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#Neuro and Vascular
sureshgiragani · 9 months
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Are you concerned about health risks related to the liver?
The Liver is an extremely important organ. It makes proteins and enzymes that are needed for vital metabolic processes, eliminates contaminants from the blood and improves infection prevention, and stores vitamins and nutrients. At Neuro and Vascular, we understand that questions and uncertainties arise around diagnoses requiring liver biopsy. Located in Hyderabad, India, our facility can help provide peace of mind through CT Guided Liver Biopsy Procedure with excellent radiologists who will provide you with precise imaging results.
For more information, visit our website today, or call us at +91 99121 82862/+91 8501950088.
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liminalweirdo · 5 months
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COVID is airborne. Airborne transmission is different from droplets, which are large particles containing the virus, expelled when you speak, cough, sneeze, etc. Droplets are heavy enough that they will eventually drop to the ground or nearby surfaces, meaning it’s relatively easy to contain: any physical barrier — like a cloth mask or plexiglass — will block these droplets before they can reach another person. “Social distancing” is a concept that applies to droplet transmission, under the presumption that the virus-containing droplets will fall to the ground before reaching someone 6 feet away. Sanitizing surfaces kills any viral droplets that have landed on them before someone can touch them and then touch their orifices.
However, COVID is not confined to droplets. We have known for years that it can spread through aerosol as papers published in the New England Journal of Medicine, Emerging Infectious Diseases, and Risk Analysis demonstrate going back to 2020. Aerosol is composed of much smaller particles that bounce around between air particles, and can stay suspended and infectious in the air. Picture someone smoking: the behavior of the smoke is much more akin to the behavior of viral aerosols. Can you still smell the smoke behind a plexiglass shield? How about if you’re six feet apart? In a crowded, enclosed space, how many people would breathe in the smoke of one smoker? Measures designed to protect against droplets aren’t exactly pointless against COVID, since it also spreads via droplets. But just because you’re not spewing COVID-laden spittle in someone’s face does not mean you’re keeping your germs to yourself.
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skuzz · 2 years
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Recently published work for "Update on Open Vascular Surgery" Neurosurgical Clinics. The article is titled “Evolution in Cerebrovascular Bypass: Conceptual Framework, Technical Nuances, and Initial Clinical Experience with Fourth-Generation Bypass” check it out online. DOI: https://doi.org/10.1016/j.nec.2022.06.004 #aneurysmclip #bypass #aneurysm #clipping #microsurgery #endoscope #bypasssurgery #vascular #pathology #medicalillustration #cintiq #wacomtablet #scienceart #medical #pathologyassistant #ortech #neuronurse #paschool #physcicianassistant #neuro #illustrators #artistsoninstagram #neurosurgery #photoshoppainting #digitalartists #pathological #surgical #techniques (at Barrow Neurological Institute) https://www.instagram.com/p/CkBQgCcrafT/?igshid=NGJjMDIxMWI=
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cmckolkata · 2 months
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Promoting The Importance Of Preventative Health Screenings And Checkups
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Preventative care involves measures taken to prevent diseases or injuries rather than treating them after they occur. The benefits of preventative care are numerous and extend to individuals, communities, and healthcare systems. Let the most recommended Polyclinic Centre in Kolkata share some key benefits of preventative care through our latest blog post.
Early Detection and Treatment: Preventative care usually involves routine screenings, check-ups, and tests aimed at detecting health issues in their early stages. Early detection allows for prompt treatment and management of conditions, potentially preventing them from worsening or becoming more severe.
Reduced Healthcare Costs: By preventing diseases or catching them at the early stage, preventative care can lead to significant cost savings for individuals, families, and healthcare systems. Treating health issues in their early stages tends to be less expensive than managing advanced or chronic conditions.
Improved Health Outcomes: Preventative care can lead to better health outcomes and quality of life for individuals. By addressing risk factors and adopting healthy behaviors, people can reduce their likelihood of developing chronic diseases such as heart disease, diabetes, and certain cancers.
Increased Longevity: Engaging in preventative care can help individuals live longer, healthier lives. By managing risk factors, receiving vaccinations, and adopting healthy habits, people can reduce their risk of premature death from preventable causes.
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Enhanced Quality of Life: Preventative care promotes overall well-being by focusing on maintaining good health and preventing illness. By addressing risk factors and promoting healthy behaviors, individuals can enjoy a higher quality of life with fewer limitations due to health issues.
Health Equity: Access to preventative care can help reduce health disparities and promote health equity. By providing screenings, vaccinations, and preventive services to underserved populations, preventative care can help address systemic barriers to healthcare access and improve health outcomes for all individuals.
Increased Productivity: Did you know that healthy individuals are more likely to be productive at work and in their daily lives? However, preventative care can help individuals stay healthy, reducing absenteeism and improving overall productivity in workplaces and communities.
