embryology is great, also for learning anatomy. loved it!

i guess, more correctly: the differentiation of nipples occur earlier than the teeth.

in the end, dont we (and all parts of us) originate from 'one' cell? 😅

#docchain

I just heard the news from

https://www.youtube.com/watch?v=tpmgIAof014

Without checking local guidelines, I am really interested in your initial thought / procedures.

This OF COURSE, without judging! I just want to learn.

So here my take:

1) no initial Diclophenac

ad 1) I would have administered locally Lidocain right away, and start cleaning the wound extensively (Povidone-Iodine). I would be afraid to extend bleeding, as Diclophenac is a platelet agglutination inhibitor. Of course, post-care with NSAR. Surely with their fast emergency system, arguably the effect of Diclophenac would just start to take effect when they were done :-D (great job for the total 1.5hours!)

2) no initial antibiotics

ad 2) I thought that fast wound cleaning is the best protection; and she has 'obviously' no risk factors (diabetes etc). Maybe something local?

Let me know what you think. Happy to learn!

i think there is a misunderstanding. maybe translation error, but for me:

answer implys a question; and both imply a civilized behavior. under such condition violance is by definition wrong. when there 'is time', we should do everything possible to solve conflicts non-violently, which still means that we have to 'fight' for our 'god given rights'.

however, violance is justified in a matter of 'response' when someone takes your natural rights away. hence, 'no time' for a question or answer.

hope this was more clear now, and that we can resonate ;-)

violance shall NOT be the answer. otherwise, the question is wrong.

violance shall only be a response; indeed, only a rare one and when extremely cornered and fear of ones life.

we are on the same team.

team #bitcoin

i knew the symptoms (learning from books), but never considered it to be 'fear of water'. that was new to me.

i thought subjects would not be able to swallow, which increases the pathogen load. hence, when biting it creates a higher chance of infecting.

isnt it so mindblowing how some pathogenes change the mind of the host: other examples:

toxoplasmosis

or that fungi in ants (forgot the name)

can someone confirm the 'fear of water' vs. ' inability to swallow'? you can dm if you have a good source ;-)

🤣

thats a pretty good and nice looking excuse. 😉

however, i rather store time via #bitcoin 😎

casio has a pretty good price/value.

... of time 🤔

its so great to see other young bitcoin families; my kids are just a few years younger now.

they are the future! linked up #bitcoin consensus. fair and bright future for all! relentless optimism!

whenever we see fiat-oldies in the news, remember this!

thanks for sharing ❤️

yes. this is also a known.

(if i remember corectly) strawberries are known to induce histamin releasement of mastcells.

sounds plausible

basically non of these systems can exist when enforced with exceptions. any (fair) government would need:

1) sound money

2) simple laws

3) open governments (no secrets)

also i believe that there is always a need for a balance between these concepts. but thats another (long) story

Join the 5th Internation Renal Imaging Meeting in Ghent (Sept 11/12 2023)

Abstract Submission Open! (renalmri.org/events/gent2023 )

thanks. interesting. maybe my next task.

Doctors (should) know the statistics, which does not tell your outcome. Indeed, doctors should emphasise that more often.

Also, doctors are forced to tell all the possible outcomes (even the rare ones). All together, it often gives the wrong impression/transference/emphasise to patients.

Listening to some colleagues, I sometimes have the feeling that they are actually induce a negative outcome.

Nevertheless, great to hear your story and all the best!!! ❤️

The problem is that doctors (in general) gave away their competence to the industry, Here in Europe, you are not allowed to adjust/change any machine; not even slight changes such as increasing the RAM. Even installing and using self made MR sequences is not allowed on clinical scanners.

And now, the companies let you pay.

This monopoly is even so bad that the companies write the laws nowadays. So that we can not even make new products by ourselves; without 100s of lawyers and product engineers. This reduces the competition and meaningful product upgrades become a rare event.

classical example of centralism and over regulation.

Regarding imaging: yes and no.

And a minor addition:

Using the right tools is the challenge. ;-)

Physical examinations are key. While MDs can do a good job. Best is to educate patients. They can detect even very small changes. (e.g. regular checkups in the shower)

Imaging:

* Mammograms are old but good. technological updates worth it. However, mostly good for "old" breasts (less density)

* MRI is really helpful (esp. with a proper setup; e.g. I have seen images with new coil-designs - really great CNR improvement)

* Ultrasound can help too; esp. for young patients as mammae are too dense usually. Also for biopsy worth it!

The art is to merge the right tools.

I believe that the best is to make your patients the experts of their body and (upcomming) diseases.

His last book was worth reading (and checking the tons of references).