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moawadskininstitutes-blog · 3 years

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Eyebrows and Forehead Rejuvenation (non-surgical)

Eyebrows and Forehead Rejuvenation (non-surgical) Summary The First step for successful treatment is to diagnose skin problems; dark spots, red spots, scars, wrinkles, or skin folds. Improving the condition of the skin is mostly done with resurfacing procedures, laser and light therapy, daily skincare, and ultraviolet (UV) protection. Type two rejuvenation is more profound, and targets decreased collagen, disorganized glycosaminoglycans, and elastin, manifested by superficial rhytides, and is best treated with non-ablative mid-infrared lasers, and intense pulsed light (IPL). Rejuvenation type three is most in-depth and targets deep dermal collagen disorders and skin laxity; here comes the role of fractional lasers, radiofrequency, infra-red light, and ultrasound. Loss and redistribution of sub-¬dermal fat in aging is with Liquid facelift (Botox, fillers, and fat). Correction of soft tissue ptosis is usually surgically treated with a brow lift or non-surgically by energy-based technologies such as radiofrequency. Clinical experience shows that combining multiple aesthetic therapies targeting numerous aspects of the aging process provides optimal results, with greater overall efficacy and a higher level of patient satisfaction. What is Upper (eyebrows and forehead) Rejuvenation? Eyebrows and Forehead Aging Facial aging is the result of the complex interplay between the body skeleton, facial retaining ligaments, soft tissue envelope, facial fat compartments, and the overlying skin elasticity as a result of the many anatomic components involved in facial aging, both genetic and extrinsic factors. The genetic factors are fixed. Gravity is responsible for a lifetime of downward pull upon facial tissues, and, coupled with a loss of ligaments support and localized fat collection, results in skin redundancy and loss of smooth facial contours. Extrinsic factors can be altered and include excess sun damage, smoking, a healthy diet, and exercise. Rejuvenation of the face should be tailored to the individual. For smokers, the single most effective method of improving their health (including the skin) is to stop smoking. For "sun lovers," it is old news: excessive sun exposure damages (burns and dries out) the skin. The periorbital complex consists of the upper brow, upper eyelid, lateral canthus, lower eyelid, and under eyes rim begins to show signs of aging in the mid to late 30s. Younger people have smooth foreheads. Skin aging due to the sun (photodamage) results in skin changes, tissue sagging, skeletal change, and gravity contribute to brow and forehead changes. Although some people, even in youth, never have elevated or arched brows, many do. Most youthful females have brows that arch at the junction of the central and lateral brow. The young male brow lies at or slightly above the superior orbital rim. Due to the aging changes, coupled with the atrophic changes in the brow fat and upper periorbital complex, the brows descend into many people. Aging manifests as lateral hooding and or generalized sagging, which gives the appearance of smaller eyes. In severe cases, the eyebrow sits on the lashes. An eyebrow descend is associated with the upper eye changes produces a sad and tired appearance. Due to this, many females go through their waking hours subconsciously raising their eyebrows, which further compounds the problem. The treatment for brow and forehead descend is an endoscopic or open brow technique. Unfortunately, many patients who are candidates for a brow-lift end up with blepharoplasty. Blepharoplasty can worsen the aging sign by further pulling down the brow. The correct diagnosis of eyebrow and forehead ptosis is paramount in aesthetic rejuvenation. The upper face presents with aging changes before the lower face, and it is common for younger patients to give a cosmetic consultation for their "tired look." The brow and forehead complex is very intriguing, in that it not only conveys the aesthetics of youth and aging but is also essential in communication. The mimetic upper facial muscles and around the eyes region convey diverse nonverbal communication. We frequently "talk" with our brows and forehead. The traditional reason for performing aesthetic surgery in the forehead and brow area has been to correct brow ptosis. Changing the brow and forehead complex with surgery or botox can either enhance aesthetics or make a person look unnatural. I believe that fewer brow-lifts are being performed today because of the over-corrected "deer in the headlights" look seen with so many celebrities. A subtle brow and forehead lift can make a patient look younger and refreshed, while an overdone brow-lift can look hideous. Patients are aware of this, and many are reticent to undergo brow-lift, as an over-corrected brow is one the worst cosmetic deformities My Approach to Eyebrow and Forehead Aging (Upper Face) Clinical experience shows that combining multiple aesthetic therapies targeting numerous aspects of the aging process provides optimal results, with greater overall efficacy and a higher level of patient satisfaction. The 3-dimensional approach ensures a more significant understanding of the complicated, multilayered process that occurs over time, with bony remodeling, atrophy of soft tissues, and deterioration in the condition and appearance of the skin. Prof. Moawad is a true believer in a combination approach to face and neck rejuvenation. A combination approach often produces the most optimal outcome for the patient. His experience in clinical practice is that many rejuvenation techniques can be joined safely. The explosion in recent years of nonsurgical rejuvenate techniques is patient-driven. The modern patient desires quick, safe, and predictable nonsurgical procedures that will confer facial rejuvenation with a minimum of downtime. By that is meant a modicum of bruising and swelling for 2–3 days (i.e., over a weekend) and not the 2–4 weeks of downtime and scars that often accompany open surgical techniques. Nonsurgical methods are not a substitute for traditional rejuvenate surgery. However, combination therapy has become a powerful adjunct to or a temporizing alternative to open surgery. These aesthetic procedures consist of: - Botox Injections - Filler and fat injections - Chemical peels - Radiofrequency - Lasers and intense pulsed light (IPL) - Ultrasound - Platelets-rich plasma (PRP) With new advancements in cosmetic medicine, nonsurgical and minimally invasive procedures have become first-line treatment options. Treatments include topical therapies, mechanical and chemical skin resurfacing techniques, the use of lasers and radiofrequency devices, fillers, and BOTOX. Each of these treatment options supplies specific benefits as well as different side effect profiles and can be combined to maximize results. A youthful appearance, treatment must address the fatty changes. Lifting procedures or the removal of excess skin alone do not restore a youthful, rejuvenated appearance. Instead, these procedures may artificially elevate the brows or eyelid creases to heights that are higher than their positions were during the patient's youth. The goal of any esthetic surgery is to "restore" the patient's youthful attributes rather than making the patient look "lifted" or "pulled." In an appropriate treatment plan, it is essential to have a thorough understanding of both around the eyes (periorbital) anatomy and perceived signs of aging or fatigue Skin Care Products Skincare is crucial in the overall rejuvenation and to help keep results with other Procedures. The use of Retin Eye Lift cream having tretinoin and whitening agents for at least six months leads to a marked improvement in skin texture, fine lines, and pigmentation of the forehead and around the eyes area. Many makeup lines will have UVB protection but usually lack adequate UVA protection. Topical bimatoprost 0.03% was FDA-approved in 2008 for the enhancement of eyelashes. Its use results in darkening, increased eyelash length, and density (thickening). Besides, patients can apply the product to the eyebrows. It is the use of resurfacing cleanser to the whole face and uses Retin Eyelift nightly, morning moisturizer, and sunblocks at least one month before any resurfacing procedure. Using skin care products affects the Treatment outcomes from lasers, chemical peels, and even surgical procedures significantly. For this reason, it is essential to give patients explicit pre-procedure and post-procedure instructions as to what they should and should not use on their skin. Radiofrequency Skin Tightening Ideal candidates for this noninvasive treatment either do not want or do not need lifting surgery. It is indicated for those patients suffering from mild or moderate eyebrow laxity, eyelid laxity, and skin laxity( dermatochalasis) but has the right skin tone. Chemical Peel Chemical peels are a practical choice to treat photodamaged skin, wrinkles, scarring, and pigmentation. Based on the depth or level of injury, peels are classified as superficial, medium, or deep. Peels can induce exfoliation, epidermal thickening, skin lightening, and new collagen formation, leading to skin rejuvenation. They have a well-known safety profile, low cost, and predictable downtime. Due to advances in energy-based therapy, the use of chemical peels by dermatologists for treating facial aging around the eyes (periorbital) area has decreased despite its low cost and effectiveness. Energy-based Skin Tightening The aging of the skin, particularly that of photoaging, is readily apparent to both patient and practitioner and a common reason to visit a cosmetic physician. Because the pathologic process of photoaging is primarily limited to the epidermis and upper dermis, it is readily amenable to treatment with a wide variety of lasers and light sources. In 2014, over a half, million-laser