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Need help reading spine imaging? I’ve got your back! It’s as easy as ABC! This post is about an easy mnemonic you can use on every single spine study you see to increase your speed & make sure you never miss a thing! Just remember ABCD: A = Alignment...

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Lea Alhilali, MD

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22,130 Aufrufe • vor 10 Monaten •via X (Twitter)

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This video is making its rounds on social media. Look at his eyes reading from script. If you were being threatened for your “legacy”… you’d be able to speak on yourself for your behalf. Truth isn’t having to remember anything. It’s just telling it. Remember PDJT: “Isn’t it nice to have a President who doesn’t need or have to read from a Teleprompter?” Everything was calculated for this whole operation. Comey hasn’t posted on X since June 10. Only 2 posts in June alone. Does that sound like someone free to roam? Doe that sound like someone whose eyes look like windshield wipers reading a word for word script? Why hasn’t Obama posted anything since July 10? Why hasn’t Michelle posted anything since June 19? Sound like free people? Obama had 130.3 Million followers… That’s 37.5% of current population. But Ole Bummer can’t even defend himself? 🤡🔥

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IsbaeU: a lot of people have paid millions to get this bum bum that God gave you for free don’t you feel like a mumu getting married when you could be cashing out ? Toolz : you think it’s a better idea for me to be like posing on only fans? I know the woman in your family do but that’s not really for me there are lot of fantastic people that do well on only fans it’s not really for me I don’t know if your sister is your mom on only fans ? IsbaeU: I’ll pay 200k per day to watch Toolz: you do look like you pay for sex though IsbaeU: Before, I should steal it what’s there ? Toolz: No, you look like the kind of person that unless there’s money involved nobody would want to sleep with you IsbaeU: but there are people sleeping with people for free out there ? Toolz: I’m here to tell you that if you are a decent person, if you shower regularly, if you carry yourself well you could actually have physical relations with women that you don’t need to pay for IsbaeU: like I’ll just talk to them and they’ll do it Toolz: we’re going to work on your English, how you speak to people as well i csn see that you have issue with communicate IsbaeU : I can communicate well when I’m chatting I used chat GPT please if you want to help me help me Toolz : I feel that you should learn that when you’re talking to women it shouldn’t just be about how much for the night think should get deeper IsbaeU: she will bill me Toolz: you’re hosting a show you’re wearing hoodie, you look like what I don’t know with you bend down boutique Me: Toolz no let IsbaeU rest for this episode. 😂 She dragged him from his hoodie to his slides, and even his skin colour collected. This episode na premium cruise😭🤣
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IsbaeU: a lot of people have paid millions to get this bum bum that God gave you for free don’t you feel like a mumu getting married when you could be cashing out ? Toolz : you think it’s a better idea for me to be like posing on only fans? I know the woman in your family do but that’s not really for me there are lot of fantastic people that do well on only fans it’s not really for me I don’t know if your sister is your mom on only fans ? IsbaeU: I’ll pay 200k per day to watch Toolz: you do look like you pay for sex though IsbaeU: Before, I should steal it what’s there ? Toolz: No, you look like the kind of person that unless there’s money involved nobody would want to sleep with you IsbaeU: but there are people sleeping with people for free out there ? Toolz: I’m here to tell you that if you are a decent person, if you shower regularly, if you carry yourself well you could actually have physical relations with women that you don’t need to pay for IsbaeU: like I’ll just talk to them and they’ll do it Toolz: we’re going to work on your English, how you speak to people as well i csn see that you have issue with communicate IsbaeU : I can communicate well when I’m chatting I used chat GPT please if you want to help me help me Toolz : I feel that you should learn that when you’re talking to women it shouldn’t just be about how much for the night think should get deeper IsbaeU: she will bill me Toolz: you’re hosting a show you’re wearing hoodie, you look like what I don’t know with you bend down boutique Me: Toolz no let IsbaeU rest for this episode. 😂 She dragged him from his hoodie to his slides, and even his skin colour collected. This episode na premium cruise😭🤣

