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Hi George Spellwin
- Thread starter wootoom
- Start date
hamstershaver
New member
yeah you can buy this one
hamstershaver
New member
i know, or one with tool touchinghotzie said:
hamstershaver
New member
hotzie said:jorge pmed me and said he got this shirt made just for you and the good bro club wootoom , he says enjoy
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*MissFit*
Guest
It totally shows favorites.. i know woo
i didnt get what i wanted either
i didnt get what i wanted either
I asked the same question.... but unfortunately the shirts aren't actually sold directly through EF.. they are sold through cafeexpress I think...
believe me.. the first thing I thought of was "EF thong for the ladies!" but its not good for that.. you can get karma.. ebooks.. plat membership... that type of thing... its still something.
believe me.. the first thing I thought of was "EF thong for the ladies!" but its not good for that.. you can get karma.. ebooks.. plat membership... that type of thing... its still something.
coldblue1955
New member
i just want a cool muscle shirt.
No one is forcing you to use it bro.BrothaBill said:
The funny thing is, I got a TON of response from my advanced flirting PM, and a lot of responses to these gift certificates. 90% of it is overwhelmingly positive. People buying platinum that they always wanted and now had some incentive to finally push them over the edge. Or someone had their eye on an eye book and now didn't mind paying for it with a $20 discount.. that type of thing.
But then there is that 10%, which is pretty much made up of the people that know the best on here. People like you, and other good bros that I've chatted with night in and night out. It doesn't take a genious to figure out that you don't get something for nothing. This is a win, win, win. Go ahead and count up the winners, and then tell me, who exactly is losing? You are not forced to use the $20 at all, if you think its worthless, then fine, say thanks but no thanks and don't use it. Won't bother me one bit.
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BrothaBill
Guest
Lestat said:
I am your arch-nemesis in this fictional reality, what else am I sposed to do??
DIE BOMBSQUAD DIE!!!
Johnnny'sbombsquad for life!!!!
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BrothaBill
Guest
Lestat said:
we are in reality, but a lil controversy always spices up the board. This is was a bold stroke by you, Ill grant you that. But its unfair help by Jorge giving you a PR advantage.
I dont know, perhaps, Im just trying to recapture our youth of spy-vs-spy. Im just messing around really lolol.
Besides, most people figured this shit out already, but being your yin to your yang helped solidify the idea of giving a gift certificate by one member to another in the future as an option.
So I view an fauxadversarial relationship as a win-win situation for George. People now know about the gift certificate.
Its actually makes it easier for people like spongebob to purchase plat for others, so, its not that Im knocking that.
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BrothaBill
Guest
Lestat said:
let the games begin.lolol
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*MissFit*
Guest
u 2 cuddle under the covers at night duntcha
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BrothaBill
Guest
Lestat said:
like what?? Suggestions, we need a poker room or something fun to challenge the cerebrum against others.
I joined this thing called second life, its weird but looks fun. Its 3d and you can participate and build a fake economy and sell stuff.
People actually make real money b/c people buy stuff like fictitious stuff like they do karma here. So they sell if for real.
Check it out
http://secondlife.com/
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BrothaBill
Guest
*MissFit* said:
lol, Lestat is a good 'guy' we all know that, just fun to mess with him. He's right though, we need to figure out some shenanigans to get into
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BrothaBill
Guest
Lestat said:
I paid like 10 or 20$ to set it up, there is a free version, it was just easier to pay the cash than figure out how to do the free version. I havent really gotten into yet, looks really cool though
You have a list of names you can choose from, meaning, at some point you'll have relatives. My name was like Rutger Sachs. I have to figure it out tonight how to buy stuff and participate, its a 3d virtual world. Seriously though, people make money doing it. Its hilarious, like that dude in China that killed a guy for stealing his fictitious online sword lolol.
People take the shit seriously, only this teaches economics and purchasing real estate and investments, opening businesses etc.. People open real online businesses there, crazy!
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BrothaBill
Guest
samoth said:You must've missed the whole Everquest boom.
not into fantasy gaming, never have been, this isnt a dungeons and dragons type of getting sorcery and stuff.
This is like a 3d virtual world, you build stuff and practice business ideas and marketing and real estate ventures, obstacles you may face in real life and interacting with real people. It allows for easy exchange of lindendollars to real dollars. So it bridges fiction with reality
Its more practical knowledge gaining that learning how to build a sorcerer proof castle in everquest
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BrothaBill
Guest
Lestat said:
You can be my business partner there lol, Lardner Sachs investments or something
DieselGunz
New member
*MissFit* said:
Do you still sleep naked ven though it is getting cold up there
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BrothaBill
Guest
samoth said:lol, I was just thinking of people paying a thousand dollars on ebay for some game money or a weapon or something. I guess the paying for virtual karma thing here never really shocked me after seeing someone paying a grand for stuff in an online video game.
