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How Doctors Fix Trigger Finger - Trigger finger happens when an inflamed or thickened tendon catches inside its protective pulley, making the finger painful, stiff, or locked in a bent position. Mild cases may improve with rest, splinting, or steroid injections, while severe cases may need surgery to release...

11,410 Aufrufe • vor 17 Tagen •via X (Twitter)

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🚨 The Islamic Republic’s police chief just threatened Iranians with another massacre on state TV: “Our finger is on the trigger.” Ahmadreza Radan called protesters “homeland-sellers” and “enemies,” warning they would be dealt with “firmly.” He then put the police alongside the IRGC, Army and Basij, declaring that all have their fingers on the trigger. This is a direct threat to repeat the January bloodshed as Iranians suffer under a worsening economic crisis, political repression and suffocating social restrictions. The Islamic Republic has criminalized dissent and protest, threatening Iranians who take to the streets with bullets, imprisonment and death. This is not an isolated threat. It is consistent with what senior Islamic Republic officials have repeatedly said since the January bloodshed. IRGC commander Mohammad Pakpour said the IRGC had its “finger on the trigger.” Judiciary chief Gholamhossein Mohseni-Ejei demanded no leniency toward “rioters,” while Mohsen Rezaei later declared that the armed forces’ “hands are still on the trigger.” Radan himself previously warned that anyone taking to the streets “at the enemy’s request” would be treated as the enemy. Radan was already national police commander when security forces used live ammunition against protesters in January. Now the same commander is publicly announcing that the doctrine remains: label protesters traitors and enemies, then threaten them with battlefield force. January showed what “finger on the trigger” can mean. Now multiple senior officials are warning Iranians that the same apparatus remains ready to do it again.

The Iran Watcher

25,208 Aufrufe • vor 7 Tagen

How did we get here? For crying out loud. 😭!!! Y’all were calling me all sorts of names, saying I was a weirdo. Some of you even said, “They’re just kids.” I was reluctant to post what you’re about to see, but I believe we need to start creating awareness about the extreme things some of these kids are doing and have an honest conversation about how we can tackle the issue. I’ll try to translate some of the Yoruba challenge questions from this video for people who don’t understand Yoruba. Note: The challenge was supposedly meant for grown adults, yet it’s these underage girls in school uniforms participating. I haven’t even seen a single grown adult participate in this particular voice challenge. -Fold one finger if you’ve ever had s*x in a vehicle. -Fold one finger if your “plate” has ever been licked. (I honestly don’t know which plate they’re talking about. 😂) -Fold one finger if you’ve ever performed oral s*x. 😭 -Fold one finger if you’ve ever slept with your friend’s boyfriend or girlfriend. -Fold one finger if you’ve ever cried during s*x, whether tears of pleasure or pain. 😭 -Fold one finger if you’ve ever been injured or had a tear during s*x. -Fold one finger if you’ve ever had s*x in a place of worship or at school. One of them folded a finger… ahh. 😭!!! -Fold one finger if you’ve ever lied during s*x, maybe because you were sleeping with someone you weren’t supposed to. Fold one finger if you’ve ever really enjoyed it. -Fold one finger if you’ve ever been with someone whose D size scared you. They were excited to answer this one. 😭 -Fold one finger if you’ve ever had s*x with someone you knew you weren’t supposed to be with, but couldn’t let them go. And guess what? These children in the video had explored or admitted to almost every fantasy and question that was asked. 😭😭 What exactly do these underage children think they’re doing? Some of them appear to have been exposed to experiences that many adults haven’t even had. And to the grown adults who enable or encourage minors’ sexual curiosity, whether intentionally or through reckless negligence, remember that exploiting children has serious consequences. Gone are the days we used to sing: “Parents, listen to your children, because they are the leaders of tomorrow.” Now it feels like we should also be saying: “Children, listen to your parents, because this path won’t prepare you to become the leaders of tomorrow.” Is this the generation that will produce our future doctors, engineers, nurses, lawyers, and judges? If we fail to guide and protect children today, they’ll become the professionals who treat us in hospitals, defend us in courtrooms, design our infrastructure, and lead our society tomorrow. That’s why this conversation shouldn’t be ignored.

Raybanjs ADESONA

74,653 Aufrufe • vor 1 Monat

In a busy OPD, chorea is usually not missed because it is rare. It is missed because it looks like restlessness. The patient is sitting in front of you. A finger moves. Then the wrist. Then the shoulder. Then there is a small facial movement. Nothing seems dramatic. But watch carefully. The important thing is this: The next movement is not like the previous one. It changes in timing. It changes in direction. It changes in distribution. There is no fixed rhythm. There is no same movement repeating again and again. That is when I start thinking of chorea. I remember it this way: Tremor repeats. Chorea keeps changing. Now don't rush into a detailed examination. In OPD, five simple things are enough to recognise the phenomenology. 1. Just watch Keep talking to the patient. Watch the fingers, face, shoulders and feet. Mild chorea may simply look like fidgeting. 2. Ask the patient to stretch both hands forward And wait. Not for two seconds. Small irregular movements may start appearing in different fingers, wrist or shoulder. 3. Look for apparently purposeful movements This is a beautiful feature of chorea. An involuntary movement may get converted into touching the face, adjusting the clothes or changing posture. So what looks voluntary may actually have started as chorea. 4. Ask the patient to keep the tongue out The patient may bring it back repeatedly despite trying to maintain it. 5. Test sustained grip Instead of a constant grip, you may feel tightening and loosening. This is motor impersistence. The classical bedside description is the milkmaid grip. Then make the patient walk. A small extra step, shoulder movement, hand movement or sudden change in posture may get mixed into an otherwise normal gait. The important point is that chorea is not one particular movement. It is a pattern of unpredictability. Irregular. Non-rhythmic. Non-repetitive. Moving from one body part to another. And once I am sure that the movement is chorea, only then do I ask the next question: Why does this patient have chorea? Acute or chronic? One side or both? Drug related? Metabolic? Autoimmune? Structural? Genetic? In a busy OPD, don't begin with the disease name. First spend 30 seconds watching the movement. #NeuroX #MedX #Chorea

sikandar adwani

15,143 Aufrufe • vor 24 Tagen