12/20/2023 0 Comments Best team fortress 2 playerIt’s outlived a huge number of competitors, and continues to be among the top most-played games on Steam. And community servers are almost always bot-free.) TF2 is part of historyĪfter so many years, Team Fortress 2 is still standing strong. (However, a cheating bot can fuck things up, but currently, bots aren’t too bad. But mostly, Team Fortress 2’s gameplay is pretty balanced, and has a bit of a rock-paper-scissors feel to it. Even simpler classes like Soldier have a lot of little tricks they can pull off. While yes, it’s a class-based shooter, each class is easy to learn but hard to master. If you are good at FPS games, then you should be fine playing Team Fortress 2. What’s nice about Team Fortress 2’s gameplay is that, on the surface, the game is very simple. Gameplay is mostly fair (aside from random crits) Just watch the Meet the Team videos and you can see how insane and enjoyable the TF2 mercenaries are. From the soft-spoken Texan Engineer, to the loud and obnoxious Scout to the definitely evil Medic, each character stands out as their own person. The characters are greatĮach of the nine mercenaries have their own unique personalities, quite unlike other games. Buy a key or something, just don’t buy the weapons, because you can get those for free via the aforementioned random drops and achievements. The default weapons you get as a F2Per are plenty strong enough to get the job done, and you can unlock weapons pretty simply via random drops or by completing achievements.īecoming a premium player though is pretty easy, you just need to buy something from the Mann Co. Being a F2Per does have some downsides, but it still lets you get right into the heart of the game. It’s free to playĮver since the Uber update back in 2012, Team Fortress 2 has been free to play. In this article, I explain why you should try Team Fortress 2, a pretty ancient and unique video game. The game has a large footstep in the PC game community, and also has a ton of great memes. Even if you’ve never played the game, the media surrounding Team Fortress 2 is enough to lure in curious players. Ever since it released in late 2007, it’s been chugging along, bringing with it a huge amount of playability, lore and memes. This trend illustrates that classic games still hold immense appeal and can provide an enjoyable gaming experience for veteran players and newcomers.Team Fortress 2 is an amazing game. Notably, several Call of Duty titles on Xbox 360 have emerged as top-paid games in the Xbox store, after their old servers were unexpectedly fixed. Nostalgia seems to be playing a significant role, with older games experiencing a resurgence in popularity across various platforms. However, this phenomenon isn't unique to Team Fortress 2 alone. Nostalgia Makes Players Return To Old GamesĬlearly, a dedicated fan base remains entirely content with the existing game, especially considering the consistent updates and additional content Valve has been providing. With the latest triumph in concurrent players, a sequel for Team Fortress 2 will likely be deemed unnecessary. Some may have hoped for a Team Fortress 3 to mark the series' progression, but Valve has never been too keen on creating sequels for its franchises. This influx of new content revived the enthusiasm of many long-time fans and attracted new players to the game, increasing the number of concurrent players to previously unheard-of levels. Without any prior announcements, the significant update introduced 14 new community maps to the Team Fortress 2 universe and several summer themed items, available until September 15. The cause of the resurgence may be due to Valve's recent release of new content for the game. Sixteen years after its initial release in October 2006 as part of Valve's Orange Box collection, Team Fortress 2 proves that age is no barrier to success. Team Fortress 2 has withstood the test of time, captivating players with its unique blend of action, strategy, and humor. Team Fortress 2, the iconic team-based multiplayer first-person shooter, has an enduring reputation as one of the best multiplayer shooters ever, undoubtedly contributing to its remarkable longevity. This spike in players has piqued the interest of Steam users worldwide, prompting them to wonder how such a feat was done after so many years. The game currently has a record-breaking 253,997 concurrent players, according to the most recent statistics from SteamDB. In an unforeseen turn of events, the number of Team Fortress 2 players reached new heights. Team Fortress 2 Broke Its Concurrent Player Record Valve Stealthily Drops Update And Revives Players' Interest Learn more about how the record was broken, which features were added, and more. Team Fortress 2 breaks its all-time player record even after 16 years.