skin resurfacing procedures were performed in the United States. Minimally invasive procedures to tighten and lift skin give natural results with minimal risk and recovery time. There is a variety of vascular, pigmented, resurfacing lasers, all of which help skin rejuvenation. Ablative technology, long considered the gold standard in skin resurfacing, with immediate tissue contraction and delayed remodeling, is believed to cause collective tightening and lifting of the skin. Carbon dioxide laser skin resurfacing remains the most efficient method for the treatment of advanced facial wrinkling and photoaging, including around the eyes (periocular) skin. The long post-treatment recovery period and the substantial side effect profile associated with CO2 resurfacing make it appropriate for use only in a limited number of patients who are unlikely to achieve favorable outcomes with any other treatment (except phenol peeling, an equally undesirable option for most). Fractional technology was developed as a way for laser surgeons to get closer to ablative laser resurfacing clinical outcomes with less patient downtime and fewer overall adverse events. Fractional laser treatment has bridged the gap between the ablative and non-ablative laser techniques used to treat sun-damaged and aging skin. While ablative laser treatments work on the epidermis (surface skin cells), and non-ablative treatments work solely on dermal collagen (mid-layer of skin) only, fractional laser treatment works at both the epidermal and dermal layers of the skin. Fractional CO2 laser treatment can be regarded as a promising technique in eyelid skin tightening, the reduction of around the fine lines, wrinkles, and eyebrow elevation endowing a more youthful appearance to patients. This treatment is safe, without serious side effects, with low downtime and increased patient satisfaction. It appears that Fractional RF devices are a safe, tolerable, and effective modality for wrinkles and facial laxity reduction. The most common side effects are erythema and edema, which are transient, and patient discomfort does not seem to be a significant disadvantage. A topical anesthetic cream may be used before treatment to minimize pain. Monopolar radiofrequency is best suited for younger patients who show mild to moderate skin laxity or eyebrow ptosis. In older patients who do not want to have surgery or can't do surgery and also suffer from moderate skin laxity and subtle expectations, monopolar radiofrequency skin tightening can be applied. Monopolar radiofrequency devices deliver a high-frequency electric current (volume heating) to the deep dermis and underlying tissue, with joint surface skin cooling. The resulting heat leads to immediate collagen contraction and a delayed wound healing response, with new collagen formation up to 4 to 6-month post-treatment. Similarly, micro-focused ultrasound selectively heats the superficial musculoaponeurotic system and, stimulating long-term collagen remodeling and producing subsequent tissue tightening and lifting without any damage to the epidermal surface. Advantages include the minimal erythema postoperatively that typically resolves within hours and lack of significant risk of side effects. Intense pulsed light (IPL) is a non-ablative, broadband light source that emits a continuous spectrum ranging from 500 to 1200nm in the dermis, selectively destroying targeted chromophores by wavelengths and pulse durations. Intense pulsed light is used for the treatment of photodamaged skin, reducing both lentigines and vascular lesions, such as telangiectasias, and poikiloderma, and improving skin texture. How we Do Upper Face Botox Injection? Eyebrows and Forehead. Botox Injection Periocular (around the eyes) rejuvenation is a complex topic and addressing only one of many needs may or may not provide a satisfactory result. It is critically important to understand precisely what feature of the periocular region is of the most concern to the patient before making therapeutic recommendations. Some patients complain of "looking tired" when in fact they are concerned about the loss of skin tone, excessive eyelid skin (dermatochalasis), eyebrow laxity (ptosis), dark circles under the eyes, hollowness in the tear trough area, bulging orbital fat pads, "hypertrophic" pretarsal orbicularis oculi muscle, and/or deep lateral canthal wrinkles. The examination of the patient begins with an evaluation of the patient from across the room. The patient's facial features are assessed for typical facial stigmata of aging involving; lentigines, erythema, fine wrinkling, loss of skin laxity, eyebrow and eyelid ptosis (or chronic eyebrow elevation to correct latent brow or lid ptosis), mid-facial ptosis, jowling, loss of facial volume, and deep dynamic wrinkles in the glabellar, perioral (around the mouth), and periocular (around the eyes) regions. It is particularly important to view the patient before concentrating on the periocular region, as the goal of any treatment is to create a harmonious facial appearance. An observer's eye is drawn to asymmetry more so than rhytides (wrinkles or lines). That is, the creation of a "smooth island in a sea of wrinkles produces a less natural appearance than if the patient were not treated at all. The patient is then evaluated from a frontal perspective. Particular attention is paid to the presence of rhytides (wrinkles) at rest, eyebrow contour and position, horizontal forehead wrinkles or lines that may be indicative of chronic brow elevation, the extent of photoaging, presence of dermatochalasis (excess skin) in the upper eyelid. If white sclera is visible above the superior limbus or below the inferior corneoscleral limbus, added ophthalmic evaluation is warranted. The presence of horizontal forehead lines may either show overactive use of the muscles or facial expression or a compensatory response to eyebrow ptosis. One must make this distinction, as weakening the frontalis muscle in the following setting will uncover previously latent eyebrow ptosis. That is, patients who must elevate their eyebrows continuously to prevent impairment of their superior visual field will no longer be able to do so if their frontalis muscle is weakened. The examiner can find the patient with latent brow ptosis (dropping) by studying the patient when the frontalis muscle is completely relaxed (instruct the patient to relax their forehead). If the eyebrows assume a lower position when the frontalis muscle relaxes, Botox should not be injected into the forehead. These patients need eyebrow and/or eyelid surgery to correct their underlying problems. Next, the patient is asked to gently (not forcibly) close the eyes to ensure complete apposition of the upper and lower lids. Some patients who have had prior surgery, trauma, or thyroid disease may be able to forcibly close their eyes, but have an incomplete blink that leaves them highly vulnerable to symptomatic dry eyes if the orbicularis oculi muscle is weakened. A careful injection record should be kept, and first-time patients are usually followed up two weeks after their injection. At the follow-up visit, the treatment goals should be reviewed and compared to the clinical results. If added doses are needed to achieve the desired goals, these should be administered at the follow-up visit. If the patient has not reached the best possible outcome, careful notes should be made about adjustments that need to be made in dosage, placement, or both. The benefit of the treatment of frontalis muscle should be carefully evaluated. For some patients, the treatment of the upper part of this muscle is the best choice, because the treatment of the entire frontal region causes significant loss of facial expression (masked appearance). Moreover, total paralysis of the frontalis muscle can cause brow ptosis. The frontal region should always be treated in association with the glabellar area for more satisfactory results, avoiding the excessive use of glabella's muscles, which are depressors. The injections are typically given 2.5–5 units per injection sites, depending on the extent of the area to be treated, whether totally or partially. Thus, the clinician should be conservative and allow some functional areas to remain intact to enable brow elevation. Patients with a narrow brow should receive fewer injections (four sites, compared to five) and lower doses than patients with broader brows In the glabella, the aim of treatment is to reduce the vertical as well as the horizontal lines. Contractions of the corrugators and to a lesser degree the medial orbicularis oculus and the depressor supercilii produce vertical lines between the eyebrow. The contraction of the procerus produces horizontal lines over the bridge of the nose. Five injections, with two needles into each corrugator and one into procerus, have been recommended for the cosmetic outcome. Clinical techniques should consider the variation in location, size, and use of the muscles among individuals. Injection of botulinum toxin into certain areas of the face that carry a high risk of dropping (danger zone) needs caution in the application. An example is a lateral forehead, particularly the lower part. Recently, however, injection of BTX-A through the temporal hairline to correct supraciliary wrinkles seems to be safe and effective Injection of BTX-A for glabellar frown lines can cause mild medial brow ptosis, a lateral brow elevation, and a more pleasing contour to the eyebrow. Brow depressors include the glabellar complex, most notably the procerus and depressor supercilii. Clinicians can use the knowledge and understanding of how BTX-A works in the glabellar region to change the appearance of the brows in patients who desire a more aesthetically pleasing look. Read the full article

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lanamemories · 7 years

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greed | self para

“If you had a weakness for one of the seven deadly sins, which one would it be and why?”

