Come See My Hole
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Sometimes the nerve cells of the macula become separated from each other and pull away from the back surface of the eye forming a hole. This is called a macular hole and can affect vision in a variety of ways.
Sometimes macular holes are the result of an injury or a medical condition that affects the eye, including being very near sighted. In most people, it is due to traction on the center of vision that is more likely to occur as we age.
If any of these symptoms occur, it is important to schedule an appointment with your doctor as soon as possible. The doctor will use a special instrument to look inside the eye and see whether the macula has a hole in it.
To diagnose a macular hole, your doctor will perform special imaging tests called optical coherence tomography that gives them a cross sectional view of your retina. This tests helps diagnose a macular hole and can differentiate it from other diagnosis that may appear similar.
Rarely, your doctor might recommend not treating a macular hole if it is small, if it does not cause severe vision problems, and if the eye is otherwise healthy in all other ways. The doctor might just recommend that you have eye examinations more frequently to make sure that the macular hole does not get any larger or cause other problems. It is important to keep these appointments because although the macular hole might not get worse for a while, it will almost never go away by itself.
If your vision is decreased and the macular hole is small, your doctor may recommend the use of a drug or gas bubble that is injected into the eye. This treatment helps release the traction that caused the macular hole and allows the hole to close in certain cases. The injection is not painful as the eye is numbed before the injection is performed. Not everyone is a candidate for this form of treatment, so check with your doctor.
The surgeon makes small openings in the eye to insert special instruments that are used to remove the vitreous. The surgeon may also remove any small pieces of tissue (\"membranes\") or traction near the macular hole using fine forceps. This is done to prevent anything from pulling on the macula preventing the hole from closing.
Finally, the fluid in the eye is exchanged with a sterile gas, which keeps pressure on the macular hole until it heals. Patients will need to maintain a face-down position for one to seven days to keep the gas bubble in place and help close the hole.
Surgery is successful in closing the hole in more than 95 percent of patients. However, the success rate is closer to 80 percent if the face-down position is not maintained. The amount of vision that typically is regained varies. Ask your doctor about the amount of visual improvement you might expect.
A nice feature of Pi-hole is that you can see which network devices are sending out the most DNS queries. For every device that is using Pi-hole as their DNS server, you can also see which DNS queries each one has made.
Once those queries arrive at the router, it forwards the requests to the Pi-hole. Since the queries are all coming from one place, Pi-hole only sees the router as the origin of all DNS requests. So the traffic flow looks something like this:
When the router's DNS cannot be deactivated, even if you are using pi-hole's DHCP, you still get in effect two DNS servers (the router, which then directs DNS requests to pi-hole, and the pi-hole itself). To fix this:
Additional trick: to prevent clients from appearing as ' _gateway ' on the pi-hole, change the router DNS to e.g. 192.168.200.200 (or some other non-existent address on your local network). That way, the pi-hole's DNS is the only working DNS on your network, and all clients now reach to it directly (and thus, are identified correctly by pi-hole with their Mac and IP addresses).
Sometimes, a hole called a fistula can form from the urinary tract to the penis skin. And some babies have some scarring that can affect urine flow. If you notice your child leaking urine or having a weak, slow urine stream after surgery, contact your healthcare provider.
Hypospadias is a condition that affects babies at birth, causing the hole of the urethra to be located somewhere other than the tip of the penis. Hypospadias can cause problems with urination and sexual function if untreated. But hypospadias treatment is very effective. Surgery straightens the penis and places the hole in the right location. And usually hypospadias repair lasts a lifetime.
During this stage, your copayments and coinsurance come into play. You pay just your share of prescription costs and your Part D plan pays the rest for covered drugs. For example, if your plan has a 25% coinsurance for a $200 prescription, you would pay $50 and your plan would cover the $150 balance.
You may find small, shallow holes in the lawn, similar to those made by squirrels, which are a result of a skunk foraging for grubs. Occasionally, you may even find plants knocked over or damage to the lower leaves or ears of ripening garden crops, including corn. You should look for these additional clues; foxes also have their own musky scent that may cause misidentification.
