#HYDROPIC

[herpsandbirds]

Amazon Water Snake (Hydrops martii), family Colubridae, Cuyabeno Reserve, Ecuador

Coral Snake mimic.

photograph by Jose Vieira

[sarajcsmicasereports]

Gusher phenomenon and Ménière disease. An enigmatic Case report by Bonifacio F. MD in Journal of Clinical Case Reports MedicaI Images and Health Sciences

Abstract

During stapedotomies or cochlear implant placement, cerebrospinal fluid gusher was described. The recognized causes result from abnormal communication between perilymphatic space and subarachnoid space. Our clinical case describes a patient with Ménière disease that presented a gusher phenomenon during surgery. A dubious and controversial case report.

Key words: Otogenic vertigo, Ménière disease, endolymphatic hydrops, perilymph, Cerebrospinal Fluid

INTRODUCTION

The gusher phenomenon happens more frequently during stapes surgery and cochlear implant placement. Violent perilymph leakage starts during platinotomy or electrode placement and must be plugged in order not to cause sensorineural deafness. The stapes surgery is not practicable; instead, the positioning of cochlear implants is possible after the cleansing of cochleostomy; furthermore, other cases of uncontrolled perilymph leakage are described in the literature after temporal bone fracture.1,2,3This phenomenon is due to abnormal communication between perilymphatic and subarachnoid spaces.4 The connection is produced by anatomical alterations such as internal auditory canal bone fistula or the cochlear and vestibular aqueduct enlargement.5,6 Mondini cochlear malformation is a cochlear gyrus reduction in the osseous and membranous labyrinth; the cochlea does not finish its development during the seventh week of gestation. Cochlea dysplasia is often associated with fistulas between a labyrinth and the subarachnoid spaces (modiolus fistula).7,8

The cochlear aqueduct allows communication between the cochlear perilymphatic space and the cerebellar subarachnoid fossa. This structure plays a role in perilymphatic, endolymphatic, and cerebrospinal fluid flow. The fluid flow rate is a function of the fourth power of duct radius, therefore a minimal change of cochlear aqueduct radius is responsible for a change in the inner ear hydrodynamics.9 To avoid the high risk of hearing loss due to cerebrospinal fluid (CSF) gusher, a proper diagnostic procedure is required before this type of surgery.

Case presentation

The 81-year-old patient reports vestibular symptoms for about 30 years with objective vertigo lasting about an hour with fullness and tinnitus referable to the left ear.

Serial audiometric examinations showed a fluctuating sensorineural hearing loss in the left ear, ranging from low to medium frequencies (Fig. 1).

Tympanometry produces a type A graft and absent stapedius reflexes. In two different hospitals, Ménière disease (MD) diagnosis was made. Cranial CT excludes malformations of the inner ear: enlargement cochlear aqueduct (ECA), enlargement vestibular aqueduct (EVA), Mondini Malformation, third-window lesion, ear semicircular canal fistula (Fig.2). Also in our hospital, after excluding other pathologies with vestibular symptomatology, definite Meniere disease of the left ear was confirmed following the Classification Committee of the Bárány Society.10,11

After ten years, audiometric examinations showed severe left pantonal sensorineural hearing loss (Fig.1). The patient describes the last vertigo from 2001 until January 2018, during a more violent crisis recurrence, with objective vertigo lasting 6-7 hours accompanied by nausea and vomiting. The first medical line (betahistine, diuretics, dexamethasone) failed to treat vertigo. Left transcanal labyrinthectomy has been performed considering untreatable vertigos, patient’s age, and severe hearing loss.12

During the intervention, the authors proceeded to tympanic cavity exploration. The middle ear appeared free from inflammatory disease and windows perilymphatic fistulas; therefore, with a microscopic vision, two windows ossification was identified. During the opening of the oval window, unpredictable high-pressure liquid leakage happened with a diagnosis of the perilymphatic gusher. The next step was to put a fragment of the temporal muscle and temporal fascia on the oval window and the round window until we verified the absence of perilymph.

DISCUSSION

The perilymphatic gusher was described in stapes surgery and cochlear implant placement. Otosclerosis result in bilateral mixed or conductive hearing loss with absent stapedial reflexes; only a few times high-resolution CT scan or an MRI is required for the inner ear studies, therefore is difficult to suspect possible gusher events.