“Huh,” Lana stated simply as her opener, well aware of the fact that Mrs Sheridan -- as according to the name embossed on the front of her door -- was picking her apart with her eyes like a vulture would a fresh kill. She’d introduced herself as Sandra, probably to make the whole thing feel that much less formal. To make it feel like her compassion didn’t have an Upper East Side price tag with a hidden confidentiality clause. “That’s a, um... Good one. Existential, you know? I feel like I should be wearing a pair of fancy spectacles. Or maybe a monocle. Speaking of, I’d totally hook up with the Monopoly man. He looks like he’s secretly a dark horse. I bet he was the inspiration for Katy Perry’s single.”

“Lana,” she broke the purse of her lips to carefully tread closer to the source of the issue, clicking idly at her pen all the while in a way that made Lana want to fidget. “In the twenty minutes we’ve been here already, you’ve already managed to divert every question I ask into some sort of... abstract comparison or metaphor, I suppose you could call it. You have quite the talent for it. Do you do this a lot? At home?”

Bundling her hands up in her lap before disentangling them again, Lana repeated the process over and over until Sandra’s eyes dropped to study them and, subsequently, they froze in place.

“What do you mean?”

“I mean,” Sandra started again, clearing her throat softly before politely excusing herself so she could continue, “when people ask you how you’re feeling at home, do you do the same? Divert the focus. Distract them from what your answer might be. Hope they forget they even asked in the first place -- I’m assuming that’s your intention, conscious of it or not.”

“Um,” slipped out under her breath, hazel eyes stuck down on her fingers as she aimlessly fiddled with the chipped, pastel yellow polish on her thumb. “No, I don’t. I, um... Sorry. I didn’t mean to.”

“That’s okay, Lana. I’m only hoping to get to know you a little better, understand why. I’m just wondering... Well, maybe you can help me. Why do you think that is? That you don’t do that at home, yet you do it here.”

She felt like a spider with all eight of its limbs being pried apart in slow motion. Like a bug under a burning microscope, wriggling as the heat became something verging on unbearable.

“Because I never get the chance to do it.”

Or, perhaps more accurately:

“Because they never ask.”

“I don’t know,” she finally voiced out loud, shy smile wavering. “That doesn’t matter, though. I’ll answer it. The seven deadly sins thing, I mean. That’s what you, um... That’s what you asked, right? Hm,” she tacked on to a theatrical degree just to stall for more time, index finger tapping absently against a freckle cluster on her thigh as she avoided looking at the mousy brown locks of hair across from her. “Tough one. A thinker.”

Gaze shifting towards the open blinds on the window, Lana’s attention slid along the stretch of exposed window pane between every strut, eyes silently assessing the different colours of cars sat out in the car park behind the building.

Blue, red, grey.

Grey, red, grey.

Grey, grey, grey.

It looked so bleak outside that any effort made within the room to make it feel homely had gone completely to waste. It had good intentions, she supposed. The faded mustard of both arm chair facing each other made her feel like she’d been cast on a game show rejected for air by prime time television, stuffing shyly peeking just beneath the back of her right knee and making her leg ache the longer she awkwardly rest it there. There was a box of Kleenex freshly manhandled on top of the coffee table, two chips marking the front leg on the left corner, which Lana had used as a conversation piece within her first two minutes there in order to say that they looked like nipples.

“Lana...? You--”

“--Greed.”

“Excuse me? Sorry, I didn’t catch that.”

“Greed,” she repeated firmly, eyes still stuck outside as she watched another therapist fling up his boot and rifle around inside a box of files he’d loaded there. “You probably, um... I mean, you probably asked that because you wanted me to say lust, I’m guessing. Because that’s what this is about. This whole... “therapy” thing,” came along with a nervous hint of a laugh, slight frown on Sandra’s face from Lana’s use of air quotes going amiss as she continued. “Because I fucked a whole bunch of people, right? I marched right in and I fucked them all. Just... fucked them. Bish, bash, bosh. Fucked. Sorry, I don’t know why I... repeated that. Felt like I had to. Dramatic emphasis and everything. And if you say something enough times it loses its meaning so I kind of... I guess that’d be nice, too. If it didn’t mean anything. If it wasn’t real.”

Stern line in Sandra’s forehead softening slightly, she made an effort not to move a muscle. She imagined doing so would have a similar effect to startling away a grazing deer that had only just worked up the nerve to wander a little closer.

“But it’s only people that don’t get sex that would say that. Maybe you’d say that. I mean, not you. Sorry. Just... scalping your sex life. You as in the general you. Professionals, or whatever. You’d say sex is sex and that’s that. Sex is the problem. Hold up a crucifix or whatever the second you see a tit. Because, I mean, nobody here has ever actually been railed so hard they see god, have they? Just unthinkable, apparently. Taboo. If you have money you’re not allowed to put a dick in your mouth. Cum? Banished! Ten days of chastity and you’ll be levitating, shooting lasers out of your eyes, erect as a flagpole as the national anthe--”

“--Lana.”

“Sorry,” she sighed shortly in frustration, eyes rolling up to the ceiling as she restlessly squirmed her knees together like she was trying to crush something between them.

“That’s okay, Lana. Just try not to... be quite so vulgar. You may carry on. I’d really love to hear what you have to say, if that’s okay.”

“Okay... Well, um... It’s not sex. That’s just... short sighted. That’s stupid. I mean, I’m pretty fucking stupid and even I know that. It’s just the... It’s the being close, I think. You’re the only thing in the room when it’s like that, you know? You’re the only thing in the whole world that exists. It’s like...” she trailed off, wetting her lips briefly as the conversation matter left her throat inadvertently dry, “it’s like you’re... I mean, you’re actually...”

“You’re what, Lana?”

Hesitation became something tangible in the silent few seconds that followed, as oppressive and skin tight as a well bound layer of cling film around a freshly laid corpse. She could feel it sticking to her skin.

“Important, I guess. You matter.”

“And you like that feeling? You think you’re... You think that’s it? You’re greedy for it?”

“Yeah,” she answered simply, stare remaining trained on the glowing back lights of the car in the lot as he shifted gears into reverse and started backing out of his spot. “They can’t take their hands off you. Sometimes it even... It doesn’t matter if it’s bad. Sometimes it even hurts and you can’t stand them for it but it’s, um, it’s okay, because it’s you. You and them. You’re a part of them and they’re a part of you. And for half an hour, maybe, it’s just... that. Someone can actually see you,” slipped out in an embarrassed breath verging on laughter, eyes adamantly blinking back the tears that had bud up on her bottom lashes out of nowhere in the space of her last syllable. “I think that’s the nicest feeling in the whole entire world. Don’t you? I think I’d live in that feeling, if I could. I’d live in that feeling and never let it go.”

#lockwoodtask002 #self para #idk what this was i ws just bored n randomly musey fr it #hypersexuality tw #anyway this is set in a therapy session her mum made her go to after she #slept w two of her dads colleagues #so like in the past probably

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boneandjoint-blog · 5 years

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We are physiotherapy clinic offer laser therapy & Shockwave Therapy in Red Deer. This is fast, non-invasive and effective way of treating chronic pain. For mroe details you can visit at https://boneandjointpt.ca/shockwave-%2Flaser-therapy

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goevent · 9 months

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Revitalize Your Well-being with Reactive Clinic: Laser Therapy in Red Deer

Unlock optimal health with Reactive Clinic, offering top-tier physiotherapy services, including cutting-edge Laser Therapy in Red Deer. Our expert team employs state-of-the-art techniques, ensuring a holistic approach to healing. Experience the transformative power of Reactive Clinic – your partner in well-being. Visit https://reactiveclinic.com/ for more details.

