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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... show more

TheBrainMaze TBM

8,302 subscribers

11,410 次观看 • 17 天前 •via X (Twitter)

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Trigger finger: ultrasound diagnosis and treatment Patient with stiffness in the first finger of the right hand, especially in the morning, which is accompanied by a sensation of clicking or crunching when moving the finger, associated with sensitivity and a lump in the palm at the level of the metacarpophalangeal joint. An ultrasound study shows a diffuse increase in the thickness of the flexor tendon, observing the tendon snapping at the level of pulley A1 in a dynamic study when the tendon slides. Initially, infiltration of 1 cc of trigon and 1 cc of 2% mepivacaine into the tendon sheath is performed under ultrasound control to subsequently proceed to fenestration of the pulley until the tendon is released. Sometimes, it can be associated with physiotherapy to unload the muscles in the forearm, performing proximal peritendinous infiltration of the first finger's flexor muscle to prevent the pathology's recurrence.

Trigger finger: ultrasound diagnosis and treatment Patient with stiffness in the first finger of the right hand, especially in the morning, which is accompanied by a sensation of clicking or crunching when moving the finger, associated with sensitivity and a lump in the palm at the level of the metacarpophalangeal joint. An ultrasound study shows a diffuse increase in the thickness of the flexor tendon, observing the tendon snapping at the level of pulley A1 in a dynamic study when the tendon slides. Initially, infiltration of 1 cc of trigon and 1 cc of 2% mepivacaine into the tendon sheath is performed under ultrasound control to subsequently proceed to fenestration of the pulley until the tendon is released. Sometimes, it can be associated with physiotherapy to unload the muscles in the forearm, performing proximal peritendinous infiltration of the first finger's flexor muscle to prevent the pathology's recurrence.

sergio serrano belmar

11,965 次观看 • 1 年前

This is how squaddies are born. You start off with some level of interest, from mild to fan, then you run to derangers, or you notice more and more how insane the news coverage is. Next thing you know, you’re 10 toes down with a finger on the trigger.

This is how squaddies are born. You start off with some level of interest, from mild to fan, then you run to derangers, or you notice more and more how insane the news coverage is. Next thing you know, you’re 10 toes down with a finger on the trigger.

Vanessa Jaye

47,047 次观看 • 27 天前

Midair refueling looks smooth in documentaries. In reality, it's controlled chaos happening meters apart at high speed. Two aircraft must match speed, altitude, and position with extreme precision while a boom or hose transfers thousands of kilograms of fuel. If alignment is off, the refueling boom can strike the receiving aircraft, damaging the fuselage, cockpit, or tail. There have been cases where turbulence, pilot error, or sudden movement caused the boom to snap or scrape across the aircraft structure. When things go wrong, the margin for error is almost zero. It's one of the most precise maneuvers in aviation... and when it fails, physics reminds everyone who's in charge.

Midair refueling looks smooth in documentaries. In reality, it's controlled chaos happening meters apart at high speed. Two aircraft must match speed, altitude, and position with extreme precision while a boom or hose transfers thousands of kilograms of fuel. If alignment is off, the refueling boom can strike the receiving aircraft, damaging the fuselage, cockpit, or tail. There have been cases where turbulence, pilot error, or sudden movement caused the boom to snap or scrape across the aircraft structure. When things go wrong, the margin for error is almost zero. It's one of the most precise maneuvers in aviation... and when it fails, physics reminds everyone who's in charge.

Mechanical Knowledge

12,521 次观看 • 5 个月前

NEW: Man accused of fatally shooting his girlfriend in the neck while “playing” with a firearm “put it in my mouth” Indianapolis police arrested Louis Jenkins Jr., 20, in connection with the death of Rebecca Carter, 21 A witness claimed Carter was “kissing the gun” and at one point told Jenkins to “put it in my mouth.” The witness told police Carter was handling Jenkins’ gun while sitting on a couch during a FaceTime call and was “playing with the gun.” He said the gun went off after Carter either grabbed it or struck the trigger while Jenkins was holding it "While the gun was pointed at Ms. Carter, his finger slipped, and it hit the trigger and went off," the affidavit reportedly said

