Print off a copy of our price list and use it as an order form. Post it, with a cheque (payable to Lucy Dell and your name and address, to Lucy Dell, Aston Bank, Tenbury Wells, WR15 8LW. Please include an email address and/or phone number so we can contact you if there are any problems.

Lucy Got Problems Review

Distance Problems – Extra Practice 1. Car A and Car B start from the same place at the same time and travel in the same direction. If Car A travels at 40 mph and Car B travels at 52 mph, in how many hours will they be 60 miles apart? Two cyclists start in opposite directions from the same place, one at 6 mph and the other at 9 mph. Title: Lucy Got Problems EXTRA Genre: Adventure Developer: Flat Chest Dev Publisher: Flat Chest Dev, Critical Bliss Franchise: Twisted Bliss Languages: English, German, Spanish - Latin America, Simplified Chinese, Portuguese - Brazil, Russian Listed languages may not be available for all games in the package. View the individual games for more. To generations of Americans, Abraham Lincoln is the Great Emancipator, the man who ended slavery. But, argues Lucy Worsley, scratch beneath the surface and you’ll find that the president’s motives weren’t as unblemished as many people believe. The linked problems of nutrition confusion, body shame, health injustice and planetary crisis won’t be solved by telling people what to eat and not eat, to diet or not diet, or love your body. It needs a practical response that addresses the deep roots of these problems, one that can be put into action straight away, and this is Well Now.

Spine surgeons and radiologists (who both may read and interpret MRI scans) sometimes differ in their method of labeling a particular spinal segment. This creates confusion - among both patients and insurance companies - triggering the question: 'Where is the problem?'

A Sixth Lumbar Vertebra

One of the reasons for the confusion is that some people, approximately 10% of adults, have a congenital anomaly in their lower back. One of the most common anomalies is the presence of a sixth lumbar vertebra. Having one extra lumbar vertebra provides no advantage or disadvantage to the individual and is rarely a cause of back problems, but it can create some confusion. For example:

Radiologists commonly count down from the last rib when numbering the lumbar vertebral bodies.
Surgeons on the other hand, count up from the sacrum when numbering the lumbar vertebrae.

Neither method of labeling lumbar vertebrae is incorrect, but obviously it can create confusion.

Red orchestra: ostfront 41-45. For an individual with 5 vertebral bodies, they would be in agreement when labeling the L4-L5 level. If the individual has 6 lumbar vertebrae, however, the radiologist would typically refer to the lowest level as L6-S1 and the level above that L5-L6, which in the surgeon's mind, would be correctly labeled L4-L5.

It is obviously very important to clearly identify the location of lumbosacral anomalies in order to avoid injection or surgical exposure of the incorrect level. This becomes particularly important for minimally invasive procedures. A physical exam and complementary imaging studies, such as an MRI scan and X-ray, can help improve the accuracy and the communication of the diagnosis.

When Spinal Anomalies Cause Back Problems

Patients are sometimes told that a spinal anomaly - such as a sixth lumbar vertebrae or an extra sacral bone - has been found on an X-ray and is causing their back problems. However, anomalies such as these in the lumbar spine and sacral spine are simply variants of normal bony architecture and are typically of no consequence. In other words, it would be very rare for an abnormality such as a sixth lumbar vertebra or extra bone in the sacrum to cause back problems.

The one exception to this general guideline is in cases where the last transverse process (a bony protrusion near the vertebra) is partially attached to the sacrum, or 'sacralized'. If this bony protrusion is attached to the sacrum, it can create a rudimentary joint (pseudoarticulation) where there shouldn't be one. The resulting motion in this section of the spine can sometimes be a cause of localized low back pain. This condition can usually be successfully treated without surgery. For instance, an injection of steroid medication at the pseudoarticulation of the transverse process and the sacrum can often be both diagnostic and therapeutic.

“How can we live well?”

My approach, Well Now, envisions a world where no-one is starved of food, company, dignity or security. This is about more than ‘being healthy’.

In this world, people of all shapes, genders, ages, and identities are treated with respect. Creating this world means we need to alter our thoughts, habits and structures that get in the way of dignity, equity, compassion, and health-justice.

Lucy Got Problems Extra 600

Some key questions include: how can we heal personally and collectively? What can we do as dietitians, counsellors, fitness/healthcare and socialcare professionals to truly improve public health? How does my whiteness show up in my work? Where does white supremacy fit into all this?

“How can we live well, now, all ways?”

Connected to this, Well Now, helps us make sense of our food and body stories by taking account of how our circumstances and histories shape how we feel and think. It helps practitioners link self-care with social justice in meaningful ways in our therapeutic conversations. This means understanding our own biases and it means understanding how trauma impacts eating, behaviours, self-worth and wellbeing.

I offer training on various aspects of Well Now, from nutrition education to the deep theory of understanding and undoing white supremacy. Plus I offer personal counselling and coaching appointments by zoom.

You can find me on stage too! I perform social action poetry as The Naked Dietitian.

Whether you want to build a fairer society, make sense of your eating, finish a brilliant PhD, grow in self-compassion or improve your clinic’s outcomes, if any of this puts words to something you’ve been searching for I’d love to hear from you.

Why Well Now?

Imagine a world where no-one is starved of food, dignity, company or security. Where no-one wakes up ashamed of themselves, dreading their next binge or being insulted for what they look like. Where people from different social backgrounds have similar opportunities for meaningful lives and health inequalities are a thing of the past.

In this imagined world, everyone has access to food as a right and it is possible for everyone – including People of Colour/Black people, fat, queer, and disabled people, to go walking or wheeling without being shot at or ridiculed or missing a shift. Of course, access to food and activity are only one part of the health jigsaw, the rest belongs in policies that foster compassion, address climate justice and build a fairer world.

My work with Well Now as a dietitian and a social action poet is committed to realising this dream.

Lucy Got Problems Extra Innings

The linked problems of nutrition confusion, body shame, health injustice and planetary crisis won’t be solved by telling people what to eat and not eat, to diet or not diet, or love your body. It needs a practical response that addresses the deep roots of these problems, one that can be put into action straight away, and this is Well Now.

My poetry works as social action because it bears witness to lived experience, my own, and other people’s. The visibility, validation and sense-making are vital to collective action, and contribute to individual healing.

Change is possible. It starts with us deciding not to accept the ways things are and then figuring out what to do differently. In strategizing for deep transformation, I theorised Well Now, took to the stage as The Naked Dietitian and began to speak new truths.