#Laser Therapy in Red Deer #Laser Therapy Red Deer #Laser Therapy

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currentnewsofmarket · 1 year

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Experience the Benefits of Laser Therapy at Reactive Clinic

Discover the healing power of laser therapy at Reactive Clinic in Red Deer. Our advanced laser treatments offer effective pain relief and improved recovery. Visit our website to learn more about how laser therapy can transform your life.

#Laser Therapy #laser Therapy Sylvan Lake

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recentupdates · 1 year

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Experience Best Physiotherapy in Rimbey: Unleash Your Full Potential!

Are you searching for the best physiotherapy services in Rimbey? Look no further! Our dedicated team of highly skilled and experienced physiotherapists is here to help you on your journey to recovery and optimal wellness. We take pride in offering a wide range of personalized treatment options that cater to your unique needs and goals. Whether you're recovering from an injury, managing a chronic condition, or looking to enhance your overall physical performance, our clinic provides the highest standard of care to help you unleash your full potential.

Comprehensive Assessment and Customized Treatment Plans:

At Best Physiotherapy Rimbey, we believe that every patient deserves an individualized approach to their care. Our expert physiotherapists begin with a comprehensive assessment to understand your specific condition, medical history, and personal goals. This in-depth evaluation enables us to develop tailored treatment plans that address the root cause of your condition, focusing on both symptom relief and long-term recovery.

Cutting-Edge Techniques and State-of-the-Art Facilities:

Our clinic is equipped with state-of-the-art facilities and utilizes cutting-edge techniques to provide you with the best possible care. We stay up-to-date with the latest advancements in physiotherapy and employ evidence-based practices to ensure optimal outcomes for our patients. From manual therapy and exercise prescription to advanced modalities such as ultrasound, laser therapy, and electrotherapy, we have the tools and expertise to deliver effective treatments that promote healing and improve your overall well-being.

Diverse Range of Specializations:

The team at Best laser therapy physiotherapy in Rimbey consists of highly trained professionals with diverse areas of expertise. Whether you require sports rehabilitation, post-surgical care, pain management, or neurological rehabilitation, we have specialists who can address your specific needs. Our physiotherapists continuously update their skills through ongoing education and training, ensuring that you receive the most current and effective treatments available.

Patient-Centered Approach and Supportive Environment:

We understand that undergoing physiotherapy can be a challenging and sometimes overwhelming experience. That's why our team is committed to providing a patient-centered approach, emphasizing open communication, empathy, and support throughout your entire rehabilitation journey. We believe that building a strong therapeutic relationship with our patients is essential for successful outcomes. We are here to listen to your concerns, answer your questions, and guide you every step of the way towards achieving your goals.

Convenient Appointment Scheduling and Flexible Payment Options:

We value your time and strive to make your physiotherapy experience as convenient as possible. Our clinic offers flexible appointment scheduling to accommodate your busy schedule, including evening and weekend appointments. We also understand the financial aspect of healthcare and offer flexible payment options, including direct billing to insurance providers, to help make your treatment affordable and accessible.

When it comes to receiving the best physiotherapy in Red Deer, trust our team at Best Physiotherapy Rimbey. With our personalized treatment plans, advanced techniques, diverse specializations, patient-centered approach, and convenient services, we are committed to helping you achieve optimal physical health and wellness. Take the first step towards unleashing your full potential and contact us today to schedule an appointment. Your journey to recovery starts here!

Source: https://physiotherapy-and-wellness-centre.blogspot.com/2023/06/Best-physiotherapy%20-Rimbey.html

#Top Physio Rimbey #Top Physio in Rimbey #Top Physiotherapy Rimbey #Best Physio Rimbey #Best Physio in Rimbey #Best Physiotherapy Rimbey

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reactiveclinic2 · 1 year

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How Laser Therapy Is An Revolutionary Aid for Orthopedic Physiotherapy?

Laser therapy is new in the Physiotherapy treatment world. It has become the best alternative to treat various types of orthopedic conditions. The Laser Therapy Red Deer effectively treats extremely painful conditions such as temporomandibular joint (TMJ) disorders, arthritis, sprains/strains, carpal tunnel, herniated discs, etc. You will notice a great result after the treatment sessions.

#lasertherapyreddeer

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qqueenofhades · 7 years

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In preparation for you getting your computer back, I do hereby request Deckerstar + Lucifer's gorgeous wings (smut appreciated but not required)

“Lucifer, we need to talk.”

Chloe’s head is down as the elevator door opens, as she’s bracing herself for something that she expects to be deeply unpleasant, and would have put off longer if she could, but since Maze all but physically dragged her over here and is stationed in Lux downstairs until she does it, she is going to have to bite the bullet. And frankly, she’s out of patience. It’s been another six weeks of him dropping completely off the grid, and this was after the voicemail promising to come over, to open up, to tell her everything. She knows Lucifer has had to deal with whatever happened to his stepmom, and she’s tried to be understanding of the fact that it’s just in his nature to flake out at the drop of a hat, but she’s tired. She cares for this man more than she probably should, more than she can control, more than she wants, more than is safe, and yet every time she tries to take a step toward him, or vice versa, she runs into a slammed door. They do have to talk. But whether it’s sorting things out to move forward, or calling it quits for good, Chloe isn’t sure.

As she steps into the dim penthouse, she supposes she should be relieved that it isn’t cleaned out and sheeted over, like it was the last time she came looking for him. And likewise, he even appears to be home. There’s a dark silhouette alone outside, and for a bedazzled, shocking instant, Chloe sees something that makes no sense. An unearthly, violent white glow, a pair of huge wings stretched to either side, feathers quivering in the smoggy Los Angeles night, something beautiful and divine that has no place on the grubby earth – and then, even as she’s sucking in a shocked gasp, she blinks again and it’s gone. It’s just Lucifer, standing shirtless on his balcony, cigarette propped between his fingers as he blows a halo of smoke. As he whirls to face her, looking like a deer in the headlights. “Detective?! Who – I didn’t know you were – ”

“Yeah. It’s me.” Chloe crosses her arms tightly over her middle, in self-defense. Taking note of his half-clad state and otherwise generally less-than-reputable appearance, she nods as matter-of-factly as she can. “Right. You have someone over. One of the Britneys. I can come back.”

“What? No. I haven’t seen the Britneys in – I don’t know. Weeks.”

“You haven’t seen anyone in weeks, Lucifer!” Well, her “calm-and-in-control-cop” demeanor lasted all of five seconds. Not a great start. “Six weeks this time. After two the last time. Do you know that? Can you count?”

His jaw tightens. “I can, yes. Detective, I – I want to explain, I – ”

“Bring back a stripper this time too?” Chloe knows she’s being more caustic than she means, but she’s so tired, and she’s so frustrated, and she’s so sick of worrying herself to distraction about this man who never remotely seems, no matter how hard anyone bashes, to understand the effect he has on everyone else. Besides the little hypnosis trick and the sexual magnetism and the childish behavior and the dark puppy eyes and the way she half wishes she could just let him go and be happy and return to her ordinary life where Lucifer Morningstar did not consume so much of it. “Another Vegas getaway? I know what happened with your stepmom, I know Linda’s been hurt, but if you need people to talk to, Lucifer – you promised. You promised to talk to me. And then you left again, and I…” To her horror, her voice wobbles. “I’ve always trusted you. I never knew why, but I did. But this… Lucifer, it needs to end.”

Lucifer opens his mouth, and shuts it, at the loss that he normally is when confronted with anything emotionally deeper than a birdbath. Finally he says, “I didn’t leave by choice this time, Detective. You have to believe that.”

