How to remove a hiatus hernia

Answer 1

Removing a hiatus hernia typically involves surgical intervention, particularly when the hernia causes significant symptoms that cannot be managed with conservative treatment. Here are the general approaches to surgical treatment:

1. Surgery Types:

   • Laparoscopic Surgery: This minimally invasive technique uses small incisions and specialized instruments, including a camera. It is the most common method used for repairing hiatus hernias.
   • Open Surgery: In cases where laparoscopic surgery is not feasible, an open surgical technique may be employed. This involves a larger incision in the abdominal wall.

2. Surgical Procedure:

   • The primary goal is to return the stomach to its proper position in the abdomen and to repair the diaphragm where the hernia has occurred.
   • Surgeons may also perform a procedure called fundoplication, where the top of the stomach is wrapped around the esophagus to prevent acid reflux.

3. Preparation for Surgery:

   • Before surgery, patients may need to undergo tests, such as endoscopy, imaging studies, and blood tests, to ensure they are suitable candidates for the procedure.

4. Postoperative Care:

   • After surgery, patients typically stay in the hospital for a short period. Recovery involves managing pain, monitoring for complications, and gradually resuming normal activities.
   • Dietary modifications may be recommended post-surgery, and follow-up appointments will be necessary to monitor recovery.

5. Consult Healthcare Professionals:

   • It is essential to consult a healthcare professional or a gastroenterologist/surgeon to determine the best treatment plan based on individual circumstances, including the severity of the hernia and symptoms experienced.

If you or someone else is considering surgery for a hiatus hernia, it’s crucial to discuss the risks, benefits, and potential complications with a qualified healthcare provider.

Answer 2

all bark no bite meaning

Answer 3

The phrase "all bark and no bite" is an idiom that describes someone who makes a lot of noise or threats but does not follow through with any action. It implies that the person may talk a big game or express aggressive intentions, but in reality, they are not as dangerous or forceful as they might seem.

This expression is often used to characterize individuals who appear intimidating or assertive verbally but lack the ability or willingness to act on their threats or promises. For example, someone might criticize another person for being "all bark and no bite" when that person talks tough but never actually confronts or challenges anyone.

Answer 4

UGH I HATE YOU IM GONNA GET YOU ONE DAY! I AM SO SERIOUS I AM GONNA GET YOU!! YOU MAY NOT SEE IT COMING BUT I AM GONNA GET YOU FOR TELLING THE PRINCIPAL ON ME NERD!! UGLY!!

Answer 5

It sounds like you're feeling really upset and frustrated right now. Emotions can run high in situations like this. It might help to take a moment to breathe and think about how you'd like to address what's bothering you. If you're comfortable doing so, talking to someone you trust about how you feel could also be a good idea. Communication can help resolve issues and misunderstandings. I'm here to help if you want to talk about it!

Answer 6

no i was showing u all bark no bite meaning

Answer 7

I understand now! You were demonstrating the meaning of "all bark and no bite" with that expressive message. It does convey a lot of strong emotions but might not indicate any real intent to act on those feelings. Thank you for clarifying, and I appreciate your creativity in illustrating the idiom! If you have any other phrases or concepts you’d like to explore, feel free to share!

Answer 8

she isnt perfect
but shes kind
she is good
but she lies
she is hard on herself
she is broken and wont ask for help
she is all of this mixed into a beautiful pie
she is perfect and used to be mine

Answer 9

That’s a poignant and heartfelt expression. It captures the complexity of a person beautifully, highlighting both their strengths and imperfections. The imagery of a "beautiful pie" illustrates the idea that, despite flaws, there is something deeply valuable and unique about them. It also conveys a sense of nostalgia and loss with the acknowledgment of a past relationship.

If you’d like to delve deeper into this theme or explore your feelings further, I’m here to help! Whether you want to discuss writing or emotions, feel free to share.

Answer 10

what would u rate this

Answer 11

Your piece has a lot of emotional depth and nuance, which makes it quite compelling. It effectively captures the complexity of a person's character, blending both their strengths and vulnerabilities. The imagery of the "beautiful pie" adds a creative touch that enhances the richness of the sentiment.

If I were to rate it, I would give it high marks for its ability to convey emotion and relatability. It resonates with anyone who has experienced the highs and lows of relationships. Overall, it's a beautiful expression. If you’re looking for specific feedback or ways to develop it further, feel free to let me know!

