I was in AZ yesterday, sunny, 70 something degrees… today in NY, snowing, 33 degrees.

Happy Thanksgiving 🦃

Shared with permission, is a good example of myokymia from a rattle-🐍 envenomation. It started in the thigh & spread to the groin, buttocks… the entire leg, persisting for ~48hrs. Indeed was quite a discomfort/painful experience requiring large doses of opioids, benzos, & skeletal muscle relaxants.