By: Cedric McClester

Locked down nineteen hours
Five hours he plays
That’s the way the prisoner
Whiles away his days
On death row for the murders
Of his wife and son
Locked in a four foot nine cell
For the crime he’s done

Four years down and counting
See I’ve done the math
It’s death by lethal injection
For that sick sociopath

Decomposing and headless
In San Francisco Bay
He said she was missing
But she was found that way
His son’s lifeless fetus
Had previously washed ashore
Which repulsed everyone
Even that much more

Four years down and counting
See I’ve done the math
It’s death by lethal injection
For that sick sociopath

Her family were all hoping
She’d be found alive
Though he knew she was dead
He feigned concern (what jive)
She was weighted down
Which made him quite convinced
That she’d never be found
Floating in that rinse

Four years down and counting
See I’ve done the math
It’s death by lethal injection
For that sick sociopath

While they were contemplating
Their poor loved one’s fate
His only concern was
Which chick he should date
See he had to satisfy
An internal itch
But karma is a mother for ya
It can be a *****

Four years down and counting
See I’ve done the math
It’s death by lethal injection
For that sick sociopath

Four years down and counting
See I’ve done the math
It’s death by lethal injection
For that sick sociopath

Four years down and counting
See I’ve done the math
It’s death by lethal injection
For that sick sociopath



Cedric McClester, Copyright (c) 2016.  All rights reserved.

*****
The last time, I got an *******,
gave the girl my ***** injection,
now I have a bad infection.
Never again did I get laid,
it's going on the second decade,
a new *****, I'd sure trade.
One ball black, one ball blue,
got no paddle for my canoe,
my Horton doesn't hear a Who.
***** swollen, like a balloon,
feeling like a rabid raccoon,
looks like a character from a cartoon.
My ***** hurts when I ***,
why did this have to happen to me,
karma is on a laughing spree.
Life will never be the same,
swollen ***** man, is my nickname,
got no fortune, but 15 minutes of fame.
Was on a reality show with other freaks,
it was called house of the rising creeps,
I got booted off after only two weeks.

A N D
Nothing
Determined
                      Her value more
                      Than an injection-
                      Of opiates...
                                            In binary form.
It was a sad day for that lonely narcissist
When her battery decided....
                                             To toil no more.

so it is, so it be.

life granted me a boon, come to me, the honey.

not the merest of coating, but a power enrichened,
capable of driving out the slow acting, daily killing,
poisonous venom.

makeover, coverup of tears of ancient marriage-madness,
black swan hate disguise, her lies, venom injection of
coffee blood staining love pretense, now just scar tracks  for a
new boulevard.

the slow pour,  the golden russian amber intertwined tones,
tongue tasted, inside me now, revealed in slow exiting, beauteous,
mellifluous tears.

you dance with the stars, I watch you watching,
clueless that my thee-flavored tears, dance and pour down
my face.

destitute, nearer my God than thee, god blessed this child's life,
love gifted from sweet bees, late in life, flew from my computer screen and sonnet-stung me with antidotes of
love n' honey...

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:
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(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
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• 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
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• 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
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Cold floors, and the doors are open
Rushing white coats, we're running
Bright room, and sharpened steel
Stripped down, injection is relief

How could this be?
I finally feel like a human being
This can't be happening.
My life is drenched with disease.

Seven shots with ****** knuckles,
four bottles of letting everyone down,
Eight hits from a disappointing life.

It only took me one trip to the rehab center called your touch. I used the medicine of your love to become sober.

now I am dependent on you, I need you every day and do not feel the same without you. I have an itch when I'm away and a warmth when I'm close. I became addicted to your love.

twelve tabs of compassion,
three pints of self-worth,
five pills of your warm embrace,
And one injection of beautiful passion.

I want you...

I need you...

I have you.

I love you.

for Sally, Bex and Tonya, Denel and my beloved

<>

gods do not seek forgiveness,
or comprehension,
desertion, desecration, ascension
or condemning condescension

but how how they crave
just a good conversation,
to get a word in edgewise,
a nice chat,
entrée à, la tête-à-tête,
entre deux, deluxe-amis

a casually talking,
absent of
words of need and beseech,
reason and causality,
and no I or We pronouns,
sans enunciations and annunciations,
false hopes for incarnations, incantations,
set asides for life's grievous aches
all human requests, and some of God's commandments
for now, set aside,
annulled

just a talk,
some repartee,
but mostly an open ear lent,
an early morn quiet listen
over tea (he/she) and coffee (me),
paying attention to
both sides of an interactive story

as recompense for my willingness to be,
his engaged counter party,
my mourning gloomier cloudiness,
quick exchanged for instant,
rising sunshine warming glorious

my vista
of a bay dancing
to Tchaikovsky Swan Lake ballet music,
deftly inserted between
an Agnus Dei and an Ave Maria

mood music he said,
and we chuckled,
he/she was god and orchestrated
my tastes,
Adele et Dudamel,
comprehending my undesirable apprehension,
by granting my needy wish for
poetic inspirational composition contentment

