#air conditioning md

[smmechanicalllc]

Air Conditioning Repair services

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[adiheatingandair]

AC Repair in Olney MD

[adi-heating]

Quick Tips To Get The Most Out Of Your Air Conditioner

[exxelmechanicamd]

Exxel Mechanical Services

Exxel Mechanical Services: Your trusted HVAC specialists for residential and light commercial needs. As licensed and insured experts, we install, repair, and maintain major brands and are committed to exceeding your expectations. With our exceptional craftsmanship and attention to detail, we deliver top-quality HVAC solutions tailored to your specific needs. We offer all standard HVAC services, including A/C, heating, and air quality solutions, plus whole-house generator installation. Our reliable air conditioning company provides reliable service and keeps your home or business comfortable throughout the seasons. Proactively ensure year-round comfort, cost savings, and breakdown prevention - contact us now for a hassle-free HVAC experience and peace of mind.

Contact Information Business Name: Exxel Mechanical Services Address: 7943 Dollyhyde Rd, Mt Airy, MD 21771 Phone Number: 4438211040 Website: https://www.exxelmechanical.com/

[gellymark-blog]

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[jdmechanicalservicesheating]

JD Mechanical Services Heating & Cooling LLC | HVAC Contractor | Air Conditioning Services in Upper Marlboro MD

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[selfmetime]

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[thatwolficorn]

What if I don't have a ceiling fan?

If your V needs of discipline. Don't hold her like this:

Instead hold her like this:

That will teach her!

[kalpeavaris]

MD: Echo Info Post #1 (Character Edition)

So I reblogged this image about wanting to (over) share about OCs... and then I got a mysterious message telling me to speak about my OCs... 👀(*cough* @inkyprince I said I'd tag you hehe *cough*)

So I've decided to just do it, lmao. I love sharing stuff about my OCs, stories and whatnot and this is my blog, imma do what I want!

Gotta lay out some trivia & information about my Murder Drones AU, Echo! Wether it be characters or concepts, because maybe it'll get some people interested :D All of the info is below the cut, and for the first iteration of this I've chosen Kira, aka "ZWEI", for this!

Kira - "ZWEI" - White Witch

A lot of her information can also be viewed on her ToyHouse Profile (logged in user only, sorry!)

Playlist - Pinterest - Voice Claim - Theme Song

Content Warnings: Mentions of self-harm, suicidal thoughts (non-explicit), chronic (terminal) illness (in... robot-terms?)

(older art, but it does the trick lmao)

Kira was one of the Drones that were tested and infected with the Absolute Solver code back in the 3040s and 50s in the Cabin Fever Lab Cathedral with her number being 24.

As a Communication Drone the Solver's abilities affected her in a different way than her fellow Worker Drones, causing the humans to become aware of certain powers that she exhibited which weren't displayed in other Drones.

Her "exorcism" (or, well, patch) was botched as Kira's OS wasn't capable of adapting to the patch version, causing it to corrupt and allow for a vunerability that lead to Echo (a mutated version of the AS) planting it's own code inside of Kira's, which jump-started Echo's influence on Communication Drones.

Kira's Solver is always active - that's why her eye doesn't return to normal and only ever displays the emblem. She overheats extremely easily all the time and is prone to physical pain and tinnitus due to her being unable to block out inbound signals if she picks them up.

This has her health deteriorating quickly over the course of the MD: Echo story, slowly succumbing from it, though she keeps on pushing forward to stop ECHO and it's hosts. She needs actual medication to keep the pain at bay and constantly consumes Oil at a high rate to stop overheating. If her Solver was to deactivate she'd most likely pass away within a few days.

Her secondary name, "ZWEI" means "Two" (or could also be interpreted as "the second") in German. It is a reference to her part in the story, as well as her connection to ECHO. (won't be spoilered for now 8D) She associates alot of trauma with it and doesn't like being referred by it.

Personality wise Kira seems fairly withdrawn from everyone around her except her friends and partner/family. If she's in a good headspace she's fairly open and confident, almost fierce in the way she appears to others. Kira's keen on keeping up a strong facade to not show strangers her weaknesses or true condition.

"But what are Communication Drones?"

I'm glad you asked! Communication Drones look like normal Workers, though the one thing that sets them apart are the two antennas on their head which can vary in size & style depending on their desired function (short-range, long-range, ground signals, air signals etc.)

These antennas function as ears for them, so if they're removed, their hearing is damaged (not entirely deaf, but definitely worsened). So if a "normal" CD loses their antennas they're having a harder time adapting as their intake of sound is greatly reduced.

As an AS user/host, Kira's able to pick up on stronger signals from far away or even sending out signals to stun/manipulate others around her in a short radius. This effect doesn't stay though, it'll wear off over time and actively consume energy from the Drone using it.

