27 Burst results for "Splint"
"splint" Discussed on Protrusive Dental Podcast
"And we think that the reason why this lower left. Canine is hurting Is you say there was a muscle issues as well you know. The patient has had problems and ducks when she was under the care of the hospital. Since then things have gone a lot better. She's be taken away from the category. But the patient's still reports having tendon this around three occasional had expansion reports bilaterally You did ask about muscle tension. Check the muscles. There wasn't anything significant in terms of the size of muscles. Headaches was definitely part of the history that she gave me okay. So we're thinking diagnosis of a meyer. Facial pain and also the fact that actually the canine. The reason i came on could be hurting is could be and i don't say could be due to the inclusion but could be their power function and he'll power functioning on a dodgy inclusion in that could lead to it so and tear midpoint stoplights have to benefits in this scenario. Okay one is. That it can be diagnostic. Is it the power functions pain now if you give. This applies to patient and the pain. So there then we know that it's probably not the para. Okay so that's one. The second thing that we're doing here is helping the muscles relax and hoping if the muscles are or the power functions contributing to her tension headaches then that will get better so it's very much diagnostic potentially protective as well and the other thing you mentioned was that there was no real muscle tension. If when you pay to there was nothing obvious and quite often. You'll find that okay. It's not that common to find tension but also you gotta make sure your pal painting and the origin and insertion for example. it's one of those so observations. Now we i agree with you. I think anti-roma point supplies would solve the three things that you want to protect the teeth. Find out if the lower left three is hurting. Due to the power function and see the headaches will get better so it fulfils a function. Okay but then you mentioned absolute fantastic thing. Say mistake are made before as and you talked about expensive us. What expensive use expensive. But the expensive has negative connotations. Because you know why do people buy three thousand three thousand pound bags right. Why did he thirty thousand pound cabinets okay. Because they're looking for a solution and the solution comes with value so you you're not providing a expensive solution at all your providing a valuable solution.
Legendary pilot Chuck Yeager, first to break sound barrier, dies at 97
"Has died. You here was the first person in the world to break the sound barrier. He was recruited recruited by the Air Force for expert at experimental flights because of a splint skills he has played in World War two. He was from West Virginia. He passed away at the age of 97. Today marks 40 years since the
"splint" Discussed on WCBS Newsradio 880
"Syria's Bob Hearts. Ava's Shola, This spot would be the perfect place. No, You have no idea. What's my only Nigerian? Well, mine ain't it's the process will be very stressful because I'm a white guy that does not help. Lottery tabby Shola New Monday 8 37 30 Central on CBS. Monday on CBS. Michael Weatherly is Bull. That's my name. I'm not a lawyer. I'm an expert in what's called trial science, figuring out what to say to the jury is what I do. Man. Talk about pressure and a new case will be one of the toughest he's ever faced. That's what turns him on his intuition. We will track down every piece of evidence is all that matters. What are you going to do? We're going to try. Michael Weatherly is Bull Monday. 10 9 Central on CBS. WCBS News Time 7 38 Traffic and Weather together. Sponsored by Fidel A scare Tom Kaminski Chopper 8 80. Let's start first off with a problem Now in Queens. We're just getting word of an Daniel is checking in with us on the westbound side. Of the Jackie Robinson Park. Right right around. Let's Palm Avenue tractor trailer that sound onto the roadway not supposed to be there, and at least one lane is blocked. We're gonna be making our way out through that area. Daniel. Thank you for the update. Use five traffic cop called Mavis Discount Tire Traffic tip line. 212975 88 88 We had delays on the outbound side of the Guan is in Brooklyn, right from Industry City outside the Belt Parkway Splint. We have emergency repair work that is in the process of wrapping up but so some pretty big laser on the South and between outbound go on it and also North downside. Heavy from the belt right up through the Brooklyn Bridge. We've also Adelaide South found on the beach at the L I e v. A salt truck there and the center lane is closed. Lincoln How would you know Be be really Not bad. Just about 5 10 minutes all.
More than 50 women in DRC allege abuse by Ebola aid workers
"REPORTER ONIS AOL Kerry. Restart today here in. Africa more than fifty women in the Democratic Republic of the Congo have accused international aid workers of sexual abuse. The women reported multiple incidents of abuse that happened during the twenty eighteen ebola crisis. He told me to come to his hotel and Phil illegal if. We had heard splint thinks about this four winless. The men worked for organizations like the world, Health Organization and Doctors Without Borders five women said, their abusers worked for the Christian nonprofit World Vision the women said multiple men had coerced them into intimate acts in exchange for a job or fire them. When they refused some reported, the abuse happened as recently as March. The World Health Organization promised a full investigation and serious consequences for abusers. The allegations of sexual exploitation and abuse by aid workers are deeply heartache and heartbreaking. World Vision also launched an investigation into the allegations. Next we go to. Asia. Plantations in Malaysia and Indonesia a facing accusations of human rights abuses that's according to a recent report by US investigators. The report found that Malaysian palm oil plantations use forced child labour abused their workers and house them in inhumane living conditions. The industry has been built on a backbone of modern slavery and it's being built on the backbone of these companies being our to violate human rights norms, left right and centre with no consequence. As a result US costume officials said they will block all palm oil products from one of Malaysia's largest producers. US manufacturers use palm oil in more than half of all packaged consumable products everything from cosmetics to animal feed. Indonesia and Malaysia of the world two largest producers. Tequila. Next to the Middle East. The United States has threatened to close its embassy in Iraq following a string of attacks on American troops in recent weeks, number militias. Groups have targeted Baghdad's Green Zone. That's where the Iraqi government and several embassies are based a rocket attack killed six women and children last week. The next day, a roadside bomb targeted a US led convoy south of the capital Secretary of State Mike pompeo warned that the trump administration may close the embassy. If Iraq doesn't take steps to halt the attacks last week, Iraq's foreign minister said if the United States shuts down its embassy other nations might follow. He also said the move might encourage extremists to increase tax. Addict. And finally we end today in. Euro. A massive storm, hit the border regions between France and Italy over the weekend. It brought record rainfall and heavy floods that swept away roads. Two people died and nine are missing. One hundred homes were damaged or destroyed officials. Report had twenty four inches of rain in twenty four hours. That's more than the region usually gets in three months. The water level in one. Italian. River jumped nine feet the same day blocking access to several mountain villages. That's this week's wall tour reporting for World Amnesia or he carry in Buda. Nigeria.
