Chủ Nhật, 2 tháng 9, 2018

Waching daily Sep 2 2018

Do you want to make your man smile excitedly when he hears a text notification from you?

Do you want him to eagerly await your next message?  Do you want to make him miss you

when you aren't with him? Then you have to watch this video because I'm going to

share the texts that will make him fall in love with you. So don't go anywhere because

were starting in 3 seconds.

hi everyone.. I'm dr Antonio Borrello, Welcome to another video. This channel is all about

helping you build great relationships so you can grow happy with the people you love. And

one of the pillars of a great relationship is excellent communication. today, more than

ever before, communication happens in person, over the phone, and through text messages…

oh and emojiis.. lol Actually, texting has become the go to tool for people who are dating

and starting to get to know one another.  And it works.. When used properly, texting

can do everything from spicing up a relationship to promoting respect and value.  That's

why it's in your best interest to become good at creating or maintaining attraction

via text messages. Then your texts will keep emotionally stimulated and have him thinking

about you and missing you. So, I'm going to share some examples of texts you can send

and I'm also going to explain the one rule you must follow when sending any texts to

your man. So make sure you watch until the end so you understand that rule. It's super

important. Ok on to number 1

1.  Texts to Compliment Him- Think about it… men don't get compliments from one

another too often.  I mean we most of my male friends would probably look at me strangely

if I told them they look great in that shirt or if I told them their hair looks great today.

So, when he gets a compliment from you, he'll definitely remember it and feel more appreciated

too.   Specific compliments that appeal to his sense of masculinity, sexuality, intelligence,

accomplishments, and sense of humor work well..  For example..  if you were to text him something

like;…  "I always feel safe when I'm in your arms", you will be appealing to

his masculinity and his protective instincts.. he will certainly be smiling and feeling proud

of himself when he reads a text like that.

Or, if a guy has a great sense of humor, send him a text message that reminds him of a time

he made you laugh. That will certainly make him feel proud, I know it makes me happy and……

it makes me want to see them.. spend time with them and make them laugh again.

So when crafting the text, keep in mind that you want to remind him of a specific time

that he made you laugh… You could tell him that you crack up every time you think of

a particular memory. Or, if your man is funny and you always laugh when you're together…

let him know in a text like this…   "It's so great when we are together.  You always

have me cracking up" Or, tell him something specific that they did which cheered you up—this

also shows your appreciation for him. You could say something like.. "Thanks for cheering

me up when I was upset the other day.. or "You always know how to make me laugh even

when I don't want to laugh. Oh.. that reminds me of a meme I wrote.. Fall

in love with someone who makes you laugh, even when you don't feel like laughing.

2. Texts that Trigger a Powerful Memory Remind him of a special time in your relationship

where you felt super close and special.  you're going to text him and help him recall

this powerful memory you've shared together.  And you're going to get really detailed

so that he will be able to see the memory flashed in his head like a movie.  For example..

Let him know you just drove past the place you first kissed, or that you heard a song

that reminded you of when you went on your first date. Use vivid and descriptive language

and Give lots of detail and tell him what it meant to you. Make him smile, make him

reminisce and make him remember why you two are so good together.

This is a very powerful type of text that really gets you connected… Have you tried

it before, if So please tell us what happened and how well it worked.. in the comment section.

I love reading those comments and will respond to all of you. Ok.. number 3

3. Texts that create sexual tension.  We experience intense emotions whenever we're

thinking about or anticipating things that are to come – especially things that are

related to sex. So, When texting and flirting with your man, help him to develop fantasies

that remind him when you were sexually intimate, or if you haven't reached that point in

your relationship, you could create even more sexual tension because his curiosity is going

to be peaked for sure.  And I'm not saying you have to make any promises or commit to

something you're uncomfortable with. Just focus on the effects of your physical attraction

by creating an image for him to think about.

Remember showing something is more effective than telling.   So for example, you might

want to let your man know how you're feeling when you were daydreaming of your last night

together.  Rather than saying something like, that was Hot, or I'm turned on, you can

describe something hot by the reactions from "hotness."  So you might describe a physical

or mental reaction that you're having at the moment and include words that describe

sensations in your body…  words like tingling, flushing, feeling faint, sensations in different

parts of your body, heart beating…  an inability to speak, a stutter, .. Do you see

where I'm going? Wow… I think these lights are really hot today…

SO, SOME exampleS… Casually mention that you were just thinking about him while in

the shower and now your heart is beating fast and you have flushing sensations in parts

of your body. Be open. Or say, "I can't stop thinking about how you looked the other

night… it's making me feel faint." Again, use words that describe how you feel

physically… paint a picture of the way you're feeling.  This has a powerful effect because

he is going to be imagining what you tell him… so make it good.

Oh.. and now for the things you should avoid doing.. keep watching because if you do these

things, you could be ruining the other texts. So. Remember these important rules.

1. Keep it positive – that means no venting of negative emotions or feelings.. no arguing

or expressing disappointment over texts.. If you are upset about something…. Wait

to communicate in person or over the phone. You don't want him to misinterpret something

negatively because that can take a lot of undoing.. plus it kills any vibe or attraction

you started. 2. Check and re-read your texts before sending..

Misspellings usually aren't a big deal, but why risk it. You are trying to create

attraction, remember.. following up with a corrected text will get your point across,

but it definitely takes away from the effect.. .. so read and re-read before sending

3. NO BORING OR LAZY TEXTS.. the most important rule that applies to all texts..   Before

you send a text, I want you to ask yourself if he's going to know right away who it

came from. Ask yourself if you're showing your personality, your sense of humor, your

own style of writing –all the things that make you and your relationship unique. If

it could have come from any other woman in his contacts list, delete it and start again.

That means… no boring texts like… hey..  sup?  Make sure that even if your name was

deleted, he would know the text is from you. Btw.. if you are following these text suggestions

but you still feel like your guy is not engaged or responding well, perhaps he's not into

you or playing games… if you're not sure, this video explains the signs that a person

is playing you or using you.. so click here and check that one out. Or if you want to

know what men are really attracted to.. check out this video… Ill see you in the next

one.

For more infomation >> Texts To Make Him Want You - And 3 to NEVER Send - Duration: 7:00.

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Fantasy Kingdom Complex | The Only Theme Park in Bangladesh | Fun_Entertainment - Duration: 1:31.

Modern Girls Dancing

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How to FORCE Your BRAIN to WORK FOR YOU to CREATE a NEW REALITY! (Use THIS to MANIFEST FASTER!) - Duration: 10:02.

For more infomation >> How to FORCE Your BRAIN to WORK FOR YOU to CREATE a NEW REALITY! (Use THIS to MANIFEST FASTER!) - Duration: 10:02.

