![]() ![]() ![]() General: She is well appearing but anxious, a pleasant female lying on a hospital stretcher. Vitals: Temperature, 97.8 F heart rate 88 respiratory rate, 22 blood pressure 130/86 body mass index, 28 Medications: Lisinopril 10 mg by mouth every day She traveled to Mexico for a one-week vacation one year ago.Īllergies: No known medicine, food, or environmental allergies. She denies alcohol and illicit drug use. She is in a married, monogamous relationship and has three children aged 15 months to 5 years. Social History: Her tobacco use is 33 pack-years however, she quit smoking shortly prior to the onset of symptoms, six months ago. She admits a cough, shortness of breath, and shortness of breath on exertion. A brief review of systems is negative for fever, night sweats, palpitations, chest pain, nausea, vomiting, diarrhea, constipation, abdominal pain, neural sensation changes, muscular changes, and increased bruising or bleeding. She denies camping, spelunking, or hunting activities. She reports a 20-pound (9 kg) intentional weight loss over the past year. This management did not improve her symptoms, and she has gradually worsened over six months. She reports that she was seen for similar symptoms previously at her primary care physician’s office six months ago. At that time, she was diagnosed with acute bronchitis and treated with bronchodilators, empiric antibiotics, and a short course oral steroid taper. Just ideas, you understand.History of Present Illness: A 33-year-old white female presents after admission to the general medical/surgical hospital ward with a chief complaint of shortness of breath on exertion. Linen, or at least a linen-look fabric, over hardboard with a moiréd silk-ish "endpapers" would look absolutely top-notch, would require little besides a good knife, scissors, some PVA glue as adhesive and sizing, the board and fabric, and a bit of time and patience. Or you might consider something made of bookbinder's materials. Any competent saddler or cobbler ought to be able to make you something very much in the Coach or Hermes vein (at nowhere near those prices). It may be too close to your meeting to have a custom case built, but that's always an option. The need for a graphic artist to carry large works around is small, and usually doesn't involve client interaction anymore, so there's little need to spend money on anything impressive if cheap plastic does the job. Roughs and comps are usually sent about as digital files these days, and camera-ready original art (and finished work) is generally shipped in tubes or packed flat in a sturdier, but more utilitarian, container (generally multiple layers of cardboard with hardboard stiffeners, or for more delicate grounds, in a wooden crate). I believe the quote in vogue a few years back was, "that's not a portfolio, it's a gallery." ![]() It's not very often that people who want to see a portfolio want to see what is essentially a full-sheet (watercolour) work they're more likely to want to see reduced-size reproductions. The problem is size, and you're about twenty years too late for a lot of choices. The lowest current price I've seen is $US 100 MSRP is $US 349. (And you're probably looking for a "presentation case" rather than a "portfolio" if looks matter.) It's available at a number of online retailers if you can't find it locally. The only thing like that at all that I know of right now is the Stein deSign Picturesque presentation case (the 24x36" size). ![]()
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