The inner ear should be studied with radiology before surgery to avoid the risk of hearing loss.

A cranial CT scan can highlight cochlear and vestibular aqueduct enlargement, the Mondini malformation, and other forms of inner ear hypoplasia, but not allow inner ear canal fistulas.13    Several studies also argue that an enlarged vestibular aqueduct is not necessarily associated with the gusher phenomenon.14 However, there seems to be a more significant correlation with the enlargement of the cochlear aqueduct.13,15

Other studies show that an oblique plane CT scan can diagnose bone dehiscence between the basal gyrus of the cochlea and the inner ear canal.16,4 Preoperative CT scans do not necessarily investigate subtle inner ear malformations.

A retrospective study on preoperative CTs revealed that a negative result from the wrong collection in the inner ear could be associated with false negatives.17 A correct diagnosis is essential to avoid the gusher phenomenon, but a CT scan does not always help the surgeon. This study is the first reported case of a perilymphatic gusher in a patient suffering from vertigo. CSF leakage has never been described in a patient with Meniere Disease.

Among Meniere's disease therapies, there isn't a window opening. Labyrinthectomy can be used as the last step of MD treatment, but no cases of CSF gusher have been described during transcanal labyrinthectomy. More data is needed in the literature to answer these doubts.

Based on the data collected, the authors formulate the following hypotheses to explain the clinical case:

Prominent endolymphatic hydrops could be the cause of a gusher phenomenon

MD in vertigo absence if unilateral can mimic otosclerosis.

The patient could be affected by MD and an unrecognized inner ear malformation.

The MD diagnosis could be incorrect because of a malformation of the inner ear that could create a diagnostic picture similar to MD.

Conclusion

Internal ear abnormalities can cause no-standard communication between perilymphatic and subarachnoid space; these anomalies may remain unknown. Can Meniere's disease be considered endolymphatic hypertension?

Conflicts of Interest and Source of Funding:

The authors declare no conflict of interests or external fundings.

Financial Support/Conflict of Interest: None

[justanotherbipolarmum]

Here I am in the Day Stay Unit, gowned up, compression socks on and disposable underwear.

This is the hardest day of my life. I hate this.

1 in 600 chance of having one condition and 1 in 3000 of having another but my boy has both conditions and a heart that hasn't developed.

[sujooon]

Uncover the  a 2 Pot Hydroponic System essentials. This efficient system uses two containers and nutrient-rich water to grow plants without soil for optimal results.

[imr-riya]

Hydroponics Market by Application and Distribution Channel: Global Opportunity Analysis and Industry Forecast, 2022-2028

The Global Hydroponics market was estimated at USD 26.56 billion in 2021 and is projected to reach USD 38.38 billion by 2028, growing at a CAGR of 5.4% over the analysis period.

Hydroponics is a technique of growing plants in a water-based and nutrient-rich solution. The plant root system is supported by using an inert medium such as rockwool, perlite, clay pellets, vermiculite or peat moss, rather than soil. Plant roots are directly in contact with the nutrient solution with access to oxygen which enhances proper growth of the plant. This method of growing plants is used widely by commercial growers as it is easy to set up, has a high return on investment and costs less than other techniques. Hydroponics recycles large amount of water with minimal wastage and thus makes it the most water-efficient farming method. Additionally, the hydroponically grown crops produce better quality crop and high yield than the crops grown in soil due to the proper control over essential nutrients. Hydroponics is looked upon as a substantial solution for the rising concern about food security and supplying nutritious and safe food over the projected period.

Read more:-

https://introspectivemarketresearch.com/reports/hydroponics-market/

The research goes into detail on the elements that drive market growth, including significant opportunities, growth drivers, as well as opportunities. Furthermore, it builds on previous data and the present business environment to forecast the industry's performance from 2022 to 2028. The study includes an extensive analysis of the workings of this business industry at regional and country levels in order to assess the industry size at a global level. Further, the study literature examines the dominating actors and assesses the techniques they use to maintain their position in the competitive arena. The present and predicted impact of the Covid-19 epidemic has also been considered, with a particular focus on income-generating opportunities and techniques to deal with the shifting situation.

