Symptomatic left Holmes tremor ( postural and intentional >... rest) coarse proximal > distal upper and lower limb tremor. Bubbly thalami’s lesion on the right-Bx awaitedshow more

A 62 year old man comes to OPD with... a simple complaint. Doctor, my left hand does not stay still. I watch him quietly before examining him. When his left hand rests on the chair, there is a slow, coarse tremor. When he stretches his arms forward, the tremor continues. When he is asked to touch his nose, the tremor markedly increases as the finger approaches the target. This is not a single tremor. This is rest, postural, and intention tremor together. Then comes the old history that changes everything. Eight months ago, he had a right thalamic hemorrhage. There was weakness initially, which slightly improved. The tremor appeared only months later. That delay is important. This is not Parkinson’s disease, because the tremor does not settle with movement. This is not a pure cerebellar tremor, because it is present even at rest. This pattern fits Holmes tremor. Now the localisation becomes clear. The lesion was in the right thalamus. The thalamus is the final relay for two major motor systems. The cerebellothalamic pathway carries coordination signals from the cerebellum. Its disruption explains why the tremor worsens during target-directed movement. The basal ganglia thalamic motor modulation controls stability at rest. Its disruption explains why the tremor is present even when the hand is relaxed. A single thalamic lesion can disturb both systems at once. Because motor control is contralateral, a right thalamic hemorrhage produces symptoms in the left hand. The tremor appears late because this is not just tissue damage. It reflects delayed maladaptive reorganisation of motor networks. The final diagnosis is left-hand Holmes tremor due to a right thalamic hemorrhage. Permission taken for the vdo #Neurotwitter #Medtwitter #Holmesshow more

Shane Walsh is an archetype for young footballers with... respect to two sidedness for upper and lower limb skills. Right pick up, right hop, left solo, left hop, left solo, right hop, left solo, right kick pass. Always the appropriate limb - depending on where the defender is.show more

This might be my new vibe coding terminal setup:... > claude / codex on the side > file explorer in middle > git and diff view on the right Tools used: > ghostty > yazi > lazygit Thanks Daniel San for the lazygit pro tip!show more

So fresh and so clean 🕺 The #OKXWallet Tokens... page just got a glow-up. New features: > Dark mode > Trending sidebar > Instant swaps with best-price routing > Token audit score Spot and trade gems before the rest of the market catches on.show more

Finally got around to setting up my mac and... iphone so that I can vibe code with Codex / Claude Code on the go > tmux - persistent sessions > tailscale - private secure network > termius - ssh client Left: iOS Right: macOS Always in sync. Pick up where you left off easily.show more

The range of teams running on SERV Reasoning in... private beta right now: > Network intelligence for governments > Financial institutions and agentic commerce > Industrial compliance > Humanoid robotics > Security All migrating their operations to SERV. The engine gets sharper.show more

H.LLS being one the most intriguing groups coming out... of the UK right now >>>> The mysterious rollout is cold and the music has people paying attention 👏🏾 After months of teasing, looks like “HMU” is on the way ✅show more

Gameday Primer 🏈 Liberty Creek Wolves Football Kids sit... for hours. Get them moving. Today we went strides,upper and lower mobility stations, and pogos on the ladder. Workout is to get them moving explosively/fast in different planes. Low volume and a lot of restshow more

>Shiva devotee sent on a mission through Time to... obtain ancient cosmic artifact >SSR finished RRR and personally called MB and said he wanted to narrate Varanasi, waited 15 yrs in total >Practical location shoot right in the middle of animalsshow more

She met a guy on Facebook. > She left... her husband and children to have sex with him > She had an abortion too > Later, the lover kicked her out >Now she is blaming the phone Feminist girls will support her too. Should her husband accept her back? Is she a victim?show more

Hi my friends 🌞 let’s make this Sunday more... interesting with latex style🔥 Freya Allan, Lexi Marvel, My Model, Sabrina Carpenter 🔥 👉🏻Subscribe for more content ⚡️ Nano Banana 2 & MiniMax H3 via Hailuo AI Prompt: { "member": "Freya Allan", "subject": { "identity": "facial structure, complexion and proportions of Freya Allan", "hair": "long dark wavy hair over the shoulders", "expression": "head tilted down toward right shoulder, eyes looking up at the lens", "pose": "leaning forward, torso tilted right, right hand on upper right thigh, left arm on metal railing behind her, left knee raised on a step, right leg cropped at the bottom edge" }, "wardrobe": { "silhouette": "short form-fitting high-neck halter dress, gathered at bust, open sides, ruched seams, mid-thigh hem", "material": "glossy latex", "color": "neon pink", "footwear": "only the top edge of a neon pink heel visible on the left foot, rest cropped", "accessories": "opaque black tights, thin hoop earrings partly hidden by hair" }, "scene": { "location": "dilapidated industrial stairwell", "atmosphere": "hazy dusty air catching the light", "background": "peeling paint and rusted wall on the left with small graffiti 'Keor' near a red dragon drawing, metal staircase with diamond-plate treads and weathered railing on the right", "composition": "tall vertical frame, slightly low angle looking up, subject centered and filling the height", "lighting": "dramatic high-contrast warm light from upper left, angular rays on the wall and face, lower right staircase in deep shadow", "camera": "50mm, f/2.8", "grade": "high-contrast, warm highlights, rich shadows" }, "compiled_prompt": "Portrait of Freya Allan, one continuous full-frame exposure. Long dark wavy hair over her shoulders. Head tilted down toward her right shoulder, eyes looking up at the lens. Leaning forward, torso tilted right, right hand on her thigh, left arm on a metal railing. Left knee raised on a step, right leg cropped at the bottom. Short form-fitting glossy neon-pink latex high-neck halter dress with open sides and ruched seams, mid-thigh hem. Opaque black tights, thin hoop earrings. Only the top of a neon-pink heel visible. Dilapidated industrial stairwell, hazy dusty air. Textured peeling wall with small 'Keor' graffiti near a red dragon drawing on the left, metal staircase on the right. Tall vertical low-angle composition. Warm directional light from upper left with specular highlights on the latex, deep shadows on the stairs. 50mm f/2.8, dramatic high-contrast grade." } ```show more

