脳は左右の大脳半球、小脳、脳幹、間脳などに分かれ、左右の大脳半球がそれぞれ40% ぐらいを占めている。脳の20% っていうのは右大脳半球の半分くらいがやられたとのこと。それなら右MCA 領域のほぼ全域がやられているよね。となると、m1 occlusion の可能性が高い。あるいは、m2 の 3枝全てが詰まったか。

m1 occlusion については proximal と distal があるのだけど、

　運動機能がしっかり回復している

　減圧開頭を行ってない

　出血合併も書かれてはいない

m1 proximal 「らしくない」

　→　m1 distal またはm2 の複数領域の梗塞（特に inferior trunk に強い：視野障害が出た、感覚障害が残ったなどから）と推察できる。

こういった比較的太い場所への塞栓が起きるには、比較的大きな塞栓が飛ぶ必要があり、つまり Paf とか PFO がある可能性が高いよね。

　微小塞栓性のもの、例えばトルーソー症候群とかseptic emboli、fat embolizationみたいな、は否定できる。

　大きな塞栓子と言うことでは Paf が隠れてる可能性はあるし、

　大きな梗塞の割に運動機能が回復していることから、PFO による DVT の奇異性塞栓だった（比較的"若い"血栓のため、早くに溶けてくれた）のかもしれない。

これらは鑑別の上位に上がるよね。

この方が、以前私の働いていた病院のSCUに入っていたら、ホルター心電図、下肢エコーでのDVT除外、そのほかよく分からない検索もねちっこくやられていたと思う。

自分は専門外なので知らんけど。

疑問なのは現在の投薬状況。

アスピリン、チクロピジン、ワーファリン、NOAC/DOACあたり飲んでるのかな？

何かしら飲んでてもおかしくないと感じるが（医療情報が不確かなため、なんとも言えない）。

脳卒中、脳梗塞ってあまりにも頻度が高い疾患だから、いろんな病院、お医者さんが見ていて、その中には脳梗塞診療にしつこくない方も結構おられるんですよね。

「とりあえず点滴2Lだして、ラジカット落としといて」みたいな。

今回総合病院ということから、一定の質の高い医療は受けられているとは思うんだけれども。

脳卒中専門の医師にネチネチと原因検索をしてもらった方がいいんじゃないかなと思います。

　やってないならね。やってるかもしれん、分からんが。

ChatGPT氏の意見

次の文章をChatGPTに投げてみた。「35歳男性、基礎疾患なし。右mca m1 distal occlusion による塞栓性脳梗塞。背景疾患は何だと思う？　paf、PFOについてどう思う？　経食道エコー異常なし、ただしDVT検査したか不明。　それでもpaf/PFOはあり得る？　その可能性はどの程度？　根拠も含めて。」

回答のサマリーは：

4.総合的推定
疾患	あり得るか	推定確率（臨床感覚）	コメント
PAF	○	5–10%	長期モニター推奨（CRYSTAL-AFに基づく）
PFO（奇異性塞栓）	○	20–30%	若年・塞栓性パターンではもっとも典型
解離	△	＜10%	画像で否定されていれば低い
抗リン脂質抗体症候群など	△	数%	血液検査で除外必要
その他（悪性腫瘍など）	△	＜5%	年齢的に稀

だった。

良かったら ChatGPT や GEMINI, Claude なんかに文章を投げて、試してみてくれ。

（解離：発症時に頭痛・頚部痛などがなかったし、MCA解離は非常にまれだし鑑別に入らないでしょう）

https://anond.hatelabo.jp/20251030084205

https://anond.hatelabo.jp/20251030123317

＞これを書くのは、同世代の30代くらいの人に脳硬塞を自分事としてとらえて備えてほしいと思ったから。

とのこと、

であればこそ、「特発性（とくはつせい、原因不明なこと。cryptogenic）」で片付けず、原因・背景疾患を究明した方が良いんではないか。

なお

　Paf：アブレーション

　PFO+DVTによる奇異性塞栓：カテPFO閉鎖

という予防治療がございます。「朝、シャワーを浴びた時に発症」ってのも、Paf、奇異性塞栓に合致するエピソードだよね。

抗リン脂質抗体症候群など膠原病系にもそれなりの治療があるし…

ずっと元気で居られることを願っています。

Permalink |記事への反応(2) | 02:53

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Let’s faceit: starting a conversation on a dating app canfeel terrifying.You seesomeone you’re interested in,you typeout amessage, and then…you delete it. “Is this too boring?” “Will they even respond?” “What if I sound awkward?”