NEW: Man accused of fatally shooting his girlfriend in the neck while “playing” with a firearm “put it in my mouth” Indianapolis police arrested Louis Jenkins Jr., 20, in connection with the death of Rebecca Carter, 21 A witness claimed Carter was “kissing the gun” and at one point told Jenkins to “put it in my mouth.” The witness told police Carter was handling Jenkins’ gun while sitting on a couch during a FaceTime call and was “playing with the gun.” He said the gun went off after Carter either grabbed it or struck the trigger while Jenkins was holding it "While the gun was pointed at Ms. Carter, his finger slipped, and it hit the trigger and went off," the affidavit reportedly said

Unlimited L's

15,722 次观看 • 5 个月前

🚨 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 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 次观看 • 7 天前

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.

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 sx 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 sx. 😭 -Fold one finger if you’ve ever slept with your friend’s boyfriend or girlfriend. -Fold one finger if you’ve ever cried during sx, whether tears of pleasure or pain. 😭 -Fold one finger if you’ve ever been injured or had a tear during sx. -Fold one finger if you’ve ever had sx in a place of worship or at school. One of them folded a finger… ahh. 😭!!! -Fold one finger if you’ve ever lied during sx, 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 次观看 • 1 个月前

A tense scene unfolds when hotel staff and police discover a group of people inside a room they never paid for. There are awkward questions, missing friends, and not a single person can produce ID. Staff realize the group may have accessed the room using a QR-based digital key that wasn’t assigned to them. With no proof they belong there — and the actual guest nowhere in sight — the group is told to leave while police stand by in case they refuse. A clear case of being somewhere you absolutely shouldn’t be, with no way to explain it. It raises a bigger question: do hotels need to tighten digital room access and security to better protect paying guests? The video may or may not depict an actual event; it may or may contain AI

A tense scene unfolds when hotel staff and police discover a group of people inside a room they never paid for. There are awkward questions, missing friends, and not a single person can produce ID. Staff realize the group may have accessed the room using a QR-based digital key that wasn’t assigned to them. With no proof they belong there — and the actual guest nowhere in sight — the group is told to leave while police stand by in case they refuse. A clear case of being somewhere you absolutely shouldn’t be, with no way to explain it. It raises a bigger question: do hotels need to tighten digital room access and security to better protect paying guests? The video may or may not depict an actual event; it may or may contain AI

TheRealCherokeeOwl 🦉

1,074,364 次观看 • 7 个月前

🚨HORRIFYING: Healthy 28-Year-Old News Anchor Dies Suddenly From Brain Aneurysm ⚠️ Directly from the NIH website: Covid vaccination may activate and trigger abnormal immune responses, and these may cause the rupture of an underlying arteriovenous malformation or cerebral aneurysm” They claim cases like this are rare, but I would be willing to bet it all that she would still be alive if she wasn't forced to take the Covid vaccine. How many more examples are there like this that have gone unreported? How many more “unexpected” deaths will happen in the coming years?

🚨HORRIFYING: Healthy 28-Year-Old News Anchor Dies Suddenly From Brain Aneurysm ⚠️ Directly from the NIH website: Covid vaccination may activate and trigger abnormal immune responses, and these may cause the rupture of an underlying arteriovenous malformation or cerebral aneurysm” They claim cases like this are rare, but I would be willing to bet it all that she would still be alive if she wasn't forced to take the Covid vaccine. How many more examples are there like this that have gone unreported? How many more “unexpected” deaths will happen in the coming years?

Matt Wallace

2,040,868 次观看 • 1 年前

ALERT: A Chipotle in Myrtle Beach, SC has received backlash over a skeleton hanging from its neck inside the restaurant. According to a spokesperson for Chipotle, “The employees involved said that there was no racial motivation or intent behind the display referenced in the social media post." “While it was not intended to reference or target any individual or community, we understand how it may have been perceived an we take these concerns very seriously.” “The display has been removed, and the employees involved no longer work for Chipotle.”

ALERT: A Chipotle in Myrtle Beach, SC has received backlash over a skeleton hanging from its neck inside the restaurant. According to a spokesperson for Chipotle, “The employees involved said that there was no racial motivation or intent behind the display referenced in the social media post." “While it was not intended to reference or target any individual or community, we understand how it may have been perceived an we take these concerns very seriously.” “The display has been removed, and the employees involved no longer work for Chipotle.”