Promotion of Healthy Behaviors: Preventative care often includes health education and promotion of healthy behaviors such as regular exercise, balanced nutrition, and stress management. By empowering individuals to make healthier choices, preventative care fosters a culture of wellness and disease prevention.
Overall, preventative care plays a crucial role in promoting health, preventing diseases, reducing healthcare costs, and improving overall well-being for individuals and communities. Investing in preventative care can lead to long-term benefits for both individuals and society as a whole.
Do you want to know more about the benefits of preventative care? Visit Calcutta Medical Centre, the most recommended Health clinic and get the best healthcare service in Kolkata.
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Wellsun  Medicity is Multi specialty hospital, Healthcare service, premier medical hospitals and India's best Doctor who came together to drive their passion and commitment to providing quality healthcare such as Cardiology, Cardio Vascular Thoracic Surgery, Nephrology, Urology & Kidney Transplant, Neuro Surgery & Trauma Management, euro Surgery & Trauma Management, Pulmonary Medicine
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beingsanket · 9 months
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doktorscare · 2 years
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Consult With Dr. Abhishek Kotwal (Neuro-Radiologist) - Doktors App
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I am a #neuroradiologist and I can give advice on headaches, #dizziness, tingling or numbness, movement problems, #sleepproblems, and lots more. If any patient feels the symptoms of any illness and is caught up in some work, the patient can consult me immediately with the help of online consultation.
If you are living alone, and suddenly feel unwell, rather than worrying about how to see a doctor, the patient can directly contact me online and get instant help. There’s no need to stand in long queues or #takeappointments at a physician’s clinic as most common health issues can be treated easily with #onlineconsultation.
Book your consultation with Dr. Abhishek Kotwal by clicking on the link below!
For any info or appointment-related queries, kindly contact us now +91 7669865196 or +91 9073374248, or email us [email protected]
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imagemonitoringusa · 2 years
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Image Monitoring USA
Image Monitoring USA is proud to introduce you to innovative diagnostic vascular equipment including the Falcon PRO and Falcon Quad peripheral vascular systems, the Dolphin IQ and Dolphin 4D transcranial Doppler systems
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thebibliosphere · 1 year
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“You’re sitting, but it feels like you’re running for a bus,” she explains. “Your body’s like, ‘You need to stop!’” She compares it to the after-effects of an all-nighter, only she’d had a full night’s sleep beforehand. This lack of explanation was alarming. She couldn’t comprehend why sitting in class was so draining. Naturally, doubts crept into her mind. What if, on some subconscious level, she was faking everything?
*
Despite ME/CFS’s low recovery rate, since the late 1980s certain researchers and clinicians, particularly in the UK, have touted two ‘cures’: cognitive behavioural therapy (CBT) and graded exercise therapy (GET). The wider ME/CFS community—including clinicians, researchers, and patients alike—discredits both. They’re rooted in the erroneous belief, known as the cognitive behavioural model, that the condition is a psychiatric disorder and its physical symptoms are psychosomatic. “It’s a multi-systemic disease,” says Professor Simon Décary, a University of Sherbrooke physiotherapist who researches long COVID and ME/CFS care outcomes. “There are vascular, neuro-inflammatory, and postural problems. You can’t create these with your brain.” Understandably many patients do develop psychiatric symptoms, but they’re a consequence of their illness.
Just going to leave this here for anyone who needs it.
Bolding mine for emphasis.
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brunchable · 2 years
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Conflict Resolution Chapter 4 — 30 minutes || Surgeon!S.S. × Asian!Reader.
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Warnings: Coarse Language, Sexual Elements, Medical elements, Arguing, Bickering
Pairings: Stephen Strange x Asian!Reader (OC)
Summary: You and Stephen go to dinner as per the homework Dr. Sofen assigned to the both of you.
A/N: I have no ownership of this story, all credits go to Kate Canterbary for her book, The Worst Guy.
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Stephen
"What else?" Stephen asked Essex. He paced the sidewalk across the street from Pastoral in the Manhattan neighbourhood while his neuro fellow murmured a few lines from an old Snoop Dogg song through his earbuds. It was fucking freezing out here but he was a minute early, and he'd take all manner of damp, bone-chilling wind if it saved him from dealing with Park. At least for one more minute.
"I think that's the last update I have for you," he said. Stephen could hear him flipping through his notebook and the ambient noise of the hospital around him. "For now, that is. I will come up with something soon enough."
"Please don't complain to me about the general surgery fellow grabbing another case out from underneath you again," he said, giving the restaurant a resentful glance.
"Did you hear me complain? Because I didn't. You extrapolated a complaint about that case-thieving sneak from my overall report. The last time I complained out loud was when I was an intern and had so many pagers, my scrubs kept falling down."
That was fully inaccurate but Stephen wasn't interested in debating that with him now.
"And how many pagers does it take to drop your pants, Essex?"