Disassembly Drones can also have the subtype of a Communication Drone as shown in the sketch below (left DD) - their antennas are usually shorter and made for short-range and aerial signals as they're capable of flight, too.

(I almost made them a polycule not going to lie they all hot as fuck) wish that was me-)

--

(Kira on her way to cast 'gun, prepare to meet god' in the face of a fucking angel-robot-AI that believes to be god itself)

Kira plays a big part in the MD: Echo universe next to some minor characters & canon characters. Her main motivation is to help stop Echo, as it also tries to infect her via the unstable Solver code in her OS.

--

Crucifix Symbolism

(the power of christ compels you!)

Something very important to Kira is her botched patch / "exorcism". She's obsessed with crucifix looking symbolism which continues to haunt her almost 30 years later during MD: Echo's timeline.

She's desperate to break free from this, but cannot help herself. She compulsively collects cross-shaped imagery and in the first few months after her escape from the Lab she actively built crosses from all sorts of materials.

It's mainly coming from her OS being overwhelmed by the botched patch and the crucifix imagery of the USB burning itself in her memory files as some sort of "salvation" she has yet to achieve. Luckily, this started to fade out over the years, especially after meeting T who helped her to overcome the trauma of the incident.

--

(CW: Mentions of Self-Harm)

After being infected by the Absolute Solver, Kira desperatly tried more than once to remove her antennas to keep the voices from appearing. It talked to her from the inside, but she didn't realize this yet. Like almost all other AS Users however she kept on regenerating, unable to escape the inner turmoil of the Solver's possession and Echo trying to get inside of her OS as well.

--

Effects of the AS on her psyche

(holy shit have you ever seen a centipede that big? what is this? australia?)

Haunted by visions of the Solver, it's communications with the other Drones and later on the landing pods of the Disassembly Drones Kira had a hard time to tune out these visions she got from time to time. Similar to Nori in that regard Kira wrote everything down she heard through these intercepted signals, amassing hundreds of pages of logs she was able to get.

--

Meeting her partner

("Girl I swear I have normal hands too don't be distracted by my sexy claws")

In the 3060s, she stumbled upon one of the Disassembly Drone squads outside of the colony's Outpost she was seeking shelter in. She had intercepted their landing pods signals and was "curious" to seek out whoever had arrived, trying to solve the mystery of whatever the Solver had her experience.

That's when she found Serial Designation T - the navigator of the squad, who at first attempted to kill her like he'd been tasked to do. After all, Kira was a Solver Host that couldn't be fully mind-controlled anymore. But in the middle of him attacking her T's code was halted by Cyn herself, deactivating his executive task to kill the Host he had infront of him. He himself didn't know why exactly the Solver did this, but in hindsight it was due to the fact that Kira was still able to be of use to it later on.

(POV: you deleted system32 from your PC because some random kid on roblox told you to)

Now neutral, T got curious about Kira whom he tried to speak to with her Kira (driven by curiosity on why he had stopped being aggressive all of a sudden, being able to intercept the communication he had with Cyn) staying to talk to him.

Over the following weeks the two grew acustomed with each other, slowly building a friendship that later on evolved into a more romantic nature. Kira hid him in the Outpost and brought in food for the two of them as she constantly needed oil as well.

[covid-safer-hotties]

Also preserved on our archive

Some interesting science analyzed

BY BROOKS LEITNER

Imagine lying back in an enclosed chamber where you bask for 90 minutes in a sea of pure oxygen at pressures two to three times that felt at sea level. This is the world of hyperbaric oxygen therapy (HBOT), a technology that’s been around for decades and is now being explored as a possible treatment for Long COVID.

"The silence on the inside is deafening at first,” says John M.,* who has undergone dozens of HBOT treatments for his persistent Long COVID symptoms. Fortunately, there is a television outside the chamber in view, and it is easy to communicate with the provider if needed. While the potential protocol is still being refined, patients may undergo up to 40 HBOT sessions to address some of the most problematic, lingering symptoms of this complex condition.

HBOT is a therapeutic process that has been widely used to treat such conditions as decompression sickness in scuba divers, carbon monoxide poisoning, and diabetic foot ulcers. In HBOT, the body is exposed to 100% oxygen, a significant increase from the 21% oxygen concentration we typically breathe. The therapy takes place in an enclosed chamber where the air pressure is elevated above normal levels. The combination of high-pressure and high-oxygen conditions enhances the amount of oxygen that can reach the body's tissues. The hope is that this therapy can provide the same relief and healing to people with Long COVID that it does for those with other conditions.