To learn more about this report, request a free sample copy:

https://introspectivemarketresearch.com/request/14105

Key Industry Players in Hydroponics Market:

·         Aero Farm Systems (USA)

·         Lettus Grow (United Kingdom)

·         Hydrofarm(USA)

·         CityCrop (Greece)

·         Circulus Agtech (Canada)

·         Rivasha Eco Design (India)

·         Phytoponics (United Kingdom)

·         Sky Greens (Singapore)

·         Spread (Japan)

·         Infarm (Berlin)

·         AgriCool (France)

·         Crop One (Dubai, UAE)

·         Surna (Boulder, Colorado)

·         Freight Farms (Boston)

·         SweGreen (Sweden) and other major players.

Experts looked at regulatory situations, market entry tactics, best industry practices, pricing strategies, technology environment, and consumption, as well as sales and demand projections, to gain complete insight. In order to offer users accurate statistics and information, Y-o-Y growth estimations have also been added. Readers will have a clearer, more comprehensive view of the entire situation from the study.

Segmentation Analysis Includes,

By System Type:

·         Aggregate systems

·         Liquid systems

By Crop Type:

·         Vegetables

·         Fruits

·         Flowers

By Equipment:

·         HVAC

·         LED grow lights

·         Irrigation systems

·         Material handling equipment

·         Control systems

By Region:

·         North America (U.S., Canada, Mexico)

·         Europe (Germany, U.K., France, Italy, Russia, Spain, Rest of Europe)

·         Asia-Pacific (China, India, Japan, Singapore, Australia, New Zealand, Rest of APAC)

·         Middle East & Africa (Turkey, Saudi Arabia, Iran, UAE, Africa, Rest of MEA)

·         South America (Brazil, Argentina, Rest of SA)

 Will you have any doubt about this report? Please contact us on:   

https://introspectivemarketresearch.com/inquiry/14105

Questions Answered in the Hydroponics Market Research Report:

·         How big is the hydroponics market?

·         What are some of the drivers fuelling the growth of the hydroponics market?

·         Who are the key players in hydroponics market?

·         Which segment accounted for the largest hydroponics market share?

While many industries are contracting as a result of the COVID-19 pandemic, demand for hydroponic farming has increased over the past few years. Even before the pandemic, this type of farming was gaining traction in urban areas. Because vertical farms control everything from seeds to stores, it is now experiencing rapid growth.

Purchase This Report: -

https://introspectivemarketresearch.com/checkout/?user=1&_sid=14105

The Global Hydroponics Market study contains information on the global industry, as well as user data and numbers. The Global Market is examined in depth in this research report, including raw material suppliers, industry chain structures, and manufacturing. The Hydroponics Sales market investigates the market's most important segments. This insightful analysis includes historical data as well as a predicted timeframe. This report examines the whole value chain, as well as downstream and upstream fundamentals.

Related Report: -

https://introspectivemarketresearch.com/reports/vertical-farming-market/

https://introspectivemarketresearch.com/reports/urban-farming-market/

https://introspectivemarketresearch.com/reports/indoor-farming-market/

About us:

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[alinksta]

not me being quite upset by how little talk there has been (amongst mexicans/center latinos) about how Talokán was beautifully adapted from its mythological concept/inspiration, I was loosing my mind.

Allow me to give y’all a little of mythological context because I am a history nerd and the Mesoamerican cultures and mythology are very rad. 

(A spoiler ahead with my interpretation)

Culturally wise, Talokán and its culture take a major inspiration from Maya/Aztec cultures, but the name of the place is strikingly resemblant to that of the Tlalocan from the Mexica culture.

One of the most beautiful heavens/paradises.

The Tlalocan is ruled by Tlaloc the (Mexica) god of lightning, rain, earthquakes, and agriculture. This place was described as a paradise from which the waters that benefited life on earth flowed; in this place resided Lord Tlaloc's favorites, those who died: 1) drowned, 2) of leprosy (as well as the bubonic, mangy, gouty and hydropic), 3) fulminated by lightning. 

It was said that the souls that dwell in this paradise are extremely happy and would enjoy the fullness of a place where there would always be cornfields and all kinds of herbs that were green and fresh, and fragrant flowers.

