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Most kidney stones no longer require open surgery. Advanced ureteroscopy and laser lithotripsy allow precise stone fragmentation and removal through the natural urinary passage- resulting in minimal pain and faster recovery. Treatment is tailored to stone size and location.

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Farhan Khan

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17,948 просмотров • 2 месяцев назад •via X (Twitter)

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Calcified lesions represent one of the most challenging subsets for PCI. Successful treatment is feasible in selected cases through careful planning, data integration, and expert use of available devices. Below is an algorithmic approach to the use of balloons, atherectomy, and lithotripsy.
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Calcified lesions represent one of the most challenging subsets for PCI. Successful treatment is feasible in selected cases through careful planning, data integration, and expert use of available devices. Below is an algorithmic approach to the use of balloons, atherectomy, and lithotripsy.

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With a few tools and simple tricks, you can split open stones like a book. The main thing is to listen to what the stone wants to be, don’t overly force your theoretical form onto it. That is to say have a relationship with the stone.
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With a few tools and simple tricks, you can split open stones like a book. The main thing is to listen to what the stone wants to be, don’t overly force your theoretical form onto it. That is to say have a relationship with the stone.

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The value of Transvesical-assisted cystic pedicle dissection. A large stone appearing at ? Hartman Pouch, ? GB neck. 1- never dissect proximal to stone 2- never assume it is in HP 3- immediately suspect Mirizzi 4- accessing the stone through the GB will help either transvesical removal or dislodgement and facilitate extraction 5- Mirizzi 2 becomes obvious 6- NEVER MIND THE CVS, you risk major duct injury. Transfistula IOC and exploration will be mandatory to guide further dissection. 7- choledochoscopy aids further anatomical confirmation. Seeing the scope light in the hepatocystic triangle while the scope is in the RHD , and with no irrigation fluid escaping duct system slows down the surgeons pulse and stems his/her sweat > the ducts are intact. 8- extract any further stones and insert a transfistula t-tube. No sutures needed but obviously a good subhepatic drain until no bile is seen, t tube remains for four weeks to allow healing of the fistula. Avoid early postop cholangiography ( it can cause contrast and bile leakage with potential pain/peritoneal irritation which slows down the healing and may force reintervention.
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The value of Transvesical-assisted cystic pedicle dissection. A large stone appearing at ? Hartman Pouch, ? GB neck. 1- never dissect proximal to stone 2- never assume it is in HP 3- immediately suspect Mirizzi 4- accessing the stone through the GB will help either transvesical removal or dislodgement and facilitate extraction 5- Mirizzi 2 becomes obvious 6- NEVER MIND THE CVS, you risk major duct injury. Transfistula IOC and exploration will be mandatory to guide further dissection. 7- choledochoscopy aids further anatomical confirmation. Seeing the scope light in the hepatocystic triangle while the scope is in the RHD , and with no irrigation fluid escaping duct system slows down the surgeons pulse and stems his/her sweat > the ducts are intact. 8- extract any further stones and insert a transfistula t-tube. No sutures needed but obviously a good subhepatic drain until no bile is seen, t tube remains for four weeks to allow healing of the fistula. Avoid early postop cholangiography ( it can cause contrast and bile leakage with potential pain/peritoneal irritation which slows down the healing and may force reintervention.

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🏥 ALEXIS UPDATE🚨 Lexi is going through a rough patch. She is feeling mistreated and ignored by hospital staff. Alexis is going through continuous pain and itching, and is undergoing surgery twice a week for her skin recovery. Pray for to find peace and healing and to not give up the fight 🙏
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🏥 ALEXIS UPDATE🚨 Lexi is going through a rough patch. She is feeling mistreated and ignored by hospital staff. Alexis is going through continuous pain and itching, and is undergoing surgery twice a week for her skin recovery. Pray for to find peace and healing and to not give up the fight 🙏

