2023-05-23T05:25:34Z https://yabu.me Marcos Wolf, MD https://yabu.me/npub1p5cg590lrd7z38v8vkpaw3afwj9f0jq6ttajl70l0uz4juxs3kpsx45h0x https://nostr.build/i/nostr.build_abad60711b9112b2bde05eaaab3d10927f14c4eb213ee31698dad2ec34db7524.jpg https://nostr.build/i/nostr.build_abad60711b9112b2bde05eaaab3d10927f14c4eb213ee31698dad2ec34db7524.jpg https://yabu.me/nevent1qqsxmv5tjhyx607ca45kh9hz7vd8uwd083zezusw4xksvq5jlgutc4gzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxutjdja In reply to <a href='/nevent1qqswarfeen87v4c9vgsqrxt9wgp8900xxg2ma6je0uwtkz9nrzk6ffgsavugm'>nevent1q…vugm</a><br/>_________________________<br/><br/>embryology is great, also for learning anatomy. loved it! <br/><br/>i guess, more correctly: the differentiation of nipples occur earlier than the teeth. <br/><br/>in the end, dont we (and all parts of us) originate from &#39;one&#39; cell? 😅 2023-11-08T20:41:38Z https://yabu.me/nevent1qqs20syw6ca8yl4pt2vfflnswnt3j98t8xtt5zr2k2ryhrk86ucac5szyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcx8r7gfu #docchain<br/><br/>I just heard the news from <br/><a href="https://www.youtube.com/watch?v=tpmgIAof014">https://www.youtube.com/watch?v=tpmgIAof014</a><br/><br/>Without checking local guidelines, I am really interested in your initial thought / procedures. <br/>This OF COURSE, without judging! I just want to learn. <br/><br/>So here my take: <br/><br/>1) no initial Diclophenac<br/>ad 1) I would have administered locally Lidocain right away, and start cleaning the wound extensively (Povidone-Iodine). I would be afraid to extend bleeding, as Diclophenac is a platelet agglutination inhibitor. Of course, post-care with NSAR. Surely with their fast emergency system, arguably the effect of Diclophenac would just start to take effect when they were done :-D (great job for the total 1.5hours!)<br/><br/>2) no initial antibiotics <br/>ad 2) I thought that fast wound cleaning is the best protection; and she has &#39;obviously&#39; no risk factors (diabetes etc). Maybe something local?<br/><br/>Let me know what you think. Happy to learn! 2023-08-09T06:32:22Z https://yabu.me/nevent1qqszjqhqa5snjp9elgw27awfsffcy63yzzp7jqrgp8mpjdv9hfr9h3gzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcx3wv8kw In reply to <a href='/nevent1qqst8fp2vfejuraadtxl7j06xc9gjrh58mrqnm5ch5ckfj2jtzw6jaglnrs9y'>nevent1q…rs9y</a><br/>_________________________<br/><br/>i think there is a misunderstanding. maybe translation error, but for me: <br/>answer implys a question; and both imply a civilized behavior. under such condition violance is by definition wrong. when there &#39;is time&#39;, we should do everything possible to solve conflicts non-violently, which still means that we have to &#39;fight&#39; for our &#39;god given rights&#39;. <br/><br/>however, violance is justified in a matter of &#39;response&#39; when someone takes your natural rights away. hence, &#39;no time&#39; for a question or answer. <br/><br/>hope this was more clear now, and that we can resonate ;-) 2023-07-09T21:51:20Z https://yabu.me/nevent1qqsxpqw3d6e7z73jwp4fuzkpgk66zzr4zgppj3alrqajztn980ta4tqzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxulvxlm In reply to <a href='/nevent1qqsx50dekf3jhu64lva50rdkqwseh6af65v7wwzg82n4kjxq2h4zgwq67czcd'>nevent1q…czcd</a><br/>_________________________<br/><br/>violance shall NOT be the answer. otherwise, the question is wrong.