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You have now made it to the 9th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS & its uses
Today we're going to discuss ocular PoCUS
If you find the post useful, please like & retweet
It's a month-long marathon of daily tweetorials about #POCUS & its uses
Today we're going to discuss ocular PoCUS
If you find the post useful, please like & retweet
🌟Let's start with a case as always
53 yr old pt with T2DM has been getting worsening blurring of vision over last 8 months but last night suddenly everything went dark and now she cannot see from her left
No history of trauma or pain in the eye
OE Visual acuity is reduced to fingers
You had learnt about ophthalmoscopy in medical school so you try to examine the posterior chamber of the eye
BUT
There is a cataract which does not allow you to look beyond the lens
You have slit lamp but do not know how to perform post chamber exam with the pris.
53 yr old pt with T2DM has been getting worsening blurring of vision over last 8 months but last night suddenly everything went dark and now she cannot see from her left
No history of trauma or pain in the eye
OE Visual acuity is reduced to fingers
You had learnt about ophthalmoscopy in medical school so you try to examine the posterior chamber of the eye
BUT
There is a cataract which does not allow you to look beyond the lens
You have slit lamp but do not know how to perform post chamber exam with the pris.
⭐️This is where ocular PoCUS can help
Ocular PoCUS helps to assess most of the acute ocular conditions in the ED.
Admittedly, it does not allow grading of retinal vessels for hypertensive changes or uveitis but allows assessment of the following conditions with better accuracy
Courtesy of POCUS101
Ocular PoCUS helps to assess most of the acute ocular conditions in the ED.
Admittedly, it does not allow grading of retinal vessels for hypertensive changes or uveitis but allows assessment of the following conditions with better accuracy
Courtesy of POCUS101
#Excerpts
Introduction to “Controlled Rebellion” by Carli Frueh
Close your eyes and imagine that beneath the chaotic hum of X and Facebook — those digital coliseums where voices clash and hashtags reign, lurks a subtler game. These platforms, pulsing with the raw energy of
Introduction to “Controlled Rebellion” by Carli Frueh
Close your eyes and imagine that beneath the chaotic hum of X and Facebook — those digital coliseums where voices clash and hashtags reign, lurks a subtler game. These platforms, pulsing with the raw energy of
millions might not just be arenas of free expression but stages for controlled rebellions, orchestrated with the precision of a maestro’s baton. Imagine the algorithms as invisible puppeteers, tugging strings to amplify a trending rant while quietly burying a dissenting whisper.
Shadow-banning, visibility tweaks, bot-driven swells of likes—tools of a trade that could, theoretically, turn a wildfire of defiance into a neatly tended bonfire, its flames high enough to dazzle but never hot enough to burn the house down.
Within NATO, the possibility of conducting a special joint mission in Greenland is being considered in order to accommodate the interests of US President Donald Trump. This week, the US president once again stated that he wants Greenland. Military intervention is not being
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ruled out. Danish Prime Minister Mette Frederiksen previously said that this would mean the end of the Alliance if the United States were to begin military action against her country. On Thursday morning, the 32 ambassadors of the Alliance gathered for their weekly meeting.
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It took place in a "calm atmosphere." Denmark raised the Greenland issue in a "positive and forward-looking manner," NOS insiders reported. The US ambassador to NATO, Whitaker, also reportedly spoke in a conciliatory tone. As became clear during the meeting, almost all
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SPECIAL UPDATE.
So much to update on, yet so little time today, as we try to handle a crisis for a disabled couple, their 4 year old son and their two dogs.
But first, I have to thank a regular donor, who has not only donated the R700 we required to paydocs.google.com/document/d/1B-…
So much to update on, yet so little time today, as we try to handle a crisis for a disabled couple, their 4 year old son and their two dogs.
But first, I have to thank a regular donor, who has not only donated the R700 we required to paydocs.google.com/document/d/1B-…
our rental for the Rehab Recovery Rooms in full but has also donated almost half of what we require to accommodate the couple I mentioned above.
We were alerted to a situation in Bellville’s notorious “KAMP” adjacent to the Bellville station and where the
We were alerted to a situation in Bellville’s notorious “KAMP” adjacent to the Bellville station and where the
Bellville Haven Night Shelter used to be.