"Yeah, this sounds like a fully appropriate question," he snarked. "And for your information, it was nine. Nine pagers. Urology, trauma, ENT, cardio, surgical oncology, colorectal, vascular, limb salvage, plastics. What a fucking nightmare."
Stephen stifled a groan at the mention of plastics and frowned at his watch. He was going to have to go in there and get this over with soon. He wouldn't put it past you to break a chair over his head if he rolled in ten minutes late. He shoved his hands into his pockets as another gust of cold, raw air blew in off the water. He hated the way summer bumped and stumbled into autumn here, starting and stopping like there was some serious question over whether seasons were supposed to keep on changing. And then, after cold snaps and heat waves and hurricanes, there was always one day in October, just like today, when it all collapsed and the debate was over. Summer was finished, autumn was here to stay, and he fucking hated it.
Stephen hated wintry weather and all the nonsense that went with it. Snow, ice, everything. Goddamn, it was awful.
"Anyway, that was a night I wouldn't wish on anyone," Essex said.
"What?"
"Did you dip out on me there? You do that a lot, Strange. I have to check the paperwork but I think you're supposed to pay attention to me. You're also supposed to be teaching me, not flaking out in the middle of my twenty-car pileup story, but that's a neglect I've come to accept from you."
It had taken me a bit to get his arms around it but he now understood this was Essex's personality. He was obnoxious in a jaded, cynical way, though he never pretended he was in this business for any altruistic purpose. He thrived on ego and half-baked contempt for everyone.
Stephen understood it too, even if he didn't function the same way Essex did. But the guy had a dry, silly side too and it often came out in stories about his intern years in Minnesota, his assertion that Stephen didn't teach him enough, or riding the line between delinquent and savant.
Essex was a brilliant surgeon but not a single day went by without Stephen wishing he'd known all these quirks of Essex before selecting him for a two-year fellowship.
"What would you like me to teach you while you're recapping the greatest hits of your intern year?"
"You could start by explaining how you organise your shit. I bent down to tie my shoes and it took me twenty-five minutes to clean up the mess from my pockets projectile vomiting all over the place. It was a fucking yard sale, man."
"Sounds like a personal problem." Stephen glanced at the restaurant again. He was notably late now. "Could you…uh, do me a favor? Could you give me a call in forty-five minutes?"
"Is that when you slip into a bath? Glass of pinot, chocolates, fizzy bath bomb? Get your me time?"
"What? No. I might need a reason to—" Stephen stopped, neither wanting to nor knowing how to explain this. "Forty-five minutes. I might teach you something interesting tomorrow if you can save me tonight."
"Sold. Setting a timer now." With that, Essex ended the call.
Stephen popped his earbuds back into their case and accepted the fact he had to go inside, sit down with you for significantly longer than he could bear, and talk to you without rolling his eyes out loud. He was going to fail his ass off. It was warm inside the restaurant and he spotted you immediately.
You were frowning at your phone while typing, pausing, deleting, and typing again.
"Excuse me, sir? Are you meeting someone?" Stephen glanced around to find the hostess with a stack of menus cradled in her arm.
"Uh. Yeah, but—"
"Would you happen to be the most insufferable, arrogant surgeon in the entire city? If so, I can show you to your party." Stephen shifted to face the hostess fully.
"How much did she pay you for that?" Stephen reached for his wallet. "Whatever it was, I'll double it if you—"
She held up a hand and shook her head with a grin. "No, I'm pretty sure I'm on her side."
Stephen shoved his wallet back in hid pocket. "How righteous of you." Stephen jerked his chin in your direction. "My insufferable arrogant ass will lead the way. Thanks."
He reached the table in a few long strides, yanked back the empty chair, forcing a rough squeal of wood scraping over the stone floor. You startled, your phone dropping to the table and a little gasp slipping past your lips.
"Arrogant, huh?" Stephen asked, dropping into the chair. "Insufferable too? How long did it take you to come up with that scheme? Did it take all week? Or did lightning strike while you were waiting?"
You leaned back, folded your arms across your torso. That move had the unfortunate effect of reminding him that you were a pointlessly beautiful woman who could wear the shit out of a turtleneck sweater. But he didn't care. Really, he did not.
You could wear all the sweaters you wanted and have all that long, black hair and be annoyingly, disturbingly beautiful and he didn't have to care. Not his problem.
"You're late," you snapped.
"You were late on Thursday." Stephen reached for the menu waiting at his place setting and gave it a quick glance. "Seemed only appropriate to return the favor."
With a glare that could dilate blood vessels, you collected your phone and tapped the screen. You set it in the centre of the table with a pointed nod. After holding your glare through several blinks, Stephen glanced at the screen. "What's that supposed to be?"
"It would help if you could make an attempt at critical thinking," you replied. "It's a timer. There's no reason this should exceed thirty minutes."
Still staring at you, Stephen raised his hand into the air. Soon, a server appeared at his side. "Hey there, folks. Can I interest you in—"
"A beer, please," Stephen interrupted. "A wheat, nothing pumpkin." Stephen blinked at you. "The margherita pizza."
