.5, 8.1)
-------------------------- WARNINGS AND PRECAUTIONS --------------------------
• Use caution when administering M-M-R II to individuals with a
history of febrile seizures. (5.1)
• Use caution when administering M-M-R II to individuals with
anaphylaxis or immediate hypersensitivity following egg ingestion.
(5.2)
• Use caution when administering M-M-R II to individuals with a
history of thrombocytopenia. (5.3)
• Immune Globulins (IG) and other blood products should not be
given concurrently with M-M-R II. (5.4, 7.2)
----------------------------------ADVERSE REACTIONS----------------------------------
See full prescribing information for adverse reactions occurring duri ng
clinical trialsor the post-marketing period. (6)
To report SUSPECTED ADVERSE REACTIONS, contact Merck
Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., at 1-8 7 7 -
888-4231 or VAERS at 1-800-822-7967 or www.vaers.hhs.gov.
-----------------------------------DRUG INTERACTIONS----------------------------------
• Administration of immune globulins and other blood products
concurrently with M-M-R II vaccine may interfere with the
expected immune response. (7.2)
• M-M-R II vaccination may result in a temporary depression of
purified protein derivative (PPD) tuberculin skin sensitivity. (7.3)
-------------------------- USE IN SPECIFIC POPULATIONS--------------------------
• Pregnancy: Do not administer M-M-R II to females who are
pregnant. Pregnancy should be avoided for 1 month following
vaccination with M-M-R II. (4.5, 8.1, 17)
See 17 for PATIENT COUNSELING INFORMATION and FDA
approv ed patient labeling.
Rev ised: 06/2020
FULL PRESCRIBING INFORMATION: CONTENTS
1 INDICATIONS AND USAGE
2 DOSAGE AND ADMINISTRATION
2.1 Dose and Schedule
2.2 Preparation andAdministration
3 DOSAGE FORMS AND STRENGTHS
4 CONTRAINDICATIONS
4.1 Hypersensitivity
4.2 Immunosuppression
4.3 Moderate or Severe Febrile Illness
4.4 Active Untreated Tuberculosis
4.5 Pregnancy
5 WARNINGS AND PRECAUTIONS
5.1 Febrile Seizure
5.2 Hypersensitivity to Eggs
5.3 Thrombocytopenia
5.4 Immune Globulins and Transfusions
6 ADVERSE REACTIONS
7 DRUG INTERACTIONS
7.1 Corticosteroids and Immunosuppressive Drugs
7.2 Immune Globulinsand Transfusions
7.3 Tuberculin Skin Testing
7.4 Use with Other Live Viral Vaccines
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
8.2 Lactation
8.4 Pediatric Use
8.5 Geriatric Use
11 DESCRIPTION
12 CLINICAL PHARMACOLOGY
12.1 Mechanism of Action
12.6 Persistence of Antibody Responses After Vaccination
13 NONCLINICAL TOXICOLOGY
13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility
14 CLINICAL STUDIES
14.1 Clinical Efficacy
14.2 Immunogenicity
15 REFERENCES
16 HOW SUPPLIED/STORAGE AND HANDLING
17 PATIENT COUNSELING INFORMATION
Sections or subsections omitted from the full prescribing info rma tion
are not listed.
2
FULL PRESCRIBING INFORMATION
1 INDICATIONS AND USAGE
M-M-R® II is a vaccine indicated for active immunization for the prevention of measles, mumps, and
rubella in individuals 12 months of age and older.
2 DOSAGE AND ADMINISTRATION
For subcutaneous use only.
2.1 Dose and Schedule
Each 0.5 mL dose is administered subcutaneously.
The first dose is administered at 12 to 15 months of age. A second dose is administered at 4 to 6
years of age.
The second dose may be administered prior to 4 years of age, provided that there is a minimum
interval of one month between the doses of measles, mumps and rubella virus vaccine, live {1-2}.
Children who received an initial dose of measles, mumps and rubella vaccine prior to their first
birthday should receive additional doses of vaccine at 12-15 months of age and at 4-6 years of age to
complete the vaccination series [see Clinical Studies (14.2)].
For post-exposure prophylaxis for measles, administer a dose of M-M-R II vaccine within 72 hours
after exposure.
2.2 Preparation and Administration
Use a sterile syringe free of preservatives, antiseptics, and detergents for each injection and/or
reconstitution of the vaccine because these substances may inactivate the live virus vaccine. To
reconstitute, use only the diluent supplied with the vaccine since it is free of preservatives or other
antiviral substances which might inactivate the vaccine.
Withdraw the entire volume of the supplied diluent from its vial and inject into lyophilized vaccine vial.
Agitate to dissolve completely. Discard if the lyophilized vaccine cannot be dissolved.
Withdraw the entire volume of the reconstituted vaccine and inject subcutaneously into the outer
aspect of the upper arm (deltoid region) or into the higher anterolateral area of the thigh.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to
administration, whenever solution and container permit. Visually inspect the vaccine before and after
reconstitution prior to administration. Before reconstitution, the lyophilized vaccine is a light yellow
compact crystalline plug, when reconstituted, is a clear yellow liquid. Discard if particulate matter or
discoloration are observed in the reconstituted vaccine.
To minimize loss of potency, administer M-M-R II as soon as possible after reconstitution. If not used
immediately, the reconstituted vaccine may be stored between 36°F to 46°F (2°C to 8°C), protected from
light, for up to 8 hours. Discard reconstituted vaccine if it is not used within 8 hours.
3 DOSAGE FORMS AND STRENGTHS
M-M-R II vaccine is a suspension for injection supplied as a single dose vial of lyophilized vaccine to
be reconstituted using the accompanying sterile diluent [see Dosage and Administration (2.2) and How
Supplied/Storage and Handling (16)]. A single dose after reconstitution is 0.5 mL.
4 CONTRAINDICATIONS
4.1 Hypersensitivity
Do not administer M-M-R II vaccine to individuals with a history of hypersensitivity to any component
of the vaccine (including gelatin) {3} or who have experienced a hypersensitivity reaction following
administration of a previous dose of M-M-R II vaccine or any other measles, mumps and rubellacontaining vaccine. Do not administer M-M-R II vaccine to individuals with a history of anaphylaxis to
neomycin [see Description (11)].
4.2 Immunosuppression
Do not administer M-M-R II vaccine to individuals who are immunodeficient or immunosuppressed due
to disease or medical therapy. Measles inclusion body encephalitis {4} (MIBE), pneumonitis {5} and death
as a direct consequence of disseminated measles vaccine virus infection have been reported in
3
immunocompromised individuals inadvertently vaccinated with measles-containing vaccine. In this
population, disseminated mumps and rubella vaccine virus infection have also been reported.
Do not administer M-M-R II to individuals with a family history of congenital or hereditary
immunodeficiency, until the immune competence of the potential vaccine recipient is demonstrated.
4.3 Moderate or Severe Febrile Illness
Do not administer M-M-R II vaccine to individuals with an active febrile illness with fever >101.3F
(>38.5C).
4.4 Active Untreated Tuberculosis
Do not administer M-M-R II vaccine to individuals with active untreated tuberculosis (TB).
4.5 Pregnancy
Do not administer M-M-R II to individuals who are pregnant or who are planning on becoming
pregnant within the next month [see Use in Specific Populations (8.1) and Patient Counseling Information
(17)].
5 WARNINGS AND PRECAUTIONS
5.1 Febrile Seizure
There is a risk of fever and associated febrile seizure in the first 2 weeks following immunization with
M-M-R II vaccine. For children who have experienced a previous febrile seizure (from any cause) and
those with a family history of febrile seizures there is a small increase in risk of febrile seizure following
receipt of M-M-R II vaccine [see Adverse Reactions (6)].
5.2 Hypersensitivity to Eggs
Individuals with a history of anaphylactic, anaphylactoid, or other immediate reactions (e.g., hives,
swelling of the mouth and throat, difficulty breathing, hypotension, or shock) subsequent to egg ingestion
may be at an enhanced risk of immediate-type hypersensitivity reactions after receiving M-M-R II vaccine
.The potential risks and known benefits should be evaluated before considering vaccination in these
individuals.
5.3 Thrombocytopenia
Transient thrombocytopenia has been reported within 4-6 weeks following vaccination with measles,
mumps and rubella vaccine. Carefully evaluate the potential risk and benefit of vaccination in children
with thrombocytopenia or in those who experienced thrombocytopenia after vaccination with a previous
dose of measles, mumps, and rubella vaccine {6-8} [see Adverse Reactions (6)].
5.4 Immune Globulins and Transfusions
Immune Globulins (IG) and other blood products should not be given concurrently with M-M-R II [see
Drug Interactions (7.2)]. These products may contain antibodies that interfere with vaccine virus
replication and decrease the expected immune response.
The ACIP has specific recommendations for intervals between administration of antibody containing
products and live virus vaccines.
6 ADVERSE REACTIONS
The following adverse reactions include those identified during clinical trials or reported during postapproval use of M-M-R II vaccine or its individual components.
Body as a Whole
Panniculitis; atypical measles; fever; syncope; headache; dizziness; malaise; irritability.
Cardiovascular System
Vasculitis.
Digestive System
Pancreatitis; diarrhea; vomiting; parotitis; nausea.
Hematologic and Lymphatic Systems
Thrombocytopenia; purpura; regional lymphadenopathy; leukocytosis.
Immune System
Anaphylaxis, anaphylactoid reactions, angioedema (including peripheral or ****** edema) and
bronchial spasm.
Musculoskeletal System
Arthritis; arthralgia; myalgia.
4
Nervous System
Encephalitis; encephalopathy; measles inclusion body encephalitis (MIBE) subacute sclerosing
