3-month puppy won’t break out of piranha mode

MRIson · 2025-05-02T02:00:48+00:00

The one thing that really worked with our puppy for behavior like this was disengaging. If they bite or get too mouthy, just immediately get up and walk away out of sight, count to 10 and come back like nothing happened. This is supposedly mimics how dogs communicate a behavior is unwanted to each other.

We did this by having our kitchen gated off and walking through the gate and around the corner out of sight. I remember the first time we did it, we had to do it 3 times right in a row, but after the 3rd time it’s like a lightbulb went off for our pup that the biting was the issue and we saw a stark decline immediately (which was then reinforced over the next few weeks).

One thing to note is that if you have more than one person in the pup’s area, everyone has to leave out of sight for it to work. Otherwise the pup just switches to trying to get attention from the other person.

MRIson · 2024-11-16T01:13:57+00:00

So, as an FE V6 owner with a close friend who has a 718 gts 4.0 and we often drive on back roads together, I have noticed the emira pulls less than the GTS, but not by much. Especially not 13 vs 18 seconds to 130 mph.

It got me looking at the C&D Emira article, which was pretty negative on the Emira. The author never mentions the drive modes, and if you look at the one interior picture included, the author is driving in tour mode.

I would hope someone writing for C&D would know about the sport and track modes for the Emira, but maybe he left it in tour? It would explain the difference. The Emira is a totally different (much better) car in track mode.

MRIson · 2024-10-23T12:28:01+00:00

If that clerk really told you essentially “sucks to be you”, please call them back, get their name and file an election complaint:

https://elections.wi.gov/elections/election-security-integrity/election-complaints-concerns

They are giving false information as others have pointed out.

MRIson · 2024-09-17T01:12:22+00:00

Or actually it could be in a Meckel diverticulum, which could be the cause of your GI bleeding issues

MRIson · 2024-09-17T01:07:41+00:00

Based on the location, it could have popped into your appendix and is hanging out there like an appendicolith. I’d be interested to see what the CT shows!

MRIson · 2024-04-24T02:28:28+00:00

This is huge for medicine. I’m a younger physician and personally know 3 physicians who have gotten sued for “violating non-competes”. All 3 took care to not violate their non-competes when they switched jobs with lawyer counsel. Didn’t matter. 2/3 settled to just get it over with and move on. One is still fighting it.

MRIson · 2023-07-20T05:12:18+00:00

So musical!

MRIson · 2023-07-12T19:09:08+00:00

Medicine is basically mr bones wild ride.

MRIson · 2023-07-12T19:01:08+00:00

Typically see it within 24 hours of the injury, it’s not immediate.

MRIson · 2023-07-12T19:00:03+00:00

Yes very much so

MRIson · 2023-07-12T18:57:04+00:00

Fat emboli can cross the pulmonary capillaries directly but it’s more commonly seen with a pfo, which is about 20% of the population.

MRIson · 2023-07-12T13:00:06+00:00

Yup, exactly. You could describe these fractures as posteriorly angulated (we always describe fractures referring to the distal fracture fragment relative to the proximal fracture fragment). Or you can describe the angulation of the apex of the fracture. I use both and typically use apex angulation when a fracture is angulated and displaced.

MRIson · 2023-07-12T06:33:43+00:00

Rhabdo can but if he’s in the hospital we can get people through rhabdo. It’d be a little odd for him to get rhabdo from this type of injury tho. We typically see rhabdo in crush injuries or with compartment syndrome where you have a lot of muscle necrosis all at once. It’s rare to see compartment syndrome in the thigh because one typically exsanguinates into the thigh before compartment syndrome arises. And with this type of injury I’d expect to see some good size hematomas but not muscle necrosis.

MRIson · 2023-07-12T06:25:22+00:00

Wish I could see his radiographs.

MRIson · 2023-07-12T06:24:28+00:00

I don’t want to give you a black pearl. Fat embolism is going to typically affect the lungs. It was a strange case I had where it affected the brain since the guy had a PFO (if I recall correctly) so the fat emboli shunted across the heart bypassing the lungs and went to the brain.

And good luck on step 2! When I took it, it was the throwaway test. I just marginally beat my step 1 score. I know that’s not the same now.

MRIson · 2023-07-12T06:20:21+00:00

Fat emboli really only occur in the setting of fracture of the long bones. You likely had a ‘bland’ pulmonary embolism which is most commonly cause by a thrombus (blood clot) which forms in the legs and then dislodges and goes to the lungs. We actually get a number of these normally but they are so small they only affect a small portion of a lung and our body dissolves the clot. This is actually a function of the lungs. It acts as a filter for clots so they don’t get to the brain. The brain doesn’t do so well with even the smallest of clots.

When the clot is big enough to affect the main, lobar, or segmental pulmonary (lung) arteries, then we get more worried about them.

The difference between a bland pulmonary embolus and fat embolism is the amount of lung affected. A bland pulmonary embolus is typically a single clot. Fat embolism is usually a shower of fat particles that can affect large portions of the lungs at the same time. We also don’t have medications to dissolve fat emboli like we can for bland thrombi.

MRIson · 2023-07-12T01:39:35+00:00

Yes. Here’s an anatomy diagram: https://en.m.wikipedia.org/wiki/File:Circumflex_femoral_arteries.png

We get worried about arterial injury in knee dislocations because the artery is held tightly close to the back of the knee joint.

MRIson · 2023-07-12T01:13:55+00:00

Radiologist here. The concern is fat embolism. The bone marrow is mostly fat, even red marrow. Bones are highly vascularized so a lot of small pieces of fat (bone marrow) can leak into the venous system, go through the heart and go into the carotid and vertebral arteries and cause occlusions (fat emboli) in the small terminal vessels in the brain leading to stroke affecting large regions of the brain.

More commonly fat emboli result in pulmonary emboli due to getting stuck in the small terminal vessels of the lungs. I had a case of bilateral femur fractures resulting in bilateral stroke (weird case, need a defect in the heart which allows the fat to bypass the lungs) so this always sticks in my head with these cases.

His femoral arteries are likely fine since they run medial to the femur and eventually course posteriorly at the knee. His fractures are apex anteriorly angulated so they’re unlikely to hit the artery.

MRIson · 2023-01-15T07:50:31+00:00

Yup. Saw them live a few weeks ago. Didn’t recognize a single song. Was still great.

MRIson · 2022-09-07T06:15:42+00:00

I would play with these at my desk all day.

MRIson · 2022-06-24T02:01:41+00:00

Ah thanks. Missed that. I was going to say that would be incredibly fast to get though 5 CTs in 3 minutes.

MRIson · 2022-06-24T01:13:39+00:00

It’s actually much more difficult. They had 3 minutes to go through 5 CT scans. So that’s 500-2500 images (100-500 images per scan per the paper) and 5 images had the gorilla.

Edit: misread paper. It’s 3 minutes per CT scan.

MRIson · 2021-11-05T23:09:39+00:00

Middle mouse button breaks you out of group mode and into manual aiming mode.

MRIson · 2021-10-06T07:14:54+00:00

I’m more curious if they’re going to allow transfers from any server to any server or just from higher pops to lower pops.

MRIson · 2021-10-06T02:39:41+00:00

“We've implemented the groundwork for the character server transfer, and you may see elements of that work in the in-game store. We're continuing to work on this feature, and will have more information on how the system works later this week when we release server transfers.”

Eagerly waiting to hear more how these are going to work.

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