You arched a brow up as you said, "The bucatini, please. No arugula."
"Anything to drink?" the server asked.
"Water is fine, thanks," you replied.
"And what about nibbles for the table? Calamari, eggplant frites, burrata—"
"No," you and Stephen said in unison.
"Okay, then," the server murmured. "I'll get that right in for you."
Once you're alone, you slid an index card across the table. "Five things about me. There you go."
Stephen peered at the card. "Did you buy a package of index cards just for this purpose? Or do you have index cards lying around? Like you're an intern presenting at rounds for the first time? Do you still make notes for rounds? Please tell me you're past the index card phase, Park. I couldn't stand it if I knew you were walking around with little color-coded notes every day."
You regarded him with a smug grin that made it pretty clear you'd rip his face off if he took his eyes from you for a second. "You're the kind of teacher who abuses interns and residents, then? Do you throw things too or is it just shaming and torment?"
"You are the one with the track record with projectiles." Stephen plucked the beer from the server's tray and drained half of it before continuing. "And I'll have you know I'm a great teacher—"
"I'm sure you think so," you interrupted. "And that's fantastic for you. Really, it is. But I don't have a single fuck to give about any of that because I'm walking out of here in twenty-three minutes. Fork over your five things, Strange."
A snarl sounded in his throat as he studied you. He couldn't stop staring at you. It was mostly self-preservation but a shred of confusion lingered there too. He had so many questions right now but the first and most essential among them was: Who the hell was this woman and why did she kill for sport?
He set the beer down, folded his arms on the table, and leaned in close. "I don't think this is what Karla had in mind when she said we were supposed to get to know each other," Stephen whisper-growled. "If you could just be nice—"
"You want me to be nice?" You whisper-screeched right back. "Nice? That's what you want?"
"It wouldn't kill you."
"But clearly it will kill you," you said. "Seeing as I've made a point of being nice to you since moving into the building and you've—hmm." You tapped a finger to your chin.
"Right, yes, you ignored my pleasantries. And now you'd like me to be all sugar plums and lemon drops because it suits your purposes?" You shook her head, that maniacal grin still pulling up your pale pink lips. "I don't think so. No, I don't think so."
Stephen took his time responding to that attack and finished off his beer. He was drinking too fast and practically inviting a migraine into his day tomorrow but he could barely think about anything other than the dark haired ball of fury seated across from him.
"What the hell are you talking about?" He set the empty glass on the table and ignored a sudden, perverse interest in what you were wearing with that turtleneck.
You'd been seated when he arrived and you hadn't yet leapt up to bludgeon him with a saltshaker so he was clueless as to whether you wore jeans or a skirt or—fuck, he didn't even know. And he didn't care. Not at all. Which was why he ignored that thought entirely.
"I am talking about saying hello to you in the hallway," you replied.
"Right. Let me see if I understand this." Stephen reached for your glass of water and drained it while you gaped at him. "I didn't give enough attention to your chirpy little greetings so you went all tiny tornado on an exam room, and you're going to hold it against me until you can find a way to be rid of me, even if that involves strangling the life out of me with your precious plastic surgeon hands. Do I have that right?"
Okay, so he knew he was an asshole. He knew this. And now you did too. You gave your empty glass a mortified stare before meeting his gaze.
"We both know the exam room was an accident and fully unrelated to our prior interactions outside the hospital. I am not going to revise history with you. I am not going to be nice simply because it makes you comfortable."
"I don't remember the last time I was anything close to comfortable. Okay? Whether you screech at me or not won't change that." Drumming his finger on the table, he continued, "I'm just saying we have to get through this thing. We shouldn't kill each other in the process."
The server arrived with the meals and another round of drinks, which was a huge fucking relief because Stephen urgently needed something to do with both his hands and his mouth. But he made the fatal error of glancing across the table as the server set your dish down—a dish topped with a whole damn field of arugula. Not only did they not hold the greens, they seemed to treat you to an extra helping because there was no way that was the standard quantity.
Stephen watched you purse your lips together and he figured he was in for another explosion now. You'd send that dish back so hard, the chef would set fields of arugula on fire. But you said nothing when the server asked if there was anything else we needed. And you blinked down at the heap of curly greens, fork in hand, like it was a project you'd inherited and didn't have the heart to abandon.
Stephen sat there, his fingers curled around the fresh glass of beer, and stared while you excavated a strand of pasta from beneath the arugula.
What the fuck was I watching? Where was the tiny tornado? Or the screech owl? Or even the hunter who'd happily mount my head on her wall? And who the hell was this?
You and Stephen ate in silence for several minutes. It wasn't until the server arrived at the table to top off your water that you and him shared a momentary glance at the woman's veiny hands. Those were legend-status veins.
Once alone again, Stephen said, "I could get a gray cannula in on the first shot and she wouldn't even feel it."