KOMISI HQ

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LeBron James says Shai Gilgeous-Alexander’s efficiency is Jordan-esque: “Every time you look at the efficiency you look at the box scores and you see Shai 38 it’s like 13 for 17 from the floor you know the other night I think he had 40 something I think it was like 15 for 19. That’s one of my favorite things about players like you know I mean that’s because how I am like I love efficient players. Like you know can go out can do the things on the floor be efficient you know not taking too many bad shots, I mean if you get on a heater you want to take a heat check or two I get it. We all have our nights where we don’t shoot you know to our capabilities, I mean that just comes with the game. But yeah, I think that’s one of the things I love about Shai is just like for him to play on the perimeter as much as he does, playing at mid-range as much as he does and still be as super efficient as he is. It’s Jordan-esque.” (Via Mind the Game)
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LeBron James says Shai Gilgeous-Alexander’s efficiency is Jordan-esque: “Every time you look at the efficiency you look at the box scores and you see Shai 38 it’s like 13 for 17 from the floor you know the other night I think he had 40 something I think it was like 15 for 19. That’s one of my favorite things about players like you know I mean that’s because how I am like I love efficient players. Like you know can go out can do the things on the floor be efficient you know not taking too many bad shots, I mean if you get on a heater you want to take a heat check or two I get it. We all have our nights where we don’t shoot you know to our capabilities, I mean that just comes with the game. But yeah, I think that’s one of the things I love about Shai is just like for him to play on the perimeter as much as he does, playing at mid-range as much as he does and still be as super efficient as he is. It’s Jordan-esque.” (Via Mind the Game)

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"don't get too hung up on whether those media outlets apologise or not. look at me still doing livestreams now and frequently interacting with you all. did their rumors have any real impact on me? since money is hard to earn, just let them make money in such a disgraceful way. I believe every industry has its own hierarchy of respect. good media will look down on bad media, just like good actors will look down on bad actors. you can't use your own perspective as the standard to judge others. everyone has different values and boundaries. some people’s bottom line can be that low, and they genuinely think it’s not a problem."
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"don't get too hung up on whether those media outlets apologise or not. look at me still doing livestreams now and frequently interacting with you all. did their rumors have any real impact on me? since money is hard to earn, just let them make money in such a disgraceful way. I believe every industry has its own hierarchy of respect. good media will look down on bad media, just like good actors will look down on bad actors. you can't use your own perspective as the standard to judge others. everyone has different values and boundaries. some people’s bottom line can be that low, and they genuinely think it’s not a problem."

jov

45,952 Aufrufe • vor 11 Monaten

Have you ever heard these sayings? 1.“Never go hiking with a photographer. You’ll never make it to the top.” 2.“If a photographer says ‘just one more shot,’ cancel your plans for the next hour.” 3.“Photographers don’t take vacations. They go on location.” 4.“Behind every great photo is a patient friend or partner… or one who gave up and went home.” Well here’s another you can add to the list! Cancel Your Plans, I Found a Pigeon!!! 🤪 Photography changes the way you see the world. I know it has for me. It strips away the adult filter and brings back that childlike curiosity. Suddenly, everything has a story worth noticing and when you slow down to look, you start to learn something magical! Take this pigeon. One of the most common birds out there but look at that iridescent shimmer catching the light as it struts around, shopping for just the right piece of nesting material. This bird knows it’s hot stuff. It even paused to look right at me, like, “This is my good side.” Haha. Slow down. Look closer. The world’s been showing off this whole time. You just have to stop and notice. You might be surprised by what you learn about it… and about yourself.
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Have you ever heard these sayings? 1.“Never go hiking with a photographer. You’ll never make it to the top.” 2.“If a photographer says ‘just one more shot,’ cancel your plans for the next hour.” 3.“Photographers don’t take vacations. They go on location.” 4.“Behind every great photo is a patient friend or partner… or one who gave up and went home.” Well here’s another you can add to the list! Cancel Your Plans, I Found a Pigeon!!! 🤪 Photography changes the way you see the world. I know it has for me. It strips away the adult filter and brings back that childlike curiosity. Suddenly, everything has a story worth noticing and when you slow down to look, you start to learn something magical! Take this pigeon. One of the most common birds out there but look at that iridescent shimmer catching the light as it struts around, shopping for just the right piece of nesting material. This bird knows it’s hot stuff. It even paused to look right at me, like, “This is my good side.” Haha. Slow down. Look closer. The world’s been showing off this whole time. You just have to stop and notice. You might be surprised by what you learn about it… and about yourself.