I dont know enough about this but I read about it in an interesting article talking about how people are making money doing this. It was surreal lol. Thought it'd be interesting. Its like a 100,000 people so far in it and its growing fast the article said, it was on cnnmoney or something like that.
I just dont know how much of an investment in time itd take. We'll see, Ill have to learn more about it
needtogetaas
New member
this 20 gift card sucks dick.I would rather of hade a free week plat.
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BrothaBill
Guest
redguru said:
OK, it can mean a few things, Ill be typing a response, pediatric murmurs are common given the caliber of the vessels and thin walled chest
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BrothaBill
Guest
redguru said:
Ok, first off, a murmur is a sound that can be heard by a stethescope based on bloodflow through the heart.
It is common for young children to have a murmur b/c of the small caliber of vessels in the heart, meaning the aorta. Since a thin walled chest makes it easier to hear this sound and coupled with the fact of the smaller vessel size, in children, they can outgrow a murmur.
That is a false benign pediatric murmur.
A murmur just describes a sound. Like a "whooshing" noise when ausculated with a stethescope.
Now, turbulent flow can be also caused by leaky valves or holes in the heart such as a ventricular septal defect on the left side of the heart. (the left side of the heart is under high pressure, conversely the right side is smaller, low pressure venous return that pumps blood six to and from the lungs)
SO left to right shunts can cause murmurs. ie, a ventricular septal defect or other congenital l>r shunts or patent ductus arteriousus.
Things like a leaky mitral valve can also cause a murmur. That is the one way valve between the left atrium and the left ventricle. Blood comes from the lungs oxygenated, into the left atrium (small upper chamber of the heart) mitral valve opens, blood goes to the left ventricle in diastole(filling portion of the cardiac cycle) then the atrium contracts (topping off the left ventricle before systole). THe mitral valve then closes and the LV generates systolic pressure and the aortic valve opens. Those valve leaflets may not coapt so a small jet goes into the left atrium creating turbulent flow like a murmur. WIth a stethescope, an experienced ausculator can differentiate types of murmurs based on the noise (like putting your finger over a garden hose) based on its relationship to the valve clicks of the aorta and mitral valve.
If that is the case, then adults are given antibiotic prophylaxis for dental work to prevent endocarditis
Ok, just an intro, Im typing mroe
stuff though, just a good old fashioned DP
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BrothaBill
Guest
redguru said:
So, that is just a general overview of a murmur.
Cliffnotes. A murmur is caused by turbulent flow in the heart. A pediatric murmur can be benign, meaning just smaller heart and vessels producing a whooshing noise.
This can also be caused by
A) A hole in the heart, Left side= higher pressure, Right heart=low pressure. Hence, a L>R pressure gradient, causing a whooshing noise when the heart squeezes and blood goes across.
B) a Leaky valve, most common is the Mitral valve (the right heart valves generally always leak at dont matter b/c of low pressure) But b/c of the pressure generated by the left ventricle to pump blood throughout the body, an additional pressure gradient is caused between the LV and the LA. So another whooosh is detected as it goes back into the left atrium
C) Stenosis or congenital malformation of the valves, meaning they dont open properly, rather than reverse flow a small orifice with pressure gradients. This is forward flow, again, think of putting your finger over a garden hose. A whoosh is created, another murmur
The issue is actually causing the murmur. This may be nothing but a common pediatric sound and was never checked out before and chalked up to an issue of vessel caliber size and thin chest wall.
If its a real murmur, it depends on the size of the leak for instance. ALot of people have murmurs, doesnt mean anything.
Here's the thing, if its mild mitral regurgitation, then nothing is done. if its mild to moderate leak, then antibiotics are given prior to dental work.
The reason being is that having dental cleaining done released bacteria into the blood stream and you actually have a slight fever after this.
A rare complication associated with turbulent flow in the heart is that it causes nonbacterial endocarditis. Or basically a sore spot in the heart, bacteria in the blood stream can come along and attach to that and start eating way the leaflets of the valve. Valve replacement generally has to be done.
Its very rare though, so dont pass that on to the mother, its worst case scenario that the child got bacteria in the bloodstream
Most likely a child with a heart murmur that needs to be evaluated, its routine.
The fever may have nothing to do with the murmur whatsoever, most likely.
The atrial rhythm, complicates things not knowing what type of atrial rhythm it is.
Paroxymal atrial contractions are considered abnormal but are benign. Atrial fibrillation is more serious, but unlikely.
These may all occur independently in a pediatric patient
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BrothaBill
Guest
ok, so.
four chambers to the heart. Top and bottom, right and left. Top chambers are the atrium, one on each side of the heart.
Septums divide the Right and left heart, valves divide the top and the bottom in bloodflow terms.
IN addition to valves, there is a nonconductive sheath between the top and bottom in electrocardiac terms.
