Multitera

@bigkeebler63 @DarrigoMelanie youtu.be/TJ9-4F4jBas

@DarrigoMelanie It won’t work…fda completely captivated by big pharma…all those fed employees will be making big bucks in their next career…kool aid for idiots from the generous hand of trump jesus…get some

Literally not how the FDA approval process should work.

@FiadhBaikal Hot take but the Custody of Infants Act 1839 was a mistake. Maybe there should be more stay at home fathers. Single fathers generally outperform single mothers. Also there is a serious problem of fatherless behavior that needs routed out.

10000% agree We should be able to exist on one income. People who want to stay at home and take care of their children sometimes can't because they NEED to work because everything is so expensive nowadays. Living should be affordable.

@Michaeldudufudu If they have that lighting in their room, yes.

Is this a normal thing to ask women now?

@_Ava_VT L-theanine, you can get it from green tea or just get it as a supplement.

People who don't drink and smoke, how do you manage stress?

@itsmisasoup There is something to this yogurt thing I can feel it. I suspect the reason the carnivore diet works is there is only one type of carb lactose feeding the same probiotics that yogurt and kefir has.

mice are canonically turkish!! 🇹🇷

@KenAshcorp That being said you should play some modded minecraft. This modpack makes it play like stardew valley while at the same time letting you farm using pokemon like it's pal world. curseforge.com/minecraft/modp…

All of this because I thought a friend wanted to play modded Minecraft. I’m so done after all this. Gonna stay off Discord and Twitter and just uhhhhhh make music instead???

@himeko I think people forget there used to be family vlog videos on youtube. There certainly is a market for happy couples.

When I first started streaming, I almost fell for the 'hide your relationship or nobody will support you' agenda, but I'm genuinely so excited to start streaming with my husband soon. ♡

@saikenMD I think a big problem is people want to be doctors for money and prestige rather than the love of the game so many times you just run into some idiot who just goes through the motions.

Elia is a close friend, so I was happy to talk through her experience! Anyone can understand how frustrating it would be to seek help, only to hear "it's arthritis, use NSAIDs and a splint." Just a quick exam and sent home with no other explanation? It's a disservice to patients. It costs nothing to show kindness and respect to patients who seek care. As much as patient advocacy is encouraged, doctors shouldn't be so unilaterally dismissive of symptoms (or even suggestions from their own staff!) when a patient has a concern. And when there is a reason a certain diagnosis isn't being worked up or test isn't ordered, then the clinician should be the one responsible to educate and inform the patient why! It is a pet peeve of mine working with residents who infodump gigantic care plans on patients, and then quickly ask "so do you have any questions?" while halfway out the door. A few moments can make all the difference between a patient understanding the diagnostic process, or going home with more questions than answers. Of course, "a few moments" can really add up throughout the day, as doctors (especially in the outpatient setting) are increasingly pressured to fit more and more patients within the hour. Maybe not in all countries to the extent that it is in the US, but it is a worrying trend overall. The art of medicine was never intended to be performed in 15-minute chunks, and yet entire specialties are now boiled down to productivity and billing. But amidst this workflow shitshow, remember you always have the right to speak up about your care. Advocate for yourself, do not let a doctor brush you off in the name of clinic efficiency. After all, if you don't voice a concern, then who else in the room will? If I were her doctor, here are some basic education points I would have told her before sending her home: - There are multiple (like 6-7!!) types of "arthritis," though the most commonly encountered ones are rheumatoid vs. osteoarthritis, along with psoriatic arthritis, gouty arthritis, septic arthritis, etc. - Rheumatoid arthritis (RA) is an autoimmune disease that attacks synovial joints, and more commonly diagnosed in middle-aged women. It has a very specific diagnostic criteria defined by the 2020 ACR/EULAR classification requiring a number of joint involvement, serology testing, inflammatory marker testing, and duration of symptoms. - Osteoarthritis (OA) is a "wear and tear" process causing degradation of the articular cartilage, usually in older adults, characterized by joint space narrowing on X-ray. - Compared to RA, OA has different physical exam findings, joints affected, pattern of symmetry, etc. - RA is treated with DMARD therapy (Disease-Modifying Antirheumatic Drugs) like methotrexate and steroids. - OA is treated conservatively with anti-inflammatory medications and physical therapy. - It's also entirely possible that this is a Repetitive Strain Injury (RSI), which would also improve with the conservative therapy prescribed for OA. Elia is in Japan right now, so I actually have no idea what their clinical processes are for the diagnosis and management of these conditions. But based on the American guidelines, it can be appropriate to diagnose OA clinically without lab tests or imaging (as was done here). However, when another diagnosis is suspected, further testing such as labs and imaging should be done in order to rule out alternatives and confirm the proper diagnosis/treatment. Elia's presentation and symptoms did not entirely line up with the typical OA picture, to the point where I would feel comfortable diagnosing it clinically. In this case, her doctor handed her the diagnosis of "arthritis" and sent her home with conservative management. Now that you've read all of this, can you see how your perception of this decision changed? Just based off of a few bullet points providing basic education, expected treatment, and a differential diagnosis, this becomes a more robust plan of care that can be conveyed to the patient. It's really just a pity that it didn't happen in this case.

