Good morning! Oh man, Screech is coming on strong out of the locker rooms after halftime. Chestnut Backed Owlet and Buff Fronted going for the aggressive offense on this play.
Critical care nurse here. The answer is esophageal varices.
It's the same physiological anomaly as hemorrhoids, except in your esophagus. Swollen, fragile veins caused by increased internal pressure. In the case of hemorrhoids, that pressure inside the veins is caused by straining too much when trying to poo. In esophageal varices, the increased pressure inside the esophageal veins comes from blood backing up from a swollen, scarred, and damaged liver. So we often see esophageal varices in end stage alcohol use disorder.
Horror stories abound in emergency departments and ICUs of having to do CPR on a patient massively hemorrhaging out of their mouth from esophageal varices. As soon as nurses I know saw this report, our immediate thought was, "Yep, varices."
No, I think your scoring system is really clever and I'm excited to see how it all plays out. I was just honestly surprised to see the scoring start out so heavily weighted in one direction, and then balance out that much as time went on.
Yes! Let's gooooooooo! Omg where did you get those team mascot stickers? Those are great.
Nice to see that both teams are fielding a complete psychopath in addition to the classics. Yes, I'm looking at you, Pel's Fishing Owl and Boreal Owl 🤨
It's really neat to see this pic during the day when you can clearly see the yellow irises. I don't know why my brain kind of assumed these classically black-eyed owls just had really dark irises, as opposed to their pupils just being so large at night that you can't see iris at all
I know the blood flow seems obvious, but lesser known is the fact that phosphodiesterase inhibitors have direct impacts on the nervous system. There's a PDE4 inhibitor that is commonly used in Japan to treat post-stroke inflammation. (Also, caffeine is a weaker, broad spectrum PDE inhibitor.)
"Firstly, PDE5 inhibitors could enhance memory and learning by increasing long-term potentiation mediated by the glutamate NO-cGMP intracellular pathway, as cGMP-activated protein kinase is thought to mediate memory consolidation.
Secondly, as cGMP is a known vasodilator, the cognitive effects of PDE inhibition could be explained by enhanced cerebrovascular function owing to increased delivery of glucose and oxygen to the brain. Finally, improved erections might alleviate performance anxiety and boost self-confidence, with potential benefits to mood, cognition, and general health."
I've had several great bosses through the years. Ones who considered teaching me and developing my skills/career to be part of their primary job duties instead of feeling threatened. I learned a ton from them.
My current boss is also amazing. I'm a nurse at a hospital that just unionized, and she really puts her job on the line to make sure we have what we need to keep the patients on our unit safe. She's a lot of the reason I didn't quit a long time ago.
Good morning! Oh man, Screech is coming on strong out of the locker rooms after halftime. Chestnut Backed Owlet and Buff Fronted going for the aggressive offense on this play.