"splint" Discussed on Protrusive Dental Podcast
"Means is that if someone has like the maximum that's off to account, and if you don't send a facebook and they just put it on an average value articulate. The they're gonNA struggle to transfer that can't for example, the Mexican recant to the articulated and when you get an appliance, you might find that is hitting on one side and not the other. So you can still make one without a facebook. But hopefully, if you've done your facebook correctly that ill il give you more detail for your patient compared to an average value antic later 'cause. Now, it's on a semi just want later, and this will hopefully translate into save time. Whether or not this actually translate to save time and not I'm not sure if there is a study that's been done comparing a Michigan appliance and how long it takes to equilibrate with and without a facebook if anyone knows if one, that's a really cool idea, please send it to me but really if you want to give you a technician as much as possible. They will use your facebook to to actually mount the cost models. On the semi adjustable I'll take later and hopefully that will give a more accurate representation of what's happening in your patient although we know already that articulate is generally are nowhere near as what said that the best article later is the TM J. in the mouth but anyway, that's whole different discussion. So an ideal world if you'RE GONNA make Mitch Matana, it will be a good idea if you have one available to send a facebook transfer now I'm just ten or fifteen minutes into his episode and I'm already kind Of like regretting it because I'm thinking, are you guys able to follow what I'm saying now for those of you who are very experienced men, lows of inclusion courses, you guys hopefully be able to follow me. I'm very mindful that law this stuff people don't listen to as much because it's too heavy. So stick with me if you don't understand anything, please message me while recommend a recommended reading or maximal episodes that really go down into the basics. For example, I can totally do want about-face facebook all day long. Different types and stuff, but just follow me now and I'm sorry if I'm losing you. So how does a Michigan spent works? Now you've sent all your records records lab, they have sent you back an appliance you're gonNA. Give it to your patient, but we'll how does it actually work? Well, I've told you already is create a minimal stress. Dentition is GonNa create the ideal inclusion within an acrylic appliance. So you're not having to do all this work in the patient's mouth. So this is all reversible in the former. Splint and really it goes into the principles of bio mechanics right if you get the patient into anterior guidance in all excursions, then that's the furthest away from the temporal mandibular joint hinge and because of the further ways that whole nutcracker analogy. Again, the forces are lower also the anterior temporaries muscle switches off when you're grinding on the front especially when you get to and sizes by then the muscle activities significantly reduced and you're furthest away from your nutcracker forces from the team giants. So the whole legal concept. So that's Basically how the main bulk of it works when you bite together everything shared when you clench generally shed. Excursions is all the front, not the back to keep the mussels come. So why do you want even contacts now it's fairly self explanatory, right but the way my mind works I always think about, okay what if an appliance wasn't even contact and I think when to understand this, it really drives home exactly the role of the Michigan. So for example, imagine I made you an appliance and it was an upper Michigan except I got my credit bur- and I cut it right in half. So let's say now you're wearing a right sided michigan appliance. And nothing on the left. So you don't have anything between your left and teeth. So now when you bite together and you go equal content on the right side and nothing on the right side pitcher this what happens when you clench your teeth together up against a splint okay. So your muscles contract. When your muscles contract your teeth crash into the splint. Splint. Then causes the with the PD L. of teeth to compress because now your teeth and absorbing the load and as you as you contract contraction as you bite by bite than the temperament Ebola joint or the Kandahar give also gives some degree of load to the Glenwood foster area or hopefully if you got healthy disc through the Disk Towfiq through the middle part the disk. Now. That's all happening on the right side we had to spent what's happening on the other side where you don't have spent. Well, you don't have the teeth and PD L. to absorb any any of the load and muscles are going hard. So what happens is that the Kondile is really soaking up all the pressure up against the disk and what if the disc I'm just speaking. To help you understand what if the disc gets squeezed out a what if you? You're doing some degree of trauma to your temperamental joint. So if you if you haven't got balance think about what's happening in each of your joints, there's a lot of pressure potentially building up on the left side as muscles are drive in that condo up and all the forces going up into your temper temper amendable joint and not into the teeth and not deal. That's the theory, and of course, the reason why we want exclusion is that it switches off the muscles we want anterior guidance and we prevent. The back teeth taking lateral forces we don't want our back take lateral forces backed either designed for over. To take down the long axis. So it prevents that and hopefully prevents costs, fractures and stress down couple inclined. So that's the you want to keep your backing out of it journey during any excursions all you following me so far I really hope. So because the next bit. It gets a little bit more complicated. So there's a muscle called lateral terrified, and hopefully that will be relaxed. So the idea of the Michigan. That's been is that it will relax the latter muscles. Okay. Someone trying keep this really basic with lateral muscle because it can get really complex and you know like I said in a podcast version without any videos or dissections and whatnot, there's very limited stuff I can share but lateral terrified muscle is basically a super muscle at a basic level. Its functions are to help you up in your mouth. Help to protrude your forwards, for example, and also to wiggle your jaw or go to excursions left and right, and the way that works is that when one or maybe the right side laboratory Gord contracts then you your job go to the right and the left one contracts and the other one doesn't your job at the left. So that's generally how it works avoid. Now here's the cool bit when it comes to. US A, collusion from that takes care and know about the laterally so much and why it's such an important super muscle is because of this right remember and dense school when they told us that ninety plus percent of us. We do not have our M Ip being equal to all centric relation contact point now to so many different terms for all this, and this is why inclusion can get so confusing, right like there's terminologies thou always involving, for example,.
"splint" Discussed on Protrusive Dental Podcast
"So of theory is only a theory in the first time I heard this was from Chris or about seven years ago and I just think it's a great way to look at things. Well, it's a great term adaptive capacity. Thank you for sending that one in. Michigan splints, you think that the best been ever dental school to torture us that's what the restore department said is the gold standard and to be absolutely fair is actually a pretty good splint Akeso I know the the title I have is quite provocative and anti Michigan but really if I'm going to be straight up with you, I'm going to say it's a really good all round spin I just think it's overrated. There are some diagnoses which you might make for example, my facial or if you want to d program someone, I'll get into all this bit deeper and deeper as the episode progresses but really there are better spins for certain functions than Michigan. But the Michigan is a great Oron and I'm not gonNA put just yet because there are some good points about it. I used to use Michigan appliances a lot like loads, and then for the reasons that I'll go into later nips owed I've I haven't stopped using the tour I tend to use Mitch appliances when PAP save one already and they want through it and they were able to have good compliance with it and good results with it and I'll remake them in Michigan splint tanner appliance. I tend to use Michigan's nowadays for cases where I'm not hundred the diagnosis a bit tricky this some joint related issues and some related issues and perhaps the joint. May. Not. Be Able to accept a load and we'll go in A. Bit More and if I find that is more slightly more were joint related issue than a muscle related issue speaking globally. Then I might be tempted to give a Michigan appliance in that case. Start with the basics what is a Michigan splint? It's an. Appliance alot one is called a tanner appliance it was. Invented or designed in the University of Michigan. They were doing some experiments on the different types of hard appliances and what kind designs would would come out on top and they found that the Michigan Sprint as design they came up with would be the best and I'm gonNA. Tell you what that design is basically and a lot of you already know this I'm teaching guys suck eggs you guys are probably. Very. Versed. In inclusion and spins ready that's why you listen to podcasts but just for for those students maybe or younger dentists who read and get those lectures at. A Mitch compliance is a hard appliance caso top is Michigan. Lower is a tunnel. It's a centric relation applying. So is built into central collation. What that basically means is that when the patient bites together on the appliance, that George joint should be in centric relation, and if you want to learn more about that, listen to Episode Twenty episode Dr Cush Audio if which is called if you're not in CR, you will die if a tongue in cheek title but check that one. Now we go into definitions of relation that. So basically when you bite together the condal central correlation and that's essentially what it means what it means. For you as a dentist providing that sprint is that takes you a lot of time and care to adjust a splint to make sure that the when the teeth come teeth and the splint come together that the conduct is in centric relation, it's also a full coverage applying. So it comes all the teeth and when you buy it together, you want pretty much all the teeth hitting and when you go into any sort of discussion, left of forward, you want Anterior Guidance and spacey all the principles of a minimal stress Titian. So basically, you're creating this textbook collusion which you want to give in any of rehabilitation you WANNA. Get. A shallow guidance on on Canine 's posterior exclusion. Equally shed loads all sorts of stuff you want to do in a full mouth rehabilitation you would give into this appliance says almost like reversible way of giving someone the perfect bunt I'm going to talk about the mechanisms of action and how it actually works. But before we go there, let's talk about what you actually need to construct a Michigan or ten or appliance Basically, you need a impression of the upper and the lower or a digital scan wherever you now I tend to take these in from taking Prussians I take I tend to take them in silicon. alginates I just don't trust anymore even with appliances. Technician said, send me anything doesn't matter but eventually when you find that the odd case. The appliance is fitting the MODEL, but it's not fitting your patient. It's probably because the algae distorted and the model is not now an accurate representation of your patients who really just stick to. PVs. Or take scancen got your models. You need to take a centric relation bite a centric relation might so whether you take it with wax or again with the silicone bite registration is up to you but you need to give the laboratory that information if you don't give them that information, then just make you an appliance that's in there. And then it just creates extra work for you when you're grinding away. So you WANNA give him that central relation bind now a really cool trick. I can give you a when you're actually taking your record in centric relation within central relation within the of it is. If you can control the clues Lebedko dimension at which you record despite record if you record the OCD. Way You want it. So for example, for a Michigan appliance typically want it one point five to two millimeters at the thinnest portion at least typically between the upper second molar and the lowest second motor. You want at least one and a half to two millimeters because remember maybe grinding it away and don't want to make too thin a lot of times. If you seen fail Michigan appliances, you'll usually find perforations in this area so you won't have that minimum thickness for strength. So when I do it, I tend to use a leaf gauge K. I died it up, put it in the frontier. And, I sort of make sure that when the patient grinds together grinds forward grinds back and squeezes that the minimum space the back is about one point five to two millimeters and once I've got that space I do my sense relation bite at that reclined dimension what that means that the magic of doing this when it gets transported to laboratory. And they mounted using a facebook. Hopefully, a tummy just articulate. They simply have to remove the bite record and build the appliance in that position. That way there is no era all opening up or closing. The articulate. So the best way to explain that is that every time because an article is not the mouth and the mouth is not particularly. So if you have to raise the exclusive article dimension on an articulated, you introducing a potential era, but if you can not raise or decrease or play around with over the at all, it gives you a little bit. More accuracy I this for shorts and that's a little trick. I'll give to record the central correlation record at your or thereabouts your desired mention. Now, I mentioned using gauge typically another way to do this is to use a elusive jake, which is made of acrylic for example, something like generally can be used to make one or even some snap or trim acrylic. Around the frontier and when the patient Mites together the back separated and they can slide around and you can hope he d program them while they're in the chat and. CENTRIC relation record. So I'M NOT GONNA go into too much detail because it's almost impossible in a podcast do that. But you recorded your centric relation, your scans or your impressions you sent that and as already mentioned if Bo is ideal mount have I made Mitch Princeton before without a facebook? Yes have. Do you really really really need one. We'll have to ask what does a facebook do and I think this could easily own episode, but essentially to put it down really simply it's to relate your maximum car. So once you got your model is to relate that model to the hinge axis, and really what this.
