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      <image:title>Blog - Mercury - Make it stand out</image:title>
      <image:caption>Figure 1: The rewards</image:caption>
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      <image:title>Blog - Mercury - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Mercury - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Mercury - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Mercury - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - How to Deal with Sea Urchin Spines - Make it stand out</image:title>
      <image:caption>Figure 1: Diadema (left), Stronglyocentrotus (right)</image:caption>
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      <image:title>Blog - How to Deal with Sea Urchin Spines - Make it stand out</image:title>
      <image:caption>Figure 2: Using a suture needle (left) and bobby pin (right) to remove Moroccan urchin spines after a surf session.</image:caption>
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      <image:title>Blog - How to Deal with Sea Urchin Spines - Make it stand out</image:title>
      <image:caption>Figure 3: Septic joint after foreign body went into the metatarsal-tarsal joint.</image:caption>
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      <image:title>Blog - How to Deal with Sea Urchin Spines - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <lastmod>2024-01-22</lastmod>
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      <image:title>Blog - Sinus Inflammation - Make it stand out</image:title>
      <image:caption>Circles represent openings to each sinus.</image:caption>
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      <image:title>Blog - Sinus Inflammation - The ginger ninja, Eryk Slupski after aborting a dive due to sinus squeeze.</image:title>
      <image:caption>Sinus Squeeze When you duck dive and kick to the bottom, increased pressure causes sinus mucosa to be pulled inward. During inflammation you can’t vent the pressure, so vessels in the sinuses tear and blood can drain out of the nose. In an upright position, drainage of frontal, ethmoid, and sphenoid sinuses are aided by gravity, as their openings are at the bottom of the chamber. The maxillary sinus has its opening on top. You may need to invert yourself to drain the maxillary sinus. If the blood doesn’t drain, the pain will be far worse. Reverse Sinus Block Your sinuses should vent passively during ascent. If your Sudafed wore off mid-dive and your sinus canals close at depth you can get into trouble. Positive pressure builds in a closed sinus and the bony walls can burst into another well vented sinus, including the middle ear cavity. If everything goes well, you will feel sharp pain on ascent and definitely a bloody nose. Alternatively, you can have defacement of the mucosa from underlying bone which can lead to long term scarring. Alternatively, you can rupture an eardrum followed by such an intense vertigo and nausea you may not know which way is up. You may also vomit mid breath hold which is fatal.</image:caption>
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      <image:title>Blog - Sinus Inflammation - Make it stand out</image:title>
      <image:caption>Circles are ostium under each concha. These dots  connect as canals to the dots in Figure 1. Ethmoid sinus is in front of the page and maxillary sinus is behind the page.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Ciguatera, Scombroid, &amp;amp; Tetrodotoxin - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Neil Armstrong pissing his spacesuit (NASA 1967)</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Underwater Pupillary Reflex</image:title>
      <image:caption>Moken Children on the West Coast of Thailand</image:caption>
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      <image:title>Blog - Underwater Pupillary Reflex - Make it stand out</image:title>
      <image:caption>Top Image - Mask is filled with air, pupils are dilated. Middle Image – Mask is flooded with water, pupils are constricted. Bottom Image – Child from Moken tribe, pupil constricted to anatomical limit.</image:caption>
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