#those shoes mg.

[jcsmicasereports]

ABSTRACT

Charcot Arthropathy is a serious complication of Diabetic neuropathy, usually affecting foot or ankle. It causes widespread destruction of affected joints and bones around them leading to severe deformities that may require major amputation. Here, we report the case of a 62 year-old male who presented with severe left foot deformities and swelling on the left big toe that developped over a short period of time. His primary presentation raised the suspicion for a bone tumor or cellulitis which then revealed by X-Ray that it's a Charcot foot necessitating foot fixation, strict glycemic control and treatment with Biphosphonates. This report will therefore serve as a reminder for clinicians to keep in mind Charot Arthropathy in diabetic patients with peripheral neuropathy even if it doesn’t present in a typical manner.

Keywords: Charcot, arthropathy, diabetes, trauma, destruction, joints, deformity, sensation, neuropathy, inflammation, chronic, Fixation, Osteodegenerative, ambulation, uncontrolled.

INTRODUCTION

Charcot Arthropathy is a serious but rare progressive condition that can affect 0.15 – 2.5% of diabetic patients especially those who developed peripheral neuropathy. Despite the voluminous work reported in literature on CA, very few studies mention the prevalence of this disabling disease. The actual incidence of CA may be greater than what is reported, as in many cases, the clinicians fail to diagnose or are late to diagnose this serious complication. Charcot affects the bones, joints, and soft tissues of the foot or ankle. Whilst the exact pathophysiology remains debated, a multifactorial pathogenesis seems likely predominating. This involves repetitive micro-trauma in a foot with impaired sensation and neurovascular changes caused by pathological innervation of the blood vessels leading to bones deformities. Clinical features include signs of inflammation, profound unilateral swelling, an increase in local skin temperature and bone resorption in an insensate foot may be present.

In advanced cases with considerable mid-foot destruction, a typical "rocker bottom" appearance is seen. In most cases, progression of deformity takes a more chronic form and is seen over a period of months, to years.

This case report describes a case of a chronic destructive Charcot foot in a patient with uncontrolled diabetes, which was initially managed as a case of bone tumor.

Case Report

A 62 year old male with a background of Type 2 Diabetes Mellitus, peripheral neuropathy and obesity presented with complain of numbness and decreased sensation of forefoots and a mass in the arch of left foot. Eight days prior, he sustained a fall whilst walking but denied any injury, swelling or pain at that time. He said his left big toe was totally straight but now has deformed (into Morton) and his 2nd toe looks bigger due to big toe deformation and often remains bend in shoes which he doesn’t feel, but when removing the shoes he often finds it bent. The patient denies any pain in the deformed toe but a little feeling of warmth in the pathological area.

Examination revealed a warm, swollen left foot with a 2 mm healing ulceration on the plantar surface and a lumpy sensation on the left big toe. Blood tests showed normal white blood cells count, elevated C-reactive Protein (CRP-67) and a thrombocytosis. His fasting blood glucose level was 221 mg/dl with features of uncontrolled diabetes.

Plain film X-Ray revealed complete fracture dislocations of the 1st , second and fifth tarsometatarsal joints with large bone deformity on the left arch of the foot as well as another deformity on the right arch and lower calcaneus {Figure.2}. This was correlated with bone CT (computed tomography) and MRI (Magnetic Resonance) imaging, with interval changes noted to be of chronic onset.

Discussion

Charcot foot is a well-documented complication of diabetic neuropathy. The mechanism of this is not fully understood but two theories exist – namely, the neurovascular and neurotraumatic theories. In the neurovascular theory, an underlying autonomic neuropathy leads to hypervascularity, osteolytic changes and demineralization. However, the neurotraumatic hypothesis indicates that unperceived trauma to an insensate extremity leads to continued bony destruction on ambulation, which worsens and progresses. These theories imply that a sufficient time frame is required for established Charcot foot destruction to develop.

Typical progression of Charcot foot occurs over months to years, although rare acute onsets have been reported. However, the progression seen in our patient, from normal X-Ray appearances to established, acute Charcot foot with considerable mid-foot destruction over a period of just 10 days is a rarely described progression of Charcot arthropathy. The combination of local skin warmth with decreased sensation in the left foot and feeling of a bony lump on the left arch raised the suspicion of a bone tumor, but X-Rays as well as CT Scan of the foot beside the uncontrolled diabetes in this patient made Charcot foot a more possible diagnosis.

Early recognition of Charcot Arthropathy is a mandatory to ensure improved outcomes. It is important to differentiate between acute Charcot foot, infection and bone tumors through clinical investigations as well as patient medical history. The presence of ulcers should raise the suspicion of infection or osteomyelitis, and therefore, the importance of early imaging cannot be overstated. Modestly raised inflammatory markers (CRP-68) in this diabetic patient along with left foot deformities suggest an acute Charcot foot than an infectious process. The latter frequently presents with high laboratory values.

The initial management of the patient was fixation with a total contact leg cast, followed by open reduction and internal fixation (ORIF) with locking plates, combined with lengthening of Achilles tendon to permit full dorsiflexion and subsequent re-casting.

Due to osteodegenerative nature of CN, all attempts at pharmacological treatment have focused on anti-osteoporotic drugs so we started the patient on an Alindronate beside a more strict control of his diabetes. His post-operative progress was satisfactory and he is currently non-weight bearing for 6 months post-ORIF.

Conclusions

The case highlights an important clinical scenario that can be misdiagnosed in a diabetic patient. A clinical presentation of unilateral foot swelling, erythema, warmth and decreased sensation should raise suspicion for Charcot Arthropathy even in the absence of trauma history. I hope this will be a helpful reminder to clinicians when dealing with similar presentations.

[chrispypapas]

Chris, I need to know what you think would happen in a Xander spin-off. Because, unless I am remembering wrong, Xander was one hell of a tool.

im kissing you on the lips for asking me about btvs

season 3 ep 13 'the zeppo' is a Xander POV episode of btvs and tbh that's one of my favorite episodes of btvs. its the gang leaving Xander out of the apocalypse of the week due to him being "too weak", just for Xander to get involved in his own dangerous adventure where a group of zombies try to get him to join their gang. i think a Xander series would have been better than the angel series bc the Angel series did not know what its purpose was. its such a bad show. the only saving grace of that show is Cordelia is there, and when she leaves the show it becomes complete trash. Cordelia needed to be there to balance out the stupid shit Angel is doing. If you like the Angel series I'm so incredibly happy for you and my opinion on it should not diminish how you feel about it. I'm just some guy lol i think a POV from the 'normie' of the group would have been more interesting in terms of story telling. You would be able to put yourself in Xander's shoes and it could have been following the aftermath of season 7 of btvs; where everyone who could ever be the slayer was awakened thanks to willow unlocking everyone's potential. btvs continued its story through the comics after the show ended and the plot of the comics was Buffy running a slayer organization where ander worked as support for slayers out on missions (ala Kazuhira Miller in MGS peacewalker and MGSV). now i enter my unhinged rambling of Xander's character

Alexander LaVelle "Xander" Harris has many, as you put it, "one hell of a tool" moments in the show that I'm going to get into. A lot of them I can see as "this is a teenage boy saying stupid teenage boy shit" but a lot of it is also unwarranted and inherently selfish. Early series "tool" moments are