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Gertie and Therma YETI SET GO! / AllAroundAudrey - Duration: 12:45.

For more infomation >> Gertie and Therma YETI SET GO! / AllAroundAudrey - Duration: 12:45.

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How to Ask Questions on Instagram - Duration: 2:10.

In this video you are going to learn how to ask questions on Instagram.

You guys are probably all Instagram users take a second to go and check out our Instagram page

We've got a lot of cool tech videos and stuff on there

But you might have seen on Instagram stories

People posting questions where there's like a little question or they say ask me a question

I'm going to show you how to do that right now

So is what you're going to need to do is you're gonna need to open up Instagram

and once you have Instagram open, you're gonna click on the little camera to go to just you know your

Instagram story page or whatever. now you can just take a picture so

Here, maybe we can be like a selfie

That was blurry

Okay, and now that you have that taken is what you're gonna do is you're gonna click this little sticker tab thingy and

You're gonna see if you scroll down a little you'll see this option right here that's called questions

And then it's gonna default pop up and say ask me a question

Of course, you can click right there and you can say like, what's your favorite food?

and then people can answer your question or like I said

You can just leave ask me a question and have people ask you questions

So there's a couple different ways to use that but it's really that simple

and so then when you post that to your Instagram story people see it they can type in a question

and then when you go to

Review your your post you can see responses

So if I were to post this to my story and then review my story

And I go to the question

I can just swipe up and when you get responses

You'll see responses right there to your question or you'll see the questions that people asked you

All right guys, that's how to ask questions on Instagram

If you like this video if you learned something new make sure you hit that thumbs up button

Make sure you're subscribed so you don't miss any of our upcoming videos and we'll see you next time

For more infomation >> How to Ask Questions on Instagram - Duration: 2:10.

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Dawahman insults Abdullah's wife - Duration: 1:05.

And even men have left the fold of Islam because of women.

There is of a guy who used to.. it went viral online.

This video went viral online of a guy.

He used to be from some other religion.

Became Muslim and he's an Asian guy used to be Ismaili or something like an extreme version

of Shia.

You got .. probably seen the video.

He used to be.

He became Muslim and he was involved in the dawah setting up all these conferences and

what not, and now he left Islam he's a Christian or .. sorry an atheist and I remember when

his video came out everyone was so worried my God, yeah.

He knew the religion now he became a disbeliever does that mean

Islam is fake?

WAllahi just go on his Facebook.

You know he's got some atheist

girlfriend.

She's butters anyway (slang for ugly) I didn't mean to

look at her picture but she's right there in the pictures right there.

I'm thinking subhanallah (Glory be to Allah) if you left for (undecipherable), but he went

for some crusty looking gal

(laughs) I didn't mean to look at this.

It was.

It was right there in my

face kind of thing.

I was like SubhanAllah.

Clearly left the religion for this girl and then you know

he was mentioning things about you know what Islam

doesn't let me love who I want to love.

The real reason is a girl

For more infomation >> Dawahman insults Abdullah's wife - Duration: 1:05.

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Would you rather? Disabled Edition! Deaf awareness day 2 - Duration: 3:45.

For more infomation >> Would you rather? Disabled Edition! Deaf awareness day 2 - Duration: 3:45.

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Kristen Bell Celebrates Husband Dax Shepard's 14th Year of Sobriety: 'I'm So Proud' - News Today - Duration: 4:56.

 Dax Shepard has a lot to celebrate — and wife Kristen Bell could not be prouder!  As Shepard, 43, rang in his 14th year of sobriety, the Veronica Mars alum, 38, wrote a sweet tribute to her husband on Instagram Saturday that just might have fans reaching for the tissues

 "To the man mocked me when in our wedding photos because I cried too many tears of joy, who wore a baby Bjorn for 2 straight years to show his girls how to be as adventurous as possible, who held our dear little shakey man pup for 8 hrs straight on the day we had to put him down, I know how much you loved using

I know how much it got in your way. And I know, because I saw, how hard you worked to live without it," Bell said

 The actress, who shares 5-year-old daughter Lincoln and 3-year-old daughter Delta with Shepard, continued, "I will forever be in awe of your dedication, and the level of fierce moral inventory you perform on yourself, like an emotional surgery, every single night

You never fail to make amends, or say sorry when it's needed. You are always available to guide me, and all of our friends, with open ears and tough love when its needed most

"  Calling her husband "the fertilizer in the garden of our life," Bell praised Shepard for sharing his story

She concluded, "I love you more than I ever thought I could love anyone, and I want you to know, I see you

I see how hard you work. You set an excellent example of being human. Happy 14th year sobriety birthday, @daxshepard

"  The mother of two also shared a fun family album that included pictures of the couple's laid-back wedding and children (whose faces were covered by cartoon hearts and apples)

 Bell's Instagram post particularly spoke to one fan, who commented, "This hit home for me

I'm trying to get sober…again and I hope to continue to have the same kind of support from my partner for just as many years

Thank you."  Bell replied, "It's hard and worth it. One day at a time xoxo."  Meanwhile, Shepard shared that his wife surprised him a unique present for the anniversary — a tour of the King's Hawaiian factory!  "Best sober birthday present ever

 @kristenanniebell got me a tour of the @kingshawaiian factory and I ate 8 STRAIGHT oughta the oven

2 more upstairs, and 3 at home. 13 all-in for one day is an accomplishment I will not soon forget," he wrote on Instagram

 "Also, the fact that Kristen looks like a scientist and @mlpadman looks like she's on a kindergarten field trip just makes my heart swell to dangerous levels

Thanks Ladies!" Shepard added.  The couple has opened up about Shepard's substance abuse in the past

Two years ago, Shepard tweeted, "12 years ago today I came out of my last toxic, life-threatening stupor

I now have a wife & babies & some self-esteem."  In 2016, Bell told E! News that her husband changed how she views the world

 "Seeing the world through his eyes has really opened mine to knowing that it is a disease and nobody is choosing to drink more than others," she explained

"They are doing it because of a variety of reasons and they deserve the attention of a mental health professional, and not the county jail or however else we're choosing to pretend we're fixing the problem

"

For more infomation >> Kristen Bell Celebrates Husband Dax Shepard's 14th Year of Sobriety: 'I'm So Proud' - News Today - Duration: 4:56.

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How to get free iTunes cards Code Free iTunes gift cards 👍 New - Duration: 3:59.

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For more infomation >> How to get free iTunes cards Code Free iTunes gift cards 👍 New - Duration: 3:59.

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someone like you 「seungin」 - Duration: 0:40.

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Officially Licensed NFL Dallas Cowboys 3in1 TShirt Combo - Duration: 12:29.

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How to relieve Headaches with Face Qigong and Essential Oils - Duration: 6:02.