Mark Smith Photography

11,599 Aufrufe • vor 1 Jahr

Met with surgeon and got full report. Been dealing with this for about 4 months and seems to be getting worse. Been doing some physical therapy for about 2 weeks. Traction, Cupping, Deep tissue massages, Red light. not working. Really don't see any other option besides surgery. This type of pain ages you quick. Been here before with my lower back (L4/L5). Everything that was tried was just a delay to the inevitable. Surgery. @DrC_IET17 mentioned he could help and to not get the surgery. Not big on DM's so figured would make this convo public. Maybe we all can learn something new. Here is the report: EXAM: MR CERVICAL SPINE WITHOUT CONTRAST CLINICAL INDICATION: Radiculopathy, cervical region. TECHNIQUE: MRI of the cervical spine was performed without intravenous gadolinium. FINDINGS: Bones: Normal vertebral body heights. Straightening of the normal lordosis. Grade 1 retrolisthesis of C5 on C6. Marrow signal is within normal limits. Discs: Multilevel disk desiccation from C2-C3 through C5-C6. Spinal Cord: Normal cord signal. Visualized posterior fossa is unremarkable. There appears to be continuous ossification of the posterior longitudinal ligament from C4-C5 through C5-C6. C2-C3: No disc bulge or herniation. No central or foraminal stenosis. C3-C4: Slight disk osteophyte complex. Facet and uncovertebral joint hypertrophy. Mild indentation of the thecal sac with mild bilateral foraminal narrowing C4-C5: Ossification of the posterior longitudinal ligament along with a right lateral recess disk osteophyte complex and facet and uncovertebral joint hypertrophy. Mild central stenosis with minimal right ventral cord indentation. Moderate right, mild left foraminal narrowing. C5-C6: Ossification of the posterior longitudinal ligament along with a disk osteophyte complex and facet and uncovertebral joint hypertrophy.. Moderate central stenosis with slight ventral cord indentation. Moderate bilateral foraminal narrowing. C6-C7: No disc bulge or herniation. No central or foraminal stenosis. C7-T1: No disc bulge or herniation. No central or foraminal stenosis. Other: No other significant findings. IMPRESSION: On sagittal images, there appears to be flowing ossification of the posterior longitudinal ligament. There are additional spondylotic changes at multiple levels. Most pronounced, there is moderate central stenosis at C5-C6 with moderate bilateral foraminal narrowing. At C4-C5, there is a right lateral recess disk osteophyte complex contributing to severe right lateral recess foraminal narrowing CT can be contributory in confirming ossification the posterior longitudinal ligament.
0:21