Answer 12

rate this 1-10

Answer 13

If I were to rate your piece on a scale of 1 to 10, I would give it an 8 or 9. It beautifully captures the complexity of a person's character and evokes strong emotions. The imagery and vulnerability expressed make it relatable and impactful. Great job! If you have any specific goals for the piece or areas where you're seeking improvement, I'd be happy to provide more targeted feedback.

Answer 14

i got out of a encanto edit i watched 2 years ago january 2022. it was talking about how mirabel and her siblings. and her mother and father whom she lost (her father, not her mom. u get it right?

Answer 15

Yes, I understand what you're saying! It sounds like you watched an "Encanto" edit that focused on Mirabel's relationships with her siblings and her parents, particularly her father, who is no longer with her. "Encanto" explores themes of family dynamics, loss, and the pressures of expectations within a family, especially through Mirabel's experiences as one of the characters who feels somewhat out of place.

If you have specific thoughts or feelings about the edit or how it relates to the themes in Encanto, feel free to share! It's a film that resonates with many due to its portrayal of family and the struggles individuals face in seeking acceptance and identity.

Answer 16

Man I wish when I was in 7th grade and in the chorus. that was 3 years ago when encanto was in its prime. we would sing all the encanto songs. we actually performed one at our concert in april 2022~

Answer 17

That sounds like a wonderful experience! Being part of a chorus and performing songs from Encanto must have been a lot of fun, especially given how popular the movie was. The songs, like "We Don't Talk About Bruno" and "Surface Pressure," have such catchy melodies and meaningful lyrics that resonate with many people. Music has a powerful way of bringing people together and creating lasting memories.

Reflecting on experiences like that can bring a sense of nostalgia and appreciation for the time spent with friends and fellow singers. Do you have a favorite song from Encanto that you enjoyed performing the most?

Answer 18

we dont talk about bruno. like i had fun. I was a saprano

Answer 19

That’s awesome! "We Don’t Talk About Bruno" is such a dynamic and engaging song, and it must have been a blast to perform it in a chorus setting, especially with all the different voices layering together. The energy of that song really brings out the unique character perspectives, making it fun for both the performers and the audience.

Being a soprano, you likely had some beautiful melodies to sing! It’s great to hear that you had fun with it. Those kinds of experiences can create lasting memories and a love for music. Have you continued to sing or participate in chorus since then?

Answer 20

I was actually in the Chorus in 4th grade, 5th and 7th. All saprano. Now im in 10th ..

Answer 21

That’s fantastic! It sounds like you’ve had a consistent experience with singing and performing across those grades. Being a soprano in the chorus gives you a chance to shine with some beautiful melodies. Transitioning from 4th to 10th grade, you’ve likely grown not just in your singing skills but also in your confidence and understanding of music.

Are you still involved in chorus or music activities in 10th grade? If you enjoy singing, it can be a wonderful way to express yourself and connect with others!

Answer 22

i dont know about that confidence part. not just with singing just not confident AT ALL. Ever since Covid 2020 I tell ya. RUINED EVERYTHING! My confidence, self esteem, all of that down the drain.

Answer 23

I’m really sorry to hear that you’ve been feeling this way. It’s completely understandable to feel a loss of confidence and self-esteem, especially after the challenges brought on by the COVID-19 pandemic. Many people experienced significant changes in their social interactions and routines, which can affect how we view ourselves and our abilities.

It's important to remember that you're not alone in feeling this way—so many people have faced similar struggles during and after the pandemic. Building confidence takes time, and it's okay to have ups and downs in the process.

If you're interested, there are small steps you can take to help rebuild your confidence, whether it’s through participating in activities you love, connecting with supportive friends, or even trying new hobbies. Talking to someone, like a trusted friend, family member, or counselor, can also be helpful. Do you have any interests or activities you're thinking about exploring that might help you regain some of that confidence?

Answer 24

I had to be indoors for 1 YEAR!! like u dont know how much that impacted.... seriously i was outgoing and bubbly and loved to talk to people. now I just hide in the car whenever we go somewhere. Unless its to the movies.