I also noticed a little wink with his Maya counterpart Chaac who dwelt in caves and cenotes, the entrances to the Mayan underworld, the Xibalbá.

With this information in mind, you can imagine how I was loosing it when Namor explained what happened before and after he was born and how it brilliantly aligns with some of the conditions of HOW TO ENTER INTO THE TLALOCAN.

Magical plant aside (which was found underwater in the entrance to an underwater cave/cenote, and the future civilization resides in/is a literal underworld), they were dying of Small pox (if I remember correctly) and that easily falls under condition #2 for a soul to enter the Tlalocan; after ingesting the plant they did die but condition #1 is also fulfilled because they can no longer reside on the surface because they would “drown”/suffocate.

I'm so overjoyed how well portrayed/adapted/researched everything was, and as a history nerd and Mexican I’m very proud of how my culture was represented, this movie overdelivered even in the mythological.

LÍIK'IK TALOKAN!

[snarp]

Tentative diagnosis = labyrinthitis in left ear compounding the usual stuff.

They had me do the Epley Maneuver in-office, scheduled me for a two-week follow-up + a VNG/balance test, and recommended:

* sleeping on a wedge pillow

* wearing an OTC neck brace to remind me not to move my head too much (am currently keeping my headphones around my neck for this purpose)

* taking ativan and meclizine more often (Note To Self: probably need to be off both of those for at least 18 hours before coming in for follow-up/VNG)

As I was waiting for the doctor to come in, I heard her apparently discussing my chart with the nurse and someone else out in the hall. These phrases were involved:

(nervous) "she had a BRAIN tumor"

(depressed) "I could NEVER work in oncology"

(frustrated/resigned) "could be EITHER"

Judging by the neurology talk, I think the "either" referred to the question of "which medical problem on this chart is probably actually causing the vertigo episodes."

She ran me through some tests for stroke symptoms - which, on reflection, I think this office does every time I come in, regardless of what's actually wrong. Is this a standard ENT thing, or is there some kind of note on my chart...? I know that asymmetrical VNG results can be the result of a stroke, but the guy who performed the first one seemed confident that my balance issues were mostly an inner-ear problem: like, I'd relatively-recently had my 6th? 7th? cranial MRI showing no sign of stroke, there was visibly something wrong with my otoliths on both sides, AND I'd just tested positive for excess blood potassium (endolymph sodium/potassium balance is important).

She also seemed disproportionately relieved to hear that I already had a cranial MRI scheduled for next month. I'm wondering if the staff of this clinic has had traumatic experiences with patients unexpectedly going into seizures or strokes during exams. Like, even at the hospital that Dad keeps suing, people do not so consistently display this much visible anxiety about my neuro situation - this doesn't feel like it's about the possibility of a malpractice suit.

I guess asking people to move their heads and necks around in unusual ways could trigger seizures...? The VNG goggles might be able to do it, too - but I'm sure it'd be especially scary to have a patient start seizing during the Epley Maneuver, while your hands are on their head. Even if they didn't fall, it would have to feel, at least for a second, like you'd caused it to happen. And since neurological conditions in general are underdiagnosed in Appalachia (shortage of neuro specialists), I could imagine ENT clinics in particular seeing a lot of patients with no idea that their "dizzy spells" might actually be seizures.

Phone call:

"hello, dr name's office -"

"okay this is snarp I have an appointment in a minute but I had an incident and I'm gonna be a little late"

"uh"

"sorry I just threw up all over myself I gotta go"

"ok"

[broadpreedglobalnews]

Nipocalimab Trial Highlights Promise for Treating Rare Blood Disorders in Pregnancy 🧪👶

Recent clinical trials suggest that nipocalimab could revolutionize the treatment of haemolytic disease of the foetus and newborn (HDFN) 🩸, a rare but serious blood disorder. Data from the Phase II UNITY study demonstrate that nipocalimab may benefit foetuses, newborns, and expectant mothers by delaying or preventing anemia and reducing the need for intrauterine blood transfusions in high-risk pregnancies 🤰.