According to John M., HBOT was the first treatment that helped with his sleep and reduced his heart palpitations. “At one point after hospitalization, my Long COVID symptoms were so bad that I could barely walk or talk. HBOT was a great tool that really assisted with my recovery,” he said. John added that he hopes the medical community will achieve a better understanding of how HBOT can help relieve suffering for patients with Long COVID and that more research will increase access to this innovative therapy.

Does HBOT improve Long COVID symptoms? One key observation from the work of Inderjit Singh, MBChB, an assistant professor at Yale School of Medicine (YSM) specializing in pulmonary, critical care, and sleep medicine, is that Long COVID patients often experience debilitating fatigue. Based on Dr. Singh’s previous Long COVID research, the exhaustion is thought to be linked to the muscles’ inability to efficiently extract and utilize oxygen.

To picture how HBOT might work, you can think of your muscles as engines sputtering, struggling to get the fuel they need. If oxygen is the gas that fuels the muscles, it’s as if you are trying to complete your daily routine while the gas tank is running on “empty.” By aiming to directly address this oxygen utilization impairment, HBOT may be a potential solution.

A systematic review by researchers at the China Medical University Hospital noted that HBOT could tackle another major factor in the Long COVID puzzle: oxidative stress. This relates to the body's struggle to maintain balance when harmful molecules, known as free radicals, run amok, causing chronic inflammation.

Research co-authored by Sandra K. Wainwright, MD, medical director of the Center for Hyperbaric Medicine and Wound Healing at Greenwich Hospital in Connecticut, suggests that HBOT, with its high-oxygen environment, might dampen this chronic inflammation by improving mitochondrial activity and decreasing production of harmful molecules. Other potential benefits of HBOT in the treatment of Long COVID may include restoration of oxygen to oxygen-starved tissues, reduced production of inflammatory cytokines, and increased mobilization of hematopoietic stem cells—primary cells that transform into red blood cells, white blood cells, and platelets.

HBOT for Long COVID: Current and ongoing research Several small-scale reports have indicated that HBOT is safe for patients with Long COVID.

To address this question, a trial that followed the gold standard of modern medical research—a randomized, placebo-controlled, double-blind design—assigned 73 Long COVID patients to either receive 40 sessions of HBOT or a placebo of only 21% oxygen. The study observed positive changes in attention, sleep quality, pain symptoms, and energy levels among participants receiving HBOT. In a longitudinal follow-up study published in Scientific Reports, the authors at the Tel Aviv University found that clinical improvements persisted even one year after the last HBOT session was concluded. In a second study, the same authors focused on heart function, measured by an echocardiogram, and found a significant reduction in heart strain, known as global longitudinal strain, in patients who received HBOT.

In another study, 10 patients with Long COVID underwent 10 HBOT treatments over 12 consecutive days. Testing showed statistically significant improvement in fatigue and cognitive function. Meanwhile, an ongoing trial at the Karolinska Institute in Sweden has reported interim safety results wherein almost half of the Long COVID patients in the trial reported cough or chest discomfort during treatment. However, it was unclear whether HBOT exacerbated this symptom or if this adverse effect was due to the effort of participation by patients suffering from more severe Long COVID symptoms.

Is HBOT currently available as a treatment for Long COVID? For HBOT to become a mainstream treatment option for Long COVID, several critical priorities must be addressed. First, there is currently no established method for tailoring HBOT dosages to individual patients, so researchers must learn more about the specific features or symptoms that indicate potential benefits from HBOT. At the same time, we need to identify factors that may be associated with any adverse outcomes of HBOT. And finally, it’s important to determine how long these potentially beneficial effects last in a larger cohort. Will just a few HBOT trials be enough to restore patients to their baseline health, or will HBOT become a recurring component of their annual treatment regimen?

For now, HBOT remains an experimental therapy—and as such is not covered by insurance. This is a huge issue for patients because the therapy is expensive. According to Dr. Wainwright, a six-week course of therapy can run around $60,000. That’s a lot to pay for a therapy that’s still being studied. In the current completed studies, different treatment frequencies and intensities have been used, but it’s unclear how the treatment conditions affect the patient’s outcome.

“I have had some patients notice improvements after only 10 or 15 treatments, whereas some others need up to 45 treatments before they notice a difference,” notes Dr. Wainwright. “I think that HBOT is offering some promising results in many patients, but it is probably a strong adjunctive treatment to the other spectrum of things Long COVID patients should be doing, like participating in an exercise, rehab, and nutritional program.”

Dr. Singh notes that “a major challenge for research is the heterogeneity of Long COVID. It is hard to determine which symptoms to treat and enroll patients into trials based on them.”

Perhaps treatments that target multiple issues caused by Long COVID, like HBOT, may help overcome this challenge.