This KAMP, which I have reported on before, is controlled by the criminal element and gangsters.
These people prey on the already desperate. They will “allow” people like the disabled couple we are referring to to build a hokkie on these
This KAMP, which I have reported on before, is controlled by the criminal element and gangsters.
These people prey on the already desperate. They will “allow” people like the disabled couple we are referring to to build a hokkie on these
1).
„[...] the past three months, that office [ORR] has also locked some teenage migrant boys inside a secure juvenile prison in southeast Pa. with a long and publicly documented history of staff physically and sexually abusing juvenile offenders in its care,
„[...] the past three months, that office [ORR] has also locked some teenage migrant boys inside a secure juvenile prison in southeast Pa. with a long and publicly documented history of staff physically and sexually abusing juvenile offenders in its care,
2).
a WaPo investigation has found.”
Jan. 8, 2026
𝕿𝖍𝖊 𝖂𝖆𝖘𝖍𝖎𝖓𝖌𝖙𝖔𝖓 𝕻𝖔𝖘𝖙 (@washingtonpost) archive.ph/wk2u0
a WaPo investigation has found.”
Jan. 8, 2026
𝕿𝖍𝖊 𝖂𝖆𝖘𝖍𝖎𝖓𝖌𝖙𝖔𝖓 𝕻𝖔𝖘𝖙 (@washingtonpost) archive.ph/wk2u0
@washingtonpost Please unroll @threadreaderapp. Thank you in advance 𓃠
Trump claims he doesn’t need international law and could sacrifice NATO for Greenland.
That is false as a matter of US law.
NATO is not just a political arrangement.
It is a ratified treaty and binding federal law under the US Constitution.
#USLAW #SCOTUS
That is false as a matter of US law.
NATO is not just a political arrangement.
It is a ratified treaty and binding federal law under the US Constitution.
#USLAW #SCOTUS
A US president cannot legally violate #NATO, attack or coerce an ally, or withdraw from the alliance unilaterally.
Congress controls:
– treaty commitments
– war powers
– defense funding
In fact, US law now explicitly bars NATO withdrawal without Senate approval.
Congress controls:
– treaty commitments
– war powers
– defense funding
In fact, US law now explicitly bars NATO withdrawal without Senate approval.
Any attempt to seize Greenland against Denmark’s will would be:
– a breach of NATO
– a breach of the 1951 US–Denmark agreement
– a violation of US federal law
It would trigger a constitutional crisis at home, not a lawful act of presidential power.
– a breach of NATO
– a breach of the 1951 US–Denmark agreement
– a violation of US federal law
It would trigger a constitutional crisis at home, not a lawful act of presidential power.
SitRep - 08/01/26 - Oreshnik use in Lviv
An overview of the daily events in Russia's invasion of Ukraine. At night, Russia used Oreshnik in Lviv, claiming to have targeted a gas storage. In Belgorod and Oryol, lights went out.
REPOST=appreciated
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An overview of the daily events in Russia's invasion of Ukraine. At night, Russia used Oreshnik in Lviv, claiming to have targeted a gas storage. In Belgorod and Oryol, lights went out.
REPOST=appreciated
1/X
Missed the latest?
As usual we start with Russian losses
Quenuai, Peru. 🧵
This is not bedrock and not carving, I’m 100% sure of that.
A hundred percent sounds a bit much—where does that confidence come from? From the fact that the same thing showed up in my little lab while I was messing around with Inca “stone softening.”
If it’s not bedrock, then what is it? I wouldn’t call it casting; it’s more like a kind of plastering: a layer of artificial Inca stone smeared onto the real bedrock underneath.
This is not bedrock and not carving, I’m 100% sure of that.
A hundred percent sounds a bit much—where does that confidence come from? From the fact that the same thing showed up in my little lab while I was messing around with Inca “stone softening.”
If it’s not bedrock, then what is it? I wouldn’t call it casting; it’s more like a kind of plastering: a layer of artificial Inca stone smeared onto the real bedrock underneath.
2. First, let’s see how I killed the long, boring hours of the Christmas break.
Well, I cooked stone soup—Inca stone soup, to be precise. Here’s the recipe:
100 g water, 25 g NaOH, 25 g KOH, 100 g sand.