We’veall been there. That firstmessage canmake orbreakyour chances ofconnecting withsomeone amazing. Buthere’s thegood news:you don’t have toover think it.With the rightopeningline,you canspark a conversation that feelsnatural,fun, and meaningful.

At MixerDates, webelieve that every great connection starts with a great conversation. That’swhy we’ve puttogether this guide to helpyou craft the best dating appopeninglines—ones that standout, showyour personality, andlead to realconnections. Ready to ditch the “hey” and start making animpact?Let’s dive in!

[:contents]

Why Your FirstMessage Matters

Before weget into the bestopeninglines,let’s talk about why your firstmessage is so important.

1.First Impressions Count

Youropeningline is your chance tomake a great first impression.It’s thegateway to a conversation that couldlead tosomething special. A thoughtful,creative message shows that you’re genuinely interested—not just swiping mindlessly.

2.It Sets theTone

Your firstmessage sets thetone for the entire conversation. A boring orgeneric opener mightlead to a dull chat, while afun or intriguingone canspark excitement andcuriosity.

3.It Shows Effort

Let’s be real: everyonelovesfeeling special. Whenyou put effort intoyouropeningline,it shows that you care enough to standout. Andon MixerDates, where wevalue authenticity and positivity, that effortgoes a long way.

The Best Dating AppOpeningLines (AndWhy They Work)

Now,let’s get to thegood stuff—the best dating appopeninglines that actually work. These are divided intocategories to suit different personalities and situations.

1. The Playful Opener

Example: “Ifyou were a vegetable,you’d be a cute-cumber. So, what’syourfavorite veggie?”

Why It Works: Humoris auniversal icebreaker.It showsyou’refun anddon’ttake yourself too seriously.

2. The ComplimentOpener

Example: “I have to say,yoursmile is contagious. What’s thestory behindit?”

Why It Works: Complimentsmake peoplefeel good, especially when they’re specific and genuine.

3. The Question Opener

Example: “Ifyou could teleportanywhere rightnow, where wouldyou go andwhy?”

Why It Works: Questions encourageengagement and give the other person something interesting to respond to.

4. TheShared Interest Opener

Example: “I noticedyou love hiking too! What’sthe most breathtaking trailyou’ve ever beenon?”

Why It Works:It showsyou’ve paidattention to theirprofile and creates an instantconnection over shared interests.

5. The BoldOpener

Example: “I’ll be honest—I swiped right becauseyou seemlike someone who’dmake a great partner in crime. What’sthe most adventurous thingyou’ve everdone?”

Why It Works: Confidenceis attractive, and this type ofopener showsyou’re not afraid to be bold.

6. The QuirkyOpener

Example: “Quick: pineappleon pizza—yes or no? This could determine our compatibility.”

Why It Works: Quirkyopeners are memorable and show offyour unique personality.

Tips forCraftingYour OwnOpeningLines

Whilethe examples above are great starting points, the bestopeninglines are theones that feel authentic toyou.Here are sometips to helpyou craft your own:

1. PersonalizeIt

Referencesomething from theirprofile—aphoto, a hobby, or ashared interest.It showsyou’re payingattention and not just copying and pasting.

2. KeepIt Light andFun

Avoid heavy oroverly serious topics right off the bat. Keep thetone light and playful tomake the conversation enjoyable.

3. BeYourself

Don’ttry to besomeone you’re not. Ifyou’renaturallyfunny, lean into that. Ifyou’remore thoughtful,go for asincere compliment or question.

4. Avoid Clichés

“Hey” or “What’s up?” might be easy, but they’re also forgettable. Put in alittle effort to standout.

5. End with a Question

This gives the other person an easy way to respond and keeps the conversation flowing.

Why MixerDatesis the Perfect Place to PracticeYourOpeningLines

At MixerDates, we’reall about creating a positive,inclusive space where you canfeel comfortablebeing yourself.Here’swhy our platformis the best place to put theseopeninglines into practice:

1. A Welcoming Community

We welcome everyone, no matterwho you are orwho you love. Our platformis designed to be a safe space where you canconnect withlike-minded people.

2.Profiles That Spark Conversations

Our users create detailedprofiles that make it easy to findshared interests andcraft personalizedopeninglines.

3. AFocus on Authenticity

We encourage our community to be genuine and kind, soyou canfeel confident starting conversations without fear of judgment or rejection.

4. Success Stories

Don’t justtake ourword forit—here’s what one of our users had to say:

“I met my partneron MixerDates, andit all started with asimple message about oursharedlove for travel. The conversation flowednaturally, and therest is history. I’m so grateful for this platform!”