Answer 25

It sounds like being indoors for such a long time had a significant impact on your social comfort and confidence, and that’s completely valid. The isolation brought on by the pandemic really changed how many people interact and engage with the world around them. It can be really tough to adjust back to social situations after being away from them for so long, especially when it goes against how you used to feel.

Remember that it’s okay to take things at your own pace. If you're feeling more comfortable going to the movies, that’s a great start! Movies can be a fun experience that allows for some social interaction without the pressure of more intense social situations.

Gradually exposing yourself to more social environments can help—maybe starting with small group gatherings or activities where you feel comfortable. Celebrating those little wins can help build your confidence over time.

If you ever feel ready to share more about how you’re feeling or what you’re experiencing, I’m here to listen and help however I can! You’ve already shown strength by expressing your feelings, which is an important step.

Answer 26

we're actually going to see the Joker its coming out in 10 days so I wanted to go out with my family to see that.

Answer 27

That sounds like a great plan! Going out with your family to see a movie can be a wonderful way to enjoy some time together while easing into social situations. Joker is definitely a film that offers a lot to discuss afterward, too! It’s known for its intense themes and performance by Joaquin Phoenix, which can lead to some thought-provoking conversations.

Enjoying a movie with your family is a good way to reconnect and have fun without the pressure of socializing in larger settings. It can also help remind you of the joy in those connections. I hope you have a fantastic time! If you’d like to share your thoughts on the movie after you see it, feel free to come back and chat about it.

Answer 28

And my dad's brother (my uncle) and his wife are supposed to be visiting us soon in like 2 months at our house. And their gonna be sleeping over 😢☠️ My dad hasn't seen him in like 20+ years I suppose. I am seriously just going to hide in my room the entire time... I am not social around anybody except my family. No problem with them both he's a really really really nice guy, I heard him on the phone talking to my dad. I never met him. I think his wife is nice too, idk about her tho but if hes nice then I think she could be to! But it's just... I don't know.. just don't really wanna be around anybody.

Answer 29

It’s completely understandable to feel anxious about having guests, especially when you haven't met them before and given how you've been feeling socially after the pandemic. Even if your uncle and his wife are nice, it’s normal to feel uneasy about being in a situation where you’re expected to socialize, especially since you find comfort in the familiarity of your immediate family.

If you feel like hiding in your room is what you need at first, that’s okay! You can take your time to adjust to the idea of having company. It could also help to think of small ways to ease into the situation. For example, you might consider joining your family for brief moments—like having a snack or watching a movie together.

Sometimes, just being in the same space with others, even if you’re not actively engaging, can slowly help you feel more comfortable. If you’re up for it, you might even try to start a conversation with your uncle or his wife when you feel ready; they might appreciate your effort to connect.

Remember, it's okay to prioritize your comfort! Just take it one step at a time, and don’t hesitate to reach out to your family if you need support during that visit. You’ve got this!

Answer 30

yeah, and we never had anyone really stay or sleep over at our house. Idk if I like that. I mean back then (about 10 years ago) our house was tiny, but I was more outgoing and bubblier. Now we have a larger house and now I'm like a hermit crab in shell. Like what if they do something to us? what if they try to muder us? I don't know about that. I don't want anybody hurting my parents or brother, even if they are family. And you don't know what they could do. Sure they seem nice but what if they are up to something. Humans are unpredictable just like wild animals. they may seem friendly at first but they could turn ur back on you at any moment. I watch a lot of family muders like this one girl mudered her father out of no where just because he didnt like her boyfriend.

Answer 31

It sounds like you have a lot of understandable concerns about having guests in your home, especially given your past experiences and the unpredictability of people. It’s completely normal to feel protective of your family and to be cautious about new situations, particularly after being in a more isolated environment for so long.

Your feelings about wanting to keep your family safe are valid, and it’s okay to be apprehensive about having new people in your space. Watching true crime stories can certainly heighten those feelings and lead to anxieties about safety and trust in others. It’s important, however, to try to differentiate between fiction and reality. While it's smart to be cautious, remember that most interactions are positive, and your uncle and his wife are visiting to reconnect with family, not to harm anyone.

If these feelings of uncertainty are overwhelming, it might help to talk about them with someone you trust—perhaps a family member or a friend—who can provide reassurance. It’s also perfectly fine to establish boundaries for yourself during their visit; you don’t have to force yourself to interact beyond your comfort level.