Prisoners 📣 You asked for it and we delivered... 🏹 Holding the left click will nock the arrow and transition you into FPP 🎯 Right click will cancel the draw 📝 Coming with the next update! Announcement with the date -> next week 🔥 #SCUM #Survival #archery #targetpracticeshow more

👀Connecting your coaching eye to your clinical reasoning! Observe... the leg cycle of the leg closest to the camera on each drill. Can you see small medium then big elliptical on the right limb and very limited ones on the left? What does limb movement and synergies say about muscle properties and pelvic structure ? Does “technique” matter? Well only if you want to load specific tissues and create protective system tension. We had a really interesting 10.6 sprinter with repeated right side hamstring strains over the past year join our hamstring workshop. UPMC Sports Surgery Clinic 💪🏾Isokinetic tests have him really really strong on both limbs. 🔋Emg told a story of right side dominance and good lateral to medial hamstring balance whilst the left side was far more imbalanced with medial hamstrings dominating action that we assumed the lateral would. 🧐When we went on to the track, we saw similar things. 🚩Notably a reluctance to open up into late swing phase, avoiding long lever eccentric stress on the distal hamstrings…. ON THE LEFT LEG! Well this was noticed across a range of exercises velocities and complexities. 🏃🏾‍♀️ Drills with speed and locomotion, static fast drills as well as static slow drills. 🧐Movement illuminates structural qualities. 🧐Can you spot the difference in these two leg cycles? Could it be that the right side is repeatedly hurt due to the deficit in the left side. After all, if you can’t integrate late swing phase, then you will have poor negative foot speed. You will be able to accelerate…. But all the work will be on the right side the deeper you get into a sprint. Ed Mias Sportsmithshow more

Car started going left on me after the 2nd... round. Hard to drive with the front end in the air.... Found out I had bent the right upper wheelie bar. Cost me this race and put me on the trailer, but luckily, it didn't get to out of hand.show more

Tested the new Grok Imagine video editing model. I'm... impressed - it's a really fast, easy, and precise! It does a great job of segmenting what you want to change while leaving the rest of the clip consistent. A few examples, original is on the left and edit on the right👇show more

PEACE IS CLOSE? THINK AGAIN 🚨 >Pizza Index is... spiking 300%+ for the third day in a row >Gay bars near key locations are half-empty right now >One account is about to lose over $2.3М if a US x Iran peace deal happens He’s currently sitting on a $1.4М+ drawdown and still holdingshow more

This is the prompt for figure 4 head lock:... Begin with a low three-quarter view from Honoka’s left side, showing Arisa standing behind her head. Move closer gradually while keeping Arisa’s hips, knees, ankles, and Honoka’s defensive movements fully visible. 0.0–1.5 sec: Honoka lies facing upward, breathing heavily, with both knees slightly bent and her gloves near her chest. Arisa stands behind Honoka’s head with a wide, balanced stance. She studies Honoka briefly, then bends her knees and lowers into a controlled squat. 1.5–3.0 sec: Arisa sits onto the canvas directly behind Honoka’s head. She places both palms on the mat beside Honoka’s shoulders for balance, without grabbing Honoka’s wrists or arms. Honoka reacts by lifting her head and shoulders slightly and raising both gloves defensively. 3.0–4.8 sec: Arisa shifts onto her left hip and slides her right thigh beneath the back of Honoka’s neck and upper shoulders. Arisa’s right knee points diagonally toward Honoka’s left shoulder, while her right lower leg extends along the canvas beside Honoka’s head. Honoka tries to turn toward Arisa and pushes against Arisa’s thigh. 4.8–6.5 sec: Arisa swings her left leg across the front of Honoka’s upper chest and near shoulder. The back of Arisa’s left knee settles beside Honoka’s right cheek and shoulder line. Arisa keeps her left foot elevated briefly while adjusting the angle, preventing Honoka from sitting upright. 6.5–8.0 sec: Arisa bends her left knee more deeply and brings her left ankle toward the bend behind her right knee. At the same time, she lifts her right lower leg from the canvas and folds it inward, crossing it over the left ankle. Her knees close around Honoka’s head-and-shoulder line, creating a compact closed loop. 8.0–9.5 sec: Arisa secures the crossed-leg arrangement by placing the back of her right knee firmly over her left ankle. She flexes both feet, draws her heels closer to her hips, and rotates her torso slightly toward Honoka’s right side. One hand remains posted on the canvas while the other steadies her own shin. 9.5–11.5 sec: Honoka struggles fiercely. She grips Arisa’s lower leg with both gloves, bridges her hips high, twists her shoulders, and plants both feet against the canvas. She tries to turn onto her side and slide her chin and shoulder toward the open space. 11.5–13.2 sec: Arisa follows Honoka’s movement by scooting her hips backward several inches, keeping her knees tightly connected. She lowers onto one forearm, slightly straightens her upper leg, and pulls the opposite heel inward to stop Honoka from rotating free. 13.2–15.0 sec: Honoka continues resisting without surrendering. She bridges again, kicks her heels against the canvas, pushes at Arisa’s knee, and twists her torso from side to side. Arisa maintains the secured leg configuration with steady posture and controlled pressure. End with Arisa holding the dominant position while Honoka remains conscious, active, and still refusing to tap.show more