Xander's attitude towards Buffy for not returning his feelings and his haterid of Buffy having feelings for Angel (Season 1)

Xander blaming Buffy for Ms Calendar being killed by Angel (Season 2)

Xander exploding at Buffy for leaving Sunnydale after Joyce (Buffys mom) told her she better never return to their house after Buffy told her mom that shes the slayer (Season 3)

Xander being upset with Willow and Buffy for going to college (Season 4)

Xander yelling at Buffy for letting Riley (a good guy in his own words) "get away" when Riley gives Buffy an ultimatum (Season 5)

when Xander says hes disgusted by Buffy and can't even look at her after finding out she's been sleeping with Spike (Season 6)

and finally when Xander thought Buffy was being a terrible leader in season 7 bc she had to be a commander of an army of potential slayers (Season 7)

However on the flip side, Xander has multiple moments of being incredibly loyal and willing to do anything in his power for his friends, and that he really is the heart of the group reminding everyone of their humanity. Xander, much like the rest of the Buffy cast, is a complex character who has good and bad qualities and I think it's important to take the good with the bad. I don't agree with most things he says/does, but I also recognize that inherently he is a good person. Wanting the best for those around him even if his perception of what "the best" for his friends isn't necessarily what they "need".

BTVS is a hard series to defend. A lot of the actions of the characters are uncomfortable due to the creator of the IP, but when you create a piece of media those characters start to also belong to the fans. A lot of what Joss Whedon wrote for the characters at times felt incredibly OOC and just "we're going to torture the afab characters bc I hate women" kind of writing, but it's important to remember that there were other writers on the show and how actors wanted to portray their characters too.

That being said, I like Xander, and I like a lot of what others have done to explore his character bc im gay and like to analyze media. I think a spin off buddy cop Xander and Spike show would have been leagues better than Angel. One of the spin off Buffy comics I really like have Xander and Spike being friends from the beginning and exploring more of what their dynamic could be. I think it's an interesting alternative universe from Buffy canon and its work checking out <3

anyway ty for reading i hope ur having a good day xoxo

[literaticat]

I live in a deep red state, chose to be a stay at home mom, and generally look as though I believe like every white person around me. However, I don’t. I am just wondering how I write my bio in order for agents to not immediately label me a certain way. I write humor MG and YA with some progressive themes, but they aren’t the focus of the story.

I do appreciate your sensitivity and not wanting to be labeled in a certain way -- but I also think you're overthinking it a hair.

Lots of agents are white, and/or have lots of white clients. Lots of agents are from places other than NYC, and rep clients all over the US and the world. So I don't think most of us would automatically assume anything negative about an author just based on where they live or what they do or what they look like.

After all, why should we, when we can base negative feelings on things a person actually says and the books they've actually written! I promise you that people who have uh... extremely divisive views... can't help but say so in their queries or in the kinds of books they choose to write. It's QUITE CLEAR when a book is coming from somebody who, you know, hates books, or despises "woke ideology", or whatever other weirdo stance -- they say it right out loud and there are no assumptions or guessing games necessary!

If anything, unless you tell me differently, my automatic assumption would be the opposite. I'd be more likely to think, if you are querying me with a fun kids book with mildly progressive themes, and your query is well-written, and your bio doesn't mention "Guns, God and American Values!" or something like that, and you seem affable and not-bonkers, that you are probably liberal-leaning (or "fiscally/politically moderate-to-liberal but socially very liberal") regardless of where you live.

That's because a) most people who want to read and write great books for kids LOVE AND RESPECT KIDS BOOKS, and kids books is, frankly, a 'snowflake' kind of field to be in; and b) If you seem to have read the guidelines and targeted the book correctly, you must be smart; and thus c) you must know that I rep a lot of queer and other kinds of diverse and "woke" kinds of books, and I would think that most very conservative people wouldn't WANT to be repped by me!

BUT ANYWAY. If you want to make that even more clear in your bio, you can. It's short, but there's space for you to put a kind of "mission statement." There's no need to say you are a SAHM if you feel like that pigeonholes you. You don't even need to say exactly where you live if you feel like THAT pigeonholes you, just say something general about the region.

"I'm Mindy Smith, and I am passionate about writing fun, accessible stories for kids and teens that also touch on themes that are important to them and their future, such as climate change and environmental activism. I live near a swamp, and when I'm not writing children's books, I get my heart rate up by chasing alligators off the porch while wrangling two toddlers and an unruly dog."

"I'm Dorothy Gale-Belvedere. I grew up in Kansas and still live nearby with my family, and yes, I've heard all the Wizard of Oz jokes, and yes, I am skittish about tornados, and also yes, as the light and fun books I write can attest, I do love rainbows and glittery shoes and all things magical! But no, I don't have a dog named Toto, just a cat named Gretchen."

"I'm Deborah Candleflame, and I'm a former elementary school English Language Arts teacher who still loves sharing stories with kids -- particularly stories of grand adventure tinged with fantasy and folklore elements that can show them the limitless bounds of their own imagination! I live in a holler in the beautiful Appalachian mountains and, in addition to writing, I am raising three spoiled kids* as well as two fairly well-adjusted human children."

*(that was a goat joke!)

See how all those people sound pretty nice and not unhinged, and you'd never think "yikes, they sound like they might want to put gay people in jail"? Just do something like that!

[hauntedppgpaints]

url song game

@wehaveagathering tagged me, thank you grav!!!!

rules: pick a song for each letter of your url and tag that many people

h: haunt (demo)- bastille

a: all or nothing- dirty vegas

u: UNTIL IT BREAKS- linkin park

n: nightcall- kavinsky

t: those shoes- eagles

e: eyes on fire- blue foundation

d: doomsday- nero

p: paris- else

p: perfect people- courtship.

g: green onions- booker t. & the mg's

p: personal jesus- depeche mode

a: arsonist's lullabye- hozier

i: insomnia- v3cna, trias

n: nothing left to say- imagine dragons

t: toes- glass animals

s: s14- kløn, nolk

tagging: whoever wants to do this, it was a lot of fun

[groovesnjams]

20 / 50

"Vampire Empire" by Big Thief

MG:

In a way that I find personally unnerving, I don’t think Big Thief are trying to be a big, successful band. They don’t make it onto President Obama’s Summer Playlist, they disappoint fans by being low energy festival headliners, they release “Vampire Empire” as a one-off single and refuse to tie it to a lucrative album cycle. As a very fond listener, the effect is one of waiting for the other shoe to drop, of expecting disappointment at every turn. I doubt whether or not “Vampire Empire” is even any good only to eventually convince DV to include it on this list. And all those vulnerable, alternately hard and fast and cold and mushy emotions are replicated in the song itself, one that waffles between “had it with the drills” and “wanted to be the one you could understand” only to coalesce around a single word: falllleeeeengyeeeeah. Adrienne Lenker is clear, sharp, and decisive in a way her lover is utterly incapable of reciprocating, but to love someone like that – charismatic, receptive, and, ultimately, lost – is to be forever falling, suspended in the ether, hanging from a thread. She doesn’t leave it that way, a frail and beautiful still image, but instead suffuses it with life and anguish allows the fall to end and all of us to be crushed under its force. “Vampire Empire," so the story goes, was only released because it was already a live classic for the band. They didn’t need the publishing royalties, we needed the hard copy ownership of something that can really only be experienced anyway.

