Republicans on Capitol Hill have already set a new record with their CRA related activity. Until now, using the CRA to reverse a rule had only been done once before by President George W. Bush for a rule issued under the Clinton administration. Upon attempted catheterization of the left internal jugular vein (IJ), we discovered that it was occluded up to the level of its junction with the left facial vein. The occluded segment could not be catheterized, so we accessed the patent superior portion of the left IJ via a circuitous route through the left paravertebral plexus. Once the left transverse sinus was successfully catheterized, two major vascular pedicles draining into the transverse sinus and transverse sigmoid junction were closed with detachable coils in a sinus sparing procedure.
For a long time I’ve chastised my mom for not keeping more of her old clothes. After seeing a photo of her in a leisure suit and espadrilles while vacationing in the south of France, I thought “that outfit is unlike anything I’ve ever seen, how cool would it be to wear it today!” I thought I’d be reinventing not only myself, but my entire sense of style if I whipped out what would now be a one of a kind look. Mom claims she didn’t think in a million years that something she owned when she was my age would be on my wish list.
Last summer I didn have a pair of sunglasses the whole summer. So I decided this summer I needed one and bought one. But just shopping for that pair of glasses started a fever. OTOH there is a manifestation of DM that frequently does makes the OD the first to find it. Elevated glucose percolates through the aqueous into the crystalline lenses, where aldose reductase converts some of the glucose into sorbitol, which the lens can only metabolize slowly. It accumulates and creates an osmotic gradient that sucks water out of the aqueous and makes the lens swell and creates a shift in dioptric power, sometimes two or three diopters..
It creates a film in which people talk past each other and truly ludicrous statements go unchallenged.Also, although I am probably one of about 30 people on the planet to have seen this (it doesn even have an imdb or letterboxd page), a film called Truth Times was mind boggling in its unnecessary nature. It was a 52 minute documentary shown at London Raindance Film Festival about fake news and the media that didn really have a through line at all, it was more in the vein of splicing random interviews together. It the only film I ever seen where I came out of it thinking “this should have been double the length”.