E X X ➠A L E R T S

69,488 次观看 • 6 个月前

so this truth & recon / under cover of night trigger seems to have picked up strange discourse for behaviour i thought was generally agreed as consistent, and the new Halo release has directly changed the music cue, which I can show directly by viewing the original mission data: I checked through to confirm, because Ren here is correct, and it's in line with what I always thought, the game awaits you to either walk into a trigger box or kill any of the designated enemies near the gun turret, either of these will trigger the music cue. Here's a run down of the specific script, the squad AI placements in question, the trigger volume, and a gameplay example. You can see from the gameplay, the AI does not care if the player has been spotted when calculating when to play the music, doesn't even matter if your marine buddies go up. It might be possible in some cases to skip the cue triggering, which can happen (unintended) for a number of reasons, but it's designed directly in the mission that it plays on command by continuing on foot, or eliminating specific AI encounters - whichever happens first. continued in a second post - 1/2

so this truth & recon / under cover of night trigger seems to have picked up strange discourse for behaviour i thought was generally agreed as consistent, and the new Halo release has directly changed the music cue, which I can show directly by viewing the original mission data: I checked through to confirm, because Ren here is correct, and it's in line with what I always thought, the game awaits you to either walk into a trigger box or kill any of the designated enemies near the gun turret, either of these will trigger the music cue. Here's a run down of the specific script, the squad AI placements in question, the trigger volume, and a gameplay example. You can see from the gameplay, the AI does not care if the player has been spotted when calculating when to play the music, doesn't even matter if your marine buddies go up. It might be possible in some cases to skip the cue triggering, which can happen (unintended) for a number of reasons, but it's designed directly in the mission that it plays on command by continuing on foot, or eliminating specific AI encounters - whichever happens first. continued in a second post - 1/2

Neo Te Aika ♪

13,220 次观看 • 1 个月前

🔥🎭 THE FAKE GODMAN EXPOSED — THE SHOCKING TRICKS BEHIND HIS FALSE PROMISES! 😱🚨 Some self-proclaimed godmen use fear, superstition, fake miracles, and emotional manipulation to make innocent people believe their claims. 🕉️⚠️ They may promise impossible solutions to family, money, or personal problems and demand trust, money, or unquestioning obedience. 💰😨 In some cases, allegations have involved inappropriate or abusive behavior toward women, making awareness and speaking up especially important. 🚨👩‍⚖️ This gripping story reveals how such deception can work, why vulnerable people may get trapped, and how the truth can finally come to light. 🔥🎬 A powerful reminder: question extraordinary claims, protect yourself, and seek help from trusted people and authorities when something feels wrong. 💯🔍

🔥🎭 THE FAKE GODMAN EXPOSED — THE SHOCKING TRICKS BEHIND HIS FALSE PROMISES! 😱🚨 Some self-proclaimed godmen use fear, superstition, fake miracles, and emotional manipulation to make innocent people believe their claims. 🕉️⚠️ They may promise impossible solutions to family, money, or personal problems and demand trust, money, or unquestioning obedience. 💰😨 In some cases, allegations have involved inappropriate or abusive behavior toward women, making awareness and speaking up especially important. 🚨👩‍⚖️ This gripping story reveals how such deception can work, why vulnerable people may get trapped, and how the truth can finally come to light. 🔥🎬 A powerful reminder: question extraordinary claims, protect yourself, and seek help from trusted people and authorities when something feels wrong. 💯🔍

Singh Saab (51)K

341,778 次观看 • 4 天前

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

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 次观看 • 24 天前

Can you identify 'belly dancer dyskinesia?' Hint: look for undulating or circular abdominal contractions. Nice case by Cho, Hallett and colleagues in Movement Disorders Clinical Practice Key Points: - Spinal cord or basal ganglia lesions. - If spinal cord origin, the movements tend to continue during sleep. - An MRI may be helpful if a structural lesion is present. - Physiological studies can be helpful. My take: This case they present turned out to be a 'functional movement disorder' and the movements disappeared with sleep. There was no exposure to a dopamine blocking medication. There was no history of abdominal surgery. The authors remind us to uncover possible 'suggestibility, entrainability, and distractibility.' Physiologically the BP potential is actually present WITH functional myoclonus. Many propriospinal myoclonus cases have turned out to be functional movement disorders. HUMBLING even for the experts. … #dyskinesia #bellydancer #functionalmovementdisorder