DV:

After being very rude about Big Thief the last (only) time we've written about them, which to my knowledge is the only (last) time I've ever heard one of their songs, I feel unexpectedly charmed by "Vampire Empire." For me it's the roughness of the song - for a band at their level it's hard not to hear this as calculated, but it's undeniable that bands at their level don't often release standalone singles that sound like a handful of mics were set up during a particularly tight jam session, with the mistakes and room reverb and improvisations kept intact. Was "Vampire Empire" actually recorded in one take? Was it as "live" as it sounds? I don't know and don't really care, but this is the only song on our list where it's even a possibility and that variance makes it distinctively memorable. Authenticity is a chimera, but the perfect performance of authenticity can be hard to resist. And whether or not they ever return to this aesthetic, Big Thief nailed it with "Vampire Empire."

[pony-central]

TV Tropes That Apply to Naughty PonyCentral

Ascended Extra - she made a small cameo in the second Garfield crossover comic, along with Sick PonyCentral

Interspecies Romance - she has a human boyfriend - Naughty Boyfriend/Nathan Files

Abhorrent Admirer - when she was ten, she was invited to a book signing. She got to meet J. K. Rowling and got so excited that she fainted on the spot. Her book was signed twice

Does Not Like Spam - she hates anything with prawns in it. She's also not fond of strawberries or raspberries

A Day in the Limelight - "Love at First Bite" and its sequel focus on the love life of Naughty PonyCentral and Naughty BF

An Adventurer Is You - she falls into the Low Brow category based on her fashion choices

Ascended Fangirl - is this to J. K. Rowling

Attention Whore - is this to the Tumblr polls, which she kept losing, and begging everyone to vote for her which nobody did

Jerkass - she becomes this once she demands one last poll to prove that she isn't the worst person in existence

Berserk Button - Whatever you do, DO NOT TELL HER THAT SHE AND NAUGHTY BOYFRIEND ARE A ZOO SHIP. You will be killed instantly

Seven Deadly Sins - her cutie mark is a skull without the bones, which resembles her wrath to those who talk shit about her relationship with Nathan Files. She also loves Nathan to the point of killing someone, which is an act of lust and envy

Bitch in Sheep's Clothing - she may be a kind pony, but then again, she's not afraid to speak the truth

Blue Blood - she is half British, half Welsh

Cluster F-Bomb - she used to wear a pink shirt that said "Fuck You, Cyrus" on it. This was later changed to a blue shirt with 302 on it

Brutal Honesty - she isn't afraid to speak her mind

One of the Girls - she's the third PonyCentral to be introduced after Sick PonyCentral and Regular PonyCentral

Color-Coded Characters - her colour scheme consists of blue and purple

Ax-Crazy - she literally KILLED a random hater because he insulted her

Crippling Overspecialization - she is so focused on being teh perfect friend that she doesn't realise that most of the fandom hates her relationship with Nathan Files/Naughty Boyfriend

Crossover - has met Garfield

Deliberately Monochrome - she becomes colourless whenever she's in total shock

Prone to Tears - Of course, being a PonyCentral variant, she has had some moments where she breaks down crying

Early-Installment Weirdness - her old designs had her with curled hair, in comparison to her current look

Eat That - she admits to liking Sick PonyCentral's green pizza, despite it being greasy as Hell and slightly burnt

Enemy Mine - she is this to David Attenborough. She's just pissed off because he's still alive

Scenery Censorship - some of Love at First Bite's sequel had moments where her and Nathan would have passionate lovemaking, only for it to be censored by a blanket, a pack of Green M&Ms, or cut by the panel's corners

"Freaky Friday" Flip - Day 14 of ShipTober had her and Nathan swapping bodies

Gasshole - it was revealed during her date with Nathan at Taco Bell that she is equally gassy as DrugFriend, and demonstrates by letting rip one big fart. She also farts twice after eating Boyfriend's Donut Stash after stealing it from his house, and sharing it with Sick PonyCentral. Yep, Naughty PonyCentral can fart on command

Impossibly Tacky Clothes - her attire is pretty basic, with a lack of shoes, which is justified since she never learned how to tie shoelaces

Large Ham - she is capable of screaming at loud decibels

Jerk with a Heart of Gold - despite her hating all of the haters, she still showed some form of sympathy when Cob/Natt declared that he was going on a plane ride soon

Masculine Girl, Feminine Boy - she is the MG to Nathan's FB. She showed no mercy in killing one of the haters, and Nathan just stood there

Meaningful Name - her name is Naughty PonyCentral after all

Big Eater - she once ate 25 Hotdogs in one sitting

Friends with Benefits - she met Nathan at college and became friends with him, only to quickly kiss him for 25 uninterrupted seconds before developing a crush on him. They since then went on to becoming a romantic couple, even making love for the sake of their love, and having three kids, all without getting married

N-Word Privileges - while she does allow Nathan to swear freely, there are only two words she'll never let slip by her ears. No guesses as to what those words are

Official Couple - they made love to each other in complete privacy. Of course they're officially together

Picked Last - was always picked last for dodge-ball

Pink Is Erotic - her and Nathan share an apartment with pink bedding and pink soap

Real Women Never Wear Dresses - is never seen wearing a dress

The Rival - is this with Georgia NoLastName, Nathan's ex-girlfriend

Everyone Has Standards - Naughty PonyCentral is known as someone who's mostly kind-hearted. But, mess with her and Nathan's relationship, and you will meet a messy end

Messy Hair - she almost never brushes it. Her hair becomes more messy after lovemaking with Nathan

Barbie Doll Anatomy - heavily subverted throughout Love at First Bite The Sequel

Aww, Look! They Really Do Love Each Other - the entirety of Love at First Bite, and the sequel, has the couple doing a lot of kissing and cuddling

Love at First Sight - Nathan's first reaction to seeing Naughty PonyCentral at college? Blushing like crazy

All Women are Lustful - Lust is one of the Seven Deadly Sins, and Naughty PonyCentral blushing at the sight of Nathan's pee pee (cut by the panel) was enough to get her excited

Animesque - she sometimes gets this especially the vertical lines on the side of her head

Coming Out Story - she explained to Sick PonyCentral, via Zoom Call, that she's in a relationship with Nathan, who is a human. Regardless, Sick PonyCentral was super supportive of this sudden announcement

[iviarellereads]

The Dragon Reborn, Chapter 48 - Following the Craft

(THIS PROJECT IS SPOILER FREE! No spoilers past the chapter you click on. Curious what I'm doing here? Read this post! For the link index and a primer on The Wheel of Time, read this one! Like what you see? Send me a Ko-Fi.)

(Avendesora leaf icon) In which sometimes your special interest is your ta'veren power.