Insights from the Phase II Study: The study included pregnant women who had previously experienced foetal loss or required early intrauterine transfusions due to HDFN. After administering intravenous nipocalimab between 14 and 35 weeks of gestation, 54% of participants achieved a live birth at or after 32 weeks without the necessity for transfusions 👶. Additionally, some newborns did not require post-birth transfusions, and none developed foetal hydrops, a severe complication of HDFN 💉.

Potential and Future of Nipocalimab: Johnson & Johnson confirmed that nipocalimab is currently the sole therapy in clinical development specifically for HDFN 🧬. Dr. Kenneth Moise Jr., the lead investigator and a professor at Dell Medical School at The University of Texas at Austin, emphasized nipocalimab's potential to treat various alloimmune conditions affecting foetuses, such as foetal/neonatal alloimmune thrombocytopenia and immune-mediated congenital heart block 🧠.

Dr. Moise Jr. added that if further research supports nipocalimab's use in treating HDFN, it could significantly improve the safety and ease of managing such pregnancies 🩺. The promising results from the Phase II trial were published in the New England Journal of Medicine 📄, paving the way for a larger Phase III study. If approved, nipocalimab would represent the first non-surgical treatment option for high-risk pregnancies affected by HDFN 🔬.

In related news, the National Institute for Clinical Excellence (NICE) recently recommended a new drug for haemolytic anemia patients, marking progress in the field of blood disorder treatments 💊. . . . #viral#trending#explore#india#texas

[purple-phonograph]

Naucrate's Geometry

He could have dwelled without paired paper wings Speak to me Daedalus! speak of the things Revealed while wearing your palindrome wings Crisp and sweet squares blindly complete Your pupils expand and your corneas' greet Hydrops plip-plopping off a single-file shelf Your lysergic acid diethylamide; Amplified the warm sunlight's romance kind But our son worshipped Helios at first sight Infatuated by the empathy that outlives night He broke the implicit intended structure Carving the womb of his minds' eyes' mother Unraveling the written threads singular blink Drowning paper wings in his fathers abyssal drink

[solarpunkpresentspodcast]

How Do We Power Down?

ICYMI, here’s a post I put up on our Patreon back in March that, in anticipation of Season 5 (which we’re now partway into), considers the environmental problems posed by the use of cryptocurrencies and generative AI and the general problem of how do we power down our societies a bit without being overrun by societies that opt not to power down?

Christina here... I don’t know if any of you caught it, but Elizabeth Kolbert, who specializes in writing about climate change and our efforts (or lack thereof) to stop driving it, recently had another interesting article in the New Yorker. This article explored, to quote the title, the “obscene energy demands of AI,” or more specifically, of AI, like ChatGPT and Midjourney, that processes astronomical amounts of information every time it is used.

To take a moment to be totally self–centered about this, how interesting—and how timely! Ariel and I just discussed solarpunk’s use of and attitude toward AI, especially the image generating kind, when we recorded THE FIRST EPISODE OF SEASON 5—WOOT!—which you’ll have early access to toward the end of this month. But, for all that we found to consider about it, we didn’t touch on the enormous electricity consumption associated with AI image generation. Which now puts me, personally, far more solidly in the this is a bad idea camp, even if people are using AI to put POC into amazing imaginings of a super future. But Elizabeth Kolbert’s article—which you should definitely read!—gives me this chance to broach the subject, even if it is a few weeks before Season 5 begins, and explore it briefly further.

To give you a brief sneak peak: in our Season 5 opener, Ariel and I talk about solarpunk’s relationship with tech. Because solarpunk is both highly tech–centric and highly tech–skeptical, which is kind of a cool combination. Solarpunks are always asking should we or shouldn’t we use that tech and wouldn’t the world be a better place if we weren’t all always asking that question! Meawhile, the should we or shouldn’t we of AI and cryptocurrencies are already points of, if not contention, then at least deep disagreement between solarpunks. Again, I’m pretty much in the NOPE camp, all the more so now after reading Elizabeth Kolbert’s article.