THink in terms of a house, you have the structure, the valves are doorways.
And you have the wiring, which is just a different part of the house. So, murmurs and irregular heart beats are as different as plumbing and wiring of your house.
The wiring can be screwed up if the structure is incorrect or changed by natural or like an atrium gets stretched and the wires(nerve conduction pathways) of the atrium are stretched.
But here's the thing, every cardiac cell has the ability to generate a heart beat, they fire off, spread from one cardiac cell to another and depolarize the heart. That is considered 'abnormal' cardiac firing.
But that occurs in 100% of the population. Called a premature ventricular contraction is the one most feel, a premature beat, a skipped beat, a palpitation etc. Basically means a quick firing then a long filling of the left ventricle.
The frank starling mechanism applies to the LV, the more its stretched the more the force of the contraction. Hence, people feel a big "thump' in their chest and freak. Its normal condition of living, but still abnormal. It only gets paid attention to if they happen a bunch in a row, or more than six per minute, meaning "HEY, maybe something else is going on"
But, see, things can irritate the heart muscle, infections, alcohol, drugs, etc... causing more irregularities, like drinking too much caffein causing PVCs.
This can happen to the atrium too, only you dont feel them, just more of an irregular pulse. Then its picked up on an ekg.
An er doc is going to say, ok, some abnormalities on the ekg, coupled with a murmur.
The algorhythm would simply be treat with antibiotics and refer to a pediatric cardiologist to be evaluated.
Atrial irregularities are not very rarely if at all life threatenening so she shouldnt freak (thats all you need to know, it can in certain circumstances, like cause a stroke or if they have wolffparkinson white but doubtful and EKG would show a delta wave if the kid had it)
Just treat for the fever and infection.
Find out the structure of the heart and cause of the murmur, if its benign or not and treat the child for comfort until the appointment. Its not an acute case, just manage infection first off
four chambers to the heart. Top and bottom, right and left. Top chambers are the atrium, one on each side of the heart.
Septums divide the Right and left heart, valves divide the top and the bottom in bloodflow terms.
IN addition to valves, there is a nonconductive sheath between the top and bottom in electrocardiac terms.
THink in terms of a house, you have the structure, the valves are doorways.
And you have the wiring, which is just a different part of the house. So, murmurs and irregular heart beats are as different as plumbing and wiring of your house.
The wiring can be screwed up if the structure is incorrect or changed by natural or like an atrium gets stretched and the wires(nerve conduction pathways) of the atrium are stretched.
But here's the thing, every cardiac cell has the ability to generate a heart beat, they fire off, spread from one cardiac cell to another and depolarize the heart. That is considered 'abnormal' cardiac firing.
But that occurs in 100% of the population. Called a premature ventricular contraction is the one most feel, a premature beat, a skipped beat, a palpitation etc. Basically means a quick firing then a long filling of the left ventricle.
The frank starling mechanism applies to the LV, the more its stretched the more the force of the contraction. Hence, people feel a big "thump' in their chest and freak. Its normal condition of living, but still abnormal. It only gets paid attention to if they happen a bunch in a row, or more than six per minute, meaning "HEY, maybe something else is going on"
But, see, things can irritate the heart muscle, infections, alcohol, drugs, etc... causing more irregularities, like drinking too much caffein causing PVCs.
This can happen to the atrium too, only you dont feel them, just more of an irregular pulse. Then its picked up on an ekg.
An er doc is going to say, ok, some abnormalities on the ekg, coupled with a murmur.
The algorhythm would simply be treat with antibiotics and refer to a pediatric cardiologist to be evaluated.
Atrial irregularities are not very rarely if at all life threatenening so she shouldnt freak (thats all you need to know, it can in certain circumstances, like cause a stroke or if they have wolffparkinson white but doubtful and EKG would show a delta wave if the kid had it)
Just treat for the fever and infection.
Find out the structure of the heart and cause of the murmur, if its benign or not and treat the child for comfort until the appointment. Its not an acute case, just manage infection first off
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BrothaBill
Guest
redguru said:
The only people that no less about cardiac medicine that an ER doc in an ER is an ER nurse lol.
ER is so busy they just pass them off. Its not really that big of a deal going with statistics and the limited information available.
Most likely nothing, but normal variations seen in pediatric population.
Most likely, the fever and infection will subside.
The pediatric cardiologist will say this is normal pediatric murmur and the kid checks out and makes a full recovery.
EKG's are 50% inaccurate in diagnosing. Its a simple screening procedure. It does provide information on rhythm disturbances.
Most healthcare people dont understand how to interpret ekg's and the new EKG machines print out on the top like atrial irregularity and a nurse may read that and say there's something wrong when in fact, those things at the top of those EKGs are essentially worthless.
Like I said, it depends on the atrial irregularity, a premature atrial contraction here and there, no bigdeal given an infection.