PERSPECTIVE: Egg and Nyn have been seasick the whole trip. Egg wears the snake ring and the stone ring on a cord around her neck, wanting both to be close. She's had more dreams, some vague like just the Seanchan existing, but others include:(1)

A Whitecloak putting Master Luhhan in the middle of a huge, toothed trap for bait

Perrin with a falcon on his shoulder

Perrin choosing between his axe and a blacksmith's hammer

Mat dicing with the Dark One and shouting, "I am coming!"—and she thinks he's shouting that to her

Rand sneaking through darkness toward Callandor, followed by six men and five women, including a man with eyes of flame who wanted Rand desperately

Rand in a dry, dusty chamber with small creatures settling on to his skin

Rand confronting a horde of Seanchan

Rand confronting her and she has a Seanchan woman with her

The ship docks, and she could almost kiss the sturdy dock. The Stone of Tear, the great fortress, is visible even from here. Elayne comes up behind her and says it was woven with the Power, long ago, a lost art.

Egg isn't eager to ride, fearing the motion of a horse might be too close to the corkscrew motion of the ship that made her so sick, but they have little choice. Egg wonders aloud how they're going to find the people they seek, and Elayne suggests a thief-taker, like Hurin.(2) Egg says alright then, they find a room at an inn and ask the innkeeper to find them a thief-taker. Nyn says no, not an inn, Liandrin will be watching them all after leaving all those clues,(3) but she'll know what she's looking for when she sees it.

As they search, Egg sees that many of the people are wearing wooden platform shoes, to keep their feet out of the ever-present mud. She's wondering what kind of shop would sell those, when Nyn finds what she sought: a local Wisdom, or equivalent.

They knock, and the woman, Mother Guenna, asks which of them needs her. Nyn says she needs something for her stomach, and MG invites them in. Nyn takes the tea she makes, and they start testing each other's knowledge of herblore. Eventually, there's a camaraderie among the whole group, and MG says she's enjoying their company, most people ask for something to soothe troubled dreams lately. Her given name is Ailhuin, and they must come visit her again if they're staying in Tear. Nyn asks if instead they could rent a room from her.

Ailhuin says if she lets them stay, there'll be no talk of paying, but first they have to tell her why they're in Tear. Nyn says some people stole something from them, all those who could otherwise have come were killed, and they seek justice. After a little more discussion, Ailhuin says they'll stay, and she knows a thief-taker, the most dangerous man she knows in fact, and he's happy to work for those of any social class, for what they can afford.

After Ailhuin goes to fetch this Juilin Sandar, Egg tells Nyn she's learning to manipulate as well as Moiraine.(4) El slaps her, saying she goes too far. None of them likes what they're doing, but it has to be done. Egg rubs her cheek and thinks it does have to be done, but she still doesn't have to like it.

=====

(1) A lot of them are phrased as questions, and it's worth reviewing that paragraph and asking yourself the questions Egg's asking. I won't say that all the dreams in the series are clear setup/reminders of ongoing arcs and things we haven't seen lately or anything, some never come up again, or are so vaguely described that the fandom can't agree on a solid interpretation. But, RJ doesn't repeat these motifs for no reason, and he doesn't have characters ask themselves questions for nothing. (2) So we said goodbye to Hurin… but we're bringing back another character in damn near the same slot in the party. Sure. This feels more and more like a D&D campaign where someone got busy and had to leave. (3) Ah, but did she and the others leave those clues, or was it Lanfear? I suppose either way, someone will be watching for them. (4) I wouldn't go so far as Elayne does here and slap her, but Egg's chafing at Nynaeve no longer being her superior but still acting like it IS going a bit far.

[nathank77]

4/27/24

10:59 p.m Edited/Added to

So I had heart palpitations when I closed my eyes again last night... luckily they passed and fell asleep on just the half MG of xanax. I didn't need any other drugs, thankfully.

I woke up around 12, that's the longest I've slept straight through the night since psychosis minus after microsleep, while I was smoking weed. The nights I didn't microsleep during October I could sleep through like 7-10 hours. That was only like 4 or 5 nights between October 10th and November 3rd... and then when I started sleeping regularly again I was able to sleep like 6-10 hours straight when I was smoking pot. Then I quit pot and insomnia got terrible...

And before Xanax when I finally fell asleep after, "black heading," for hours I could stay asleep longer like 6-10 hours but it took so long just to fall asleep and some nights I never did...

Then I started Xanax and I've been able to fall asleep but usually i wake up ever 2-3 hours...

Anyways I took benadryl at 12 and then passed back out. Woke up at 2 p.m and then fell back to sleep without benadryl and slept until about 3:30 or 4 p.m idk bc microsleep fucked with my ability to know if I slept or not... all I know is that's why I keep a sleep tracker...

I decided not to do my laundry... I need to do my bedding and I've been putting it off bc my hoodies pile up so fast from Contamination.. and I need to have them to use the sleeves to grab stuff, so i have to plan to do my bedding the day after I do my clothing and towels bc otherwise I have a huge pile and can't do it all in one day.

However I needed a day with limited to no bathroom time. My laundry machine is in the bathroom, and even if it wasn't, doing laundry triggers major OCD. So I just decided to have a red bull day aka two 12oz red Bulls in a day and play video games.

I'm glad I made that decision. I'm playing bully and working on chapter 5. I am cooking dinner and taking a break. I should have that finished and uploaded prob around 3 or 4 a.m depending on how slow my MacBook is bc I've had to piece together the video bc of breaks... I'm taking pictures so I can submit them to apple so I can get my computer looked at and have a case at the apple store but I have to do it over the phone first and submit pictures. To combine a 1 hour video I have to wait 20 minutes it's ridiculous.

Anyways, I got my sneakers, I love them but the right shoe squeezes my baby toe strangely I've been fucking with the laces but I can't seem to get it right. Idk if this is one of those beauty is pain things or what but I might return them bc it's uncomfortable and if I get lines in them, they won't take them back but we see. It's actually both toes when I walk... I might do a return.

I'm hoping I can get some good gameplay today. Unfortunately I'm stuck on my old Xbox one s bc my stupid cloud saves won't transfer over to my series x which is fucking obnoxious...

Idc about most of my saves but I care about some-

1) Silent Hill 2 bc of my 10 star thank God that transferred over.

2) far cry 2 bc I have a over 20 hour save file and I'm half way through the game but it won't transfer to my new system......

3) Bully bc I have almost a 100% completion save file and one achievement left for 100% but it won't transfer.....

4) Minecraft bc of my castle which I've invested over 36 days working on thankfully that transferred over.

5) Silent Hill Homecoming bc I unlocked all the endings but whatever I can live without it even though it's obnoxious.... it won't transfer..

Anyways I won't play fc2 on my old system bc I'll easily play over 20 hours on the second half so I have to troubleshoot it..... I already tried for hours last night.

I'm sucking up bully for now to finish my playlist and I may accept losing the 100% completion save file which is fucked.

It's nice trying to relax but technology is a bitch and yea... I only picked Bully bc it doesn't trigger my OCD.

Also I've noticed at least in one way my hallucination has improved. When I played bully months ago the entire experience was intruded upon by the hallucination... however I think the last time I played it was like November when it was much worse.

There is a lot of dialogue so it helps drown it out. I've noticed with games with dialogue I can enjoy them mostly.