Can you identify 'belly dancer dyskinesia?' Hint: look for undulating or circular abdominal contractions. Nice case by Cho, Hallett and colleagues in Movement Disorders Clinical Practice Key Points: - Spinal cord or basal ganglia lesions. - If spinal cord origin, the movements tend to continue during sleep. - An MRI may be helpful if a structural lesion is present. - Physiological studies can be helpful. My take: This case they present turned out to be a 'functional movement disorder' and the movements disappeared with sleep. There was no exposure to a dopamine blocking medication. There was no history of abdominal surgery. The authors remind us to uncover possible 'suggestibility, entrainability, and distractibility.' Physiologically the BP potential is actually present WITH functional myoclonus. Many propriospinal myoclonus cases have turned out to be functional movement disorders. HUMBLING even for the experts. … #dyskinesia #bellydancer #functionalmovementdisorder

Michael Okun

12,686 次观看 • 1 年前

A poison ivy is one of the most notorious plants in North America, and for good reason. Hidden in forests, trails, and even backyards, it releases an oily irritant called urushiol that can trigger an intensely itchy, blistering rash within hours to days of contact, What makes it especially deceptive is how easily it blends into its surroundings, often going unnoticed until the reaction begins. Its classic identifier, “leaves of three,” is a helpful warning, but not a perfect one. The leaves can appear shiny or dull, smooth or slightly jagged, and shift in color from green to red or orange depending on the season. Poison ivy can grow as a climbing vine wrapping around trees or as a low shrub spreading across the ground, making it adaptable and easy to encounter in multiple environments. The real danger isn’t just touching the plant itself. Urushiol can linger on clothing, tools, pet fur, and other surfaces, meaning indirect exposure is just as risky. Immediate washing of skin, clothing, and any contaminated items is critical to reduce the severity of the reaction. In many cases, awareness and quick action are the differences between a minor irritation and days of relentless itching.

A poison ivy is one of the most notorious plants in North America, and for good reason. Hidden in forests, trails, and even backyards, it releases an oily irritant called urushiol that can trigger an intensely itchy, blistering rash within hours to days of contact, What makes it especially deceptive is how easily it blends into its surroundings, often going unnoticed until the reaction begins. Its classic identifier, “leaves of three,” is a helpful warning, but not a perfect one. The leaves can appear shiny or dull, smooth or slightly jagged, and shift in color from green to red or orange depending on the season. Poison ivy can grow as a climbing vine wrapping around trees or as a low shrub spreading across the ground, making it adaptable and easy to encounter in multiple environments. The real danger isn’t just touching the plant itself. Urushiol can linger on clothing, tools, pet fur, and other surfaces, meaning indirect exposure is just as risky. Immediate washing of skin, clothing, and any contaminated items is critical to reduce the severity of the reaction. In many cases, awareness and quick action are the differences between a minor irritation and days of relentless itching.

Dr. CZ

83,289 次观看 • 4 个月前

There is a growing trend that has family members and caregivers giving Reborn™️ dolls, the effect that it has on this particular woman shows that she is undeniably overcome with joy and a flood of emotions research shows many positive benefits. ⏺️ Reduces agitation, anxiety, and aggression — One of the strongest benefits. Agitation scores often drop noticeably. ⏺️ Improves mood and emotional well-being — Increases happiness, pleasure, and calmness; can trigger oxytocin (the “bonding hormone”). ⏺️ Provides a sense of purpose and usefulness — Many elderly people feel lost or idle; “caring” for the doll restores a nurturing role they may have had as parents. ⏺️ Decreases wandering and sundowning — Keeps them occupied and seated more often. ⏺️ Boosts social interaction and communication — Acts as an “icebreaker”; even non-verbal people may talk to the doll or engage more with staff/family. ⏺️ May reduce need for medications — Helps lower reliance on anti-anxiety or sedative drugs in some cases. • Other perks — Better sleep, improved appetite in some, and overall higher activity levels. A Cleveland Clinic pilot study and meta-analyses back these outcomes, showing real improvements in behavior and psychology for many residents.