“Do I?” Chloe takes another step, arms falling to her sides, voice ragged. “Do I have to believe anything about you, Lucifer? Because I’m not sure anymore.”

That seems to catch him particularly off guard, though it’s impossible to say why. He fishes in vain for some sort of response, not that he can really say anything to soothe her. Yet as he stubs out the cigarette, she catches sight of half-healed bruises and burn marks on his arms and chest, scabbed blisters and abrasions, and despite herself, her fury washes out from under her like quicksand, catching her heart in her throat. “Hey. Did something happen to you?”

He barks a humorless laugh. “In a matter of speaking, yes. Something assuredly did. I’m not at all certain I’ve worked out what, though.”

They stand there, regarding each other awkwardly, until Chloe is just about tempted to grab him and shake him until his teeth rattle. “You promised me an explanation,” she says at last. “Should I believe that?”

“I – yes. Yes, I did.” Lucifer turns to regard the glittering city. “Well, the long and short of it is that after leaving you that message, I was abducted, knocked over the head, and woke up in the desert.”

“You were hit over the head and taken to the desert,” Chloe repeats. “For six weeks.”

“I don’t know how long it took them to get me there. And it took me a while to get out, and there was that other complication, and – bloody hell, Detective, I know it sounds flimsy, but that’s what happened, I promise. It’s just – well.”

Chloe regards him with a mix of exasperated affection and exasperated, well, exasperation. But it strikes her then that despite his new injuries, there’s something different about his back, which she can’t place until she does. “What – what happened to your scars?”

Lucifer looks as if he would prefer to eat a barrel of live cockroaches rather than answer that question.

Chloe takes a step. She’s really only seen them once, shortly after they first met, when he thought it was an irresistible move to seduce her by appearing naked, and she turned the tables on him. Then there was that …. dream, which is very not helpful to think about right now. “What, some new kind of laser therapy? Or were those not real either?”

“They were real, they just…” Lucifer is struggling, the poor thing, and Chloe possibly feels inclined to toss him a lifeline, but not just yet. “Aren’t anymore.”

“You know that makes no sense.”

“Nothing about me makes sense to you, Detective.”

“Yeah. You’re right about that.” Chloe takes another step. The air feels thick between them, charged somehow, and she’s aware of a strange, eerie humming, like a struck crystal or a far-off bell, a note sounded and held beyond the edge of hearing. There’s also still a ghost of that light that doesn’t come from the lowlit yellow spots of the penthouse. All the cumulative weird things about Lucifer that she’s deliberately written off as just the way he is, but which she knows deep down don’t really have a logical explanation. All this pressing him for the truth, and yet she is aware that this is a point of no return. If she sees something now, something she can’t take back, rather than just these bits and pieces of him, it’s going to change. Something. Everything.

Slowly, very slowly, she reaches out to put a hand on Lucifer’s bare shoulder. It’s not in and of itself a particularly intimate gesture, but it goes through both of them like an electrical shock. Chloe takes a deep breath. She’s been insisting to him all this time that he can open up to her, that he can trust her, and yet she’s also been doing a lot of shouting. In some sense this is necessary, as the density of Lucifer’s skull means that only blunt force hints will get through, but she also knows that despite his swagger and bravura and general obnoxious nature, he is small and scared and stunted, somewhere in that dark part of him that is as damaged as much as it is to make him act like this. She curls her fingers lightly around the muscle of his upper arm, holding his gaze. “Lucifer,” she says, barely above a whisper. “You can tell me, all right?”

He glances away, looking exhausted. “Are you sure, Detective?”

“Yes,” Chloe says, as steadily as she can. “I want to know what happened.”

Lucifer raises an eyebrow, as if to say that fine, she has asked for this. Then he closes his eyes, concentrates intently, and seems to expect something to happen.

Nothing does.

“Well?” Chloe repeats. “Was there supposed to be something just then?”

“I – ” Lucifer looks flummoxed, then furious. “Bloody hell! Of course the one time I want the damn things to appear, they don’t!”

“The one time you want what to appear?”

“My wings.” Lucifer rubs a hand over his face. “I got them back, all right?”

“Your…. wings?” Chloe thinks of the shipping container, the auction, her own curiosity as to whether Lucifer was really into cosplay, his story about Maze cutting them off. For half a second she was ready to believe, and then he goes and pulls this on her. The guy does not need more enabling, he needs help. Probably should actually take him back to the mental hospital he checked into during their case with God Johnson. “Lucifer, I just want the truth, not more of your endless stories about being the devil and – ”

“It is the truth!” His voice is almost a shout, his eyes briefly, glancingly red in a way that doesn’t have to do with the light. He modulates himself at once, looking horrified, but he can’t hold back. “I’ve told you a hundred times, and you’ve never believed me, but – I’m the Devil, all right? Ask Linda. She knows. She’s seen it. She’s seen everything, she – she doesn’t know about this, because I’ve felt too bloody guilty to go back to her! It’s not a metaphor, it’s not a lie, I have my wings back, and I don’t know why! That’s why I don’t have my scars anymore, and if you don’t believe me, Chloe, I’m sorry! But I don’t know what else to do!”

Chloe is stunned. She was about to turn and leave and try to sleep for five years and wake up when her life has been de-Lucifered, but the sheer rawness of his voice, and his shockingly rare use of her first name instead of “Detective,” stops her. The air is ringing again, both from their shouting and from that ongoing, unbearable hum, running a wet finger around the rim of a wine goblet. Maze is probably on alert below, but unless they actually start punching each other, she’s not going to intervene. Chloe feels about an inch from blowing apart like a cluster of dandelion on the wind, her chest tight and aching, and she doesn’t want, doesn’t want. “All right,” she says tiredly. “You’re the Devil, and you have your wings back. And that’s why you disappeared.”

“Yes.” Lucifer sits down on the piano bench, as if the strength has drained out of him. “I told you, someone kidnapped me.”

“And you didn’t call the cops when you got back? Didn’t call me?”

“I don’t think you or anyone could have done a thing to who I suspect it might have been, and I wouldn’t put you in that kind of danger.”

“Oh? Who do you think it was?”

“My sister.” Lucifer looks away again. “Azrael.”

“Azrael?” Chloe knows she’s heard that name before. “You have a sister?”

“Yes.” Lucifer seems irritated. “Of course I have a sister. Several, actually. And a mother. It wasn’t just Dad and a load of pricks – well, it was, for a different reason, but never mind that. That’s what you get with a lot of sexually repressed old misogynists writing the stories. There are female celestial beings, you met one, and amy dear sister is not particularly happy with me for using her precious toy to send Mum away and then chuck it into an alternate dimension after her. So she made sure that I knew. And.. . as I said. I haven’t worked out the rest.”

“Your mother? Charlotte Richards? But she’s your stepmom, isn’t she?”

“Charlotte Richards the human is not related to me, and also thankfully does not remember the interlude in which her body was used as a vessel by the Divine Goddess of Creation, better known as my mother. As she was the entire time you knew her.” Clearly exhausted with so much divulging, Lucifer gets up, pours himself a drink from his bar, and tosses it back. “I sent her away with my sister’s blade. Your usual family dust-up. Az wasn’t in a mood to hear it.”

Chloe opens her mouth, shuts it, shakes her head, and isn’t sure what she can possibly say to that. But it finally clicks where she recognizes that name from, and she frowns. “The Angel of Death?”

“Yes. That’s her. And I had no idea if she would mean the same to you as Uriel did, so when I came back, I – ” Lucifer stops.

Something strange and cold shivers down Chloe’s spine. Without him saying more, she grasps it. “You’re afraid that your family was going to hurt me?”

“I am always afraid that my family is going to hurt you!” Lucifer spins around, eyes raw and imploring. “Except for Amenadiel, I suppose he’s all right. Maze would kill him if he thought about it, anyway. But the rest of them – Detective, they are so far beyond anything that’s ordinary or safe, they’re bloody angels and cosmic beings and they could flick you out of existence like a dust mote, and…” He stops again, shaking his head. “That’s why I’ve tried. To distance myself. To… keep… to keep you safe.”