all exchanged,
for just a good listen,
no judgements, in either direction

I am the god of love,
the one who makes you weep,
when you study your beloved's rising chest,
each uplifted breast heaving,
a confirmation blessing,
that her life is present
for at least the next second,
ready for your magi adoration

be not fearful,
this day we talk only,
as I pass by,
I have no business to conduct,
on your island of sheltering redoubt,
but to engage and unburden
for even gods
are required to confess,
and aging godheads do adore
a human shoulder
upon to rest,
a great invention,
(If I may say so myself)
and to whom better to address
than my only love poetry
poète personnelle

here he off-guards me
with a favorite injection,
Samuel Barber's Adagio for Strings,
music so sweet that it never fails
to weaken my knees,
sweeping my eyes unto weeping
priming me with this first coat of
sounds so elementary soothing

he half-bows before me and says,

forgive me human, for I have sinned

in Dallas and Nice,
just this past week,
with forays here and there,
doing god's work

read your bitterness and struggle,
anger and forgiveness all in one crust,
furious curses and wails so plaintive,
my heavenly musicians weep from jealousy,
at the cries emanating from the fired fury song
of human hearts torn and love plundered

I am the god of love

and

the god of pain and all that is the

anti-love

(and to make me better understand,  
Schindler's List score, so sweetly,
he plays for me,
to clarify the atmosphere,
that death and love -
and the courage of understanding,
so oft go hand in hand)

write me a love poem for me,
no hymn or sonnet do I require,
for love is essence of forgive,
there is no perfect union,
that cannot stand,
with out this emotion of
conciliatory intermediation

tell me you understand
that the scales
of bereft befallen,
disparate chance interrupting randomized,
must periodic perforce
sometimes weigh more,
than the good of simple

balance tip that creative god spark within,
of which you write,
away from my bloodied, unsightly hand

write me one more love poem
a frisson semi-sweet and cleanly neat,
of good things sad,
but worthy of remembrance

you are not the first for this bequest to receive,
other poet's before and after,
will Jacob-wrestle with my angels,
battling to find the...

no matter

"my love to thee is sound sans crack or flaw"^

let your love poem
to me
be of whole healing,
for these disarrayed feelings
cannot forever persist,
the perfect balance you desire
is not on your Earth existent,
unobtainable

these cracks and flaws must and will come


and yet

love poems
will be our common language

and then he/she left,
leaving this poem behind,
born from my mind, yet,
carved on my skin,
written with the nib of my rib,
sealed and signed,
future undefined,
but dated upon my
cleansed hand's lifeline,
hand held outstretched
as if to say

“and yet"

My heart bleeds blue at midnight. I heard owls hooting in my despair. Alone ,I lay naked underneath the beaming moonlight. I touch slowly my neck and close my eyes. Thinking of a predator I been waiting for a lifetime slowly slithering its warmth on my thighs.So preciously antagonizing my soul with its piercing eyes.It's breath is an intimidating musical hiss. I crave it's injection. Hiss between every piercing kiss.I touched myself harder as the owls hooted into the moonlight. I needed you. Imagining my predator teasing my heated skin with its cold fangs. Immensely waiting for its long hollow teeth to pierce me. While wishing, it instantly became the predator of my heart as it slither around my skin.The music began to start.Predator started to taunt, looking for the sweetest fatal bite.My soul began gasping harder, My predator, oh please prey on me harder.Slither uncontrollably, slither harder as my breaths change heavily. Predator inject itself slowly through every bite.Oh I am in love.It was perfect dosage. This is love. Intoxicating every blood vessel of my body.Every bite,I felt more yours. I instantly became weaker, your bite was the perfect dosage for the ****. It was perfect dosage.The perfect poison. This was love. The perfect *******. Underneath the moonlight , vivaciously sweating naked I screamed. Longing more for your touch.The owl hooted once more, morning has come.
I awake , I was loved for the first time.

With its injection ,
**The predator righteously own my crimson heart

You know when you get the whisper of a melody in your head,
Or just that murmur of a song,or poem that you just have to write,
That gut feeling you get that it could be something amazing,
That's exactly  what I feel when am with you,
Euphoria  at it's highest peak.

True this could just be a lust phrase
That will hit hard and leave me seeing stars
True our physical chemistry isn't in question
But lacing fingers in the dark,hot breaths on your neck
Your murmur's "I know its to early but I really really more than like you"say more its like a euphoria drug injection to my heart.

You are like this song in my head,I want to hear more of
The whole song,the whole melody
I want to figure out if this is a song with power
Or one that will fade into history without leaving a mark.
All I know is I want more of this.

A cigarette. A ****** cigarette.
You discovered that I
was a habitual liar.
All from the stubbed cigarette
at my feet.
I didn’t blame you.
I would never want to be
with someone so filthy.
It’s hard, you know.
Your first lie is like the first injection
It’s the rush, baby.
And then you find yourself
unable to pull away.
Always,
eventually going back.
Lies are blameless
The liar is to blame.
I love you
But not enough to stop
And you discovered this-
this habit of mine
all from a cigarette.
A cigarette. A ****** cigarette.

like an injection between your toes
she's the highest rush when she's there
& the most sickening pain when she's gone

solitary howl
growling trial chill ridden
tightening chest and pain
behind one eye
stress reduces
jelly legged machismo sulking
regression completion
seeking seclusion revolved by a reflection
churning bowel Elvis hip
flipping tripper gripping imaginary handrails
rising heat to hot spit gurgle
sweat breaking head spinning grasping
grinning

Exporting distortion
Because I’m not broken

Days running in
They’re carved

Imprinted
I starve.