You gave a dry laugh. "When was the last time you started an IV?"
"Not recently," he admitted. "I usually practise on my residents at the start of their neuro rotation. Gets us off on a good, abusive foot and it helps me rank them by vascularity. Least being best, of course, since they'd never get pulled off the floor to donate blood. It comes back to haunt them when they're inevitably enrolled in a clinical trial."
"You're such an asshole," you said, but there was no heat behind it. You almost sounded amused.
"And what about you? When was the last time you started a line?"
You set your fork down and busied yourself with the napkin on your lap. "You have no idea what I do, do you?"
Stephen dropped a piece of crust to his plate. "Plastics. You make people look pretty after I put them back together."
You dabbed your lips—they were so pale, barely even pink—and set the napkin beside your mostly untouched pasta. You'd moved it around plenty but you hardly made a dent. And then you held up your phone to him as the timer counted down the final five seconds you'd set for the both of you.
After swiping away the alarm, you slipped the index card off the table. "I didn't get yours, so you're not getting mine."
You pushed away from the table and he had no choice but to watch you cross the restaurant. You didn't bother with backward glances, not when you were busy walking like the floor owed you money.
Steohen returned to his beer and pizza, and attempted to figure out what the ever-loving fuck happened here tonight. He was halfway through the last slice of pizza when his phone buzzed in his pocket. He assumed it was you texting him a thesis on his arrogance though he was wrong.
When he saw Essex was calling, he tucked the phone against his shoulder, saying, "What's up?"
The blaring roar of the emergency room came through the line before he said, "I'm early but I gotta deal with an issue. Consider this your fake crisis call so you can get the hell out of whatever you've gotten yourself into now."
"I don't get myself into things," Stephen said, dropping the last of the crust to his plate. "I actively avoid getting into things. I hate things."
"Yeah, yeah. I don't have time to unpack any of that tonight but maybe tomorrow if you buy me lunch."
"I'm not buying you lunch."
"That's cool. I'll get Druid to pick up the tab. He'll want to hear about this. He pays for updates on your misery." A siren wailed nearby and Essex groaned. "Really gotta go now. Be good." He hung up as the server came to gather the plates.
Stephen pointed at your pasta. "She said no arugula. What does this look like to you?"
The server frowned at the dish. "Why didn't she say anything?"
He motioned to the empty seat. "And you think I have any idea?"
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Tags: @winsteria @classicrebound @gwephen @patbrdac @goldencherriess @elizabethdarcy29 @strangeobsessed @strangelockd @lady-harvey @mirikusashes @rbymoon @k1mikoz @allie131313 @strangesthirdeye @nicoletk @sleutherclaw @dragonqueen89 @bloodyxsaint @3443652 @pinkthick @iamdedsthingz @casualimaginesfluffwagon @im-akira @faltinestrange @ilikedarkrai @alicia-c37 @phatm00d @xunquish-blog @keistange @omgstarks @jotaros-bara-tiddies @gaitwae @sherlux
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sureshgiragani · 9 months
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The Liver is an extremely important organ. It makes proteins and enzymes that are needed for vital metabolic processes, eliminates contaminants from the blood and improves infection prevention, and stores vitamins and nutrients. At Neuro and Vascular, we understand that questions and uncertainties arise around diagnoses requiring liver biopsy. Located in Hyderabad, India, our facility can help provide peace of mind through CT Guided Liver Biopsy Procedure with excellent radiologists who will provide you with precise imaging results.
For more information, visit our website today, or call us at +91 99121 82862/+91 8501950088.
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punyahospital · 8 months
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Anesthesiology
Punya Hospital caters to Cardio-Tharacic Surgery, ENT surgery, General and Laparoscopy Surgery, Joint Replacement surgery, Neuro Surgery, Obstetrics, Orthopaedics, Plastic surgery, Radio-diagnosis, Renal Transplant Surgery, Spine Surgery, Surgical Gastroenterology, Trauma care, Urology, and Vascular Surgery. The department also has a pain management program as well of patients who need it.
The department takes an active part in managing patients in the trauma / emergency ward and in the intensive medical and surgical care units. 24 Hours Pre and Post Anaesthesia Care service program has been established and implemented by the Anaesthesiology team. The operation theatres of the Hospital are well equipped with modern anaesthetic machines with adequate safety devices. All theatres have patient monitoring systems.
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mcatmemoranda · 10 months
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I hate when people use non-standard abbreviations! There's a pt with low back pain and weakness, urinary and fecal incontinence. MRI doesn't show spinal cord compression, so cauda equina ruled out. Neuro recommended w/u for autoimmune demyelinating polyneuropathies and transverse myelitis. The neurologist wrote "TM" in his note, and I didn't know what he meant, so I looked it up. Anyway, I've heard of transverse myelitis, but didn't know the workup. From UpToDate:
●Definitions – Acute transverse myelitis (TM) is a neuro-inflammatory spinal cord disorder that presents with the rapid onset of weakness, sensory alterations, and/or bowel and bladder dysfunction. Idiopathic TM is defined by its occurrence without a definitive etiology despite a thorough work-up. Secondary (disease-associated) TM is most often related to a systemic inflammatory autoimmune condition.