0 Comments
12/20/2023 0 Comments 2015 buick encore manual^ "Chevy Trax, Buick Encore to be discontinued after 2022".^ 2017-2018 Buick Encore Dash Archived November 8, 2016, at the Wayback Machine, 2017 Buick Encore Brochure, General Motors, 2017, p.6.^ 2014-2016 Buick Encore Dash Archived March 22, 2016, at the Wayback Machine, 2016 Buick Encore Brochure, General Motors, 2016, p.6.Archived from the original (PDF) on July 5, 2016. ^ "2016 Buick Encore Owner's Manual" (PDF)."Buick Teases Five-Seat 2013 Encore Crossover Ahead of Detroit Auto Show Reveal". ^ Stoklosa, Alexander (December 14, 2011).^ US D848314, Haegen, Marc van der, "Vehicle, toy replica, and/or other replica", published, assigned to GM Global Technology Operations LLC."The Ones to Watch: 1984 Renault Alliance and Encore brochures". Archived from the original on January 11, 2012.
12/20/2023 0 Comments Shroud girlfriend streamHe started his specialist video pc gaming occupation having fun Counter-Strike: Worldwide Offending, jumping about from a number of groups. Michael Grzesiek was birthed on June 2, 1994, in Mississauga, Ontario, Canada. After that, he transitioned to Twitch streaming full-time, getting to 100,000 clients within a year. In April 2018, Shroud revealed he was tipping below Cloud9 and was retiring from having fun. They positioned 2nd at ESL One Cologne, complying with the year. In 2016, he assisted the Cloud9 area initially at the ESL Professional Organization Period 4. He transferred to the Orange Region, California to seek his job full-time. He started his expert video pc gaming job by having fun with Counter-Strike: International Offending, jumping about from numerous groups. Michael Grzesiek was born on June 2, 1994, in Mississauga, Ontario, Canada. Michael “shroud” Grzesiek (birthed June 2, 1994) is a retired Canadian specialist Counter-Strike:Įmbedded in an Indian town, the scene of Premcand’s greatest functions, on a dark, cold winter months evening, Early life He is Canadian by Nationality yet his family members actually have a Gloss History. Shroud’s genuine name is Michael Grzesiek. News resources confirm that Shroud net worth is $20 million. He is a streamer, YouTuber, and professional gamer from Canada. The steaming gear Shroud uses is a fairly simple but popular Logitech HD Pro Webcam C920 along with the Sony Alpha A6000 when trying to cover multiple angles at the same time.Īs for his streaming mic choice, Shroud has opted for the very popular Shure SM7B Vocal Dynamic Microphone that picks up the all the tones of his deep voice perfectly while streaming (and quite a few F-Bombs to boot). Many popular streamers are using the top DSLR or Ultra HD webcams, but Shroud bucks this trend. You can also detach it easily if you don't want to use one. If you tend to suffer from wrist aches or pains while gaming then you'll be happy that the Hyper Alloy Elite comes with a soft comfortable wrist wrest included. The keys are known for their comfort, durability, and aesthetic look. Cherry MX switches are also used, which are a top favorite for gamers. The Alloy Elite range has integrated macro profiles and boasts a durable steel frame. Their mechanical switches are the most responsive and the most robust. I'd go for the MX Red switches with the HyperX Alloy Elite keyboard personally, which I find has a more responsive actuation speed without the tactile click, since it's a linear switch.Ī mechanical keyboard is an absolute must for serious gamers. Keyboards geared towards gaming are generally faster and you can usually get more compact 60% size gaming keyboards and Tenkyeless (TKL) keyboard models that take up less space for your gaming desk setup. Shroud uses the HyperX Alloy RGB Elite gaming keyboard while gaming during his streams.It's a good mechanical gaming keyboard and we can recommend getting it with Cherry MX switches. On top of that the Logitech G Pro has up to 16,000 DPI accuracy and responsiveness, which is ten times more power efficient that previous generation wireless devices. With an ergonomic design and 50 million clicks it's built to last. The mouse is also a super-lightweight, making it fast and easy to move while gaming and resulting in less overall strain on your wrist. Many pro-gamers will opt for wired gaming mice for connection speed but the Logitec G Pro is a professional grade mouse offering exceptionally quick response rates and almost instantaneous 1 millisecond report rate. The Logitech G Pro Wireless Gaming Mouse is devised for use in professional e-sports tournaments and pro-gaming setups. It's sleek simple design accompanies most gaming setups nicely. The Logitech G Pro Wireless Gaming Mouse is a top pick with streamers and pro players. 