This may be done by loosely filling the hole (or holes) with soil, leaves, straw, crumpled paper or similar material. If a skunk is present, the animal will easily push their way out overnight and reopen the hole.
If the plug remains undisturbed for two or three nights, it is safe to assume that the hole is unoccupied and can be filled. In the winter, skunks may remain inactive for longer periods, so provide them with a bit more time to disturb the plug before blocking the den entrance. Permanently exclude skunks (and other den-seeking creatures) with an L-shaped footer of welded wire or similar barriers.
When it is safe to displace skunks, mild harassment can be very effective. This can be as simple as loosely repacking the den hole with leaves or straw or other material to see if the skunk gets the message and moves elsewhere. If they require more persuading, adding light and noise to make an dark and quiet denning space unattractive may help as well. Make sure the skunk is not close by before setting up the disturbances.
The donut hole closed for all drugs in 2020, meaning that when you enter the coverage gap you will be responsible for 25% of the cost of your drugs. In the past, you were responsible for a higher percentage of the cost of your drugs.
Astronomers have published a major finding: A black hole has been \"burping\" out energy from a small star it was observed shredding in 2018, after two years in which it didn't eject any such material.
This behavior is different from what has been observed in black holes before, in two ways. First, the timing: it's more common to see radio emissions from black holes within the first few months after swallowing a star. And second, the energy being emitted in this case doesn't quite fit with what astronomers have seen before.
Surgical removal of a wisdom tooth is done by a specialist, such as an oral surgeon. After surgery, your mouth will begin healing by forming a blood clot over the holes where wisdom teeth were located.
View the latest status of the ozone layer over the Antarctic, with a focus on the ozone hole. Satellite instruments monitor the ozone layer, and we use their data to create the images that depict the amount of ozone.
The graphs above show the progress of the ozone hole for 2022. The gray shading indicates the highest and lowest values measured since 1979. The red numbers are the maximum or minimum values. The stratospheric temperature and the amount of sunlight reaching the south polar region control the depth and size of the Antarctic ozone hole. The dashed line in the minimum temperature plot indicates the temperature below which Type I (NAT) PSCs can form.
The data for the ozone hole area, the minimum ozone, and the minimum stratospheric temperature are available. Also available is a table of values showing the maximum ozone hole area and the minimum ozone values for each year.
Some people with macular holes have mild symptoms and may not need treatment right away. But doctors may recommend surgery to protect your vision if a macular hole is getting bigger, getting worse, or causing serious vision problems.
During a vitrectomy, the doctor removes the vitreous and some tissues on the surface of the macula and injects a gas bubble into your eye. The bubble is like a temporary bandage that holds the edges of the macular hole together and helps your eye close the hole.
Sometimes, a hole can form in your septum. This is known as a nasal septal perforation. A nasal septal perforation can cause your nose to bleed a lot. You might also notice a whistling sound when you breathe. Your doctor may diagnose it after looking inside your nose with an endoscope, a very thin tube with a tiny camera attached.
Sometimes, though, holes in your septum increase dryness and may lead to nose bleeds. It is also common for the edges of the hole to form a crust and bleed. An over-the-counter saltwater (saline) nasal spray can help by keeping the inside of your nose moist.
It was a dark and stormy night, the wind howled, the lightning flashed. A good night to just head off to bed early and snuggle under the blankets. Innocently, I walked into my upstairs bathroom to brush my teeth, only to come across a gruesome scene. There was a maggot-like insect wiggling across my floor. Quickly, I did the gross-thing-on-the-floor tap dance. Luckily my experience in entomology proved useful for once. Before I could really panic I remembered the acorns my toddler had been playing with. He collected several acorns a week ago and for some reason he enjoys washing them repeatedly in the bathroom sink. Sure enough, there was one of his acorns on the bathroom counter with a pencil-lead sized hole in it. My maggot-like bug was the larvae of an acorn weevil. 59ce067264
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