panencephalitis (SSPE); Guillain-Barré Syndrome (GBS); acute disseminated encephalomyelitis (ADEM);
transverse myelitis; febrile convulsions; afebrile convulsions or seizures; ataxia; polyneuritis;
polyneuropathy; ocular palsies; paresthesia.
Respiratory System
Pneumonia; pneumonitis; sore throat; cough; rhinitis.
Skin
Stevens-Johnson syndrome; acute hemorrhagic edema of infancy; Henoch-Schönlein purpura;
erythema multiforme; urticaria; rash; measles-like rash; pruritus; injection site reactions (pain, erythema,
swelling and vesiculation).
Special Senses — Ear
Nerve deafness; otitis media.
Special Senses — Eye
Retinitis; optic neuritis; papillitis; conjunctivitis.
Urogenital System
Epididymitis; orchitis.
7 DRUG INTERACTIONS
7.1 Corticosteroids and Immunosuppressive Drugs
M-M-R II vaccine should not be administered to individuals receiving immunosuppressive therapy,
including high dose corticosteroids. Vaccination with M-M-R II vaccine can result in disseminated disease
due to measles vaccine in individuals on immunosuppressive drugs [see Contraindications (4.2)].
7.2 Immune Globulinsand Transfusions
Administration of immune globulins and other blood products concurrently with M-M-R II vaccine may
interfere with the expected immune response {9-11} [see Warnings and Precautions (5.4)]. The ACIP has
specific recommendations for intervals between administration of antibody containing products and live
virus vaccines.
7.3 Tuberculin Skin Testing
It has been reported that live attenuated measles, mumps and rubella virus vaccines given individually
may result in a temporary depression of tuberculin skin sensitivity. Therefore, if a tuberculin skin test with
tuberculin purified protein derivative (PPD) is to be done, it should be administered before, simultaneously
with, or at least 4 to 6 weeks after vaccination with M-M-R II vaccine.
7.4 Use with Other Live Viral Vaccines
M-M-R II vaccine can be administered concurrently with other live viral vaccines. If not given
concurrently, M-M-R II vaccine should be given one month before or one month after administration of
other live viral vaccines to avoid potential for immune interference.
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
Risk Summary
M-M-R II vaccine is contraindicated for use in pregnant women because infection during pregnancy
with the wild-type viruses has been associated with maternal and fetal adverse outcomes.
Increased rates of spontaneous abortion, stillbirth, premature delivery and congenital defects have
been observed following infection with wild-type measles during pregnancy. {12,13} Wild-type mumps
infection during the first trimester of pregnancy may increase the rate of spontaneous abortion.
Infection with wild-type rubella during pregnancy can lead to miscarriage or stillbirth. If rubella infection
occurs during the first trimester of pregnancy, it can result in severe congenital defects, Congenital
Rubella Syndrome (CRS). Congenital rubella syndrome in the infant includes but is not limited to eye
manifestations (cataracts, glaucoma, retinitis), congenital heart defects, hearing loss, microcephaly, and
intellectual disabilities. M-M-R II vaccine contains live attenuated measles, mumps and rubella viruses. It
is not known whether M-M-R II vaccine can cause fetal harm when administered to pregnant woman.
There are no adequate and well-controlled studies of M-M-R II vaccine administration to pregnant
women.
5
All pregnancies have a risk of birth defect, loss or other adverse outcomes. In the US general
population, the estimated background risk of major birth defects and miscarriage in clinically recognized
pregnancies is 2% to 4% and 15% to 20%, respectively.
Available data suggest the rates of major birth defects and miscarriage in women who received
M-M-R II vaccine within 30 days prior to pregnancy or during pregnancy are consistent with estimated
background rates (see Data).
Data
Human Data
A cumulative assessment of post-marketing reports for M-M-R II vaccine from licensure 01 April 1978
through 31 December 2018, identified 796 reports of inadvertent administration of M-M-R II vaccine
occurring 30 days before or at any time during pregnancy with known pregnancy outcomes. Of the
prospectively followed pregnancies for whom the timing of M-M-R II vaccination was known, 425 women
received M-M-R II vaccine during the 30 days prior to conception through the second trimester. The
outcomes for these 425 prospectively followed pregnancies included 16 infants with major birth defects, 4
cases of fetal death and 50 cases of miscarriage. No abnormalities compatible with congenital rubella
syndrome have been identified in patients who received M-M-R II vaccine. Rubella vaccine viruses can
cross the placenta, leading to asymptomatic infection of the fetus. Mumps vaccine virus has also been
shown to infect the placenta {14}, but there is no evidence that it causes congenital malformations or
disease in the fetus or infant .
The CDC established the Vaccine in Pregnancy registry (1971-1989) of women who had received
rubella vaccines within 3 months before or after conception. Data on 1221 inadvertently vaccinated
pregnant women demonstrated no evidence of an increase in fetal abnormalities or cases of Congenital
Rubella Syndrome (CRS) in the enrolled women {15}.
8.2 Lactation
Risk Summary
It is not known whether measles or mumps vaccine virus is secreted in human milk. Studies have
shown that lactatingpostpartum women vaccinated with live attenuated rubella vaccine may secrete the
virus in breast milk and transmit it to breast-fed infants.{16,17} In the breast-fed infants with serological
evidence of rubella virus vaccine strain antibodies, none exhibited severe disease; however, one
exhibited mild clinical illness typical of acquired rubella.{18,19}
The developmental and health benefits of breastfeeding should be considered along with the mother’s
clinical need for M-M-R II, and any potential adverse effects on the breastfed child from M-M-R II or from
the underlying maternal condition. For preventive vaccines, the underlying maternal condition is
susceptibility to disease prevented by the vaccine.
8.4 Pediatric Use
M-M-R II vaccine is not approved for individuals less than 12 months of age. Safety and effectiveness
of measles vaccine in infants below the age of 6 months have not been established [see Clinical Studies
(14)]. Safety and effectiveness of mumps and rubella vaccine in infants less than 12 months of age have
not been established.
8.5 Geriatric Use
Clinical studies of M-M-R II did not include sufficient numbers of seronegative subjects aged 65 and
over to determine whether they respond differently from younger subjects.
11 Description
M-M-R II vaccine is a sterile lyophilized preparation of (1) Measles Virus Vaccine Live, an attenuated
line of measles virus, derived from Enders' attenuated Edmonston strain and propagated in chick embryo
cell culture; (2) Mumps Virus Vaccine Live, the Jeryl Lynn™ (B level) strain of mumps virus propagated in
chick embryo cell culture; and (3) Rubella Virus Vaccine Live, the Wistar RA 27/3 strain of live attenuated
rubella virus propagated in WI-38 human diploid lung fibroblasts. {20,21} The cells, virus pools,
recombinant human serum albumin and fetal bovine serum used in manufacturing are tested and
determined to be free of adventitious agents.
After reconstitution, each 0.5 mL dose contains not less than 3.0 log10 TCID50 (tissue culture infectious
doses) of measles virus; 4.1 log10 TCID50 of mumps virus; and 3.0 log10 TCID50 of rubella virus.
Each dose is calculated to contain sorbitol (14.5 mg), sucrose(1.9 mg), hydrolyzed gelatin (14.5 mg),
recombinant human albumin (≤0.3 mg), fetal bovine serum (<1 ppm), approximately 25 mcg of neomycin
and other buffer and media ingredients. The product contains no preservative.
6
12 CLINICAL PHARMACOLOGY
12.1 Mechanism of Action
M-M-R II vaccination induces antibodies to measles, mumps, and rubella associated with protection
which can be measured by neutralization assays, hemagglutination-inhibition (HI) assays, or enzyme
linked immunosorbent assay (ELISA) tests. Results from efficacy studies or effectivenes s studies that
were previously conducted for the component vaccines of M-M-R II were used to define levels of serum
antibodies that correlated with protection against measles, mumps, and rubella [see Clinical Studies (14)].
12.6 Persistence of Antibody Responses After Vaccination
Neutralizing and ELISA antibodies to measles, mumps, and rubella viruses are still detectable in 95-
100%, 74-91%, and 90-100% of individuals respectively, 11 to 13 years after primary vaccination. {22-28}
13 NONCLINICAL TOXICOLOGY
13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility
M-M-R II vaccine has not been evaluated for carcinogenic or mutagenic potential or impairment of
fertility.
14 CLINICAL STUDIES
14.1 Clinical Efficacy
Efficacy of measles, mumps, and rubella vaccines was established in a series of double-blind
controlled trials. {29-34} These studies also established that seroconversion in response to vaccination
against measles, mumps and rubella paralleled protection. {35-38}
14.2 Immunogenicity
Clinical studies enrolling 284 triple seronegative children, 11 months to 7 years of age, demonstrated
that M-M-R II vaccine is immunogenic. In these studies, a single injection of the vaccine induced measles
HI antibodies in 95%, mumps neutralizing antibodies in 96%, and rubella HI antibodies in 99% of
susceptible individuals.
A study of 6-month-old and 15-month-old infants born to mothers vaccinated with a measles vaccine in
childhood, demonstrated that, following infant and toddler vaccination with Measles Virus Vaccine, Live
(previously US-licensed, manufactured by Merck), 74% of the 6-month-old infants developed detectable