Why exactly NaOH and KOH? That's a long story, it's just simulated peruvian wood ash lye, accept it as is.
If you cook this slowly, over low heat, on a regular hot plate, all the way to full hardness—by that I mean concrete hardness—then some portion of the sand (we don’t know how much) turns into waterglass.
The reaction isn’t complete because the temperature is too low, but that foam is definitely waterglass, born from the marriage of sand and alkalis.
Well, I cooked stone soup—Inca stone soup, to be precise. Here’s the recipe:
100 g water, 25 g NaOH, 25 g KOH, 100 g sand.
Why exactly NaOH and KOH? That's a long story, it's just simulated peruvian wood ash lye, accept it as is.
If you cook this slowly, over low heat, on a regular hot plate, all the way to full hardness—by that I mean concrete hardness—then some portion of the sand (we don’t know how much) turns into waterglass.
The reaction isn’t complete because the temperature is too low, but that foam is definitely waterglass, born from the marriage of sand and alkalis.
3. I did this about 28,000 times, no problem there. The problem was what came next.
First of all, it took an absurd amount of time for my stupid brain to realize that no matter how pretty the foam looked, the reaction was incomplete, and my waterglass was still contaminated with the two alkalis above.
I just kept pouring and pouring and pouring new Inca stone samples into plastic cups, and it wasn’t waterproof, and it wasn’t waterproof, and it wasn’t waterproof.
I didn’t open a nub in them because I felt bad about cutting the bottoms off the plastic cups. (I’m an idiot.)
I showed that huge crack in one of my Inca samples a few days ago—now I know why it’s there, but for months I had no clue.
Then one day the darkness lifted from my stupid brain and I realized the core problem: the imperfect reaction.
After that I proceeded to waste another two months chasing the perfect reaction. I cooked so much stone soup it was unreal. Of course, I never achieved a perfect reaction with homemade methods.
And if I couldn’t achieve it, I had to accept that the Incas couldn’t either. Dead end.
First of all, it took an absurd amount of time for my stupid brain to realize that no matter how pretty the foam looked, the reaction was incomplete, and my waterglass was still contaminated with the two alkalis above.
I just kept pouring and pouring and pouring new Inca stone samples into plastic cups, and it wasn’t waterproof, and it wasn’t waterproof, and it wasn’t waterproof.
I didn’t open a nub in them because I felt bad about cutting the bottoms off the plastic cups. (I’m an idiot.)
I showed that huge crack in one of my Inca samples a few days ago—now I know why it’s there, but for months I had no clue.
Then one day the darkness lifted from my stupid brain and I realized the core problem: the imperfect reaction.
After that I proceeded to waste another two months chasing the perfect reaction. I cooked so much stone soup it was unreal. Of course, I never achieved a perfect reaction with homemade methods.
And if I couldn’t achieve it, I had to accept that the Incas couldn’t either. Dead end.
The Kaiserite In America - One Hundred and One German Lies -1918
Destroy this mad brute Enlist - U.S. Army - 1918
This is the propaganda that was used BY THE US GOVERNMENT to get young men to go fight their cousins, on behalf of their other cousins, who are working for jew bankers that had literally just enslaved everyone with the federal reserve act and would end up intentionally creating the great depression to starve everyone AFTER they just went and fought for them. This is long before the "holocaust". They were trying to wipe out Germans in Europe using Germanics in the US - After the war soldiers came back with vouchers for cash. After the great depression they marched on Washington to collect. Hoover and MacArthur told the ARMY they were communists and bums and they attacked the camp of 40k people and drove them out of Washington.
The dumbest part is that Germans and Anglos built America together. In 1910 there were 8.5 million German descent Americans, the largest single ethnic ancestry group in the United States. They were some of the first people here. I'm half of each. To this day Germans are still the largest single ancestry group in the U.S.
I wonder who it could be trying to turn everyone against each other from within...