Chloe doesn’t know what to say. Lucifer’s distress seems genuine –whatever is going on, he does think it has the power to hurt her, and that makes some of her confusion and frustration melt a bit. Finally, hesitantly, she takes a step, closing some of the distance between them, as he looks up at her warily but doesn’t move. “Okay,” she says. “Okay. I’m not going to say it makes sense to me, or that I understand everything, because I don’t, but I can accept that’s what you thought you were doing. But Lucifer… you have to tell me. I don’t know that you’re trying to protect me when you stay away, even if you do. I just think you’ve left me, that you don’t care enough to stick around, to do anything, and that…” Her voice wavers again. “That hurts me.”

Lucifer looks startled. Trust him to not have thought of that. The silence is tense and high-strung and progressively more unbearable. Half to himself, he says, “I just never wanted you to be stuck with me.”

“I’m not, all right? I chose to be your friend, to be your partner. To be…” Chloe hesitates. “Whatever we are.”

“I can’t be sure.”

“Why on earth not?”

This is plainly another conversation Lucifer does not fancy having. He looks away, still seated on the piano bench, as Chloe stands in front of him, almost close enough to touch. If she dared, and she doesn’t know that she does, even as her fingers itch with the need. “I’ll tell you,” he says at last. “Later. I just… I know I’ve not much right to be asking for it, but I need more time.”

Chloe wants to say that he has had plenty. Wants to insist on answers now, here, repayment for everything he’s put her through. But looking at him, how crumpled and almost small he seems, she can’t. Being friends with him, caring for him, making as much space in her life for him as she has – it’s not been easy, and sometimes it seems it’s all been to no point. Yet as much as she wants the itemized list, the complete rundown, the cop’s evidence sheet, she knows just then that she wants him to be comfortable more, wants him to be happy, wants him to feel safe. If that means more time, well… she’s lived with his enigmas this long. She can wait a little longer.

She pauses, then nods. “Okay, Lucifer,” she says quietly. “Okay. When you’re ready.”

He gives her a faint half-smile that catches like fishhooks in her heart. He gets to his feet, clearly expecting to see her out. “Well, the child will be expecting her bedtime story, won’t she?”

Chloe is about to remark that he’s definitely eager to get rid of her if he’s worried about Trixie’s nighttime routine, though it’s true that he calls her “the child” more than “the spawn” or anything worse these days, and almost seems to tolerate her. Almost. She bites her lip, then nods, as Lucifer seems set to resume his solitary brooding on the balcony. “Hey,” she says. “Lucifer?”

“Yes, Detective?”

“I’m – I’m glad you came back.”

His eyes meet hers in confusion. As if it has likewise never occurred to him that anyone would care about his presence one way or the other, as if it would make a difference if he lived or died, and just then, no matter what, Chloe is tired of holding him at arm’s length. She pauses, struggles with herself, then walks toward him. Reaches out as if trying to catch a skittish runaway dog, and then, when Lucifer is either too stunned to move or figures she’s going to slap him, she hugs him.

He goes tense from head to toe, then lets out a slow, ragged breath, wrapping his arms gingerly around her as if clutching a potentially still-live piece of ordnance – it might blow up and kill him, sure, but at least he’ll take the blow and no one else. He pats her on the back, as Chloe’s hand on his lands on the place where his scars used to be – one of them, at any rate. It’s warm, unaccountably so. Feels alive, pulsing, as it’s running a great tether out into the universe, feeding it something. Strange and soft and miraculous, that’s the only thing Chloe can think of it, and she pulls her hand away with a start. “What’s that?”

“I’ve been trying to tell you, Detective.” Lucifer looks resigned more than anything. “My wings.”

Chloe starts to say something, stops, and then moves her hand back to where it was. Not sure what she is looking for, or what she expects to find, she reaches out a tentative finger. Can certainly feel some kind of resistance in the air, something that she can follow along, softer and finer than goosedown, insubstantial as a spiderweb. Then it turns rougher, longer, runs up a curve strong and smooth as iron, slanting into the muscles of his back, and Chloe hears some kind of rustling whisper in the air, a rush of wind that does not come from the still summer night. Her eyes go wide as she stares at him. “Lucifer, I – ”

He gives her another of those rueful smiles. Waiting for her to tell him it’s some sort of delusion of his, and leave.

Chloe doesn’t. She blinks. Then she blinks again, and she can see something in the shadows, hesitant and vague at first and then stronger, spreading in a vast sweep, fluttering in the stillness. The flight feathers are as long as her arm, rough and sleek and pointed, and the smaller ones are the source of that dewy, dreamy softness that her hand ghosts along, playing and petting. In a few more stunned moments, there they are: wings. Six-foot white angel wings affixed to his back, where he assuredly did not have any before. They’re glowing slightly. They’re making that weird humming noise. It’s a bit Close Encounters of the Third Kind, really.

“Oh… my….” Chloe stumbles backwards, staring. She rubs her eyes, just in case, but she knows she’s seeing this. Her voice is faint and stunned. “You have… you have wings.”

“I was trying to tell you that.” Lucifer sounds slightly long-suffering.

Chloe can’t take her eyes off them. They feel almost familiar, calling to something similar within her, though what, she has no idea. As if she is one of the few people who can look on them and not go crazy, or be permanently changed, or overcome with devouring, dangerous desire to possess them. For the first time, she wonders not just what Lucifer is, but what she is. If there’s more to this, if there’s something about her as well, if – she doesn’t know. She stands with a hand pressed to her chest, gulping shallow breaths, still shaking her head. Finally she manages, “They’re beautiful.”

“They are a ruddy bloody unwanted nuisance, like the rest of what Dad sticks me with when He pleases, and I wish they’d curl up and drop dead.”

Chloe barely hears him. She steps forward again, reaching out, supposing she should probably ask permission to keep touching, but unable to stop herself. She runs both hands over the wings, up the curve of the outside, the sleek planes of the inside. “Can you… can you fly?”

“Of course I can fly.” Lucifer seems baffled by such an obvious question. “I haven’t tried recently, though. Prefer my Corvette, really.”

Chloe fingers the downy tip of one, fascinated by the fine white fibers, until Lucifer’s breath catches and she realizes that this is a quite intimate and sensive part of his anatomy with which she is making herself quite up close and personal. Once more, she pulls her hand back. “I’m sorry. Am I hurting you?”

“No, actually. It’s the first time they haven’t hurt since they…” Lucifer trails off. “Since I woke up with them, at any rate. Like a phantom limb, I suppose. In reverse.”

Their eyes meet, as Chloe can feel her heart starting to pick up. Lucifer is ordinarily plenty attractive (at least as long as he isn’t opening his mouth and saying something stupid to ruin it) but Lucifer with his wings is unearthly, eerily, unbearably beautiful, and her fingers tremble where they brush. “You’re,” she says. “Actually an angel.”

“Well, I was. I haven’t figured out these.” Lucifer attempts a shrug, which makes them rustle and swish and bang into his piano with a clang. “See! They’re utterly inconvenient.”

Chloe can’t help it, she giggles. She supposes she could be more shocked, and she certainly is, but at the same time, it’s not really anything she hasn’t already known deep down, for a long time. Unable to stop herself, she blurts out, “Do you have horns too?”

“Horns?” Lucifer was not prepared for that question. “Why on earth would I have horns?”

Chloe can feel her face heating. “No reason.”

He looks at her quizzically, baffled but clearly relieved that she’s taking this so well and has not yet been reduced to a gibbering mess or charbroiled head. He clears his throat, trying to regain some modicum of control over a situation that feels more than either of them are ready for. “Ah – Trixie?”

“Right. Trixie.” Chloe backs away, still staring at him, and hits the elevator more or less by accident. “Good night, Lucifer.” The name feels stranger. The first time she’s really spoken it, with the full weight behind it. Lightbringer. Morningstar. The brightest of God’s angels.