For more infomation >> How to relieve Headaches with Face Qigong and Essential Oils - Duration: 6:02.

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Crew with a View (Part 2 of 4) – Personal Highlights - Duration: 2:01.

I have quite a few highlights from my time working here so far,

but one of them that sticks out the most was actually working in this hangar last year

for our open house when I got tapped on the shoulder by a woman saying I had transported

her dad the year before.

When she gave me the details I got a little sad because I actually remembered the call

and I didn't think that he had survived.

But as I turned around I saw this little man shuffling towards me with his arms stretched

out to give me a big hug and thanking me for being a part of saving his life.

When you're in the community and you're talking to someone, and you realize that we've made

a difference in their lives.

He was a perfect stranger, and he just asked if he could give me a hug to say thank you

for everything that we do.

But also the highlights are seeing our VIPs.

Very much so.

And see the family, and see the outcomes.

Well, we had conducted an education session for some rural paramedics, and about two days

later I received an email from one of those paramedics that the next day she had a very

challenging airway case and that she used a lot of the lessons and simulations that

we had taught, and the patient had a positive outcome.

The first time that I met one of the donors,

she was a 10-year-old girl who had grown vegetables all through the season and decided that whatever

she sold she would donate to STARS.

My first evening in Grande Prairie before I was to start for work the next day was actually

attending the Grande Prairie Hangar Dance.

It was really neat getting to see a lot of members from the

local community out supporting STARS.

Being part of the first Ryde the Hangar event in Saskatoon, all of the hundreds of people

coming together, it was absolutely incredible.

To work with the Fleet Replacement Committee, which will shape the future of STARS

for the next 30 years.

When the County of Grande Prairie became the first municipal leader to receive logo recognition

on STARS helicopters.

Hearing those two words

when a helicopter leaves to go on a mission, and then

at a receiving site.

Those two words bring a great rush of adrenaline and satisfaction to know that you've sent

the helicopter out on a mission and they've returned safely

with a patient to their destination where they need to be.

For more infomation >> Crew with a View (Part 2 of 4) – Personal Highlights - Duration: 2:01.

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URBAN DECAY MOONDUST APPLICATION IN KAYAKOY GHOST VILLAGE // MESSY MAKEUP - Duration: 5:20.

okay here I am in an abandoned... it's really sad ill show ya

an abandoned Greek village but in Turkey

where they had population and switchover

in 1929 they had to evacuate I'm gonna

show you how to do an urban look using

moondust urban decay really quick so I'm

inspired by the colors of the ground

which are like these orange golden

colors so In my palette

I'm gonna take lithium

cant really see what I'm doing to be honest

litterally gonna drag it under

and a little bit of..

veda and im just going to put that in the center

it's a green so I'm gonna use that just

over top of it here and I'm applying it

my fingers can hear the crickets

this is a ghost village

I'm happy

i cannot actually see if thats blended well

I think the main bit was this bit under

the eye here I wanted to go like a greek

thing

this is I'm inside like erm... i dont know if you can see with the light, but its like a chapel

i love this greek look that i've created using urban decay

it's just something really quite cool

actually check what it looks like in my mirror one minute

yes so I think like a good

way to just extend this a little bit

better

would be to just put more blue in the middle use your ring finger just

press right in the corner you can get

the top on the bottom

can you see, underneath i'm going to use

lithium again just to get that smoked out look, and then in the green

which is called lightyear, you just blend it in like that

using my point finger I feel mystical

and then there's a bit of element just

like a copper colour this one and I'm

going to use that on my lips, just rub that in like that

this is how you get a Decayed Look

For more infomation >> URBAN DECAY MOONDUST APPLICATION IN KAYAKOY GHOST VILLAGE // MESSY MAKEUP - Duration: 5:20.

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SCUM: Let's Play Realistic Extreme Survival Gameplay | Ep1 S1 - Duration: 51:31.

Hey, what's going on YouTube, this is Pete coming back with another video and today I'm super excited

To play scum which is a new extreme survival type game, which has been just released and yeah

I can't wait to play it with you

I've been trying to record this video like several times. There was something going on with my

Recording software I couldn't get it. Right. So this is like, I don't know my fifth attempt

So, you know thumbs up for this. Let's hope that this is gonna work out this time

If this is your first time by the way on my channel

I would like you to subscribe and also if you do don't forget to hit that notification bail button as scared as you possibly can

Because the bail button is very very good for you

also, if you enjoyed this video smash dislike button like crazy to support the channel and also share this video with your friends and without

Further ado. Let's getting right to the game

So let's create our character here pip gaming. There we go. We can just maybe do something like we're the second Pete

survivor

Pete

survivor

All right, let's get this so body type we can just scroll this around

I'm gonna try to get ya that should be alright attributes strength for

That's okay. Yeah, let's just get some attributes going so we're gonna look pretty muscular

head type

What's available?

Hmm I

Don't know let's get that dude

Tattoos hell, yeah. Let's see. What kind of tattoos we got

Well, that's pretty savage

Yeah, let's get with that one I like the first one

Can we do some more here no, we can't. All right. Let's go to the next screen. I'm gonna go boxing advanced

rifles basic mainly weapons

shit, we don't have a lot of

skills in key

I just gonna want to have focusing on advanced because I know that this game is all about like fighting and everything

You're gonna see guys in a minute

And right let's get this show running. We're gonna get here. Then we're gonna go end your ends

The kittinger's advanced

Running basic. Mmm. Let's maybe get like medium at least. All right, cool stealth

let's get that basic stealth I

Wonder why we don't have all the other options there motorcycling and you know, all the other ones sailing and that's crazy

Awareness. Let's just get basic awareness

Survival we will need

More than basic camouflage. Oh shit, so we don't have

We don't have a whole bunch of options here, okay anyway, so we're just gonna do that and

Let's create our character. So there we go. Criminal record is here

we

smoking

had black eyes

Brown Gemma and that's pretty crazy. That's pretty great

What we have here we've been arrested today

We're from Croatia. I got em, man. That's pretty neat. That's really neat

H20 I didn't actually fix the H though. I feel like maybe I should just play around with that one

But anyways, let's get just right into it

H20, okay, cool. Let's just get that. You know, apparently this is like pretty tense experience guys

So yeah, just stick with me and we'll see what's going on. So let's have a look. Okay, so that's our menu. Yeah, it's just

You sort of like I have to get used to everything I suppose. What is this search?