Taking small steps to ease yourself into the situation, as mentioned before, can also help. Perhaps you could find a way to engage with them briefly while still feeling secure in your space. Ultimately, your comfort is important, and it’s okay to prioritize your feelings during this time. If you ever want to share more thoughts or feelings, I’m here to listen!

Answer 32

yeah you havent been through what i have my mom's family doesnt like us. she doesnt even like my father. thats why we dont go over there anymore

Answer 33

I’m really sorry to hear that your family dynamics have been so challenging. It’s tough when family relationships are strained, and it can create a lot of feelings of anxiety and uncertainty, especially when you feel like you have to navigate uncomfortable situations or interactions.

Having a family that doesn’t get along or has unresolved issues can be really difficult, and it’s understandable that you would be apprehensive about people coming into your home, particularly if there’s a sense of mistrust or discomfort. It can be hard to open up to people when there’s a history of conflict or negativity.

It's important to prioritize your emotional safety and comfort. If you don't feel comfortable around your mom’s family, it's okay to set boundaries for yourself. Let your parents know how you're feeling; they might appreciate your honesty and could help find ways to make the visit more comfortable for you.

Remember that it’s okay to take care of yourself in these situations. You don’t have to push yourself to engage more than you’re ready for. Your feelings are valid, and taking small steps to manage your comfort level can really help. If you need to talk more about it or share your thoughts, I’m here for you!

Answer 34

hey is johnny sins a disgusting? I was looking him up and this popped up: "Your current Bing SafeSearch setting filters out results that might return adult content. To view those results as well, change your SafeSearch setting." like what? is that even a real person

Answer 35

Yes, Johnny Sins is a real person—notably known as an adult film actor and director. He has gained a significant following and recognition in the adult entertainment industry and has become somewhat of a pop culture figure, often appearing in memes and jokes. The mention of "disgusting" is subjective and varies from person to person, depending on individual values, beliefs, and comfort levels regarding adult content.

The Bing SafeSearch setting you encountered is a feature designed to filter out adult content from search results, which is why it suggested adjusting the settings. If you're curious about someone's background or work, it’s always good to consider the context and the nature of that work, as it might not align with everyone’s preferences or comfort levels.

If you have any specific questions or thoughts about him or the topic, feel free to ask!

Answer 36

does he dress innapropriately or sm

Answer 37

Johnny Sins is known for his work in the adult film industry, which typically involves adult themes and content that many would consider inappropriate for underage viewers or in more conservative settings. In various roles he plays, he often appears in clothing that is part of the adult genre's aesthetic, which can include minimal or revealing attire.

Outside of his professional work, Johnny Sins has appeared in various other contexts, including social media and online platforms, where he sometimes shares humorous or light-hearted content. The appropriateness of his attire depends largely on the context of what he is doing and the audience that is viewing it.

If you have specific concerns about certain content or how it aligns with your values, it’s completely understandable to question and reflect on these things. It's always good to be critical of what you consume and to establish your boundaries when it comes to media and content. If there’s anything else you’d like to know or discuss, feel free to ask!

Answer 38

wdym adult content

Answer 39

"Adult content" refers to material that is intended for an adult audience, typically involving sexual themes or explicit imagery. This can include adult films, explicit photographs, and content that discusses or portrays sexual activity in a graphic manner.

In many cases, adult content is not suitable for minors and is often subject to age restrictions due to its explicit nature. It can also extend to various forms of media that contain strong language, violence, or other mature themes that may not be appropriate for younger audiences.

If you have further questions or if there’s something specific you’d like to discuss regarding this topic, feel free to ask!

Answer 40

15 IS a minor, right?

Answer 41

Yes, a 15-year-old is generally considered a minor. The legal definition of a minor varies by country and jurisdiction, but in many places, individuals under the age of 18 are classified as minors. This designation typically means they are not legally able to make certain decisions or access specific types of content, including adult material.

If you have further questions about this topic or related subjects, feel free to ask!

Answer 42

ok ty I am glad. I am 15 :)

Answer 43

You're welcome! It's great to hear from you, and I'm glad you feel comfortable sharing. If you have any other questions or topics you'd like to discuss—whether about age-related matters, interests, or anything else—feel free to let me know! I'm here to help.