[waytoomuchanalysis]

My roommate takes edibles to sleep but ran out, so last night they asked me if I had any and I did but all I had was one of those fruit flavored 100 mg shots. I had no problem sharing though so I poured them about 10 mg worth into a cup (knowing they eat a 10 mg gummy nightly) and all was well

Then TONIGHT they asked again and I said yes again but then they sat down at my desk chair to unlace their shoes in such a way that their legs and the stuff in my room blocked my route to the kitchen for a cup unless I was going to awkwardly step over their legs

So I kinda just fumbled around with the stuff on my dresser until they stood back up and then I picked up the bottle and went to go to the kitchen but instead when I got to them they reached out and just took the bottle out of my hand?? I was too surprised to do anything but let them have it lol. Then THEY walked to the kitchen instead and asked me if they should just take one capful or what, and I said oh uh yeah it’s like one cap and a bit more, if you want 10 mg, caus the capful is only like 8.33 mg.

Then for some reason they turned around? And obviously it didn’t occur to me to watch them the whole time but I swear they brought the cap to their mouth three times.

Idk we’re both autistic and this was probably just a miscommunication, plus they keep telling me when they go to a dispensary for more edibles they’ll tell me ahead of time so I can pick something out as reimbursement, PLUS I made kind of a side comment yesterday as I was pouring the edible into the cup that it was an awkwardly large glass for a tiny amount of liquid. So maybe they just thought “oh, I know! I’ll just use the CAP and it’ll be way more convenient!” and didn’t think “my roommate poured some into a cup last time and will probably be expecting to do the same thing this time.” The set of circumstances with not being able to get to the kitchen and thinking I maybe saw them take more capfuls than we discussed without permission just offends my sense of justice lmao

[tryingtogetthru]

Doctor, we can't learn new things anymore, but thanks for trying

So we made our monthly trek to the pain management clinic to get her refill.

I have noticed that between her awful memory and her willingness to believe anything might be good, she genuinely gets relief from almost any snake oil she's offered, for a week or so. Mom has a pediatrician friend that I discussed it with a couple of years ago and she said to never discount the placebo effect. Instead, we should find a way to use it.

Pain clinic PA has always just said she can't have more meds and that she should be more active. Ma'am, she's in her 80s and was square dancing 5x a week and gardening on off days and doing the housework single handedly. How much more active does she need to be? Do you realize that each of those things comes with serious pain? That's why the meds were given in the first place. Her pain is worse over the years and she can no longer recall if she's just taken a pill or not, so now I'm in charge of them.

Made it a point to start going to appointments to talk to the doctors. Told the PA I'd looked into things and, if she's unwilling to increase the dosage, I'd like to try something different with the current drug. It is available in 25% lower pills. Lets do that and get 25% more pills. (instead of being given 3 10mg pills in 24 hrs, lets get 4 7.5mg pills for the same period) She'll forget that we are using a lower dose in a couple of weeks/months. I'll still be able to give her 30 mg in a day, but if she truly just thinks she needs 3 pills, they'll be weaker and I'll have a bonus pill if needed. Everyone says worth a shot, but 120 pills means back to monthly (instead of every 8 wks) visits.

Last week, her regular PA wasn't working and a new guy was covering her patients as well as his own. OK, we don't care for her anyway, maybe we can switch if we like him.

Nurse gives us the story on this guy. 62 yr old man from Nigeria where he was a freaking neurosurgeon! Emigrated relatively recently and USA says he can practice medicine here too, if he'll redo his residency. Nope. That's for the young ones, he's not doing that. Did research and decided to get qualified as a PA instead. Better hours, less responsibilities, wider variety of patients. Sold.

Since the Doctor (he's a Doctor, and we'll call him that) is covering for the other PA too, we waited about 30 minutes in the lobby and another 45 in the exam room. Unlike the PA he was replacing, there actually was an exam! He looked at her shoes, her gait, her scans in the system, etc. He talked to us about what is causing the pain and had her get on the table to try and see if she could do some basic stretches to help the pain. Said a month of doing that would make a big difference. Still gave us the Rx, but also talked to her about her vertigo (PA never talks about it) and tells us the neurologist's PA can write a rx that will help, but she prob doesn't know it exists.

On the way out I said, "he actually tried to help, can we get him again?" Scheduler laughed and booked next appointment with him instead. I wonder how many patients the PA lost that day?

Sadly, the exercises/stretches all have to be done right as she wakes up. I stay up all night giving her pain meds and can't be up to do PT for/with her. She can't remember that there were 2 stretches and doesn't understand how they work. Why couldn't we have had him 4 years ago?

[explosionofdisbelief]

i'm trying not to buy as many books this year for several reasons (mostly space-related since i live in a shoe box) and so far i think it's going okay? i mean, i know it's only mid-february but i know i had already bought way more books this time last year

i'm writing a list here of the things i'm doing differently this year so i don't buy as many books, mostly to remind myself

avoid buying books during big sales bc i always buy books just BECAUSE they're on sale (i'm lookin at you, b&n)

actually avoid b&n altogether bc they have super shitty policies re: MG and YA books that disproportionately harm bipoc authors

stop buying books just bc there's pre-order stuff. i get that pre-orders are important, but i am always tempted by the *stuff* and literally all of it is sitting in a paper bag on my floor (unless its a bookmark. those are the only things i actually use)

don't buy books just bc the covers are pretty. this is one of the worst things i do!!! and then i am either disappointed, or the books just sit on my shelves bc i never get around to reading them (do NOT ask me how many unread books i have bc i literally don't know)

stop buying sequels before i've read the first book!!!!!!!!!! this should be a no-brainer and YET. i counted 5 series glancing over at my shelves just now where i own multiple books and haven't read a single one of them 🙃

maybe stop buying special editions of books? idk about this one. i just got a special edition of one of my favorite books in the mail this week (and yeah i have the regular edition too) so i'm not sure about this one. i think maybe i just need to be more aware of how much they cost and if i REALLY need the special edition. like if it's a book i haven't read yet then probably not. but if it's one i love then it's probably okay

if i read an ARC of a book and love it and decide i actually want to buy the book maybe i should take a second to think if i'm actually going to read it again??? i have done this so many times. i read the eARC version of a book and it wasn't formatted great so i decided i wanted the final version and haven't touched it since 😒

overall just be more thoughtful about my book purchases. i don't want to just completely deny myself the joy of buying books because it's not a harmful thing and books are pretty much my only hobby. i just need to not throw my money around every time i see a book i'm vaguely interested in. i already use the library way more than i read any of my own books, so i need to find more balance with that and just take a second longer to think if i really need to buy the book that caught my eye at the store ✌🏼

[exoterrestrials]

YIPPEE doing this for the sillies

1. When did you get into the series?

I didn't start playing until end of 2017/ beginning of 2018, but back in 2015-16 I'd watch my cousin play S1. I never played it myself but I absolutely fell in love with the game, my favourite map was Flounder Heights :)

2. Do you play as an Inkling or Octoling?

Inkling ! I didn't even use Octoling very much in S2. Just didn't like the lack of hair options I guess.

3. Favorite hairstyle(s)?

In no specific order, these perhaps ?

4. Favorite/least favorite main weapon(s)?

Favourite, Aerospray. Least Favourite, Squeezer.

