Aug 30, 2022
Gonna suffer some heat stroke for that spooky shit
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Gonna suffer some heat stroke for that spooky shit
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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Made some vector art mock-ups for the leather pencil case I’m making! Next step is economically sourcing the leather. So stay tuned, wish me luck thrift store delving🤞🏾, and comment which dye color’s your favorite.🙂🎨
I’ve been awake for 24 hours send help
AG
One of my favorite things I own is a leather messenger bag. It's not super fancy, doesn't have a lot of pockets or buckles, but it's big enough for my laptop and chargers and a notebook, so it's perfect. I take it almost everywhere I go. There's a stigma against men carrying purses, but this is functionally identical and nobody cares, so I just don't get it. It's so convenient! I've started carrying around a box of bandaids and a bottle of painkillers, so I'm ready for anything
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.
Free to watch • No registration required • HD streaming
Naked bathroom selfie again? Asking for a friend.
How bout a clothed messy room selfie?
Demand Ischemia
So a patient comes in with a chief complaint of chest pain and we see widespread depressions, but no elevations. The patient is pale and diaphoretic, his pulse is high, and his oxygen saturation is low. Our immediate thought is a pulmonary embolism causing heart strain. We order the Angiography scan which requires me to check the kidney function before administering contrast, and we get this unexpected result on our bedside lab machine
Never have I had a hemoglobin so low it didn’t show on the iStat. I went up to the provider and let her know. We redid it with the same result. Lab called and told me they received a suspiciously low hemoglobin and wanted to make sure I didn’t dilute the sample before informing me the hemoglobin was 3.5. They also informed me that the Troponin was positive.
Because of his clinical condition and deteriorating cardiac status, this patient received 2 units of red blood cells on a rapid infuser in the emergency department and was transferred to ICU with a diagnosis of GI bleeding.
Demand ischemia occurs when the energy demand of the heart exceeds its energy supply. Usually this is seen in patients with extremely high heart rates, but it is also possible to see the same when oxygen supply is very low from conditions such as hypoxia and anemia, as demonstrated in this case.