Met with surgeon and got full report. Been dealing with this for about 4 months and seems to be getting worse. Been doing some physical therapy for about 2 weeks. Traction, Cupping, Deep tissue massages, Red light. not working. Really don't see any other option besides surgery. This type of pain ages you quick. Been here before with my lower back (L4/L5). Everything that was tried was just a delay to the inevitable. Surgery. @DrC_IET17 mentioned he could help and to not get the surgery. Not big on DM's so figured would make this convo public. Maybe we all can learn something new. Here is the report: EXAM: MR CERVICAL SPINE WITHOUT CONTRAST CLINICAL INDICATION: Radiculopathy, cervical region. TECHNIQUE: MRI of the cervical spine was performed without intravenous gadolinium. FINDINGS: Bones: Normal vertebral body heights. Straightening of the normal lordosis. Grade 1 retrolisthesis of C5 on C6. Marrow signal is within normal limits. Discs: Multilevel disk desiccation from C2-C3 through C5-C6. Spinal Cord: Normal cord signal. Visualized posterior fossa is unremarkable. There appears to be continuous ossification of the posterior longitudinal ligament from C4-C5 through C5-C6. C2-C3: No disc bulge or herniation. No central or foraminal stenosis. C3-C4: Slight disk osteophyte complex. Facet and uncovertebral joint hypertrophy. Mild indentation of the thecal sac with mild bilateral foraminal narrowing C4-C5: Ossification of the posterior longitudinal ligament along with a right lateral recess disk osteophyte complex and facet and uncovertebral joint hypertrophy. Mild central stenosis with minimal right ventral cord indentation. Moderate right, mild left foraminal narrowing. C5-C6: Ossification of the posterior longitudinal ligament along with a disk osteophyte complex and facet and uncovertebral joint hypertrophy.. Moderate central stenosis with slight ventral cord indentation. Moderate bilateral foraminal narrowing. C6-C7: No disc bulge or herniation. No central or foraminal stenosis. C7-T1: No disc bulge or herniation. No central or foraminal stenosis. Other: No other significant findings. IMPRESSION: On sagittal images, there appears to be flowing ossification of the posterior longitudinal ligament. There are additional spondylotic changes at multiple levels. Most pronounced, there is moderate central stenosis at C5-C6 with moderate bilateral foraminal narrowing. At C4-C5, there is a right lateral recess disk osteophyte complex contributing to severe right lateral recess foraminal narrowing CT can be contributory in confirming ossification the posterior longitudinal ligament.

Vincent Kennedy

419,413 Aufrufe • vor 2 Jahren

Is cranial nerve anatomy making you nervous??!! High resolution SSFP imaging can visualize cranial nerves, typically for pts w/microvascular compression But knowing their anatomy & location can help you on any imaging—bc if you know where they are, you know if they may be involved Here’s what you can see on MRI: Olfactory: along anterior cranial fossa above the cribriform plate Optic: from globe, posteriorly through the orbit until intracranially optic nerves join to form chiasm Oculomotor: from between the cerebral peduncles to cavernous sinus Trochlear: From back of the midbrain at the aqueduct to cavernous sinus Trigeminal: From pons at the middle cerebellar peduncles into meckels cave Abducens: From undersurface of inferior pons anteriorly to dorello canal along clivus 7th/8th complex: From undersurface of inferior pons laterally to the IAC Glossopharyngeal & vagus: from medulla where it looks like a clover to the jugular foramen Hypoglossal: from medulla where it looks round like the spinal cord to the Hypoglossal foramen Hopefully all this info of cranial nerves didn’t get on your last nerve!!
0:37

Is cranial nerve anatomy making you nervous??!! High resolution SSFP imaging can visualize cranial nerves, typically for pts w/microvascular compression But knowing their anatomy & location can help you on any imaging—bc if you know where they are, you know if they may be involved Here’s what you can see on MRI: Olfactory: along anterior cranial fossa above the cribriform plate Optic: from globe, posteriorly through the orbit until intracranially optic nerves join to form chiasm Oculomotor: from between the cerebral peduncles to cavernous sinus Trochlear: From back of the midbrain at the aqueduct to cavernous sinus Trigeminal: From pons at the middle cerebellar peduncles into meckels cave Abducens: From undersurface of inferior pons anteriorly to dorello canal along clivus 7th/8th complex: From undersurface of inferior pons laterally to the IAC Glossopharyngeal & vagus: from medulla where it looks like a clover to the jugular foramen Hypoglossal: from medulla where it looks round like the spinal cord to the Hypoglossal foramen Hopefully all this info of cranial nerves didn’t get on your last nerve!!

