SurfLady

ANIMALS - FURBABIES -- EVERYTHING children. Fight for all children to live a safe & loving life. If you know me then you know my yards are beautiful.

[Theana Crypto @Theana174]

Women gets searched!

[SurfLady @CaSurfLady]

@enews Court sucks in every way

[McFranchisee @McFranchisee]

I eat @McDonalds all the time, in good shape & have I have a daily goal of under 1800 calories and max protein (+180 g).

I use McD to supplement my other somewhat planned meals for the day.

Today:
🥬 Green drink
🏋️‍♂️ Clean & Jerk session
🧋 Protein Shake
🥚 Mega Egg Muffin
25 g protein / 355 cal for under $6

Options are there, it’s up to you! 💪

What’s your morning routine?

[SurfLady @CaSurfLady]

@Savvy_CapJackie Great for you.

[NEJM @NEJM]

Case Record of the Massachusetts General Hospital: A 74-year-old man was admitted to the hospital because of dyspnea, proximal muscle weakness, and hypoxemia.

The patient had been in his usual state of health, with hypertension and dyslipidemia, until 7 months before the current presentation, when intermittent binocular diplopia developed. Evaluation by an ophthalmologist affiliated with this hospital revealed ptosis in the right eye and fluctuating strabismus that was not associated with a cranial nerve abnormality. Testing for acetylcholine receptor antibodies was positive, and computed tomography of the chest showed a normal thymus. Treatment with pyridostigmine was started for presumed ocular myasthenia gravis, and the patient was referred to the neurology clinic affiliated with this hospital.

On examination, the temporal temperature was 37.2°C, the blood pressure 112/64 mm Hg, the heart rate 111 beats per minute, the respiratory rate 22 breaths per minute, and the oxygen saturation 87% while the patient was breathing ambient air. The oxygen saturation increased to 98% while supplemental oxygen was delivered through a nasal cannula at a rate of 5 liters per minute. The body-mass index (the weight in kilograms divided by the square of the height in meters) was 24.5. He had horizontal diplopia on sustained upward gaze and weakness on eye closure. Strength was 4/5 on elbow extension, elbow flexion, and hip flexion; strength was 5/5 on shoulder abduction but 4/5 after 20 repetitions. Strength was otherwise 5/5. The patient’s voice was hoarse, but his speech was not nasal. He was able to count to 16 in one breath. Mild dysarthria was present. On examination of the tongue, there was a raised erythematous area on the dorsal aspect, ulcerated lesions on the lateral aspect, and a white exudate on the dorsal aspect (seen in Panels A–C). Mild pitting edema in the ankles was observed. No rash was present.

Read the full case details in “A 74-Year-Old Man with Dyspnea, Proximal Muscle Weakness, and Hypoxemia,” a Case Record of the Massachusetts General Hospital (@MassGeneralNews), by P.O. Ankomah et al.: https://t.co/JRlVAVt9PL

[SurfLady @CaSurfLady]

@enews She is so beautiful/ funny as hell / 1 smart lady also / 1 of the best mothers

[SurfLady @CaSurfLady]

@NakundaMercy That is AI

[SurfLady @CaSurfLady]

@animallove8mab OMG

[SurfLady @CaSurfLady]

@HazelLiaqa4848 Still waiting to see the Epstein files

[SurfLady @CaSurfLady]

@HazelLiaqa4848 TRUMP

[Massimo @Rainmaker1973]

In 1901, Dr. Allan Warner of the Isolation Hospital at Leicester, England, took a series of photographs of patients with smallpox.

This one is possibly the most famous.

The two boys are said to be 13 year-olds and infected with smallpox simultaneously during an epidemic of the disease in the United Kingdom, one of the last big ones there.

The boy on the left shows a full-blown presentation of smallpox, with the pus-filled pustules all over his body, concentrated on his face and arms. The boy on the right is at the hospital in the same isolation unit, because he is also showing some pustules (and perhaps a slight fever or malaise), though certainly not as many.

The difference is in the fact the boy on the right was vaccinated and didn't develop serious symptoms.

The earliest written description of a disease like smallpox appeared in China in the 4th century CE (Common Era). Early written descriptions also appeared in India in the 7th century and in Asia Minor in the 10th century.

Ali Maow Maalin was the last person to have naturally acquired smallpox caused by variola minor in October 1977.

Almost two centuries after Edward Jenner hoped that vaccination could annihilate smallpox, the 33rd World Health Assembly declared the world free of this disease on May 8, 1980.

[SurfLady @CaSurfLady]

@FmrRepMTG Good to see your opening your EYES 👀

[SurfLady @CaSurfLady]

@sarrah_bellus He was sleeping

[SurfLady @CaSurfLady]

@ElonVisioniX Her iPhone
Because everything about her is on it

[SurfLady @CaSurfLady]

Check out this post on Nextdoor: https://t.co/PWRQaxAcRh

[SurfLady @CaSurfLady]

@LanieASassyVet OMG so sad

[SurfLady @CaSurfLady]

@wakeupusa That is so right

[SurfLady @CaSurfLady]

Please read the post.

https://t.co/XuvOcefWFv

[SurfLady @CaSurfLady]

Help with TNR

https://t.co/XuvOcefWFv