Sturg1647545502

Im going to do my final TOSRV training ride this Sat. AM if anyone wants to come with Its 75percent trail, and the wind on Sat will be ease in AM and to our backs in the afternoon. this isnt about speed, its about distance, overall endurance and completion I traditionally ride the 1st 1/3 or 1/2 slow and save the power for the ride home . http://maps.google.com/maps?f=d&source=s_d&saddr=US-42+S%2FN+London-Delaware+Rd&daddr=yellow+springs&hl=en&geocode=FV6sYQIdoskH-w%3BFfFlXwId5vz_-imZU5T2SV8_iDEgp1MC-2siuQ&mra=mift&mrsp=0&sz=13&dirflg=b&sll=39.952254,-83.33662&sspn=0.073165,0.154324&ie=UTF8&lci=bike&ll=39.798513,-83.540039&spn=0.141911,0.338173&z=12

rikey

That cop movie where markie mark is paired up with will farrel. You know, that one that looked terrible that you didnt even consider seeing once the preview ended. Well its pretty entertaining, funnyordie entertaining, and streaming on netflix right meow.

Id like to start out in a major city, Sydney just comes to mind as its the most notable, work and travel for a few months an then take the last month and just travel. Maybe buy a car while were there. Its crazy all the things you think about when doing a move like this. Cell phones, dialect and slang barriers, banking, etc. Ive got a a room mate from OSU who studied abroad for 6mo and one of the EMS students i had last quarter is from Australia and going back as soon as his fiancée is done with dental school. Ill get in contact with them for sure. I think ill start talking to a travel agent and then move on to some job placement services. I know you can do nursing abroad, and ive got the ER/ intensive care medic experience that should help me land at least a as needed or part time job. either way thanks for the past experiences, i cant wait to sink my teeth in to this project

ill be inbetween careers at that point, maybe, hopefully have sold the condo and newly married without kids...when else are you going to take an extended vacation to Australia

Anyone in lived or visited Australia? Planning on moving there for 6mo next summer after i get married and need to start planning. Input or past personal experiences would be greatly appreciated

