You don't get the bigger picture though. You can spout "4-0" all you want but the context behind that record (barely beating up on crappy teams) shows that we are likely gonna have another mediocre season this year. 7 seasons in and Jim Harbaugh will likely have another dud this year. People are no longer satisfied with this mediocrity and want something better like OSU or Bama has. This is U of M for crying out loud. We are capable of anything.
Not to mention, threads getting locked now under the guise of "limited mod capabilities". Call it out for what it is. It's damage control and trying to brush it under the rug. None of the threads against other schools were ever locked in this way.
Really concerned about the double standard we are showing when our OWN university is under investigation. When PSU, MSU, and OSU all had scandals we came at it with such intensity I felt proud to be a part of this community. Now we have scandals of our own with Philbert and Anderson and everything seems....quiet.
He is actually not dead. He faked his own death in 2008 per CIA sources and was recommended to be exiled quietly by the UM administration at the time. He is now spending his time in Cuba all by himself, but there's rumors he will get extradited back here for trials.
Myofascial pelvic pain is a major component of CPP in women that is often not properly identified by health care providers. Attempting to reproduce symptoms in the woman who is experiencing CPP by performing a brief musculoskeletal screen and pelvic floor muscle assessment during the medical examination can help establish if a myofascial pain component exists. Chronic pelvic pain affects women of all ages and every socioeconomic class, and occurs amidst a myriad of physical and psychological conditions making a cure challenging. However, successfully treating the MFPP component of CPP is feasible with a comprehensive approach. In addition to addressing the medical, psychological, and sexual concerns, the women’s health practitioner should refer women to a pelvic floor physical therapist who can provide effective treatments, such as skillful manual therapy, biofeedback, and training in self-care strategies to reduce MFPP and improve associated complaints. An interdisciplinary team in which nurses play a critical role is essential for identifying and successfully treating MFPP in women with CPP.
Internal Pelvic Muscle Assessment
To proceed with the intra-vaginal exam, change gloves to avoid any contamination from the external exam. Palpating the right hand side of a woman’s pelvic floor is easiest using the right hand and visa versa to palpate the left side by using the left hand. Initial entry into the vaginal vault may itself be painful or anxiety provoking. Prepare the woman with what to expect and maintain eye contact throughout the exam. Proceed slowly and use plenty of lubricant to ease a woman’s discomfort. Techniques such as gently depressing the tissues lateral to the clitoris using a pincer grasp with thumb and index finger to widen the introitus, or asking the woman to bulge or bear down gently during finger insertion, as if “blowing bubbles with the vagina” helps to slacken the superficial muscles and prevent muscle gripping during the intra-vaginal exam. The practitioner may ask the woman to “let go” to ensure she is not guarding during the exam, and imagery such as “let your muscles be heavy” or “let your muscles relax like you would let your shoulders drop,” may also be helpful.
First, specific muscle layers are identified by landmarks corresponding to the index or middle finger used during the examination. Using the hymenal ring as the reference point, layer 1 corresponds to depth of the nail bed or first knuckle of the finger that is associated with the location of the bulbocavernosus, ischiocavernosus, superficial transverse perineal, and external anal sphincter muscles. Middle knuckle depth corresponds to layer 2 that is associated with the location of the urethra muscles superiorly and deep transverse perineal muscles inferiorly. Beyond the middle knuckle and up to the length of the examining finger is the deepest layer 3 musculature that is associated with the location of the levator ani, coccygeous, pirifomis and laterally the obturator internus muscles (Wallace & Herman, 2009).
Next, pelvic floor muscle tone, trigger points and pain are assessed. Although surface electromyography is the gold standard for objectively measuring pelvic floor muscle activity, digital examination can be very useful in detecting increased muscle tone. In women with moderate to severe hypertonicity, the examiner immediately notices introital tightness around the examining finger and tension or resistance in the muscles. The same “around-the-clock” methodthat was used for the external palpation is used for the internal exam, and the flat palpation is employed. Palpate superficial, intermediate, and deep layer muscles according to depth of finger in relation to the hymenal ring. Gauge the force used so it is acceptable to the woman. Tender or trigger points may be found anywhere in the muscle bellies but may especially be present laterally along the insertion points at the arcus tendineus levator ani (Butrick, 2009). Often the examiner will reproduce the woman’s referred symptoms, such as suprapubic pain, urinary urgency, or even her rectal or clitoral pain.
His name is Kareem Abdul-Jabbar and he changed his name for a reason that was important to him. Let's respect that by calling him by his name. Less people know of "Lew Alcindor" than Kareem Abdul-Jabbar anyways.
I predict FSU will control the first half and be up by 14 or so....say 20-6. Then Michigan will make their halftime adjustments and make it a game in the 3rd quarter with some type of defensive touchdown. 20-15 going into the fourth. Then FSU will score again making it look like the game is all but over......but then Michigan will score on 2 consecutive drives to take a 30-27 lead. After it looks like we sealed the game I think FSU will get a huge run off the ensuing kickoff to set up a touchdown of their own. When they go to kick the XP, however, Michigan will block it and make it a 33-32 game by returning it. We will have one final chance to score just a field goal with less than a minute to play. On 4th and 10 Speight will throw a bomb and Darboh will break free for a touchdown at the last second to win the game 38-32. Then when we kick the XP, Jimbo Fisher will be salty and call a bunch of timeouts right before to delay our win.