The Secret to Better Sleep
"Is so let's talk about nighttime breathing during sleep and what the differences of breathing through your nose versus breathing your mouth. And what that has to do with our our oral health. Right. Yeah it ends. The same of this talk we've been having his. Teacher important will take taught me something very important about what we need, how fade our bodies and that the crucial nutrients your body will tell you when you're missing the critical factors. Bottom and nutrient needs the thirst in the mail and the first nutrient that your body needs. You can only go minute without it is oxygen and so. In mouth, we can see when not breeding with delivering enough oxygen to our our body and how this translate to add dental health is that as we mentioned before when agile is done developed promptly when we have been narrow up gloomy have risen, tasted done fit that's the back of the magazine and mandible the upper low joel the done developed that is by definition airway space, and so what that does is it pushes us into. What I like to call survival braiding, and what happens is that we are designed to break through the nose and there's some very deep. Raisins for that. In that in the nose, we released nitric oxide which mixes with the air goes into our lung and increases blood flow and pushes auction right throughout the body. Now, when we have crooked up-to-date and the hi pal, we have nasal sinuses that have a low of volume and we don't breath around knows as well as we would when we have nice and central wide jaws. Lovely Watch faces. So what happens is that we learned to break through Mao and this is delivering coal unfiltered there. That's alert air immune system gives us things, Swanson's and Adenoids but what happens is we don't deliver so oxygen and the most crucial part of this is that the mice hungry that the patio body requires auction is the brain and so when you're a breathing correctly, you're starving your brain of oxygen. And so this can happen through the day. You'll bring me through the mail seventy, five percent of the time. Your brain isn't getting enough oxygen. But when you go to sleep, there's one thing you have to do, and that's brief and deliver your brain oxygen and the reason for this is that when you go into deep levels of sweep, your brain is depending on your breathing pattern to take your nervous system into his. Level sleep that then allows himself to clean now and so oxygen and braving patents or what control that. So if you have the small crowded mouth with and you not comfortable with Nicer braiding, you'll then pushing your brain into survival mode during during slate and so as you mentioned, sleep apnea sleep apnea is the most the most severe form of this condition of airway and oxygen deprivation, and that's when we posed. During slave to ten to twenty seconds, the You Count Ten to twenty seconds in you on your hand. That's what people are doing up to thirty or forty times the not, and that's your brain in deep distress, and so this is how we increase the risk of Alzheimer's Disease Dementia and mental decline because we're not giving us a brain opportunity to regenerate and to replenish itself with the the crucial nutrient on. And where I was sharing earlier in the interview is that we typically think of like the you know if anybody has a family member or know somebody diagnosed with sleep apnea we typically think of somebody as. Being usually quite overweight. The one of the things you started noticing and hearing about from some of your colleagues is that there's a whole group of younger. Men But especially women that were coming in. With sort of these symptoms of anxiety like waking up in the morning with anxiety and Tell us how that also relates to this breathing through the nose versus breathing through the mouth. Absolutely. So when we started to talk about the spectrum sleep disorders, now we see obstructive sleep apnea is at the very very severe and but what they found in the nineties at Stanford, a Research Co. Christian. Gilmer found that there was a group who've is patients that's showed positive results for a mandibular advancement splint, which is a dental sleep device. That didn't that were diagnosed with obstructive sleep apnea and what he did was he called it. New. Syndrome called Airway Resistance Syndrome and it's not a recognized medical term yet. But there are many many studies and lots of research out there showing that people with upper airway resistance, syndrome, which is exactly what it sounds like. It's an airway that has more resistance. So Upper Airway Resistance Syndrome is characterized by an increased pressure in the airways and. How this happens in the body is that when we sleep your muscles relax and that increased pressure is detected by the Brian is receptive at the back you threatening the Airways the tell the brain what the pressure is. Now we have a small bone structure and the muscles relax. What happens is the brain is constantly being sick these precious signals and it relates to a choking response. So the brain has been sent into fight of what? Response, and so this is a survivor when these wackle survivals sleep, and so what happens is that your brain will respond by pushing the Joel Ford and so the most common sign of Airway resistance in Jeremy Teeth grinding and we say this in the Dental practice busy look. But what happens is that people may not even notice that they have the syndrome. You know they slave they wake that I feel that rested. It's because your body doesn't get to reach date levels
"splint" Discussed on Protrusive Dental Podcast
"The SAPA jewelry for disease is also implicated in Buxom and Paris Para function because he's trying to move your joy around get more saliva. Theories, but there's a huge link daffy treat. Someone's Airway CPAP for example, one, those positive continuous air machines. They all stop para functioning isn't that so fascinating. So should we consider that? Yes, you have a dental appliance you give it to them but airway is important because if it's their airway causing the issue than PAPP's going down that path and perhaps then not even needing appliance anymore or if you just ask them in typically if it's like a fifty year old man who's looking thick around the neck. And then you saw discussed with them. and. You have to sometimes we frank and asked him. If you already have it in your questionnaire and great but we don't have it. You sometimes have to ask them do you snore and then a lot of times say, yes, it's a huge problem in my life. My wife is about to divorce me because of or whatever. Massive massive issue usually for the spouse run the patient and she snores but is actually as. A marriage breaker and find out for my patient that snoring is a huge issue and I'm seeing signs of power function. Then at the very least I might offer them anti snoring appliance because, hey, if that's in the way of the teeth and they can't damage the teeth anymore and they can help storing and help the spouse get a better night then the splint will be one also considers the airway. So do you think about that in the future I mean I think one of the reasons in the U. K. and we discussed in previous episodes is that we lack we re solve lagging behind Australian USA in terms of imagining airway in dentistry is. That, we don't have the correct Parkway's or referral pathway setup like we always have to send him to the GP I who may not know much about sleep apnea and they are the ones responsible send them to do something, and they might just say to the patient just lose some weight whatever which is good advice but it's not going to be helping them with these sleep studies which are needed and all these issues. So I think that's why we saw lag behind the UK. So there's so much more to learn about airway as well. Something I will definitely consider when choosing the best splint. So considered airway when you're describing the best appliance, your patient. Okay. The next point to consider for the best appliance is how much do you trust your patient and how much does your patient trust? You know what I mean by that is obviously, we want to have a very trusting patient dentists relationship but not all of your patients, trust you as much as your favorite patient maybe and you don't trust your patients as much as you trust, your favorite patient time exempts. So trust varies amongst different patients and how much to patients trust you. They might trust you enough to compensate on the lower six, but they might not trust you enough to do a full mouth Rehab, for example, or anything cosmetic whatever. So trust is a huge factor because. If you're going to prescribe compliance that has very specific instructions, for example, only where there's appliance at nighttime, not in day. Then, can you trust your patient fall advice because if the proverbial hits the fan and things go wrong, then you won't be able to have a patient that actually followed the instructions because when patients follow the instructions of an appliance and you have put thought and care into the correct prescription of the correct appliance that patient. And not going to run into any issues but winning lack of trust. Between you not trust in a patient to to to do things correctly or massive want is patient trusting you. If I have a patient in front of me now I'm getting these vibes that. The listening to me, but I don't think they're taking ending in. So for example, one of those cases that you that you show them their photos and he showed them all their signs of severe. Power function completely flat in. Sizes. Four millimeters of INCISA height left, and then they're looking at you the listing but they're not trusting they're not buying into it. They don't agree maybe this is the first time. Maybe someone's telling him about that zoom habit and. To Trust you not. So that patient who might not set in might not necessarily trust you if something to go wrong because. Any appliance concordes equation changes any appliance can cause. Changes in temperament, join and at the dental. Be careful when prescribing any type of appliance not just anterior only ones. So. If the patient doesn't trust me, I might give them the cheapest most simple appliance. That is the safest. And not likely to cause any issues. Because it might just do enough for the patient because the patient doesn't trust me that I don't want to give them everything because if things go wrong than already, you're on the back foot. So trust actually is an important factor when it comes to prescribing the best appliance fuel patient. The next one is an interesting one is. Ease of access and access general, for example. The other week I had an eighty something year-old delightful lady just an absolute comedian. She was just brilliant full of life and so funny but she did have. Early to moderate Alzheimer's disease and her son would bring her in and she lives a fair distance away and really we we spoke with her and her son, and we thought that because of the distance lives away she how main goal is to stay stable and do the least amount possible also to minimize the need for her to come to a surgery. So minimize and emergencies and whatnot and other than. Lots of where on her teeth which you may expect it's common but not normal like you know she's obviously empower functioning at high rate throughout her life and she knew it I mean it's one of those patients that tell you one of those rare patient that tell you that they've been grinding and she actually came with a chip on the tier which I fixed for her and spoke to a spoke. And we decided to go for splint I'll tell you in the future of why we did this and how this We decided to split. That was really low maintenance eased who are and will not need many adjustments because if she lives long while away and she depends on her son and she really wants to minimize the number of appointments and Number Times Chesini and I want a low maintenance appliance doesn't need of close. Reviews and checking how things are developing. So for her it's protective appliance which all describe in future episodes. Hopefully, with some examples, I can show you these types appliances. The G. Splint for for my patient there was one that factors in the fact that this patient cannot come to see me for for stringent follow-up protocols and I need to give a plug and play appliance that's going to be easy for her to wear and compliance is almost guaranteed..
