#Case Report
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5/3/2023
I’m studying before clinic this morning at this cute cafe I found. Then I’ll go to my school’s poster session this afternoon. A solid Thursday schedule ☺️
#emgoesmed#studyblr#studyspo#med student#med school#med studyblr#productivity#ms3#clinical rotations#surgery#ophthalmology#clinical research#case report#coffee#cafe
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Il secolo di prove che i vaccini causano morti infantili
C’è un secolo di prove che collegano i vaccini alla morte infantile improvvisa e numerosi attivisti hanno cercato di costringere il governo federale a indagare per decenni Source: 24 ago 2022; by A Midwestern Doctor on The Forgotten Side of Medicine Continue reading Untitled

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#Autopsia#Bambini#Batteri#Case Report#Casi SIDS#Causa Morte#Causalità#Cecità Medica#Corruzione Politica#Dogma#Effetti Collaterali#Encefalopatia#Etica#Eventi Avversi#Farmaci#Farmaci Sperimentali#FDA#Gemelli#Giuramento Ippocrate#Governo Federale#Indagini#Indagini Giudiziarie#Industria Farmaceutica#Infezione#Medicare#Medicina Allopatica#Mercati Garantiti#Mercati Vincolati#Monitoraggio#Morte in Culla
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Case Report: Nia Veyren
Case Worker: Estella Saaller
Client Name: Nia Veyren
Species: Zyrrhan
Age: 20 Zyrrhan cycles; Approx. 10 Earth Years old.
Client Complaints: Nia reports experiencing a Harmonic Drift, evidenced by an inconsistent bioluminescent glow. Case Worker Observations: Nia is alert and presents well. She is dressed appropriately for this visit. Bioluminescence behaves erratically, showing signs of harmonic drift and resonance destabilization.
Assessment: Nia appears to be suffering from Harmonic Drift and Resonance Destabilization, likely due to being cut off from Zyrrhan resonance for over a year.
Plan: Nia will be placed in my sanctuary among three other Lysari and two other adult Zyrrhans. The caseworker will conduct resonance therapies with Nia for an hour daily to assist in restabilization. The following assessment will be performed one week from today's date.
#intergalactic#oc#original characters#original fiction#solar nexus#solar nexus space station#space station#roleplay#space station role play#space station rp#Case report#nia veyren#Lysari
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need to share an experience i had 30 minutes ago
(edit: thanks to @walks-the-ages for providing and reminding me to put alt text, sorry it slips my mind alot lol)
#my hands are still shaking to be quite honest i could not put a lot of effort into this.#but like. brain. why did you do that#literally i have been like hopelessly obsessed with de nonstop thinking abt it for the past couple of days it is Scaring me#it is terminal its soooo fucking chronic#disco elysium#kim kitsuragi#for anyone who wants to know i bumped into some guys car that was stopped for a school bus. i think my brain errored and thought#my foot was fully pressing down on the brake pedal but it wasnt.#i am like 99.99 percent sure neither of us had any major damage to our cars but we still filed a police report just in case#because insurance do be a bitch. dudes back bumper was scratched lightly and my front license plate has a dent now#also literally my first ever car accident that ive had ever yippee yay
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Today in 🍂✨October surprises✨🍂

• Secretary of Transportation Pete Buttigieg and Secretary of Labor Julie Su quietly assisted in winning labor rights for dockworkers, ending a strike that could have had catastrophic economic consequences. (10-4-24)
• In Springfield, Ohio, where Haitian migrants have been blamed for the disappearance of local animals with Trump claiming “‘migrants are walking off’ with geese in the town” and “they’re eating the dogs” - a lie also promoted by JD Vance, Ohio’s own sitting Senator, with no evidence - it turns out that the missing geese were actually the victims of a 64-year-old white man who was hunting illegally. (10-3-24)
• A Trump-appointed federal judge blocked Biden’s student loan forgiveness plan again after another judge reinstated it earlier this week. (10-3-24)
