#mcconnell

[witch-hat-atransgirl]

#mcconnell #mitch mcconnell #news #Mitch McConnell hospitalized #please let it be fatal

[not-another-parable]

ETTA walked through the lonely halls of the office. He’d taken to exploring a lot recently, always in the mood to find something new or stretch its mechanical legs. Today, he’d found himself at a new set of offices, the rooms around 100-50, rather than his usual 0-50. He found it interesting, and couldn’t help itself from looking into them. After hearing about the apparent disappearance of his coworkers, he realized he’d been checking around for people significantly more. Like the pink polar bear theory, the less you try and think of something, the more it will come to you. It stuck in its mind.

(@bluescreenvendetta, addressed to anyone in the office)

Beyond the tan wallpaper coating the walls, walking perfectly parallel with it, was McConnell, who studied the stranger roaming the halls with steadily growing interest. He observed him from the black void that surrounded the exterior of the office, and waited until ETTA opened up another door to hurry ahead into the next room to make his appearance. As soon as he saw it extend its hand to open a door, he easily passed through the walls of the neighboring room and presented a well rehearsed smile to it.

"Oh, why, hello, there!" He beamed, stepping closer to it and extending a hand. "It's not every day you see a new face in the Office. It's such a pleasure to meet you!"

#coworker memos #etta #bluescreenvendetta #mcconnell #sigh. etta my dear i am so sorry this is your first interaction with anyone here i promise itll be better next time. hopefully

[playing-with-red-hot-fire]

#amber rose mcconnell #McConnell #red head #redhead #red #sexy redhair #red hairs #sexy red head #sexy #beautiful #beautiful women #beauty #shower

[etakeh]

I commented to someone today that now McConnell can die - his "who dies first" contest with Kissinger is over.

And it looks like I was not the only person to have this thought.

#kissinger #death #mcconnell #another death? #I mean why not #a bozo in the hand something two bozos I don't know I lost it #but like the song goes #there's room for just one more

[burr-did-nothing-wrong]

I have the perfect video for when McConnell drops dead

#Tagging this so I can find it again #McConnell

[nightsidewrestling]

Rhydderch Family 2020 (Part 2. 51-100. Oldest To Youngest)

Oneida Rhydderch (Born Richelieu). 36

Ivor Rhydderch. 35

Keaton McFarlane. 36

Haf McFarlane (Born Rhydderch). 35

Caden McDermott. 36

Olwen McDermott (Born Rhydderch). 35

Gertrude Rhydderch (Born Lesauvage). 36

Darach Rhydderch. 35

Faust McConnell. 36

Llinos McConnell (Born Rhydderch). 35

Vanessa Rhydderch (Born Sauvageot). 33

Lochlainn Rhydderch. 32

Januarius O'Hannagan. 33

Eithne O'Hannagan (Born Rhydderch). 32

Keith McFarland. 33

Tydfil McFarland (Born Rhydderch). 32

Caderyn McCracken. 33

Gwen McCracken (Born Rhydderch). 32

Faron McCormick. 33

Branwen McCormick (Born Rhydderch). 32

Gethsemane Rhydderch (Born Guillaume). 33

Roderick Rhydderch. 32

Ginger Rhydderch (Born Gardiner). 33

Flann Rhydderch. 32

Brighid Pritchard (Born MacKenzie). 31

Conan Pritchard. 30

Kirby Rhydderch. 29

Cillian MacThaoig. 28

Eira MacThaoig (Born Pritchard). 27

Bruce MacGregor. 28

Rachel MacGregor (Born Rhydderch). 27

Desmond McDougall. 28

Ida McDougall (Born Llewellyn). 27

Conn Mathieson. 25

Seren Mathieson (Born Pritchard). 24

Mavourneen Llewellyn (Born McEachern). 25

Kevin Llewellyn. 24

Fiachra Rhydderch (Born McWilliam). 25

Eadburg Rhydderch. 24

Coinneach MacEntire. 25

Queen MacEntire (Born Rhydderch). 24

Cillian Scott. 25

Ida Scott (Born O'Hannigan). 24

Aurora Mulrennan (Born MacDonald). 25

Eachann Mulrennan. 24

Eithne Pritchard (Born McCulloch). 22

Heddwyn Pritchard. 21

Rathnait Llewellyn (Born McTaggart). 22

Padrig Llewellyn. 21

Jean Rhydderch (Born Patterson). 22

#D.U.D.E #original characters #original character #Rhydderch #Richelieu #McFarlane #McDermott #Lesauvage #McConnell #Sauvageot #O'Hannagan #McFarland #McCracken #McCormick #Guillaume #Gardiner #MacKenzie #MacThaoig #MacGregor #McDougall #Mathieson #McEachern #McWilliam #MacEntire #Scott #MacDonald #McCulloch #McTaggart #Patterson

