Video yükleniyor...

Video Yüklenemedi

Ana Sayfaya Dön

⭕️ Referred : Double #Strictures (Burned Lower Ureter) post URS for 1 cm ureteric stone in 44 Years old Male ⭕️ Surgeon Said: I used LP Laser But i closed sometimes Irrigation because i didn't want fragments to go up... 👉You should maintain #Irrigation .... Don't be afraid of...

13,599 görüntüleme • 1 yıl önce •via X (Twitter)

0 Yorum

Yorum bulunmuyor

Orijinal gönderinin yorumları burada görünecek

Benzer Videolar

Kidney stones are hard deposits made of minerals and salts. While smaller stones often pass naturally through hydration, larger or more stubborn stones require medical intervention to be cleared. ​Here are the 4 primary methods used by doctors: ​1. Shock Wave Lithotripsy (SWL): This is the most common non-invasive treatment. A machine uses high-energy sound waves (shock waves) to create strong vibrations. These vibrations break the large stone into tiny "dust" or sand-like pieces that can then be passed through urine. ​2. Ureteroscopy: For stones located in the ureter or kidney, a doctor may use a thin, flexible scope. The scope is passed through the bladder and up into the ureter. Once the stone is located, it is either captured in a small "basket" and removed or broken apart using a laser so the fragments can pass later. ​3. Percutaneous Nephrolithotomy (PCNL): This is typically reserved for very large or complex stones. A small incision is made in the patient's back to reach the kidney directly. A nephroscope is then used to locate and remove the stone, often using ultrasonic or laser energy to break it up first. ​4. Natural Passage: For stones smaller than 5mm, the most common "removal" method is simply waiting. This requires high fluid intake (water) and often medication (like alpha-blockers) to help relax the muscles in the ureter, allowing the stone to pass with less pain. ​⚠️ Note: If you are experiencing severe pain, nausea, or fever, it is important to consult a healthcare professional immediately, as these can be signs of a blockage or infection. Educational purpose only .😊

Dr Honey choudhary 🩺

26,920 görüntüleme • 5 ay önce

“Bruce Lee had me up to three miles a day, really at a good pace. We'd run the three miles in twenty-one or twenty-two minutes. Just under eight minutes a mile [Note: when running on his own in 1968, Lee would get his time down to six-and-a-half minutes per mile]. So this morning he said to me ‘We're going to go five.’ I said, ‘Bruce, I can't go five. l'm a helluva lot older than you are, and I can't do five.’ He said, ‘When we get to three, we'll shift gears and it's only two more and you'll do it.’ I said ‘Okay, hell, I'll go for it.’ So we get to three, we go into the fourth mile and I'm okay for three or four minutes, and then I really begin to give out. I'm tired, my heart's pounding, I can't go any more and so I say to him, ‘Bruce, if I run any more, — and we're still running — ‘if I run any more I'm liable to have a heart attack and die.’ He said, ‘Then die’ It made me so mad that I went the full five miles. Afterward I went to the shower and then I wanted to talk to him about it. I said, you know, ‘Why did you say that?’ He said, ‘Because you might as well be dead. Seriously, if you always put limits on what you can do, physical or anything else, it'll spread over into the rest of your life. It'll spread into your work, into your morality, into your entire being. There are no limits. There are plateaus, but you must not stay there, you must go beyond them.’” - John Little, “The Art of Expressing the Human Body” (1998)

Historic Vids

6,923,976 görüntüleme • 2 yıl önce

Perrie admits she’s “frustrated” by how Jesy Nelson has portrayed the breakdown of her relationship with Little Mix, adding that she feels the group consistently tried supporting Jesy at the cost of their own mental health, and that accountability should be taken on all sides: “Sometimes you just won’t win with people. And what annoys me the most… I have to be careful how I say this because I don’t want to seem like a bitch… But what upsets me the most when situations like this happen is when the other person doesn’t take any accountability. That boils my blood. I’m not blaming everything on you [Jesy]. I’m not saying, ‘She’s this fucking monster and everything was her fault’ and blah blah blah. But take some accountability for your actions and realise you were difficult. You did have difficult moments. Granted, there were reasons for those moments... but you can only pick somebody up so many fucking times before you start losing track of your own sanity. You want to be there for that person, but if they can’t accept the help and they can’t accept the love you’re trying to show, how do you win? You can’t. I hate that. I don’t like putting the blame on people. Don’t put the blame on me and make me out to be something that I’m not. Yes, I’m not perfect. I might not have been there enough, or I could have done better I suppose… but I thought what I was doing was enough. I thought I’d tried everything. So to then sit there in further interviews and discuss it publicly and be like, ‘I wasn’t supported’… You were, though. You were. So just take some accountability and I’ll feel better about it. I’d say [I’m] more frustrated than angry, because I don’t like being painted into a person that I’m not. Because I’m an open book, I have to be real. It exhausts me when I see people that I know inside and out not being genuine. It frustrates me.”

