#tka lb | Explore Tumblr Posts and Blogs

tsukana · 3 months

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ok but like. fr?? rereading tka then going back to the start to reread again is insnae because sun xiang's character development. chapters 1 and 2 hitting like a truck like no this boy finally got the character development he needed and now we are (literally) back at the start......

#tsu talks #tka lb

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youaremykaiba · 3 years

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TWINS! ITS TWINS RIGHT ITS TWINS IN NOT GONNA PULL A GUARDIAN ITS TWINS. THEY ARE TWINS?

#tka lb #text

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lingwenboobs · 3 years

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putting my live action liveblog on pause to watch the anime apparently its worse im excited

#so far the in game stuff is decent which yeah id expect so since its not cgi #tka lb

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dengswei · 3 years

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not me being like i bet they’re gonna pull a “i knew you were a woman this whole time” card to explain hyun’s obvious attraction to hwi instead of making it queer and the NEXT SCENE they literally did that smh

#lex waffles #tka lb #drama ramblings #also like aren't they like lowkey related or something?#anyways dramas like this can be so easily queer but they never follow through with it #i'm not even surprised lmfao #just disappointed #i literally tweeted this in my live tweet thread and 3 minutes later the scene of hyun seeing hwi change happened like bruh

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mitchmarner · 4 years

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things spezza theoretically deserves: better

things spezza is doing to help his case:

#leafs lb #STOP TKAING PENALTIES #this game started off so well for him

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pierrelucdubois · 2 years

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ughhhhh

#stars lb #congrats on the 100th point tka*huk

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homo-cide · 5 years

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CARRY ON CARYR ON HDSHDIOS FUKSNSONDISH KUMPSS SCRAE

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NAOW TOTOKOK SNIHUSHDT SJRGAOSMODNS ANNJGTAT KOJOJK OTOKAJI SO NOW WERE SCRMEINANG BARMAMB HANMDEIR TDL8NSS HGE TINS ASHIWANEH TASUUR GO GUL SNIASDGOL GOL GOL MORIW SKOO DOWN DOWN DOWN DOWN TACHIMOCHOBAH JCOCBIHOAGH DOWN DOWN DOWN DOWN JTAKSHISCHUBAREH NOSNUGE ON EDIDN FROCOEW CHMEO I GOGIN IM GOING NSIAHDUEN D LB START START MORORO SHEKIK COL DOWN DOWN DOENW CHACKOB UMOIONBAAA TAKAKS GOOOL DOWN DOWNDOWN TASHECHULBAREH SMLDJIJYR DOWN DOWND DOWN DNISGRA DMAMAMA CHUMAREHHH HOL CHOK DO NOW

TRAVELER

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sarajmgerber · 5 years

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20-lb Weight Loss Improves TKA Outcomes in Obese - https://ryortho.com/

20-lb Weight Loss Improves TKA Outcomes in Obese https://ryortho.com/

A new study has found that morbidly obese patients who dropped at least 20 pounds before total knee arthroplasty (TKA) had a shorter length of stay in the ...

from Total Knee Replacement Recovery http://totalkneereplacementrecoverydotnet.blogspot.com/2019/03/20-lb-weight-loss-improves-tka-outcomes.html from Blogger http://sarajmgerber.blogspot.com/2019/03/20-lb-weight-loss-improves-tka-outcomes.html

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occupyingthoughts16 · 7 years

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casa day 1

after 2 full days of orientation, i have finally experienced my first real day as an inpatient therapist [shadowing]

when chart reviewing:

- look at the orders!

- make sure to check their vitals

- be sure to check of requirements like stockings, weight bearing, sequential boots, etc.

pt 1: TKA- we did a shower + dressing

- things to note: the lady was pretty much supervision/modified independent for everything; take 3 towels + 2 wash cloths, help them with back (since it’s not on the FIM), help with feet if can’t reach and during next session go over how to use the long handled reacher to wash feet and other things, keep a wheelchair in the bathroom so there’s somewhere to sit and get dressed (preferably next to the grab bar and right but the tub bench, bridge the wet space between the shower to the wheelchair), can start taking note of the treatment in the room at the end of the session, it’s good to ask what they’re interested in doing, ALWAYS must wear non slip socks or shoes

- be mindful of their wrist bands! and if you think they are ready to move to a different color, notify the nurse and talk to their PTs

*at the end of this patient, a rapid response was called. i fear this would happen while i’m there but i have to accept that this sort of thing can happen in hospitals

pt 2: metabolic encephalopathy- initial eval

- first, introduce self, let them know you’ll be back after a quick chart review; check to see if there is a wheelchair in the room and check one out and bring in case based on needs

- if you’re the first discipline evaling, must add the medical history for the Rehab Admin which could be found in the prescreen under Transcribed and Scanned (hard copies can be found in the black trays)

- bring a blood pressure monitor!