No items found okay cool. So the first thing first is we gotta get some stones, you know

So we're gonna we're gonna even like search bushes and different places

All right, we got some stones we need two stones

All right edit as soon as we get this

What we're gonna do is we're gonna go to our crafting menu and craft a stone knife

Now the game is actually pretty difficult, so I'm just I'm just saying

So what we want to do on the beginning of the game you want to get exactly that

now that we have a stone knife which is gonna try to find some bushes and

We're just gonna basically

Get some sticks and stuff, you know all

Right. There is a big big Bush right there and there is some residential area look

Oh, we are so lucky and there's some zombies so we gotta be careful. Oh shit

There is lots of zombies here man, because you gotta be careful because they run in man they run in

They running like crazy. They running like crazy Tobuscus

All right

Can we not get spotted I do not know that guys I do not know that

Because this caribou Scouts they you know, you don't want to mess with these guys

Oh, dude, you know happen

Okay, so when you create flipping elements, so when you create an item

Like we just created the knife

If you don't pick it up from the ground, you don't get it. Oh shit. They're all over the place man. Oh

shit

I hope there's gonna be some stones. We got one

Let's go to craft that stuff again

Alright so you craft it and then it's not gonna be in your inventory right away

You're just gonna have to pick that up, man. And

That's with everything else as far as I'm concerned. So you go inventory and look this is just on the grounds

Okay, so you got to pick that up?

So you can just pick it up

All right. Let's go back

To chop that Bush man. There's a lot of zombies here

See so they don't really run until they spot you when they spot you that's pretty crazy. That's pretty crazy guys

When they spot you, it's already like late

Because they're gonna be running they're gonna be trying to get to you

Also, it's cool that when we actually do an action here we can still

See what's happening there?

All right. So now we have two sticks

Alright we've got this stick let's go and do a spear improvised wooden spear. Let's get that

Pick up. All right, we're gonna do another spear

Taking hands

Improvised spear we want to have at least two Spears. Ideally we want three because you can have I'll show you

You can have

Pick it up because you can have two Spears here and you can have one in your hands which is gonna go in here

So let's get one more. Oh

That's just a small stick is it oh shoot

Wait a second

Can we highlight those to

Craft into a a

Bundle of wooden sticks. I don't know that is

Would that do oh

That's just a bundle of sticks. Hi. Anyways we got two Spears we can cut another one

Just to get that first spear going and then what we want to do is we want to kill one of these guys at least

and

Then we got some buildings here. So there is potentially

Small wooden sticks small wooden stick long wooden stick. There we go

Taking hands craft craft

Okay, guys, I think we are sort of ready

there's quite a few that's quite a few of these guys, but let's get closer here and

There is one particular one, which is like over there again if you can see just up ahead

There's one of those guys in here, maybe we can get that one actually just to clear the area a little bit, you know

The reason why we wanted to kill that dude is

Is that only one

No, there's two

Anyways, let's just get this dude he's going away

So we got him with that sphere

We got him but we've got also I think you destroyed our Spears

No, you haven't okay cool

Let's see what his guts

Man that was pretty tense. He took him to Spears to kill him

Right, so at this point we're gonna take oh he's got can opener and he's got a cool jacket

So let's equip this

Let's equip that two gloves cool. Um

No, I don't want that I want that and pick it up

And then with this

All right, okay pounds so what we got to do is

We gotta get some stones again

Because I don't know what happened to our knife and that is the felt spear somewhere there because we throwed it somewhere

We're gonna try to find it later

But yeah, it's as you can see

The the game is pretty intense, you know, it's the fighting and everything is not so easy. I mean

All right, we get this craft craft craft

All right, cool so now let's go back here and let's take that into

Here. All right. Let's go back to that dude

Wait a second and we should be able to cut this into rugs

Now as soon as we're gonna get into like houses and stuff we can then scavenge for things

So they'll be cool

What we might need is what we might need to chop his body

And you will see why

It's a weird one. It's a weird one that you have to do it, but you will see

it's just basically we're gonna try to make a

backpack

and to make one up you need to

I'll show you

You need to basically get a needle and you can craft a needle out of the bone

So this is what we're gonna be doing

we're gonna chop that leg off or that's our I'm sorry that we're gonna be chopping that arm off and then

Yeah

we're gonna make a

Yeah, you got some like

Human stakes I mean, but I don't think we're gonna be getting that

Okay, so that can be crafted into a needle bone needle, there we go

Let's get that going

Then we're gonna go back to where we killed him gonna try to find that first spear and we're gonna start looting some houses

Right, so where's that needle

Where's that needle

Man what is this? Okay. It's here so we can hit we can put it in our pants and stuff

Okay, then we got some rags

Although that's fat sorry. So where's that rug we we we chopped it were ready to cut

Man that's pretty weird

Yeah, that's kind of weird pick up gas we don't know guts

Man I'm gonna be honest, that's pretty weird

Maybe it's somewhere on top. Oh, there we go. There we go

okay, so we got some great pieces and stuff so we can maybe like put one here put one there and

We've got some more so hopefully that's I won't disappear. Oh shit. There is another one of those guys

Hi. Anyways, let's just leave because Speer we can we can make another one. So let's get inside this house first

There's a lot of houses here. So hopefully we can find some food and

stuff

Okay, so let's search

That's a hot ordinary hat that's mostly used by fishermen. Okay? Well we can just equip that

You know what I'm saying just to spice things up. So we look pretty great with a pretty good

What is this there's nothing there oh

Let's actually let's equip this haha that's gonna be a lot better

All right, cool. I wonder if we can cut this into rocks. Can we? Yes we can perfect perfect

So because we're gonna need quite a few of rocks going, you know

So this should be relatively easy and here we should find stuff like pails and whatever's

What's inside here

Okay, that's for extremely cold climates like a pretty warm heart and stuff

But anyways, let's go up to the first floor. Let's see what's here

Chocolate bar. Yes

so we will leave it here, you know for now because we are we can't really store it anywhere and

We will need it later for sure

Okay

some spices mix and stuff

And that's another one of those

What is that Wow

Spaghetti with meatballs. No, we got some food

Man we're gonna survive like a boss in here, I mean

That is pretty good guys, that is pretty good

Yeah, we're gonna have to like level up and everything oh, there we go

Equip we wanted to equip those because we're gonna have guys we're gonna have four

Different things in there, but I want to double check

Yeah, you see so what we're gonna have to do

What we're gonna have to do is we're gonna have to drop this and drop this I think I don't know

I'm just guessing and then equip the jeans and

then

Pick it up

Platforms, okay, we can patch the wounds because we got some wounds going

okay, because we've been hit and

We wanted to get this nine-millimeter ammo for sure. How much six

Yeah, I think that's six but let's let's get that let's pick that up, you know, and then what do we have here sweatpants

Let's cut into rocks

Yeah, we're gonna need a lot of rags and stuff guys so this is gonna be pretty pretty good

I'm sure you what I mean so over here in the crafting menu, we're gonna try to get this improvised

Backpack basically and what we're going to need for that is, you know, a few things can be used with

Components, oh shit

Wow, oh

No, that's different thing. Okay. So for that we're gonna need some rope now, we won't be able to get a rope

But we can get improvised rope which is made from

The rack pieces and stuff, you know

But I need a knife stone knife this and that so we can you know get this to get extra slots

So this is going to be our next thing what we're going to be trying to do

All right, so but Papa there's nothing here anymore, okay, so let's go into

Let's go into the next house I suppose

But actually where maybe we could start doing some items home, let's just do because what we need we need

Dirty rags. Okay, let's cut into rag stripes. Yeah, we need the racks 5-cc

And the rack straps will get us the stuff that we need

All right, so let's see if we can craft a rope can we

Yes, we can

improvised rope

One two three four five of those is needed and we need two ropes. I believe do we need two, or do we need one?