Tainted relief
I feel free.

Each veil
Remaining beneath

Exporting Distortion
Because I’m not broken

Restoring
All the power
I grab.

Reinforcing
All the power I have

You grip my throat sporadically, erratically – not often.
And trickle in through passages and pores I can’t defend.
Treacle through fingers.
But you avoid me too, and I hate it just as much.

I wait for your hand to loosen,
I breathe cool air,
Then I feel your absence.

Your gloopy venom is addictive.
I tasted you once, and now my tongue yearns,
And eats itself –
It flickers and twists and spits its serpentine-self out. In vain.
A vague, dull shadowy lustre remains,
Undulating under baited breath,
For another foul injection.

In reality I fear you. I despise you. I hate you.
If you’d only never return,
I could spit you out forever,
And tongue sweeter, healthier, more benign stuff.
No more swilling,
No more idiosyncratic sways upon social norms,
High Society and empty smiles that stifle natural intentions.

You are a disease, and far from untreated.
You are the last drag, the last hit,
The very last dose that no one actually wants.

I rebuke myself wholeheartedly
At even entertaining the idea of having you in my company. Yet there you are –

In every message, in every ransacked draw,
In every turned out rucksack, every old coat pocket,
Every ***** shirt, every unstitched button,
In every visitor’s news, every car back-seat,
Every dusty notebook, every empty fruit-bowl,
Every old, long-unseen smile, every dowsed fire,
Every man woman and child I sit across the table from.

There you are. Somehow. In some form.
Turning my sweat cold like cheap wine,
In what is otherwise an already disturbingly depressing
Struggle to maintain some kind of equilibrium or serenity,
Let alone with your smug mug cropping up scornfully uninvited.

You ****** me before I recognise you.
Helping yourself to the food on my plate with a wink,
While I do nothing as if handcuffed, and chained at the soul.
Then I move to eat.
Hand to fork.
Fork to mouth.
And it tastes of you.
It reeks of you.
And if I were anything but human,
I’d spit you out onto the kitchen floor,
Stamp on the bile you’ve stolen from me,
Burn you with kerosene,
And wage a third world war on the very concept of you ever existing.

But I am a human.
And moments later you have me
‘******* and thinking of death’
As coy and Marvellian as you like.

I indulge in full-knowing paralysis,
Lapping up your unvanquished honeyed venom,
With a voraciousness that redefines Lovesick –
Giving it a whole new meaning
Going beyond the epitome of disgust.

Enslaved, you have me smash myself against the ceiling.
And eat myself over again from within.
Consuming me like the fire I found you in.

You have me rage and conspire against those I don’t know.
But I will conspire against you one-day.
You have me hate others, but I will forever hate you.
You have me search my soul and grate it upon street corners
And the pavement of city-centres,
While you gleefully, whimsically **** my past
Or polish vain, rose-tinted hopes that without you
I’d know were futile and unjust –
Until I ruin them myself, knowing all the while
That you are the author of my unnecessary devastations.

But I will smash your green demonic skull into obsolescence
In some back-alley where none will find your
Bubbling frothing corpse.
You will be utterly repudiated even by the rats.
And the flies will drop you,
Iota
By
Iota,
Onto the tracks at Dalston to be rendered into absolute oblivion.
And I will go, a man unshackled, about my business –
Whether it be of importance or not,
It will be with a conscience cleansed.

But for now, vile sham of an emotion that you are,
I do your inglorious bidding.
Zombified and putrid, my actions smell of you.
They reek of you.

You intoxicate what should be left alone
And endured with silence and rapidity.
Yet you elongate these private, personal trails torturously,
In some sensational Cold War.

It goes without saying,
The world would be well rid of you.
Yet godlike, you endure the ages
Just as we endure you.

Perhaps Keats was too afraid to admit it –
You are the original
La Belle Dame Sans Merci.
Pluto’s daughter in persistent disguise.
To be seen presently
‘******* and thinking of death’.

Exporting distortion
Because I’m not broken

Days running in
They’re carved

Imprinted
I starve.

Tainted relief
I feel free.

Each veil
Remaining beneath

Exporting Distortion
Because I’m not broken

Restoring
All the power
I grab.