• Republicans and crazy Facebook uncles everywhere have spent this week spreading disinformation about the FEMA response to Hurricane Helene, including AI photos of Trump standing in floodwater and wild claims that Biden is sending money to undocumented immigrants. In reality, the Biden-Harris administration has provided substantial emergency assistance and both Biden and Harris have visited the region. Meanwhile, it turns out that Trump was the one who redirected money from disaster relief to send to ICE during his presidency. Shocker. (10-4-24)
• Seriously, though, Trump is not who you want to call in an emergency. Before allowing disaster relief to reach victims of wildfires in California, then-president Trump forced aides to show him an electoral map to see if he had voters there. He evidently intended to withhold the aid if he found out it was going to mostly Democratic voters. This would be a career-ending scandal in any other political era but alas, we are living in this one. (10-3-24)
• Finally, far-right extremist and Oklahoma superintendent of schools Ryan Walters intends to put Bibles in public schools, which is already disturbing, but in a stunning display of corruption, the only ones that meet his specifications are the so-called “Trump Bibles” that include the Constitution and Declaration of Independence. They go for $60 apiece and Trump gets fees from each one. (10-4-24)
No, wait, I’m going to say that one again:
In Oklahoma, taxpayers’ money will be used to put Trump Bibles in public schools. Their money will go directly to Trump. Not a joke!!! Not an exaggeration!!!
…Surely the voters who are still undecided are lying, right?? Right?!
30 days until Election Day.
Go to vote.org for a sample ballot, early voting dates, and more. Seriously, we have to win.
#guys should I start a substack#joking but seriously. Pay Attention! It’s Time! lots happening and#remarkably little reporting on the wildfires thing and the julie su/pete buttigieg win!#I think the Oklahoma thing is actually organized crime?#he already has a rico case is he trying to get another one#us politics#mine#us news#kamala 2024#vote
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Mr. Fenton is a competent teacher. Almost too competent.
If Mr. Daniel Fenton had any more than a BS (with a minor in education), Tim would’ve flagged his profile as a potential Rogue. That’s the way of most charismatic academics, at least in Gotham. (Got a PhD? Instant watchlist.) Instead, he’s Gotham Academy’s newest celebrity, as a young, passionate, out-of-towner substitute while the chemistry teacher’s on maternity leave.
Tim gets the hype. Fenton seems to genuinely love teaching, and is invested in the welfare of the student body. He hands out bananas during exam week, hosts a “study habits seminar” each month to coach effective learning strategies, and the third time Tim falls asleep in his class, he even pulls Tim aside to ask if he’s doing okay. With all the late work he accepts and the protein bars he sneaks Tim, he’s every teen vigilante’s dream teacher. He could’ve been Tim’s favorite.
In fact, Mr. Fenton was Tim’s favorite. Up until Tim walks into Mr. Fenton’s chemistry classroom for a forgotten textbook, an hour after the final bell.
On the board where tallied scores for today’s review game had been kept, “THE CHEMISTRY BEHIND DR. CRANE’S FEAR GAS: ANXIOGENICS, NERI’S, & YOU,” is now scrawled. A detailed diagram of the human endocrine system projects in front of a small crowd of adoring and attentive students.
Fenton is wrist-deep in the skull cavity of an anatomical model. A short tug, and out pops the brain.
It’s plastic. It’s fake.
Tim identifies the nearest emergency exit.
Fenton turns to the door, and in the dark classroom with the projector illuminating half his face, his eyes almost seem to flash red. “What’s up, Tim?” he asks. His friendly grin is too big for his face. “I didn’t know you wanted to join the Just Science League!”
[OR: Danny’s a science teacher at Tim’s school. Gotham’s a pretty wild place, even for someone who grew up a superhero in a ghost-infested town, so he takes it upon himself to start a club teaching kids how to manage themselves in the event of a crisis. These Gothamites are pretty hardy, but a little extra training never hurt anybody! And he suspects one of his students might be a teen vigilante, like he’d been, back in the day. As a senior super, it's Danny’s duty look out for him! Surely, this is the subtlest and most appropriate way to give the kid pointers.]
[Tim immediately assumes supervillain.]