Atrial rhythms are things that can be dealt with if needed to in a deliberate fashion
An ER physician if concerned could easily call for a cardiac consult if he felt like it was warranted.
He does know how to interpret EKGs, nurses dont, at least Ive never met one that knew what the heck they were talking about it beyond learning the basic rhythms on an algorhythm chart.
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BrothaBill
Guest
redguru said:
Exactly my point in a round-about way. You can never say never, especially when kids are involved. Pediatrics is a speciality in itself. THe way the cardiac tube forms embryologically leaves so many chances for it to not form correctly. Its amazing how well the process goes and the percentage of people with normal cardiac structure.
But, in an ER, things like this are usually picked up in situations and then referred to a specialist for further evaluation once its determined that it is not an emergency.
The patient is sent home to be in a more comfortable surroundings to recuperate from the infection.
The structural abnormalities if present have been there always, the time to an followup appointment is not a big deal in laymans terms. Lived three years with, the likelihood that it would be unhealthy to wait for a followup would be remote.
Parents always concerned though, its understandable. The ER doc cannot say with certainty that there isnt anything wrong, a specialist has to determine that. Just basic CYA in medicine.
I would tell her as a friend, not a medical person, that in most respects, the infection is what needs to be treated. The cardiac stuff, well, that can be sorted out later, its not lifethreatening in any real sense, always a caveat in medicine, but it doesnt sound likely whatsoever
Thanks for the k orb, hope that helps her feel a bit more relaxed. I better not get sued lol
needtogetas said:
I bought you one from the Karma store broly. Enjoy.
The $20 gift card is a great deal. Use it and you can get 4 months for $15.91. That's less than $4 a month. Cheaper than a Starbucks coffee!
Wootoom said:
Poor guy, you just wanted an EF shirt. LOL.
Who on here has one, when I wear mine to the gym or around the city, people come up and say hello. Really.
needtogetaas
New member
sweet george.just at the right time to.George Spellwin said:
HumorMe said:
That's very nice of you, I don't think Lestat set up his gift certificate to let you buy another gift certificate with it though. But just let me know who it is for and I'll do it for you -$20. You can even keep the gift certificate to use for yourself. And thank you for keeping us online!
needtogetas said:
Tell me, what made you end your membership? You seemed to love it. Let me know so I can make the program better.
needtogetaas
New member
george I do love it.and there is nothing I would change.I just dont have the money fore plat right now.I littrale dont have a doller to my name.George Spellwin said:
HumorMe said:
Just let me know who it is. I'll take care of it for you.
needtogetas said:
Thank you for letting me know that - I thought it was the program. When you get your finances worked out, and I know a bright guy like you won't be down for long, I hope you'll be back. You are an asset to this community.
DieselGunz
New member
Welcome back Plat Need2
HumorMe said:
Done! You're the best - nicest thing to happen here all day.
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Phaded
Guest
George Spellwin said:
BAHAHAHA..
needtogetaas
New member
it feels good.now that you reimind me.i need to go serch my name.DieselGunz said:
HumorMe said:
Sorry, too late, $15.91 on your card on file.
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*MissFit*
Guest
See u choose favorites..
Lestat said:
HumorMe said:
I put it through for you - no need to worry.
George Spellwin said:
Oh, can I answer this one?
George, I went plat when plat first became available. I renewed a few times, bought some ebooks, etc. I've spent a lot of money helping to keep elitefitness online.
I love the site, but sometime ago there was some confusion with my acct. I tried to get things straightened out, was working with someone and never heard back from them, but they reactivated my plat anyway. Then, my plat went away sometime later.
There was a PM from you with a "half off" coupon which I tried to use to buy a lifetime plat, but THAT didn't work. I kept trying but then I was told the "half off" coupon had expired!!!
I'd love to go plat again, but I'd like to use the "half off" next time it comes around seeing as how I've already spent a good amount of money over the years here.
Think you can help out with a "half off" promo again?
Peace,
ceo
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Phaded
Guest
i have a boner..
ceo said:Yes, I am. And, something was supposed to have been worked out, but it never was.
Hi CEO, I tried to put it through for you, but could not. Would you mind logging in to your account and updating your billing info then I'll wait up and take care of it for you tonight. Please go here to update:
https://www.elitefitness.com/amember/member.php
dahamn said:
No, I'm sorry, we do not bill that, hush does, but it is pretty cheap, less than $30 I believe.
while you are up, this thread explains what my questions today are in regards to.George Spellwin said:
digger explains it as a technical glitch, somehow WODIN had 8000-9000 missing posts that suddenly got recounted. Funny how this wasn't caught over the past 2-3 years where WODIN's post count was already highest, but apparently slighted over 25% of his total.
Personally, I believe digger is full of shit and you'll find more in the MOD forum if you do some searching.