"splint" Discussed on Protrusive Dental Podcast
"Confirming Central. Relation. PRYATTA reputation and he talked about the different indications that was great and I've been using that. In a lot of my patients and it's been a real game changer for me so. Go ahead, success with that, I'm using all the time and practice. The right indications and seeing great success with it. So can you tell us just? Briefly to anyone who's not familiar with these sort of appliances is why you think they have a place in practice. Is that too board. No I would actually probably WanNa make a broader is why would use any appliance to begin with the and throw always WANNA start? I always want to start with the why we get into arguments as you say and we get into disagreements because people have their what and there how and they want everybody to do their same. How like you have to do my how you have to use my? How might appliances right when my mind this this this But. In some means, those discussions were missing the why So, why do we use orthotics? Why do we is exclusive splints? Why do us by guards and Akers? Whatever you WANNA column there are just a few very simple reasons. Why weaves them? We use to get people out of pain. We get his them to help protect things, and we use them to help figure things out palliative protective diagnostic. So if someone is hurting and they could be hurting in their teeth, they could be bringing their muscle or they can be hurting in their joint. They need a palliative splint. I don't care what design it is if someone is breaking their teeth or breaking their restorations and they want to Keith. Those restorations intact than they need a protective splint. Now, if we need to figure something out whether it's in other camps that want to figure out chewing patterns. Or my approach if we want to figure out here functional patterns or if it is imported joint position than it is diagnostic approach and you can use full arch appliances for all of those applications and you can use anterior mid point stops for all of those applications. It goes back to the exact same thing that we're talking about the beginning this. Chad is we have a lot of tools, but we have to have goals, and then we have to balance efficiency with them so that we aren't protective holiday diagnostic that's it. If you can just categorizes flint in those three sections, everything becomes so much easier. So almost all the people all people on the producer community asks for flow chart and you'll see in this episode white so complex to make a flow chart. But at the very top, you always bear that in mind whether you're spent his protective Hannity or diagnostic again, a little bit more as a wheat combined doctor. Thank you Dr Michael Moguls for for inspiring us with. Chosen simple and beautiful sort of viewpoint on how to choose the best plan. So best dentists bent in the world is called a splint the G. stands for my son in Galati. I'll be telling you all about the Jason I'm very much against. Having, giving blanket description suspense but Hemi out for a second why the G. splint. The best lint. Okay. So in no particular order, let's look at the first factor I would consider again, random order I've got four or five different points which makes the best dental splint. Number one, the G. splint is the best one because it's the one that actually addresses the diagnosis. So to many people give it blanket prescriptions of everything you know. I will do a vertical preparation for all preparations. Because they are the most conservative or whatever, or I will do a one specific type of procedure for every scenario because it works in my hands or whatever. So a lot you know dentists who only ever give a Michigan Matana and that's it nothing else and know what they'll have a reasonably high success rate in general, but you have to ask yourself. Is that practitioner so prescribing and based on individual needs and diagnoses or habit. So the first thing is I've noticed, is it a joint as a bony issue? Is it a muscle issue? Or I try and just put something between the teeth to protect them. So what what are you trying to achieve? Maybe. Two or three of those things and maybe they're completely asymptomatic and they just chipping wearing the teeth and they're concerned. So it really depends on your diagnosis. The health of the joint health the muscles. Sort of initiating initiating factors are the daytime or nighttime. Para functional a they singer the day all these factors are part of your diagnosis, and that's an important thing to consider. Don't you think number two compliance this is a huge one OCCA- many years ago. I used to lots of Michigan splints and tennis, and once again, if you don't know what these are, these are full coverage appliances hard acrylic traditionally now, you can actually do the type a lot of dentists are against these, but the soft on the inside and hard on the outside and have the whole Canine Ram store for disclosure and whatnot. Essentially No. These splints are. Supposed to be made ideally using facebook and you know two or three long appointments to get them perfectly collaborated. But the number of lines is I've seen that patients own that come from other practices. Simona tell me about how this was made. Just one appointment they gave it to me. I went home. That's it done. And check thereby and they've got an On this blimp and he knows supposed to be a Michigan. Retina. So many of these plans are actually really truly and properly equilibrate it. I, don't think money. So compliance a huge factor is to give these Michigan town plans is with all the best intentions, all of us experience and really trying to get the best my patient it was. So disheartening an embarrassing for both me and the patient with patient come out for recall, it'd be like, Hey, high get along with that spent. We spent a good few hours on that. We check your by over again how you're getting on with it. And I say I tried for the last couple of weeks and two I. I couldn't get myself to wear anymore I kept moving it in the middle of night, and now I don't even know where it is anymore. So compliance is such a huge factor because you can have the best split in the world the in the world if the patient isn't where it Could be pointless. That is another factor to consider to the G. splint or with the one that would also help with compliance for the patient and that depends on patients. Some patients will comply better than others that might be a personality type trade that might be. Just something innate about them. So something to Suss out about them Keeton number three, the best plan is the one that will also consider. orthodontics say is now so many more patients receive orthodontics. Did you know in the UK? When they sort of a budget in the national health system and the allocate some funds to to children's braces and orthodontics on the. Bay Budget one in three children were require orthodontics one in three. That's huge. So imagine the patient tomorrow one in three of them will will will have had some comp- comprehensive orthodontics from the energy and a significant chunk of patients would have paid privately because maybe they didn't meet the criteria for for Iot and so maybe up to forty percent of patients, future may have had some degree of orthodontics at some stage. So don't you think before you give an appliance that you should ask if they currently wearing retain is at the moment. Whether they had antics before within they need retention. and. Perhaps an appliance or Clinton are not only addresses the diagnosis. The the reason for giving us been is diagnostic palliative is it protective but also factors in degree of authentic retention if it's necessary. So that's nothing that the best will actually address does the patient need orthodontic retention? The next one is also very important to consider is it's airway record episode of episodes ago with a Professor Ama- Joel about, airway and our role are growing role the future in dentistry to help patients with airway. And there's a huge correlation between airway issues. I'm talking sleep apnea the inability to get enough auction you're sleeping because it collapsed the soft tissue airway at basically this is one of the implicated theories of why People Bronx and power function because if you're not able to get the errand, then your muscles must. They saw over all over the place to try and allow you to get more air inside, and the other thing is a gas gastric..