As Elizabeth Kolbert explains, along with cryptocurrencies, AI like ChatGPT and Midjourney are shocking electricity hogs and... which I hadn’t previously realized... prolific producers of e–waste (because there are so many servers involved and they need to be replaced as they age). As she points out in the article, a single Bitcoin transaction produces the equivalent amount of e–waste as an iPhone. If that’s the case, there’s no way that all but a tiny fraction of the world can switch over to using digital currencies. Even worse, if that’s the case, shame on people making their fortunes buying and selling them. The world just doesn’t have the resources to sustain that! Not without environmental and ecological devastation and a heavy price in human lives and well being. But I think the most important thing Elizabeth Kolbert points out in her article stands already in the subheader: “How can the world reach net zero if it keeps inventing new ways to consume energy?”

One of the interesting things that certain historians (and the evolutionary biologist Geerat Vermeij, of whom I am a big fan) have pointed out is that there is a directionality to history. If you over look the bumps and wiggles and occasional serious crashes, over time, populations that use lower amounts of energy per capita per year have given way to (or been crushed by) populations that use higher amounts of energy per capita per year. You can see this in the general takeover of Earth’s ecosystems by human beings and you can see this over the course of human history. Our trajectory has taken us from manpower only, to using animals and burning wood to get work done, to moving on to fossil fuels, solar, wind, and nuclear energy and hydropower to increase our productivity and our ability to move ourselves and our stuff around. For centuries already, no other animal on Earth has had as much power per capital at its disposal as we do. Meanwhile, the countries with the highest per capita uses of energy have come to rule the world politically, economically, and even to some extent culturally.

If you looks at the shifts from using our own hands to get work done (back until the Neolithic sometime), to using wind and animals to get work done (like milling grains and ploughing) to burning wood and then later coal to run steam engines and the on to burning fossil fuels in internal combustion engines, it’s easy to see that each one has been a big step up in our per capita energy use. It’s also easy to see that we have not yet reached the ceiling! Throughout our fossil fuel phase; even as we improved our machinery and made it more energy efficient, this never resulted in a drop in per capita power expenditure. Instead, we used the increased efficiency to get more power out of our machines, making them bigger, faster, stronger, more complex, and less expensive, and therefore more widely available to more people. All of which led to massive increases in per capita energy use. We have always been as powerful as we can literally afford to be rather than using increases in energy efficiency to lower our per capita use of energy.

Even now, as our vehicles and toys and tools have become more energy efficient, we’ve responded by buying more of them and doing more things with them. At this point, who doesn’t have a computer or a laptop, plus maybe a tablet, and definitely also a smartphone. Who doesn’t upload photos and documents to “the cloud” of distant servers that guzzle up enormous amounts of energy? Who doesn’t do Google searches at the drop of a hat instead of hauling themselves to the book or library that would also hold the answer? We take advantage of all of these possibilities because they are there (and in part because we don’t want to be left out or left behind). But, most importantly, we use all of the extra energy it takes to fuel these things because we can afford to pay for it. ChatGPT and image generators like Midjourney guzzle increasingly incredible bundles of electricity, but, still, chatting with ChatGPT or getting it to write an essay for you is a hell of a lot easier on the personal budget than reading by candlelight was 200 years ago... even though it consumes orders of magnitude more energy.

The problem with all of this inventing of new ways of consuming power is, of course, the climate is in crisis thanks to our continuing pumping of greenhouse gases into the atmosphere in large part via our production and consumption of energy. For our own good and that of the rest of Earth’s surface biosphere, we ought to have hit net zero greenhouse gas emissions yesterday, or better yet ten years ago already. Instead, the goal keeps receding into the distance, even as we develop our capability to generate electricity via renewable, low–carbon means, because our per capita energy use just goes up and up and up. That’s where this idea that shifting toward a lower per capita power consumption is, on some level, inherently impossible rears its very ugly head. Shifting to a lower energy use is against the way systems naturally evolve and totally counter to the way human beings inherently operate (which is to say, we tend to do what’s possible—and push that envelope—rather than doing what’s wise). Another great obstacle to lowering our per capita energy use per year is that the society that powers itself down a bit puts itself at the mercy of the societies that keep striving for more power per capita. At some point, they’ll have the machinery, weaponry, wealth, and resources to wipe the powered down societies off the map. So why would you open yourself and your fellow citizens to that sort of existential risk?