Actually, we need only one so now we need only

Okay, we just need one rag. What about that one? If we want to make like a better one, we need one bong

Long wooden stick two ropes and

Five racks so technically

So we need four wooden

long sticks

That's possible. I

would say

But you know, let's just focus on that one because with this we can already start doing some stuff, you know

All right, cool. So let's get into it. Did you do?

Where was this thing? Oh, yeah, it was downstairs. Yeah on the first floor

So let's cut this into rocks

Let's go Oh Technic. Hello. We've got one Rock. Oh

But that's just a clean one, you know so that we don't want to use that one. So pick up rags and

Let's go upstairs. I

Think we've been pretty lucky guys, you know so far do I have to pick this up?

All right, so we've got why I can't make it because what

Wait a second. We got a rope we got a rags

And oh

Yeah, we need a stone knife, huh, all right, let's go out let's go out and

Search oh no, I've got this stone there. Don't I?

Dude I got a stone knife

Hell I got a stone knife right there

Maybe I got a drop it on the floor or something. He'll let me just get this real quick. So if we drop this and

Because we were holding it now

Now that can't be right stone knife one rope one. Oh

Hang on we need three rocks. All right. All right, let's get that stone knife real quick then she

Taken hands, I wish that

This would be like kinda because this is really small yeah, I can't see this really and I'm quite close to my monitor

I wish that would be

you know improved a little bit and I think there is a chance for that that they're gonna be, you know, like

trying to see what people are saying and

They're gonna be trying to improve the game, but anyways this game is gonna be running for at least a year on sort of like

alpha or whatever you want to call it and

Uh, yeah, you know, it's gonna be pretty good right? Let's drop this for now

and

Let's just drop

Unequip would you mean we got this and quipped? Oh, yeah, because we've got the

jumper over us like

Tracks. Okay, cool

Yeah, maybe we can just unequip this for a moment and let's take this instead

Pick it up

And let's go up

We can come back here

All right crafting what's going on now

Metal so I'm not following

I'm not following guys. What just happened?

Bundle of rags what just happened guys because a moment ago that was something else unless I'm

Alright because you can change these

Yeah, you can change okay cool alright

Sound so you can just basically click on this and then you can hear you can like use different items

We're gonna use the stone knife obviously because we don't have anything else but still for some reason

We can't give the backpack then why how many clothes do we have? I?

Got one too. I

One more. Okay that explains a lot. Alright, let's get one more cloth

she

I wouldn't really wanted to use that for this

Let's equip that real quick, I don't want to use this now because this can be used for bandages and stuff, you know

Let's just go to the next house real quick

Can we get inside here. Oh

Man this is good. Whoa. Look at this place. What?

What was dance

Dude what was dance I

Don't know what was that but I was like a

Weird

Weird sounds anyways, let's just see what's this cotton shirt?

Yeah, that'd be perfect. Let's just all we can't cut this

While we cannot cut this

Hmm okay. We got one small stone, but I don't think we have any more

Yeah, I cool

What is this?

Jeans cool

Yeah, so as you can see guys it's not so easy it's pretty tense, you know experience

And I really really really enjoyed this game

Taking hands because we don't have no slots, although we'll go one slot there

Alright, let's get this going

Cut into rags

we're gonna go back in this place in a minute, you know, we're gonna search that more but with the bus back, hopefully

Okay, cool, so we've got a lot of rocks here so we've got one two three rocks and

Yep, do we have the stone? Yeah, we got the stone knife

so that should be

alright

Man this is pretty neat

Right, so we are here and let's go into

And their crafting yes, here we go. We can craft the backpack guys. We got a first backpack

Man, that's so good. I can't wait. Oh, this is gonna be so fantastic. Oh,

This is gonna be some next-level shit

Next level tier bushka

We go like a tracking device, I think that's like a tracking device on the back of our head that's pretty crazy man

Okay, so equip and here we go we got nine more slots so we can you know

Get some stuff going

Taking hands

Alright. Alright yesterday. I was like I say I was trying to do a video yesterday and

Basically, my Camtasia

Decides not to record anything. It was pretty crazy

Okay, so let's go in here and let's search

let's

Grab all these what is this rack piece of cloth used crafting part symbols? Okay, so that's also clean so we can use this for

pickup pickup

Yeah, let's pose

Pickup we can we can then decide, you know later we can decide what we want what we don't want

I'll tell you what we can put all these rags into jeans

Just to rearrange like words

Yeah

Okay, now let's look this place

Looks pretty safe

And school backpack, whoa ha okay. So here we got nine slots in this one

We were before

Let me just take that stone screw the rest, you know, let's just equip

okay, so

That's kind of the same

That's kind of the same I mean I'm not too sure whether that's gonna be a little bit more durable or anything but

You know, let's just drop these things on the floor and we're gonna change that to a school backpack, you know

Drop

Equip

Pick up pick up and pick up

And can we cut into rags? All right we can get some out of it I suppose

I

wonder whether we were gonna be able to get the clean rags out of it or

Yep, we will be able to get the clean stuff out of it jeans cut into rags

So we've got jeans already

Touch up wounds. Okay. Yeah, let's take let's take this, you know, because this is gonna be

Pretty good, okay, so that's it and

Are you gotta be kidding man?

We got a hiking backpack here, man

This is pretty crazy

wool sweater

Not the jeans, yeah, we don't bother

Okay guys, so what we're gonna do now is I'm gonna drop all these things on the floor

And you know fudge that we're gonna get a hiking backpack. You know, I know that the

Game is working that way that for example if the back oh

If for example our

Yeah, if for example our

Backpack is gonna get wet because it's gonna be like raining or something

It's actually gonna slow us down a lot. So we're gonna have to watch that

I wonder what their how much this place would have take oh shit. No. Yeah, they wanna do that. But can we just take it?