US podcast downloads and audience per platform
"We start with an exclusive today exclusive data from contract on total downloads an audience splint by platform for US podcast downloads. He shows that apple has sixty one percent of podcast downloads and spotify only nine percent. But when you look at total audience, it's a different story with apple being used by about a third of podcast listeners. But spotify by about a quarter, apple podcasts might still be bringing in the downloads but spotify appears a significant service in terms of increasing podcasting total audience. According to Lipson today is the last day to submit your podcast into Amazon music and audible. If you want to be there for the launch, you should be using your podcast hosts distribution option or if you don't have one of those in your podcast host, a new podcast host and be, you'll find a link in our show notes newsletter today. Last month, we reported that anchor was hosting pirated podcasts. Aaron Monkey is the latest high profile podcast to publicly criticize the platform after discovering pirated copy of his new podcast American shadows on anchor same art, same description he adds. Spanish language audio on demand platform. IDEX has launched subscription platform vokes plus it'll cost you eleven dollars ninety five a month content creators will be paid based on total plays and audience wanted to replace the subscription service from podcast network. Wondering will be free for year. If you've got a US American Express card, check out your American Express essentials care package email from yesterday a third of the adult population in Ireland of listened to podcasts recently, almost half doing. So since the pandemic hit according. To new data and another exclusive transcriber, an APP that offers unlimited transcripts released. Later today people can just hit record. It transcribes in real time for how long they want, and they can share the transcription everywhere says the APPS developer you get unlimited time for three dollars nine, hundred, nine, a month, and it podcast News Oprah. Winfrey has launched a podcast with Apple Oprah's book club is in a compliment to a feature on apple books and Apple TV, plus it's not exclusive to the Apple Platform. Upon cast, an oral history of the office is nearing its end. The finale is next week. It's spotify original, but it's available everywhere. The current episode features the final episode of the office including a surprise return of Steve Carell Brazil and polke are back together. Again, Brazil might Perry the former breakfast team at UK radio station. Talksport they've been reunited by PODCAST works for podcast supported by a sportswear retailer and the Lamar show is the debut podcasts from singer. Songwriter. Lamar. In conversation with living legends, entrepreneurs, creatives, and close friends,
Padres' Hosmer fractures finger on bunt attempt
"Padres first baseman Eric Hosmer fractured His left index finger while tempting to bunt in the first inning questions there about why're you bunting, but anyhow, he was trying to buy And it hit him right there in his ah, his index finger on his left hand and manager. Just English, said after the game. He could be out 2 to 6 weeks he went in for the X ray came out. He had a splint on the finger. So we'll see. Now the Padres are, I guess. Lucky in a sense because Wil Myers to play for space Jake Cronin worth complaint for space, So it's not as if they have this massive. Mitch Moreland, who's new to the team can play for spaces well, so
Sunny Summer Citrus
"Samantha. Thank you so much for joining us today. I'm so excited to talk with you about these citrus oils. Now I'm excited to talk with you too. There are some amazing oil that we have so. I know a lot of people think of Setris when they think of summer. It's fun and it's bright and of course the taste and the smells remind us of summer but what are some things to be aware of when using citrus oils topically especially during the summertime? Like you said oils are great. They you know we have that bright fresh smell also great topically for certain uses however it's important to be careful where you apply them most such as well as have compounds that can cause UV sensitivity basically means skin is more sensitive to the sun and UV. Rays for myself. In the summer I personally don't use many citrus loyals topically unless it's at night or if I absolutely have to and then I make sure underclothing things like that right absolutely so we do have to be a little bit. More careful about where we're applying citrus oils but what makes them a great companion during the summertime. They are fantastic. I love combining said shows or something to ground them it really just brightens refreshes the atmosphere. That you're in one of my favorite diffuser blends to us is wild orange green monitoring grapefruit. Hawaiian Angela just a few drops of each of those. It's so refreshing uplifting whether that's during the summer or as things get kinda cooler in the fall that sounds like it would smell amazing. That's definitely won. The I want to try now I recommend so does. Tara has quite a few sicher soil. Some people may be really familiar with some. They might not have tried. Before and so they're kind of a few different categories maybe that we could put these citrus into the first one would be the sweeter citrus says things like wild orange. Or Tangerine what are some of your favorite uses I the sweeter citrus oils. While warrenton kettering arm I go to as an addition to my water bottle to drinking water. I love the sweet taste like you mentioned. They really are in that sweet category and it helps me drink more water throughout the day. Be More mindful about the water that I'm drinking. Plus there. Those emotional benefits that we love from citress loyals absolutely and the internal cleansing as well that can come with citrus oils. That's amazing and I think you're absolutely right. Sometimes it's hard to get in all the water that we need to especially when it's hot and we need a little bit of extra water that taste of that sweet citrus can be such a good companion. Yeah it's a great motivated drink. More for sure. So the next category would be kind of the tangy citrus oils. Things like lemon lime burgum. Oh Green Mandarin and grapefruit. What are some of your favorite ways to use these oils internally? Some lemon lime are my favorite goto oils cooking. Especially in the summer. I use these in Salsas guacamole along with a little bit of Cilantro oil for both the tastes and the internal benefits like you mentioned about the internal cleansing and internal emotional benefits. We can get from those oils. Ooh those in a guacamole would be so fresh and then you don't have to worry about having the fresh ingredients around the house exactly it's divine. So what are some other ways that I could incorporate these funds citrus oils around the house? So we all know. soils are ideal oils for cleaning. But if for me if I ever need to use a harsher cleaner to remove stubborn stain Soaps gone. I really like to add a few drops of grapefruit and lemon in the bottle cleaner. It adds a bright fresh aroma. Kinda cuts that harsh cleaner. If I really have to use some things a little heavier but also helps soclean stubborn surface ads and it boosts cleaning benefits. Also lemon mix with some retain makes for great would cleaner. That's awesome for you. Know would tables but as always test the oils? You're using a small inconspicuous area before just to make sure you're not going to damage your surface. Because some of the finishes can be a little touchy to to these citrus oils. Those are great ideas in such a good alternative to some of the harsh chemicals that we would bring into our house otherwise for that cleaning and different things. Yeah Yeah. It's definitely your alternatives. So the last category that I think we could lump these citrus oils into is kind of the bright citrus oils and these two are the citrus lens that we have the citrus bliss and doe Tara Cheer as part of our product marketing team. You know you have some experience with the creation of these oils. The thought behind creating these two essential oil blends as bliss is simply inspired by an orange cream sickle. When you smell that you really get that vanilla ice cream in that sweet. Tang you orange. We wanted to create a fresh summary. Blend that still reminded us that you know simpler days in the San Juan joying sweet classic ice cream treat diffuse it smells just like an orange cream cycle and then as part of the emotional therapy program cheer actually. Combined Citizen Spices which is on that emotional therapy wheel. And they've been shown to inspire optimism while uplifting attitude and so you mentioned fusing and you mentioned the emotional benefits with the cheer. How can you utilize the citrus blends every day in your life? I feel like suggest. Bliss is amazing diffused from spring all through summer. I also like to put a few drops on a paper towel. Then put that the bottom of my garbage bin. I found it helps of any unpleasant smells can kinda kick so smells and then cheer is one of my favorites from the emotional therapy line. Actually it's the one that I I- diffuse whenever I need a different type of such a splint. The spices actually perfectly complemented suggest profile. So I generally use it late summer to fall to warm up the house. A bit with those spices while still keeping it fresh energize having citrus aroma. That you love in the summer
The Running Experience
"My Name's Nate helming. I co-founded the run experience or five years ago out of a lot of injury and frustration. Both for my co-founder myself in a lot of other runners that we saw trying to train out there and always always getting smacked down with injury. SORTA no the the pattern of you know you start to or maybe don't With runners it's very common to get on a good stretch of training like they're making some progress us than they did with some sort of injury than their hurt than they lose fitness and then they have to start over against they. Just go through this treadmill and it's through cycle and in uh both of our experiences. It forced me actually to get into coaching. If forced me to really get into strength training I worked as a physical therapist aid for for While even though I had no intention of being physical therapist but it just it really forced me to take a harder look at my body and I realized that the run community was was was missing a lot of things that we as runners needed to be strong. Be Healthy and I think a lot of run coaches would as brilliant as they are would handle all the run training all the mileage. Did you need to do the there. Was this kind of hidden not so hidden thing that was like well. This plan works perfectly if nothing goes wrong for you and as soon as you get hurt or get knocked off or your mechanics. Just weren't that great in the first place. This plan was never going to work for you so it got me thinking about my own situation. The runners that we see starting now that we work with all the time who are using running his vehicle fitness in their thirties or forties fifties. But not very strong. They're not very flexible anymore. And they're just excited to start. They don't know where we wanted to create plans in programs for them and out. We took the normal spreadsheet based model. Because you know you've talked old school ring coaches they were. They were sending training programs by fax or by handwritten letter. You know so even even a webpage deal but now we're like okay. Most running programs online are really just spreadsheets mileage. And it's like with modern technology. We can do better with if we actually filmed run programs so that you had a coach in your ear talking. Can you demonstrating everything. They wanted to do. Mistakes to avoid how to get stronger which is exactly what we did with run experience us as if we do take it all all the way back to when you first started running what is it not really into running and also obviously a lot thrown experience centers around injury prevention or you get back ebbing the healthiest version of themselves becoming an injury. What is the most common injury you come across the coals of injury so the way way we look at things at the run experience is is a like a kind of a whole body approach towards things which is really expanding? Arnold is aren't understanding changes It certainly certainly started mostly on the injury prevention in the strength training. which is what we continue to specialize in and the most common injury with runners are just low level overuse stuff and I don't even want to focus in on any one specific injury because it gets if we get