Reinforcing
All the power I have

being a poet is not planned

~for Gabriella Garcia~

~~

a sixteen old soul says she understands,
being a poet is not planned,
forcing an old mans re-collection of the first time,
he made love to a virginal white
papyrus with muscles trembling,
body bent, chest bursting a rockets red glaring,
eyes marking the sheets with salty drip spots

what possessed the wrist veins
to wrest a cheap ballpoint pen to transfuse pain,
in a semaphore of uncoded ink blotches,
what was he thinking

was he thinking?

that it was an ejection
that it was an *******
that it was a tribulation expiation
that it was a tribute explanation?

that it was an injection
that it was a circumspection inspection
that it was a circumscision surgery of emotional complexion
excising an infection with a written genuflection?

try, but no might, the first is subsumed
by the thousands that followed dutifully
though his one poem  flawless, expertly recalled,
it will always be the next,
and unplanned just like this one too

who anointed his brow, the hair and forehead,
with oil pure, dripping down onto, into his cut cain marker,
who is not answering a query relentless
is this his plan, his appointment,
is this his flawed excellence,
is this his imperfect penance perpetual?

knowing well and full
now

the unplanned is his plan,
it’s his faceted flaws
that refract his coloraturas

~~

upon this he reflects,
praying that
god protect the
young poets
from planning
____
https://hellopoetry.com/poem/2893127/unplanned

i write for an injection of a venom, for a sense of disorientation, poetry shouldn't be about the skill of narration, a clear Renaissance painting of some school, it should invoke a ******* random macabre, a sense of disorientation, there's no real technique to practice with poetry invoking a tarantula's venomous bite... poetry the art of disorientation and a fulfilling disillusionment, nothing else, nothing more... to prescribe disorientation... upon charging into a blank page... the brute of squalor and slashing of grime, marbles and marrow!*

as quoted by Bonaparte (oddly enough
a psychology student and former
girlfriend of mine who i lost my virginity
to, while she got drunk and slid into my
bed at a party, and asked dreamily for condoms
scolding me about the three pictures adorning
my student room: marquis de sade, Bonaparte
and Plato) - quicker the goat in the frying
pan than on the steep cliff face - mooch kiss
you Isabella i would a second time,
you remind me of Annie from Masterchef -
the way the stiff upper-lip is missing: signature of
french girls, the curling and cuddles -
ooh mooch chuckles and mushy peas -
p p p - belinda carlisle melted cheese goo in my heart;
stony ******* i ain't, but my drinking habits
are not boyfriend material, sorry... try next door:
se vie se la - the french know their eccentricities,
and therefore exploit them in the grey -
the english stiffen up and exploit the same
but to a too obvious exploit: bowler hats and umbrellas,
nothing will make this London gloom repent
even if you're donning St. Petersburg's architectural
multi-colour... did i mention Bonaparte the patron
saint of the Duchy of Warsaw?
over here there's Adolf with a heretics hat
never bothering to read history twice,
history you read in a blurry haze of being drunk:
reminiscence is hardly nostalgia, but sure as ****
history save Moscow from the French and the Germans
but not the Poles and Mongolians...
the Russians know this and hush thing over,
sweeping stories under the carpets using
a babushka as an excuse for the prime propaganda
technique - go on babushka ride the Ferrari
on the stairway! canapé mit crayon caviar?
yes, Isabella, if i weren't a ****** i'd move to
Grenoble - sheriff's honour.
                                                  you weren't
the first, you weren't the last,
i need bragging rights - and a hot colt to shoot with...
then the lacrosse initiation ceremony -
Lycra tights, drank a whole bottle of whiskey
of Glaswegian whiskey, stumbled into
Isabella to my shame parade of whatever that was
lad banter etc etc. - pleaded on my knees, my knees...
apologies for the inexperience,
she was seriously into Japanese cartoons,
studio Ghibli;
                          so she scolded me over Bonaparte,
and i said: it's not exactly Piłsudski - in my town of
birth they praised him, raised statues,
later with communism desecrated them, then later
raised new statues - but what's bothersome is that
she didn't mind the Marquis... a psychology student
after all... she wanted native speakers for a little
psychology experiment, that got me,
learning from scratch aged 8,
pitch-perfect elocution and she didn't bother to use me
in the experiment... that ****** with me...
hey! i'm hardly a cockney! coached croquet pears
ready for a beating... what's the rhyme, ah yes:
apples and pears = stairs... seriously, musically
cheese sometimes works, they had a Monday cheese
night at the union - all the usual buggery of
a mid-life crisis...
yeps, that Annie from the current Master Chef reminds me
of Isabella - dracul - RA!
a bit of high culture (Ezra's cantos) and a bit of low
culture (marco bailey's Enter the Dragon)...
while sitting on the throne of thrones (a toilet)...
it's like my dream... although better... Ibiza two-point-oh.