Yeah, well, it takes too much space. We don't need two of those right? So let's drop that on the floor

Maybe someone else will take it. Alright, cool, man

That's pretty needs to start the game like this you gotta be kidding we got a cooking pot

Yeah take off

for this man, that's some next-level this cooking pot took us like only

nine slots

Damn it. That's a lot of slots for one cooking pot

But we might need this to cook some food

so I'm thinking that's gonna be something that we wants to have on us, you know, I

Still don't know how to like create a base and stuff

Actually speaking of which let's double check. So

Shelter improvised shelter, wait a second. So what do we need for that?

Improvised rope times

210 long wooden sticks

six small wooden sticks

So improvised shelter will get us the the thing animals came parts, okay?

Yeah, I suppose we could

Because that's the thing, you know, I wonder if you can save your game

Or maybe can we do like a sleeping rag or something, you know like in seven days you can get wooden box, okay

improvised water container

Rock shoes

Yeah, I'm pretty sure there is an animal there the only thing is should do a shelter

What we would need to do a campfire right wait a second so we can cook on the campfire

how to make a campfire we need

wooden log

Okay, so we would need to do an axe big stone axe head

small stone axe head

And that's what chunk of rock okay, let's go now to try to do

This campfire

Okay, so what we're going to guy's need is we're gonna need

For the campfire

What is this improvised fireplace

All right, so this is just a short span of one

Small wood stick and and some of that. Okay, what about that one? So we need to so like wood low wooden log and

Yeah

Okay

Well, let's see if we can collect some rocks and maybe combine them into something I don't know

Okay, that might be needed to let's go back into that safe house and see what it is

Okay, so we've got this

So for the crafting to do

We can make a torch

Small bundle wooden sticks, but we can make it we can't make that it obviously

Track of road that can be used in crafting basic tools

How the hell we get this chunk of rock how the hell we get that

Okay, let's go. Let's let's just drop this for now. What we what we have collected. Let's drop this in here

You know

And

Let's get these rocks no rocks

Oh, there we go, we can make that it needs two of those

Man that is awesome. So let's go back inside so we can make ourselves some tools. You know what I'm saying? All

Right, so we got this

Wait a second. Oh

Yeah, we didn't take that

See this is the thing you gotta remember about

Okay, small stone axe heads, okay. It's on we got it on us. All right cool

And we got that energy going so we're gonna have to start

All right, we got it there so now let's go to craft ink

Stone axe so small stone heads long wood stick rope

Okay, we can make rope

Cut into stripes 1 2 3 4 5 million 5 of those to get the rope

Man this is crazy. I love it. I love that game

Okay, okay improvise stone spear whoa whoa, whoa

Was that made out of whoa

She

Okay, just gonna make that one for now because that's what we need to chop trees

hopefully, you know, it's gonna be that one that we can chop the trees with if you're now saying

And

To do to to show we've got that and we just need to pick it up

And then can we assign

Examine Elsa, let's examine this real quick. What does it say?

That's fine. Let's just see if we can take in heads. I'll select all

After quick access. Yes, we can so number three is to get that okay, so we still get the stone knife

Can we assign this up to quick access that we go number four?

Man, this is pretty cool. Okay, what else do we have? We got some of these stripes. So let's pick it up

Let's pick it up. We may need this. I

Got some stones and stuff got a lot of stones

long wooden stick so

technically we could make the

Another spear with that, but we can just chill for now

So we're gonna need some wood locks. We gotta chop some trees and

The nearby tree is right here. I just wonder not to attract this dude. So maybe let's go and try to top that one off

Number three Oh cut down. Okay you

Know so you can have some proper food rather than a candy bar

That keep hearing that goat and I'm like, man

Would be so awesome to have some meat

right

But we got two of those I'm not entirely sure whether we can

Make it inside the house. Can we how long that can we do that? I

Don't know but we're just gonna keep this stuff in here safely so drop that

drop that

Yeah, I suppose we can maybe like drop that too to be honest because we don't need these stones for now, don't we

All right, let's get it

Okay, so what else we need to craft the campfire

Eight stones, all right

So we got one one one. Okay, we are for adults and we got we need five stones basically

That's what we need

And we should be good guys

So let's go and search for some stones

I

Think we're doing pretty well guys. What do you think?

Let me know down in the comment section if

You are happy with this CI booshka

Guys, we are about to make a campfire

How is that for the first time huh? I mean seriously

This is like really intense. You know, I really like this

I know we don't find a lot today in this video. But you know, we're just trying to get things ready so we can survive

okay, so

How much I can fire is raining, okay, cool, can we contain

Now I don't know whether we can have this inside, you know because I'm thinking if we're gonna start cooking stuff

I'll select she so it's crafted already inside

Are two quick access number five, can we like

Fire cook smoke

Light fire

Shit I'm hungry, okay

Let's eat. Oh, no, wait, where where we got this chicken spaghetti with mom. Okay. Ah,

Yeah, can we?

All way way way we're gonna need

Take enhance

Examine

Yeah, can we open that

We got two of those

Mmm, we got it in a quick menu. I wonder oh

Hell maybe we need to drop it on the floor maybe we need to drop it on the floor

Maybe we need to drop that stuff. Okay, and then we're gonna equip

Where's the can opener

My ways that can opener

What the hell all right we got in the hands and

Selects

I

Don't know how to open it we got a can opener but I don't know how to open it guys. I mean seriously

Okay, alright, so we are screwed we have a bunch of food which we can't eat can we eat this

Yeah and see that one says eat like we can eat that why we can't eat this

That's

That's all anyways guys

It's been a long video. So I hope you did enjoy it if you did

And if you wanted to see more of this game me playing scam and then obviously

Thumbs up this video share that video with your friends. And again, if you are new to the channel hit that

Subscribe button and don't forget to click the bell to get all the notifications

This is not going to be the only game I'm gonna be playing I'm gonna be trying to rotate and play a few different games

So, you know to make it more interesting for you guys and yeah

that's pretty much its I'll try to figure out how to open a flippin candy bar next time and I'll see you guys in the

Next video. Peace

For more infomation >> SCUM: Let's Play Realistic Extreme Survival Gameplay | Ep1 S1 - Duration: 51:31.

-------------------------------------------

Do You Like - Part 2 - Actions - Beginner English Class - Unit 2 - Duration: 3:08.

Welcome back!

We just looked at liking things.

Let's look at more.

Do you like (verb)?

Or an action?

Do you like...?

Cooking.

This is cooking.

Do you like cooking?

Yes, I like cooking.

or...

No, I do not like cooking.

I do not like cooking.

It is very difficult,

I think.

We can also say,

Do you like to cook?

Yes, I like to cook.

or... No,

I do not like to cook.

We can say

"to cook"

or

"cooking."