12/20/2023 0 Comments Tetris battle facebook cheatMebar 29 March 2020: irumbu thirai tamil movie downloadįor Tetris on the NES, GameFAQs has 6 cheat codes and secrets. Battle 6P - Play against five other opponents. Marathon - Complete 15 levels to win the game. Battle 2P - Classic battle mode, where you need to knock out your opponents as much as possible in a two-minute match. Jucage 13 June 2020: four seasons restaurant san francisco chinatown Battle 2P+ - All-new battle mode 2-KO max for faster battles and improved ranking system. The more lines you send, the more points you get and the easier it becomes to play Another way to win is to perform various combos or to clear several lines one by one. Zuluran 3 November 2020: 1982 horror film stephen king Tetris Battle invites you to fight your friend, playing Tetris Clean two or more lines at once to send garbage line to your opponent. The more you move it, the game thinks you have more trouble with that certan piece, and will dish out more of them. Everytime you move a piece over, the game counts it. Click „Generate Now” and wait a few minutes. Click “Save” to your fiddler and clear the cache of your browser 4. Drag the file that you have just downloaded 3. Open fiddler and go to Autoresponder tab 2. Tetris on facebook cheats Tetris Battle Cheats, Hacks and Bots for Facebook (March 04 ) 1. Karan 6 June 2020: p se pm tak movie download utorrent kickass Moogusida 4 August 2020: spud trainspotting imdb Kazrazuru 31 September 2020: amelie movie gifs CHEATS, BOOTING and HACKS for al how to work cheat in tetris battleFollowers: 20K. this page is made by:boyax bazar “so like us co’z we like you”Followers: Tetris Battle Cheat. has all you need to win every game you play! Use the above links or scroll down see all to the Facebook cheats we have available for Tetris Battle. It selects the between the current piece and the piece on hold and which position and orientation will generate the best outcome. This bot uses class to 'visualize' the board by identifying piece colors and detect the current piece through color-nearness. If you are having any issues, shoot us an email, Contact MPGH Support.Get the latest Tetris Battle cheats, codes, unlockables, hints, Easter eggs, glitches, tips, tricks, hacks, downloads, hints, guides, FAQs, walkthroughs, and more for Facebook (FB). a bot for tetris games on and Tetris Battle on Facebook. Ads are removed, almost completely ad free browsing.Let your voice be heard! You can post, reply, and share whatever is on your mind.Active marketplace for gamers and people like you, with thousands of contributors and over half a million posts.Interact with our great community, and make new friends with our members. Free access to tutorials, resources, information, tools, trainers, cheats and hacks.Access to our large gaming community with millions of discussions to participate in.REGISTER now for full benefits of our site, it's completely FREE to join: With several hundred thousand FREE hacks, cheats and bots, over 4 million members strong, a free and open marketplace and a great community, what else is there to ask for? Parents should remember to check ESRB ratings. By buying used, you can get 25-50 off a game you’re interested in. Do not purchase an expensive game if you have never played it before. Hacks & Cheats, Call of Duty Hacks & Cheats, Gunz Hacks & Cheats, Quake LIVE Hacks & Cheats, WolfTeam Hacks & Cheats, America's Army Hacks & Cheats, Battlefield 2/2142 Hacks & Cheats, Battlefield Heroes Hacks & Cheats, Battlefield Bad Company 2 (BC2) Hacks & Cheats, Battlefield 3 (BF3) Hacks & Cheats, Maplestory Hacks & Cheats, Diablo 3 Hacks & Cheats, Starcraft 2 Hacks & Cheats, Heroes of Newerth Hacks & Cheats, Call of Duty Hacks & Cheats, Call of Duty 4 Hacks & Cheats, Modern Warfare Hacks & Cheats, Modern Warfare 2 Hacks & Cheats, Call of Duty Modern Warfare 3 Hacks & Cheats, Project Blackout Hacks & Cheats, Runescape Hacks & Bots, Minecraft Hacks & Mods, MAT Hacks & Cheats, All Points Bulletin Hacks & Cheats, Vindictus Hacks & Cheats, Dragon Nest Hacks & Cheats, DayZ Hacks & Cheats, WarZ Hacks & Cheats, Arctic Combat Hacks & Cheats, Black OPS 2 Hacks & Cheats, BlackLight Retribution Hacks & Cheats, Bullet Run Hacks & Cheats, All Points Bulletin Hacks & Cheats, Arctic Combat Hacks & Cheats, Warframe Hacks & Cheats, Crysis 3 Hacks & Cheats, Warface Hacks & Cheats, Realm of the Mad God Hacks & Cheats, War Thunder Hacks & Cheats, Call of Duty Ghosts Hacks & Cheats, Battlefield 4 Hacks & Cheats and cheats and trainers for many other multiplayer games. New Tetris Battle Cheat Engine are expensive.