Lea Alhilali, MD

39,996 Aufrufe • vor 1 Jahr

Did Lily think life is all about look? “NO! it’s like the least fun part of life! the way you look is the least important part of yourself, the inside of you is the most important. The society have made it so important when it’s never been all that. People can be so much more than their looks, people ARE so much more than their looks… However it’s cute to have like playing with makeup, style, that’s just for your self gratification, it’s not for other people, but sure getting compliments on the way look is always a good time, but at the end of the day, those are for yourself, don’t ever do that for anyone else, it’s never gonna end well, tho in this world is pretty much impossible especially with my job, but we have to try.”
2:33

Did Lily think life is all about look? “NO! it’s like the least fun part of life! the way you look is the least important part of yourself, the inside of you is the most important. The society have made it so important when it’s never been all that. People can be so much more than their looks, people ARE so much more than their looks… However it’s cute to have like playing with makeup, style, that’s just for your self gratification, it’s not for other people, but sure getting compliments on the way look is always a good time, but at the end of the day, those are for yourself, don’t ever do that for anyone else, it’s never gonna end well, tho in this world is pretty much impossible especially with my job, but we have to try.”

nmixx pics

38,753 Aufrufe • vor 1 Monat

Have some mild cognitive impairment trying to remember dementia patterns on imaging? Is looking at dementia PET scans one of your PET peeves? Have short-term memory loss when you read about dementia imaging? Here's a way to remember dementia patterns so you will never forget! Major dementia imaging patterns: Alzheimer's disease (AD) · AD has a Nike swoosh pattern-with decreased metabolism in parietal & temporal regions · Remember when you see the Nike swoosh patter, just call it! Dementia w/Lewy Bodies (DLB) · Temporoparietal hypometabolism like AD but also involves occipital cortex, specific for DLB. · DLB also extends farther to the ant. temporal cortex. · Remember, regions of hypometabolism look more like an L. And Lewy starts w/an L Frontotemporal Dementia (FTD) · Frontal & temporal hypometabolism as expected, but extends along the anterior cingulate gyrus · Anterior cingulate involvement makes the hypometabolism looks like a lowercase letter f-and frontotemporal starts with f Posterior cortical atrophy · Can be from AD or DLB & has hypometabolism in the occipital & post. temporal lobe, sparing the anterior temporal lobe · Sparing the anterior temporal lobe makes the involvement look like a C instead of an L like DLB. · So remember pCa Vascular dementia · Vascular dementia has a variable distribution, depending on the regions infarcted (V is both for Vascular & Variable) · Wedged shaped regions of hypometabolism corresponding to cortical infarcts-looks like an inverted V This list isn't all inclusive & there can be variations or even mixed dementias But hopefully this gives you a starting point you won't soon forget!
0:23

Have some mild cognitive impairment trying to remember dementia patterns on imaging? Is looking at dementia PET scans one of your PET peeves? Have short-term memory loss when you read about dementia imaging? Here's a way to remember dementia patterns so you will never forget! Major dementia imaging patterns: Alzheimer's disease (AD) · AD has a Nike swoosh pattern-with decreased metabolism in parietal & temporal regions · Remember when you see the Nike swoosh patter, just call it! Dementia w/Lewy Bodies (DLB) · Temporoparietal hypometabolism like AD but also involves occipital cortex, specific for DLB. · DLB also extends farther to the ant. temporal cortex. · Remember, regions of hypometabolism look more like an L. And Lewy starts w/an L Frontotemporal Dementia (FTD) · Frontal & temporal hypometabolism as expected, but extends along the anterior cingulate gyrus · Anterior cingulate involvement makes the hypometabolism looks like a lowercase letter f-and frontotemporal starts with f Posterior cortical atrophy · Can be from AD or DLB & has hypometabolism in the occipital & post. temporal lobe, sparing the anterior temporal lobe · Sparing the anterior temporal lobe makes the involvement look like a C instead of an L like DLB. · So remember pCa Vascular dementia · Vascular dementia has a variable distribution, depending on the regions infarcted (V is both for Vascular & Variable) · Wedged shaped regions of hypometabolism corresponding to cortical infarcts-looks like an inverted V This list isn't all inclusive & there can be variations or even mixed dementias But hopefully this gives you a starting point you won't soon forget!