#Danny can’t help being creepy it’s just the way he’s built!!#I like to think Lancer did these things for Danny when he was in HS#and now Danny's emulating Lancer :)#Passing it on!#Tim is paranoid but also like he is SO CLOSE to graduating so like. Does he even want to report this shit to Batman. What if the next chem#teacher's a jerk and Tim fails the class and he never gets his stupid diploma. Bruce already is insisting he finish out HS and maybe get#an ABA before he's allowed back into the company#and Jesus Christ does Tim hate school. He'll worry about Mr. Fenton's burgeoning army of Science Honor Society Rogues on his own time#dcxdp#dpxdc#prompt#tim drake#danny fenton#in case I write more of this let’s tag it uhhhhh#misunderstood mentor au#kipwrite
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END OF CHAPTER ONE
FORGETTABLE-AU (Page 65-72)
* Time to put this puzzle together.
[BEGINNING] [PREVIOUS] [CONTINUE]
#long post#SO SORRY FOR THE POST BEING SO LONG BUT I NEEDED THE DRAMA AND YOU GUYS BEING LIKE#“why is it still going.....”#hehe#JOKES ON YOU! I LIED! THESE ARE 8 PAGES NOT 6!!!#yippiee#YOU GOT EVEN MORE#OKAY NOW#To address everything!!!#“time travel? Really?”#YES REALLY#HAVE YOU ALL SEEN WHAT SANS SAYS IN HIS BATTLE#“our reports” “timelines jumping left and right” “an anomaly in the time-space continuum” HE KNOWS ABOUT THAT STUFF#HE RESEARCHED THAT STUFF#HE HAS A SECRET CODEWORD READY IN CASE HE FINDS A TIME TRAVELER WHY WOULD HE HAVE THAT???#Alphys has researched alternate universes too(which are usually related to alternate timelines)#okay enough of me rambling#I told u guys I made a mess to make the undertale timeline make sense lol#ANYWAYYSS#SIGH finally done with chapter one#IT WAS 52 PAGES LONG!!!!#So many things happened here#PAPYRUS AND FLOWEY ARE BACK!!!!#see you all again soon with chapter TWO#forgettable-au#forgettable-au-comic#papyrus#papyrus is gaster#undertale#gaster
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Combined cervical laceration and bladder rupture: a case report of an unusual complication of precipitated labor by Dr Fatemeh Darsareh in International Journal of Clinical Images and Medical Reviews
Abstract
Cases of bladder rupture have been rarely reported following vaginal childbirth. To the best of our knowledge, however, no cases of combined cervical laceration and bladder rupture have been reported to date. We present the first case of a 31-year-old woman with gestational diabetes who suffered a combined cervical laceration and bladder rupture after childbirth. Precipitated labor caused by oxytocin induction resulted in vaginal and cervical lacerations. The bladder rupture was confirmed by cystography. A team of obstetricians and urologists performed the laparotomy. The patient was kept under observation for two weeks before being discharged with no serious complications.
Keywords: Bladder rupture; Cervical lacerations; Precipitated labor; Childbirth trauma; Case report.
Introduction
Spontaneous bladder rupture following normal vaginal delivery is a surgical postpartum emergency. Previous cesarean section, vacuum/forceps-assisted vaginal deliveries, and distended bladder compressed by engaged head in birth canal are all risk factors for bladder injuries in healthy parturient women 1. Cases of bladder rupture, accompanied by uterine rupture, have been rarely reported following vaginal birth after cesarean section 2. To the best of our knowledge, however, no cases of combined cervical laceration and bladder rupture have been reported to date. We present the first case of spontaneous bladder rupture with cervical laceration after a precipitated vaginal delivery.