*Not his real name.

Brooks Leitner is an MD/PhD candidate at Yale School of Medicine.

The last word from Lisa Sanders, MD: Hyperbaric oxygen therapy (HBOT) is just one of the many existing treatments that are being looked at to treat Long COVID. We see this with many new diseases—trying to use a treatment that is effective in one set of diseases to treat another. And there is reason for optimism: We know that HBOT can deliver high levels of oxygen to tissues in need of oxygen. That’s why it’s used to treat soft tissue wounds. If reduced oxygen uptake is the cause of the devastating fatigue caused by Long COVID, as is suggested by many studies, then perhaps a better delivery system will help at least some patients.

Studies referenced:

bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-023-08002-8

www.ncbi.nlm.nih.gov/pmc/articles/PMC8806311/

www.nature.com/articles/s41598-024-53091-3

www.nature.com/articles/s41598-022-15565-0

www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1354088/full

www.ncbi.nlm.nih.gov/pmc/articles/PMC11051078/#:~:text=Proposed%20Mechanism%20of%20HBOT%20o

[smmechanicalllc]

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Reason for Inquiry Please select the purpose of your inquiry.

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We also offer comprehensive mechanical services, including SM mechanical services, to cover all your HVAC and plumbing requirements.

[3liza]

interesting case in my "shit that doesn't matter" stack of files right now. started watching a twitch streamer who isn't super famous or anything and does funny VODs that don't annoy me too much usually so it's good for background noise. so he is constantly doing little sniffs with his nose, which DOES annoy the crap out of me. eventually I watch enough footage to hear him address it and he says he has ocd and the sniffing is compulsive. now I immediately disagree with whoever diagnosed this because the sniffs are not unproductive, by which I mean I can hear clearly that he has postnasal drip. he's not sniffing compulsively, or it he is, he's ALSO sniffing to keep actual mucus from exiting his nose. it's not imaginary sniffing he has a clogged nose. and he sneezes and coughs regularly as well. he has pets, a couple guinea pigs and cats at least.

I don't know this guy at all I can't contact him and be like "dude try clairitin or vacuuming more" and it would be incredibly annoying to have someone pop into your twitch chat to berate you about something like this anyway. but it's almost definite, just to the little House MD who lives in my brain, that some idiot at some point told this man that his nose sniffing was purely compulsive and was a problem of his mental health and/or willpower, or possibly he self diagnosed, but he is verbally beating himself up about it and apologizing about once every VOD. he thinks it's a bad habit he needs to simply overcome. but he has allergic rhinitis, a physical issue where mucus is being produced in his head and irritating his nose and throat. it's not imaginary or compulsive.

very weird case with zero stakes except "something that mildly annoys me" but people especially these days in smog conditions are doing this stuff a lot more because they just aren't aware that air sucks now and lots of people who really don't have a "reason" to have allergies to their environment now have allergies to their environment.

[adiheatingandair]

AC Installation in Olney MD

[adi-heating]

AC Service in Olney MD

[dragonagitator]

I thought of another reason why House MD is seeing a huge resurgence in popularity 20 years later: We're just meaner now.

Back in 2004, House MD was a show about "what if the greatest doctor in the world was also the biggest asshole in the world?" The things he said to other people were presented as if they were the most shockingly insensitive things those people had ever heard in their lives.

Whereas in 2024, House MD feels more like a show about "what if Reddit was a person?"

His particular type of meanness is way more mainstream now than it was back then.

That's why I don't feel like I'm pulling a Mary Sue by writing my author self-insert OC as generally unbothered by House's remarks and occasionally even laying him out with her retorts. She's been on the internet since she was 12, so whatever nasty thing House just said, she probably used to read at least half-a-dozen nastier things every day before breakfast.

She'll also come armed with the crowdsourced toolkit of best practices for shutting down Boomer bullshit that Millennials and Zoomers have come up with over the years. And yes, at some point, she will deploy the air horn.

(Wilson, bursting in: "What the hell was that?!" OC: "Operant conditioning with negative stimuli." Wilson: "...what?" OC: "We're learning how to be normal around black people instead of constantly committing microaggressions." House: "I can fire you, you know." OC: "Oh, really? Let's go down to HR right now. Let's go tell them about how you want to fire me for trying to make you stop saying racist things to your direct report. Let's see how that conversation goes for you." House: *glowers* OC: "Also, firing me is not the threat you seem to think it is. I can just go back into accounting and double my salary, whereas you'll never find another department secretary willing to put up with your shit ever again." Wilson: *suppressed cackling* Cameron & Foreman: *shocked* Chase: *wishing he'd brought popcorn* House: *furious but maybe also a little aroused?*)

[gellymark-blog]

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