JADE tea room ☕️

299,076 görüntüleme • 2 ay önce

A lot going on. So first let me make the announcement that despite the DOJ and FBI deliberately stonewalling me for 5 years, I have retrieved (most of) my property that was wrongfully seized after January 6. It's mostly in disrepair, but I'll address that later. Today I had business to take care of in Congress. Framed as a domestic terrorist and insurrectionist after January 6, when I was only a comedian who peacefully picketed, I returned today to Congress in the wrinkled and torn suit the feds kept from me - ever the satirist. They should have just left me the fuck alone. Now with only a fraction of the property I had no access to before my trial, I can prove that FBI agents and vindictive prosecutors maliciously misrepresented my character and my motivations, wrongfully robbing me of years of freedom for questioning their regime, but again I'll address that later. I remember the names and faces of every person that worked to destroy me. Every single one. They're burned into my memory. I am not like most people. The more you fuck with me the longer I am willing to wait for justice to come to you. I have superhuman patience. I endured years of torment through nothing but faith and sheer tyranny of will. Judges, prosecutors, jailhouse snitches, backstabbers, reporters - I have survived all of their attempts to smear me, break me, and silence me. But I will be the one to write the history of January 6 and its aftermath, and their names will only be footnotes. If you were entrapped by the feds too on that fateful day, keep your chin up, because the torment we've endured must be documented for posterity and the people who did this to us need to be brought to justice. That can only happen if you stay in the fight. Every dirtbag that smeared you in the press needs to be confronted for publishing lies. Every informant, agent, prosecutor and judge who betrayed, entrapped, incarcerated, and dehumanized you needs to be named and removed from any influence they have in public life. The system will try to move on from January 6 and the humanitarian disaster it caused to thousands of Americans. If we all keep pushing back, the system will still keep trying to ignore us, sure. But if you don't push back it is a 100% certainty that your surrender will be gratefully accepted and nothing will change. I know we are all different. I know not what course others may take, but as for me, I will never stop demanding justice while I walk this earth. I don't care what party controls Congress or the White House. Until J6ers are made whole again, and government weaponization ends, the fight goes on. Real Cynthia Hughes Radix Verum ☦︎ James Rogers - Cinematographer; Truth@24fps Jeff Clark Geri Perna Shawn Farash 🇺🇸 Douglass Mackey Rob Maness

Tim Hale - Criminally Funny J6er

75,647 görüntüleme • 5 ay önce

I mean you do have a very good point, however I hope you can understand where I come from. (Sorry I’m advance for the long tweet back) This is exactly what I use to do when I was their age. We didn’t have the luxury of an independent scene we do now and even if we did I was 14 years old, I was only allowed to go to a training school to learn the basics. But I had an enormous passion for the business & if I wasn’t allowed to work shows I’d do it myself. - and I’d argue that because of this I had a head start on a lot of the people I trained with when I finally turned 18 From there I’ve been lucky enough to have the support of friends, peers & fans to push me into what I am today. The fact I’ve still had that same style for now 17 years and this is my first surgery, I think I’ve looked after my body. Think about it 17 years this is my first major injury. You think this is stupid, I would say it’s equally as stupid as to fall off a scaffolding breaking both your legs. And while I’m sure there’s a few people that wished you landed on your head, I for one hope you’re doing well & not in too much pain from your injury. But to me, it showed the care that you have for the industry at that time. I see myself in these guys that are finding any outlet to do what they love. Their bumps are solid & basing is great. Like I said I understand there is a level of danger doing this so I hope none of them get hurt but I can’t help but root for these guys and hope I one day see them in a ring. Once again sorry for the long arse tweet and hope the message finds you well boss.

