 choice determines our destiny and before God we are responsible.
Joshua stood before Israel in the latter days of his life and said, “Choose for yourself this day whom you will serve…as for me and my house we will serve the Lord” (see Joshua 24:15). Israel was chosen by God to be His special instrument, to reveal His ways to the world. But Israel still had the choice to serve Him or not. They often made the wrong choice and suffered the consequence.
I find it interesting that Joshua not only made his choice but he led his family in their choice. Our choices affect others. Israel served the Lord all the days of Joshua, and the elders who outlived Joshua (see Joshua 24:31). But the successive generation made a different choice and did what they thought right in their own eyes (see Judges 21:25). What was right in their own eyes brought defeat.
We are blessed in our nation to choose our leaders. What our leaders do and their choices affect all of us in a profound way. Leaders reflect our choices and will either give us more choices or less choices. God is the author of freedom, but the enemy of our souls will narrow choices to the point where our ability to choose is lessened. Then we must once again choose our attitude and the price of liberty. That price has often been blood.
Joshua was not passive; he was courageously standing for God’s choice (see Joshua 1). When the courage to take a stand is lost, the privilege to choose is lost. The human desire for freedom is greatly depressed or snuffed out.
I wish that I had always made the right choice of attitude and direction but unfortunately, I have not. That is my own fault. But there are three choices that have profoundly affected my life.
ready “joined the church” but simply did so because it seemed right. After all, I was the pastor’s son and grew up in church. But finally, I was confronted with my hypocrisy, sin, and need to be delivered from myself. I am eternally grateful that I chose to follow Jesus that day. I made many wrong choices after that, but I had made a lifelong, eternal commitment. The Lord has held me to it.
A few years later, I had to make another choice: what would I do with my life? That was a very serious decision again because of the lifelong impact that it would have. After two years, I chose to give in to what I believed was God’s will. I became a minister in spite of all of my personal preferences and problems.
A third choice was whom I would marry. I gave up on dating for two years, not because I was virtuous, but because I was scared of wrong choices. Then God in His grace led me to a young woman who was goodness personified. We had 50 years of love together. She provided so much that I needed.
These three choices were all made by the time I was 21 years old and never in my own wisdom (see Ecclesiastes 12:1). My only wise choice was to trust the Lord. I highly recommend that choice, especially to young people. I should also say this: my parents spent a lot of time on their knees!
I am eternally grateful that Jesus is able to redeem our bad choices. That is not a license to choose wrongly, but it is our hope when we have done so. I rejoice that the Lord is able to make all things work together for good to those who love Him and are called according to His purpose (see Romans 8:28). He is able to even turn our failure in a test into a testimony of redemption. He is also able to use negative situations for His purpose if we choose the right attitude. As Frankl said, that may be our last freedom in a given circumstance.
One of the best examples of God using negative circumstance to produce positive results is Joseph, son of Jacob. He was mistreated by his jealous brothers, sold into slavery, falsely accused, imprisoned, and forgotten.
But his character and gift of interpreting dreams eventually brought him to be prime minister of Egypt. In that capacity, he saved both Egypt and his brothers from starvation. When he finally confronted his brothers, he said, “You meant evil against me; but God meant it for good” (see Genesis 50:20).
God used it all for Joseph’s good, Egypt’s good, and his brothers’ good. That is redemption! Nothing comes close to saying redemption as does the Cross of Jesus. He was sinless, yet died as a sinner. He was falsely accused, rejected, and tortured. Yet His death brought us life. In the Garden of Gethsemane, He made a choice: “not my will, but Thine be done.” Of course, that choice was the Father’s choice made before time (see Revelation 13:8). I believe that the Father has a choice for each of us, but it remains for us to choose His choice. The consequences of that choice, good or bad, are eternal.
In the days ahead, we will face many choices, and our choices will matter to us and others. The Good news is that God has a choice, and if we choose His choice, the past can be redeemed. We can chose His Kingdom over ours, His way over ours, His thoughts and attitudes over ours and His destiny for us over our own plans.