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🪨 Irishman revives the ancient sport of stone lifting David Keohane searches for boulders across Ireland — on beaches, in fields, and even in cemeteries. He believes each stone carries its own story and “memory of place.” In the past, stones were lifted at memorial ceremonies, harvest festivals, and during the inauguration of a new chieftain. According to Keohane, lifting a stone to your knees made you a champion — to your chest, a legend. Interest in the tradition is growing: competitions are already being held, and a stone-lifting studio has opened in Dublin.
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🪨 Irishman revives the ancient sport of stone lifting David Keohane searches for boulders across Ireland — on beaches, in fields, and even in cemeteries. He believes each stone carries its own story and “memory of place.” In the past, stones were lifted at memorial ceremonies, harvest festivals, and during the inauguration of a new chieftain. According to Keohane, lifting a stone to your knees made you a champion — to your chest, a legend. Interest in the tradition is growing: competitions are already being held, and a stone-lifting studio has opened in Dublin.

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Mucormycosis(Black fungus) can be successfully treated with Ayurvedic treatment without requiring surgery and conventional antifungal drugs. I repeat, Mucormycosis doesn't require costly &face disfiguring surgery and costly anti fungal drugs which are damaging the kidney. Ayurveda alone is capable to treat Mucormycosis.. (Note:- Informed consent has been obtained from the patient to share his photos and videos for educational and awareness purposes) #Ayurveda
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This is Dr. Dimple Jangda. She makes us believe that she is an Ayurvedic practitioner. But the fact is that she is not a doctor. She is not even an Ayurvedic practitioner. She has no formal training in real medicine or pseudomedicine of Ayurveda. She was a television producer. Then an investment banker. Then a podcast host. And thereafter, a talk show host. She has a masters degree in business administration. She has a virtual online degree from National American University in (?)management which she claims is "honorary." She has a diploma in Yoga from Yoga Mumbai Institute. She has a virtual and unidentifiable degree in (?) business management from Thames International University, Paris. She has no formal training in any aspect of healthcare. She is a quack of quacks. A top of the line fearmongering "wellness fraud" - a bottom feeder in the ecosystem of healthcare business. She is a female version of Sadhguru. Lots of confidently sounding English words that takes shape of a word salad containing some of the biggest health-related misinformation and disinformation in Indian social media today. See this video for instance. She tells gullible people (who are already fearmongered about modern medicine and have distrust in doctors and medical science) not to opt for gall bladder removal surgery even if it gets complicated with stones disease or inflammation (called acute cholecystitis). A dangerous misinformation that can lead to loss of life. The physiology of gall bladder function and the change in function after gall bladder surgery that she provides is top-class garbage. Complicated gall stone disease require surgery for cure and to prevent further complications. If you remove the gall bladder, you do not develop more diseases like diabetes or obesity. The bile gets stored in the upper part of the small intestine in the absence of gall bladder and keeps helping in digestion. There is no food or diet shortcut that can dissolve gall stones. The story that this lady speaks about - from her own father's experience of using Ayurveda to remove gall stones is complete fabrication. It is an unverifiable, anecdotal bluff. There is no way, gall stones can just disappear in a month. There is only ONE method to diagnose and treat gall stones disease and it is the scientific method based consensus guidelines. See this from the European Association for Study of Liver - Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. It provides all information on 1. Prevention of gall stones 2. Diagnosis of gall bladder stones 3. Medical therapy of gall bladder stones 4. Surgical therapy of gall bladder stones 5. Diagnosis of bile duct stones 6. Endoscopic and surgical therapy of bile duct stones 7. Diagnosis and therapy of stones inside liver 8. Therapy of gall stones during pregnancy Peppermint tea, hibiscus tea, lemon water and such easy sounding kitchen-hacks are not the treatment for gall bladder disease or complicated gall stones. Gall bladder stones that are uncomplicated or incidentally detected do not require treatment. Do not worry about them unnecessarily. Gall stones that get stuck in the neck of the gall bladder or come down into the bile duct, causing bile duct obstruction, bile block and infection requires antibiotic therapy and after an interval, removal of gall bladder. Otherwise it could happen again and the second hit of infection could kill the person. It can also lead to gall stone pancreatitis that can lead to multiple organ failure. No amount of hibiscus tea and lemon water will save you when you are in septic shock due to cholangitis and a ruptured gall bladder, on the ventilator inside an ICU. High cholesterol, high blood pressure, obesity and fatty liver are not caused by removal of gall bladder, but are risk factors for development of the stones themselves - that is, metabolic diseases are associated with higher risk of developing gall stone disease and not the other way around. The lady had gotten it all topsy-turvy - why? Because she has no formal education in medicine and would probably have no clue on which side of the body the liver is. Increasing fruit and vegetable consumption in women aged 48-60 years prevented (a correlation) risk of complicated gall stone disease, and subsequent surgery, but is not in anyway same as not doing surgery for complicated gall stone disease. Once complicated, surgery is the best bet to prevent further complications. There is no evidence that drinking carrot and beetroot juice helps reduce complicated gall stone disease or dissolves gall stones. This is utter nonsense. You may be wondering why my post is so long and I had to keep going on and on to debunk small points made by Dimple Jangda. It is not so simple. Its because of this: The Bullshit Asymmetry Principle, also known as Brandolini’s Law, states that the amount of energy needed to refute bullshit is an order of magnitude bigger than that needed to produce it. PS: Please dont share any more of this quack's videos for me to debunk. I am getting too old for this.