the greater technique in writing poetry,
is not really associated with the
scholastic, well at least not with poets-in-residence
at university institution, esp. with the current
curb on free experience of expression
having to walk a ballerina sort of walk on
tip toe, even though a ballerina walk on
hard surfaces is an elephants stomp (swan lake?
the drumming of the ballerinas deafens the
music, what a crude sadistic art-form),
and should ballerinas practice the art-form on
cushions they couldn't do their tip-toe...
a ballerina sort of walk to not cause usurping
apathy by the bullish heart is a paradox...
because hard topics with a ballerina tread will
still become a piano hitting the ground...
and soft topics with a ballerina tread will
only become the agonising loss of firm footing,
and a torture of the trivial having to be danced
upon with such seriousness as the samba would
otherwise allow... the tip-toe having not firm
rooting... if that makes a sensual impression on you,
so be it, it's hardly senseless to write such words,
since you see the symbolic encoding with you words,
so unless these arrangements don't make you blind,
i'm assuming you will not allow anti-geometrics of
certain painters... and instead you're embracing
satisfaction with squares and triangles...
a rigid narrative of pre-planning an expedition to
Antarctica asking for the right provisions of fur,
tents and water and food... it's not up to me to play with
these words for interpretation, i've made the interpretation
a freedom only you can behold, i can't always be found
willing to interpret the arrangement for you,
i'm not into thought ******* and shackling,
and if you're into that... then you're just plain ******* lazy;
i mean, if i was a poet-in-residence at a university
and told to mind recognisable poetic technique
in the range of onomatopoeia and metaphor
and not accept a higher technique, the digression
via the kaleidoscope, the many diversion,
changed subject matters... i'd bore myself to death...
of course there's the rambling technique of
a poetic narrative, a sudden caffeine injection of
the elevated moment, but that technique calls for
a single subject matter - i'm talking explosions...
a return to ballerinas, if poets mind hard subjects,
heavy subjects, and they want to treat on them
gracefully like ballerinas in agony
they will have to embrace the fact that such
"grace" is actually an elephants stomp...
it's no good asking ballerinas to practice their
art by dancing on cushions... the two graces -
one of dance and the other of grace will never allow
you to walk around on tip-tope...
oh come on, interpret it with images of some sort
of comparison, like a ballerina on a tightrope...
i'm not going to be spoon-feeding you
anywhere from the page.

spring clean, the boiler-man came for an annual
check-up, i was working and kept my room
a bit un-kept...
cleaned the windows, hoovered the floor,
steamed it, cleaned the bookshelves from dust,
it smelt like a mint-conditioning comic after,
changed the bedsheets,
took all the empty cups from the shelves,
spotless clean...
but i'm telling you, if i get to see 2015's
best film *inside out by pixar i'd give you
a clear analysis on the specific points,
at the moment i have this **** of thinking
about how the optics of man
only start engaging in memory after 4 years
upon birth...
spending nine months in the waters of the womb
(imagine coal miners trapped in
perpetual coal-mine for nine months,
they'd re-enter the light of day like moles,
having to wear sunglasses for the same number
of months before the eyes adjusted) -
it's no wonder that the parts of the body
passing fluids (well, **** in the form of
diarrhoea is pigeon ****) are weak...
why the ***** i'm saying...
why the mushy pulp of the apple purée
because the oesophagus is weak too and needs
to develop like bones, become hardened,
indeed these soft tissues need to become firm
paralleled with bones, baby bones are undeveloped
in terms of how we can't walk at the beginning
but crawl... forget the drawings of darwinism
of shortened historical explanation...
our's isn't with tail and hunched spine...
we're crawling...
but the pixar film inside out i will write a detailed
analysis when i see it again...
at first i can only relate one fascination...
the way we only become to actually consciously
see aged ~4... prior to that we have no
optical impression of the world with memory...
memory and seeing only enjoin
aged ~4... prior to that all the senses are based
in the unconscious, once the senses emerge from
the unconscious, actual faculties develop,
sight develops with memory...
i could say that speech develops with sounds...
but ba ba goo goo ma ma da da is actual
gibberish to consider since we become so eloquent
after, aided by the fact that we capture sounds
with phonetic optics of letters...
i'll stick my ground,
the first symbiosis is that of sight and memory,
which also becomes a symbiosis of
sight and memorising-imagination, or memory-in-itself...
and the clash of these two symbioses
creates a paradox of what actually happened
and what happened upon re-imagining...
like i said, i could expand on the theories within
inside out, with my re-evaluation as alt. outside in,
and i can say about a 1000 child psychologists could
be spawned from this single film...
but you never know, i might even theorise further
tonight once i drink enough and get a toilet break;
and bear in mind i'm about to cross the threshold
of being awake for 24 hours, after i miscalculated
my doctor's appointment for an amitriptyline (25mg)
prescription; the depth of the film is immense,
but i think it's harsh for so many psychological
undertones to be shown t children,
i think that it's a film for adults, even though
it's rated U... and indeed, more like a U-turn in
terms of thinking about life than suitable for
the under-aged,
at first you get the early stages of child development,
by the end of the film of hopefully seeing adolescent
development, but that's cut short when
puberty obstructs sensitive sensible matters that
lead into sadomasochism in certain cases,
and in others into ****** carelessness as documented
by grooming examples in societies, like the ones
in england... or two girls today in mini-skirts with
the still cold spring nights, one ******* crouched
in an alley, the other trying to ease her on
while i walk past to finish it quickly...
i could, really could bombast you with my little
theory tool-kit... when joy becomes jealous of
sadness and wants to rob sadness of a prime memory...
the simple cutting of the umbilical chord of
being born in one place, but moving to another...
the sheer thoughtless release of tears in a classroom...
then the imaginary friend encounter...
never take short-cuts with that third cat,
third elephant, third dolphin character leading
you into the world of imagination,
the imaginary friend is actually a placebo figure in
this realm, he can't have imagined it all,
we couldn't have been the first prize pundit in it all...
he's the thief of ownership...
and then dragged into the cyst pit of those
characters real in life, celebrating your third birthday,
still blind to the world... the rainbows of life
and the darkness of the foetal mine...
the clown who's less horror but more a 5 year
student of acting reduced to cheap party tricks...
distorted not in life, but in your dreams,
as proof that you really didn't see the world
so early... you couldn't have, because if you had,
the dream world would not distort so profoundly...
and upon re-entry into the foetal position of sleep
your first 3 years are reflected in sleep...
such that when joy and sadness walked into
the realm of the imagination i thought they'd wake
the girl up by going to the cinema to watch a horror movie
like the one joy tried to block when the family
first moved to san francisco...
oh indeed the over-layering of the five crude expressions
of thought, memory and imagination...
i wonder why these chose those five...
and there was no hope among them - and hope's
triplet shapes of hope itself, love, and fear...
and when suddenly the imaginary friend dragged
the poor girl into the abyss of forgettable memories,
it dawned on me how the girl sat there holding
memories she wished to remember, a motherly
narcissism as to say: my own child...
but it felt so strange to imagine this child
holding onto memories like that, when in reality
without the five crude impressions of feelings
she would be unable to do so... this melancholic
reflection of joy suddenly dawned upon her
that the real sadness was the it too was sadness,
for if natural selection exists... so too much
cognitive selection, however dear some things are
to us... some of us have to remember
being able to give surgery, learn to drive buses,
teach mathematics... to be truly enjoined with humanity,
and not simple childish solipsists;
even as such... write poetry and weep.

