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The other day I walked into the grocery store and saw a huge crate of fresh mangoes. I was immediately inspired to make something delicious. I took them home (Don’t worry, I paid for them) let them ripen and decided their destiny would be in the form of fresh salsa. Was it delicious? Heck yeah, it was! It was perfect on top of the chicken and even better when mixed in with the brown rice I served on the side.

Since I’m horrible at recipe development you with have to deal with the fact that I didn’t really measure anything for this recipe. I apologize. However, in my defense, you don’t really need to measure. This meal is all about personal taste. If you don’t like cilantro don’t add it. Not a fan of red onion? That’s cool. Make everything to your taste. I will give you the idea, you make it personalized for yourself and your family.

I threw my chicken on the grill because who doesn’t love grilled chicken? BUT you could always just throw in a pan for a quick way of cooking if you’re short on time or don’t own a grill. Oh, also feel free to use as much or little seasoning on the chicken. This recipe is all about customization and SO EASY to turn into exactly what you want. Now, get your grill ready and prepare to dive in!

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California governor candidate Gavin Newsom speaks to the media after voting at the Masonic Center on Tuesday, June 5, 2018, in Larkspur, Calif. (Robert Tong/Marin Independent Journal)

Election Day in Marin

Toni Shroyer and her mother, Sally Frederickson waits for the election results, at the election night party in her Novato, Calif., home on Tuesday, June 5, 2018. (Jocelyn Knight/Special to the Marin Independent Journal)

Election Day in Marin

Toni Shroyer is surrounded by her supporters, left to right, Kathleen Hallin and Cathy Tucker of Novato, and campaign supporter Doug Kelly at the election night party in her Novato, Calif., home on Tuesday, June 5, 2018.(Jocelyn Knight/Special to the Marin Independent Journal)

Election Day in Marin

Judy Arnold chats with supporters Marsha Engdahl, left, and aide Leslie Weber during Arnold's election night party at Hilltop 1892 in Novato, Calif. on Tuesday, June 5, 2018. Fifth District county supervisor Arnold is running for reelection against Toni Shroyer. (Alan Dep/Marin Independent Journal)

Election Day in Marin
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Judy Arnold greets a supporter during her election night party at Hilltop 1892 in Novato, Calif. on Tuesday, June 5, 2018. Fifth District county supervisor Arnold is running for reelection against Toni Shroyer. (Alan Dep/Marin Independent Journal)

Election Day in Marin

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With 100 percent of precincts reporting in the race for the District 5 seat on the Marin County Board of Supervisors, challenger Toni Shroyer was leading incumbent Supervisor Judy Arnold by just 124 votes early Wednesday morning.

Shroyer had 3,557 votes, less than 51 percent of the ballots counted, while Arnold had 3,433 votes or nearly 49 percent of the vote. Some 30,000 mail-in ballots countywide, including an unknown number in Novato, are still to be counted over the next few days before updated results are posted Friday.

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It is important to know about anterior hip replacement precautions. There aren’t that many! After 7 years andalmost1000 anterior total hips, I would conclude that this procedure is “better” than the old “gold standard” of posterior total hip replacement. While no long term results studies are available that do a double-blinded comparison of techniques, my own results show the success rates are higher with the anterior hip procedure. My patient’s satisfaction rate is greater with the anterior hip. Much of the reason is the vastly improved short term recovery time. This includes the beneficial feature of not having to constantly worry about the hip popping out (dislocation) which is a much more common occurrence in posterior total hip replacement. My own results also show a lower infection rate (there is better blood supply in front which decreases infection risk). There have been less problems with blood clots (much faster mobility, and less twisting of the veins at surgery on the HANA table). There is much less leg length inequality (because we see the hip on Xray before closing, which results in better position of the implants. Maybe most importantly to some is there is clearly less pain, and because of that, less narcotic medications give, which results in an overall better feeling after surgery. LESS PAIN is a good thing!!!

You may have had one hip done through a posterior approach years ago, which cuts through the gluteus maximus muscle and external rotator muscles as a routine part of the hip exposure. You probably remember how much you stressed and complained about having to follow rigorous precautions to prevent hip dislocation. You could not turn on your side in bed, and you could not bend over to pick up your keys if they dropped. The reason that this is necessary in the posterior approach is the soft tissues are damaged and lax, and the hip can more easily pop out until they heal. healing time is 3 or 4 months, so you will have to be careful for a long time. In the posterior approach, no traction table is used to dislocate the hip and leverage is used to pop the hip out, stretching veins and vessels. In distinction, the anterior approach leaves the soft tissues intact, which holds the hip in better.

If a ball and socket were held together by gravity and asymmetric muscle tension from intact anterior muscles passing over the joint, the tension might change indifferent positions. The soft tissue envelope would become lax in full flexion or full extension due to the shortening of some muscle tissues with those motions. The hip might “fall out” of the socket posteriorly, or it might get “levered out”, by a twisting motion. This is why you must not flex (lift) the thigh past 90 degrees to the body while twisting after a posterior hip. You must sleep on your back with a pillow between your legs to keep the legs apart. The pillow pushed the hips into abduction, which is a more stable position. Crossing the legs (adduction) is strictly prohibited for 3 months! Looking back, I’m amazed at how many people got through that difficult period. This recovery from posterior hip surgery demands a significant period of “no work” and “no travel”. Most patients would choose the anterior approach, given a choice, as this method has a much faster recovery with very little in the way of hip precautions.

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