because elements are mostly made of elephant

scrambly. 24 hrs of work in 48. like thinking. tired, too. chicken/egg. alligator. work love. and work some more. blood bank improvement meeting today. 2 sets of twins, one of triplets. l&d, meeting, triage, l&D. break it down. build it up. simplest not most accurate, but tried to explain it could be. bj is a big old system. big old the man, really. it's like our country: distribution of power and knowledge is so specialized that it's really hard to devise improvement. motivation needs to come from inside each person...to learn and to do things the right ways. there is no fail-safe. no human-safe (foolproof) activity. because we are human. hooman. carbon nitrogen hydrogen and oxygen. mostly. elephants, too.