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This is Dr. Dimple Jangda. She makes us believe that she is an Ayurvedic practitioner. But the fact is that she is not a doctor. She is not even an Ayurvedic practitioner. She has no formal training in real medicine or pseudomedicine of Ayurveda. She was a television producer. Then an investment banker. Then a podcast host. And thereafter, a talk show host. She has a masters degree in business administration. She has a virtual online degree from National American University in (?)management which she claims is "honorary." She has a diploma in Yoga from Yoga Mumbai Institute. She has a virtual and unidentifiable degree in (?) business management from Thames International University, Paris. She has no formal training in any aspect of healthcare. She is a quack of quacks. A top of the line fearmongering "wellness fraud" - a bottom feeder in the ecosystem of healthcare business. She is a female version of Sadhguru. Lots of confidently sounding English words that takes shape of a word salad containing some of the biggest health-related misinformation and disinformation in Indian social media today. See this video for instance. She tells gullible people (who are already fearmongered about modern medicine and have distrust in doctors and medical science) not to opt for gall bladder removal surgery even if it gets complicated with stones disease or inflammation (called acute cholecystitis). A dangerous misinformation that can lead to loss of life. The physiology of gall bladder function and the change in function after gall bladder surgery that she provides is top-class garbage. Complicated gall stone disease require surgery for cure and to prevent further complications. If you remove the gall bladder, you do not develop more diseases like diabetes or obesity. The bile gets stored in the upper part of the small intestine in the absence of gall bladder and keeps helping in digestion. There is no food or diet shortcut that can dissolve gall stones. The story that this lady speaks about - from her own father's experience of using Ayurveda to remove gall stones is complete fabrication. It is an unverifiable, anecdotal bluff. There is no way, gall stones can just disappear in a month. There is only ONE method to diagnose and treat gall stones disease and it is the scientific method based consensus guidelines. See this from the European Association for Study of Liver - Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. It provides all information on 1. Prevention of gall stones 2. Diagnosis of gall bladder stones 3. Medical therapy of gall bladder stones 4. Surgical therapy of gall bladder stones 5. Diagnosis of bile duct stones 6. Endoscopic and surgical therapy of bile duct stones 7. Diagnosis and therapy of stones inside liver 8. Therapy of gall stones during pregnancy Peppermint tea, hibiscus tea, lemon water and such easy sounding kitchen-hacks are not the treatment for gall bladder disease or complicated gall stones. Gall bladder stones that are uncomplicated or incidentally detected do not require treatment. Do not worry about them unnecessarily. Gall stones that get stuck in the neck of the gall bladder or come down into the bile duct, causing bile duct obstruction, bile block and infection requires antibiotic therapy and after an interval, removal of gall bladder. Otherwise it could happen again and the second hit of infection could kill the person. It can also lead to gall stone pancreatitis that can lead to multiple organ failure. No amount of hibiscus tea and lemon water will save you when you are in septic shock due to cholangitis and a ruptured gall bladder, on the ventilator inside an ICU. High cholesterol, high blood pressure, obesity and fatty liver are not caused by removal of gall bladder, but are risk factors for development of the stones themselves - that is, metabolic diseases are associated with higher risk of developing gall stone disease and not the other way around. The lady had gotten it all topsy-turvy - why? Because she has no formal education in medicine and would probably have no clue on which side of the body the liver is. Increasing fruit and vegetable consumption in women aged 48-60 years prevented (a correlation) risk of complicated gall stone disease, and subsequent surgery, but is not in anyway same as not doing surgery for complicated gall stone disease. Once complicated, surgery is the best bet to prevent further complications. There is no evidence that drinking carrot and beetroot juice helps reduce complicated gall stone disease or dissolves gall stones. This is utter nonsense. You may be wondering why my post is so long and I had to keep going on and on to debunk small points made by Dimple Jangda. It is not so simple. Its because of this: The Bullshit Asymmetry Principle, also known as Brandolini’s Law, states that the amount of energy needed to refute bullshit is an order of magnitude bigger than that needed to produce it. PS: Please dont share any more of this quack's videos for me to debunk. I am getting too old for this.