She is going to need some time to wrap her head around this.

“Good night,” he says, as the elevator doors slide shut. “Chloe.”

That lights a small ember in her chest that remains until the elevator reaches Lux level, and she staggers out with a look on her face that makes Maze start up like a surprised cat. “Chloe? Are you all right? Did he say something dumb? Do I need to kick his ass?”

“He, ah.” Chloe leans on the bar, feeling weak-kneed. “He has wings.”

“Yeah,” Maze says, unfazed. “Well, he did, but I cut them off. Anyway, we should go home, since if the sitter found my sex toys again – ”

“No, I mean. He has wings!” Chloe feels it is important to make this point. “Real wings, I – I saw them!”

Maze frowns. “He what?”

“He’s…” Chloe shakes her head, grappling for the words. “Wings. Six feet. White. Big. Feathery. You know. Wings. Attached to him.”

Maze’s expression remains blank for a moment longer, then turns thunderous. She surges past Chloe into the elevator, as Chloe sinks into her vacated chair by the bar and thinks some alcohol might not be a bad idea. But she can still hear the shout.

“LUCIFER!”

Someone clearly has a lot of explaining to do.

#extasiswings #ask #deckerstar #deckerstar ff #right #i do not have my computer back #but i needed to write this for reasons

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awkwardlyamusing-blog · 5 years

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Dog Gone Problems: 18-month-old Goldendoodle doesn't respect its 14-year-old owner | Momaha.com

New Post has been published on http://doggietrainingclasses.com/dog-gone-problems-18-month-old-goldendoodle-doesnt-respect-its-14-year-old-owner-momaha-com/

Dog Gone Problems: 18-month-old Goldendoodle doesn't respect its 14-year-old owner | Momaha.com

Dog Gone Problems is a weekly advice column by David Codr, a dog behaviorist in Omaha. David answers dog behavior questions sent in by our readers. You can reach him at [email protected].

I have an 18-month-old Goldendoodle who is a very kind and loving dog. My family’s intent is for him to work as a therapy dog. The problem is I am a 14-year-old small girl who this dog doesn’t respect at all. I feel like I have tried everything. My family has hired behaviorists and trainers. I walk him 30 minutes a day — morning and night — and I train him for 10 minutes after each one of those walks. No matter what I do, he doesn’t respect me. However, he respects the rest of my family. All my dad has to do is walk in the room and he will drop whatever he has. It’s the same with my brothers, who are 11- and 16-years-old.

The next issue is that he has possession aggression. He is very fast. He grabs everything and does not let it go (at least for me). For example, he loves socks and will swallow them. Because of this he has had to get two surgeries and has had multiple visits to the vet to induce vomiting. We have buckets with lids and locks, but he can also open doors. When he gets something to chew on and I try to take it away, he growls — a lot. Then when I try to open his jaw, he bites me.

I need help. How can I make him respect me? Is it my fault or the dog’s?

Wow. It sounds like you have quite a few issues going on. From what you wrote, it appears you are doing some good work already. Maybe we just need to add a little fine tuning. I can share a few tips.

Let’s break your letter down into individual sections so you can focus on one thing at a time.

First, respect for dogs can be confusing. Some of the factors may be related to your age and stature. Size matters to dogs. That said, one of my former apprentices has gone on to become a dog behaviorist and she is just over 5 feet tall. So it’s something you can get past.

While the walks are great, they may not be enough. Your average dog needs an hour of exercise every day, but some dogs may need even more. From what you wrote, I’d guess your dog falls into that category. This video on creative ways to exercise dogs can help you supplement your walks with some easy indoor exercise options.

I’d look for some ways to build in compliance before your dog gets what he wants in your day-to-day life. Petting with a purpose is a wonderful way to help your dog learn to respect you as a leader and help him practice asking for things instead of telling you what to do.

Do you enforce rules with your dog? Dogs often see those who enforce rules as the leader. Enforcing rules gives you an opportunity to demonstrate your leadership in small, subtle ways multiple times a day.

I’d suggest you also start developing a strong leave it command with your dog. Once established, you can pull out high-value items and leave them on the floor when you can supervise and give the dog the leave it command. The more you repeat this, the less the dog will try to take things you want them to leave alone.

Lastly, this video includes a really easy and sneaky way to condition your dog to come to you — even when you don’t call him to come over.

Remember, training and behavior are separate. While training is awesome, I’d suggest you work more on these structural changes and behavior exercises to help your dog learn that listening and respecting you cause good things to happen.

Good luck and remember — everything you do trains your dog. Only sometimes you mean it.

Despite being a senior cat at 10 years old, Baby is full of energy and mischief. Here, she dangles from a bannister in her house in Gretna.

Karen Windle, copy editor

We’re Bruce and Ernie (left). We love sneaking raw bacon off the kitchen counter, lounging around the house naked, er, without our collars and making friends with deer. (The deer *love* to play tag, but for some reason we’re always “it.”)

Katy Glover, online editor

Buster can put a smile on your face like no one else, including those of neighbors who spot him dragging me along on a walk or run. Unfortunately, this high-energy guy recently has been sidelined by the doggie version of a torn ACL and subsequent knee surgery. He could use a little boost, so I’m nominating him for the OWH Pet Parade.

Julie Anderson, news reporter

At left is Clyde. He’s a dog. He’s 2 ½. He’s deaf. At right is Pieces. He’s a cat. He’s 13. He can hear. They would like very much for you to pick them!

Brad Davis, business editor

If you’re an avid reader of the World-Herald, maybe you’ve heard of Cooper. Features reporter Chris Peters has written about raising Cooper. Here he is on the custom pallet bed his mom built for him.

Chris Peters, features reporter

At left is Daisy. Her best friend is a reindeer, who comes to visit a few weeks each year. She complains a lot to the non-magical beings she lives with, for obvious reasons. At right is Diaz. He’s a handsome boy who doesn’t care about that. He loves walks and belly rubs, all people, most dogs, one cat, and zero racoons and opossums.

Rich Mills, copy editor

At the Ducey Farm in Dundee, we have the blackshirt gals who guard the back yard (Mary Stewart and Victoria Holt), and the chickens who help me garden (Brooklyn and Penny). They produce eggs and inspire pillows for the cutest and most fashionable dogs in the world (Phoebe, Gigi and cousin Tyson), who love to bark at the feral cats (Bunny and Butterscotch) who live outside and have matching tails!

Marjie Ducey, reporter

Gator likes eating snackies, expertly posing for pictures, getting floof everywhere and borking (not barking) at neighbor dogs.

Cory Gilinsky, features (and Sarah Jarecki, civilian)

Gracie the border collie and Beau the red heeler like long walks and frequent car rides, especially to drive-thrus that give treats.

Deb Shanahan, metro desk editor, and Kent Sievers, photographer

Isabel doesn’t enjoy her humans (especially the little ones) a lot, but sometimes likes a good chin scratch. Mostly she enjoys being left alone to sit on top of the piano and watch the birds outside.

Kevin Coffey, music critic

Izzy is 6 months old. She likes to chase her tail (and often catches it), climb up couches (and people), and bother Zake. Zake is 15 years old and unsure of Izzy. After all, Izzy has the high ground.

Zach Tegler, copy desk

Jameson may be named after whiskey, but this five-year-old gal is all sweetness. At first skittish after being rescued from a farm in Oklahoma, now her favorite hobby is stealing hearts — and covers.

Laurel Foster, online

We say Juni found us after my wife was diagnosed with advanced breast cancer. This little Havaton brings our family joy, love and snuggles every day.

Jeff Robb, news reporter/data geek

Laika is, hands down, the happiest dog at the dog park. She is named after the heroic Russian cosmonaut dog, one of the first animals in space. Ciara loves to pray. When she joins our family in prayer, she sounds like Scooby Doo. She is fiercely loyal and protective.