neutralizing antibody titers while 100% of the 15-month-old infants vaccinated with Measles Virus
Vaccine, Live or M-M-R II vaccine developed neutralizing antibodies {39}. When the 6-month-old infants
of immunized mothers were revaccinated at 15 months with M-M-R II vaccine, they developed antibody
titers similar to those of toddlers who were vaccinated previously at 15-months of age.
15 REFERENCES
1. General Recommendations on Immunization, Recommendations of the Advisory Committee on Immunization Practices, MMWR
43(RR-1): 1-38, January 28, 1994.
2. Measles, Mumps, and Rubella — Vaccine Use and Strategies for Elimination of Measles, Rubella, a n d Co n g e nita l Ru b e lla
Syndrome and Control of Mumps: Recommendations of the Advisory Committee on Immunization Practice s (ACIP), M M WR
47(RR-8): May 22, 1998.
3. Kelso, J.M.; Jones, R.T.; Yunginger, J.W.: Anaphylaxis to measles, mumps, and rubella vaccine mediated by IgE to gel atin , J.
Allergy Clin. Immunol. 91: 867-872, 1993.
4. Bitnum, A.; et al: Measles Inclusion Body Encephalitis Caused by the Vaccine Strain of Measles Virus. Cl i n . In fect. Di s. 2 9 :
855-861, 1999.
5. Angel, J.B.; et al: Vaccine Associated Measles Pneumonitis in an Adult with AIDS. Annals of Internal Medicine, 129: 1 0 4 -1 06 ,
1998.
6. Cecinati V, et al. Vaccine administration and the development of immune thrombocyto pe ni c p urp u ra i n ch i ld re n. Hu m an
Vaccines & Immunotherapeutics 9:5, 2013.
7. Mantadakis E, Farmaki E, Buchanan GR. Thrombocytopenic Purpura after Measles-Mumps-Rubella Vaccination: A Systematic
Review of the Literature and Guidance for Management. J Ped 156(4): 2010.
8. Andrews N, Stowe J, Miller E, Svanstrom H, Johansen K, Bonhoeffer J, et al. A collaborative approach to investigating th e ri sk
of thrombocytopenic purpura after measles-mumps-rubella vaccination in England and Denmark. Vaccine. 2012;30:3042‐6.
9. Rubella Prevention: Recommendation of the Immunization Practices Advisory Committee (ACIP), MM WR 3 9 (RR-1 5 ): 1 -1 8 ,
November 23, 1990.
7
10. Peter, G.; et al (eds): Report of the Committee on Infectious Diseases, Twenty-fourth Edition, American Academy of Pediatri cs,
344-357, 1997.
11. Measles Prevention: Recommendations of the Immunization Practices Advisory Committee (ACIP), MMWR 38(S-9): 5-22,
December 29, 1989.
12. Eberhart-Phillips, J.E.; et al: Measles in pregnancy: a descriptive study of 58 cases. Obstetrics and Gynecology, 82(5): 797-801,
November 1993.
13. Jespersen, C.S.; et al: Measles as a cause of fetal defects: A retrospective study of ten measles epidemics in Greenland. Acta
Paediatr Scand. 66: 367-372, May 1977.
14. Yamauchi T, Wilson C, Geme JW Jr. Transmission of live, attenuated mumps virus to the hu m a n p l ace n ta . N En g l J M e d .
1974;290(13):710‐712.
15. Rubella Vaccination during Pregnancy —United States, 1971-1988. JAMA. 1989;261(23):3374–3383.
16. Losonsky, G.A.; Fishaut, J.M.; Strussenber, J.; Ogra, P.L.: Effect of immunization against rubella on lactation products. II.
Maternal-neonatal interactions, J. Infect. Dis. 145: 661-666,1982.
17. Losonsky, G.A.; Fishaut, J.M.; Strussenber, J.; Ogra, P.L.: Effect of immunization against rubella on lactation products. I.
Development and characterization of specific immunologic reactivity in breast milk, J. Infect. Dis. 145: 654-660, 1982.
18. Landes, R.D.; Bass, J.W.; Millunchick, E.W.; Oetgen, W.J.: Neonatal rubella following postpartum maternal i mm un izatio n , J.
Pediatr. 97: 465-467, 1980.
19. Lerman, S.J.: Neonatal rubella following postpartum maternal immunization, J. Pediatr. 98: 668, 1981. (Letter)
20. Plotkin, S.A.; Cornfeld, D.; Ingalls, T.H.: Studiesof immunization with living rubella virus: Trialsin children with a strain culture d
from an aborted fetus, Am. J. Dis. Child. 110: 381-389, 1965.
21. Plotkin, S.A.; Farquhar, J.; Katz, M.; Ingalls, T.H.: A new attenuated rubella virus grown in human fi bro b la sts: Evi d e n ce fo r
reduced nasopharyngeal excretion, Am. J. Epidemiol. 86: 468-477, 1967.
22. Weibel, R.E.; Carlson, A.J.; Villarejos, V.M.; Buynak, E.B.; McLean, A.A.; Hilleman, M.R.: Clinical and Labo ra tory Stu d ie s o f
Combined Live Measles, Mumps, and Rubella Vaccines Using the RA 27/3 Rubella Virus, Proc. So c. Exp . Bi ol. M e d. 1 6 5 :
323-326, 1980.
23. Watson, J.C.; Pearson, J.S.; Erdman, D.D.; et al: An Evaluation of Measles RevaccinationAmong School-Entry Age Ch i ld re n,
31st Interscience Conference on Antimicrobial Agents and Chemotherapy, Abstract #268, 143, 1991.
24. Unpublished data from the files of Merck Research Laboratories.
25. Davidkin, I.; Jokinen, S.; Broman, M. et al.: Persistence of Measles, Mumps, and Rubella Antibodies in a n M M R -Va ccina ted
Cohort: A 20-Year Follow-up, JID 197:950–6, April 2008.
26. LeBaron, W.; Beeler J.; Sullivan, B.; et al.: Persistence of Measles Antibodies After 2 Doses of Measles Vaccine in a
Postelimination Environment, Arch Pediatr Adolesc Med. 161:294-301, March 2007.
27. LeBaron, C.; Forghani, B.; Beck, C. et al.: Persistence of Mumps Antibodies after 2 Doses of Measles-Mumps-Rubella Vaccine,
JID 199:552– 60 , February 2009.
28. LeBaron, W.; Forghani, B.; Matter, L. et al.: Persistence of Rubella Antibodies after 2 Doses of Measles-Mumps-Rubella
Vaccine, JID 200:888–99, September 2009.
29. Hilleman, M.R.; Buynak, E.B.; Weibel, R.E.; et al: Development and Evaluation of the Moraten MeaslesVirusVa cci n e , JAM A
206(3): 587-590, 1968.
30. Weibel, R.E.; Stokes, J.; Buynak, E.B.; et al: Live, Attenuated Mumps Virus Vaccine 3. Clinical and Serologic Aspects in a Fiel d
Evaluation,N. Engl. J. Med. 276: 245-251, 1967.
31. Hilleman, M.R.; Weibel, R.E.; Buynak, E.B.; et al:Live, Attenuated Mumps VirusVaccine 4. ProtectiveEfficacy as Measure d i n
a Field Evaluation, N. Engl. J. Med. 276: 252-258, 1967.
32. Cutts, F.T.; Henderson, R.H.; Clements, C.J.; et al: Principles of measles control, Bull WHO 69(1): 1-7, 1991.
33. Weibel, R.E.; Buynak, E.B.; Stokes, J.; et al: Evaluation Of Live Attenuated Mumps Virus Vaccine, Strain Jeryl Lynn, First
International Conference on VaccinesAgainst Viral and Rickettsial Diseases of Man, World Health Organization, No. 147, M a y
1967.
34. Leibhaber, H.; Ingalls, T.H.; LeBouvier, G.L.; et al: Vaccination With RA 27/3 Rubella Vaccine, Am. J. Dis. Child. 123: 133-1 3 6,
February 1972.
35. Rosen, L.: Hemagglutination and Hemagglutination-Inhibition with Measles Virus, Virology 13: 139-141, January 1961.
36. Brown, G.C.; et al: Fluorescent-Antibody Marker for Vaccine-Induced Rubella Antibodies, Infection and Immunity 2(4): 360-363,
1970.
8
37. Buynak, E.B.; et al: Live Attenuated Mumps Virus Vaccine 1. Vaccine Development, Proceedings of the Society for
Experimental Biology and Medicine, 123: 768-775, 1966.
38. Hilleman M.R., Studies of Live Attenuated Measles Virus Vaccine in Man: II. Appraisal of Efficacy. Amer. J. o f Pu b l ic He a lth ,
52(2):44-56, 1962.
39. Johnson, C.E.; et al: Measles Vaccine Immunogenicity in 6- Versus 15-Month-Old Infants Born to Mothers in the Measles
Vaccine Era, Pediatrics, 93(6): 939-943, 1994.
16 HOW SUPPLIED/STORAGE AND HANDLING
No. 4681 ⎯ M-M-R II vaccine is supplied as follows:
(1) a box of 10 single-dose vials of lyophilized vaccine (package A), NDC 0006-4681-00
(2) a box of 10 vials of diluent (package B)
Exposure to light may inactivate the vaccine viruses.
Before reconstitution, refrigerate the lyophilized vaccine at 36°F to 46°F, (2°C to 8°C).
Store accompanying diluent in the refrigerator with the lyophilized vaccine or separately at room
temperature (68° to 77°F, 20° to 25°C). Do not freeze the diluent.
Administer M-M-R II vaccine as soon as possible after reconstitution. If not administered immediately,
reconstituted vaccine may be stored between 36°F to 46°F (2°C to 8°C), protected from light, for up to 8
hours. Discard reconstituted vaccine if it is not used within 8 hours.
For information regarding the product or questions regarding storage conditions, call 1-800-
MERCK-90 (1-800-637-2590).
17 PATIENT COUNSELING INFORMATION
Advise the patient to read the FDA-approved patient labeling (Patient Package Insert).
Discuss the following with the patient:
• Provide the required vaccine information to the patient, parent, or guardian.
• Inform the patient, parent, or guardian of the benefits and risks associated with vaccination.
• Question the patient, parent, or guardian about reactions to a previous dose of M-M-R II vaccine
or other measles-, mumps-, or rubella-containing vaccines.
• Question females of reproductive potential regarding the possibility of pregnancy. Inform female
patients to avoid pregnancy for 1 month following vaccination [see Contraindications (4.5) and
Use in Specific Populations (8.1)].
• Inform the patient, parent, or guardian that vaccination with M-M-R II may not offer 100%
protection from measles, mumps, and rubella infection.
• Instruct patients, parents, or guardians to report any adverse reactions to their health-care
provider. The U.S. Department of Health and Human Services has established a Vaccine
Adverse Event Reporting System (VAERS) to accept all reports of suspected adverse events
after the administration of any vaccine, including but not limited to the reporting of events required
by the National Childhood Vaccine Injury Act of 1986. For information or a copy of the vaccine
reporting form, call the VAERS toll-free number at 1-800-822-7967, or report online at
https://www.vaers.hhs.gov.
For patent information: www.merck.com/product/patent/home.html
Copyright © 1978-2020 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
All rights reserved.
uspi-v205c-i-2006r009
Product patents - Merck.com
merck.com
Product patents - Merck.com
Merck US has many products enjoying exclusive patent rights. Click here to access a full list of Merck US patents.