Stop it!
Kindly stop it!
Let me be Sincere
Headache you cause me severe
I am a child of God
And I believe in God
I am bound by ten commandments
And I keep them in my apartments
So please get it right
The way I am,I am alright
The ****,your snaps
My whatsup,give me hot slaps
Sensation cutting across
I swallow in your miasma,
Like I will carry my cross
Stop injecting me poison
Because
You are soon making me sin!

You called yourself a philosopher—but
The only depth you cared about
was intravenous.



*The boy who loved God too much,
he tried to find Him

in his head.

‘Shadow of the day’

Play and play and release the locks of this attraction.

Sway and displace the diamond sealed in the concrete.

It shone and sparkled immense value.

Could’ve never ended and remained in your zone.

An amazing soul, rare and simply beautiful.

Replace this with thoughts known,

You pure gold, wish forces could entwine this desire not a norm.

Came packaged in a lovely form.

I viewed your sense and values and even butterflies fluttered and passed out from your flood of casual injection of euphoria.

Seems too futile…sadly the world hardly awards love.

Will it sub-side, found a real prince of note…maybe it could’ve been groomed and grown with the days.

Is it possible to remove such a being from my rooms of thought?

Will it get better or worse with time?

Hardly unreal when lips only recite our memories.

Make what’s engulfed me in your aura die,

It’s not needed, not happening again.

Why is it now…over and over again.

The stenches of my lust for you,

My longing to be in your presence.

For once, can I be blessed with  treasure like you.

Shiny and rare…beautiful and valuable.

Regrets of loving so easily has now become a punishment.

Again I need to mend the pieces,

The millions of pieces broken by heavy disappointment.

Why did those words you said colour my ears,

How can you have made me feel liked yet you saw past me.

Haven’t my feet walked this hurt before.

Seems things are too heavy…

Never golden or maybe their lame gestures have rusted my heart.

Hardly any good in the possibilities, I hate these realities.

I’m fed up with these warriors who easily pull on my heart-strings.

Where shall I rest?

Find comfort and acceptance from the evil rest.

I saw sanctuary in your eyes,

Pictured a loving soul and felt a honourale being from your touch.

Loosen my grip on what will never happen.

Too raw…yet the heart has become immune.

Now mind and energy drowns in gloom.

20years of living…still I believe in love.

Still I want to believe there’s one for me.

Understanding and equally loving.

But…sadly there’s been no luck.

Maybe, just maybe it’s my fault.

Maybe I reveal too much and have them regretting they laid eyes on me.

Paths have been laid
   far and short
   narrow and wide
   coarse and moist
   brown from dirt
   gray with asphalt.

Spiders lurk and creep about
   legs poised and fangs ready
   craving another injection
   to feast just a little
   further, just a little
      longer.

We are the prey they seek
   stuck in their strands
   reaching everywhere we walk
   catching us as we tumble and fall
   not for comfort nor salvation
   just the cold strings of wrapture
   before the color of blood
      the color of life
   is taken from us.

I don't live here
I'm only camping
On this planet
I didn't plan it
Yet I feel the need to explain it
As the plaintiff
To the sheriff
Imposing tariffs

Money is their concern
While my emotions burn
They are somewhat surviving
At the price of dying
That's the cost of lying
It makes us stop trying
Only commodity buying
While silently sighing
And violently frying
Through fruitless searches
No matter what we purchase
Or how much we spend
The gripping grief never ends
When there are no hands to lend

There are no problems with these items
When we willingly refuse to sight them
They are from where our problems erupt
For we neglectfully allow them to disrupt
The connections that our hearts yearn for
And our wallets burn for
When we spend our emotions on inanimate objects
To avoid the intangible subject
Of love

We're frightened of phantoms
A life heightened by tandem
Is not in the cards
We buy for each other
They don't begin to cover
The way we feel
They are a shield
For our true emotions
Objects can't evoke one
Yet that's our language for expression
Consumerism acts as our lethal injection

GLOBAL POLITICIANS POLLUTION !!!