[globalcourant]

Lisa Boothe: Cheney, McConnell hate Trump because he 'transformed the Republican Party'

Lisa Boothe: Cheney, McConnell hate Trump because he ‘transformed the Republican Party’

NEWYou can now listen to Fox News articles! The panelists on the “Big Sunday Show” discussed Rep. Liz Cheney’s, R-Wyo., landslide primary defeat last Tuesday, her contempt for former President Trump, and her future political aspirations. “She lost by almost 40 points, I don’t understand how her name is being mentioned with any sort of seriousness for 2024 or anything beyond, the woman is done,”…

View On WordPress

#Boothe #Cheney #hate #Lisa #McConnell #party #Republican #transformed #Trump

[weepingjester-blog]

Portrait of Christine McConnell for her b-day! She is an absolute icon

#christine #mcconnell #curious creations #from the mind of christine mcconnell #portrait #digital #painting #goth

[therealadwarren]

The Boomers long need to go home. They expired a decade ago.....

#Pelosi #McConnell #Feinstein #Schumer

[mcatmemoranda]

Reviewing questions:

Blindness is a potentially devastating complication of sarcoidosis. Ocular sarcoid can develop in up to half of all cases and most commonly presents as anterior uveitis or keratoconjunctivitis. The most serious complication is optic neuritis.

A complete ophthalmologic examination at the time of diagnosis is recommended, as asymptomatic disease can result in permanent visual impairment. All patients with sarcoidosis should have a careful history and physical examination to identify other organ involvement before having further testing, including ECG, pulmonary-function testing, and baseline laboratory studies (calcium level, alkaline-phosphatase level, renal-function, and hepatic-function tests) to evaluate the extent of disease.

McConnell's sign is defined as right ventricular free wall akinesis with sparing of the apex. Typically this looks as if the apex of the RV is a trampoline. Echocardiogram shows right ventricular strain and a positive McConnell sign, which is indicative of pulmonary embolism (PE).

All patients who have known or suspected bronchiectasis and who are acutely ill with suspected lower respiratory tract infection should be empirically treated with an antipseudomonal antibiotic, such as cefepime until culture results are available to guide treatment decisions.

Heerfordt’s syndrome (uveoparotid fever) is another collection of clinical findings specific enough to diagnose sarcoidosis without a biopsy. These signs and symptoms include uveitis, parotid gland enlargement, and facial nerve palsy.

Lofgren’s syndrome is a form of acute sarcoidosis. Sarcoidosis is a multisystem disease characterized by the presence of noncaseating granulomas and although classically described in African Americans, it has one of its highest prevalences in the northern European population. Clinical variants exist with certain forms having diagnostic and prognostic value. Lofgren’s syndrome is the combination of erythema nodosum, bilateral hilar adenopathy, migratory polyarthralgias, and fever. This pattern is so consistent that it has 95% diagnostic specificity and allows diagnosis of sarcoidosis without a biopsy. Among European patients, the presence of Lofgren’s syndrome portends to a good prognosis. For mild disease symptomatic treatment with non-steroidal anti-inflammatory agents is reasonable or low dose prednisone may be added.

The optimal management of laryngotracheitis (croup) is determined by the severity of disease. There are numerous scoring systems for croup severity, with the Westley croup score being the most validated and most often used. The Westley croup severity scale includes evaluation for the presence of stridor at rest, retractions, and cyanosis as well as assessment of mental status and air entrance. Regardless of any official scoring system, most physicians would consider the presence of retractions and stridor at rest to be indications of moderate to severe disease that requires evaluation in the emergency department. The presence of cyanosis, confusion, depressed mentation, agitation, severe retractions, or absent breath sounds would indicate severe disease and/or the possibility of impending respiratory failure.

Mild cases of croup are treated on an outpatient basis with cool mist therapy and fluid replacement. Moderate cases may require supplemental oxygen, oral or intramuscular corticosteroids, or racemic epinephrine. Severe cases are best treated with hospitalization and racemic epinephrine.

Bottom Line: The most important step in initial management of laryngotracheitis includes nebulized epinephrine (racemic or L-epinephrine) and dexamethasone along with humidified oxygen, fever reduction, and hydration. Epinephrine acts almost immediately, while steroids have a delayed onset of action.