focusing on the wrong areas? I think for too long. We've treated an Achilles phillies issue. A planner fasciitis issue Shin splint issue or an IT and issue as completely separate things and they certainly have their own little all causes that you want to pay attention to but it always comes back to lack of strength overall especially in the hips. I'm not able to really get. My hamstrings includes firing together there. My hips aren't stable. Forward and backward. They're not stable side to side so that every time I step my hip collapses and then all of a sudden my knee my ankle my foot collapses so for me. It's like look I'm seeing a systemic sign of lack of weakness in range of motion. My run mechanics. Aren't that good. And then I don't know where the small little fires gonNA show show up but it's GonNa show up somewhere on the Yes you said. It's not thinking about things independently because it's a whole system. Failure Dot com cool is what whichever injured nearly a not. That comes down to You'll technique you form and also of trading and just diving straighten to it without giving any sort of thoughts. You how you're going to train. Yeah I mean that that being said the bigger injuries that we do see it probably changes with type of runner with newer runner. Uc Shin splints. A little bit more frequently actually just uploaded a video of it today on our youtube channel going into the INS and outs of that particular one. I think planner fasciitis and kill. Your shoes are also are also big things that we see online and then sometimes for our our more dance. Runners is our intermediate right. It's really bridging up distance for the first time they're going out for the half of the marathon that. It band starts to become problematic. Yeah so I haven't so done. A bits of running in the pasta. Never been up in more rugby. Plaza CEO always felt myself a bit of running but I have done to off marathons now how and a Spartan race enjoy those but never suffered from injury fraum running itself. Yeah always yeah very very happy with that. What is what sort of process? Reveal everything from their youtube video today. But say I was just getting into running. Enough God's shin-splints how the Rhone experience help without mortar jude. To to help people overcome those issues and get back to being all running with techniques. So I I look at an injury with basically a three pronged approach a number one. I need to help educate you and get you on board with understanding of what's going on. Because is the worst thing that happens with. Runners is when they feel powerless and they feel like this injury came quote unquote out of nowhere. They rarely do and that they have no control over it. Because that's just the worst the feeling you know to be the metaphorical kid stuck inside recess. While they're watching all their other friends Ryan the races play outside and you're like man. I'm just on time out. This is the worst so we I want to say. Hey look this happened once new runners we all go through it. We're learning to read our body. This is what these signals mean in. Had you pick these signals up a couple of weeks ago a month ago there are ways that you could change your situation and then all depending where you are now we can get you out of this whole immediately so the first step is getting a little understanding of what it is so I can start to take ownership. Oh yeah man. I wasn't doing that or this is not that strong. Yeah and then we say look. Let's get rid of all areas of irritation and inflammation Because if you were to go to a doctor with your insulin issue the doctor might say hey you should stop running and a lot runners. Well that's not exactly what I wanted here. But it's a very unreasonable thing for a doctor to say. Hey Stop doing the thing that is irritating you or causing problems so in the short term we say hey we do need to remove this point of your tation. Yeah that doesn't let you off the hook in terms of training or anything else it means we just need to shift our approach for a little bit. Yeah so we get into the short term VIC staff the mobility work okay with Shin splints. What's going on with your cats? What's going on with your feet? Do we have any knots in there about your interior and post your spouse muscles appar needlestick these these different muscles that we don't think about as much but they all play important roles in terms of supporting our ankle causing our foot to both plantar doors Affleck's exchange rate stability power when we push off. Let's start to poke around there and give those overworked tired stressed out muscles a little blood flow and get them to to release. Relax a little bit that can be done with them. Roller Lacrosse Ball. Your hands etc Now if we were to just stop there you're going to create a lot of progress for for yourself but if you don't address why they got so titan overworked in the first place you're gonNA end up back where you are just on that injury. Merry go round the sue now right so now we need to start to address the longer term approach to things and this is where we get into strength. Training can say okay. Maybe you're running this area just hasn't caught up with the rest of your body when I see translates swimmers who have incredible or even cyclists. Whoever really incredible cardiovascular engines? They really know how to suffer in push themselves heart superstrong you could get them running and they have the mental willpower to run hard for an hour or a couple of hours. But the tendons fins ligaments in their feet just having adapted yet to the specific rigors impounding of running right so in that situation is okay. We gotta get those smaller muscles. All those little looking cranny muscles just caught up in a little bit stronger. We cannot a little supplement work in an improved there and in the final piece as we start to build things back in is going to be your run technique in starting to think about like okay sometimes shin-splints stats associated with new runners who tend to overstride a little bit because they haven't really learned learned how to drive their hips Ford in open up their strike behind them and their cadence is a little low. So there's just a little bit of excessive pounding on each foot so then we can start. Start to address those things so that all of a sudden this injury becomes a not fun but a really good learning lesson an opportunity to come back as an even stronger definitely. Yeah definitely. It's a better to correct things that could lead to eventual problems as soon as possible buildup. Oviously we need you talk about the narrative that happens with a lot of runners because if this was the narrative that every runner went through they stopped they took full stock and what was going on. They immediately addressed their soft tissue. They started to work on strengthening run form and technique. I be supremely confident that we would cut down running injuries by eighty percent. Get something a lot right like really cut it down. The vast majority of injuries we see is people have hard time differentiating between specific pain and general suffering like a runner. I'm supposed to suck it up. It's hard right like I. Just keep pushing through and then the other side is men if I can either just run an and hope this goes away or do nothing. I'm GONNA always choose. Just run in that becomes an issue. So that's something that we need to address break and g find you mentioned just before about ownership. Do you find that a lot of people do struggled to come to terms with. It's something with that technique with canes or stride length that's obviously obviously not ideal and this is causing the injury but people of Asli struggled to come to terms with it something to do with themselves. That's causing it for example you know. I don't blame people so here. We're all a product of what we've been taught and so much of my early coaches that debt. There's a lot of great running experts now. Who basically it just they? They don't take ownership of the coaching side of injuries. They just say hey rest go see someone. It's not my problem kind of thing. They're not trying to do anything malevolent right. They're just like well. I don't know how to fix this either in. There's this other thing that I like to call his survivorship bias a lot of our experts in the run world old are athletes who have been training for a long time. They've made it through high school through college. They're professional level and the coaches who've been in it for really long time and honestly these guys have some great advice but or a lot of strength injury.
Santa Anita, Santa Anita And LA Times discussed on Justice and Drew
"In another horse has died at a California track that was closed for time earlier this year because of horse deaths the gelding named coaches injured its front legs during a race Saturday at Santa Anita. The nine year old horse was taken off the course with a splint the LA times reports that during surgery Sunday, the decision was made to euthanize the horse dude will loss of blood flow to the leg. It's the third horse death in nine days at Santa Anita, and the twenty-six horse today in racing or training at the track since December twenty sixth Santa anita's scheduled to host the
Special counsel files memo about Michael Flynn's FBI questioning
"Security advisor in a court filing. Prosecutors sexual counsel Robert Muller's office say the seriousness of former national security adviser, Michael Flynn's offense cannot be called into question in the circumstance of his interview at the FBI did not present mitigating consideration for a lighter sentence Flynn's lawyers in a sentencing them, oh argued their client was not warned during his interview with the FBI. It was a crime delight of federal agents, the special counsel memo notes splints background in government leading an intelligence agency. Still prosecutors recommend a light sentence along as Flynn continues to cooperate with the investigation in Washington Jared Halpern. Fox News fire crews have taken up a defensive mode battling a warehouse fire
"splint" Discussed on Critical Role
"Wow. Is again, very. I see well walked down you spot. Mr. Boris who you know is the cat belonging to MRs splint. Yeah. The caretaker of the school. They will definitely report you if you're seeing out of the classroom. So it's very good. The old very high down and very quiet s Mr. Boris pads out of the room and across the way and enters the great hall. Very quietly. Make your way down the giant staircase into the entryway. And look around. Beetle? Sure. Thank you for meeting me. And he. Great hall. Into broom closet. Integrate all of you file in. A very tight little room has removed. This room was good. Joining me where wife from taking us him. I need. Down below the kitsch to cook. Is that what you could may be outlining the problem that you're dealing with dungeons and beetle. Parites out of the road. So if you go into the kitchens now. Kitchens all the kitchens and dim blue place. Go below. Then we go to school. Swimming..
"splint" Discussed on 600 WREC
"Coke. See splint left side running backs Henderson to the left of the quarterback. Here's the snap to white. He's got pressure. These steps up. He's gonna run tad. He's gonna win. Stat. Yards. Regains the lead nine seven late airline offers Don stop flights to eight different locations departing from Memphis international airport. Visit a legion airlines dot com for more. And Matt I'm sure you saw it kinda the same way in the press box. I saw it down on the field. Brady's scrambled for a lot of touchdowns. He's not really your typical running quarterback. He got to the ten yard line. Get looking around almost like do. I run it though. I throw it. And all of a sudden, you realize I've got nothing but green in front of me and watts in. He was undecided about what to do the football. Jeff, I agree. And you know, he got bumped by one guy who missed tackle on him. And he broke open kind of looked around going. I got a chance to go to the corner right at the flag there and score. And he said I better kicking in notch. He did. And he got it in the end zone. And he's not noted to be a running quarterback. You're right. That's not what he does make scrambles a little bit. But as opposed to Milton who's the guy that runs around does a lot of things, and he got that opportunity. And you gotta give him credit for doing that. Because he. Saw the lane. Got it and went into the end zone for the touchdown. But heads up play about Brady. Here's a guy that stepped up big tonight as we take a look at the state farm replay the game and Riley Patterson was big tonight. He knocked us when to make it. Twenty three fourteen clock is running.