●Causes – Idiopathic TM usually occurs as a postinfectious complication and presumably results from an autoimmune process. Alternatively, TM can be associated with infectious, systemic inflammatory, or multifocal central nervous system disease. Acquired central nervous system demyelinating disorders that can cause TM include multiple sclerosis, myelin oligodendrocyte glycoprotein (MOG) antibody disease, neuromyelitis optica spectrum disorder (NMOSD), and acute disseminated encephalomyelitis.
●Epidemiology – TM is rare, with an annual incidence of one to eight new cases per million.
●Clinical features – The onset of TM is characterized by acute or subacute development of neurologic signs and symptoms consisting of motor, sensory, and/or autonomic dysfunction. Motor symptoms include a rapidly progressing paraparesis that can involve the upper extremities, with initial flaccidity followed by spasticity. In most patients, a sensory level can be identified. Sensory symptoms include pain, dysesthesia, and paresthesia. Autonomic symptoms involve increased urinary urgency, bladder and bowel incontinence, difficulty or inability to void, incomplete evacuation and bowel constipation, and sexual dysfunction.
●Evaluation and diagnosis – The diagnosis of TM is suspected when there are acute or subacute signs and symptoms of motor, sensory and/or autonomic dysfunction that localize to one or more contiguous spinal cord segments in patients with no evidence of a compressive cord lesion. Thus, the diagnosis of TM requires exclusion of a compressive cord lesion, usually by magnetic resonance imaging (MRI), and confirmation of inflammation by either gadolinium-enhanced MRI or lumbar puncture. When inflammation is present in the absence of cord compression, then the criteria for TM have been met, and it is necessary to evaluate for the presence of infection, systemic inflammation, and the extent and sites central nervous system inflammation.
●Differential diagnosis – The main considerations in the differential diagnosis of idiopathic TM are conditions that cause other types of myelopathy (eg, compressive or noninflammatory or vascular), the various disorders that cause secondary TM, and nonmyelopathic disorders that may mimic TM (eg, Guillain-Barré syndrome).
●Treatment – For patients with acute idiopathic TM, we suggest high-dose intravenous glucocorticoid treatment (Grade 2C). Our preferred regimens are methylprednisolone (30 mg/kg up to 1000 mg daily) or dexamethasone (up to 200 mg daily for adults) for three to five days. For patients with acute TM complicated by motor impairment, we suggest additional treatment with plasma exchange (Grade 2C). Our preferred regimen is five treatments, each with exchanges of 1.1 to 1.5 plasma volumes, every other day for 10 days; alternatively, the first two plasma exchange treatments can be given on successive days, with the remaining three treatments given every other day.
●Prognosis
•Degree of recovery – Most patients with idiopathic TM have at least a partial recovery, which usually begins within one to three months and continues with exercise and rehabilitation therapy. Some degree of persistent disability is common, occurring in approximately 40 percent. A very rapid onset with complete paraplegia and spinal shock has been associated with poorer outcomes. Recovery can proceed over years.
•Risk of recurrence – The majority of patients with TM experience monophasic disease. Recurrence has been reported in approximately 25 to 33 percent of patients with idiopathic TM, although this usually signals a systemic condition. With disease-associated (secondary) TM, the recurrence rate may be as high as 70 percent.
•Risk of multiple sclerosis – Patients presenting with acute complete TM have a generally cited risk of multiple sclerosis of only 5 to 10 percent. However, for patients with partial myelitis as an initial presentation and cranial MRI abnormalities showing lesions typical for multiple sclerosis, the transition rate to multiple sclerosis over three to five years is 60 to 90 percent. In contrast, patients with acute partial myelitis who have a normal brain MRI develop multiple sclerosis at a rate of only 10 to 30 percent over a similar time period.
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vulpixelates · 1 year
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• Name: Romy "Ro" Cho Naga-Blackthorn • Class: The Gambini • Age: 30 • Backgrounds: Flesh Wound • LIs: too many oops •
• character tag • inspo tag • ro's ROs •
Adopted by Michelle Cho and Ira Cohen as a baby, Ro spent her life trailing behind her renowned vascular surgeon of a mother at the various hospitals she worked within. While most kids were learning to tie their shoes, Ro was practicing sutures at the nurse's station with her aunt Esther and sitting in galleries watching her mother perform complex surgeries. There was never any doubt in her mind what she wanted to do when she grew up, despite her parents' slight disapproval: Ro was a surgeon, or at least she was damn sure going to work her ass off to be.
She worked her ass off to excel throughout her biomedical engineering undergrad degree and later through med school, also working a full time content creation job to pay for both her transition and her schooling.