So "cook" is

the main word.

To

cook.

This is a verb.

Or cook, the verb,

plus "ing."

Let's look!

Do you like cooking?

Do you like to cook?

Two ways

to say same thing.

I like cooking.

Or...

I like to cook.

Same thing.

I do not like cooking.

I do not like to cook.

Are the same.

If you ask me:

Do you like cooking?

I would tell you:

I do not like cooking.

Or...

I do not like to cook.

Swimming.

This is swimming.

Do you like swimming?

Yes,

I like swimming.

Or...

No,

I do not like swimming.

Do you like to swim?

Yes, I like to swim.

Or...

No,

I do not like to swim.

I,

I like to swim.

Yes, I like to swim.

Dancing.

Do you like dancing?

Yes, I like dancing.

Or...

No, I do not like dancing.

Do you like to dance?

Yes, I like to dance.

Or...

No,

I do not like to dance.

I do not like to dance.

Singing.

"Sing-ing."

ss.

Singing.

Do you like singing?

Yes, I like singing.

Or... No, I do not like singing.

Do you like to sing?

Yes, I like to sing.

Or...

No, I do not like to sing.

I like to sing,

but I'm not very good.

For more infomation >> Do You Like - Part 2 - Actions - Beginner English Class - Unit 2 - Duration: 3:08.

-------------------------------------------

KitKat Herbst Edition Geschmackstest • Ein Paket von Tokyo Direct [ENG Sub] - Duration: 4:05.

Wow, it's still so hot today.

When is this summer finally over?

I want autumn!

Eh? ...oh, post!

Hey! Look what arrived.

I recieved post today.

Amazing!

Seems like my prayer was heard.

Well then, let's open it together!

Oh, my god! Look at this, guys!

It's a new KitKat edition!

Japan is very famous for its various

KitKat tastes and this is really...

oh, my god.

This literally announces the autumn.

Did you already tried KitKat with chestnut taste?

I didn't taste it yet.

I think, I never ate chestnut before in general.

I'm really curious how that tastes.

The moment of truth.

There are so many different sorts and I didn't tried all of them yet.

Gawd, that's so cute.

Akiguri. That's how they look like. (秋=autumun, 栗=chestnut)

Cute fact. Did you know there is always a free space on the backside of the japanese

KitKat to write down a small message?

Wow, I'm so curious.

I wonder how this tastes like.

Ah! That's the colour.

They smell really good.

It's hard to describe the smell.

It's pretty sweet,

but completely different to German

chocolate KitKat.

They taste really good!

Similar to white chocolate

and now I know how chestnuts taste.

Wow, they are delicious. I can't stop.

They are sweet like other KitKat sorts,

but more milder in my opinion.

You can compare them to the matcha KitKat regarding the sweetness.

Not too sugary.

They are so yummy.

I could eat them the whole day long.

But now some words about the addressor.

It's Tokyo Direct. They run a website

and offer Japanese goods.

For example sweets,

KitKat of course, cosmetics, ramen, tea

and much more.

I think this website is really appealing to people who

don't have any chances to get

japanese sweets or goods in general.

An advantage of the website is the fact that

they ship the items worldwide.

This means even if you live in a small

village on the countryside,

you still have the possibility to recieve Japanese sweets and other stuff.

The website offers one more

interesting service:

the request shopping.

Japan ist well known for its limited and exclusive

editions and outfits, stationaries and so on.

There are so many limited goods.

You are able to write Tokyo Direct

a request to get those limited items,

which are really hard to get

when you live on the other side of the world.

Afterwards you have three different possibilities to pay:

via creditcard, Paypal and

AmazonPay.

I'll put the link for you in the

video description below.

Just check it out,

if you want to taste KitKat as well.

And I'm gonna continue eating now. Excuse me.

Ah! And a small hint!

You can enjoy KitKat as well in the summertime.

Just put it into the fridge für a short time

or into the freezer.

That's also okay.

I hope you are a little bit curious now and hungry.

Check them out

and have a nice day!

Don't melt, because of the heat meanwhile.

Autumn is coming soon!

See you again in my next video! ♡

For more infomation >> KitKat Herbst Edition Geschmackstest • Ein Paket von Tokyo Direct [ENG Sub] - Duration: 4:05.

-------------------------------------------

Do You Like - Part 1 - Things - Beginner English Class - Unit 2 - Duration: 3:42.

Hi! Welcome back!

Let's get started

Let's look at

"like" and "don't like."

Or "do not like."

This is a cat.

Cat.

One cat.

Two cats.

Because we have

1, 2,

We need to add "s,"

"cats",

on cat.

Three cats.

Three cats.

We have

1,

2,

3,

cats.

"Three."

This sound we need to use our tongue

and put between our teeth

our teeth here,

and our tongue.

("th" sound)

Three.

("th" sound)

Three.

It may feel a little bit weird

at first,

but you will get use to it.

So, three cats.

Dog.

I like dogs.

Here is a dog,

or one dog.

"One dog."

Here are two dogs.

With cats...

Just like cats,

we need to an "s" here.

Two dogs.

Because there's more than one

1,2, we add "s"

ss

Three dogs.

Three dogs.

1,2,3.

Three

dogs.

Three dogs.

Look at this cat.

Do you like this cat

or do not like

this cat?

Here we can say:

Do you like cats?

And here we mean

all cats.

Every cat.

Do you like cats?

We can not say

"do you like cat?"

Here we mean all cats

Do you like cats?

Do you like cats?

Yes, I like cats.

You like cats.

or...

No,

I do not like cats.

Do you like dogs?

So, we have "ss"

for all dogs.

Yes,

I like dogs.

Or no,

I do not like dogs.

I like dogs.

So, yes

I like dogs.

Do you like America?

Yes, I like America.

or...

No, I do not like America.

Do you like China?

Yes, I like China.

or...

No, I do not like China.

Do you like Japan?

Yes, I like Japan.

or...

No, I do not like Japan.

I like all of these places.

Do you like me?

Me.

Yes, I like you.

or...

No, I do not like you.

I hope you want to say "yes,

I like you"

Great! So, now

we know how to say

I like something:

"Yes, I like something"

or, "no I don't like something."

For more infomation >> Do You Like - Part 1 - Things - Beginner English Class - Unit 2 - Duration: 3:42.

-------------------------------------------

Sarcoidosis | Pathology | Immunology | Med Vids made simple - Duration: 10:44.

Hi, hello and welcome back to one of the most must-see YouTube channel

for all the Medical students across the globe ,Med Vids made simple

In this video, we're going to see about sarcoidosis

Let's begin!

Before watching this video,

if you haven't subscribed to my channel

already, please press the subscribe

button and the bell icon nearby to get notified as soon as I upload a new video!