5. Favorite/least favorite sub(s)?

Favourite, Burst Bomb. Fizzies being a close second. Least Favourite, Toxic mist, Torpedo, Angle Shooter and maybe Kittydogs.

6. Favorite/least favorite special(s)?

Favorite, Booyah Bomb (only S2), maybe Splashdown, and maybe Reefslider. Least Favourite, Kittydog, Curling Bomb Launcher, Ink Vac, Sting Ray, and Tenta Missles.

7. Do you have a main?

Aerospray PG in S2, Aerospray MG in S3. I also used to main Splat Roller, Clapples, and Neo Splash in S2 as well and in that order :)

8. Drop your favorite fit!

This is what I've had since maybe first week ish of S3 ? I really like the shirt, it's very on brand lmao

And I believe this was my go-to S2 gear. Studio Headphones and Neo Octoling Armor + Boots

9. Show us your splashtag!

10. Show us your Locker!

Ermm

11. What's your sens?

-1 for both

12. Favorite/least favorite ranked mode?

Favourite, Zones. Least Favourite, Clam blitz.

13. Favorite/least favorite map(s)?

Favourite, S1 Flounder Heights, S3 Museum d'Alfonsino, maybe S2 Arowana Mall. Least Favourite, S1 Bluefin Depot, S2 New Albacore Hotel, S3 Mahi-Mahi Resort.

14. Favorite/least favorite SR map(s)?

Favourite, S2 Spawning Grounds or Marooner's Bay. Least Favourite, S2 Ruins of Ark Polaris, S3 Gone Fission Hydroplant.

15. Favorite/least favorite character(s)?

Favourite, Spyke, Marina, Agent 8, Jelfonzo, and Mr. Coco in that order. Least Favourite, Sheldon, Murch, Cuttlefish, Craymond, Pearl.

16. Favorite/least favorite splatband(s)?

Favourite, I loveee Dedf1sh but more as a character, so Sashimori is really the only one that comes to mind ? Entropical is a banger

Least Favourite, ω-3. The way the music is written is genius but it makes me feel like I'm going insane.

17. Favorite/least favorite boss salmonid(s)?

Favourite, Maws. They can be super satisfying to kill in one go and helped with my sub aim back in S2 when I heavily relied on burst bombs.

Least Favourite, Stingers.

18. Favorite/least favorite SR event(s)?

Favourite, Low tide, Cohock Charge. Least Favourite, High tide, Fog.

19. Ugliest gear item, in your opinion

THOSE FISH HEADS. SORRY BUT THEY'RE SO WEIRD LMAO

Also erm both cycling shirts, the cycling cap, the moist ghillie suit, octoleet goggles, the power armor, and the climbing shoes..

20. Favorite/least favorite gear brands?

Don't have any intentional preference really

21. Do you play comp? FA or team member?

I could never play competitively, don't have nearly enough skill for it I think. Doesn't pique my interest too much anyways.

22. What's your favorite accomplishment?

I think just finishing Octo Expansion, lot of emotion in that.

23. Favorite content creators/pro players?

Yes

24. Post a favorite clip of yours!

[franchglobal2]

Building Your First-Aid Kit

First-aid kits have been around for a while. They go back over 130 years to when Robert Wood Johnson debuted the first-aid cabinet in 1888. The design and composition of these kits have changed over the decades, but they are as useful as ever. They make it possible for lay people to be helpful until professional help arrives.

While you don’t need any specific certifications to provide first aid, you certainly need the right supplies.

 First-aid kit checklist

 For the ease of those who haven’t done this before, below is a list of essentials for a family or group of four. A first-aid guide

 2 absorbent compress dressings (5 x 9 inches)

25 adhesive bandages (assorted sizes)

1 adhesive cloth tape (10 yards x 1 inch)

Franch Oil NH+

5 antiseptic wipe packets or wet wipes

2 packets of aspirin (81 mg each)

1 emergency blanket

1 instant cold compress

2 pair of nonlatex gloves (size: large)

2 hydrocortisone ointment packets

A 3-inch gauze roll (roller) bandage

A roller bandage (4 inches wide)

5 sterile gauze pads

A thermometer (non-mercury/non-glass)

2 triangular bandages

Tweezers

 Franch Oil NH Plus can quickly heal small bruises, abrasions, wounds and burns. Applying this oil in the naval region can help in relieving abdominal pain in children. In case of Menstrual pain in women, it is advised to apply this oil in the lower abdominal and stomach areas to get immediate relief. It can provide relief from itching caused by napkins, shoes or other clothing. It can even provide relief from itching caused due to microbes as well.

Remove, throw away, or use and replace any supplies before they expire. Set a calendar reminder on your smartphone to update the supplies in your kit every six months.

 Customise your kit

 Think about the healthcare needs of your family when putting together a first-aid kit. For example:

If you have a family member with a severe allergy, include antihistamine medicine and an epinephrine injector.

 If you or a family member lives with diabetes, include a juice box, Diafite supplements, glucose tablets and gels, and an emergency glucagon injection kit. For example, you can use a note to remind you where sugary drinks and foods are kept in case of a diabetic emergency.

In the case of cut or burn wounds, do not apply directly on the infected area but once disinfected, apply Franch Oil NH Plus in the affected area and gently massage. Leave it for 45 minutes for best results or as advised by the physician.

 To know more: https://franchglobal.com/building-your-first-aid-kit/

[groovesnjams]

gRººv333S,,,n,,,J▲M§ ▬|s|!|O|!| ❤︎|!|t|!|y|▬{{mmxxii}}  

..................number14 ....................of50

“Happy Girl” by Katie Dey

DV:

There’s an unmatched intensity to “Happy Girl”, like staring at the sun or holding your hand over an open flame. Each word feels like an electric charge, like it’s a monumental struggle for Katie Dey to deliver. This is a song built of aphorisms, each line encapsulating a world of compressed emotion. “The words burn up as I type them,” she trills; they’re too much for the concepts they contain; the song outlines and thereby transcends the boundaries of language itself. “Eventually I hope we can rest/ Eventually the fear comes out,” hangs in the air when she sings it: it’s so basic, it’s so complicated, it’s constellations of meaning in a couplet. “Baby shoes” but with a couple more words and a lot more existential dread. That impossible longing suffuses “Happy Girl,” the year’s most painful crush song, maybe the only one ever to fixate on handholding, but be angry about it. Ultimately that’s because the song exists “Even in a world like this". That’s Katie Dey’s punchline, that’s the payoff to the fear. In a world like this, even being a happy girl feels like an insurmountable task.

MG:

Much like my misguided notions around the endurance of organized religion, another belief I’d held uninterrupted since childhood that has since fallen to pieces is that the world I was raised in was so profoundly different from all the worlds that created it that there was no comparison between the past and all my presents. Some of this can be attributed to really poor public school education, especially where history was concerned. Most of my teachers struggled to make their subject engaging at all, the ones that succeeded made it all sound like mythology or fables, mistakes that we would, of course, never repeat. But most of this is owed to my own enduring naivete, my lack of experience with people and groups, my unwillingness to connect my own past to my own present and thus every past to every present. One positive consequence of finally engaging with all the piled up “ok, that did happen” stored in my brain under “trash deletedeletedelte” is that I can better see the connection between, say, the extreme moral chastity of the Victorian era and the way our own current conservative movement is so focused on the bodies of trans women. It’s not a new thing, it’s a very old thing, it’s a very old virus that is always in the human body and mutating and destroying.