Throughout her residency, she went back and forth on what specialty she would choose. What she truly loved working with was nerves, which could have gone a few ways - plastics, neuro, ortho, etc. Eventually, she settled into being double certified in ortho and neuro (specifically, pediatric neuro), loving the challenge and specializing in spines and nerves.
Notable Abilities
Not particularly gifted in magic, but can pick up on it easily once it is done to her. Therefore, she's picked up a few tricks from those around her, including Machado's prophetic dreams.
Has never met a mechanical device that she couldn't fix.
Literally a brain surgeon who sometimes teams up with one of her wives to operate on fetuses' spines.
Holds a world record in DDR and a few in assorted video game speed runs.
Uses 3D design combined with her knowledge of biomechanics to make fully articulated TTRPG minis. What, like it's hard?
Connections
Ward Easton - her bestie since residency
Claire Berkowitz (of the Berkowitz family dental dynasty) - bestie since they became roomies in med school, absolutely inseparable and codependent
Yardena Cohen aka Gigi Coco - her grandmother on her father's side and her biggest cheerleader; might be a former ecoterrorist who knows
Isidora Jacinto - her long lost biological little sister who is, uh, far too much like her in every way and is WAY too close to beating her DDR record
Misc
Japanese and Filipina, though she was raised by her Jewish father and Korean mother
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doctorameerhassan · 2 days
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The Future of Neuro Endovascular Surgery: Emerging Technologies and Trends
 Introduction
Neuro endovascular surgery, a field that has revolutionized the treatment of cerebrovascular diseases, is continually evolving. The integration of new technologies and techniques promises to further enhance the precision, safety, and efficacy of these minimally invasive procedures. This article explores the emerging technologies and trends shaping the future of neuro endovascular surgery, highlighting innovations that are poised to transform patient care and outcomes.
As the prevalence of conditions like strokes and aneurysms continues to rise, the demand for advanced neuro endovascular interventions grows. The field has already seen significant advancements in imaging, device design, and procedural methodologies. However, the next wave of innovation, driven by artificial intelligence, robotics, and novel therapeutic approaches, is set to bring even more groundbreaking changes. These developments aim to address current limitations, improve procedural success rates, and expand the scope of treatable conditions.
 Artificial Intelligence and Machine Learning
Artificial intelligence (AI) and machine learning (ML) are at the forefront of technological advancements in neuro endovascular surgery. These technologies have the potential to revolutionize preoperative planning, intraoperative guidance, and postoperative care. AI algorithms can analyze vast amounts of patient data to identify patterns and predict outcomes, enabling personalized treatment plans that optimize patient care.
During procedures, AI can assist in real-time decision-making by integrating data from various imaging modalities and providing actionable insights. For example, machine learning models can predict the behavior of catheters and guidewires within the intricate vascular network, enhancing the precision of device placement. Additionally, AI-powered imaging systems can automatically detect and highlight areas of concern, such as blood clots or aneurysms, reducing the cognitive load on surgeons and improving accuracy. These advancements are expected to lead to more successful interventions with fewer complications.
 Robotics and Enhanced Surgical Tools
Robotic-assisted neuro endovascular surgery represents a significant leap forward in surgical precision and control. Robotic systems offer enhanced dexterity and stability, allowing surgeons to perform complex maneuvers with greater accuracy than is possible with manual techniques. These systems can be integrated with advanced imaging technologies to provide real-time feedback and navigation, further improving the precision of interventions.
Robotic platforms also enable remote surgery, where experts can perform procedures on patients located in different geographic areas. This capability has the potential to democratize access to specialized care, particularly in underserved regions. In addition to robotics, the development of new surgical tools, such as flexible microcatheters and steerable guidewires, is enhancing the ability to navigate the brain's vascular network. These innovations make it possible to reach previously inaccessible areas, expanding the range of treatable conditions and improving patient outcomes.
 Advances in Imaging Technology
High-resolution imaging is crucial for the success of neuro endovascular procedures, and recent advancements are pushing the boundaries of what is possible. Techniques such as three-dimensional rotational angiography (3DRA) and flat-panel detector computed tomography (FPD-CT) provide detailed, real-time images of the cerebral vasculature. These imaging modalities enable precise navigation and accurate placement of devices, reducing the risk of complications.
The integration of augmented reality (AR) and virtual reality (VR) into surgical planning and execution is another exciting development. AR can overlay digital images onto the surgeon's view, providing real-time guidance during procedures. VR, on the other hand, can be used for preoperative simulations, allowing surgeons to practice complex procedures in a risk-free environment. These technologies not only enhance the precision of neuro endovascular interventions but also improve training and education for surgeons.