Destroy this mad brute Enlist - U.S. Army - 1918
This is the propaganda that was used BY THE US GOVERNMENT to get young men to go fight their cousins, on behalf of their other cousins, who are working for jew bankers that had literally just enslaved everyone with the federal reserve act and would end up intentionally creating the great depression to starve everyone AFTER they just went and fought for them. This is long before the "holocaust". They were trying to wipe out Germans in Europe using Germanics in the US - After the war soldiers came back with vouchers for cash. After the great depression they marched on Washington to collect. Hoover and MacArthur told the ARMY they were communists and bums and they attacked the camp of 40k people and drove them out of Washington.
The dumbest part is that Germans and Anglos built America together. In 1910 there were 8.5 million German descent Americans, the largest single ethnic ancestry group in the United States. They were some of the first people here. I'm half of each. To this day Germans are still the largest single ancestry group in the U.S.
I wonder who it could be trying to turn everyone against each other from within...
Bonus Army Riots in Washington, D.C., July 1932
Supreme Court to resume hearing its suo motu case on stray dogs today, marking the third consecutive day of proceedings in the matter.
Bench: Justices Vikram Nath, Sandeep Mehta, and NV Anjaria
#Straydogs #SupremeCourt
Bench: Justices Vikram Nath, Sandeep Mehta, and NV Anjaria
#Straydogs #SupremeCourt
Yesterday, the court had asked counsel opposing the removal of stray dogs from institutional areas to come prepared on a ToI article titled “On The Roof Of The World, Feral Dogs Hunt Down Ladakh’s Rare Species”.
Read yesterday’s coverage:
barandbench.com/news/litigatio…
Read yesterday’s coverage:
barandbench.com/news/litigatio…
Sr. Adv. Krishnan Venugopal: in relation to the question of Ladakh, my client was also part of the issue. I have handed over a note on this aspect.
#SupremeCourt to continue hearing today at 10.30 AM the #StrayDogs case
Bench: Justices Vikram Nath, Sandeep Mehta and NV Anjaria
For the past two days, the matter has been heard extensively, with the Bench primarily examining the issue of stray dogs in institutional premises
Intervenors (dog lovers and NGOs) are praying for modification of the Court's earlier directions, so that stray dogs are released in the same area from where they are picked up
They have suggested some scientific models, adoption of which can tackle dog population and eliminate dog bite incidents in a few years
Victims' side is arguing inter-alia for removal of stray dogs from residential complexes/housing societies.
Bench: Justices Vikram Nath, Sandeep Mehta and NV Anjaria
For the past two days, the matter has been heard extensively, with the Bench primarily examining the issue of stray dogs in institutional premises
Intervenors (dog lovers and NGOs) are praying for modification of the Court's earlier directions, so that stray dogs are released in the same area from where they are picked up
They have suggested some scientific models, adoption of which can tackle dog population and eliminate dog bite incidents in a few years
Victims' side is arguing inter-alia for removal of stray dogs from residential complexes/housing societies.
Bench says it will be hearing the matter today till 11.55 AM
Sr Adv Mahalakshmi Pavani (for an animal rights activist): I want to highlight plight of women dog feeders...there are vigilantes harassing and beating women, attacking them
J Nath: Lodge an FIR, what stops you? It's a criminal offense
Pavani: Authorities are silent, that's like endorsing. In [...], 50 persons came in house, disrobed, attacked woman. Beat up her husband also
J Nath: We can't take care of individual cases. It's a law and order problem
Pavani: No FIRs are being registered.
#SupremeCourt #StrayDogs
Sr Adv Mahalakshmi Pavani (for an animal rights activist): I want to highlight plight of women dog feeders...there are vigilantes harassing and beating women, attacking them
J Nath: Lodge an FIR, what stops you? It's a criminal offense
Pavani: Authorities are silent, that's like endorsing. In [...], 50 persons came in house, disrobed, attacked woman. Beat up her husband also
J Nath: We can't take care of individual cases. It's a law and order problem
Pavani: No FIRs are being registered.
#SupremeCourt #StrayDogs
Bench: Go to Magistrate or HC, there's Lalita Kumari judgment
Pavani: It's happening across the country! In Haryana, societies have hired bouncers...at one place, in 38 seconds, woman slapped so many times! Rampant illegal breeding of dogs happening
J Mehta: Nothing to do with stray dogs issues, if you have suggestions, you can give
Pavani: Due to import of foreign dogs, dogs are being abandoned as strays. People using derogatory statements for women, saying women sleep with dogs for satisfaction!