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This guy spent $500,000 for this machine to 3D print his entire house. It prints the walls and layers using concrete, which is durable enough to last up to 300 years. The hollow walls allow for easier installation of plumbing and wiring. Steel reinforcements and spray foam add strength, soundproofing and insulation. Because the machine does most of the work, minimal labor is needed, saving up to 45% in costs, and it's also much faster to build. You could move in within a few days to three weeks depending on the House size.

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Dr. Abhishek Shukla (Senior Geriatrician) in conversation with Dr. Rohit Kapoor (MCh Urology) a senior urologist, to discuss a very common problem seen in elderly men—weak urine flow, frequent urination, and the feeling of incomplete bladder emptying.” Dr. Abhishek Shukla asked, “Many senior citizens complain that their urinary stream has become weak, urine comes drop by drop or intermittently, and they need to wake up multiple times at night to pass urine. Even after urinating, they feel that the bladder is not empty. What could be the reason?” Dr. Rohit Kapoor explained that these symptoms are most commonly related to the prostate gland. The prostate is a small gland located below the urinary bladder and surrounds the urinary passage (urethra). As men grow older, the prostate often enlarges and can obstruct the urine flow. He explained that this enlargement may be Benign Prostatic Hyperplasia (BPH), which is non-cancerous and very common with aging. In many cases, medicines can effectively control symptoms. However, an important point is that the size of the prostate alone does not decide treatment. A large prostate does not always need surgery if symptoms are controlled with medicines. On the other hand, even a smaller prostate can cause severe blockage and may require surgery if medicines fail. Dr. Kapoor also emphasized the importance of PSA (Prostate-Specific Antigen) testing for men above 50 years of age. Along with ultrasound and uroflowmetry, PSA helps detect prostate cancer early. He advised that every man above 50 should get a PSA test yearly. Dr. Abhishek Shukla concluded by reminding viewers that urinary problems should never be ignored. Early diagnosis and treatment can prevent complications and improve quality of life. Modern treatments, including advanced robotic surgery, now offer safer and highly precise solutions. #UrinaryHealth #Urology #pelvichealth #Incontinence #OveractiveBladder #BladderControl #BPH (Benign Prostatic Hyperplasia) #ProstateHealth #enlargedprostate #urinarytractinfection #uti #bladderhealth #urinarysystem #urology #urinary #urinaryincontinence #womenshealth #healthylifestyle #bladder #urologist
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Dr. Abhishek Shukla (Senior Geriatrician) in conversation with Dr. Rohit Kapoor (MCh Urology) a senior urologist, to discuss a very common problem seen in elderly men—weak urine flow, frequent urination, and the feeling of incomplete bladder emptying.” Dr. Abhishek Shukla asked, “Many senior citizens complain that their urinary stream has become weak, urine comes drop by drop or intermittently, and they need to wake up multiple times at night to pass urine. Even after urinating, they feel that the bladder is not empty. What could be the reason?” Dr. Rohit Kapoor explained that these symptoms are most commonly related to the prostate gland. The prostate is a small gland located below the urinary bladder and surrounds the urinary passage (urethra). As men grow older, the prostate often enlarges and can obstruct the urine flow. He explained that this enlargement may be Benign Prostatic Hyperplasia (BPH), which is non-cancerous and very common with aging. In many cases, medicines can effectively control symptoms. However, an important point is that the size of the prostate alone does not decide treatment. A large prostate does not always need surgery if symptoms are controlled with medicines. On the other hand, even a smaller prostate can cause severe blockage and may require surgery if medicines fail. Dr. Kapoor also emphasized the importance of PSA (Prostate-Specific Antigen) testing for men above 50 years of age. Along with ultrasound and uroflowmetry, PSA helps detect prostate cancer early. He advised that every man above 50 should get a PSA test yearly. Dr. Abhishek Shukla concluded by reminding viewers that urinary problems should never be ignored. Early diagnosis and treatment can prevent complications and improve quality of life. Modern treatments, including advanced robotic surgery, now offer safer and highly precise solutions. #UrinaryHealth #Urology #pelvichealth #Incontinence #OveractiveBladder #BladderControl #BPH (Benign Prostatic Hyperplasia) #ProstateHealth #enlargedprostate #urinarytractinfection #uti #bladderhealth #urinarysystem #urology #urinary #urinaryincontinence #womenshealth #healthylifestyle #bladder #urologist