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You don't get the bigger picture though. You can spout "4-0" all you want but the context behind that record (barely beating up on crappy teams) shows that we are likely gonna have another mediocre season this year. 7 seasons in and Jim Harbaugh will likely have another dud this year. People are no longer satisfied with this mediocrity and want something better like OSU or Bama has. This is U of M for crying out loud. We are capable of anything.
Not to mention, threads getting locked now under the guise of "limited mod capabilities". Call it out for what it is. It's damage control and trying to brush it under the rug. None of the threads against other schools were ever locked in this way.
Really concerned about the double standard we are showing when our OWN university is under investigation. When PSU, MSU, and OSU all had scandals we came at it with such intensity I felt proud to be a part of this community. Now we have scandals of our own with Philbert and Anderson and everything seems....quiet.
He is actually not dead. He faked his own death in 2008 per CIA sources and was recommended to be exiled quietly by the UM administration at the time. He is now spending his time in Cuba all by himself, but there's rumors he will get extradited back here for trials.
This story will just not go away. Buckle up.
Recognizing Myofascial Pelvic Pain in the Female Patient with Chronic Pelvic Pain
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3492521/
Myofascial pelvic pain is a major component of CPP in women that is often not properly identified by health care providers. Attempting to reproduce symptoms in the woman who is experiencing CPP by performing a brief musculoskeletal screen and pelvic floor muscle assessment during the medical examination can help establish if a myofascial pain component exists. Chronic pelvic pain affects women of all ages and every socioeconomic class, and occurs amidst a myriad of physical and psychological conditions making a cure challenging. However, successfully treating the MFPP component of CPP is feasible with a comprehensive approach. In addition to addressing the medical, psychological, and sexual concerns, the women’s health practitioner should refer women to a pelvic floor physical therapist who can provide effective treatments, such as skillful manual therapy, biofeedback, and training in self-care strategies to reduce MFPP and improve associated complaints. An interdisciplinary team in which nurses play a critical role is essential for identifying and successfully treating MFPP in women with CPP.
Internal Pelvic Muscle Assessment
To proceed with the intra-vaginal exam, change gloves to avoid any contamination from the external exam. Palpating the right hand side of a woman’s pelvic floor is easiest using the right hand and visa versa to palpate the left side by using the left hand. Initial entry into the vaginal vault may itself be painful or anxiety provoking. Prepare the woman with what to expect and maintain eye contact throughout the exam. Proceed slowly and use plenty of lubricant to ease a woman’s discomfort. Techniques such as gently depressing the tissues lateral to the clitoris using a pincer grasp with thumb and index finger to widen the introitus, or asking the woman to bulge or bear down gently during finger insertion, as if “blowing bubbles with the vagina” helps to slacken the superficial muscles and prevent muscle gripping during the intra-vaginal exam. The practitioner may ask the woman to “let go” to ensure she is not guarding during the exam, and imagery such as “let your muscles be heavy” or “let your muscles relax like you would let your shoulders drop,” may also be helpful.
First, specific muscle layers are identified by landmarks corresponding to the index or middle finger used during the examination. Using the hymenal ring as the reference point, layer 1 corresponds to depth of the nail bed or first knuckle of the finger that is associated with the location of the bulbocavernosus, ischiocavernosus, superficial transverse perineal, and external anal sphincter muscles. Middle knuckle depth corresponds to layer 2 that is associated with the location of the urethra muscles superiorly and deep transverse perineal muscles inferiorly. Beyond the middle knuckle and up to the length of the examining finger is the deepest layer 3 musculature that is associated with the location of the levator ani, coccygeous, pirifomis and laterally the obturator internus muscles (Wallace & Herman, 2009).
Next, pelvic floor muscle tone, trigger points and pain are assessed. Although surface electromyography is the gold standard for objectively measuring pelvic floor muscle activity, digital examination can be very useful in detecting increased muscle tone. In women with moderate to severe hypertonicity, the examiner immediately notices introital tightness around the examining finger and tension or resistance in the muscles. The same “around-the-clock” methodthat was used for the external palpation is used for the internal exam, and the flat palpation is employed. Palpate superficial, intermediate, and deep layer muscles according to depth of finger in relation to the hymenal ring. Gauge the force used so it is acceptable to the woman. Tender or trigger points may be found anywhere in the muscle bellies but may especially be present laterally along the insertion points at the arcus tendineus levator ani (Butrick, 2009). Often the examiner will reproduce the woman’s referred symptoms, such as suprapubic pain, urinary urgency, or even her rectal or clitoral pain.
.
His name is Kareem Abdul-Jabbar and he changed his name for a reason that was important to him. Let's respect that by calling him by his name. Less people know of "Lew Alcindor" than Kareem Abdul-Jabbar anyways.
I predict FSU will control the first half and be up by 14 or so....say 20-6. Then Michigan will make their halftime adjustments and make it a game in the 3rd quarter with some type of defensive touchdown. 20-15 going into the fourth. Then FSU will score again making it look like the game is all but over......but then Michigan will score on 2 consecutive drives to take a 30-27 lead. After it looks like we sealed the game I think FSU will get a huge run off the ensuing kickoff to set up a touchdown of their own. When they go to kick the XP, however, Michigan will block it and make it a 33-32 game by returning it. We will have one final chance to score just a field goal with less than a minute to play. On 4th and 10 Speight will throw a bomb and Darboh will break free for a touchdown at the last second to win the game 38-32. Then when we kick the XP, Jimbo Fisher will be salty and call a bunch of timeouts right before to delay our win.
FINAL SCORE UM38 FSU33
GO BLU!
You can do that. Look up VorpX for the HTC VIVE.