"splint" Discussed on WLAC
"A cane plus. Pain, relievers, President Trump says he splint plans to spend six or seven days a week campaigning with? Republican, candidates in the remaining two months before the, midterm elections but some who are close to the president are concerned about the risks of such frequent public exposure according to the Washington Times here's this morning Jennifer Kushinka President Trump's, habit of making off the cuff, remarks may rally his base but. It could pose a liability for some GOP candidates heading into the midterms Gabby moron jelly of the Washington Examiner, is taken a look at the, issue and joins us now, Gabby how much do we. Expect the president to stump for. Candidates over the next few months well he recently told Sean Hannity from Fox News wanted his longtime friends and sort of outside advisors to the president that he wants to spend, at least six or seven days a week campaigning for Republican candidates beginning in September So the final, two months before the midterm. Elections his plan is to basically be off there every single day stumping for various candidates and he's also directed his chief of staff and some of. The senior aides in the White House to assemble a list of anywhere from twenty to twenty five of the most vulnerable Republican. Candidates or candidates, who are running in very competitive races who could use his help because he wants, to visit those districts visit the states and make appearances alongside them what he, isn't doing. And what's interesting here is the president realizes that in a number of districts that. Are, very, competitive heading into the fall but he would sort of be this polarizing presence and so? For, him to even appear alongside candidate could potentially do more harm for that Republican than than help them in the long run we're speaking with Gabby Meringgi Elliott of the Washington Examiner Gabby did we see that play out in Ohio where Republican Troy Balderstone seemingly eked out a victory over the. Democrat President Trump took a, lot of trip took a big. Trip there vice president Pence was there But that was expected to not be a close race and, it was a close. Race could his appearance of backfired You know. An area where the president rightly call her stated, his his support actually helped bring ball Jackson over the finish line I don't know the extent to which the true but I do think his appearance in Ohio's told. Congressional district just, days before the elected special election took place actually did benefit boulder, in his race against Danny O'Connor but you know another thing that I haven't even mentioned. That is the concern towel Aggressive hardcore. Campaign schedule that a lot of White House advisors, and allies of the president had because obviously President Trump is unknown for sort of these off the cuff comments that he makes he's sort of energy feeds off of. The energy of, the crowd and not a lot of times puts him at risk Things that he might later regret or that will obviously earned him negative headlines in the media and sometimes turn into these week long cycles and so. To have an out there six or seven days a week there really is a greater risk he will see something controversial that? Could, get himself in trouble and also. Foresake candidate who he's stumping for to have to answer, questions about if President Trump, does, say something off the cuff that makes a negative headlines is, there fear that that could motivate, more Democrats and or independence to, come out and votes against his candidates in. The midterms, well we've certainly seen that happened already if you go back to a Trump rally in July where he was in, Montana he he made a comment about Elizabeth Warren and the metoo movement and it obviously attracted negative headlines turned into a three-day news cycle and that's, something that really does advertise Democrats I mean Elizabeth Warren Was unable to send out a campaign fundraising Email the next day trying to urge her supporters congressional democratic candidates this fall and so he does he does find. Himself at risk every time he says something that it's going to be used as fuel for Democrats and that they can then? Turn, to independent voters voter than perhaps. Even moderate Republican voters and say if you support the, Republican candidate in this race, they're, going to be supporting a president who says XYZ this morning, Jennifer Kushinka with Washington Times reporter, Gaby Morin jello it's twenty minutes, now in front of the.
Amazon workers strike in Germany, joining action in Spain and Poland
"Ensuring a fair cooperation with all our, employees including positive working, conditions and a caring and inclusive. Environment, now, unions apparently a stronger Europe are being told by Gizmodo stronger than in the. US and I guess strikes against Amazon have been happening for years, this your workers in Italy and Germany struck separately back in. December I haven't noticed any change let my Amazon service maybe a one. Time I noticed that there was a couple of delays like a day or two delay in, shipping but other than, that not much Apparently, there was a black, Friday strike To mess up the Christmas sales They say Germany remains Amazon's biggest market outside the US So many reports have painted a. Grim picture of how work is like an, Amazon warehouses and so we have been following Amazon very very closely as we're being told that they. Have these robots that can lift, over seven hundred pounds these robots. Are working fairly efficiently some of the better than humans And I don't, think Amazon is going to hesitate In fact I think they're already mobilizing And so as a human, worker we're kind of in a pickle we want. To be able to use our, strength I get the whole strike thing. And I admire people that do, that that takes a, lot of guts but their salaries online their jobs on the. Line for the. Greater good of others that's. Pretty cool I like, seeing people unite I think that's really. Really cool for a for a collective 'cause. That's why America's such a great country it. Allows us, to do things like that But we need to be kind. Of careful because there's going to be a. Time where employers are gonna say fight screen You're, not, that good Yeah we're hiring you as. A favor to you So we got. To, be careful about how much we ask for We're asking for a lot from employers Raskin for higher salaries Asking for insurance health insurance Some of us also dental and vision We're asking for paid, sick leave Razan, for maternity, leave. Paternity leave stress days budget accounts little Pity cat we ask for a, lot of stuff, from our, employers And we think we're allowed to. Because they make a lot of money off our backs Maybe we're right For every employee they may make three times the amount of. Money that day Based on some others who knows So we have value Unless something. Else can replace us Well no one can replace a human because humans do a lot of work, when they show up they well we're finding that there's a lot of type gadgets or robots that can lift more than us if you have Amazon robots that can lift over seven hundred pounds Well I you know they don't need to hire five strongman If you have computers that work faster if you have robots that could flip burgers, without dropping them. On the, ground or sneaking some. To eat you have efficiency I mean a robot doesn't steal I can't tell you how many. Billions of dollars US employers have to deal with. With stealing we, had staff steal, from, us, all, the time, steel flu shots steel. Splints, steel, syringes steel, Ky. steal money steal from other staff You know I, mean we had, the, gamut, and, if I, could have a robot Check somebody in take their vitals I. Walk into the room follow me then you. Follow the robot to the room I I can save a lot of. Money now those robots are. Expensive that's the only reason why we aren't seeing a lot of them. Takeover They're expensive But you start to see more and. More demands It's gonna be nice for employers to be automated So I don't, blame, him, one eight seven seven dhaka-delhi one. Eight seven seven zero.
"splint" Discussed on The Rich Eisen Show
"Oh oh god yeah fantasy name now but broking knoxville's torn your ether dude is there a splint for that i had to go straight into surgery i did they journey they taped it to my leg and and i had to running all the way down so i had to pete that way for several weeks and the worst part is well i don't know i probably shouldn't go there 'cause i don't know what the rating is on this show jenny but if i ever became a signing if i ever became excited with my tape down to my leg then it's excited at a right angle that's painful geometry lessons with johnny knoxville here on the rich eisen show with agri theorem on that let's take a break when we come back johnny will talk about him coaching youth baseball here in the los angeles area true story correct yeah back in sixty seconds with the star of action point these days news travels lightning fast which is great if you're a sports fan between status updates breaking news notifications and twitter feeds you can always be up to the minute on every team in every game while this is great for sports it's the opposite when it comes to buying a car go online and your bombarded with numbers invoice list price dealer price it's hard to know how to recognize a good price not anymore introducing true price from truecar it's the only price you need to know because it's exactly what you'll pay for the car you want including fees and accessories how do you know if you're true prices great price because truecar shows you what other people paid.
"splint" Discussed on WBZ NewsRadio 1030
"I do this i had some chopsticks and some duct tape and i made a splint as a really good splint actually chopsticks and duct tape are excellent foot finger splints red duct tape you just kinda take the two well actually all you need is one you break in half but in parallel maybe three quarters of an inch apart put some tape over it and on both sides and then you got a little hammock for your finger and then you put a couple of strips of duct tape around there you gotta make sure you mobilize the joint above and below so i realized immobilize the whole wrist anyway it's really hard and like crazy and finally it starts to subside and i think i'm good i went to the doctor on monday donna why awaited and i don't know why i went on monday because it was feeling better i guess maybe because it looked all swollen up i guess maybe i figured i've gotten sure i should not be as an idiot i'll go check it out so i got an x ray x ray was positive it was busted but i don't know why they bothered xray because there's nothing they weren't gonna do anything by the way the doctor said my splint was awesome i said do i need to get splint at the pharmacy she said no that's a good splint so i felt out i'll rugged and tough with my homemade mountain splint i wore it proudly all through the city of boston my little bright red finger hammock all right now is a story about the micro spice that work it was a a damp day fall day beautiful fall day little chill in the air enough of a chill so on the top of this hill wasn't even a very big mountain lot of rocks and it was wet and misting but the missed froze on the rocks and caused this little coating of ice and with regular footwear it would have been deadly these control the micro spice you could walk right on these rocks grabbed right in there not too heavy they there rubber top chain underneath the chains have these spikes and it's difficult to explain it they just work and that's why i.