Lea Alhilali, MD

19,286 Aufrufe • vor 11 Monaten

🐯 hyeyoonie is very bright, right? she uses this bright energy whenever she’s working but it’s actually very hard on her 🐰 it’s all in the past anyway~ 🧑🏻 when was that? 🐰 i think it’s been like that since sky castle. back then whenever people see me, it used to be like ‘oh, who are you?’ now it’s like “so you’re yeseo~” and they’d look at me and say, “but you kinda look different on screen~” 👩🏻 “huh! aren’t i way prettier in person?!” 🐰 so since i started to gain attention, it became hard for me. so even talking for me was just.. 🧑🏻 it’s a process, well.. 🐯 so on the set i thought, such a selfless actor like her— although there are a lot of good senior and junior actors, i still haven’t seen a person like hyeyoonie 👩🏻 hyeyoonie’s lile that. she works hard with acting too 🧑🏻 (joking) how can you compliment a person when she’s right infront?
1:06

🐯 hyeyoonie is very bright, right? she uses this bright energy whenever she’s working but it’s actually very hard on her 🐰 it’s all in the past anyway~ 🧑🏻 when was that? 🐰 i think it’s been like that since sky castle. back then whenever people see me, it used to be like ‘oh, who are you?’ now it’s like “so you’re yeseo~” and they’d look at me and say, “but you kinda look different on screen~” 👩🏻 “huh! aren’t i way prettier in person?!” 🐰 so since i started to gain attention, it became hard for me. so even talking for me was just.. 🧑🏻 it’s a process, well.. 🐯 so on the set i thought, such a selfless actor like her— although there are a lot of good senior and junior actors, i still haven’t seen a person like hyeyoonie 👩🏻 hyeyoonie’s lile that. she works hard with acting too 🧑🏻 (joking) how can you compliment a person when she’s right infront?

🎀

67,269 Aufrufe • vor 1 Jahr

WANT TO GO VIRAL? X JUST BUILT A TOOL TO SHOW YOU HOW Instead of guessing what works, you can now see what’s blowing up. A new tool called “Inspiration” shows the most viral posts on X in real time, sorted by stuff like likes, replies, shares, even how many people watched the video. It’s like a leaderboard, but for clout. It’s built for creators, but anyone can use it. If you’ve ever thought, “What should I post?” this is X handing you the answer on a silver algorithm. You’ll find it inside Creator Studio in the X app. Look in the side menu or under monetization tools. Source: X Freeze
0:36

WANT TO GO VIRAL? X JUST BUILT A TOOL TO SHOW YOU HOW Instead of guessing what works, you can now see what’s blowing up. A new tool called “Inspiration” shows the most viral posts on X in real time, sorted by stuff like likes, replies, shares, even how many people watched the video. It’s like a leaderboard, but for clout. It’s built for creators, but anyone can use it. If you’ve ever thought, “What should I post?” this is X handing you the answer on a silver algorithm. You’ll find it inside Creator Studio in the X app. Look in the side menu or under monetization tools. Source: X Freeze

Mario Nawfal

34,868 Aufrufe • vor 7 Monaten

❤️‍🔥| Taylor speaks on how she thinks part of the job of entertainers is to be mirrors: “But as sort of entertainers, one of our main jobs, I think, is to be a mirror for people. You look into the art we make. You see yourself back. The way you feel about our art has a lot to do with the life experience that you're having at this point in time, and that's why I'm so happy I have so many different albums. Like, people will come up to me and be like, 'I didn't get reputation. I didn't understand what that was like. Now, five years later, it's my favorite record.' Or evermore, or something like that. And it is like, the fun of it, for us to create a mirror for people to look into…”
3:17

❤️‍🔥| Taylor speaks on how she thinks part of the job of entertainers is to be mirrors: “But as sort of entertainers, one of our main jobs, I think, is to be a mirror for people. You look into the art we make. You see yourself back. The way you feel about our art has a lot to do with the life experience that you're having at this point in time, and that's why I'm so happy I have so many different albums. Like, people will come up to me and be like, 'I didn't get reputation. I didn't understand what that was like. Now, five years later, it's my favorite record.' Or evermore, or something like that. And it is like, the fun of it, for us to create a mirror for people to look into…”

Taylor Swift Updates 💎

279,883 Aufrufe • vor 9 Monaten