J Nath: People can use derogatory statements for anyone. Things are said about us also. Take action.
#StrayDogs
Pavani: It's happening across the country! In Haryana, societies have hired bouncers...at one place, in 38 seconds, woman slapped so many times! Rampant illegal breeding of dogs happening
J Mehta: Nothing to do with stray dogs issues, if you have suggestions, you can give
Pavani: Due to import of foreign dogs, dogs are being abandoned as strays. People using derogatory statements for women, saying women sleep with dogs for satisfaction!
J Nath: People can use derogatory statements for anyone. Things are said about us also. Take action.
#StrayDogs
🚨REPORT🚨: Citizens of Minnesota are being organized, led, and emboldened by Democrat leaders to “patrol” and “report” on ICE activities, leading to the vi0lence we have witnessed over the last few days!
According to a witness to the de@dly ICE incident: “She (referring to Renee Nicole Good) was the main car leading the protest.”
“She was very successful in what she was set to do.” This led to a deeper investigation, and here is what we found:
CONFIRMED: There is a group chat with other activists assigned to follow ICE agents.
The craziest part about these organized activists is that they are led by Democratic state elected officials. State Rep. Alex Falconer and State Rep. Brad Tabke operate semi-private networks that dispatch activists to ICE operations. They are doing this openly with sign-up websites. Tabke’s site, “ICE Watch,” allows for one shift a week. A maximum of three shifts are encouraged. Falconer gave an interview to Eden Prairie Local News, bragging about his “ICE watching network.” Interestingly, he was also speaking against “anti-Somali rhetoric” at a Muslim event center while calling for community involvement against ICE.
Both elected officials serve districts in the Twin Cities metro. It's concerning that state elected officials are instructing activists this way, because it gives these people the belief that they are on "citizens' patrol" and this makes them immune. It's also concerning that Democratic elected officials are doing this because they could be receiving real-time info about ICE whereabouts from any public safety state agencies that might need to know some details about their operations. So the question is, who/which group allegedly dispatched Renee Good to the ICE scene?
Minneapolis City Councilman Jason Chavez has also joined as part of this ICE watch. He stated on his own social media that “we need people patrolling the streets now!”
All of these individuals should be investigated immediately for conspiring to interfere with federal law enforcement, which is a federal crime in the US. I’m calling on Trump and JD Vance to please put eyes on this. Cut the head off of the monster.
All receipts in thread 👇
According to a witness to the de@dly ICE incident: “She (referring to Renee Nicole Good) was the main car leading the protest.”
“She was very successful in what she was set to do.” This led to a deeper investigation, and here is what we found:
CONFIRMED: There is a group chat with other activists assigned to follow ICE agents.
The craziest part about these organized activists is that they are led by Democratic state elected officials. State Rep. Alex Falconer and State Rep. Brad Tabke operate semi-private networks that dispatch activists to ICE operations. They are doing this openly with sign-up websites. Tabke’s site, “ICE Watch,” allows for one shift a week. A maximum of three shifts are encouraged. Falconer gave an interview to Eden Prairie Local News, bragging about his “ICE watching network.” Interestingly, he was also speaking against “anti-Somali rhetoric” at a Muslim event center while calling for community involvement against ICE.
Both elected officials serve districts in the Twin Cities metro. It's concerning that state elected officials are instructing activists this way, because it gives these people the belief that they are on "citizens' patrol" and this makes them immune. It's also concerning that Democratic elected officials are doing this because they could be receiving real-time info about ICE whereabouts from any public safety state agencies that might need to know some details about their operations. So the question is, who/which group allegedly dispatched Renee Good to the ICE scene?
Minneapolis City Councilman Jason Chavez has also joined as part of this ICE watch. He stated on his own social media that “we need people patrolling the streets now!”
All of these individuals should be investigated immediately for conspiring to interfere with federal law enforcement, which is a federal crime in the US. I’m calling on Trump and JD Vance to please put eyes on this. Cut the head off of the monster.
All receipts in thread 👇
DFL Rep. Falconer's network - eplocalnews.org/2025/12/19/fal…
TabKe announcing his organized activists