 Novel Therapeutic Approaches
The future of neuro endovascular surgery is also being shaped by novel therapeutic approaches that target the underlying causes of cerebrovascular diseases. One such approach is the use of bioresorbable stents, which provide temporary scaffolding to support the vessel during healing and then dissolve, reducing the long-term risk of complications associated with permanent implants. Another promising development is the use of gene therapy and stem cell therapy to repair damaged vascular tissue and promote regeneration.
Additionally, advances in pharmacology are leading to the development of new drugs that can be delivered directly to the site of pathology via microcatheters. These targeted therapies can enhance the efficacy of treatments and reduce systemic side effects. The combination of these novel therapies with minimally invasive techniques holds the potential to transform the treatment landscape for conditions such as aneurysms, arteriovenous malformations, and ischemic strokes.
 Expanding the Scope of Neuro Endovascular Surgery
The continuous evolution of technologies and techniques is expanding the scope of neuro endovascular surgery, allowing for the treatment of a broader range of conditions. For example, the development of new embolic materials and devices has improved the management of arteriovenous malformations (AVMs) and dural arteriovenous fistulas (DAVFs). These advancements enable more effective occlusion of abnormal vessels while preserving healthy tissue, reducing the risk of complications and improving patient outcomes.
Furthermore, the integration of interdisciplinary approaches, combining insights from neurology, radiology, and vascular surgery, is enhancing the overall effectiveness of neuro endovascular interventions. Collaborative efforts in research and clinical practice are driving innovation and leading to the development of new treatment protocols. As the field continues to advance, the ability to address complex cerebrovascular conditions with minimally invasive techniques will continue to improve, offering new hope to patients worldwide.
 Conclusion
The future of neuro endovascular surgery is bright, with emerging technologies and trends poised to further enhance the precision, safety, and efficacy of these life-saving procedures. The integration of AI, robotics, advanced imaging, and novel therapeutic approaches is transforming the field, making it possible to treat a wider range of conditions with less invasive methods. These advancements not only improve patient outcomes but also expand access to specialized care, ensuring that more patients can benefit from the latest innovations in neuro endovascular surgery. As research and development continue to push the boundaries of what is possible, the field is set to achieve even greater milestones in the years to come.
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prashans007 · 21 days
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Healthy Legs, Happy You: Varicose Vein Treatment for a Better You
Do bulging, twisted veins in your legs cause you discomfort or insecurity? You're not alone. Varicose veins are a prevalent issue, and the good news is there are effective Varicose veins treatment in Raipur .
Varicose veins are twisted, enlarged veins that bulge just beneath the surface of the skin, most commonly on the legs. These bulging veins can be unsightly and cause discomfort, but they can also be a sign of underlying circulatory problems.
Further, we will discuss varicose veins causes and its treatments.
Causes of Varicose Veins
There are several factors that can contribute to varicose veins, including:
Heredity: If your parents or close relatives have varicose veins, you're more likely to develop them.
Pregnancy: Pregnancy puts extra pressure on your veins, which can lead to varicose veins.
Obesity: Excess weight can increase pressure in your veins.
Age: As you age, your veins lose elasticity and become more prone to varicose veins.
Standing or sitting for long periods: If you have a job that requires you to stand or sit for long periods of time, you're more likely to develop varicose veins.
Varicose Veins Treatment Options
The following describes possible solutions for varicose veins treatment. Minimally invasive methods can be used to treat veins, allowing patients to quickly resume their regular activities.
Radiofrequency ablation treatment
Radiofrequency ablation (RFA) is a minimally invasive medical procedure that uses radiofrequency waves to generate heat and destroy targeted tissue. It's a versatile procedure used for a variety of purposes, including:
Shrinking tumors: RFA can be used to treat both benign and malignant tumors in various organs, including the liver, lungs, kidneys, and thyroid
Pain management: RFA can be used to treat chronic pain by interrupting pain signals from reaching the brain.
Treating abnormal heart rhythms: RFA can be used to create small scars in the heart muscle to block abnormal electrical signals that cause arrhythmias
VenaSeal Closure system: Glue for veins
The VenaSeal Closure System is a minimally invasive procedure used to treat varicose veins. It uses a medical adhesive to seal the diseased vein, rerouting blood to nearby healthy veins and improving blood flow. The adhesive used in the VenaSeal Closure System is a special type of cyanoacrylate, which is similar to the kind of glue used in Super Glue. However, the medical-grade adhesive is formulated to be safe for use inside the body.
Looking for Varicose Vein treatment?
If you found the above content informative and looking for varicose veins treatment in Raipur then look no further. Consult with Dr. Prashant Pote at the Vascular Interventional Radiology Clinic if you have concerns about the veins in your legs. In addition to performing a wide range of vein treatments, we are experts in using minimally invasive procedures that cause less pain and hasten recovery. We can claim to have seen it all because we have been in practice for decades. Present your leg vein issue to us, and we will recommend the most appropriate course of action.
Contact Us: If you are suffering from varicose veins, don't hesitate to contact us today to schedule a consultation. If you want to know more about varicose veins treatment then please visit our website
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