Case Presentation
A 31-year-old, G2P1L0D1, woman with gestational diabetes, was admitted to our maternity ward at 38 weeks of pregnancy for elective induction of labor to terminate her pregnancy. She had a history of preterm birth and was a known case of minor thalassemia. The induction of labor began at 5:00 a.m. with oxytocin, and contractions began approximately two hours later. Table 1 depicts the progress of labor. During her labor, the patient urinated once. Finally, at 10:40 a.m., she gave birth to a baby boy weighing 3700 grams with an Apgar score of 7/9. Excessive vaginal bleeding was observed following placental expulsion. The examination revealed an extensive laceration in the vagina and cervix that was repaired by the obstetrician and midwife. The patient was catheterized and was being closely monitored. A urologist was consulted due to the oliguria and hematuria (100 cc output with gross hematuria within 5 hours of childbirth). Cystography, as recommended by the urologist, revealed the bladder rupture. The patient was prepared for a laparotomy immediately. The laparotomy was performed by a team of obstetricians and urologists. Several hematomas were discovered in the uterine body and the broad ligament that the team decided not to manipulate because it did not grow during the surgery. A bladder rupture was found at the dome of bladder that was repaired in two layers. One pack cell unit and two FFP units were transfused. A peritoneal drain was placed posterior to the bladder and the skin incision was closed in layers. The patient was observed for two weeks. The result of the ultrasound revealed the shrinking of the hematoma. The blood and renal tests were normal. The catheter was removed after 2 weeks and the patient was discharged.
Table 1: The progress of labor
Discussion
Precipitate labor is defined as the expulsion of the fetus within three hours of the start of contractions. Few studies have found that precipitated labor is harmful to both the mother and the newborn. Precipitated labor, which is most commonly associated with placental abruption and induction of labor, is a significant risk factor for maternal complications 3. Maternal morbidities reported included extensive birth canal lacerations, uterine rupture, placenta retention, the need for revision of uterine cavity, post-partum hemorrhage, and blood transfusions 3,4. The lower urinary tract's anatomic proximity to the reproductive tract predisposes it to iatrogenic injury during obstetric procedures. The bladder and lower ureter are two of the most commonly involved organs. Because the dome of the bladder is the weakest area, most bladder ruptures occur through the peritoneal cavity 5. In our case, in addition to deep vaginal tears and extensive cervical laceration, bladder rupture occurred, but the diagnosis was delayed by a few hours. Given the nonspecific clinical features of bladder rupture, the diagnosis should be approached with caution. Oliguria and gross hematuria after a traumatic childbirth increase the likelihood of bladder rupture. In such cases, a cystogram is thought to be the best method for early detection.
In our case the patient had induced labour with oxytocin. The use of oxytocin to induce labour can result in tachy-systole and thus shorter deliveries. So in our case we believe that the power of uterine contractions and quick descent of passenger (3700 grams fetus) were the main risk factors of precipitated labour and the complications accompanied with it. A distended bladder during labor, particularly in our case, where the fetus descended quickly, could also be a factor in bladder rupture. Although the patient urinated normally during labor, it was critical to ensure that the bladder was empty, especially during the active phase of labor, to avoid bladder damage.
CONCLUSIONS
Bladder and cervical rupture should be considered, after precipitated vaginal delivery. When there is gross hematuria, a urinary catheter should be inserted to monitor the hematuria and urine output. If the hematuria persists and other associated symptoms appear, cystography is a useful tool for determining the severity of the bladder injury and determining the cause.
Funding
This study received no specific funding from public, commercial, or not-for-profit funding agencies.
Conflict of Interest
Authors had no conflicts of interest to declare.
Patient consent
Obtained.
For more details: https://ijcimr.org/editorial-board/
#Bladder rupture#Cervical lacerations#Precipitated labor#Childbirth trauma#Case report#postpartum#oxytocin#vacuum#laparotomy#Cystography#hemorrhage#Dr Fatemeh Darsareh#ijcimr
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4/10/2023
Despite 4 days off from the hospital I still feel so tired 🥲
Spent the mini vacation decorating the apartment, assembling furniture, dog sitting, and submitting a poster for my school’s poster day.
Today’s another busy day, with early morning rounds in the hospital followed by driving almost an hour to another site to take a practical exam.
Wish me luck!