Association of International Doctors. (India).

25,905 просмотров • 15 дней назад

4-year-old Stone Hicks battling end-stage kidney disease gets his wish of becoming a police officer in Orlando, Florida. Stone has been battling kidney disease since he was a baby. His father even donated one of his kidneys to Stone 2 years ago. The Orlando Police Department decided to welcome Stone to their team who is now an honorary police officer. "Our kids go through so much when they battle their critical illness, so we’re really here to celebrate him and give him that hope, strength and joy in his life,” said Make-A-Wish Northern & Central Florida Anne Cuba. "Him being in the police cars, rushing to the bad guys and arresting them, it was a full-on experience for him, one I’m sure he won’t forget," said Stone's father.
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4-year-old Stone Hicks battling end-stage kidney disease gets his wish of becoming a police officer in Orlando, Florida. Stone has been battling kidney disease since he was a baby. His father even donated one of his kidneys to Stone 2 years ago. The Orlando Police Department decided to welcome Stone to their team who is now an honorary police officer. "Our kids go through so much when they battle their critical illness, so we’re really here to celebrate him and give him that hope, strength and joy in his life,” said Make-A-Wish Northern & Central Florida Anne Cuba. "Him being in the police cars, rushing to the bad guys and arresting them, it was a full-on experience for him, one I’m sure he won’t forget," said Stone's father.