Pneumothorax is defined as a collection of air in the pleural space. The result is pleural separation of the visceral and parietal pleura. Spontaneous pneumothorax lacks an antecedent event (e.g. trauma). There are two types: primary and secondary. Primary spontaneous pneumothorax (PSP) occurs in patients without recognizable underlying lung disease. Secondary spontaneous pneumothorax (SSP) occurs in patients with visible underlying lung disease (e.g. COPD). The most common etiology of PSP is rupture of a subpleural bleb (which are usually not seen on imaging and are undiagnosed). Many cases initially diagnosed as PSP may eventually be diagnosed as SSP after further workup.

Management depends on the size of the pneumothorax. The spectrum of management includes watchful waiting, aspiration, chest tube insertion, and thoracoscopy with pleurodesis or lung resection.

Rhinosinusitis can be defined as either viral/bacterial and if bacterial, as complicated/uncomplicated. Complicated rhinosinusitis implies the extension of disease outside the nasal cavity/sinuses into adjacent structures, such as soft tissues, ophthalmologic tissues, and nervous system.

Current criteria for the presumptive (many of these cases may still be viral) diagnosis of acute bacterial rhinosinusitis (ABRS) include persistent symptoms lasting more than 10 days without any evidence of clinical improvement or a biphasic illness pattern which is also called double worsening, meaning the patient was sick, improved, and then became sicker a second time within a short time frame, usually within a 10 day period. The IDSA guidelines from 2012 also recommend the use of a high fever greater than 39C associated with severe symptoms for 3-4 days as being more consistent with bacterial rhinosinusitis. According to the guidelines by the American Academy of Otolaryngology-Head and Neck Surgery published in 2015, fever itself early in the course of illness is not sensitive or specific enough to warrant treatment based on this vital sign alone, and they do not recommend using this as criteria for the diagnosis of ABRS. They agree with the other criteria used by the IDSA and acknowledge that a "severe" presentation may warrant the use of antibiotics as recommended by the IDSA and the American Academy of Pediatrics which considers more than 3 days of high fever and purulent nasal discharge as a severe presentation of ABRS in children.

Summary Criteria for the Diagnosis of ABRS

Signs or symptoms of acute rhinosinusitis present for 10 days or more after symptom onset with no improvement

Acute worsening of improving rhinosinusitis within 4-6 days of symptom onset or "double-sickening."

Severe rhinosinusitis: onset of high fever greater than 39C and severe symptoms within 3-4 days of onset

Tx of ABRS: amoxicillin, amoxicillin-clavulanate, doxycycline if PCN allergic, or respiratory fluoroquinolone in kids who can't take doxycycline. I just had a pt in clinic who had bacterial rhinosinusitis and I gave him amoxicillin-clavulanate.

Bottom Line: In patients with ABRS who require antibiotic therapy, the initial therapy of choice is with amoxicillin with or without clavulanate.

One of the feared complications of acute bacterial rhinosinusitis (ABRS) is orbital cellulitis. This infection commonly develops in the setting of ABRS due to the direct extension of bacteria from the sinus cavity into the orbit. Commonly it can project through the roof of the maxillary sinus. Additionally, there can be extension through the adjacent soft tissues. The diagnosis of this condition is clinical and is confirmed with radiographic imaging (CT scan of the sinuses). The presence of pain/difficulty with eye movement, double vision, eye swelling, and erythema should be concerning for orbital infection. The initial imaging test of choice would be with a contrasted CT study of the face and orbits. An MRI could also be performed and has similar accuracy, but is generally slower and more expensive to obtain. Additionally, patients with suspected orbital cellulitis should be evaluated by ophthalmology in the emergency department and started on IV antibiotics with coverage for MRSA (vancomycin generally).

If the sinuses are the suspected source, ampicillin-sulbactam or piperacillin-tazobactam can be added to vancomycin as long as there is no concern for CNS involvement. If the CNS is involved, it should be noted that both ampicillin-sulbactam and piperacillin-tazobactam have relatively poor CNS penetration, and a 3rd generation cephalosporin (ceftriaxone) should be used with the addition of metronidazole for coverage of anaerobic organisms. General guidelines for sepsis and infection should be followed with the physician obtaining the regular laboratories including a complete blood count, metabolic profile, blood cultures, and lactate.

Symptoms of Complicated ABRS:

Proptosis or impaired extraocular movements Painful eye movements Diplopia or impaired vision Periorbital edema or erythema Cranial nerve palsies Altered mental status Neck stiffness/meningeal signs Papilledema

Complications of ABRS:

Meningitis Orbital cellulitis Cavernous sinus thrombosis/thrombophlebitis Preseptal cellulitis

Ruptured eardrum:

Tympanic membrane perforations are commonly caused by trauma or acute otitis media and are usually noted on otoscopic examination. Perforations with marked hearing loss or other concerning neurologic signs such as nystagmus, ataxia, or vomiting should receive a prompt evaluation by an otolaryngologist. Supportive care only is a perfectly reasonable treatment plan for patients with simple perforations with minimal hearing loss and no neurologic signs. Many perforations will heal spontaneously within 4 weeks and require no intervention.