I also finally put together that “Happy Girl” is a Gertrude Stein song! Before it felt like this was happening on the internet and they didn’t have the internet at the turn of the 20th century, so, no comparison. I guess you can add internet to humanity but humanity will keep doing what it does. The suppressed intensity, the impossibility of happiness, the way “simulcra catfight” feels like “tender buttons” put through one of those font modifiers to make it look glitchy -- this is what Stein did with her work. I don’t make this comparison to suggest it’s all been done before, but rather to say that Stein’s work was clearly unfinished and the dropped stitches have been picked up by Katie Dey. And also that maybe changing the circumstances around our lives isn’t enough to undo the hell we’ve wrought. Anyway, “Happy Girl” is a really beautiful song, one that luxuriates in its subtleties and invites the listener to witness where communication fails but meaning persists.

[jcrmhscasereports]

Charcot Arthropathy: A Case Study by Abdalla Khabazeh in Journal of Clinical Case Reports Medical Images and Health Sciences

ABSTRACT

Charcot Arthropathy is a serious complication of Diabetic neuropathy, usually affecting foot or ankle. It causes widespread destruction of affected joints and bones around them leading to severe deformities that may require major amputation. Here, we report the case of a 62 year-old male who presented with severe left foot deformities and swelling on the left big toe that developped over a short period of time. His primary presentation raised the suspicion for a bone tumor or cellulitis which then revealed by X-Ray that it's a Charcot foot necessitating foot fixation, strict glycemic control and treatment with Biphosphonates. This report will therefore serve as a reminder for clinicians to keep in mind Charot Arthropathy in diabetic patients with peripheral neuropathy even if it doesn’t present in a typical manner.

Keywords: Charcot, arthropathy, diabetes, trauma, destruction, joints, deformity, sensation, neuropathy, inflammation, chronic, Fixation, Osteodegenerative, ambulation, uncontrolled.

INTRODUCTION

Charcot Arthropathy is a serious but rare progressive condition that can affect 0.15 – 2.5% of diabetic patients especially those who developed peripheral neuropathy. Despite the voluminous work reported in literature on CA, very few studies mention the prevalence of this disabling disease. The actual incidence of CA may be greater than what is reported, as in many cases, the clinicians fail to diagnose or are late to diagnose this serious complication. Charcot affects the bones, joints, and soft tissues of the foot or ankle. Whilst the exact pathophysiology remains debated, a multifactorial pathogenesis seems likely predominating. This involves repetitive micro-trauma in a foot with impaired sensation and neurovascular changes caused by pathological innervation of the blood vessels leading to bones deformities. Clinical features include signs of inflammation, profound unilateral swelling, an increase in local skin temperature and bone resorption in an insensate foot may be present.

In advanced cases with considerable mid-foot destruction, a typical "rocker bottom" appearance is seen. In most cases, progression of deformity takes a more chronic form and is seen over a period of months, to years.

This case report describes a case of a chronic destructive Charcot foot in a patient with uncontrolled diabetes, which was initially managed as a case of bone tumor.

CASE REPORT

A 62 year old male with a background of Type 2 Diabetes Mellitus, peripheral neuropathy and obesity presented with complain of numbness and decreased sensation of forefoots and a mass in the arch of left foot. Eight days prior, he sustained a fall whilst walking but denied any injury, swelling or pain at that time. He said his left big toe was totally straight but now has deformed (into Morton) and his 2nd toe looks bigger due to big toe deformation and often remains bend in shoes which he doesn’t feel, but when removing the shoes he often finds it bent. The patient denies any pain in the deformed toe but a little feeling of warmth in the pathological area Figure.1.

Figure.1

Examination revealed a warm, swollen left foot with a 2 mm healing ulceration on the plantar surface and a lumpy sensation on the left big toe. Blood tests showed normal white blood cells count, elevated C-reactive Protein (CRP-67) and a thrombocytosis. His fasting blood glucose level was 221 mg/dl with features of uncontrolled diabetes.

Plain film X-Ray revealed complete fracture dislocations of the 1st , second and fifth tarsometatarsal joints with large bone deformity on the left arch of the foot as well as another deformity on the right arch and lower calcaneus {Figure.2}. This was correlated with bone CT (computed tomography) and MRI (Magnetic Resonance) imaging, with interval changes noted to be of chronic onset.

Figure.2

DISCUSSION

Charcot foot is a well-documented complication of diabetic neuropathy. The mechanism of this is not fully understood but two theories exist – namely, the neurovascular and neurotraumatic theories. In the neurovascular theory, an underlying autonomic neuropathy leads to hypervascularity, osteolytic changes and demineralization. However, the neurotraumatic hypothesis indicates that unperceived trauma to an insensate extremity leads to continued bony destruction on ambulation, which worsens and progresses. These theories imply that a sufficient time frame is required for established Charcot foot destruction to develop.

Typical progression of Charcot foot occurs over months to years, although rare acute onsets have been reported. However, the progression seen in our patient, from normal X-Ray appearances to established, acute Charcot foot with considerable mid-foot destruction over a period of just 10 days is a rarely described progression of Charcot arthropathy. The combination of local skin warmth with decreased sensation in the left foot and feeling of a bony lump on the left arch raised the suspicion of a bone tumor, but X-Rays as well as CT Scan of the foot beside the uncontrolled diabetes in this patient made Charcot foot a more possible diagnosis.

Early recognition of Charcot Arthropathy is a mandatory to ensure improved outcomes. It is important to differentiate between acute Charcot foot, infection and bone tumors through clinical investigations as well as patient medical history. The presence of ulcers should raise the suspicion of infection or osteomyelitis, and therefore, the importance of early imaging cannot be overstated. Modestly raised inflammatory markers (CRP-68) in this diabetic patient along with left foot deformities suggest an acute Charcot foot than an infectious process. The latter frequently presents with high laboratory values.

The initial management of the patient was fixation with a total contact leg cast, followed by open reduction and internal fixation (ORIF) with locking plates, combined with lengthening of Achilles tendon to permit full dorsiflexion and subsequent re-casting.

Due to osteodegenerative nature of CN, all attempts at pharmacological treatment have focused on anti-osteoporotic drugs so we started the patient on an Alindronate beside a more strict control of his diabetes. His post-operative progress was satisfactory and he is currently non-weight bearing for 6 months post-ORIF.

CONCLUSIONS

The case highlights an important clinical scenario that can be misdiagnosed in a diabetic patient. A clinical presentation of unilateral foot swelling, erythema, warmth and decreased sensation should raise suspicion for Charcot Arthropathy even in the absence of trauma history. I hope this will be a helpful reminder to clinicians when dealing with similar presentations.