<br/><br/>violance shall only be a response; indeed, only a rare one and when extremely cornered and fear of ones life. 2023-07-09T08:36:31Z https://yabu.me/nevent1qqsd87940xvmt3nm62352fanm527064e6h9ph4d2qer3ps5652mag2gzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxd5dvwg In reply to <a href='/nevent1qqszxetnz6n9phn3cddqnxaj9ukhjtuaqjs3l9f4kelhzadvlewcuugfglmvf'>nevent1q…lmvf</a><br/>_________________________<br/><br/>we are on the same team. <br/><br/>team #bitcoin 2023-07-09T08:28:06Z https://yabu.me/nevent1qqsdy4qs7k6zkqx4xdqv29wws8p9mvhsr5hzu5e3tj0d07y2zfmgwvszyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxgxyhka In reply to <a href='/nevent1qqs2txryhjp9slxkg3mvyn2nn2kg59ee8fekj3z44vpx2gtg2csakggw5e5x2'>nevent1q…e5x2</a><br/>_________________________<br/><br/>i knew the symptoms (learning from books), but never considered it to be &#39;fear of water&#39;. that was new to me. <br/><br/>i thought subjects would not be able to swallow, which increases the pathogen load. hence, when biting it creates a higher chance of infecting. <br/><br/>isnt it so mindblowing how some pathogenes change the mind of the host: other examples:<br/>toxoplasmosis <br/>or that fungi in ants (forgot the name)<br/><br/>can someone confirm the &#39;fear of water&#39; vs. &#39; inability to swallow&#39;? you can dm if you have a good source ;-) 2023-07-09T08:18:33Z https://yabu.me/nevent1qqsfj5numng4kkhd09ug4lw3g27uws4g3dvq75x4vr65f6484evtn5qzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxdfaqhf In reply to <a href='/nevent1qqsrsecl0n2f4xjshzsaqv4vg26syh7fsnjphflyyddpksc7v2tyvnsxk82f0'>nevent1q…82f0</a><br/>_________________________<br/><br/>🤣 2023-07-09T08:08:57Z https://yabu.me/nevent1qqs84jnh744x4ta33t290t2jvzjtxvg2yfgk7gc6gfc3nl2479f43lqzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxxw7n5e In reply to <a href='/nevent1qqsyk7gz2ukujrrvjk09nu3e2maj8es2rxyz2ka2vupa3gmu3kgf7hgsdn6wn'>nevent1q…n6wn</a><br/>_________________________<br/><br/>thats a pretty good and nice looking excuse. 😉<br/><br/>however, i rather store time via #bitcoin 😎<br/><br/> 2023-07-09T08:05:12Z https://yabu.me/nevent1qqsz83z3smt279rzncxguueve68pnxclrjdwlyrly7wyasak20rqfkqzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxawtr70 In reply to <a href='/nevent1qqsw7pez94wjufqn53xlv5f34v7dtn05vk2ptpunxk5afa69er4vuxs7wqz36'>nevent1q…qz36</a><br/>_________________________<br/><br/>casio has a pretty good price/value. 2023-07-09T08:02:46Z https://yabu.me/nevent1qqsgs9dzmrmkxxc55zjhdey9wtx2f0437efmnm5engw7dzrhk4s85hczyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxru2gze In reply to <a href='/nevent1qqsvxt86zur0mvvp28s37tru7zt2ssj0e8dsd8y34fnus80zkptg6jqv4qmyx'>nevent1q…qmyx</a><br/>_________________________<br/><br/>... of time 🤔 2023-07-09T07:59:11Z https://yabu.me/nevent1qqsgaxdv69r9neg2hv2hedht46e0se8kjcf5vkjwlqp5alv9hd9s6kszyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxlllx26 In reply to <a href='/nevent1qqsz82xy5w9ac42epswmapdqe5lqd2k9d7xp7dde9plqrxfnuqlk3us70zyhr'>nevent1q…zyhr</a><br/>_________________________<br/><br/>its so great to see other young bitcoin families; my kids are just a few years younger now. <br/>they are the future! linked up #bitcoin consensus. fair and bright future for all! relentless optimism!