#sarcoidosis #McConnell #Heerfordts syndrome #Lofgrens syndrome #Lofgren #croup #PTX #sinusitis #rhinosinusitis #ruptured ear drum

[bnscp]

#democracy #xi #pelosi #nancy pelosi #mitch mcconnell #mcconnell

[not-another-parable]

@the-data-collector has chosen to join game[ERROR].

"Thank you...." Mortimer whimpered as Joule prepared to pass through the doorway. When Joule was only a few inches away from the door, his hand reached out once more, and snatched Joule into the waiting darkness. The door slammed shut behind them, and now, the only thing visible was the man in front of Joule. "You had to have been an Employee, if you were truly stupid enough to trust that." He smirked, clasping onto Joule. He brushed back a long strand of white hair behind his ear as he released them, knowing that no matter what move they made, no matter how they may have ran, they would never get any farther from him. "And to think, we believed there would be something special about you, 432." He released a wicked cackle as he drew closer.

Mortimer studied Joule's strange form for a second, lifting them by their throat. "How peculiar.... You stole 126's form, as well as his heart, eh? Well, I'm sure he'll love to see you back in the office soon. Hmm, though, perhaps not. They all hated you, after all." He spun them around and dangled them far above a small, bleak room that had appeared in the blackness, before dropping them and allowing them to fall down towards it. "Don't worry. We'll take real good care of you."

Joule's back slammed against a metal table, startling the person bent at a nearby desk, rapidly typing away at the keyboard in front of him. Immediately, it stood from the desk and swatted at a button dangling from a cable beside the platform Joule now laid on. Once it was pressed, Joule could hear a strange, mechanical hum, but found they could no longer move any of their limbs. "Oh-oh, my! Hello!" The person beamed and excitedly waved down to Joule, clasping its hands together. "I, oh, um- it's been so long since I've done this! Hello! My name is Martin, and I am here to help you!" It assured them.

#season one: boss battle #the data collector #mcconnell #martin #PLEASE GOD

[playing-with-red-hot-fire]

#red head #redhead #red #sexy redhair #red hairs #sexy red head #sexy #beautiful #beautiful women #beauty #Amber McConnell #amber rose mcconnell #McConnell

[etakeh]

Thoughts and prayers, y'all.

Thoughts and prayers.

#McConnell #hope springs eternal #Mitch McConnell

[theperplexedpoet]

strangers with attitudes (dangerous platitudes)

I sat down with the verses last week to make sense of these last couple years all of the vandals and all of the scandals retracing how they've all led us here I didn't ponder the question too long 'fore the words came and I began to write ran into my twin with a bowl full of sin and we wound up smoking all night strangers with attitudes acting with latitude giving the world a new frame with all of us purging and fascism surging if we don't break free we will all go insane peering down rabbit holes via the pages reminds me of the struggles we've seen losing so many through pandemic stages no compassion from the obscene if it suddenly ended tomorrow we still know how few of you to trust fuckbois and glitches and son of a b!tches so many we're about to go bust

strangers with attitudes dangerous platitudes giving the world a new frame with all of us numbing to what we're becoming if we don't break free we will all go insane I think of the accords, and of race relations I wish we could take so much back so many lives we've lost to our own vile venom claiming that we're not under attack throw yesterdays here over our shoulders what's done must be taken along for what's done in our name, we bear part of the blame if we don't acknowledge that they're wrong strangers with attitudes acting with latitude giving the world a new frame with all of us yearning and all the world burning if we don't break free we will go down in flames strangers with attitudes dangerous platitudes giving the world a new frame with all of us numbing to what we're becoming if we don't break free we will all go insane (8/25/22)

#poetry #sociopolitical #twenty years a poet #homage #jimmy buffett #fascism #US politics #gun violence #pandemic #black lives matter #trump #kavanaugh #gorsuch #barrett #mcconnell #russia

[nightsidewrestling]

C.R.C - People With Black Hair (2/2)

#D.U.D.E #original characters #Rhydderch #C.R.C Wrestling School #C.R.C Wrestling Promotion #C.R.C Wrestling Family #Rhydderch Clan #Welsh Wrestling League #Cynghrair Reslo Cymru #McConnell