Key Elements to Finding a MutualConnection

While a great openingline canspark a conversation,building a realconnection takesmore than just a clevermessage.Here are thekey elements tolook for when seeking a meaningful connection:

1.SharedValues andGoals

A strongconnection starts with alignmenton the things that mattermost. Doyou share similarvalues,life goals, or visions forthe future?

2. Emotional Availability

Look forsomeone who is willing toshare their thoughts,feelings, and vulnerabilities—andwho encouragesyou to do the same.

3. Mutual Effort

Healthy relationships are atwo-way street. Both people should be putting in effort to communicate, plan dates, and support each other.

4.Respect for Individuality

Atrue connection allows both people to be themselves without judgment.Look forsomeone who celebr atesyour uniqueness and encouragesyou to pursueyour passions.

5.Open and HonestCommunication

Communication is the foundation ofany strong relationship. A mutualconnection thriveson honesty, transparency, and the ability to resolve conflicts in ahealthy way.

At MixerDates, we’rehere to helpyou find thesekey elements in a partner. Our platformis designed toconnect you with peoplewho share yourvaluesand arelooking for the same thingsyou are. Starting a conversation on a dating app doesn’t have to be stressful.With the rightopeningline,you canspark aconnection that feelsnatural,fun, and meaningful.And atMixerDates, we’rehere to helpyou everystep of the way.

So, what areyou waiting for?Craft that perfectopeningline,join MixerDates, and startconnecting with peoplewho value authenticity and positivity.Your perfectmatch is out there—and they’re justonemessage away.

Permalink |記事への反応(0) | 12:11

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■How to Flirton a FirstDate Without Feeling Awkward

Firstdates can be exciting and nerve-wrackingall at once.You’re meetingsomeone new, learning about their interests, and trying to figureout if there’schemistry between you. And then there’s flirting, that delicate dance of showingsomeone you’re interested without being too forward or awkward.

Flirtingdoesn’t have to be a high-pressuresituation. Infact,it can bethe most fun part ofgetting to know someone. Whetheryou're meetingsomeone on MixerDates orany other platform,the most important thingis to be genuine,stay calm, and let theconnection developnaturally.

Ifyou’ve everfound yourself wondering how to flirton a firstdate without feeling uncomfortable,you’re notalone. Everyonehas their awkwardmoments, but themore you understand theart of flirting, the easierit becomes. In this article, we’ll break down how to flirt in a way that feelsnatural, exciting,and authentic towho you are. So, let'sdive in and learn how tomake the most ofyour firstdate experience—without overthinkingit.

Confidence: TheFound ation of Flirting

Whenit comes to flirting, confidenceis key. But what does it really mean to be confidenton a firstdate? Confidencedoesn’t meanyou need to be perfect, or evenout going—it simply meansbeing comfortable inyour ownskin and showing upas your authentic self.

Haveyou ever noticed how people are drawn to thosewho radiate self-assurance?It’s not about bragging or dominating the conversation—it’s about presentingyourself with ease. Ifyou feel good about yourself,it will naturally show. A great smile,good posture, and eye contact cango a long way in making agoodfirst impression.

For instance, think about thelast time someone walked into a room and immediately caughtyourattention—not because they werethe most attractive person in the room, but because of their energy. They were confident, they were present, and theymade you feel at ease. That’s the kind of confidenceyou want to project on yourdate.

Whenyou're confident,you're not worried about saying the perfect thing. Instead,you focus on enjoying themoment, making the other person feel comfortable, and letting theconnection happennaturally. That’s themagic of confidence—it allowsyou to be present,fun, and,most importantly,yourself.

The Power of Subtlety

Let’s faceit—noonewants tofeel like they’rebeing “worked” or put through a game. That’swhy subtletyis such a powerfultool whenit comes to flirting.It'sall about showing interest without being over-the-top or too obvious.

Flirtingdoesn’talways mean complimentingsomeone non-stop or using cheesy pickup lines. Infact,the most successful flirtingis the kind that happens behind the scenes—subtle, playful, andlighthearted. Think about thelittle moments,like a teasing comment about how theyalways order the same thingat a restaurant or the wayyou laughat a silly joke theymake.

Thekey is to find a balance. Asimple smile or a playful comment can convey interest without being too much. For example, ifyourdate tellsyou theylove hiking but theytend toget lost easily,you could saysomething like, “So,you’re telling meyou need a personal guide? I couldget behind that!”It’slighthearted, humorous, andmost importantly,it keeps the conversation fun without putting too much pressureon thesituation.