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|| Traditional South Indian Remedy for Kidney Stones & Burning Urination || This is a centuries-old folk remedy used in Tamil Nadu Kerala and Karnataka for small kidney stones, burning urination and urinary heat. The soft stem of the banana plant is naturally cooling, diuretic and helps improve urine flow. ★ Why It Helps ✅Cooling & Pitta-reducing ✅Improves urine flow ✅Helps flush out small stones ✅Reduces burning urination ✅Gentle and easy to digest Ingredients: 🪄Soft inner banana stem 🪄1 tsp Jeera (cumin) 🪄1 tsp Methi (fenugreek) 🪄Banana leaf for wrapping ★ How It's Traditionally Prepared - Select a banana tree which is already harvested. Cut the stem. Then remove the soft inner stem. The hollow soft inner stem is filled with jeera and methi, wrapped tightly with a banana leaf, and kept overnight. By morning, cooling water collects inside, enriched with the properties of the stem and spices. You can always filter the banana stem water before drinking. Normally banana water collects in 4-5 hours if you want to make it in day time. ✴️How to Take for Kidney Stones ✔️100-150 ml fresh banana stem water ✔️Morning on an empty stomach Continue for 7-14 days (or until symptoms ease) ✔️Helps especially with small stones, burning urination, and improving urine flow ✔️Drink plenty of warm water throughout the day for better flushing ‼️Note‼️ This remedy is not a substitute for medical care in: Large or stubborn stones Severe flank pain Fever, vomiting, or urinary blockage A gentle, natural, and time-tested remedy passed down through generations in South Indian households
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|| Traditional South Indian Remedy for Kidney Stones & Burning Urination || This is a centuries-old folk remedy used in Tamil Nadu Kerala and Karnataka for small kidney stones, burning urination and urinary heat. The soft stem of the banana plant is naturally cooling, diuretic and helps improve urine flow. ★ Why It Helps ✅Cooling & Pitta-reducing ✅Improves urine flow ✅Helps flush out small stones ✅Reduces burning urination ✅Gentle and easy to digest Ingredients: 🪄Soft inner banana stem 🪄1 tsp Jeera (cumin) 🪄1 tsp Methi (fenugreek) 🪄Banana leaf for wrapping ★ How It's Traditionally Prepared - Select a banana tree which is already harvested. Cut the stem. Then remove the soft inner stem. The hollow soft inner stem is filled with jeera and methi, wrapped tightly with a banana leaf, and kept overnight. By morning, cooling water collects inside, enriched with the properties of the stem and spices. You can always filter the banana stem water before drinking. Normally banana water collects in 4-5 hours if you want to make it in day time. ✴️How to Take for Kidney Stones ✔️100-150 ml fresh banana stem water ✔️Morning on an empty stomach Continue for 7-14 days (or until symptoms ease) ✔️Helps especially with small stones, burning urination, and improving urine flow ✔️Drink plenty of warm water throughout the day for better flushing ‼️Note‼️ This remedy is not a substitute for medical care in: Large or stubborn stones Severe flank pain Fever, vomiting, or urinary blockage A gentle, natural, and time-tested remedy passed down through generations in South Indian households

vaidya parampara

72,857 просмотров • 7 месяцев назад

Dr Rena Malik is one of the world’s leading urologists who believes something is quietly going wrong with our bodies and our relationships… And the data she’s seeing suggests it’s happening faster than most people realise. Rena specialises in the urinary and reproductive systems with expertise in sexual medicine and hormone health. And what I like about her is that she goes through all of the questions which no one has ever answered for us.
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Dr Rena Malik is one of the world’s leading urologists who believes something is quietly going wrong with our bodies and our relationships… And the data she’s seeing suggests it’s happening faster than most people realise. Rena specialises in the urinary and reproductive systems with expertise in sexual medicine and hormone health. And what I like about her is that she goes through all of the questions which no one has ever answered for us.

Steven Bartlett

480,279 просмотров • 2 месяцев назад

Israelis found an Eurasian stone-curlew in an apartment stairwell, and it was brought to the hospital. It is now resting under treatment and receiving expert care. Israel’s Wildlife Hospital treats thousands of injured and endangered animals each year.
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Israelis found an Eurasian stone-curlew in an apartment stairwell, and it was brought to the hospital. It is now resting under treatment and receiving expert care. Israel’s Wildlife Hospital treats thousands of injured and endangered animals each year.

Vivid.🇮🇱

29,861 просмотров • 9 дней назад

Just added indoor navigation to WeWork, without them knowing. Got this up and running in 2 days, using wifi + motion data for precise location. Every other indoor solution takes months and usually require beacons. Hyper is going to fix the indoor navigation space. 💪
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Just added indoor navigation to WeWork, without them knowing. Got this up and running in 2 days, using wifi + motion data for precise location. Every other indoor solution takes months and usually require beacons. Hyper is going to fix the indoor navigation space. 💪

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