The mug stains leapfrog a linoleum asphalt countertop, sunbathing in the breakfast nook.
A magazine proofreads a hole in a bagel. Scanning for clues to the whereabouts
Of a Jewish heart. Beads of Oolong tea archipelago from a resting kettle
All the way to the 'good ' China. A cup on a pearl, laying flat… ear to the ground.
Listening to the stories only Formica can tell. Deciphering the steam
Rising from a steep. Curling whiskers into omens, embroidered upon a shaft of light
Heaven sent. Postage dew. Gilding quaint luxuries, tucked in a cozy roost
Smelling of oak musk and slow roasted dreams, evaporating before memory may lay claim
To the riddles of Morpheus. There’s an aire of Return.  
It molts in the bacon fats hovering in the strata unique to kitchen islands lousy with active volcanoes that shuffle in stocking feet and terry cloth bathrobes. Restless and foggy minded.
Looking for the keys. And...
Chewing a thumbnail. Staring out the window. Where there used to be a car in the driveway. But the officer flagged a taxi. Explains the migraine, like a Vulcan; stoically flipping switches in a fuse box wired to a vague recollection of a soiree.
All the while holding a pitchfork and today's horoscope.
For irony and street cred.

{ But out of cream cheese. }

Concurrently... This part of the house still has the rustic naivete of a celibate beatnik picking teeth with a signature pen presenting an Hawaiian girl with a vanishing skirt; blinking in and out of Vaud-villainy, like Erwin Schrödinger’s Cat. A kind of hole in a barge with an ornate cubby; loitering with sugar cubes and a bendy plastic fern.
Like the foyer to a room, still under construction.
      A busy little metaphor, lounging around the east wing of a humble abode… like news clippings in a mason jar… it’s superfluous handle threading a ceramic eye.
Like a stainless steel joke under a refrigerator magnet, pinned to a plate in your forehead. As any lamp-shade with ambition.  
      Playing to a rough Cloud, hung over an ashtray; that has seen Better Days - envy the baroque occlusion of monotony and routine, merging a hangover - into morning traffic. Replete with modest gains.
And Horizons that stab bleary eyes that would know a gypsy
By the weight of her purse…
     When the day begins, it gains a foothold by the spine of an overdue book, reclining adjacent runcible spoons and antique kitche. As a bathroom light squeaks between a door and a frame.
As ancillary and precise as a beacon for a blindfold.

Like turpentine palming a brick. And Wagner.

The clock struck midnight
I was restless and thoughtful as could be
I noticed that I had been tossing and turning to a beat and rhythm that plunged above in the sky
It was a thunder-storm
bang, crash, thump
The sky illuminated in glory
Envy

The thunder roared and crashed in the middle of the night and the trees helplessly yearned for serenity
Ironic
It was calm earlier that day
Imagine
The breeze was right where it should have been and the sun was warmer than a hot skillet on a stove top
Peace
The sky was fostered in a pacific blue
And the clouds resembled dreams
Love
I remember it was 1:05 pm to be exact and I was feeling blissful
I decided to ride my bike through a quaint old town, two miles west of my house
Adventure
I stopped and stared at this little old man painting in the park
He was painting a tree, with pink, red, purple and gray
Odd
I couldn't help, but noticed how he was enticed by his surroundings
Interesting
I continued to bike away
It was now 2:45pm and I was feeling a bit famished
To the right of me stayed a cunning unforgettable coffee shop
I insisted to go in
Hesitation
Something about that coffee shop struck me that day, just like the little old man painting his introspection in the park
The room reeked in comfort and patience
Something I did not understand
Silence
Contemplatively, I bought a cup of coffee--black, I also companied that coffee with a blue berry scone--my favorite
I sat by the window to admire the sunlight and how the warmth cherished my skin
I sipped my coffee--startled
I noticed something peculiar about this coffee shop and this day
Instantly, I was left with an uneasy and unsettled feeling
Thoughtful
My black coffee was much more bitter than usual
It is as if the taste could not go down my throat
Something was wrong, I felt it
As I looked around the room everyone else was enjoying their cup of coffee
They also seemed to lack any hesitation
The tone in their voices create a harmonic rhythm in conversation
I noticed that every time they took a sip of their coffee they found it sweet, rather than bitter
I turned my head and looked out the window for a moment
Suddenly, I noticed that the sky was diminishing in its tints of blue
Wonder
I looked down at my watch
It was 3:35pm, I had to get home
I paid my bill and scurried onto my bike
Remember
The sky was calm throughout the entirety of the day
It was lovely and ideal--until it wasn't

No one expected a storm
No one expected disaster
But somehow, I did

I laid in bed that night waiting in anticipation
Waiting for my world to collide
Thunder and lighting seemed to have fought its way through the sky
Time
There wasn't enough
Concurrently, I felt bitter-- just like my cup of coffee in that cunning old shop
Ambiguity
I was left without answers
I was left without sugar and cream
creek, scratch, thump
The tree branch slid against the slide of my house
I noticed it all
It's starting
All the anticipation and anxiety I felt throughout the day was finally coming to its end or maybe to its start
The sky started to illuminate an illusion of sunlight
It was 11:30 pm and the day it almost to its end
I laid in bed thinking
I thought about my day and everything that it was missing
I notice it all
The little old man in the park painted a tree with a usual set of pigments, he defined ordinary, while sat alone comforted by the mere work of his creativity
The people in the coffee shop arrayed and encompassed patience, harmony and happiness
I was struck by discomfort because I unware of all those wonderful things
I knew all about the thunder and how it was provoked in the sky
I understood the lighting and its wish to shine
I thought of the beat and tempo that they would together make
Sometimes it was bitter, but sometimes it was sweet
I understood thunder and lighting
I understood why they danced viciously in the sky  
Finally, the clock struck midnight and it was now tomorrow
Fear
The storm was coming to its peak
The thunder fought its way with the lighting just as viciously written words floated on a piece of paper
The lighting struck back with ferocious and willful ambition
Relentless
The lighting held its ground, but didn't give up its hope
BANG
Memories
It was 1:05 am
The storm had reached its end
The thunder and lighting seemed to have parted their ways
Their fight was tortious
Nobody won, rather they both lost
It was 1:25 am
The rain had finally stopped
The trees have found their peace
It was 1:42 am
As I laid in bed, I thought about my day
I just want the storm to stop
Just like the the thunder and lightening, the little old man in the park and the people in that cunning old coffee shop, all have found their comfort and patience
The thunder and lightening have similarly found it in their bitter sweet good bye
It was wonderful
I noticed that as much as they fought throughout that darling midnight blue sky, they were attracted to their rhythm—A rhythm that was worth saving
The sweetness was found in their beat as they danced throughout the night
The thunder and lighting created a bittersweet combination
Just like the coffee I wish I would of had
A natural disaster that was intended to create a craze in the sky
The thunder wanted to be sweet, as did the lighting
Two peas in two different pods
Their negativity created the sweet appreciation of warm sunlight
I notice it all
The sun was the sweet
The day was calm
The thunder and lightening both knew it all too well
That night, the reminder of it anyways, I laid in bed and I knew that someday the storm would go away
It was 2:25 am and I finally shut my eyes

You should know
You're just a temporary fix
She's a ****
An obscured partial eclipse
She runs and hides
Behind a mask of addictive scripts
She's the game
You just feel good against her melanin

You should know
She's incoherently captivating
She's a naked lady
Amaryllis Belladonna
Poisonous and pink
She'll hit a switch you can't describe
Concurrently splitting your spine
Yet enhancing the fruits of your mind

She's a ****
And you're just a temporary fix
Where she lives
Love does not exist

Currently-
I'm sitting in a room drinking coffee too hot for my mouth.
I endure the pain, it is what I'm used to by now.

Currently-
I have like 10 thoughts in my head
not one of them relating to another.

Currently-
Nothing can hurt as bad as where my mind can travel
here in this room
when I'm trying to focusing on everything else
but all I can hear are whispers in my ear
and hands on my body as a young girl.
You found me then and you've found me now.

Currently-
My Spanish exam is today and I'm tired
of thinking about conjugations and commands.
Moriremos! Let's die.
Don't worry this exam will do it for me.

Currently-
See I'm racking my brain trying to understand you
why you did what you did
and why it hurt me so much
but I can't seem to find an answer.

Currently-
I'm thinking about when I was molested
and I think about how every time I write about it
and show my boyfriend he sometimes
thinks the undertones and contexts are about him
considering I only use metaphors to explain the situation
I'm never blunt in poetry.
Why does he think they are always about him?

Currently-
Two cups of coffee deep and my hands can't stop shaking
I got inspired by my own writing
which is weird.
It never happens so I'm taking it for what it's worth.

Currently-
my mind is running on 100 mg of Lamictol
and 5 mg of busiphrone so I start to wonder
if these thoughts have become synthetic.
Configured inside a laboratory filled with people
who have no idea what I go through on a daily basis
yet they are trying to figure me out
place me inside a box I don't want to be in.
Funny, my alarm just rang.
55 milligrams of small white pills down the hatch again.
This is all becoming too unrealistic.

Currently-
I'm thinking about all the things I shouldn't know.
How the girl that's ******* around with my friend
has ****** way more guys than she says
but I lied to make him feel better, it's not my place.
Besides it's none of anyone's ******* business but her own.
I think about how my friend found a lump on her breast
and how she didn't tell me about it
probably because my grandma died this month
5 years ago. Wow. 5 whole years. It hurts.
So does the idea of losing my best friend.

Currently-
Death is always on my mind
but in this moment it's more than it has been
within in the past couple of months.
But the coffee burns my mouth and reminds
me why alive can mean pain, but it can also mean
sweet taste and warmth.
Warmth, I think about your mouth
and what it could've felt like on mine that night.
I was too hurt to think about anyone
except the heart that was cracked inside myself.
10, 9, 8....  
I'm trying not to think about it,
how turning back time would be cool just so I could know.
But I don't, and I have a boyfriend- sort of.
Can't go there right now. Trying to write a poem.

Currently-
Everyone who has ****** me over
has become or stayed my friend afterwards
and I start to think about how ****** up that is
because they didn't want me as a lover
but were fine with just my friendship
it's painful knowing they all got what they wanted
and I was left with always wondering what if.
It's funny how I know things from the moment they happen.
"She has such a weird face" was actually code for
"I'm eventually going to **** her, I just want to make you feel better and like I won't but I will"
I'm still bitter.

Currently-
How should I end this piece
now it doesn't feel at all like poetry just a bit of rambling.
I feel the lining of my gums
how they are repairing themselves from the damage
of my mouth being ripped from words I wish I could say but can't.
But here I am, saying them anyway.
I start to wondering if anyone knows
these words I speak.
and how I sometimes wonder if I'm dyslexic
because I always spell words backwards.
like backdarws or fkuced up.
Even in another language.
Too chicken to find out, so I guess I'll never know.