- go thru all the FIM items; we did UB and LB dressing + toileting + toilet transfer

- if there are no precautions, its okay to keep pushing through the pain; this was particularly scary for me because the poor man was crying out in a lot of pain; but talk to nurse about getting more medications for pain

- saw my first bed side commode use. squat pivot transferred from bed to commode x2, needed assist to have person in back pulling down diaper all the way into toilet, allow them to do their thing with privacy, get wipes + soap to wipe, discard, get diaper put on while they are sitting if max assist and pull up with pants

pt 3: acute stroke; hemi on R side

- more tips: good to get their leisure + goals they have in mind or what they want to return to so you can keep those in mind when treating

- lady arrived crying because she was really sad about her progress; S did a great job of telling her that based on her progress already, she’s going to recover really well; S did a great job of making sure that all the activities were “just right” so that she wouldn’t get discouraged- either grading or moving on from an activity

- initially worked on just stretching hand and arm- noticed that she was using tenodesis to open and close hand so did full finger/wrist extension in order to help activate those muscles and loosen them up

- worked on standing balance, having her always work on staying in alignment and using cues such as having her push INTO therapist hands because she had a tendency to fall backwards; toes over their in order to palpate how they are balancing; once can get good static standing with the pushing, can have them try moving the arms or bending down (always think function! in this case it was to work on LB dressing or toileting or feeding dogs) and also maintaining midline even through weight shifting with arms (clapping). also working on increasing awareness of neglected side, bringing hands to midline at clap

- main thing was to work on weightshifting towards the left because she had a tendency to fall towards the right

- tried working on tying up hair with hair clip- since there were difficulties with shoulder flexion (she tended to demo internal rotation and scapular abduction), affecting manual dexterity/fine motor control, it was important to stretch these parts out in order to have better ROM and prevent hiking; after should flexion + scapular adduction and upward rotation

- made a huge difference and she felt really relieved

- NOTE: “pt was working on dynamic standing balance in order to participate in caring for dog, LB dressing, toileting, sitting and standing. Pt demo’d inreased difficulty with maintaining trunk in midline. Pt initially required min verbal cues to maintain standing static and dynamic balance while utilizing BUEs. Pt has a tendency to shift to the L and posteriorly. Able to maintain in midline with facilitation for 4-5 min.”

pt 4: stroke with global aphasia so communication was very difficult

- worked on teaching efficient way to stand up from wheel chair and 2 exercises: knee straight, trunk rotation/shoulder depression, using mirror to facilitate with visual cues, also using mirror to hold onto top to keep back in extension, hip in neutral, and trunk in midline, worked on taking steps

- worked on alignment of trunk in order to decrease tone in right arm and to be able to actively engage in reaching up to participate in grooming activities etc..pt has tendency to rotate trunk to the left and flex trunk laterally to the right. required max vc and vis cues to remember steps of standing and correcting posture.

overall exciting and great day! i feel so thrilled to be a part of this

examples of good notes:

- pt participated in standing with focus on decreasing RUE tone. pt able to release bicep to increase elbow extenion. min facilitation provided for trunk rotation in standing to decrease hip and lat tightness through R side. noted decrease RUE tightness by end of session.

- pt participated in dynamic standing activity to increase weight bearing through RLE and decrease tone through RUE in prep for RUE activation for functional use with reaching and grasping. pt setup in stand with back supported at kitchen counter for pelvis support. mod facilitation required initially to decrease hyperextension of R knee while standing to activate quad/glute in prep for transitional movements during transfers to the toilet and shower bench. pt improved to CGA with min verbal cues to correct as pt able to correct position 50% of the time independently.