• Have I trusted Him, His Word and His guidance?
• Have I sought His attitude toward my situation?
• Do I believe that His plan is superior to my own?
• Have I considered the consequences of my choice?
• Am I willing to take responsibility for my past errors or will I give in to the temptation to blame?
No one can answer these questions for us but if we answer them correctly, then we can see many blessings in days ahead! It is a matter of choice, and choices matter.
.
CT severity index in acute pancreatitis | Radiology Reference Article |
The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. There is normal enhancement of the entire pancreatic gland with only mild surrounding fatty infiltration. The most frequent etiology was due to alcohol These collections also show homogeneous high signal intensity on a fat-suppressed T2-weighted MRI image, are fully encapsulated and contain clear fluid i.
A critical evaluation of laboratory tests in acute pancreatitis. Drain runs parallel to pancreatic bed. This leads to persistent collections as the viable pancreatic tail continues to secrete pancreatic juices.
The Radiology Assistant : Pancreas – Acute Pancreatitis. Rev Med Int Med Crit ; 1: Balthazar E Case 2: Balthazar B or C, without pancreatic or extrapancreatic necrosis intermediate exudative pancreatitis: On day 18 an incomplete wall is present, but we can assume that in a couple of days this will be a walled-of-necrosis with a complete wall.
Continuing navigation will be considered as acceptance of this use. Early severity stratification of acute pancreatitis is important to identify patients with the highest morbidity. Inclusion Criteria Clinically suspected case of acute pancreatitis of all ages.
Early assessment of pancreatic infections and overall prognosis in severe acute pancreatitis by procalcitonin PCT: Arch Surg,pp.
Find articles by Mahendra Mohan Vyas. Be sure it is not a pseudoaneurysm Think ahead – What is the plan: Many collections will remain sterile or resorb spontaneously. Clasificacoon the amylase level was within normal levels.
CT Evaluation of Acute Pancreatitis and its Prognostic Correlation with CT Severity Index
Normal pancreas 0 Point Grade B: Transverse mesocolon Small bowel mesentery. The first CT underestimated the severity of the pancreatitis. The previous statement takes relevance due to the fact that our study points out that there is no correlation between the Balthazar degree and the hematocrit level, therefore it is essential to perform the CT pncreatitis order to point out advanced degrees of Balthazar with necrosis, independently of the hematocrit level and the Ranson and APACHE-II scales.
No contamination with intestinal flora. The diagnosis and treatment of acute pancreatitis.
Necrosis of the pancreas Inhomogeneous collection in the peripancreatic tissue No wall We can conclude that this is an acute necrotic collection – ANC. Patient outcome in terms of organ failure and death is more accurately assessed by revised Atlanta classification in comparison with Balthazar and modified ct severity index. Multiple organ dysfunction associated with severe acute pancreatitis.
Abdominal pain consistent with acute pancreatitis: Gall stone disease was most common aetiological factor seen; it was more common in females than males. Clinical characteristics and management of patients with early acute severe pancreatitis: Acute onset of persistent, severe, epigastric pain often radiating to the back.
We found a similar distribution between the slight and severe disease: The images show a normally enhancing pancreas on day 1. The patient became septic and a percutaneous drainage was performed. For patients with proven or suspected infected necrotizing pancreatitis, invasive intervention should be preferably delayed until at least 4 weeks after initial presentation to allow collections to become ‘walled-off’.
No necrosis was noted in patients with grade B pancreatitis. Pseudocysts are uncommon in acute pancreatitis. Peripancreatic vascular abnormalities complicating acute pancreatitis: Significance of extrapancreatic findings in computed tomography CT of acute pancreatitis. Endoscopic or percutaneous drainage would have little or no effect on its size, balthazaar increases the risk of infection.
Pancreas, 35pp. The necrosis also involves the peripancreatic tissue.
The age average was At surgery, the collection contained much necrotic debris, which ej not depicted