By keepingit subtle,you allowyourdate tofeel at ease.It takes the pressure off them to be perfectand a llows both ofyou to enjoy the interaction more naturally. Flirtingdoesn’tneed to be a performance—it’s about creating an environment where both ofyou canfeel comfortableand authentic.

Active Listening: AKey toConnection

Now,let’s talk about something incredibly important in the flirting game:active listening. When we’reon adate, we oftenget caught up in thinking about what to saynext, how we’re coming across, or if we’rebeing interesting enough. But the best way tomake animpression? Truly listening toyourdate.

Active listening meansyou’re fullyengaged in the conversation, givingyourdate your full attention and responding thoughtfully.It’s about showing that you care about what they’re saying and that you’re genuinely interested ingetting to know them better. Whenyou listenactively,you’re also giving them space toopen up, and that can create an immediateconnection.

For example, ifyourdate mentions they recently traveled toJapan, instead of simply saying, “That’scool!”you could follow up withsomething like, “What was the most memorable experienceyou had there?” This shows that you’re not just hearing their words but are genuinely curious and invested in their experiences.It’s a great way to build rapport and let them know you’re not just there toimpress them—you’re there toconnect.

Body Language: SayingMore Than Words Can

Whileyour words are important,body language often speaks louder thananythingyou can say. Whetheryou realize it or not,yourbody is constantly communicating howyou feel. Howyou sit, stand, andmove tellsyourdate whetheryou’rerelaxed,engaged, or distracted.

Small gestures cango a long way in flirting. Alight touchon thearm, a subtle lean in when they’re speaking, or maintaininggood eye contact—all thesebody language cues helpsignal your interest. Andthe great thingis, whendonenaturally, these cues can be justas effectiveas words.

For example, ifyou’resittingat a caféon yourdate andyou lean in slightly when they’re sharing afunnystory,you’re not just showing that you’re interested—you’re inviting them intoyour space.It’s aninvitation toconnect further. And when they respondby leaning in too, that’s when themagic happens—the unspokenconnection that tellsyou both that there’s potential formore.

Flirting throughbody languagedoesn’t mean making grand gestures orbeing overly touchy.It’s about being present and showing that you’reengaged with yourdate in a subtle, but meaningful way.

HaveFun:Don’tTake It Too Seriously

It’s easy toget caught up inoverthinking how to flirt or trying to figureout ifyourdate is intoyou. Buthere’s asecret—whenyou letgo of the pressureand a llowyourself to havefun,everything flows muchmore naturally. Flirtingon a firstdate doesn’tneed tofeel like atest or anas signment.It’s supposed to be afun,lighthearted experience that sets the stage formore great dates ahead.

Whenwas thelast time you had a genuinelyfun date?Was it whenyou were trying too hard toimpress, or whenyou were both laughing, chatting, and enjoying each other's company? Flirting becomes effortless whenyou're present, enjoying themoment, and letting theconnection grownaturally.

Sometimes,it's the small moments—like sharing a laugh or swapping embarrassing stories—that make a firstdate truly special. Whenyou focus on havingfun,you create an environment where both ofyou canrelax, flirt, and let thechemistry grow. That’s thesecret to a great date.

Flirtingwith the RightMatch: How MixerDatesMakesIt Easier

One of the best things about using a platformlike MixerDates is that it takes the guessworkout of the equation.By connecting withsomeone who already sharesyour interests and values,you’vegot a head start on making a realconnection.No more swiping through countless profiles hoping for aspark—on MixerDates,you already know there’ssomething incommon.

Whenyou’re alreadyon the same pagewith yourdate, flirting comesmore easily. There’s less of that awkward, “Are we evenon the same wavelength?”feeling, andmore of thefun, “Wow, we reallyclick!” vibe. Whetheryou’retalking about favorite hobbies, movies, orlife goals, the conversation flowsnaturally, making the flirtingfeel effortless.

Ifyou're looking for a place to meetlike-minded people and build genuineconnections,MixerDates is the perfect platform.It's a great place to findsomeone who appreciatesyou forwho you are andwho you cannaturally flirt with, without the stress.

Ready toTake theLeap?

Flirtingon a firstdate is all about confidence,connection, andfun. Whenyou letgo of the pressure andfocus on enjoyingthe experience, thechemistry will naturally follow. Remember, the best way to flirtis by being yourself—letyour personalityshine through, listen with intention, and embrace themoment.

