Sad, cause it was a great scene by him

I need you to stop doing that.

Answering more than was asked.

I don’t want to type for ages here, but as someone who has been a sufferer and then medical patient for chronic daily migraines for decades; it actually is pretty nuanced.

For people like me, their chronic migraines are triggered as a secondary effect from the primary source. My headaches are called cervicogenic headaches, and migraine abortives like Obrelvy or Triptans are often used to arrest the storm. However, they are caused in origin from the occipital nerve, of which there are 3 branches in the neck.

An occipital nerve block is one commonly used tool, but it is often down blind without ultrasound. It is effective as hell at stopping migraine pain, and headache pain from what is the irritation or entrapment of occipital nerves. It has been common practice for several neuro and pain clinics I have seen for the last 2 decades. Problematically, they are not often offered in the emergency room setting because they are rather specialized procedures that usually are done by a neurology or trained pain physician. So that makes the emergency department a place that you go when the pain has overwhelmed all your other medications and resources, only to be met by not being able to get the one procedure that offers guaranteed relief for up to 2 weeks if given the block with steroids as well as local anesthetic. Frustrating to say the least, since you can plan on when you will get a massive headache, but you have to schedule to procedure weeks to months out with specialists.

Other migraine or occipital neuralgia triggering migraine treatments include other more invasive procedures to the nerves called ablations. Because cutting he nerve or surgically modifying them would result in scar tissue that would cause more problems or block regrowth, occipital ablations involve a needle slowly guided into the nerve under ultrasound imaging, and then they push electrical current into the needle while it is moved around by the provider. These can’t be numbed because you have to give feedback on where the currents are flowing in order to get it properly placed. Hurts like medieval torture. Then once placed they turn in ultrasonic pulses that heat the tip of the needle inside the nerve. This gets the tip hot enough to denature the nerve cells and kill them without harming the nerve sheath and allowing regrowth without nerve pain. It’s torture though and must be scheduled every 6-12 months. It doesn’t treat acute attacks, and can’t help with all types of headaches.

So offerings in the medical community pushed from specialized scheduled care to the responsive emergency providers as accepted medical interventions can be a massive improvement in accessibility to a treatment that can offer relief when no other physical interventions are reasonably possible for rapid abortive relief.

8 people now have more than 53% of the world combined.

I went for surgery that was to repair a urethral stricture, with the expressly stated reason for doing it as being able to be catheterized in a future spinal fusion procedure. I told every single member of my care team this information, and all knew about the spine instability. A Spondylolisthesis diagnosed by their same hospital system.

I woke up in agony screaming before I could see. They put me in a position that allowed my back instability to shift. I was screaming to drop the bed. The nurse told me to calm down.

When I was finally laid flat, I noted I could not feel my genitals and I could not feel about half of my legs or any of my feet. Totally numb.

I was discharged from the hospital 3 days later with a walker because I couldn’t feel my feet and needed assistance to walk for a proc sure that never should have required it.

They billed me $250 for the walker, and never followed my requests to ascertain why I was paying for a walker that was the resulting need of malpractice. This was sent to collections.

I get phone calls weekly about a walker I should never have needed, and should not have been billed for as “outside of network” because it was not pre-approved for an urology procedure.

Who in the fuck assumed a loss of leg function from an urology surgery? Who gets that pre-approved?

Fucking cunts.

https://www.blazingsword.org/

Please reach out there if you feel like you want to pursue gun purchases and would like instruction.

They are a non-profit that specifically helps LGBTQ+ people with finding an accepting and safe instructor for free. I volunteer as a coach through that organization.

I was at the Mayo Hospital’s own chronic pain rehabilitation clinic, and have all the PT exercises they had their patients all do if interested.

Notice how I didn’t just use the service name?

<Disco>

<Netfucks>

<MailGoog>

Whatever nickname you use for your services. There is no requirement you also use the service name in the tagging template.

The idea that a breach of a service would have someone looking at your individual password is also pretty silly. There would be variations and pattern matching Lagos run against lists of hundreds of thousands to millions of passwords… but the decryption of a complete password to plain text is so reductions at this point, we are talking about the 0.01% case of a then even more silly “let’s look at this guys password in particular” 0.0001% case on top of it…

It’s not a real problem because if your service is at the point it is leaking not just salted and hashed passwords, but plain text passwords: you are in a big problem up no matter what for most users. Almost everyone reuses passwords. The real risk is the simple reuse. Get just a slightly different variation and you are miles more secure in the case of a breach that results in full decryption.

The majority still reuse Password1234! Everywhere. This gives you a easier way to be miles better.

Better still of course is some sort of managed password vault, assuming you trust their implementation. However, this costs zero in the training, or tech literacy upskilling that even the moderate change to a password vault requires. It’s simply an extension of what people already intuitively know. Thus, barrier to entry is easier while giving you several orders more protection.

Merica means freedom to do dumb things. Lemme fly!

https://dev-to-uploads.s3.amazonaws.com/i/it0fk0jbqphcgecnpbq7.jpg

Hmmm. No.

You don’t partially decrypt passwords. You either get the full thing or you get gobble.

So if they get 1, they still don’t know you use <DiscordTag> or <Disco> or <DiscordSeevice> etc. I wouldn’t just straight up say “Netflix” in my service tagging.

You can take this a step further to segregate passwords as well.

Reusing passwords across devices is bad. If one gets compromised you don’t want a password being out into a brute force table to be used with all your other accounts elsewhere.

This method of tagging using HTML markup styles in your passwords lets you keep the same core passphrase but alter the tagging, specific to the service.

You can do this easily while also giving you artificial password complexity.

Example:

Core passpgrase is “yogurt”

Password for gmail becomes markup with a <mailPassGoog>yogurt</mailPassGoog>

I only need to remember yogurt.

Every device just gets a truncated service tag appended to the beginning and end using HTML style tags.

Suddenly you have a 26+ character password that you don’t forget and doesn’t compromise you across other services because each is different.

Lol. No.

9mm? 1 round? Nah.

Yes.

Just this month I was there and the pizza is a different concept there to be sure.

Street pizzas of thinly sliced zucchini or potato covering bread rounds with olive oil. That’s pizza in Rome.

Focaccia bread like crust with some anchovies and potatoe? Pizza.

Neapolitan style is just a different style again, but the theme is dough is not the delivery agent, it is the primary purpose. The dough is the important bit, with toppings being intended to enhance subtle flavors for it.

Italian pizza is most similar in American expectations of food typically found there, to flatbread dishes. It’s flatbread with some stuff on top to accent it. There is no cheese on most of the pizza I had in the various parts of Italy I was in. Cheese was not an expected component. Healthy or at least flavorful variations on additions to the dough are the goal.

Whether you are in Sardinia, Calabria, or Rome; pizza is pizza dough with local additives.

I have seen French fries on top of pizza in Sardinia, and this was called there “American pizza” :)

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