"splint" Discussed on Spoilt Milk Movie Podcast
"This podcast season hello and welcome to paul long of this teenage mutant ninja turtles episode of this podcast today we're talking about teenage mutant ninja turtles to the secret of the us so to we'll see us the secret of the us is all about that tolls you so i do like quest the 'lions tote of broadway i was getting for broadway so we have michelangelo we have rafael we have donatello we have leonardo we also have splinter who not he's rap and in the first film you see doing some sweeter in jitsu in a little cage spent as great so we have them guys and they live in with april o'neil whose how the goats from the end the awesome so so then the fook shredder and then souvent in the first one yet amount they live in they got found out whether we live in and they can't be seen by the public because people won't understand foot the fault came in and moon van lives they stole splint didn't in the first one looking so they had to move and now one i thought like we're visit oh bonded and differences but became just save the day comedy little mac splinter he does look splinter yeah he's a mustang probably looks pretty clean for for the lives in the sewer i've seen green of ass.
"splint" Discussed on The MMA Hour with Ariel Helwani
"Yeah i wanted i they of that the hospital the new the uh x rays that there were super backed up on their own at the hospital or something so we ended up just getting in a splint and being able to go i know it on the people throwing it in it for me put a but a lot of effort into us i really want to make an effort if there um solve now we're back at the wherever protect out uh guy with what's wrong with their you have a few more minutes or do you have to go on dan work without power gut were good guy okay yelled i'll be less all be seven minutes um did you get to try your era you're you're marijuana did you get a chance to check it out and if so how is it yeah sugar show g um it is unreal easily i obviously my my stranorlar but is mess marijuana i've ever smoke do on and on i'm yeah i i'm hoping that we can get out do a different couple different states in a get going on it because it's good stuff i think and we're working people get it it's i think it's only ah eight trimming california right now all money to kinda talk to them today or sometime this week and figure out where it's all going to be in uh get that info out you don't have to see aung in a smoke them against folks so mariel you know much of a smoker myself it's been almost twenty years since a even tried something of that nature and uh you know i just feel like i'm kinda pass that point maybe one day we ever meet up how 'bout that legally you know under uh.
"splint" Discussed on WFAN Sports Radio_FM
"I run four seven ill the the wrong fat so what w what is it going i hear what can run a four foot were dug was on gotta back splint and obey of the run anywhere i think i i listen you i'm not calling you every golfer both the tiger woods the dustin johnson the jordan spee the justin thomas is the jason days those guys are athlete that's a hard game i don't know if you've ever played this is doors to walk eighteen holes is no no no no beat don't be come on come on it's not hard to walk if this is what i'm saying the game takes a tremendous amount of skill it's a hard hard is this last year like arts thing at all seriously you think being an offense of lime and you have to be a tremendous athlete or you do have to be tremendous draw listen is also alarming older i don't know what you do whatever but every online at alignment of why minnesota i guarantee their way more fluid and skilful it ended a half the people you know and myself it quoted i agree with that but not all up i mean i picked some pretty said all of them utah nfl all of all of got a decent broad they got quick feet they can play basketball they can dan's he'll do i want you to just google brandon williams and just google some his dad's videos and see what he's able to do new could walk i don't want to why i don't want to watch it back i damp years uber uber is now bike i let me let me say it's not changing subject to other quick once before i get the haug and i i know i'll get the hook quickly 'cause carling drunk i carr who gives you'll hawking out show karlin that's okay i thought so um it it is i ended up i can push the button you lie but right next to be time i'm giddy that tonight is the last relevant game at madison square garden for the year the garden will be dark this april and it couldn't happen to a better owner the james dolan no ranger playoff games no nick playoff game and after golden state leaves town tonight there is no reason to go back to that building tonight agree accepted on we're trying to make money off of the word we're turning against.
"splint" Discussed on WPRO 630AM
"You'll love how do you really really love hail black amanda than other mainland they're rhode island taste back is voice john carew love may by gratiot on wpro i think bill had his guy right there and it was all set up so when jacoby left and then all of a sudden jimmy goes i'm wondering what's going on at steady hurry skier on espn teddy be really wasn't completely surprised by any of this which is interesting and itself it is the greatest show on wpro one hundred three to one wpro 438 nine seven seven six and we'll get the more of tedy bruschi on this in just a little bit bob so sea will be joining us in ten minutes from now david is in west warwick who is listening to us online david you're on the grass shown wpro what's up area iran and we're kirker unquote were thank you sir i appreciate you welcome aboard my friend thank you are going to bring up something um espn for quite a while chipped for a boomer chris permanent was the guys on espn 2 uh on the tv porsche not the magazine have of not always uh had a good splint on the patriots a one person in particular um the um an african american commentator in the morning used got a show called what's the show called you mean stephen a smith on first take dad's food garden and um he always makes him out and out of molehill he would try to bury the patriots uh would with that dump between the 'grand kit and an and then the uh to reverse the touchstone called the went to for the patriots up not only that but this is also a rhode island connection with the espn uh uh sal pell antonio who has its roots in rhode island and and it is surely not a big fan of of the patriots either so these fatty history arab wondering look at the timing of this article weight when the patriots uh getting ready to go into the playoffs is there anything worst could undermine a team in something like this re brought down david a drop next friday that would have made that would have made this worse arguably the patriots caught a break this.
"splint" Discussed on Sports Talk 1050 WTKA
"Be waas is good we also but i just wanted to events that dolan involved so much running after we eat all of entropy and you are no phony phone call when you call the manufacturing asking to put a smoothie in a championship belt that's how you get like a long silence knowing like a drink a uh excuse me like a like a smoothie us tropical smoothie that they put it on the air then i got the well what's a four like well the next splint trump with on his sons sounds majestic i'm like this right yeah right so we just i can get from a guy different carre and you've got guys in the queue got involved cube so how did kissing all spin around the eu that's fine but i'm not run and like a mile or whatever you were really memory may to what state street that's liberty listen i'm just by six us you were right you're right dare i'll be there i'll be watching you running on buys in jail flo roadways in there but he was meant that lesson that's my job being the mascot you are active you gotta be a part of it the trump it's all wouldbe say i hope additive edge it is yeah i'll be there i'll be fooling part is basically be this will be your makeup redemption from the hour and twenty nine minute uh check off i want to see how you doing mark i want to yell at least ms talking a wants we've been talking during our challenges everybody else's years sourness calling them in ruins own trying to rob fifty six seconds and you're okay but the top 10 minutes two seconds hydro that first movie will bob doing well do you go in the.
"splint" Discussed on Strangers
"My favorite guy whoever came to the house was this guy search was in the circus knee would do magic tricks and open up this whole other world and tell me these stories about his adventures he would do things alltime my eyes but just get really wide and i feel like what are you just do you know you show me some kind of card flourish and i would pick up some of these things rather quickly for whatever reason me in this you know probably forty year old man just were lake buddies probably had hung on him a little too long like i love you only me but you know when asked him if i could join the circus with the music market you better stay here it's not easy life checks home life was an easy either though when a pants at splint kharpada had gone to live without tat's pant so was just jack and how mom and her moms new guy whose name was leaf but both he and jacks mom had addiction issues jack mom also started selling drugs out of the house and the party's got wilder and crazier with a lot of hallucinogenics in the mix people were doing drugs on the house in they saw some like there's a snake in the corner what i started to do is play along because i'm a kid that's what you do usually and i had an imagination serbs like we owe me to do you know and then allegorically like oh yeah i see it it is huge and put a blindfold over the snakes eyes so that the snake can stare at them and they were like thank you so much another time my mother started hallucinating that she had a dragon and was burning fire ahead singed her hair and i said okay i'll help you and i ran outside and i grabbed a really long stick and i came in and i got to talk with bennasar fighting the dragon and there i took her belt and i was like mom i just can't even i can you see is a big texas belt buckle and his eyeball now and eventually beheaded the dragon in i put the dragnet the head of the bad and it told or that in his and then she was able to sleep.