And ifyou’re ready to meetsomeone new,who’s justas interested in making aconnection as you are,MixerDates is the perfect place to start. Sogo ahead,take theleap, and see where it leads.Who knows?Yournext great connection might be just aclick away.

Permalink |記事への反応(0) | 12:01

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2023-11-14

■Chandigarh callgirl services are providedby JustdialCallgirl in a luxurioushotel.

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Permalink |記事への反応(0) | 00:17

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2023-10-30

■Justdialcallgirl offers Chandigarh Call Girls Services with LuxuryHotel

Chandigarh call lady services are providedby JustdialCall girl in a luxurioushotel. Renowned forits vibrant nightlife, Chandigarhis one ofthe most popular tourist destinations inIndia. There are lots of luxurioushotels in Chandigarh, several of which giveexcellent Call Girls Chandigarh. In Chandigarh, call girls come in a variety of forms, suchas young housewives, models, andcollege students. They areall competent and informed in providing their clients withexcellent services. The bulk of Chandigarh's call girl services are providedby largehotels. In these luxurioushotels, call girls and their patrons canfeel safeand at ease. Thehotel personnel can help to ensure that everyone enjoys a comfortablestay. The Call Girls offer private rooms and suites withall the necessary conveniences. This ensures that the customersmay spend theirtime with the Call Girls Chandigarh intotal privacy. The Chandigarh call girls are competent and skillful in providing a range of services to their clients. Among other things, they provide companionship, discussion, and sensual massage. In addition, they provide a wide range of other services, suchas companionshipat business meetings and social eventslike parties. The Call Girls Chandigarh can helpits customers plan a range of events. Every call girl in Chandigarhis professional and discreet. They arealways willing to listen to what their clients have to say and to help inany manner that they can. Because they are aware of the significance offirst impressions, the Call Girls Chandigarh also maintain aneat appearanceand attire.

Permalink |記事への反応(0) | 00:27

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2017-10-20

■anond:20171020122353

paradise
An ideal or idyllic place orstate.

utopia
An imagined place orstate of things in whicheverything is perfect.

from myfirst impression, utopiais more of an idealstate, political, architectural, philsophical...etc
while paradiseis more ofstate of mind or drug related...
any thoughts?
https://archinect.com/forum/thread/89996/what-is-the-difference-between-paradise-utopia

うーん。

Permalink |記事への反応(0) | 12:30

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Movatterモバイル変換

「First Impression」を含む日記

2025-10-31

■もう少し原因検索してもいいんでないか？

first impression

背景

原因検索

梗塞の状況

ChatGPT氏の意見

＞これを書くのは、同世代の30代くらいの人に脳硬塞を自分事としてとらえて備えてほしいと思ったから。

2025-02-07

■Best Dating App Opening Lines

WhyYour FirstMessage Matters

1.First Impressions Count

2.It Sets theTone

3.It Shows Effort

The Best Dating AppOpeningLines (AndWhy They Work)

1. The PlayfulOpener

2. The ComplimentOpener

3. The QuestionOpener

4. TheShared InterestOpener

5. The BoldOpener

6. The QuirkyOpener

Tips forCraftingYour OwnOpeningLines

1. PersonalizeIt

2. KeepItLight andFun

3. BeYourself

4. Avoid Clichés

5. End with a Question

Why MixerDatesis the Perfect Place to PracticeYourOpeningLines

1. A Welcoming Community

2.Profiles ThatSpark Conversations

3. AFocuson Authenticity

4. Success Stories

KeyElements to Finding a MutualConnection

1.SharedValues andGoals

2. Emotional Availability

3. Mutual Effort

4.Respect for Individuality

5.Open and HonestCommunication

■How to Flirton a FirstDate Without Feeling Awkward

Confidence: TheFoundation of Flirting

The Power of Subtlety

Active Listening: AKey toConnection

Body Language: SayingMore Than Words Can

HaveFun:Don’tTakeIt Too Seriously

Flirtingwith the RightMatch: How MixerDatesMakesIt Easier

Ready toTake theLeap?

2023-11-14

■Chandigarh callgirl services are providedby JustdialCallgirl in a luxurioushotel.

2023-10-30

■Justdialcallgirl offers Chandigarh Call Girls Services with LuxuryHotel

2017-10-20

■anond:20171020122353

Why Your FirstMessage Matters

1. The Playful Opener

3. The Question Opener

4. TheShared Interest Opener

2. KeepIt Light andFun

2.Profiles That Spark Conversations

3. AFocus on Authenticity

Key Elements to Finding a MutualConnection

Confidence: TheFound ation of Flirting

HaveFun:Don’tTake It Too Seriously