<br/><br/>whenever we see fiat-oldies in the news, remember this!<br/><br/>thanks for sharing ❤️ 2023-06-03T21:07:54Z https://yabu.me/nevent1qqsxlf0594suh4nmhaggqtnxjwztvxemxrtvejxc7rkwuhqhhuztuxszyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxr8dtn5 In reply to <a href='/nevent1qqsr0x32y029u6rv46cc35c2lwts3mlcda4v5g75mat4pm9pyduhkfqh4pq0x'>nevent1q…pq0x</a><br/>_________________________<br/><br/>yes. this is also a known. <br/>(if i remember corectly) strawberries are known to induce histamin releasement of mastcells. 2023-06-01T16:28:45Z https://yabu.me/nevent1qqsz7fhfqwaph47y93488v0tqv25prxg77n3kqj22x2y487mvm6tacczyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxgvq38a In reply to <a href='/nevent1qqsqtv44nrkwlawzh9srmkzpevfgd0nyl5834yeqvycrs9gqruzanmc6sqquk'>nevent1q…qquk</a><br/>_________________________<br/><br/>sounds plausible 2023-06-01T16:26:33Z https://yabu.me/nevent1qqsqxqhd24fxqreaq9uyzy42mdlyzn3akmnedpvf846h0g7snvqqujczyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxnw69jf In reply to <a href='/nevent1qqsy63kv0rj3ve6t65kapjqhy8z7jrh6a2ydhhl9y4h5f2she5zas3gsqjw8w'>nevent1q…jw8w</a><br/>_________________________<br/><br/>basically non of these systems can exist when enforced with exceptions. any (fair) government would need: <br/>1) sound money <br/>2) simple laws<br/>3) open governments (no secrets)<br/><br/>also i believe that there is always a need for a balance between these concepts. but thats another (long) story 2023-06-01T16:22:57Z https://yabu.me/nevent1qqs98l0sshq7he4uuhvnf7lejcm85qfsu95ce02k3pdwkasrky2vv0szyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcx38zevv Join the 5th Internation Renal Imaging Meeting in Ghent (Sept 11/12 2023) <br/>Abstract Submission Open! (renalmri.org/events/gent2023 )<br/><br/> <img src="https://nostr.build/i/bf2648aff830d584bc21264f25dc5820f74332add24adb0d3714c1326162f49a.jpg"> 2023-05-31T06:05:46Z https://yabu.me/nevent1qqsfuy3e38p6g42yshu853vw3p429x3eg65yvhrn8axe7mdpyqysflgzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxw4vaq6 In reply to <a href='/nevent1qqsrt22kev2rgjxek9ha7ftzglewh30n0re60vfeh546k3ul86sh0lqespgu3'>nevent1q…pgu3</a><br/>_________________________<br/><br/>thanks. interesting. maybe my next task. 2023-05-30T18:22:39Z https://yabu.me/nevent1qqsws7kahy4xv8ng9w2vs0ephy2q4l50f8zdcyyrd4f7mhl5a25q22qzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxtmj4fe In reply to <a href='/nevent1qqsw5l3xv8wdrtc2ccmlcryvzj9q5gfs73v2tmzucrp4fva9h2vsfuq4qc539'>nevent1q…c539</a><br/>_________________________<br/><br/>Doctors (should) know the statistics, which does not tell your outcome. Indeed, doctors should emphasise that more often. <br/><br/>Also, doctors are forced to tell all the possible outcomes (even the rare ones). All together, it often gives the wrong impression/transference/emphasise to patients. <br/>Listening to some colleagues, I sometimes have the feeling that they are actually induce a negative outcome. <br/><br/>Nevertheless, great to hear your story and all the best!!! ❤️ 2023-05-21T17:00:44Z https://yabu.me/nevent1qqsd45p4c5l5wdtkhr5vx9j32wxysgl7u2wg5csc09wxx6wt5g9lmdqzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcx43s9v6 In reply to <a