@learning_yohei Guests do if they aren't staying long, but at your own house you don't wear shoes most of the time. I don't even wear pants at home.

日本からこんにちは🇯🇵🤭 親愛なるアメリカ人に質問があります🇺🇸🙋 アメリカ人は家の中でも靴を履いて歩くというのは本当ですか？👟😳

@BreTweetz I saw a tweet earlier about how it's not women who need to pick better men need to be better. Bitch how am I supposed to tell Sykkuno to be better when it's working for him. Just stop picking guys like him.

“I still consider you a friend, maybe that’s wrong” ???????? Why are all these harem members still lowkey down for him LMAO they fr just mad he didn’t pick them. GIRL STAND UP

@pipkinpippa This is terrible news. I'm sorry for your loss.

Unfortunately while I was away, Sheet Metal fell ill. The individuals watching him did not notify me and did not take him to the vet. he passed while I was gone in Japan. Please avoid discussion during streams. I havent been handling it the best.

@Dengekichan Need to look it up on youtube. That's where I get all my recipes.

It's so annoying how looking up a simple recipe on Google now is impossible LOL it's just ai made sites that talk for 20 pages about the food

@KasumiK91 @ChibiReviews Bao didn't make the google doc She just put the two of them together in a group chat then bounced. She probably thought Mal had the gf's consent because he got caught cheating again right after he convinced her to not move out.

@MultiteraTwitch @ChibiReviews Also neither Bao or Mal had the consent of the GF to post said screenshots publicly. Thats considered a breech of privacy on Baos side because she never informed said GF that the conversation was going to be released.

This whole drama proves that individuals like Mujin and Bao are clout hungry goblins willing to tear someone down The fact Sykkuno's Girlfriend forgave him and then outsiders wanted to drag it into the public light showcases how vile people are Legit hate these big name streamers or creators not giving a fuck about who they hurt or lies they spread to gain clout.

@Reiphina I refuse to believe this isn't an elaborate troll.

Are you going to energize your butthole now?

@internett_baby You would be waking up 3-5 times a night though because it's caused by the REM cycle. Men just happen wake up at the end of a cycle with it still hard.

leave it in all night that way I can use your morning wood as an alarm clock 🥺🥺🥺

@Kendrillion64 Call me cynical, but I can't help but feel a lot of this is backlash for Mujin flipping on Tectone. Which I agree you have to be retarded to trust Mizkif's court informant.

@MultiteraTwitch @Weebsaurus_VT @MizutamariVT Nobody is pro-Sykkuno, every major to minor vtuber acknowledges that he's a massive hoe that crawls to the nearest vagina We also just see that idiots like Mujin had a TON to gain from this and lost nearly everything cause of basic, low hanging critisim

Bao has been involved in every major drama this year and half of last years. And every single time she's specifically caught backing the most dishonest people with the most BS allegations. As they say, if the only common denominator is you? It's also pretty bold of you to post this a day after we got confirmation they never reached out to the actual GF.

@MultiteraTwitch We'll have to see I suppose, only time will tell considering we see it from different perspectives. Either way, cheers to you for being willing to lower the tensions back into a normal enough discussion. Be well and have a good rest of your day?

I’m seeing people go after Sykkuno’s girlfriend for staying with him… how is that anyone else’s business? If she wants to work through her relationship, that’s HER OWN business I’d say she’s been through enough and can decide for herself.

@Weebsaurus_VT I mean he basically has. He will come back in a month and almost nothing will have changed. Basically getting a vacation.

@MultiteraTwitch @Mokaruii I'd be surprised if it isn't a significant bit of damage at the least

@Weebsaurus_VT @Mokaruii Let's be real the only person taking a hit from all this is Mujin, which fair I don't like that guy anyway.

@MultiteraTwitch @Mokaruii As someone actively on the "other side" from how you described it. The vast message I'm seeing is that everyone looks down on Sy for his actions, outside of the retards making jokes about taking lessons from him. There's just plain sympathy for the GF, and that's it really

@Weebsaurus_VT @Mokaruii I don't know what to tell you. I have eyes and look at the weather vain to see the way the wind is blowing.

@MultiteraTwitch @Mokaruii If you think his career is saved, that's leering on delusion a bit. Though there will be a gaggle of dipshits that still watch him for some reason I bet, why they would I couldn't tell you.