@davidicke Why bother, dude is a circus clown. They hand him a script, he dances to the tune. He replaced the cam girls with a direct to user experience. Same grift.
@millerman Questioning the middlemen between self and God is not turning against God. Rather a ponderance on why there is a cartel titrating the knowledge with a weekly subscription tithe. Suppose from their POV it's the same.
Local anesthetics and Sodium bicarbonate.
Local anesthetics (like lidocaine) are naturally acidic, which makes their initial injection notoriously painful or stinging.
Combining them with sodium bicarbonate acts as an alkalinizing buffer to raise the solution's pH, transforming it to more closely match physiological tissue pH.
Alkalinized solutions are unstable and are usually mixed immediately prior to injection to prevent the anesthetic from precipitating.
https://t.co/bBBnEfg50E
@RealPostFolder Good on her to get this sorted before having kids good on him on the prenuptial. Hope they work it out. If not atleast they aren't forcing the kids to live with trauma.
Sink or swim!
Brain is swimming in CSF!
CSF is key for protection, buoyancy, & hormone/waste transport
Most know basic ventricular anatomy well, but not subarachnoid anatomy.
How many cisterns do YOU know?
Here’s a quick guide to the key midline cisterns & what to know for each
—Cisterna Magna:
Largest of the cisterns
Contains CN 9-11 & vertebral arteries
Remember this bc the LARGEST cistern contains the LARGEST cranial nerve (vagus) and the two cranial nerves around it
—Prepontine cistern:
Contains CN 6 & basilar artery
Remember this bc the shape of the number 6 mirrors the curvature of the anterior pons, where this cistern lies
—Chiasmatic cistern
Contains CN 2 & pituitary stalk
Easy to remember bc the CHIASM is CN 2
—Interpeduncular cistern:
Contains CN 3 & mammillary bodies
Remember this bc if you lay the number 3 on its side it looks both like the two cerebral peduncles (where this cistern lies) & well, two mamillary bodies
—Quadrigeminal cistern
Contains CN4 & pineal gland
East to remember bc QUAD is the prefix for FOUR
—Lamina terminalis:
Contains the ACOMM
Remember this bc the shape of subarachnoid hemorrhage after ACOMM rupture follows this cistern anteriorly
Now when you look at cisternal anatomy, you will definitely be able to go with the flow!