The Grinch but make it venous insufficiency and heart failure style 😂
missmytater on
With tears in their eyes, they said “Sir, those are the biggest cankles we have ever seen!”
Fit_Arm_6592 on
Why those are the healthiest canckles I’ve ever seen!
OLDandBOLDfr on
That cannot be real.
guttanzer on
Is that real? That’s a massive amount of edema.
The_Wolfdale on
Try walking on heels all day 🤣
If u lie and add 20cm to your height u better put 10cm in your shoes
ton80rt on
I wonder who the poor bastard is that has to put his shoes on for him.
rowdydionisian on
Looks like heart disease might give JD an early Christmas present.
jcooli09 on
I hope it hurts.
Laserdollarz on
He holds a lot of water in this town
Crytin09 on
Don’t post shit like this. The guy is a fucking trainwreck as it is. This only feeds their argument when they say the left isn’t posting facts. It’s not a joke or really even funny. Fuck Trump but don’t go to their level.
human_sweater_vest on
Smuggling a Christmas ham haha
HamSundae on
Healthiest presidential cankles in all of history, that’s what they’re saying
infctr on
Doctor: “Healthiest man who ever lived.”
ActionKbob on
Haters will say it’s fake
mbenzn on
Heart disease, atherosclerosis and kidney failure crammed together in one picture
rp2784 on
Every time he lies they get bigger.
marth_cellius on
This can’t be real
Primary_Chipmunk_466 on
Even the cankles are redacted.
Four_in_binary on
This absolutely can be real. That is called pedal edema. When your heart is no longer capable of pumping efficiently, fluid stays in the interstial spaces and follows gravity, collecting in the lower extremities instead of being returned to the circulatory system via the lymphatics.
Typically,fluid in right-sided heart failure collects in the lungs and left-sided heart failure collects in the extremities abdomen and scrotum. A cardiologist may point out that the this whole business is more complicated than I am stating here but K.I.S.S.
Cause can be from the heart enlarging from untreated high blood pressure, damage to the heart from a heart attack or other heart disease processes.
It is progressive and generally irreversible but can be treated, slowed and mitigated to some extent using diuretics to remove the edema, medications to alter the force of contraction, as well as to alter the heart rate and blood pressure and reduce the changes in the heart muscle that reduce contractility. These medications work to improve the efficiency of the heart and remove excess fluid.
When those interventions fail , a mechanical pump (LVAD) is sometimes used to assist blood flow through the left side of the heart.
It is important to remember this CHF frequently occurs in addition to other chronic disease processes such as diabetes and kidney disease, making treatment challenging as medications that improve one condition can exacerbate another.
near_to_water on
It tracks. Lot of evil medieval kings and queens died similarly from their disgustingly lavish and decadent lifestyles. He’s like Nero and Henry the VIII wrapped up in one.
Reemixt on
Imagine it’s your job to lever that monstrosity into each shoe. The shoehorn must be solid titanium.
ClosPins on
Trump’s probably wearing an ankle monitor – that’s what they do with felons, right?
26 Comments
The Grinch but make it venous insufficiency and heart failure style 😂
With tears in their eyes, they said “Sir, those are the biggest cankles we have ever seen!”
Why those are the healthiest canckles I’ve ever seen!
That cannot be real.
Is that real? That’s a massive amount of edema.
Try walking on heels all day 🤣
If u lie and add 20cm to your height u better put 10cm in your shoes
I wonder who the poor bastard is that has to put his shoes on for him.
Looks like heart disease might give JD an early Christmas present.
I hope it hurts.
He holds a lot of water in this town
Don’t post shit like this. The guy is a fucking trainwreck as it is. This only feeds their argument when they say the left isn’t posting facts. It’s not a joke or really even funny. Fuck Trump but don’t go to their level.
Smuggling a Christmas ham haha
Healthiest presidential cankles in all of history, that’s what they’re saying
Doctor: “Healthiest man who ever lived.”
Haters will say it’s fake
Heart disease, atherosclerosis and kidney failure crammed together in one picture
Every time he lies they get bigger.
This can’t be real
Even the cankles are redacted.
This absolutely can be real. That is called pedal edema. When your heart is no longer capable of pumping efficiently, fluid stays in the interstial spaces and follows gravity, collecting in the lower extremities instead of being returned to the circulatory system via the lymphatics.
Typically,fluid in right-sided heart failure collects in the lungs and left-sided heart failure collects in the extremities abdomen and scrotum. A cardiologist may point out that the this whole business is more complicated than I am stating here but K.I.S.S.
Cause can be from the heart enlarging from untreated high blood pressure, damage to the heart from a heart attack or other heart disease processes.
It is progressive and generally irreversible but can be treated, slowed and mitigated to some extent using diuretics to remove the edema, medications to alter the force of contraction, as well as to alter the heart rate and blood pressure and reduce the changes in the heart muscle that reduce contractility. These medications work to improve the efficiency of the heart and remove excess fluid.
When those interventions fail , a mechanical pump (LVAD) is sometimes used to assist blood flow through the left side of the heart.
It is important to remember this CHF frequently occurs in addition to other chronic disease processes such as diabetes and kidney disease, making treatment challenging as medications that improve one condition can exacerbate another.
It tracks. Lot of evil medieval kings and queens died similarly from their disgustingly lavish and decadent lifestyles. He’s like Nero and Henry the VIII wrapped up in one.
Imagine it’s your job to lever that monstrosity into each shoe. The shoehorn must be solid titanium.
Trump’s probably wearing an ankle monitor – that’s what they do with felons, right?
Pinch it…
This shoe laces are the real hero.