(Do not read if you are sensitive)
  

I see - I here - I do !!
All the ******* evil things thought to me.
The Bill of who??
Hating is all I really see

I oppose to all of he or she who passed a veto.
I will slam everyone in the House of Representatives.
This is a hate Crime Rhyme.
Do away with the "Hate Crime" law.
Global politicians wasting our time.
A race on who gets down ***** and raw.
Crying that we are all equal under the law.
I plead the 5th, if you ******* really care
All you posers are so unfair
You give me more time because you don't like my hair.
All you crazy politics say "stop doing it!"
opening the eye's for us to perceive life very offensively.
Piling up this world with your *******!

Once again hating is all I see.
I have a low tolerance for politicians on T.V.
Law and order makes me shout
Every law biting article in the news
Is about a politician giving out a poor interview.
Boo whoo on who's attacking or threatening who
All you polluters do is boast.
Hey you politicians all of you I ******* loath
The more government spreads protection.
How I hate the ones who abuse the situation
All you polluters do is create a bigger "Hating Crime."
Passing out particular laws igniting more intimidation
Tired of trying to live up to your expectation.
You freaks need to root for our side.
I am giving you my perception.
Viewing all your soggy reputations
Always debating and telling us what to do
There is nothing brave about you.

You think you're doing what is best for us.
You cowards don't understand where we are coming from.
Instead of embracing us, you continue to lose our trust
All of today's politics, are nothing compared to yesterdays trick!
.
Age, race, notational origin, the list goes on and on.
A conflict in our free society.
Gender, religion, to disability.
In this I see no promotion in opportunity.
All you perpetrators are inflicting,
damage on our physical and emotional unity.
Welfare addiction, its not okay for the injection.

All you so called leaders take a stand
Offer us something we really need to understand.
Polluting all of Gods nations
With your "censored" label that this is your political land

You lunatics want us to consider all sides.
Pretending to be friendly to cover our hides.
Put a sock in you hypocritical politicians fool.
Bomb the **** out of them Arabs,
for using terrorism as there # 1 tool
We got what it takes to send our enemies to oblivion.
You morons its this government you don't know how to run!!

Bringing my self to a wind down.
For all this hate is just a silly sound
My emotions are just full of love and passion.
Politicians you are just a swift in a nuke frown
I represent my own kindly justice.
With my own judgment in my own town.
Do not come and put your stupid signs on my ground.
HATE IS HOW YOU POLITICS MAKE THE WORLD GO ROUND, and ROUND!!

                        by ;P.D.

OBSERVATIONS

First, I note a few surface details.

Outline
- Rising action – Keawe buys the imp and later sells it
- Crisis – Keawe again buys the imp although he doubts he can sell it
- Resolution – a sailor buys the imp from Keawe

The story centers on possession of the imp (primarily by Keawe, as noted above).  The full progression of ownership follows:

Ownership
- Old man
- Keawe
- Keawe's friend
- Unspecified others
- Keawe
- Kokua
- Sailor
- Keawe (attempted; sailor refused)

The motivations of the owners varies:

Motivation**
- Old man, Keawe (first), Keawe’s friend, others – reward
- Keawe (second) – reward
- Kokua –love
- Sailor – reward
- Keawe (attempted) – love

Note the relationship between these motives and the story arc.  Reward drives Keawe’s first two purchases (rising action, crisis), but love drives the third (before resolution).  Observe also the twin kinds of reward compelling the early purchases.  The first reward: obtaining prosperity; the second reward: preserving prosperity (including Kokua).

ANALYSIS

The story’s specifics (ownership and motivation) stage these events:

- Desire can reward (Keawe seeks prosperity and love and is satisfied.)
- Desire can curse (In his quest, Keawe uses the imp.)
- Reward brings uncertainty (Banishment threatens all Keawe’s gains.)
- Love absorbs curse (Kokua buys imp from Keawe.)
- Curse will destroy (Someone must bear imp’s damnation.)


These dichotomies follow:
- Reward is tarnished without the curse (by uncertainty) or with the curse (by destruction).
- One can avoid the curse but not uncertainty.+
- Love can deliver from the curse but cannot escape from the curse.

(+Note: This is because Stevenson portrays Keawe’s desire as a constant from the story’s beginning.  His unavoidable desire leads him to navigate the other events of the story.)


Two final questions:
- Does Stevenson present an ideal choice to resolve the story’s dichotomies?
- Does the imp simply represent the curse or something more?