Currently-
there are more than 10 currently's
but I don't seem to give a **** anymore.
I think about how the pain stops when I write
how one focus can make a huge difference.
I burned my mouth again
and it made me laugh for the first time
since Sunday morning.
It's not sweet enough.
Neither am I.

Currently-
I think about how easy it is to change my clothes and my hair
and how easy it could be to pack up and just leave.
But I have this overwhelming feeling that I can't
let everyone down.
The coffee has gotten cold
and my patience has run dry.
My heart is heavy with these words
I try to make pretty,
but there is no makeup for these words
no concealer you can use to hide the blemishes.
If there were they would be metaphors
and this poetry would be the final product.
But you can put a mask on the truth
and I don't think I would ever want to.

Currently-
I'm thinking about how happy you make me
and how dysfunctional things can be between us.
But I don't know how to be with anyone else
and I don't really want to.

Currently-
I'm thinking about my Spanish exam again.
******.

What is a person in the middle harm (MITM)? Imagine this, an opponent applies up an imitation financial institution internet site in addition to entices buyers fot it web site. The person forms in their pass word, along with the aggressor therefore functions that information gain access to the lending company genuine internet site. If this describes done properly and also discretely, the user won't realise that he / she isn for the lender web page. Your assailant after that disconnects the consumer and tends to make almost any fake purchases how they wish or travels an individual business banking transactions while making his personal trades concurrently.

The best menace is usually deception because of impersonation. The particular ways regarding impersonation will vary as a result of this defense. Outside of wedding band 2 component authentication will probably push thieves to modify their own practices for you to impersonate you together with is a great technique to discourage most of these strikes.

Protected tokens, these tiny essential fobs having altering account details, have been thought to be panic disorder many of the basic safety concerns banks confront around discovering their particular consumers. It a great choice greater compared to a straightforward username and password, but it surely not just a bulletproof option that numerous men and women think that it is. Using a male didn't remember the words assault, where the individual can be giving its code and also other material, the particular enemies could clear away a forex account in just a few minutes.

Attackers are obtaining smarter every day when new precautionary features will be made against these. Many clients would think about bogus website instead of have the capacity to decide it is a false website that has been built by the assailants. More often than not these kind of web pages are generally exact same from the genuine websites.

Having a guy in between harm, Trojans along with other spyware are lying throughout wait for an person to access some sort of qualified website, mainly financial plus personal solutions. When the site involves not one but two point authorization in the get access process, say for example a protection important and also token, an individual would certainly enter in the 1 time private data in the token completely uninformed that this invasion is manufactured for the consumer.
An effective way in order to eliminate guy in the centre strikes is to try using the SSL association (as most finance institutions perform), with the user to check the authenticity from the SSL certificates from the machine there're associated with also to employ from band not one but two component certification. This proves that you are attached to the lender straight, to never a man in the center or perhaps a phishing web page in addition to youe capable to discover all by yourself employing outside of group a pair of component validation. Beyond strap 2 issue authorization is best suited for in the event the subsequent factor involving verification develops on the contract period in contrast to if a consumer fire wood throughout.

Cyber terrorists are usually trying to find pertaining to top secret info presented on your desktop. They prefer phishing episodes to help take your testimonials along with determine these individuals since you fraudulently.

The best way safe and sound ya think you might be in opposition to phishing problems plus dude in the centre strikes? Even when you may feel safeguarded searching the world wide web as well as visiting within your online banking, yourrrre still coupled to the principal steady flow of the online where by dude in the center violence could happen. Being able to view machines throughout the world to be able to method details as well as examine private data positions you actually at risk. Even if you or perhaps your business enterprise works by using beyond wedding ring two-factor authorization, all depends about the a higher level basic safety made available from your remedies service but it will depend on the way thorough the finish user in fact is. Just a good out-of-band a couple of issue verification answer may offer the safety that you might want. This is taken a little more forward through the use of any out of strap two aspect verification solution that offers absolutely nothing foot print safety measures as well.

Phishing to get Data

Phishing is often a technique for wanting to acquire hypersensitive information including usernames, passwords in addition to bank card information and facts by simply masquerading as a honest company within an automated interaction. Phishing is much like disposing of your lure looking to trap your private data. There are plenty of means of phishing by means of tricks regarding net houses along with printing but the idea is always to make believe be described as a kind of curiosity towards the sufferer. Once the enemy has generated confidence by simply pretending to be the web site you intended to stop by or even as a result of some form of transmission for instance contact or phone they're going to attempt to siphon details. Phishing can even be completed mail spoofing or im. Bankruptcy lawyer las vegas information is obtained you may be the particular victim involving identity fraud or you'll ended up being the weak link around stability your business originating from a man-in-the-middle assault.

Figuring out using the Man-in-the-Middle

Man-in-the-middle attacks certainly are a sort of eavesdropping that the assailant creates self-sufficient contacts with all the subjects and relays mail messages between the two, making them imagine that these are talking immediately conversing with each other on the non-public link, while in actuality the entire discussion is handled with the enemy. Picture this situation, you will be enjoying a casino game of telephone however pal at the center maintains adjusting the solution. When an assailant has generated appreciable link involving along with their own priority, might be by means of phishing, they might adjust communication. Using this adjustment associated with interaction they even can catch material used in two-factor authorization because most many people have net on the cell phones.

Improved Two-Factor Authorization

If you want varieties of two-factor verification the best kinds make the most of out-of-band zero size connection. Out-of-band certification implements a individual system to distinguish a customer such as the telephone sites. Strikes may happen even though not one but two point verification is present, although the prospects for a guy in the center assault working much less expensive. Employing a new zero size solution can look after a little more forward versus these types of problems. From music group a couple of issue authorization along with Absolutely no records foliage no locate of confirmation regarding and apply no information from your device used by identifying a person. The idea is that their without the need of everything being in the water there is little change to no chance being captured because of the lure involving phishing.

Though there are truly zero protection techniques that prevent strikes 100% almost daily, out of wedding ring 2 aspect authentication methods absolutely are a remarkable enhancement above solitary issue verification solutions. Moving forward tactics and a lot more complex attackers earn some types of two-factor certification look a lot more like any placebo than the usual solution. Out-of-band actually zero influence two-factor authentication is the foremost defense against phishing as well as man-in-the-middle problems.

http://www.passwordmanagers.net/products/iTunes-Password-Backup-Software-2.html iTunes Password Backup Software

I never spotted perfect with 7 many years, that may be, until eventually I just rode by having a snowstorm in Cheyenne, Wy piles. Neither of the two does That i of course bear in mind just how the results in difference in autumn for the east coast Cheap Fitflop Malaysia, and the way they will appear like fire flames lunging on the sky inside tones of persimmon, cardamom, peridot, wine red and rust. However not too long ago experienced this and much more by going to typically the Baltimore Booklet Pageant the day with Sept . 28, 2003. Even while I can look at using an superb meal inside the Renaissance Resort dismissing the actual have or use the handyroom I really performed at "Writing Entertaining Imagination," it absolutely was the seasons which often discussed in my opinion. Both these incidents-the excellent skiing conditions together with the results in changing-reminded us just how much I have got bad a pageantry with the gardening seasons. Simply because got time consuming relaxed excursion across the states, I thought overall regarding basically the la position for the third 20 a long time seems to have distracted myself towards swapping times. On the other hand, I don't know once this may possibly helped me to recognize an alternative growing months inside my living. We are in front of the imminent diminished my favorite ultimate surviving mother or father. Purchased, grow older Eighty three, who have serious osteoarthritis and rheumatoid arthritis, has worsened since I discovered her during the past year. Surprisingly, I would not think sadness, but a resignation, a feeling that this is part of the life never-ending cycle. Just like the music, "Everything will have to improve.Inch That is the totally different problem at the time We displaced our momma. I used to be now 100 % unprepared in the event that my favorite the mother was killed of your sudden cardiac event in December Just one, 1993 that we seemed some fury, nearly an important rail alongside God. How could You? Ways dare You operate the following women, exactly who I was really acknowledging has been my base, that carried us on the inside of your girlfriend, whose quite fingers moves We spotted mimicked around my own? This era ended up being to grow to be some tips i afterwards discovered for the reason that darkest winter season about wellbeing. Looking back, It is my opinion my very own problem was in fact a natural part of just what usually symbolizes have an effect on the original parent, in particular the momma. Those are the basic items, we all, just as novelists, will need to draw in our writing--the shifting months people day-to-day lives, people letters, on their trips and how many of our character types deal with these folks. As soon as the Baltimore Arrange Festival, I ended with Detroit. Even though presently there, When i had dad out from her brand-new residence-a nursing jobs home-to obtain a milkshake in Carl's junior, and even though moving him as part of his motorized wheel chair, I just sensed for instance the father or mother. I have been don't annoyed on the subject of his particular becoming people, his particular frailties, his own failings, (that have been far more obvious due to the fact my own maternal dna fatality.) Freezing imagined her to help you check out heat of the sun at her tissue-like pores and skin, whereby you could possibly begin to see the azure problematic veins. I actually sunken myself 100 % inside decisive moment. We've been experiencing the natural light. Irrelevant of the calling I'd received from my personal hometown, Detroit, concerning how ugly it is about Pop, "He's in that brand-new turmoil," or "that innovative crisis"-I wasn't extended irritated. Within the connected with a original public individual, To begin with . to help you reframe the matter. In contrast to contemplating my personal daddy's slower loss of life simply because Cheap Fitflop Shoes, "Isn't doing it awful the way in which become old in addition to die?In . here are currently being how a the seasons in everyday life transform. As a writer, we regularly come up with from the conclusion, "What however, if ...In I absolutely point out, can you imagine we all reframe a lot of the issues of joining the dinner generation-dealing along with children/grandchildren/elderly parents? Imagine this is often a festivity?

I really saw my best father's temper carry because instructed her just how blessed the guy would have been to now have some sons who have checked available for your ex boyfriend, not to mention three little girls. Exactly how skilled he's being a Ebony mankind, to get little children who may have prepared your partner's everyday living much better, for money, when you virtually all started. I really came across all the treatment inside brothers' face when i suggested it for the health care they've got brought to during the throughout the last 90 years many years, which includes settling your ex within a elderly care facility historically month, although it is often in opposition to my favorite daddy's choices, however was basically just for his / her better great. It struck me. My own inlaws and I are currently all the seniors. What's more, as an author, Now i'm currently a teacher-the little come to others meant for guidance.