12/20/2023 0 Comments Medieval sword tattooCeltic Compass TattooĪcting as a symbol of guidance and direction, Celtic compass tattoos can be done as a ritualist tool to ensure that you always walk the proper path without / Instagram 20. Though some may see the shamrock as the same as a clover, Celtic shamrock tattoos more commonly represent faith in the holy trinity rather than just / Instagram 19. Similar to Native American beliefs, Celtic culture also promotes the idea that owls serve as guides from one life to the / Instagram 18. Most often associated with wisdom, Celtic owl tattoos create a unique look that stands apart from more traditional owl tattoos. This tattoo clearly represents the love between two people or even God and / Instagram 17. Celtic Heart TattooĪlso called the Celtic Love Knot, Celtic heart tattoos often display two interlocked hearts unified by knots or the infinity sign. These designs can also represent defense and protection against dark / Instagram 16. Celtic Shield Knot TattooĬeltic shield knot tattoos simply add a specific shape and border to a more traditional Celtic knot tattoo. If traditional wedding rings are not your style, Celtic wedding ring tattoos not only hold a special meaning and bond between couples, but they are also impossible to / Instagram 15. If you would like to get a tattoo that pays tribute to your mother in a more personal and meaningful way, Celtic motherhood knot tattoos certainly get the message / Instagram 14. Celtic Motherhood Knot TattooĬeltic motherhood knot creates an intricate image representing the unbreakable and everlasting bond between a mother and her child. Often called the Triquetra or Trinity Knot, these images stand for family, eternal love, and / Instagram 13. Celtic Symbols Tattooįor those seeking a smaller and more subtle Celtic tattoo, several different Celtic symbols can be used to pay tribute to the culture, no matter how big or small you prefer / Instagram 12. Whether it be fearlessness against the dark, the cold, or even death, men who want to display their strength and courage can do so in style with a Celtic bear / Instagram 11. In addition to providing guidance and protection, Celtic bear tattoos are intended to be worn as a sign of fearlessness and bravery against all odds. Since many tribal tattoos include Celtic knots, these two concepts are relatively simple to combine into one cohesive and impactful / Instagram 10. Known as a symbol of intelligence, Celtic raven tattoos can represent wisdom along with the infinite polarity of good and / Instagram 9. Rather than just designing the face of a wolf, many Celtic wolf tattoos portray the animal as ready to attack or pounce, showcasing its power and / Instagram 8. Celtic Band Tattooįor those wanting to add a traditional Celtic tattoo that does not showcase any specific image, a band of knots serves as a modern and unique / Instagram 7. In Celtic culture, dragons were also guardians of wisdom and / Instagram 6. Celtic Dragon TattooĬeltic dragon tattoos are said to represent power, independence, and leadership. These tattoos were meant to intimidate, and they often featured bright / Instagram 5. Celtic Warrior TattooĬeltic warriors were known to tattoo their chests and arms using ink made from a mixture of Woad plants, so getting a Celtic warrior tattoo is most authentic when done in one of these two areas. Celtic Tree of Life tattoos are wildly intricate and eye-catching when done properly, and due to the amount of detailing that goes into them, they are best done on an area of the body that has ample / Instagram 4. Representing the bridge between heaven and earth, the Celtic Tree of Life symbolizes the never-ending cycle of life and death. The interweaving lines through the circle create an unbroken flow, making this one of the most beautiful Celtic tattoo / Instagram 3. One of the more famous Celtic symbols, Celtic knot tattoos represent eternity and unity in the afterlife. 