First, would Stevenson moralize?  I presume the possibility, considering his dramatic shift from a Victorian upbringing to a life of travel and ensuing love of the islander lifestyle (the backdrop for the short story). First, recall the two motives (reward or love) and the consistent negative conseqeunces (uncertainty, curse, destruction).  All of these occurred both with or without a connection to the imp.  Keawe pursued the good life before meeting the imp’s owner and in the period of freedom from its grasp. Likewise, his love for Kokua began without connection to the imp and continued long after.  I summarize all these possible combinations in the following chart:

Choices

REWARD
1. Without imp: uncertainty
2. With imp: curse

LOVE
3. Toward the cursed: destruction
4. Toward the uncursed: no destruction

The story progresses from a focus on reward (first half) to a focus on love (second half).  The last option (love without destruction) is ideal; every other option entails some loss.  Even Kokua’s and Keawe’s choices to love each other by taking back the curse is bittersweet.  Each one’s sacrifice removes the other’s greatest source of happiness, an end that could have been avoided if Keawe had never bought the imp.  The implied lesson?  Avoid choices now that will sabotage love’s good intentions later.

The surprise ending may add an additional message.  If the story warns against complicating love, why does it provide an escape hatch, the drunken sailor who accepts damnation and buys the bottle?  Stevenson could simply be softening the blow of his cautionary tale.  If so, why did he include the elaborate curse that necessitated such an ending? I think the injection of a supernatural temptation portrays real life: wild possibilities coupled with high consequences.  The ending modifies the imaginary scenario to convey another reality: though love cannot erase a damning past, somehow, escape is possible.

If the supernatural elements comment on life, the imp itself may also have a specific meaning.  The unusual law of the imp (sell for less or receive damnation) makes it a constantly growing threat.  Its sinister descriptions (“dark,” “fiery,” etc) and concealed evil (glancing in the bottle stuns the owner with horror) also portray the imp as a potent living force.  Perhaps Stevenson portrays imperfection and evil in humanity as this palpable reality, present in the world and available as a means of man’s advancement and destruction.  As an advocate of Semoan rights who lived in the islands during multiple colonial power-struggles, he vividly observed evil’s corrupting power.  He knew that the world often suffers when people allow the end to justify the means.  And when those people are us—the otherwise kind-hearted Keawes—Stevenson knew that the fiend within us doesn’t have to win in the end.

last minutes of trust
in a poem made of dust
you made me hate me

feel the real injection daily
everything seems to poke
you turned into a joke

everything seems to shine
twinkle and rhyme
feel the real injection

this verse is for my protection
this verse is killing you: action!
lamps out of broken teeth

brother breaks his brother's knee
brother stabs his brother's stomach
feel the real injection

everything is for protection
turning choirboys into warriors
brother against brother

everything is an attraction
brother smashes brother's face in
brother against brother face it:

brother against brother

+27736613276 The Abortion Pill: Medical Abortion with Mifepristone and Misoprostol What is the Medical Abortion?

Medical abortion is a procedure that uses various medications to end a pregnancy. A medical abortion is started either in a doctors office or at home with visits to your health care provider.

Medical abortion doesn't require anaesthesia or surgery, but it should be done early in pregnancy. Unlike a surgical procedure, a medical abortion usually is done without entering the ******.

During the procedure Medical abortion can be done using the following medications:

Oral mifepristone and oral misoprostol. This is the most common type of medical abortion, likely due to the ease of oral rather than vaginal dosing. These medications must be taken within seven weeks of the first day of your last period. Mifepristone (mif-uh-PRIS-tone) — also known as RU-486 — blocks the action of the hormone progesterone, causing the lining of the ****** to thin and preventing the embryo from staying implanted and growing.

Misoprostol (my-so-PROS-tol) causes the ****** to contract and expel the embryo through the ******. If you choose this type of medical abortion, you must visit your health care provider twice to take the medications and then afterward to make sure the abortion is complete.

Methotrexate injection and vaginal misoprostol. This type of medical abortion must be done within seven weeks of the first day of your last period. Methotrexate is given as a shot by your health care provider and the misoprostol is later used at home. You must visit your health care provider within a week of getting a methotrexate shot for an ultrasound to confirm if the abortion is complete. If the pregnancy continues, another dose of misoprostol will be given.

Vaginal misoprostol alone. This method may be used over a broader range of gestational ages, but requires scheduling multiple doses of the medication. Vaginal misoprostol alone can be effective in promoting the completion of a miscarriage — a spontaneous abortion where the embryo has died.

The medications used in a medical abortion cause vaginal bleeding and abdominal cramping. They may also cause: Nausea, Vomiting, Fever, Chills, Diarrhea, Headache.

You may be given medications to manage pain during and after the medical abortion. You may also be given antibiotics. Your health care provider will explain how much pain and bleeding to expect, depending on the number of weeks of your pregnancy. You might not be able to go about your normal daily routine during this time, but it's unlikely you'll need bed rest. Make sure you have plenty of absorbent sanitary pads.

If you have a medical abortion in a health care provider's office or clinic, you'll have a pelvic exam before you're given additional doses of misoprostol to see if the foetus has been expelled. The frequency and strength of your uterine contractions also will be monitored. While the most discomfort may last one to two hours, spotting before and bleeding after could last two weeks.

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