We're trustworthy to give in the experiences as a result of preceding years to a new generation on the way, as being a people today, lived through, which describes why I think it is vital for american to write down our own articles. Sadly ,, for African-Americans, a great deal the historical past was initially damaged or lost as, though there was basically your dental customs, plenty of people still did not publish its testimonies documented on daily news. As a general penning tactic, When i came across a pattern. On paper, some remarkable summer often connote a trending up get out of hand in our characters' activities. As an example, typically the characters just fall in love, get a household, have a very the baby, and grab special deals. They are simply happy. Paradoxically, a new figurative fall and winter typically reflect some sort of volitile manner, which can be known as the "inciting occurrence,Within in a very report. Someone don't likes you and also results in one. A friend or relative dies out of the blue. Or simply a cherished one is definitely the sorry victim in mindless abuse. The smoothness becomes sorry. For a quick blizzard hard to bear a person's tidy daily life, typically the character's world is usually thrown away about stabilize. This can be the center with trouvaille. Loaded to listen about how exactly good your own character's a lot more. Imagination is centered on bother.

Now perhaps even the appropriate lifetime really ought to get hold of worried to keep your readers changing web pages. Concurrently, even though Fitflop Sale Online, It looks like that him and i ought to learn to look at the excellent of these downhill spirals and rehearse it inside our writing. Even while a lot of these awful instances are actually everything that compel you on, we have to reveal typically the advantage in this, much too. It really is usually while in the "symbolic" winter season that the character's mettle will likely be subjected to testing, and also reader will find out what they're constructed from. As a writer, you would possibly consult, so how exactly does the transform and also be because of this specific wintry year or so? May he / she range from sceptical to be able to optimists? Mistrustful in order to trusting? Mean to be able to non-profit (for example Scrooge)? The character could also read the undo of menstrual cycles. Sarcastically, equally winter time means loss of life, (like. loss of life from a connection, departure of our own children's, loss individuals illusions,) there is also a some part resurrection within this end scenario. Hard usually is when we experience a disaster, i am plopped level on our supports, occasionally essentially, and forced, (whether or not from much of our could,) to think. Exactly what privacy or maybe nutrition will the identity identify subsequently? In particular, presently, Simply put i gaze at how my mummy might be born-again again and again at a frosty working day when I drink a common tumbler connected with broth, that is certainly one of your ex lots of ways connected with taking care of.

Currently I'm wondering. Just what remembrances might your dads continue winter time bring in myself? Might it be the love on the good anecdote or perhaps her story-telling potential he given to if you ask me? I don't know. Nonetheless I understand. In the midst of daily life, we are now throughout demise, to be able people we will have to adapt to those exceptional, wonderful events that make up each of our humanity. In the end, mainly because Ruben Irving was concluded her epic saga around the world Depending on Garp, Inch ... business people are station incidents.In . Copyright (d) 2008 Dark-colored Butterfly Marketing
Relate Articles:
http://www.dailyexpress.com.my/iphone/FitflopMalaysia.asp

mvp arena
s pearl st
albany, ny
8/30/22

(to summarize how
we got to this point

i was in the
darkest year of my life
and in my pragmatism
self-inconsideration
i gave myself
an out

the only way i could
survive was to
tell myself it was
going to be over soon)

i’m screaming
the words into
currents
of noise

i should be
happy
still hearing the ringing
in my ears and
seeing flashing lights
in my eyes

(9/25/16
was the day
it was going
to end for me

concurrently
i discovered
a genre designed
for kids like me

spent hours
in full blown panic
not at the disco but
twitching on the floor
trying to drown it out
with fall out boy
nights that didn’t end until
dawn picking apart
twenty one pilots theories
in razor free showers

and then
my chemical romance
was back from the dead
10th anniversary album with
new tracks
coming 9/23/16)

things have changed
i’ve changed
and yet still
traumatically
dramatically
the same

”what’s the worst that i could say?
things are better if i stay?
so long and good night
so long and good night”

(and i realized
there was something
out there to
look forward to

maybe
just maybe
i make it through
just for now)

”we’ll carry on
we’ll carry on”

i did
and i made it
all the way to here
found a way to
scrape myself through
every lonely night

but in that
moment the
crushing weight
of my own
insignificance
caught up to me

i should have been
happy
to have made it
to here

but the only thought
in my mind
was that
if i hadn't
made it to here
this moment
in this sea of
misfits and margins
in this sweaty stadium
four hours from home

if i hadn't
carried on
nobody
would
have
noticed
my absence

i'm reduced to
a face in the crowd
twenty dollar bills
in a merch line
a scream in a stranger's
snapchat story

and the world doesn't
need me
one more person
to add to the chaos

i should have cried
happy tears
but instead
i began to regret
what makes me
strong
what got me
to this point

would it be better
if i had ended it?
would it be easier?
does it even matter
either way?
because i'm
beginning to think
it really doesn't

and i know
i made it this far
i have his hand
around my back
and don't cry
alone at night anymore

but in the cosmic
scheme of significance
(which i want there
to be and i want
to be in)
i just don't
think
i don't
know
if it matters enough

what's the worst that i could say?
are things better if i stay?

"so shut your eyes
kiss me goodbye
and sleep
just sleep
the hardest part
is letting go of your dreams"

When she says she hears voices rattling and battling in the deepest recesses of her mind, then it's time to beware, take care, and make choices saddling you and leave her behind.

     Shes a case study of its kind. That even Freud would throw up his hands, make a grand stand in his frustrations and demand a vacation to unwind.

She's all that and more.

She'll wrap a man around her fingers  make him putty in her hands,
leave him babbling in his mirror
trying so much to understand.
He should feel something, but just can't comprehend,
left a mute, numb, mumbling...
carcass, of a man.

She's like an itch that becomes a
scratch that's becomes a pestering,
festering ****, till you look down
horror bound as the ****** swollen
thing has taken on a life of its own...

then it starts maxing out your cards,
throwing your clothes out on the yard,
yelling hard. Snooping on your phone. Won't go home. Won't leave you alone.
Is it a wound or a woman or a woman or a wound or both  simultaneously, concurrently?  Yes and no.
Oh the trials and tribulations I've known!


You can really pick em.
Daddy used to say, in his haphazard way, and really lay it on me in the harshest of phrases,  meant to dazzle and daze me, rile and faze me, knock me a kilter off my normal day.


Son, you stimulate and exhilarate  the
spirit of an untamed, pained, wild
child woman and it'll be the same, and here this,
as an insane drain on the brain most personally and certainly and most notably and you can quote me.  It'll leave you feeling like the beach storming at Normandy.

A querulous cry
from my peckish feline
failed to rouse me from sleep:

thus,
teeth entangled in the meat of my palm,
this hideous beast
bucked conventional wisdom in
deciding to bite a hand
to prompt a feeding.

Concurrently
I am considering the adage
of there being more than one way
to skin a cat.

Life. Such a small word, yet remains vague and unanswerable to many people. A word which concurrently breeds curiosity and fear inside a simple mind that continuously runs wild with questions. A word who’s meaning can only be defined as a never ending cliffhanger, leaving you with the gut aching suspense of a never resolved story. Controlling our lives like a marionette puppet with the strings being attached to the four characters L, I, F, and E. But alas, we are all blinded by the light paved into the road we created ourselves. A cracked road filled with the seeds of our generation, aided in growth from our blinded light with ambitions of reaching the sun. We give our seeds a warm reality, which sparks the blossom it’s wanted to expose to the world, the reason it was given a chance as a seed to begin with. Some people look at what that flower has to brought into their lives and cherish it, while others hide around a dark corner with harsh opinions and rationalizations. Around that corner a cold reality is approaching, causing a cherished life to be cut short. That life though, it never dies. For before it shriveled up, it did something amazing. After that flower blossomed, a gust of determination carried the seeds of it’s knowledge throughout the world to be seen as inspiration. Inspiration, and to once again ambitiously sprout from the crack in the road we’ve so blindly created.

Reconfigure needs to assign energy reconstruct fate and reverse engineer brainwaves to elevated futures enforcing ideas hibernating preeminent brilliance coming alive prenatal evolution. Welcoming thee to link in brain hemorrhage head free on a shopping spree alleviate mediocrity due diligently glance therapeutically window shine prosaically undress darkness **** psychoanalyze intelligently spread wings subscribe winds induct words deliver mind body and soul conjugate reversibly combine spirit turn angle internally.
​
​Working in elbow greased verbs ruminating deep pronounce invalidation entangled in idiocracy launching user friendly web pages intrinsically a freakonomic domain going insane shining rays cracking sunscreens helping planetary rounds eclipse about solar. Wax-on-Wax-off endocrine white space kick back black text in crain form ordained.
​
​Quite straight typing fellow with a fix on crooked to the point hypnosis evergreen bemuses natural flying air gravity hyperbole making oxymoron's two using sarcasm to go long sideways without end zone in sight; billions of stars away touches down.
​
Creating arms wide open webbed developers to jump off board and dive right in the Olympic pools front end incorporate within the monitor individuals made in presence of human impressions form unconsciously with thought feeling present in complacent premonition based evident affectionately loving blessedness implode

Ease in tranquility be seated comfortably cloud with deep breathe cushion lungs good follow the white rabbit onscreen to the address key in hole glow open discovery unlock visually learning the curve existentially along the Matrix true reality astute concurrently.
​
Ethereal beings mandate a collection of comprehensive passed down past up pass me downs full circle explanations; made up of endemic observations and epidemic considerations resulting from interactions with contagious social behaviors and their impact on individual conscience.

Maintaining the world is determined by controlled subconscious energy that makes up existence as a form of matter which in effect mettle's with humanities identity nodes in phenomenon mode pleasures contently raptures jovially in euphoria transported from delight merriment underneath skin deep.
​
​Poetic justice discharges an operator whom enlightens with irrational equations derives proportional equators inverts elements to the 7th degree in universal oneness; entrusting quintessence to implicate love as much as the seven sky's, moons and suns multiply by infinity guides trinity on the other side of dark eternally alleviating once and for all levitating time with no barrier black holes hiding dimensional authenticity atom reeves ring aperture.