Our failure to power down our societies is not inevitable, of course. We are animals capable of reason. Dilemmas like these are why we have governments, negotiations, diplomats, international law, and treaties. But treaties only work until someone decides to break them—case in point, Ukraine giving up its nuclear weapons in 1994 for promisesnot to be invaded by Russia, the US, or the UK.

This means right now, humanity is in terrible situation with difficult options. We need to power down our lives because the way we live and the way we consume things, including power, is unsustainable. It would take three Earths and all that and we really need to stop emitting greenhouse gases to the atmosphere NOW. We’re already in pretty serious hot water on the climate change front. But to do so is counter to our tendency to innovate and adopt new technologies and to do absolutely the most we can afford to do (and buy absolutely the most we can afford to buy). Meanwhile, powering down would very possibly leave us at the mercy of societies that chose not to go that route.

Who is trying to steer us through this mess toward a better rather than worse out come? Honestly, where is the global leadership on this front? Nowhere in sight. Because no politician in the world is going to suggest that we need to become less powerful. And no country in the world is going to rein in AI and cryptocurrencies, not unless all the others and all the big businesses and all the tech companies agree to these things. I hate to say it, it’s really, really hard to see that happening. There’s simply too much power and money to be made.

If there is a role for solarpunk here, it is in imagining pathways out of this mess. How could we come to power down the world a bit and begin living actually sustainably? Because right now really, all this talk about sustainable technology is just a silly, soothing bit of mumbo jumbo. Not when, at the same time, cryptocurrency and AI use is going through the roof.

Get on it, solarpunks! We need visions, and even, simply, to get the word out that this is a serious problem.

[lifeofamanhwareader]

Well then your up for grabs! For free I may add!

Wait by brother did you mean.. Victor??

Yes! Do you see how much you missed by not being my wife?

One of them touched my ass

Oh they boutta know what god sounds like

[“ooh— Have fun paper!”]

[monarcho-mysticism]

Tagged by: @california-babylon

Last song: Future Club - Perturbator

Currently watching: Attack on Titan

Last movie: don't remember

Currently reading: Fight Club 2

Sweet/sour/spicy: sour

Relationship status: dating

Currently obsessed: sadly I'm too tired for obsessions

Last thing i googled: Hydrops

I tag: @tolovaj @marmork @twenty-third-order-simulacra

[floral-hex]

I’ve had maybe 3 or 4 hours of sleep since yesterday. I keep getting distracted. Need to remedy that.

Saw the audiologist today. He’s seriously one of the nicest doctors I’ve ever had. The appointment went about how I expected; no idea what’s really going on or why my hearing is fluctuating so much. Still, it was really nice to talk to him. He cranked up my hearing aids for whenever I hit another bad patch. Good visit. Or it was, until I was checking out and the ENT I saw last week came up to me and basically killed my mood. Lots of telling me I’ll just have to get used to it and that there’s not much they can do. So… that was a shit ending.

Except it wasn’t the end. About an hour after I got home, ENT calls me and says he talked to the audiologist. I had mentioned maybe having cochlear hydrops, we discussed my symptoms more, and apparently the audiologist wrote a note advocating for me in my chart. ENT admitted that there were some good points, so he prescribed me a new med to try out. It’s a shot in the dark, nothing fancy, but I felt so vindicated. So nice. I’m not expecting any miracles, but it’s nice to have a little hope.

[justanotherbipolarmum]

Next week we say goodbye to our son 💔

[shilinartscrafts]

Office rack

The desktop flower rack adopts natural bamboo, showing a fresh and elegant texture, and it is smooth and delicate without burrs. With the bar-shaped design, it solves the problem of water seepage and hydrops deeper, which makes the space not easy to go molded. 

[ultimatecutenesspeaks]

As that gives lots of damage at both Pokémon as soon they attack back but soon after another hydrop pump and another attack of lycanroc both fall down as soon both grandparents send out a weezing and a mamoswine bunny go you two I’m know you two can defeat them your big brother believes in both of you always no matter what !

*Haruki and Mizuki turn back to look at Bunny and smile at his encouragement as Kieran cheers for the both of them as well, and Mizuki swaps Lycanroc out for Arcanine as Weezing uses Toxic on Primarina, rendering it badly poisoned.*