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LouRu
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LouRu
@LouRu15
Chilling by myself 🇨🇦🇹🇼
Vancouver, British Columbia Beigetreten Ekim 2020
995 Folgt38 Follower

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MANGADEX THE HORROR STORY (From May 2025 to April 2026)
- MangaDex launched in 2018 as the community-first scanlation platform built by and for the people that official publishers ignored. No ads. No fees. No corporate overlords.
- On May 14, 2025, chapters started disappearing. By May 16, over 7,000 titles were gone, more than 25% of the entire site (660,000+ chapters). Apothecary Diaries, Jujutsu Kaisen, My Dress-Up Darling, Solo Leveling, Oshi no Ko. A coordinated DMCA strike from Kodansha, Square Enix, Shogakukan, Kakao, Naver, and more.
- MangaDex admitted they “could no longer handle it ourselves.” So they handed management of the site and domain to NamiComi (a UK-based platform) with the line: “NamiComi has accepted to take management. No transaction was performed.” No vote. No community input.
- MangaDex formally incorporated as MANGADEX UK LTD. The fan-run pirate site quietly became a registered UK corporation.
- Years earlier, staff had openly said their goal was to “go legit like Crunchyroll/Fakku.” The writing was always on the wall.
- MangaDex publicly swore they would “never become Crunchyroll.” But their own FAQ quietly switched from “scanlators” to “content creators”, because legally, scanlation isn’t creation.
- October 2, 2025: MangaDex introduced ads. Supporters stayed ad-free. The rest? Full 1920×1080 banners (comically oversized because of a testing blunder). Users called the rollout chaotic.
- Within months: “Stop AI ads” threads exploded after AI-generated scam ads (AI girlfriends, etc.) started running.
- January 19, 2026: Bato to, one of the biggest piracy sites with 100M+ monthly visits, shut down permanently. Its Discord vanished the same day. Millions of readers flocked to MangaDex.
- February 2026: Silent purge begins. Entire title pages (not just chapters) started disappearing for “legal reasons.” No announcement. No list. Staff confirmed it was manga depicting loli content and sexual content with characters that appear to be minors (case-by-case on design or dialogue). Even some moderators learned about removals from user posts.
- Users accused staff of virtue-signaling and personal bias. Admins clapped back harshly in public.
- March 2026 Development Update: Real ads are now permanent. The site had weeks of degraded service from “API abuse enforcement.” Dex-chan subscriptions stayed paused for payment compliance.
- MangaDex zip, the beloved archival mirror, announced it will shut down on May 29, 2026.
- MangaDex still claims it will remain “nonprofit and free.” But every single decision since May 2025 has moved it further from the scanlators and readers who built it, and closer to the corporate compliance model it once swore to fight.
- The people who made MangaDex what it was got zero credit, zero compensation, and zero warning.


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@TiildeVT This guy presented with abdominal pain and weight loss over the past month, he came to the ED because of blood in his bowel movements for the past couple of days. I admitted him the other day, biopsy results just came back today.
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@LouRu15 RIGHT!!! ITS SUPER QUICK AND IT SAVES EYES!!
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Retinal detachment is pretty nutty to encounter as an internal medicine doctor seeing a patient in the ED, but it definitely highlights the importance of taking a good history and having the proper exam skills, and not just taking the emergency team's evaluation for granted. 🗒️
This was really one of those cases where if I hadn't had the exact same presentation and sequence of events one time back in residency, I might have missed this diagnosis entirely! I could've admitted the patient as a stroke workup per the teleneurologist and emergency doc, and wasted critical hours in getting them the ophthalmological help that they needed.
So retinal detachment in itself is not too common of a diagnosis, and usually happens spontaneously either in cases of facial trauma, or in the eldery. It can also happen as a consequence of late-stage diabetic retinopathy or in a patient with Marfan's (a genetic connective tissue disorder). Due to its namesake pathology, the retina will pop off the retinal pigment epithelium, causing monocular vision loss. But sometimes this can be unclear for the patient to describe or the provider to evaluate, prompting a stroke workup for a neurological issue, instead of a physical, eyeball issue.
Retinal detachment isn't going to show up on a CT or MRI as part of a stroke workup. So if you're not an eye doctor or an expert with the ophthalmoscope, the absolute quickest way to see if retinal detachment is the problem or not is to do an ocular ultrasound. Like seriously, just slap a tegaderm on the patient's eye, squeeze your gel, and start using the probe. Basically you get the patient to look around and try to blink behind their eyeball, and if the retina is detached, you can clearly see the floating layer bounce around. It is actually extremely easy and quick to perform, and I think more people should be familiar with doing this on ultrasound, since you can really save someone's eyesight with a 2 minute exam.
It's important to remember that RETINAL DETACHMENT IS A SURGICAL EMERGENCY, so early diagnosis by the provider is key. And unless you're presenting to an ED that's stocked with an ophthalmologist on consult (which is neither of the hospitals where I had these patients) that means it is going to be on the EM and IM providers to get it right. Ultimately, for both of these cases, I caught them both in the ED and could initiate early transfer to a hospital for surgery for scleral buckling. Waiting until the morning after to do the workup, or for the MRI to come back negative to prompt an eyeball investigation may have been too late to save their eyesight!
(hopefully this patient got scleral buckling done too, apparently there's another procedure for superior retinal detachments called pneumatic retinopexy where they inject sulfur hexafluoride or perfluoropropane gas straight into the vitreous body and the pressure differential just seals the retina back up against the epithelium and whoaaaaaaaa thats kinda gnarly)




saiken, M.D. 💜🩺 doctor irl & vtuber@saikenMD
Keep up with your ultrasound skills because 1 - it will save your patients 2 - it will save your license
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@PhaseConnect Feels bad Canadians didnt get picked up on the road trip.🥲
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