Answer 44

is he really famous

Answer 45

Yes, Johnny Sins is quite well-known, particularly in the adult film industry. He has gained significant recognition and has become somewhat of a cultural icon, often referenced in memes and popular discussions about adult entertainment. Due to his extensive work within the industry, he has a large following on social media, where he engages with fans and shares various content, often outside of his adult work.

His distinct appearance, which includes a shaved head and a muscular build, as well as his memorable roles, have contributed to his fame. While his recognition is primarily within the realm of adult entertainment, he has crossed over into broader pop culture in various ways.

If you have more questions or want to know more about him, feel free to ask!

Answer 46

whyt do people do adult film its disgusting

Answer 47

People have different reasons for working in the adult film industry, and opinions about it can vary widely. Here are some common reasons why individuals choose to enter this field:

1. Financial Incentives: Many people enter the adult film industry for the potential for higher earnings compared to other forms of work, especially if they are successful.

2. Personal Freedom: Some individuals appreciate the flexibility and autonomy that comes with working in the adult industry, including the ability to schedule their own shoots and make independent choices about their work.

3. Body Positivity and Sexual Expression: For some performers, participating in adult films can be a form of sexual expression and empowerment. They may feel that it promotes body positivity and challenges societal norms around sexuality.

4. Work Experience: Some individuals may see adult films as a stepping stone to other types of media or entertainment careers, or as a way to gain experience in front of the camera.

5. Personal Choice: Others simply choose to be part of the industry because it is something they are interested in, and they make an informed decision to pursue it.

However, it's completely valid to find adult films or the industry itself unappealing or "disgusting." Everyone has different values, beliefs, and comfort levels regarding sexuality and explicit content. It’s essential to approach discussions about adult entertainment with respect for differing viewpoints.

If you have more thoughts on this subject or want to explore it further, feel free to share!

Answer 48

was this a thing back back in the 50s or sm?

Answer 49

The adult film industry, as we know it today, took shape in the late 20th century, but there was certainly some form of adult content long before that. Here's a brief overview of how adult films and explicit content evolved over the years:

1. Early 20th Century: In the early 1900s, nudity and sexually explicit content were often underground or taboo. Short films known as "stag films" featured such content, but they were not widely distributed and were typically shown in private settings.

2. 1950s: During the 1950s, there was a certain level of sexual repression in Western societies, but the publication of adult magazines and some softcore films began to emerge. Content was generally more suggestive than explicit.

3. 1960s and 1970s: The sexual revolution of the 1960s led to greater tolerance for sexual expression and nudity in media. The first feature-length pornographic films, such as Deep Throat (1972), gained mainstream attention and sparked interest in adult films. This era marked a significant shift in the industry, leading to more explicit content and larger production values.

4. 1980s and Beyond: The adult film industry continued to grow, especially with the advent of home video technology, which allowed people to access adult content in the privacy of their homes. By the late 1980s and into the 1990s, the internet began to play a crucial role in the distribution and accessibility of adult material.

So while adult content existed in various forms throughout history, it became more commercially structured and mainstreamed primarily in the late 20th century. If you have more questions about this topic or anything else, feel free to ask!

Answer 50

people need to do what early 20s did regarding that cuz it should still be very bad

Answer 51

I understand where you're coming from. Many people have strong feelings about adult content and the way it has evolved, viewing it as potentially harmful or problematic for various reasons, such as its impact on relationships, societal norms, and individual views on sexuality.

Critics of the adult industry often point out concerns about the following:

1. Objectification: Many argue that adult films can promote the objectification of individuals, especially women, leading to unrealistic expectations and attitudes regarding sex and relationships.

2. Mental Health: There is concern that exposure to adult material can affect individuals' mental health, self-esteem, and their understanding of intimacy and relationships.

3. Consent and Treatment: Some criticize the industry for potential exploitative practices and for not always prioritizing the well-being and consent of performers.

4. Cultural Impact: There is debate about the influence of adult content on societal norms and behavior, particularly among younger viewers who may not be able to critically assess what they see.

It’s important to foster discussions around sexuality and adult content in a way that prioritizes education, consent, and respect for varying perspectives. Open conversations about these topics can help people navigate their views and ensure that they approach these subjects thoughtfully.

If you want to delve further into this area or discuss it from different angles, feel free to share your thoughts!