Susan Szalewski, copy editor and news reporter

Lolo was adopted seven years ago in Louisiana. She’s a mutt, and we think she’s part nutria, otherwise known as a swamp rat.

Hunter Paniagua, digital sports coordinator

Minerva is a very hard worker. Two-year-old “Minnie” likes to spend her time cleaning, inspecting boxes and bird watching. (And looking adorable.)

Brandon Olson, digital content hub editor

Molly, a rat-terrier Chihuahua from NHS, loved everyone she met. She was an excellent high jumper and cuddler and gave us joy for 17 years. She died in April.

Betsie Freeman, features reporter

Nellie is a 10-year-old tabby cat who is more like 5 years old at heart. She enjoys sleeping in fresh, warm laundry, eating, chasing lasers and listening to stories with best friend, 4-year-old Sam.

Ashlee Coffey, Momaha.com editor

This is Oliver. He has three legs and a bullet permanently lodged in him. (We didn’t put it there). He pretends like he’s surly and tough but deep down he’s very snuggly.

Roseann Moring, political reporter

Eighteen-year-old cat

Loves tuna, SBH and

A fireside nap

Sarah Baker Hansen, features, and Matthew Hansen, columnist

I’m Sasha. I was a stray in Oklahoma (where my ear was somehow torn) before a shelter rescued me & treated my heartworm. I just tested negative for heartworm, yay! I really like to play dead & get belly rubs!

Alia Conley, news reporter

Slugger, owned by the original Pet Parade Petitor in Chief and saved by Big Red Rescue in Omaha, chases his tail faster to his right than to his left. He ate a hole in the blinds to watch his owner come and go.

Steven Elonich, online editor

Toby is a 4-year-old Rhodesian Ridgeback mix with a big personality. Given the protective tendencies of his breed, he’s very serious about watching over his property — and his owners. Until he isn’t.

Dave Elsesser, features editor, and RyAnne Elsesser

Toothpick loves biting bare legs, gazing longingly at birds outside and dipping his paw into bags of Spicy Nacho Doritos so he can lick off the Doritos dust (which his owners know is gross and bad but are powerless to stop).

Erin Duffy, news reporter

Boston Terriers, Willow, 8, and Dexter, 6, have a closet full of costumes, sweaters, scarves and even some pajamas. They only sit this nicely for photos because there are LOTS of treats involved – but really – they are crazy little puppies!

Tammy Yttri, copy desk chief

Nine years ago, we found Zed roaming the earth (it was a ruff life). He’s a good boy. He likes his toy lobster, pepperonis (which we call pupperonis) and keeping up with his fans at Zedwin.org.

Graham Archer, digital editor

Hi, my name is Zeus, I an eight-year-old American Eskimo looking to get back in the game. They say I am fixed, but I think my only problem is you aren’t in my life. I love long walks and treats. I want someone to chase squirrels with. Won’t you paw right?

Chris Machian, photographer

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writer59january13 · 7 years

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Have technological advancements reduced our appreciation of human emotions?

SUBTITLE = Is society a better world to live in with less or more?

Boy! Those caveman days were rough! They felt like listening to deafening leopards roar a rushed version of hells bells, inxs of pulp fiction sung backwards by cold play, or a brutally nasty yet thankfully short youtube video of foo jimmy john, fighting beastie boys winking in the hood.

Loud quiet rioting !@#$ growls shook bats overhead when this grizzled papa bear disturbed (like a flock of sea gulls fighting angry birds over a candlebox), and forced to wake prematurely from hibernation set his seething animal anger to boil, and smoke to issue from his jack rabbit ass nine looking don Quixote ears.

Argh!

The gumption from that gap toothed, high browed, red-necked ursine spouse giving him one swift kick in the bony arse sent him flying like a twisted sister queen phish careening out into the frigid air.

He wished at that moment to become gratefully dead.

Upon immediate and most unwelcome exposure therapy to arctic blast, this mama’s and papa’s boy (by george) felt moody blue, and neither sought to tangle nor play footsie with Mother Nature.

He wanted to whip the hide of that pen heck king wife, when needles of miniature aeroplane shaped snow (white slippery buckshot elements of style) kissed, pierced and smashed against his face from those shoddily made flimsy animal clothes that barely kept him warm.

He pelts like crying.

Wah!

Without a shutter shutter flying shadow boxer of sprinting doubt, these goods (needle lee sewn) by snoop doggy dog gone hooligans, who cawed like sum Cajun gumbo baboons.

Anyway, dis bro’ kin mid dull aged mwm practically froze his scrawny tush off. Dang. Ooh.

How purty!

My oh my!

A cute deer!

Out came the bow and arrow! Whoosh! Bulls’ eye!

Upon uttering, "hey lucy i yam home", the def leppard viscious little beasts (aye cannot REM member how they came about) unforgivingly tore their sharp nine inch long nails into the soft raw doe. - - - - - - - - - - - Now compare the above paragraphs to this technological age! No way, no how does this domesticated simian relish expending any ounce of energy.

Without the need to leave the comfort of my warm bed, a click of the remote can provide immediate needs at these fingertips. Why dress (perhaps just a coat of armor), when breakfast, lunch or dinner delivered via robot. Bathe? This waterbed doubles up as a washbasin. Ah!

How in the name of judas priest could our ancestors enjoy feeling like a beast of burden? Who says you cannot always get what you want? Alice in chains? Cinderella? Eddie money? Jane’s Addiction? Pink Floyd? Yes! The entire motley crue! Yeah!

If not totally tubularly clear regarding trappings of a Culture Club bygone era, lemme spell out loud and clear, which stance will be obvious, I AINT NO LUDDITE period.

This creature of habit would never give up his pad (shaped like an oversize ipod) and forego any of his labor saving devices the only way to take away these cherished, idolized, prized possessions?

You would have to pry these buzzing, flying, whirring gizmos loose from my cold dead fingers! Don’t get your hopes up! I aint planning to cross the river Styx anytime soon. Maybe not even in this lifetime! Ha!

So there! Nor best ye git any ideas to boot me from this tear rest trial plane, and put me six feet under. Capisce? Comprende?

As a prom oh shun to this vignette, I conk clued hid (cost and glue tin free), an written accessory. Dis rat fink incorporate a dopey mean, elementary, flip-flop, greasy, hip-hop, lightweight, muscularly nimble oiled poem.

O rotten machine world - TITLE

click klack click klack click klack click klack

klippity clop klippity clop klippity clop

slap slip slap slip slap slip.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Hello and welcome to the machine age

where pink floyd your tour guide

where human beings the laughing stock

on the supposed creature comforts

but in truth dependent on those big and little gadgets

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Civilization at the mercy of electronic gewgaws envisioned by wunderkinds (getting paid billions of dollars), that propelled masses from labor, yet shackled

chattering class to technology.

Thee symbiotic rapport (today more so aligned as Of Human Bondage) far removed from simple habitué.

Existent linkedin thread tying us to descendants of yore increasing at light i.e. laser speed, How quaint to ponder people using horse power as chief form of locomotion in bustling towns, that inexorably spawned metropolises birthing

barracks obama men nibble. Skyscrapers potential fiascos made civilization incumbent on

factories generating gewgaws in tandem with industrial waste, or would the theory be visa versa? This quandary represents a chicken and egg thing!

Survival of numerous species (including whoa mankind) hangs in the balance

as population explodes beyond capacity of planet earth to support. This

burgeoning billions burst of Homo sapiens filling every nook and cranny on this third rock from black hole sun foists inconvenient gory truths, that

catastrophe looms ever closer perching all living organisms perilously closer to brink of disaster and eventual extinction, unless dramatic measures taken to rein in (rain ‘n tots) reproduction.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PostScript: Special attention goes out to animal rights/ liberators, who belong to nonprofit organizations such as: GREENPEACE, PETA, SPCA can breathe easy, cuz no animals (large or small) got kilt. This blurb merely utilized the hypothetical scenario of said brutish, nasty and petsmart.

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