- provided AAROM to RUE with focus on releasing bicep tone. pt req min facilitation to decrease pec and and overactivation of shoulder. utilize closed chain reaction with R digits extended onto chair to allow pt to release biceps for increase motor control to bring chair towards pt. Pt. demo improved motor control with increase awareness of releasing bicep activation for increase elbow extension. provided weighted bag around R wrist to increase propioceptive feedback during elbow extension.

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bittersweetnostalgicdonkey-blog · 7 years

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Hi! You know, this kind of night ang sarap mag reminisce. I can still remember all those sweet things before. Yung dati gung tayo. Yung walang pinoproblema. Yung inosenteng tayo. Especially nung gastart pa lang ta. Way back 4th year, dba? Crush tka ato. No process at all. Gnatry nko nga iconvert or iwala akng feelings sa imo. Mawala sya but mubalik. Kasi nga dba, true feelings never fade easily. I can still remember na ikapila ko nagtry nga iwala, abi nkog success but then pagmakita tka or naa ba tay interaction w each other mubalik akng feelings. Pila to ka months nga wala lang. I mean, yes! Continue lg ta for being classmates eventhough kabalo nka nga crush tka. Hmmm, it started lg tng hapit na ta mu graduate. Tng text2 nata na naabtan ug midnight. As in! Kilig kay ko ato swear! Gnatugnaw ko nga sgeg smile. Iba! Kasarap sa feeling oy. I can still remember tng u asked me about sa unsay type nko sa isa ka guy. And i was just describing you. Lol! Hahaha paraan din hahahaha btaw. Its u. And just then, nag start na tanan. U ask me if pwede ka manguyab. But i have second thoughts about it bcoz sa imng mga barkada. Dili lg gsto matulad sa akng brkda pd na napagtripan sa immg brkada. So, i told u na pwede iprove pa nmo na seryoso ka. And u never hesitated. G ka! My life that time was like a fairytale. U inserted effort kay always ko nmo gnasabayan ug uli. Naa pay time ato nga nag una tag uli kaysa sa lb nga pirte nilang tease sa atoa. Wow! Those times, maka miss. And I also remember na mag palikod ta then galawang hokage kay ka. Gikissan ko nmo sa cheeks. Hahaha ikaw ha! And then tng sa likod ta. Walay klase, kita2 lg to nila kulot. You kiss me in the lips. Ddto nabuo atng anak hahaha si pikachu, remember? Wow! Hahaha kakyut natin before bi oy. And then February 12,2015. Nagsabay ta ato sa motor, pagnaog nato i said yes. And sluggish ka pa nun. Nag ha? pa ka. Then again i said yes. And then nagka idea nka unsa akng pasabot. U were so happy that time, ngisi kaayo ka. Then we part ways, pa tle room ka nnyo then ako pd. And then jan nag start lahat hahahaha. Yung mga first's nato w each other. Sine moments hahaha ehem you know. First paila ila. First kiss. First hug. And the first valentine na naay naghatag ug bulak sa akoa surprisingly. Yiieee omg! Kakilig hahahaha natingala ko nawala ka ato then nakita namo na mo nga padulong na sa amoa. Naay gitara and flowers dala. Hahahaha and remember our first name for each other? Baby baktin and baby bus-ok. And then "dada" and "nami" yiiieee! Cutie. First major away nato kay katng nag greet ka kay R. And then sge kag sorry tapos ghatag nmo imng fb sa akoa. Cute kay ka sauna pag mag away ta. Sgeg sorry. Not like now. Ay hahaha kidding aside! I was so lucky you know. We both explore each others life and characters. Kaila na kay ka sa akoa, and ako pd sa imo. We may fight pero magka ayos japon ta. Tbh, I miss the old us :( how i miss na dili mag overthink. Yung kampante kay ko kay kabalo ko di na nmo makaya ug buhat sa akoa. Kampante kay ko kay kabalo ko love ko nmo. Dili naman gyd ing-ana kron bi :( im sorry. Maglisod kog salig kay di ko gsto masakitan npd ug usab. Di ko gsto mahitabo ang nahitabo sauna. Im afraid to experience it again bcoz grabe, sakit kaayo bi. Pls, dont do it again :( mao lg na akng gna ask from you. Just dont do it again. It will always be you, bi. Always you.

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tsukana · 3 months

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