So sarcoidosis it's a disease of unknown etiology

which means the cause of the disease is not exactly known.

And there is multi organ involvement in sarcoidosis.

which means various organs are involved in the patients of sarcoidosis.

So this picture is taken from Wikimedia.

This shows the common involvements in sarcoidosis

the patient can have organ involvement starting from head to toe anywhere and everywhere

for example here you can see in this patient there are brain complications

which is marked in the top

and there are few skin lesions which are marked in the legs

such as a erythema nodosum so there can be symptoms and signs anywhere in the body

the most commonly involved organ in sarcoidosis is lungs

which will lead to development of granulomas

and finally development of nodules so

let's see about individual things one by one and we'll get a clearer area of sarcoidosis.

So sarcoidosis is a systemic granulomatous disease which means

there will be formation of granulomas in

multiple organs in the body. Now what is granuloma? Granuloma is one of a

manifestation of chronic inflammation

This type of granuloma is non-caseating

so there are many diseases in which the formation of granulomas along with caseous necrosis

But in this condition in sarcoidosis the granulomas are non-caseating

which means there'll be granulomas but there won't be caseous necrosis

now this is a microscopic picture of granuloma

as you can see here there are multiple cells over here which looks like epithelium dispersed throughout the slide

they're actually activated macrophages which are known as epithelioid cells

and you can see a big cell with multiple nucleus at about 10 o clock position

that is a multinucleated giant cell

so these are the main features of granulomas

so how do the patients present in case of sarcoidosis

most commonly the patients are asymptomatic

they come to be diagnosed with sarcoidosis mostly by a chest x-ray

which has been done for some other cause

and on chest x-ray we can find nodular...

presence of nodules on the lungs or we

can see hilar lymphadenopathy so they

can also present with respiratory symptoms because of lung involvement

and erythema nodosum and arthralgia which are skin and joint involvements

are common in many patients

ocular symptoms such as uveitis which

can lead to pain, blurring of vision and

all that can occur in these patients

skin involvement is also common.

Superficial lymphadenopathy which means enlargement of the lymph nodes around the neck is also common

and there can also be other some other symptoms or other signs

such as elevated calcium levels in the blood which is called as hypercalcemia

and there can be hepatomegaly which is enlargement of the liver

and splenomegaly which is enlargement of the spleen

So now let us see the pathogenesis of sarcoidosis

Pathogenesis of sarcoidosis is not clearly known as I told you earlier

it is a disease of unknown etiology but it has been thought that there is the cause of sarcoidosis

is due to immune dysregulation in few genetically predisposed individuals

so in few people who are genetically predisposed

there is some sort of immune dysregulation

which will lead to increased CD4 positive T helper cell activity

okay so this activity of the CD4 positive T helper cells increases and they start to produce

lot of cytokines such as IL-2, interferon gamma, interleukin 8, tumor necrosis factor etc.,

all these are pro-inflammatory

and they increase the inflammation leading to the development of granulomas

so what happens is there will be multiple granulomas formation over

organs such as lungs liver spleen etc

and all these granules coalesce together to form consolidation and the consolidation

enlarges to form nodules which are about one to two centimeter in size and they are palpable

so the nodules are most commonly seen in lungs liver and spleen of patients of sarcoidosis

The most common finding in about 90% of the cases of sarcoidosis is bilateral hilar lymphadenopathy

which means lymphadenopathy or disease or enlargement of the lymph nodes which

are present around the lungs so this is the most common finding in about 90% of the patients of sarcoidosis

so this is the gross appearance or gross picture of bilateral hilar lymphadenopathy

As you can see here the hilar lymph nodes are so much enlarged in this picture

This is one of the most common finding in sarcoidosis.

So the nodules as I told you earlier is

formed by consolidation of various granulomas

The granulomas which are present at nearby sites join together or coalesce together to form

a consolidation and that will join together to form nodules

The nodules are most commonly seen in lungs, spleen and liver.

As a result of that slowly the liver begins to enlarge in size leading to development of hepatomegaly

the spleen also enlarge in size which is also known as splenomegaly

Skin lesions are very common, say, very very common in the patients of sarcoidosis

Various types of lesions can occur in the skin of these patients

they can be erythematous plaques which are red lesions present on the skin or they can

be various other types of skin lesions in these patients

which can be one of the factor which brings the patient to the doctor

the most common skin lesion which is found as a patients of sarcoidosis is erythema nodosum

Erythema nodosum is actually not a disease of

skin per se, not the upper layers of the skin

It is the inflammation of the subcutaneous tissue which is present under the skin

which should lead to a presentation of somewhat like this

you can see red lesions on the skin

if you palpate them, you can actually feel the raised surface around normal skin surface

This is the common presentation of sarcoidosis

Eye involvement is also very common in these patients

The most common association of sarcoidosis in relation to eye is

something known as uveitis which is

inflammation of the uvea which is the vascular coat present inside the eye

The uvea includes three divisions such as

Iris, ciliary body and choroid. All this

individually or together can be inflamed

leading to conditions such as iritis, iridocyclitis, etc.,

On long-standing cases there can be corneal opacity

glaucoma and all these worsens to develop total vision loss

Vision of the patient can be affected so severely

Lacrimation is also suppressed in these patients because

we all know that lacrimation is production of tears from the lacrimal gland

so what can happen is sarcoidosis can affect lacrimal glands also

there can be granuloma formation in sarcoidosis

which can affect its function so tears production can be affected

This can lead to decreased lacrimation in these patients

Musculoskeletal system is also involved in few patients.

There can be muscle weakness, tenderness and fatigue of the muscles.

This can be brought out in patients.. in few patients of sarcoidosis

In most of the cases, this is not the presenting complaint in most of the patients

if you're gonna see they're gonna present with respiratory symptoms, skin lesions or eye problems

but this is not one of the major complaint. You need to ask history regarding this to bring this out to light

Okay? So this is accompanied by arthralgia which is pain of the joints

It can involve bones also.

Most commonly involved bones are the bones which are present in the phalanges

the phalanges of hands and the phalanges of feet

Now let's see about the treatment of sarcoidosis.

In mild cases if there is acute attack of say erythema nodosum or some other complications

we can treat that with NSAID's and low dose corticosteroids

okay.. So, if there are increased respiratory symptoms such as

which can be due to increased involvement of the lung. We can increase the dose of corticosteroids

Increasing the dose of corticosteroids can help in those cases

but in severe cases you need to treat the patients severely with

drugs such as methotrexate, azathioprine which are immunosuppressants actually

they are anti-cancer drugs okay so these

drugs are associated with increased side effects or let's say adverse drug reactions

such as alopecia which is hair loss and so the treatment of

severe cases can itself lead to various other complications

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