Will Ospreay • ウィル・オスプレイ

188,579 görüntüleme • 9 ay önce

There's something about design that truly makes me happy. Before I was diagnosed with a complete SCI, I loved building thing with my hands and trying to make them unique and beautiful. The accident didn't just take my mobility, it robbed me of my creative drive. I didn't I would ever get that back that was up until Neuralink came into the picture. I was very serious about applying but just couldn't bring myself to do it. Then Noland Arbaugh comes into the picture and I see his video and I saw how passionate he was toward the whole ide and that was like a switch. I want to thank Noland because if I hadn't seen that video I wouldn't be typing this message with my thoughts. So the day I gained control of the device I had the guys install Autodesk Fusion and the first night I had my first part designed by BCI. I have been designing things non-stop since. Now lets talk tools and the first one is the ArcDroid it is a CNC robot that holds a plasma torch and can cut profiles in sheet metal. I have made numerous signs, letters and parts with this and i love it. I have also had the chance to help the local high school install and setup their CNC plasma table. I love being able to share my knowledge with others and show new technology to kids that want to learn. The next one everybody is more familiar with is the Bambu Lab X1C. It is my first 3D printer and I had no idea how dang handy these things were! I can go from thought, Neuralink, Fusion, X1C and poof! You have your part all in a matter of like a hour. I make everything from parts for my wheelchair or RC ✈ to toys for my nephew. These devices have completely changed my life. I now have my creative outlet back and I'm not done looking for new things to try. I'm thinking a laser next!!!😎 Thank you Elon Musk for the opportunity to showcase my skills, I'm extremely grateful🙏

Alex Conley

43,158 görüntüleme • 9 ay önce

I began my art journey in 2002 as a mature student, applying to Leith School of Art for their portfolio preparation year and then to Edinburgh College of Art for the 5 year MA Fine Art program. I was 38 years old at my graduation. My classmates called me 'Grandpa Jones', seriously. 😂 I spent the next 7 years working 3 or 4 jobs/100+ hours a week (waitering, art tutoring, charity director, Airbnb host) so I could pay for my very expensive painting habit and paint enough for an annual solo exhibition (that I had to organise and pay for myself for most of them as no commercial galleries were interested in QR code/AR tech infused paintings)... and every year but one I lost money. I was my accountants biggest loser over and over and over. 😅 So, from 32 to nearly 50 years old with my art career being a horrendous detriment to my financial future I questioned my life decisions... daily. But I never gave up. In fact, it was the opposite. With every rejection letter, with every let down and disappointment, with every financial loss, with every exhibition that didn't sell enough to even cover the costs of paint, canvas and framing, I pushed even harder. I worked even harder. I looked for new ways to differentiate myself from all the other artists around me and I invested everything I had into me and my future. Fortune favours the brave. If you're willing to put in the time, the work and the risk you will be rewarded. It may take 5 years, 10 years, 20 years or more but eventually, if you keep working and taking the risks that the rest are not willing to take (creatively and financially) you will succeed. Don't blame others for your failure. Take the knock backs, take the disappointments, take the rejections, and use them to drive you. If you are willing and able to commit 100% for however long it takes, you will succeed. This is a fact and I'm proof of that. Stop listening to the FUD, stop listening to those who don't believe in you. Show them how wrong they are. Again, it may take years, even decades, but fortune favours the bold and this is undeniable. Will you give up or will you keep pushing, learning, growing, expanding your ideas and your creative output? If you are, I look forward to seeing what you're doing, what you're creating and where you'll be in the next few years and beyond. Comment below and then connect with me in 2 years and tag me. I want to see how many of you will still be here working, grinding and creating art regardless of bear or bull markets. Artwork: EthGirl - Genesis NFT & collab with the great ᗩᒪᎧTTᗩ ᗰᎧᑎEY❂

Trevor Jones 🎨

10,591 görüntüleme • 2 yıl önce

So much of my time here I have spend dreaming. Dreaming for the day that has now arrived. For years I spend my days grinding to fulfill a promise made by a 25 year old right after having the biggest night of his life. Midnight夏季Breeze sold out in 30 minutes. And for someone who had less then 5000$ in the bank, suddenly making 1.5 million dollars was kind of insane. Euphoric I said "v2 will come for those who hold a breeze" Little did I know how much that single promise would affect my life. I have spend majority of my late 20s painting this world. And been very critical of what this space is about. I wanted to be a voice you could rely on. Someone that shows up, is approachable, but also be the change I'd want to see. Everyday looked the same for me, make coffee, walk dog, turn on pc, paint until dinner, walk the dog again. I sometimes quite literally went insane. The pressure was high. I had to make this project real. And there was always so much to do. Art direct, animate, color grade , composite, 3d , sound effects , music, development, management like countless hats to wear all the time. The Vision however, called me. There was no way I was gonna give up, or quit. Though every vibre in me wanted to. My health , my personal life, they demanded it. But I did not stop. And that persistence has let to today. It has let to an industry that doesn't care. A timeline that can only talk about something if its $ related. And a world that is more chaotic then ever before. And amidst it all, I fulfilled my promise. Fragments of the Lonely Road is here. And I do not think you will ever understand what it means. But, I do know, that this art. This project. This vision. It has been worth it. So now, if you made it all the way down here. I want you to rally. I want you to make noise. I want you to share with the world what this is about. I want you to be the storm that says, "shit can be different". And I will be the wave, and show, why that's the case. GM. STAY BREEZY AND... (you say it in the comments!)