There is a growing trend that has family members and caregivers giving Reborn™️ dolls, the effect that it has on this particular woman shows that she is undeniably overcome with joy and a flood of emotions research shows many positive benefits. ⏺️ Reduces agitation, anxiety, and aggression — One of the strongest benefits. Agitation scores often drop noticeably. ⏺️ Improves mood and emotional well-being — Increases happiness, pleasure, and calmness; can trigger oxytocin (the “bonding hormone”). ⏺️ Provides a sense of purpose and usefulness — Many elderly people feel lost or idle; “caring” for the doll restores a nurturing role they may have had as parents. ⏺️ Decreases wandering and sundowning — Keeps them occupied and seated more often. ⏺️ Boosts social interaction and communication — Acts as an “icebreaker”; even non-verbal people may talk to the doll or engage more with staff/family. ⏺️ May reduce need for medications — Helps lower reliance on anti-anxiety or sedative drugs in some cases. • Other perks — Better sleep, improved appetite in some, and overall higher activity levels. A Cleveland Clinic pilot study and meta-analyses back these outcomes, showing real improvements in behavior and psychology for many residents.

MAGA X Times Daily News 🇺🇸

68,244 次观看 • 4 个月前

$🚨🇮🇶🇮🇷 The Kurdistan Freedom Party has released footage calling for Kurdish unification against Iran. With a fighter visibly armed with U.S.-made M4A1 carbines. This is a significant development. An estimated 8-12 million Kurds live inside Iran, historically subjected to severe repression by the Islamic Republic. With the Basij eliminated, Iran's internal security degraded, and the regime's command structure fractured, Kurdish armed groups are signaling they see a window that may not open again. Whether this becomes an insurgency, a border operation, or a political movement depends on what happens in Tehran in the next 72 hours. Reuters, The TIMES, Open Source Intel$

🚨🇮🇶🇮🇷 The Kurdistan Freedom Party has released footage calling for Kurdish unification against Iran. With a fighter visibly armed with U.S.-made M4A1 carbines. This is a significant development. An estimated 8-12 million Kurds live inside Iran, historically subjected to severe repression by the Islamic Republic. With the Basij eliminated, Iran's internal security degraded, and the regime's command structure fractured, Kurdish armed groups are signaling they see a window that may not open again. Whether this becomes an insurgency, a border operation, or a political movement depends on what happens in Tehran in the next 72 hours. Reuters, The TIMES, Open Source Intel

Mario Nawfal

140,736 次观看 • 6 个月前

PRONATOR TERES IN THE THROWING ARM The Pronator has 2 insertions on the inside of the elbow 1) To the Medial Epicondyle through the Common Flexor Tendon 2) To the medial portion of the Ulna (Deep) In 83% of arms, the Median Nerve Runs right between those two heads Due to throwers commonly having hypertrophied and toned up Pronators, this can become an issue with compression of the Median Nerve which runs down the forearm and into the thumb, index, and middle fingers When tight, it can limit Supination and Elbow extension With Pronation and Supination, it is important to test both Range of Motion and Strength in both the Elbow flexed and extended positions as this will affect the muscle lengths of each Trigger points here typically refer deep into the wrist and Anterior Forearm In chronically “tight” Pronators, check the opposing muscle groups (Supinator and Biceps) as you may find they are significantly restricted and essentially forcing the Pronator to “Drive with the E Brake on” with every contraction OR You may see excessive weakness that allows the Pronator to Bully it into living in the Pronated, shortened position This is a non exhaustive list of some quick nuggets in regards to the Pronator Teres as there are a ton of global and external issues that can play a huge factor here

PRONATOR TERES IN THE THROWING ARM The Pronator has 2 insertions on the inside of the elbow 1) To the Medial Epicondyle through the Common Flexor Tendon 2) To the medial portion of the Ulna (Deep) In 83% of arms, the Median Nerve Runs right between those two heads Due to throwers commonly having hypertrophied and toned up Pronators, this can become an issue with compression of the Median Nerve which runs down the forearm and into the thumb, index, and middle fingers When tight, it can limit Supination and Elbow extension With Pronation and Supination, it is important to test both Range of Motion and Strength in both the Elbow flexed and extended positions as this will affect the muscle lengths of each Trigger points here typically refer deep into the wrist and Anterior Forearm In chronically “tight” Pronators, check the opposing muscle groups (Supinator and Biceps) as you may find they are significantly restricted and essentially forcing the Pronator to “Drive with the E Brake on” with every contraction OR You may see excessive weakness that allows the Pronator to Bully it into living in the Pronated, shortened position This is a non exhaustive list of some quick nuggets in regards to the Pronator Teres as there are a ton of global and external issues that can play a huge factor here