12/20/2023 0 Comments Samantha bee talks marjorie taylorAmong the first was Gertrude Berg, who, as the writer, producer, and star of one of the medium’s earliest comedy series, The Goldbergs (1949–1955, not to be confused with the like-named series of the 2000s, discussed below), figures as the doyenne of Jewish women in American television. Regular appearances on television have helped a number of American Jewish women become national celebrities. We’re talking about prominent names in the world of politics and journalism.Īside from being dangerous, this also seems politically stupid.Ī month after “candidate quality” issues doomed the Republican “red wave,” as candidates like Blake Masters, Kari Lake, and Herschel Walker all underperformed, Republicans seem destined to repeat history, while Democrats are committed to helping them do just that, partly by making sure Greene becomes the new face of the GOP.īy embracing Marjorie Taylor Greene and the cavalcade of weirdos, cranks, racists, and right-wing extremists she cavorts with, Republicans are preparing for another face-plant.Jewish women have appeared in American television from the beginning in diverse capacities – from children’s puppeteer Shari Lewis ( The Shari Lewis Show, 1961–1963) to “Trash TV” talk-show host Sally Jessy Raphael ( The Sally Jessy Raphael Show, retitled Sally, 1983–2002), from an interview with Nobel Prize–winning scientist Rosalyn Yalow ( Jewish Voices and Visions, 1985) to a documentary on the life of real estate magnate Leona Helmsley ( A&E: Biography, 1995). We’re not talking about the fringe anymore. Son of the former POTUS, Donald Trump, Jr., was at the gala. “America’s Mayor” Rudy Giuliani was at the gala. Keaton-esque conservatives (I know because I was a YR).Īlong with Greene and the aforementioned names, former White House advisor Steve Bannon was at the gala. This was also the Young Republicans, once the anodyne home of Alex P. The important thing to realize is that, by definition, this was not a fringe right-wing conclave, it was a mainstream Republican gala that took place in Manhattan-not the Michigan militia trading posts on 4chan. Once upon a time, a mainstream Republican event that prominently welcomed white nationalists who mingled with members of Congress and journalists would have been met with disbelief-and outrage. Once upon a time, talk of fighting in the streets was off limits. Let’s face the facts: We have lost the ability to be shocked anymore. But in this situation, the line between observer and collaborator seems to have been crossed.Īs I write this, I wonder if I am eliciting yawns from readers who have had their outrage receptors burned out since 2016 and may think this is all no big deal. To be sure, spending time with all sorts of unseemly people is a job requirement (if not fringe benefit) for any curious opinion journalist. It’s hard to imagine the opinion editor of Newsweek, in say, 2015, cavorting with such extremists (according to the report, Hammer “shared jokes” with Posobiec and said he wanted to say “hi” to Brimelow). Hammer is the opinion editor of Newsweek, once considered a premier news magazine, and an advocate of “ national conservatism” (which raises the question of whether it’s going too far for me to connect the dots between national conservatism and white nationalism). Posobiec is best known for pushing the #Pizzagate conspiracy theory. In case you’re not familiar, Brimelow runs the white nationalist site VDARE. The SPLC’s report also highlighted some interesting event attendees, such as Peter Brimelow, Jack Posobiec, and Josh Hammer. What do people think the end game is going to be? Based on past performance, we shouldn't dismiss this as mere hyperbole. 12/19/2023 0 Comments Night shift 1982 themeAbducted by the corporation – its name is never revealed – Macklin finds himself in a van full of living corpses. In that film, Romero used zombies mindlessly wandering a shopping mall as stand-ins for the American consumer. Etchison’s story broadens that idea to include the people who sell to those consumers as well.