For more information: https://jmedcasereportsimages.org/about-us/

For more submission : https://jmedcasereportsimages.org/

[starstruckwombatfestival]

15 Most Underrated Skills That'll Make You a Rockstar in the cbd massage cream for pain Industry

The 7-Second Trick For Cbd For Chronic Pain: The Science Doesn't Match The Marketing

Table of ContentsThe Main Principles Of Cbd (Cannabidiol) For Pain: Does It Work? Excitement About Should You Take Cbd For Pain?10 Simple Techniques For Best Cbd Roll-on - Cbd GelCbd For Chronic Pain: The Science Doesn't Match The Marketing for Dummies

Statements included herein have not been actually analyzed due to the Meals and also Drug Administration. This product is not intended to detect, manage, remedy or even protect against any disease. These are not weed products (cbd roll on stick for pain). Products on this site include a value of 0% to lower than 0. 3% THC. Satisfy install the private laboratory exam leads on product pages for particulars.

Therefore, I have actually tried this reach one and additionally the Muscle Remedy in the tub. I truthfully like all of them each, but also for various reasons. The roll on possesses camphor and also menthol, and I like those both because they are actually extremely passing through and also NATURAL, which is tremendously vital to me. cbd+delta 8+delta 8 thc+gummies+cbd+rollons+delta 9.

The Muscular tissue Salve in the tub is totally various. It is actually a lot more dry as well as is actually not slippery. It smells much less tough and also still experiences highly effective, but a lot more refined. You could possibly put this on as well as return to the workplace and also individuals would certainly certainly not inquire about it as a result of the scent. cbd oil roll on for back pain.

My massage therapist enjoys the remedy because it is actually successful however additionally certainly not as well slippery. She likewise uses the roll on,, yet more for after a massage than during the course of. 1000mg nano thc. I think it is actually simply an issue of what you are actually appearing for. I have pair of good friends that speak highly of these products for instant comfort of gout pain- I simply can't bear in mind which one they utilized - cbd topical 1000mg.

I additionally had a buddy who went down a block on her toe and also assumed it would certainly be actually incredibly painful the next day, however she completed her shoe after rubbing on the reach and left it overnight, and her foot was actually completely usual in the early morning. I love this things!.

Some Known Factual Statements About Cannabidiol For Pain Treatment: Focus On Pharmacology

It's used in anti-wrinkle products as well as anti-aging lotions considering that it takes a healthy and balanced glow back to skin layer (best pain relief roll-on). Throughout the years, the extract coming from licorice has become an extensively examined plant based solution for calming skin. Latest studies present it's an anti-oxidant that ensures skin layer joy and also might also be actually an astringent (for taking out the lifeless cells from the outer level of the skin).

This straightforward yet reliable substance is actually therefore widely used in the beauty market that it's referred to as 'the Ultimate Hydrating Skin Care Active Ingredient'. elixicure cbd pain relief roll-on. As a humectant, glycerin imitates a sponge that pulls water coming from the much deeper level of the skin in addition to from the sky, delivering humidity as well as soothing to your skin's exterior level.

Although frequently described as jojoba oil, it resides in reality a wax (cbd 1000 mg). When put on skin, it creates a water-resistant obstacle to secure dampness, helping to hydrate as well as soften the skin - anti inflammatory roll on. Utilize the CBD Roll-on in the early morning to chill out for the day or even after exercise to cool and recover.

Proudly made in the U.S. with Kentucky and Netherlands developed hemp.

These declarations have not been evaluated due to the Food as well as Medication Administration (fresh cbd oil). This item is actually certainly not planned to diagnose, handle, remedy, or avoid any type of disease. Products include a complete delta-9 tetrahydrocannabinol concentration that does not go over 0. 3% on a completely dry weight basis. These products are except make use of through or even sale to individuals under the grow older of 18.

A Biased View of Should You Take Cbd For Pain?

It must certainly not be actually utilized if you are actually pregnant or nursing. Consult along with a medical professional before use if you possess a severe medical condition or make use of prescribed medications. A Medical professional's assistance must be actually looked for just before utilizing this as well as any extra dietary item. All trademarks as well as copyrights are quality of their respective managers and also not affiliated along with neither do they recommend this item.

CBD, short for cannabidiol, is a chemical compound found typically in hemp vegetation, which has been actually linked with various health and wellness and also health perks. While CBD as well as THC remain in the same cannabinoid family, they are remote relatives in aspects to their results on body. One of the most distinct variation being that pure CBD is non-intoxicating, indicating it does not have a sturdy effect on intellectual mind task and also doesn't induce the "high" linked with cannabis - roll on arthritis pain relief.

Whether you're a newbie or expert within the world of CBD, there's the main thing you can't refuse the options are never-ending. It might be overwhelming or also baffling for people just beginning to venture right into CBD to discover the most effective possibility - cbd roll-on review. And also also for seasoned individuals, there is actually always something new to find out.

You may actually possess concerns about this type of CBD, as well as our experts are actually listed below to give you the answers! Continue reading to discover everything you need to have to understand about what CBD roll-ons carry out, how to utilize all of them, and how they can assist you soothe joint discomfort as well as irritation throughout the physical body. buy cbd for relief.

That being mentioned, CBD roll-ons perform use particular results that various other CBD types carry out not. Depending upon the components, these rollers operate topically to offer alleviation as properly as immediate experiences. Some assortments do an air conditioning experience, while others possess a warming feeling both kinds supply different perks you could be trying to find.

Cbd For Chronic Pain: The Science Doesn't Match The Marketing Fundamentals Explained

If you are actually looking at trying the roll-on CBD strategy, you may be pondering what makes it various from various other therapy choices. There is actually lots of oils, edibles, supplements, and much more CBD items on the market, therefore why opt for a roll-on? There are many variables to this strategy that stand apart from other CBD items you may recognize with.

Many people are going to take an Advil to ease their discomfort, but CBD roll-ons make an excellent alternative along with much more benefits. CBD is additionally a non-addictive procedure that may supply recovery safely, without issue about establishing a reliance - relax+releaf pain gel. It's likewise a preferred procedure for ache for those that do not wish to experience psychoactive effects.

Folks that operate in uncomfortable environments that trigger their muscles to tighten after a long day can easily utilize CBD rolls to unwind their physical bodies. 1000 mg cbd. There are lots of various other uses for CBD roll-ons, yet the last aspect our company'll discuss is actually that they are additionally incredibly beneficial. CBD oils as well as casts may be a wonderful thing to carry hand, but they're certainly not always effortless to circumnavigate along with - muscle pain relief roll-on.

Having said that, they are actually most effectively made use of to target muscular tissues and also junctions so we wouldn't recommend utilizing them on your skin. If you are actually aiming to alleviate the pain in your muscular tissues and junctions, the request is easy. If you are actually unclear where the most ideal place to administer the roll-on is actually, think about where your pressure is originating from and intended that place! Roll-ons may be used to address disorders like ping pong elbow joint, backaches, or even irritation in the muscles! Certainly, there are actually limits to these items - they are actually certainly not a final cure for all aches and aches - cbd pain roll fresh bros.

We likewise recommend staying clear of sensitive skin layer places or taking into consideration the elements before you start - doli cbd. If you have sensitive skin, you do not wish to aggravate it. Regularly check the ingredients to make certain they will not create a reaction on your skin. Last but not least, regardless of whether you have a number of areas of muscle or joint pain don't overapply! Covering your physical body with CBD is not the way to go (cbd roll on stick uk).