#emgoesmed#studyblr#studyspo#med student#med school#med studyblr#productivity#coffee#weekend#ms3#clinical rotations#surgery#pediatric surgery#case report#i am so tired#:(#and it’s only monday#still a full week to go#I’m gonna miss my little potato#he looks like a little cow and I love him
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Mind yo own business, Harvey!
(are those open-plan cells really the best idea?)
#my art#sketchy sketch#very quick sketch#I had the idea and had to doodle it#Jim is hitting himself with a big pile of case reports in the background#nygmobblepot#riddlebird#gotham#gotham tv#oswald cobblepot#edward nygma#harvey bullock#after this they're not allowed in the same cell#or cells next to each other
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"Reviewers told the report’s authors that AI summaries often missed emphasis, nuance and context; included incorrect information or missed relevant information; and sometimes focused on auxiliary points or introduced irrelevant information. Three of the five reviewers said they guessed that they were reviewing AI content.
The reviewers’ overall feedback was that they felt AI summaries may be counterproductive and create further work because of the need to fact-check and refer to original submissions which communicated the message better and more concisely."
Fascinating (the full report is linked in the article). I've seen this kind of summarization being touted as a potential use of LLMs that's given a lot more credibility than more generative prompts. But a major theme of the assessors was that the LLM summaries missed nuance and context that made them effectively useless as summaries. (ex: “The summary does not highlight [FIRM]’s central point…”)
The report emphasizes that better prompting can produce better results, and that new models are likely to improve the capabilities, but I must admit serious skepticism. To put it bluntly, I've seen enough law students try to summarize court rulings to say with confidence that in order to reliably summarize something, you must understand it. A clever reader who is good at pattern recognition can often put together a good-enough summary without really understanding the case, just by skimming the case and grabbing and repeating the bits that look important. And this will work...a lot of the time. Until it really, really doesn't. And those cases where the skim-and-grab method won't work aren't obvious from the outside. And I just don't see a path forward right now for the LLMs to do anything other than skim-and-grab.
Moreover, something that isn't even mentioned in the test is the absence of possibility of follow up. If a human has summarized a document for me and I don't understand something, I can go to the human and say, "hey, what's up with this?" It may be faster and easier than reading the original doc myself, or they can point me to the place in the doc that lead them to a conclusion, or I can even expand my understanding by seeing an interpretation that isn't intuitive to me. I can't do that with an LLM. And again, I can't really see a path forward no matter how advanced the programing is, because the LLM can't actually think.
#ai bs#though to be fair I don't think this is bs#just misguided#and I think there are other use-cases for LLMs#but#I'm really not sold on this one#if anything I think the report oversold the LLM#compared to the comments by the assessors
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So you can use the Historama to see anything any where any time?
JL Member: It was so embarrassing, Cap. I had to wipe all the security footage after just to make sure it wouldn’t end up in some compilation online. You promise you won’t tell anyone, right?
Marvel: Oh yeah, of course. Secret is safe with me.
Later:
#billy batson#freddy freeman#billybatsonweek#bb85week#you can’t tell me they don’t use the historama to watch other hero’s adventures like they’re movies#then Billy has to pretend he doesn’t know the latest update in a case#accidentally corrects someone’s mission report during a meeting and everyone just stares at him
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Our ex landlord owes us 3 times the security deposit we paid him lmaooooo get FUCKED💥💥💥💥💥💥💥💥💥💥💥💥💥
#this whole thing has been insane but lmao we won#we're also filing a libel case + reporting him to the irs for tax fraud#that he sent us evidence of for some reason ? so#lmao ! get fucked old man
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“he was mentally ill. this monster was a- was a sick fantasy. a product of his dementia.”
“…i saw it too. does that make me disturbed? demented? does… that make me sick too?”