Įtchison’s anti-capitalist message is fully expressed in an extraordinary moment late in the story. In concept, this struck me as a sort of extension of George A. In a true capitalist system, which is interested in utilizing its resources to the max, they might find a way to make money off of you during that time, before your body is planted in the ground.” There is that mysterious period of time, two or three days between the time you died and the time that you’re cremated or buried. “The idea was how the capitalist system can extract its pound of flesh from you in labor even after you died. The basic thrust of the story is that a man named Macklin discovers a clandestine corporation that reanimates corpses during the 48-or-so hours before they are buried and shops them out to gas stations, garages, convenience stores, and the like for cheap nighttime labor – a literal graveyard shift. In an interview, Etchison elaborates: It was later included in Etchison’s 1982 collection The Dark Country. The Viking-Penguin Encyclopedia of Horror & The Supernatural describes him as “the most original living horror writer in America.” He has won the British Fantasy Award three times for his writing and two World Fantasy Awards for his editorial work. “The Late Shift” first appeared in the legendary 1980 anthology Dark Forces, edited by Kirby McCauley (the same collection that gave us Stephen King’s “The Mist”). Like zombies, almost…ĭennis Etchison was born in Stockton, California in 1943, and has been publishing fiction regularly since 1961. Have you ever found yourself in, say, a gas station, or one of those 24-hour diners? The employees behind the counter don’t really seem all there, do they? Sure, they’ll ring up your order and give you change, but they seem to look right through you. Have you ever been out really late at night? I mean late, like two in the morning, when almost nothing is open and nobody is out. The blog will resume its standard format in November. This is the second entry in a month-long series focusing on a horror anthology edited by Patton Oswalt called The Ghost Box (buy it here). 12/19/2023 0 Comments Used gopro sessionBefore you set your GoPro up outside or in your room, there are a few aspects to consider. If you need a security camera and don’t have time to shop for one, your GoPro (or game/trail camera – our guide) can be a quick fix. Due to their small and compact design, GoPro cameras don’t need as much space for setting up you can stick them almost anywhere, whether you want to catch your roommate or co-worker that always eats your lunch, or watch the front door when you’re not at home. Video footage captured by a GoPro tends to be quite stable as due to the in-built shock-mount system which most action cameras come with. It’s fairly difficult to break a GoPro camera, which is the primary reason why athletes use them for action shots. Whether you use the GoPro Max or the Hero, the sturdy casing can weather everything from high winds and altitudes to rough terrain and water. It might be a small, light-weight camera but the GoPro (on Amazon) can take a beating. Furthermore, GoPros tend to be quite small which means it won’t be as effective as a deterrent because potential troublemakers can’t see it. It’s not meant to sit on a shelf or to be mounted on a stationary tripod. One is that the GoPro is designed for action shots. However, it might not be the best idea for a number of reasons. It’s simple and inexpensive to use your GoPro for home security monitoring. Then you can use the GoPro application on your device to remotely monitor the security footage. To turn your GoPro into a security camera, you need three pieces of equipment: a USB cable, an extension cord, and a tripod to capture angles. Despite the fact that GoPro’s aren’t made for security purposes, there are still a lot of people who wonder how to go about using them in this way. Whether you’re snowboarding, skateboarding, or snorkeling, the lightweight camera produces stunningly clear videos. For instructions on formatting your SD card with your specific camera, please check out this article.Your GoPro camera is great at capturing action videos. Standard Definition HERO: Support up to a 2GB standard SD memory card.įor best results while recording and saving media, we recommend that you delete the files from your SD card (referred to as formatting your SD card) frequently using the format/delete all options in your camera's settings.HD HERO Original & HD HERO 960: Require a Class 4 SD card up to 32 GB.HD HERO2: Requires a Class 10 SD card up to 32 GB.HERO (2014): Supports up to a 32GB microSD card.HERO3 Black, HERO3+, HERO+, and HERO+ LCD: Support up to a 64GB microSD card.HERO4 and HERO Session: Support up to a 128GB microSD card.See user manual for maximum card storage capacity. HERO9/8/7/6/5 Black, MAX, Fusion, HERO5 Session, and HERO(2018): microSD card with at least Class 10 or UHS-1 rating.Kingston: Canvas Go! Plus Series: 64/128/256GB Gigastone: 4K Camera Pro A2V30 Series, 4K Camera Pro A2V60 Series, 4K Camera Extreme A2V90 Series: 64/128/256GB/1TB Samsung: EVO Plus Series, EVO Select Series, PRO Plus Series, PRO Ultimate Series: 128/256/512GB PNY: PRO Elite Series, Elite-X Series, Premier-X Series: 64/128/256/512GB Lexar: FLY Series, Professional 1066x Silver Series, Professional Gold Series: 64/128/256/512GB SanDisk: Extreme Series, Extreme PLUS Series, Extreme PRO Series: 32/64/128/256/512GB/1TB We recommend only purchasing name-brand cards through official resellers. To consistently achieve the best results with your GoPro it is important to select microSD cards that are known to work well with your camera. 