href='/nevent1qqsr2vhxyjwusz8crd45sq7uswmmpkhd20mfvk4hlrp37yrzky2u6mg5spke4'>nevent1q…pke4</a><br/>_________________________<br/><br/>The problem is that doctors (in general) gave away their competence to the industry, Here in Europe, you are not allowed to adjust/change any machine; not even slight changes such as increasing the RAM. Even installing and using self made MR sequences is not allowed on clinical scanners. <br/><br/>And now, the companies let you pay. <br/><br/>This monopoly is even so bad that the companies write the laws nowadays. So that we can not even make new products by ourselves; without 100s of lawyers and product engineers. This reduces the competition and meaningful product upgrades become a rare event. <br/><br/>classical example of centralism and over regulation. 2023-05-18T20:24:34Z https://yabu.me/nevent1qqsqwy2kyuhqkrj45kmsr2qwh2x7mc5fxhvdfuvfynlycqe7a932n6gzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxptx0qx In reply to <a href='/nevent1qqsfmu35dh5u7nnesa65ccx9g8mwvppes64xnusm57rzrp3hffc23tcwlgqtt'>nevent1q…gqtt</a><br/>_________________________<br/><br/>Regarding imaging: yes and no. <br/>And a minor addition:<br/><br/>Using the right tools is the challenge. ;-)<br/><br/>Physical examinations are key. While MDs can do a good job. Best is to educate patients. They can detect even very small changes. (e.g. regular checkups in the shower)<br/><br/>Imaging: <br/>* Mammograms are old but good. technological updates worth it. However, mostly good for &#34;old&#34; breasts (less density)<br/>* MRI is really helpful (esp. with a proper setup; e.g. I have seen images with new coil-designs - really great CNR improvement) <br/>* Ultrasound can help too; esp. for young patients as mammae are too dense usually. Also for biopsy worth it!<br/><br/>The art is to merge the right tools. <br/>I believe that the best is to make your patients the experts of their body and (upcomming) diseases. 2023-05-14T10:26:58Z https://yabu.me/nevent1qqsz5hwc5kqsm07phq8w9fltrsvlyplgph4ymaqdmku5khl8l4d9e5gzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxy9uw62 In reply to <a href='/nevent1qqsghn50zepurxq8gpuqjzgt3v5gj8q4vjzn2rrczkmkz6k80n0u9ksuwda28'>nevent1q…da28</a><br/>_________________________<br/><br/>His last book was worth reading (and checking the tons of references). 2023-05-07T07:16:43Z https://yabu.me/nevent1qqszn4k43a22nkthenf6wnpdzqgze8z7kze6v5eq2qe28tjrqa245aqzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxjfglr9 kidney imaging is becoming more recognised.<br/>#docchain<br/><br/><a href="https://cost.eu/parenchima-kidney-disease/">https://cost.eu/parenchima-kidney-disease/</a><br/> 2023-05-03T10:15:58Z https://yabu.me/nevent1qqsxp66l9j3cjlgsanrete8wrqdrxqwsz8ydurg32sgamt2x6rlj7kszyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxfumgla In reply to <a href='/nevent1qqs2ey3jy5zne3vfjkc5s0s262an48rfg0v4z3tlkg9r5des6ey9ffsw9u0zh'>nevent1q…u0zh</a><br/>_________________________<br/><br/>bitcoin does not care ;-) 2023-05-03T08:11:07Z https://yabu.me/nevent1qqsvltmh85mk97nedt08rv49gfgggnuagjtphje379exh5fcqghy3uszyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxueenqg In reply to <a href='/nevent1qqsx55fwn8qdjhwwjuka9mymsp3apctfdqv0v7ftd4xdpn2ggvspavq6dlx7p'>nevent1q…lx7p</a><br/>_________________________<br/><br/>🫂 #docchain 2023-05-03T08:10:14Z https://yabu.me/nevent1qqsdnat5heqpfu79vwcfen8w3mlk056snz9feh77a3vc8pwrtt2kzygzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxl2ffm0 In reply to <a href='/nevent1qqs0rl2ukkkjvff620f9gdqrhhy7zpf6yamtdvwmeaxh8a7k9sd3jjcqqmmrg'>nevent1q…mmrg</a><br/>_________________________<br/><br/>bingo ! 