Jul 17
Some concept sketches I'm proud of. Various NPCs I hope to go into as time goes on, especially Lumen and Cauda in Act II. Aviticus unfortunately is super dead, but his research is still lingering around!
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Some concept sketches I'm proud of. Various NPCs I hope to go into as time goes on, especially Lumen and Cauda in Act II. Aviticus unfortunately is super dead, but his research is still lingering around!
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
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Also this seems very random and insignificant in the grand scheme of things but -
I've been able to walk just fine since my back surgery, only a bit more slowly.
Until today. I was able to walk at the same speed as before again - only for a short while, but I nearly cried.
you and i have a horse tail, did you know? girl sleepover where we braid each others horse tails? are you keeping your horse tail trimmed or natural? you get yanked by your horse tail often?
Don't ever x post from fb but this is an important post. Please familiarise yourself with the red flags of CES. its so important cos while it's rare it can happen to ANYONE and its terrifying, painful, and a long recovery afterward. Don't leave it days to get treated and put your continence, sex life if you have one or ability to walk in jeopardy. Go znd get seen if you have any red flags in this image
My red flags were parts of all of these categories and I still failed to notice it was ces despite knowing about the syndrome. By the time I was taken in, I had completely loss of feeling in left leg, weakness in my left leg, couldn't piss, couldn't poop, my whole butt and private area was numb and the pain in my back was the worst pain I've ever experienced. I should've by rights had an ambulance but instead I was stubborn and went in the car, and sat on a plastic chair for 8 hours before they made ne lie down when they realised what was wrong. Don't be like me lmao
Hey so I had a thing called Cauda Equina Syndrome and it's extremely rare but also needs to be treated immediately. I just read a post about heart attacks and it looks like there's not a similar one about CES. These are the red flags:
Severe back pain
Pain down both legs
Weakness, numbness, tingling, in legs, ankles, feet
Numbness or change of sensation in "saddle area" which is everything that would touch a saddle if you were sitting on it
Urinary retention or incontinence
Fecal incontinence
Sexual dysfunction
A lot of the symptoms are embarrassing or difficult to quantify, but it's a medical emergency so it's important to know the signs. If you have these, especially a combination of pain and weakness or incontinence, go to the ER and demand an MRI. It happens for a bunch of reasons, but the most common is a massively herniated disc, which is what I had.
The treatment is emergency spine surgery and the sooner it happens the more likely you are to regain function. Left too long, it can paralyze you from the waist down, and even in more minor forms it can cause permanent incontinence.
I'm American so I know it can be really difficult to go to the ER, but the risk of missing this is extreme. I went during our big COVID-19 outbreak locally, because it was so important.
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When you have a spine AND brain disease but stay strong. 💪 positive thinking and no more drama. Time to build bridges with enemies. Life is way too short. As I've recently found out. #ChiariMalformation #CaudaEquinaSyndrome
I’m looking for exercises for wheelchair bound people - my mum (and all around fantastic person @dunwalkin) is trying to find something that she can do.
It would need to be very low impact, suitable for a person unable to walk, and with little mobility in the lower body - I know very little about fitness here, so I don’t know if her age would also be a consideration!
Her main goal is to improve her stamina so that she can self propel her wheelchair rather than rely on me, and also to lose a little weight that has crept up since she can no longer burn off the normal day-to-day calories that an able person can by simply walking.Â
(the gym is not an option here)
So if you have any tips, tricks or personal workouts - please let me or @dunwalkin know!
I'm so upset for my pt. He has had numbness and tingling for months and recently started having lower extremity weakness. He went from being independently ambulatory to using a walker and then in a wheelchair. He had saddle anesthesia and then started having dysuria. He went to the ED twice before he came to me and they didn't do imaging or have neurology consult. I ordered STAT MRI spine because I thought of cauda equina syndrome and he wasn't actually able to get the MRI until now. Turns out he has exactly what they said they didn't think he had in the ED--spinal compression with cauda equina syndrome. If I were him, I would probably sue the hospital where he went to the ED. Now he's finally getting the emergency care that I knew he needed at a different hospital. I don't understand why my STAT MRI orders couldn't be done sooner and my STAT neurology orders too. I really hope he doesn't have permanent disability after this. I don't know what else I could've done. Maybe I could've sent him to a different ED. If you don't get the answers you need, you have to advocate for yourself.
He had red flag symptoms including saddle anesthesia and ascending paralysis, which warranted STAT MRI spine and STAT spinal surgery consult. I think the ED dropped the ball on this. I really hope he doesn't have permanent disability after this.
In his MRI results:  Please note that imaging can make the anatomic diagnosis of cauda equina COMPRESSION, but that cauda equina SYNDROME is a clinical diagnosis based on the patient examination and clinical history.  Imaging alone cannot make a diagnosis of cauda equina SYNDROME.