12/19/2023 0 Comments Step 2 cs practice cases■ Myocardial ischemia or infarction: The patient has multiple cardiac risk factors, including smoking, hypertension, and hyperlipidemia, and his symptoms are classic for cardiac ischemia. Heart: Apical impulse not displaced RRR normal S1/S2 no murmurs, rubs, or gallops.Ībdomen: Soft, nondistended, nontender, © BS, no hepatosplenomegaly Extremities: No edema, peripheral pulses 2+ and symmetric. VS: BP 165/85 mm Hg (both arms), RR 22/minute.Ĭhest: No tenderness, clear symmetric breath sounds bilaterally. No regular exercise poorly adherent to diet.įH: Father died of lung cancer at age 72. Occasional EtOH, occasional cocaine for 10 years (last used yesterday afternoon). SH: 1 PPD for 25 years stopped 3 months ago. GERD 10 years ago, treated with antacids. PMH: Hypertension for 5 years, treated with a diuretic. Pain during these episodes was less severe, lasted for 5-10 minutes, and disappeared spontaneously or after taking antacids. These episodes were precipitated by walking up the stairs, strenuous work, sexual intercourse, and heavy meals. Similar episodes have occurred during the past 3 months, 2-3 times/week. Nausea, sweating, and dyspnea are also present. The pain woke the patient from sleep at 5:00 a.m. with a steady 7/10 pressure sensation in the middle of his chest that radiated to the left arm, upper back, and neck. The pain started 40 minutes before the patient presented to the ED. In the meantime, I strongly recommend that you stop using cocaine, since use of this drug can lead to a variety of medical problems, including heart attacks. We will start with an ECG and some blood work, but more complex tests may be needed as well. It is crucial that we perform some tests to identify the source of your problem. Short, the source of your pain can be a cardiac problem such as a heart attack or angina, or it may be due to acid reflux, lung problems, or disorders related to the large blood vessels in your chest. □ Examinee asked if the SP had any other questions or concerns. □ Lifestyle modification (diet, exercise). □ Examinee discussed initial management plans: □ Examinee discussed initial diagnostic impressions. □ Examinee did not repeat painful maneuvers. □ Examinee asked permission to start the exam. □ Examinee recognized the SP’s emotions and responded with PEARLS. □ Examinee elicited data efficiently and accurately. □ Examinee summarized the SP’s concerns, often using the SP’s own words. □ Examinee asked the SP to list his/her concerns and listened to the response without interrupting. □ Examinee asked an open-ended question and actively listened to the response. □ Examinee correctly used patient’s name. □ Examinee identified his/her role or position. □ Examinee knocked on the door before entering. We need to learn more about what’s going on to know if your pain is life threatening.”īuilding the Doctor-Patient Relationship Entrance “As you suspect, your symptoms are of significant concern. “Is this a heart attack? Am I going to die?” ■ If ECG is mentioned by the examinee, ask, “What is an ECG?” ■ Place your hands in the middle of your chest. Write the patient note after leaving the room. Explain your clinical impression and workup plan to the patient.Ĥ. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam).ģ. Joseph Short, a 46-year-old male, comes to the ED complaining of chest pain.Ģ. First Aid for the USMLE Step 2 CS Section 4. 