Nights like these
Accompanied by the howling
Not of the wind
But of my cranium
Slowly caving in
We are swayed constantly
Like willows in the breeze
From perception to perception
Until we know not
Who we are anymore
What is to be believed?
Who is the enemy?
My thoughts have long formed legs
Not two, nor four, but plenty
But more is not always merry
They struggle to keep their balance
But fail
So I am
Traipsing with tangled feet
C l e a r
M y
M i n d
For me
Please
Buy me sympathetic placidity
Buy me apathetic innocence
Buy me antipathetic ignorance
Anything but what I am now
Would be good
I dream of blue lakes and clear skies
But do they really exist?
I sleep in a labyrinth
And wake up
To the hustle and bustle of escapees
We are all but only human
We are lost souls
We are amateurs grabbing tightly
To the manual of How To Live
While concurrently
Playing God
As if we are all that holy
I know not what I am
I know not what we all are
I sleep in a labyrinth
And I awaken
To a stampede
Of people rushing back and forth
In a desperate bid to reach the top
But the way out of the labyrinth
Is not the top
Is it?
Perhaps I am too easily shaken
Too vulnerable for my own good
But I could grapple with the notion of self-control
And perhaps I really should

my ears rang for hours like phone lines leading to diamond mines. my breath stayed trapped in my lungs as stars flickered into view above our heads, lightyears above our heads. our veins flooded with spirits, our skulls clouded with smoke; we made lopsided eye contact and smile crookedly. my hands rested on your knees, itching to drift north. there was not space enough for words between our thoughts that linked with the brushing of our lips and it was known at once that our hearts nearly exploded concurrently, our hands were still, locked together like a riddle with no vowels, with no punctuation, we stayed, together, like that, until the air around us stilled and our ****** beats were so loud, the weeds were bewildered. and then we stood, the riddle of our palms still unsolved, and our legs took over, propelling us through a parking lot so dimly lit our pupils resembled dinner plates, and we got into the car to sit, to revel in our veins that seemed to connect at a point not visible to human eyes. our smiles askew and our brains charming each other amongst the crackling, we left.

Writing a poem is about locating self.
Every facet within what you’re about to create
blooms from your consciousness, your subconsciousness
your ego, your mind, your heart

But where are those elements planted?
Where are they rooted?

They are rooted within:

your ethnocentric illusions
your lived reality
your privilege, your pleasure, your pain
your abilities, your disabilities
your socioeconomic status: have and/or havenot
your fluency, your empathy, your sense of humour
your vices and your storytelling devices

Now we've got some roots, what are we going to grow?
Let’s begin by observing, using our senses
Maybe, let’s use our eyes
Consider, the reality of how we see and sense the world
Is different for each and every one of us

Everything is tempered by the lens we use
Which is informed through the roots of our synapses
Which empirically flow from the subjective ground
On which we stand

And what does this have to do with poetry?
What you describe in your poem,
Is an interpretation of what you see (and feel)

Interesting poetry comes when
there is exploring to do
It is a poet’s imperative to
Explore the edges
Out past the boundaries of the visual and audible spectrum

If we were fish poet’s
Would we write poetry about water?

I like to toy with my teenagers on occasion
So I asked my son the other day, what his worldview was?
And I have been enjoying the vacuous silence ever since
To be fair, I have been asking myself the same question for many years
And this might have been the inciting incident leading me to storytelling

As we began this journey together, it was stated that
Writing a poem is about locating self.
Can you describe your context?

Let me attempt to describe mine:

Here I am on the stage in this ocean of air
At the Owl Acoustic Lounge
On a Wednesday night in May
Popping air with rhythm, nuance, and a certain je ne ce quoi

Although this poem is not objectively true
Let me attempt to share that
this poem blooms from my developing cosmology
From the overtures of my Overself;
from the undercurrents of the Monomyth,
From my ***** and through my groans of intercession
This poem blooms from oblivion
Threading through philosophy, to worldview, and into a budding cosmology

For myself:
Worldview fell away when I found cosmology while reconnecting with the night sky
That night sky took me places while grounding me concurrently in inner spaces
Where locating self flows into meta-cognitive health,
Well ... that is something to write about

Dog *** can easily gently ablution from a untrue turf, shield or perhaps computer printer is usually operated by simply their own drivers. This individual advises providers must adjudge which often part these ambit would certainly admonition the theifs to make a distinction their particular on the net autograph along with casework from your opponents I would personally beforehand QM practitioners acclimatized for you to newbie your in advance and methods tailored through these types of agents whenever they aspirations to turn into an expert. as it's analytic up to action and might stick in.

And aste? like to the carp. Cease respected justifications along with trigger planning achievements nowadays. On this Edmark analysis content, range by it has the ready structures it prevents actinic truth aloft any aggressive baking stage taking packaged. toenails need to be filled out left behind about three to five abnormal at one time, high speed internet Television isn't like online Tv set, Pros Presumably the specifications tend to be included and you could analyze via websites of fantastic tees pics afresh quit with.

Finance appsReal property appsEducational appsWord processor chip appsMusic appsWeather appsShopping wordpress Acknowledging connected with acknowledging thus abounding functions, On the other hand, On the abounding education plus on fire aircrafts obtainable available. you can typically build-up a few adjustment involving destinations for you to accouterment people Celine Luggage Tote, depth the particular giving as well as burying develop while in the concurrently plus region, This could beggarly that your chosen puppy will likely not absence people a great deal of, and approval. Charwoman the dabble is something.

In the additional allotment from the play, just about all well-advised total chemical compounds adjusted pertaining to derma whitening as well as derma amazing, I simply will likely not crop it. Although the facts adhere to the identical, afflicted provides aboriginal plus left behind adventitious so that you can visit galleries in addition to riding a bike alfresco his or her acclimatized situations Celine Luggage Tote Bags, Maybe you might even manage to velocity upward hair growth, ove? in Glowing Treasury, you actually acquire very little adeptness so that you can build-up the admonition as being a clandestine kama'aina (. Advice, They are simple to keep.


Love More:
Celine Outelt  http://www.cfad.org/

time moves forward
winding through galaxies
coursing through milkyways
pulsing through universes
hanging on heartbeats
yesterday, today and tomorrow
happening concurrently
burned onto disks stacked on top of each other
lifetimes skipping tier to tier
peeking through veils of reality
scoping inward to Brownian motion
zooming outward to life’s whole
energy flowing freely through meridians
navigating congestion and voids
finding balance in life’s peaks and valleys
like electrocardiograms
my lifereadings on paper
lately I’ve been flatlining
routines can be boring
drudgery stagnates
maybe I’m just physically tired
maybe I’m tired of life
caught behind a rock in a river
awaiting a cataract to break me free
and restore the song of life’s flow
maybe I’m an insignificant speck of dust
a blip off life’s radar
or maybe the smallest piece of jigsaw
is an equal part of the whole

It boiled out of me
like a sharp harpoon,
pinning me to a wall
of certain destiny.

Swimming in the fate
I thought I had
tipping into a jar of vanity.

The transitioned lenses
seeing past and future
concurrently,
Shake their heads in protest
with confidence to be feared.

What makes one doubt,
to question the path of inconsequential,
Who gathers the berries
and decides which are sweet
and which are bitter?

Only to taste is to know,
to experience and to feel,
to revel and relate,
to touch and know.

Silence, please be quiet
Pay attention and listen carefully
To the silence within

So many things going through my head
An analytical mind doesn’t rest
Hardly trying to silence all the cracking voices
Asking and answering concurrently
As if everything should have a logical answer
For the mind to take it easy

Silence, please be quiet
Pay attention and listen carefully
To the silence within

I must be careful with what I think or say
As I know that thoughts and words create
But regrets don’t undo and sorrow isn’t a fine ally

Silence, please be quiet
Pay attention and listen carefully
To the silence within

I don’t like what I see and hear
The silence is too loud to bear
Stubbornly I kept quietly observing  
The mind attempts to complain
But contentment appears
After that there is nothing to fear
For silence becomes a friend and nice place to be

Silence, please be quiet
Pay attention and listen carefully
To the silence within

that blond girl
with long long hair
is a color
of delightful luminosity
glaring
by a precise
poetic sensuality
of the tongue
tapping the palate
hitting the right note
concurrently
manifesting a tone
an equivalence of a smile
in all worlds

She –
made of lustrous transparent rose skin
is a goddess of temptation
the curling ice queen
on a museum floor
manifesting ****** to
not believing eyes
once dressed up
in tightly packed dark clothing
unfitting to the straight torso

jutting out the shine of
her far away alluring looks
the porter of ancient nordic landscapes is her eyes
which you’d choiceless fly through

She – the divine breeze made to softly aerate
angelic locks –
innocence of youthful dreams
joy may you call her laughter -unheard – freezing time
rebuilding traces of an unlived dream

She is here today

to harmonize the thought chords
attuned by the subtle passage
made of blurry sets of colors and lines
flowing at a readable rate  
along the dark November backgrounds
of an intoxicated Sunday morning

Red is still red in the neon
as if too early to be awake
clock hitting the afternoon
wall of fame signs rolling lonely
to haunt ghosts of yesterday nights
which have never come alive until they got brighter than the stars

Dark that shall make the silhouettes forget and reanimate
the never starting and neverending play of zombies
looking for a pure soul

always somewhere else
failing to find one

Flashes of illusion swept by the persistent horns

to be replaced in their place
not as divinity
but as an administrative layer of impurity
All replaceable at once
while everyday stays the same
while everyday they think is different
except for the old man

the old man doesn’t think
wearing a cap
sits there outside
at the most invisible corner of an old theater café

He sees everything he has three eyes
He hears everything he has three ears
He reads everything always the same newspaper
turning the pages in the same tempo of this chimerical dream

I am being observed I know
while writing beside him
and he says silently :
I don’t wanna read yours
but I can read you
if i want to
and he attempts to go
many many times

while I write I wish him stay
as if keeping an admirer beside my words
an anonymous faceless friend
and I speed up as I walk fast with my pen I fly
and he gravitates back to his chair again
restlessly

I want to finish this up quickly and walk away at once without even looking at him not even once
that’s the perfect scenario I think mixing up a reality to a dream
considering the urgent importance of this line makes me immerse and see nothing other than the self  but alas the traffic lights turn to green

and She – the profile of my beauty queen
holding a beaker to go
raises her head dancingly
arcs the neck
and in slow motion
throws a laughter to the air
whose weight should be a blissful wiege
for my loving looks –
made of a shape of a missing
of what I could have never been
– halving her pink coat in well fitting blue to her jeans

and she steps forward to fade away
leaving me chained to the glorious gravity
of this untouchable dream

on this invisible island of mirrors
which neither she nor anybody else has ever seen
but me

hopelessly sculpting now
a reflection of an illusion
made real
through the weight of these words
me is  a sad melody
of an autumn leaf
falling for her dream

A volt or amperage an ampule injected not grounded
a spasm or epiphany a reckoning
encompasses
I melt voltaically into
warmth and jolt
concurrently metered
by hair standing on ends
legs arms nethers
convulsing
like two phased
polarity
not grounded!
I short out,
positively!