regardless of what you do make sure to document it at work do the squeeze test on your upper calf, see article. you compress your tib fib up high to seperate the two bones down low is one test to do High Ankle Sprains High ankle sprains are most commonly caused by an external rotation injury in which the foot is forcefully turned outward, away from the midline of the body. These injuries are characterized by a tear of the syndesmotic ligaments of the ankle. As discussed above, the injuries hold the lower ends of the tibia and fibula bones together. There are actually five syndesmotic ligaments, and these include the anterior tibiofibular ligament, the posterior tibiofibular ligament, the transverse ligament, the interosseous ligament, and the interosseous membrane. Although high ankle sprains are much less common than lateral ankle sprains, they are now being recognized more frequently, especially in athletes. This is an important trend because high ankle sprains should be treated differently than lateral ankle sprains and can take twice as long to heal. High ankle sprains are usually more severe injuries than lateral ankle sprains, and patients are often unable to bear weight on the injured extremity. The location of the pain and swelling correspond to the location of the anterior syndesmotic ligaments, which are just above the ankle. This helps to distinguish high ankle sprains from lateral ankle sprains, in which the pain is located more towards the outer, or lateral side of the ankle. Finally, if the deltoid ligament is injured, there may also be pain and swelling along the inner, or medial aspect of the ankle. Two specific physical tests are commonly used to diagnose high ankle sprains. The first is called the squeeze test (figure 16). Figure 16 – Squeeze test Figure 17 – External rotation test During this test, the tibia and fibula bones are manually squeezed together several inches above the ankle. If this produces pain further down the leg and in the ankle, a high ankle sprain has may have occurred. The second test is called the external rotation test (figure 17). During this test, the foot is manually externally rotated, but not inverted, by the examiner. If this is painful then a high ankle sprain is suspected. If a high ankle sprain is suspected, x-rays of the ankle should be obtained. These serve two purposes. First, they will reveal a fracture if there is one present. Second, they will help to determine the severity of the injury. Severe high ankle sprains can be associated with a separation, or widening, of the tibia and fibula. This can be diagnosed on routine ankle x-rays. Unlike mild sprains, which can be treated without surgery, more severe injuries with widening usually require surgery. High ankle sprains are more serious injuries that typically entail more damage than lateral ankle sprains. As such, it is important that patients with high ankle sprains be informed that their injury will take longer to heal. High ankle sprains that are not associated with widening between the tibia and fibula can be treated without surgery. The RICE protocol is used initially, and consists of Rest, Ice, Compression, and Elevation. The RICE protocol helps to decrease the inflammation, swelling, and pain, which occur immediately after the injury. Resting the ankle is accomplished by staying off of it as much as possible. Additionally, if the ankle is particularly painful, one or two crutches may be used so that only partial weight is born by the ankle. Icing the ankle is performed with ice packs. These can be purchased commercially or made at home. Some individuals find a bag of frozen peas useful. These conform well to the ankle, and, when thawed, can be put back in the freezer and used again. It is important not to fall asleep while icing the ankle, as this could potentially lead to frostbite-like injury. Generally, a regimen of 10 minutes of ice per hour several times a day is recommended. Compression is accomplished with an elastic bandage (e.g. Ace®). Care should be taken, though, not to wrap the ankle too tightly, as this can compromise blood flow. Lastly, elevation is achieved by keeping the ankle above the level of the heart. This is best accomplished by lying flat on a bed or couch with two or three pillows under the injured ankle. If at work, sitting with the ankle elevated on an adjacent chair or stool is also useful. Most high ankle sprains are initially treated with a walking boot or even a cast. The decision to use either a walking boot or cast depends on the severity of the injury and the preference of the treating physician. Both devices will restrict motion of the ankle as well as motion between the tibia and fibula, allowing the injured ligaments to heal. Again, it is important that injured individuals be informed that these injures take roughly twice as long to heal as lateral ankle sprains. In one large study, the average recovery time for these injuries was more than 40 days. As such, physical therapy may not be initiated for several weeks. High ankle sprains that are associated with widening between the tibia and fibula (figure 18) usually require surgery. In these cases the widening between tibia and fibula is manually "reduced" and then held together with one or two screws (figure 19). The screws are inserted a few inches above the ankle joint and will prevent motion from occurring between the tibia and fibula as the ligaments heal.

i just dont understand white people

interested....

iron lung status i bet

And a 2nd on the white Russian. I'm 2/3rds the way through a 36hr tour....white Russian it is tonight

Manhattan, gin and tonic, and a mother fucking Tom Collins. When your order it you must do so in a voice just shy of a robert goule impersonation and the swagger of a naked Burt Reynolds on a bear skin rug. Tom Collins

of that list there are some lows, but man, natalie portman and cameron diaz are prime and i still have a thing for coked up lohan and megan fox.

ive got the x41s. playing with headphones is a totally different gmaing experience

what are the helmets sizes?

only people who smoke are interested in other people who smoke. its like a little fag fan boy club. I could give a shit less if you drink or not, that is to say unless you are a scotch or whiskey man... for the record could care less if someone smokes or not, its just when they allow it to define them that bothers me

lol white hall

ive use the powered crystal light powder packets in my nalgene water for quite some time now....started when i we would do long camping trips. Is this stuff any better?

I saw it for the first time last night when they were in Cincinnati. The music ment to intensify scenes is prettycorny, but over all it was good if you're into the cops type shows. It's more captive than cops sice you are able to stay with the police during the entire event instead of watching a camera man bust his ass after the perp.

columbus outdoor pursuits( the people to put on tosrv) has weekly organised rides around central ohio. Stop in to the local bike shop and see what kind of rides are in towm, they certainly have their ear to the ground. Last and most simple, if you see a group just join in and start talking. that easy.

Nice intro! I grew up in gahanna also; a stone throw away from middle school south. I lost many a model rockets on that roof.

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Good weather music avail for stream or free DL http://www.zshare.net/audio/1984784019939eb3/

lol green card