🤣 2023-04-29T17:47:27Z https://yabu.me/nevent1qqsrygufc65g0lw450dwdfdjdznl7hj7c4fu69ljs4pu7eexc7fl9qczyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxk5md6a In reply to <a href='/nevent1qqsracy4h28evhwg5muy0lpgxedx8wsr4js7vctvc0467m8gfh83p9s0prjn3'>nevent1q…rjn3</a><br/>_________________________<br/><br/>focus on real values: e.g. love and bitcoin ;-) 2023-04-29T09:48:00Z https://yabu.me/nevent1qqsxnvt82a30308txr89p7agh4lut04qjxp04zf70wy7ftscp4ft48gzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxdjvlmg In reply to <a href='/nevent1qqsrcwn9dp0csnlyf0hzyx66y44saq9gjqz9y8ytnjq9pjvtmup6jycr2s3q0'>nevent1q…s3q0</a><br/>_________________________<br/><br/>sorry for being late on nostr ;-) <br/>no medical advice ;-p<br/><br/>if you are still taking ibuprofen or similar stuff, you should consider taking a &#34;protection for the stomach&#34;. something like pantoprazol. <br/><br/>btw. i heard that ibuprofen is not so good for joint pain. i prefer diclophenac. check whether you are prone to allergies. of course, you can not mix those groups of medication. also dicophenac should be used with pantoprazol if taken for multiple days.<br/><br/>regarding diagnosis. an ortho-doc can do some clinical tests. usually the sensitivity and specificity is quite fine. however, MRI is the gold standard. (Ultrasound could also be used for diagnosis, but it depends strongly on the doc&#39;s skill)<br/><br/>hope you are fine by now. 2023-04-28T16:32:25Z https://yabu.me/nevent1qqsy7kg6xknqxl7t252naexh5s799cgen5tum9xyye66xkrcggfwgtczyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcx20ympt In reply to <a href='/nevent1qqsvpfcq2lx9kuh3gtcm5cyjgmepzm26tm4ec0nh93l3cne55lt9w2gy4qp52'>nevent1q…qp52</a><br/>_________________________<br/><br/>I will do some research on how to get a grand. These are amazing opportunities. <br/><br/>Thank you for sharing! 2023-04-27T18:39:52Z https://yabu.me/nevent1qqswhwvezay4amtu9nf5sk0s9pq5xl9pvq90rran2epvqaku9ay89fqzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcx25jmv8 #[0]#[1] <br/><br/>I love your ideas regarding github and the inability to delete messages. <br/><br/>Would it not be great to have a scientific journal based on nostr: <br/>1) verified/documented submission of abstracts/manuals <br/>2) free and open (documented) review process <br/>3) comments can be posted with (encouraged) real names or anonymous <br/><br/>I am kinda new to the nostr-space, but willing to learn. <br/>Any ideas or collaboration is welcome ;-) 2023-04-27T11:47:03Z https://yabu.me/nevent1qqstmfrx3lrd72jxe3a62w2u8vr4ajmpmj7jrykvpz4qyue8vg5l3pqzyqxnpzs4ludhc2yasajc8468496g497grfd0ktlelals2kts6zxcxpwk9su Looking forward to add medical/scientific content to nostr. <br/><br/>Share your work and thoughts. Lets connect and exchange ideas.<br/><br/>3D Segmentation of a Kidney (Cortex and Medulla) using 3D Slicer -www.slicer.org<br/><br/> <img src="https://nostr.build/i/nostr.build_40c4a1fa519f7ddbff165ea47189c230fa51aae0c64a7c2fb17110529aebd1d6.jpg"> 2023-04-26T19:14:31Z