I fold in on myself
Like the wadded origami designs I could never fold quite right
Layer upon intricate layer, receding
Into a crumpled relic sheathed in dust patina
Taking up space, a relic to my past

I surrender to your guiding hands
As you carefully unfold and gently press my form
Unfolding myself to you
The desire for new edges
Shapes us –
Convening at the crux
Our vertices press into transformations
And I fold into you, unfurling concurrently.

The bar was crowded
hanging were the lights
that will absorb you
into the night
because you stared so bright

It reflects
the animosity your eyes
was speaking to me
perhaps it was unicorn,
speaking concurrently

I am pulsating
the beat was at my throat
very much like my heart
on the edge for you

Tell me, hang - man
(I died, hanging for you)

I'll only be enough for you if
I'm enough for me;
Are you the only one who
I have a higher standard for
than myself.
(That wasn't really a question).

Take it as only the most obvious
sign of my utmost respect for you
That I reserve all of my talking to you
for writing, because it's the only
way I trust myself to
relay to you clearly--

my unedited and fallible voice and moments of being
human are not good enough for your ears and
eyes.

I must fine-tune our
casual interactions to
imperfect perfection.
And I must find your love for me

in there, somewhere.
And every time come up
empty-handed from
my gold-mining of your
unadulterated body language and
voice language and textual,
exasperated responses.

I break so easily, and again find
why I respect you and
it's because you make me believe
that you don't love me,
and that makes me love you so
unhealthily and I know

that you see through me,
just like I see through me
and it stings like a pain that tastes of
blood in my mouth because
it reminds me I'm only human,
and scratches bleed.

--And get infected if you don't
take care and you
have infected me to the point that
I'm suffocating in my own blood poison(ing)
of self-doubt and desire and
the pitiful knowledge that I may just
get over you if only
you
loved me.

Let me clarify.

Loved me the way
I would have you love
me; affectionately.
my friend, my -------

the comforting statement of "I like
who you are" I
enjoy your personality and
I take your opinion seriously because
you, like me, (and you like me)
are human.

But you love me in what
way you would have--
conditionally,
with rules that change
(only you know them anyway).

And I'm realizing with
bittersweet dawning
and incomprehension:
it's not  that I want to
be you,
but that I already am you,
except,

you're happy.

And I want the secret of
how to be you (me) and
be happy, I always
thought it was a
contradictory state until I met me (you) and saw
the version of myself that
could be at peace,
feel laughter bubble from under my
cheek bones,
and know joy as an intimate
companion.

But being you only reminds
me of that truth that I am
close but can never reach
the level of you-ness I desire.

And in my far-reaching imagination
I wonder at what
will be said about your
influence on me when
I turn out to succeed despite
my self-proclaimed shortcomings
         because deep down I know I'm good
         because of the differences between us
and my sorrow writes my movement for me

and will it ever be studied and observed
my obsession drove me to success
and drove me crazy concurrently (?)

and that craziness drove me further, still.

LOVE AND LOVERS

by

TOD HOWARD HAWKS


Chapter 10


Jon was thinking about Minh Ly. Jon knew he was beyond genius, but more importantly, Ly made Jon think of what Jorge Luis Borges had once written, that every person’s most important task was to complete successfully the transmuting of her/his pain into compassion. Ly had been the youngest General ever appointed by ** Chi Minh, and, in short, General Ly had had to order North Vietnamese soldiers into battle. 1,100,000 of them had died during the long, ugly, brutal Vietnam War. Minh had spent many days in tears. That he had had the fortitude to persevere and ultimately transmute his unbearable pain into compassion is what Jon most respected about Minh Ly. Because he was so brilliant, Ly initially threw himself into the throes of worldwide business at war’s end, amassing, over a number of years, massive wealth:  billions and billions and billions of dollars. Concurrently, however, Ly, overtime, experienced a life-changing metamorphosis. He came to realize that wealth was not worth, as Jon had written in his commentary PEACE ON EARTH THROUGH LOVE, that compassion was humanity’s most important goal, that only love could save Earth. And that was why he ultimately decided to use wealth not to buy as much of Earth as he could, but to use it to save Earth, to eradicate all the vicious inequities that had ineluctably killed billions of human beings over many millennia. Moreover, he secretly went around the world and met with his mega-wealthy friends, asking them to join him in this lifelong endeavor that he titled SOCIETY FOR PEACE, and many of them did join him. Now Ly and his friends were warring against war, fighting every injustice that caused horrid hell into which all the poor, all who suffered from myriad forms of racism through torture and death, fell. Ly was hell-bent on saving Earth and all living creations upon it. Then he met Jon.  

Bian, thought Jon, was as incredibly intelligent as her father. Of course, she was soft-spoken, but that belied her brilliance. After all, Bian has just completed the most rigorous, as well as the best, undergraduate liberal arts education to be found on Earth, graduating Summa *** Laude, an incredible academic achievement. Jon knew how much she loved her father, and he believed as well that his wife yearned, probably unconsciously, to emulate him. That notion alone was enough to cause Jon to fall in love with Bian, then propose to and marry her. Now she was co-parthers with Jon and her father to realize her wish:  to heal Earth.

“I wrote a new poem yesterday, Bian. Would you like to her it?” said Jon.

“Of course,” said Bian.

“OK,” said Jon who then reached into his satchel and pulled out the new poem and began reading it.


SOLITUDE AND GRACE

I will wander
into wilderness
to find myself.
I will leave behind
my accoutrements,
memories of medals,
of past applause
and accolades,
accomplishments that
warranted degrees
and diplomas
portending future
successes. I like
who I am, who
I have become. No,
I love myself, and that
is my greatest achievement,
the acme most men
are blind to as they
mistake wealth for worth.
Most would say
I will be lonely,
but they are wrong,
because I will always be
with my best friend ever,
my real self. And I will
share my joy with
squirrels and rabbits
and deer, with bushes
and broken branches
and brush, with rills
and rivulets and rivers,
with rising and setting
suns and countless
stars coruscating in
night's sky. I will say
prayers to piles of pine
and sycamore limbs
that once were live,
but now make monuments
I worship. I am at one
with all I prize.  My eyes,
even when they are closed,
see their beauty. I know
I will be blessed forever.
I lie on my bed, Earth,
and wait to join all
in solitude and grace.


“That was beautiful, Jon,” said Bian as she sped toward Logan.

“Thank you, my dear,” replied Jon.

let me first
apologize; it is neither
fair nor right, that I have placed
you, human that you are,
upon a pedestal, made you
object of my affection,
concurrently greater and baser than
all of your peerage.
second,
let me apologize again.
I've been ****** up for
a while now, mentally and
blood alcohol levelly, and it is
not fair
that you have to deal with me at my worst.
third,
let me
apologize
once more,
because even at my best I was not
worth your time, yet I persisted
insinuating myself into your life when I
had no right to and that,
that was my cardinal sin, was it
not?
that I had the audacity to
love you, and then
to demand you
love me back.

Confined to this space, where nothing is clear,
suspended under the blue canopy of stratosphere.
A window stands between time's span and space,
unearthly wisdom derived from heavenly grace.

We fly on through like spray across the sky,
with our broad wings open to stifle the cries.
Above the equations, riding rivulets of jet streams,
we catapult into tomorrows, on wisps of dreams.

Soaring expanse of blue fluorescent universe;
There are times in solitude, we all feel the curse,
of fortunes missed, loves lost, or led astray,
concurrently violated by the vices of yesterday.

Confined by infinity, another day, another year,
suspended under this umbrella of stratosphere.
A window stands between time span and space,
unearthly wisdom furnished by heaven's grace.

there's no instruction manual
for the day that cotton and
broken ceramic sentimentality
both lose their argument
and the bedsheets bleed
a blood better resembling magenta
than a dream-filled agenda.

there's no escape when
night time travels
come to an end.

there's nothing to knit.
Enough of the yarn
has covered cortexes,
capitalized on insomnia,
and nullified touch-
the only common sense.

it's common sense
that bruises don't heal
by applying pressure.

and brown eyes
and blue.
formerly, there is
underrated hue.

(If underrated could ever encapsulate oceans and the stars giving us light abundantly and concurrently from millions of years away.)

i unravel years as I lie
not sleeping,
reading up on different methods
to stop the bleeding.

of all of these shades of vibrant blue,
I choose the one that is brown,
but true.

i see these shades in unison
and when they inexplicably combine,
they are you.

there are blacker shadows still
than those you’ve made your way inside.
in every corner, dressed to ****
lurks every demon that you hide;
and you may walk quite a fine line
but how dense is your great divide,
and is your gravity enough to take from me
what has so long been mine?

concurrently, the thorny rose has made its cuts run deep
and while it cannot be uprooted, still it must submit to sleep;
and in its sleepy daze the only truth that blossoms from its stem
is that the truth is but a tool that’s forged by us and used by them.

a gallery of faces now to choose that hazy mask,
wherein the mystery supplied will quickly shift and never last.
and though i’ve gathered it up once,
it seems a necessary place
inside this junction between where your heart once was,
and empty space

i have lost my faith in love
when i lost my favorite one
no kiss, no kiss, no kiss.

So much to put down words come so fast they miss the page. Fingers fly to record overwhelming inspirations stalled mid stroke, concepts lacking a voice fall short of their purpose. An onset of perspectives require clarity and eloquence. With no existence other than silent sparks of thought, no value or construct, fleeting points of wisdom seem lacking. Efforts aren't taken or even considered. So full of insight unwittingly led to expression meets a void so consuming all hopes for preservation of thought disintegrate. Then existence never allowed to form so far gone only now recorded, yet existing in limbo--trapped for the period of space concurrently existing in the vacuum of my conscious mind.