Dutchtide.eth

23,959 görüntüleme • 11 ay önce

I don't think carbs are a problem for building muscle. I want to be clear about that, because I'm going to be misquoted on it within fifteen minutes of posting. Carbs can be very useful. They're perfectly healthy in the right context, eaten by someone whose metabolism handles them well, in quantities that match their training. There are physiques built on rice and chicken. There are physiques built on potatoes. The world is large. What I don't think is that carbs are necessary. When you train the way I train, low rep, low volume, high intent, you're predominantly using the phosphocreatine system. The first ten seconds of any heavy effort. Glycogen is barely touched. You're not draining a system that needs refilling. You're not running a marathon at the end of every set. Once you're properly fat adapted, six months in, sometimes longer, the body becomes extraordinarily efficient at running on fat and ketones for everything that isn't a sprint. Meat and fat take care of the building. Ketones take care of the energy. The system is closed. The bonus is everything else. You feel better. You recover faster. You look trimmer because you're not retaining water from glycogen storage. You don't have post-meal slumps. You don't need a pre-workout to get through a session that should already feel manageable. Six years on carnivore. Six years of training. The physique is there. The strength is there. The recovery is there. Carbs aren't the enemy. They're just not the requirement they've been sold as. You can build a body you're proud of without them, on meat and fat and a pot of butter. That's been good enough a reason to keep me here.

Sama Hoole

25,301 görüntüleme • 3 ay önce

VTubing is for everyone! I don't like to bring this up, but recent events in the VTuber community made some people really vile. I had my M&G at HolMat last week and had people come up and just yell at me for being a girl in the "womans world", that is VTubing, no idea about who I was, or why I was there. I had the same group return to my handler multiple times, I felt really worried about the person carrying me around having to deal with this repeatedly and tried to steer them away from the group. It seems they found my YT and left me a handful of the same comments, luckily all caught by moderation tools. While I will refrain from M&G's for a little until this calms down I want to say this; I have been managing for over 1.5 years now, I deliberately take on male VTubers to show them that they can still do it. I take on people that have babiniku accounts, those that are changing from one gender presentation to another and want help, and those that have no gender presentation in their avatar. A lot of male VTubers struggle to find a manager because the stereotype is that all male VTubers are evil and it perpetuates a stereotype that extends beyond entertainment industry subcultures like streaming. VTubing has always been a medium, while character and marketing matters, it's about what makes you happy, YOU are the person that makes the content. Use whatever you want as an avatar, use a voice changer if that's what you want to do. Every month I have a male client bring up they can't do it the same way, that it's easier if jiggle physics or a cute voice is the answer to fast growth. And I tell them yeah, I can also do ASMR, I can do drama content, collab with a larger person, and get to x amount of viewers. There are shortcuts in every entertainment profession and subculture. Does it last? Do quick fixes for anything ever last? Yes, great physics and an expensive model can get people in, but if your value, your way of interacting with people, your content plan and marketing is ass, you can pack up. Most of us start on a small budget, premade or resold models, and it's the same in the big league entertainment industry too. Can I take out a loan and put myself on a billboard tomorrow, can I pay the most expensive model artist and rigger and get in along corporate VTubers tomorrow? Sure. Will it last, will it be genuine, will people trust me? Hell no. Genuine communities and growth build trust. I think streaming, creative industries, entertainment, are full of people, regardless of gender, that will see success and call it "easy", because of what they see as the end product. They don't see most VTubers working a second job, they don't see the managers, they don't see 100+ hours a month going into content production, years invested in singing and voice lessons, model redebut after redebut. I think a lot of male VTubers get a bad rep, because so many boys are raised without putting emphasis on empathy and creativity, watching my brothers be told they should not pursue art, that theatre class is a waste of time, and that they needed to go study x or y to make money for their families in the future was heartbreaking. Nobody should have to look at others and feel so much hatred for society they turn against a whole group of people. If you want to pursue entertainment, please do. If you want to grow and try and make a name for yourself, you should start there, not with yelling about how you already failed. "Oh but I can't", "Oh but the odds are stacked against me", look at the big streamers, look at Ironmouse who overcame everything with hard work, look at Kiara who rose from the ashes, look at everyone that fights against their odds every day and give it your all. If you already think you lost, then you have nothing to lose. Don't give up on your dreams because others tell you to.

Kuromiya Lucien

15,552 görüntüleme • 8 ay önce