12/19/2023 0 Comments Blue green obsidianItems can retain its original condition through proper jewellery care.All products are made to order for environmental responsibility. Blue/Green obsidian combines the qualities of the blue obsidian and green obsidian and further promotes stimulation of the heart and throat chakras concurrently to enable one to speak form the heart and to understand communication with the heart.One time free size change for online orders within Singapore only.Buy the right size with our size guide. Custom size is available once transaction is complete.Colours and patterns can vary from picture to real products.Obsidian is termed a natural volcanic glass. This type of Obsidian is believed to promote communication, self-expression, and inner peace. Carat and weight sizes are approximated. Obsidian forms from volcanic lava that has cooled to quickly for crystals to form. Blue Obsidian is a rare type with a translucent blue color, giving it a captivating and otherworldly appearance.Inclusions are common for unheated gems, learn more about our materials. Gemstones are natural, no two are alike.IRREGULAR TRANSPARENT BLUISH GREEN CRYSTAL WITH FLAKES OF SNOW INCLUSIONS.This sense of newly found calm will bring you tranquility and the grounding you need to start a fresh beginning. This emotional release will be “hot” at first, but will eventually “cool” down, just like lava. Blue Obsidian Necklace, Crystal Wire Wrapped Pendant, Dainty Simple Necklace for Layering Chain, Gift For Girls, Nature Inspired Present (4.1k) Sale Price. 925 Sterling Silver (2.9k) Sale Price 214. Just like bubbling lava spews out the mouth of a volcano. Tibetan Green Obsidian Mini Magician Stone Pendant with Tibetan Blue Obsidian. Obsidian should be discharged under luke-warm running water. Green Obsidian helps cure the gall bladder and promotes heart health. It opens the fifth chakra - Vishuddha and aids extrasensory communication. Work: It will help you to calm feelings of anger and frustration.Snowflake Obsidian will help to draw emotions to the surface. Bright blue Obsidian is a stone of intuition that can be used in fortune telling, past life regression and for induced trance states. Ritual: Use blue aqua obsidian to enhance any spells using the element of water. Psychic: Blue Aqua obsidian should be used for psychic self-defense. Protection: It will protect against negativity. Home: It will help you to calm feelings of anger and frustration. Health & Healing: Blue Aqua Obsidian is a natural enhancer for all problems related to bodily fluids. It can aid telepathic skills and helps in astral travel.Īqua Obsidian also acts as a protector during traveling.Īnimals: Blue aqua obsidian will help with all aquatic pets.Ĭhildren: Use to help children overcome a fear of water.Įnvironment: Use for any bodies of water that are environmentally damaged. This is an excellent stone for someone who has to speak in public because it enhances communication. This is the protection stone for sensitive or psychic people as it is an excellent defense against negative psychic energy and gives one a general sense of calm and well being.īlue Aqua Obsidian has the general properties of obsidian and stimulates the throat chakra. Spiritual: Aqua Blue Obsidian aids in divination and psychic development pursuits and can provide intuitive knowledge when astral traveling.īlue Aqua Obsidian cannot be used for evil. It also facilitates the practice of telepathy and helps to assist astral travel. It will help remove feelings of apprehension and sadness and encourage a healthy trust in your God, Goddess, or whatever you choose as your spiritual guide. As it relieves stress and eases tensions in the muscles, circulation and artery health have improved.Įmotional: Aqua Blue Obsidian helps calm feelings of anger and frustration and balances extremes of moods. These colored 'Obsidians' are nothing more than art glass with some color introduced. Size: about 10mm in diameter, hole: 1mm, about 3940pcs/. There has been red, cherry red, blue/green, blue, yellow, purple, dark green, cobalt blue, etc as many colors as is possible to create have been created. The iridescence of obsidian can be gold, silver, blue, violet, green or combinations of these colors. Physical: Aqua Blue Obsidian, like most Obsidians, is known for providing insight into the emotional causes of physical illness. Natural Aqua Blue Obsidian/Green Obsidian Beads Strands, Grade A, Round. Rainbow obsidian is dark-brown to black with an iridescent sheen. These stones & crystals are approximately 1/2" to 1" in size. Please note: These stones & crystals are sold as individual pieces. Top Three Properties: Clear Mental Confusion, Public Speaking, Astral Travel Metaphysical Properties of Blue Aqua Obsidian Black Obsidian and Red Jasper Protect from negativity and relieve stress Green Aventurine and Rose Quartz Helps you to be more gentle and kind Tiger’s Eye Fills your life with positive energy Lapis Lazuli Helps you express your thoughts Clear Quartz Heals your heart and mind. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |