Ars Technica's take.

Everyone who has started more than 1000 IVs in their life raise your hand. OK, with that out of the way, some thoughts. @jon-nyc , the back of the hand is certainly not the best place to start an IV from a patient's perspective. It restricts motion, is easily dislodged, etc. But... It's frequently the easiest because the veins, though not the biggest, are usually the most visible. Most visible makes it much more likely that you'll have a first-pass successful stick. Most successful means most comfortable. If you need to stick someone 4-5 times, so that you can have a more comfortable site elsewhere misses the point. Always use local anesthetic for anything bigger than a 20g iv. The numbing makes it easier for the patient to tolerate you"rooting around" while trying to find a vein. The ideal location is the forearm - it's between two joints, and it's stable. However, unless the veins are really easy to see, good luck. If you can feel them, good luck too. Ideal place on the forearm is at the wrist, just this side of the thumb joint - about where you feel for a pulse. There's usually a vein there that's pretty easy to hit, even if you can't see it. You should be able to feel it. The problem with missing a vein in the forearm is that is some cases, you only have that one arm to work with, so if you blow a vein, putting an IV closer to the hand might cause the injection to leak out of the hole you made earlier, which is upstream from the hand. It all depends on what the needs are for the IV. For longer-term things, forearm is absolutely the best. But for a lot of surgery where it'll only be in for a day or so, use the hand, put it on an armboard. For really short stuff, where the IV will be in for an hour post-op, I got to the point where I just put them in the antecubital fossa (the elbow, where they draw blood). Patient wasn't going to move, if I did my job right, and afterward, they would be good to not bend the elbow for an hour. If you're feeling adventurous, put it in the internal jugular vein. I'm sure I have more thoughts - but I just can't think of 'em all at the moment.

@Jolly said in "With a pillow...": I think the Left is a bit nervous, thinking that their monopoly on messaging may be slipping away. That's why they've been uncomfortable with the internet from the git go. Funny how the left's most ardent supporters, the mainstream media, are the ones who took the biggest financial hit due to the internet. Entire lives and livelihoods were laid low at the feet of what we are all now led to believe is dangerous misinformation. Gee, I wonder who might be motivated to poison everybody against free and easy communication of ideas? Let's cherry pick that massive heap of information for the craziest bits, hold them high and giggle at them for everybody to see, so everybody can know how ridiculous the world is now that the "journalists" aren't in control of the ideas. Whatever will we do without the adults in the room?

Combine that with the stuff I posted about Pat's show (even though his show pays millions for film rights). As they said after the NOLA-No Call... Go to Hell, Goodell! Go to Hell!

I'm sure it has happened before and will happen again.

[image: 11223478_10153412163921341_1895596954329293929_n.jpg?_nc_cat=103&ccb=1-7&_nc_sid=2c4854&_nc_ohc=dhaxpMbLuWAAX_2H2ZY&tn=HrbCtQwqedtKao_E&_nc_ht=scontent.fluk1-1.fna&oh=00_AfC_ipQJgUZ9FS_DA9X-aZ3RPsbNrWxd3daouThcHC4PkQ&oe=6389DB71]

We dropped our ballots off at the Board of Elections box yesterday. There were lots of monitors standing around. Unarmed, of course.

You have to live on the rural route or in certain parts of a city to understand the dominance of Dollar General. Their business model is extremely successful. They've killed off the little country stores and made a huge dent into WalMart sales. Since they've expanded their frozen food and grocery sections, many people do quite a bit of their shopping there and visit the bigger grocery stores less. I suspect what's happening in Ohio is two-fold: DG is infamous for understaffing. Their managers are given only so much money for employees and with even very flexible scheduling, many times the store will only have one or two employees. Hard to change prices on the shelves, unload trucks, stock and tidy shelves, when there aren't enough hands to do it. Prices are changing rapidly, especially with the price of diesel ramping uo. The employees can't keep up with the computers.

So, a bunch of rich white guys want to oppress someone, correct? 55555 (I am just joking with the above. I have no idea what the fight is about)

Interesting history lesson

I've taken some really cool close-up HD videos of ants for the kids, it really was great quality.

@Jolly said in Clarkson's Farm: Amazon hasn't dropped the second season yet, but Clarkson has already been notified this week there will be a third season. I think that was my favourite show of the last few years. More please.

@Horace said in It can ruin your career...: @Doctor-Phibes said in It can ruin your career...: @Horace said in It can ruin your career...: It looks like there is a burglary charge. So the only nonsensical part of the narrative is that he’s a conservative or a Republican affiliated wack job. There’s a fair amount of nonsensical stuff coming out of the right wing conspiracy theorists. Maybe JFK Jnr is involved- remember you heard it here first! I’m not sure what conspiracy theorists are posting on truth social, but the highest echelons of our government and its media wing are spreading the nonsense I was talking about. Well Trump isn’t in a high echelon any more after the election was stolen from him, but he’s been making a few comments. His son apparently thinks the attack was funny.

Love the photo AL! You too 89th and George!