Armored Heat

13,730 次观看 • 3 年前

EXTREMELY CONCERNING 🚨 Does This Confirm War Is Coming? 2024 Health Insurance Policies Updated With NEW Exclusions & Expenses Not Covered “Treatment of an injury or a sickness, which is due to war, declared or undeclared, riot, or insurrection.” “Y'all need to check your insurance policies. Listen to this. This is something that made me go, As you may know, I have had my insurance license in the state of California for over a decade. And when I was reviewing policies for 2024, I noticed this new exclusion. Look here. This is under exclusions and expenses not covered on a 2024 Cigna health policy. Treatment of an injury or a sickness, which is due to war, declared or undeclared, riot, or insurrection. This is not typical. This is an insurance policy from United last year for 2023, and the language typically reads like this. What happens with my coverage under extraordinary circumstances? And it says in cases of disaster, epidemic, war, riot, insurrection, that they will do their best to provide the services you need. But now take a look at United's 2024 health insurance policy, another exclusion, t, war. We do not cover an illness, treatment or medical condition due to war declared or undeclared. Cigna and United aren't the only ones that have change their language excluding war from their policies. Anthem has also done this, and it just makes you wonder why in the world would that be the case?”

EXTREMELY CONCERNING 🚨 Does This Confirm War Is Coming? 2024 Health Insurance Policies Updated With NEW Exclusions & Expenses Not Covered “Treatment of an injury or a sickness, which is due to war, declared or undeclared, riot, or insurrection.” “Y'all need to check your insurance policies. Listen to this. This is something that made me go, As you may know, I have had my insurance license in the state of California for over a decade. And when I was reviewing policies for 2024, I noticed this new exclusion. Look here. This is under exclusions and expenses not covered on a 2024 Cigna health policy. Treatment of an injury or a sickness, which is due to war, declared or undeclared, riot, or insurrection. This is not typical. This is an insurance policy from United last year for 2023, and the language typically reads like this. What happens with my coverage under extraordinary circumstances? And it says in cases of disaster, epidemic, war, riot, insurrection, that they will do their best to provide the services you need. But now take a look at United's 2024 health insurance policy, another exclusion, t, war. We do not cover an illness, treatment or medical condition due to war declared or undeclared. Cigna and United aren't the only ones that have change their language excluding war from their policies. Anthem has also done this, and it just makes you wonder why in the world would that be the case?”

Wall Street Apes

3,929,342 次观看 • 2 年前

Should very low-risk prostate cancer on active surveillance be considered a contraindication to anatomical enucleation? This patient had a >100 cc prostate with severe LUTS and bladder outlet obstruction, and a clear desire to be free from his urinary symptoms and improve his quality of life. We proceeded with anatomical enucleation to prioritize symptom relief while preserving future oncologic options. Technical pearl: prior biopsies may create mild apical adhesions, but respecting the anatomical planes allows a standard enucleation. Don’t divide the bladder neck fibers until complete release and meticulous hemostasis are achieved. Would you operate, or continue surveillance alone? #HoLEP #BPH #ProstateCancer #ActiveSurveillance #Urology

Should very low-risk prostate cancer on active surveillance be considered a contraindication to anatomical enucleation? This patient had a >100 cc prostate with severe LUTS and bladder outlet obstruction, and a clear desire to be free from his urinary symptoms and improve his quality of life. We proceeded with anatomical enucleation to prioritize symptom relief while preserving future oncologic options. Technical pearl: prior biopsies may create mild apical adhesions, but respecting the anatomical planes allows a standard enucleation. Don’t divide the bladder neck fibers until complete release and meticulous hemostasis are achieved. Would you operate, or continue surveillance alone? #HoLEP #BPH #ProstateCancer #ActiveSurveillance #Urology

DR CARVAJAL

10,778 次观看 • 1 个月前