#txf#the x files#dana scully#fox mulder#folie a deux#this episode … this EPISODE!!!!!!#genuinely so indicative of how much they trust each other….#between mulder just . having to rely on scully for the last part of the ep#scully thinking he’s off his fucking rocker and still looking into what he asks her to look into bc she TRUSTS him . bc she LOVES him !!!!#and maybe he’s a little nuts but goddamnit she will at least check it out !! just in case he’s right!!!#AND she lies for him all the time . i mean she always does this whenever he decides to go nuts But specifically in this ep…#looks skinner in the eye and goes . yea man im totally fully with mulder on this . and he’s definitely not being weird and i definitely kno#what’s going on with him#she lies for mulder all the time its soooo…#anyways . drawing wise this drove me nuts i hate drawing mulder . he’s so hard for me to draw#they’re kinda kirie and shuichi coded in the bottom part but . well . why not . might as well be#ALSOOO i chose that quote for the bottom bc . well . does she think he’s crazy? like actually for real?#i feel like every time scully talks about mulder (up to season five at least as thats where im at) its contained in some way?#in her reports . to family . to skinner . to mulder !#i think the only time she’s Really honest is in the confessional but even then…#bc its not like she’s against speaking her mind . i mean generally and situational but for ppl she’s close to she usually isnt#but when it comes to mulder it always feels contained and like she’s making excuses for him (he is always her exception .#llike whenevrr he gets some disease or affliction or whatever she ALWAYS jumps to going ‘but well… sometimes there’s this excuse’ and she#does this w a lot considering shes science focused but w mulder shes always like . well he ISNT crazy because uhhhh .#this hyperspecific scenario that is in no fuckin way the case)#but does she think he’s crazy? does HE think she thinks he’s crazy?#is he asking about this specific case or is he asking in general? over the entirety of the show?#its been five years scully. is he crazy? sick? demented?#has this all been a sick fantasy fueled by mental illness? youre the doctor scully . surely you have the answer?#anyways i dont think she knows . and if that is the case — what does that mean for her?
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i just read an article and apparently jonathan kaplan (who played jason in the falsettos obc and was 11 at the time), watched his voice teacher who helped him through the show's auditions decline and eventually die from aids related illness during the show's previews.
in this same article michael rupert mentioned how there would be patients who came and saw the show and would go to the stage door just to be near the performers and tell them how much the story meant to them.
one day, heather macrae (charlotte) attended the funeral of her friend paul jabra and immediately after went straight to the theatre to perform in the evening show.
stephen bogardus recalls leaving the theatre and walking through the audience (about 15 minutes after the show had finished) and people would still be there holding each other.
#i feel like what can be so easy to forget is that even though falsettos was on broadway in 1992 which is over 10 years after#the first cases of aids were reported it was only in 1992/93 that the epidemic was reaching its peak#like it was at its worst when falsettos was playing 8 shows a week#i don't know how they did it#mentally and emotionally#falsettos#falsettos obc
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DAREDEVIL | 1.01
Our practice is relatively young, Miss Page, and we are aggressively pursing new clientele.
#Daredeviledit#Karen Page#Matt Murdock#Foggy Nelson#Deborah Ann Woll#Charlie Cox#Elden Henson#Daredevil#DD 1.01#Not Revolution#GIF set#Mine#Daredevil OT3#Somehow I erased like a bunch of this show from my memory - maybe because I haven't properly watched it for 9 years#But I've just spent the week going through S1 of DD and the original season had so much heart and everyone cried#Everyone had a breakdown#They got overwhelmed and disappointed and angry with each other#and it slides so effortlessly into a slow build as they start introducing all the characters AND I FORGOT KAREN WAS THEIR FIRST CLIENT#And that Foggy bribed Brett for a heads up if 'something interesting' walked into the precinct.#And they just sort of adopt her#This is our Karen now#Please stop trying to arrest her for murder#It's sort of a person version of a foster fail. She's just going to stay at Matt's house for one night. And then maybe work at the office.#And okay now she's buying office equipment and helping us investigate and being a drinking buddy.#And she's making friends with a reporter and being a translator. But it's nothing serious. She hasn't accidentally become very important#to our mental health. She'll go back to her regular life when the case is over. This is all very normal.#Except for all the murders that keep happening.#And oh no - we've accidentally become a crime fighting team... WHOOPS.#Off Topic: I wish DDBA was on at the end of the week rather than the middle. It gives me way too much time to think between episodes.#And what is with the colouring in this show? There's no need for this much yellow.
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