#Cardiac surgical procedures

[unitedhospital]

Things to Keep in Mind While Choosing the Right Cardiac Surgeon

There is nothing more worrisome than discovering you have a heart issue. It's no secret that acting promptly is crucial, especially with cardiac problems that can quickly become serious. Fortunately, today, advanced technology and expert cardiologists make high-quality cardiac care easily accessible when it's most needed.

However, according to cardiac specialists at United Hospital, recognized as the Best Cardiology Hospital in Bangalore, say that finding the right cardiac surgeon for you is quite a challenge

Here are some important factors you can keep in mind.

Choosing the Best Cardiac Surgeon

According to Bangalore’s Best Cardiologist operating at United Hospital, the skill sets Of your operating surgeon play a huge role especially when complicated cardiac surgeries are to be performed. Therefore, it's crucial to choose your cardiac surgeon wisely.

ReferralsSeeking recommendations from your friends, family and other healthcare professionals can be very useful while searching for a professional cardiac surgeon. Though you have a reference, assess your surgeon by communicating with him freely.

Review his credentialsAs the patient in question, you have every right to study your cardiac surgeon’s credentials with respect to his qualifications and certifications. It is a good choice to connect with hospitals whom your surgeon is associated with and study his records.

Consider the Surgeon’s experienceSuccess percentages of the surgeon are of paramount importance when deciding on engaging a cardiac surgeon. The more experience with a particular condition or procedure a cardiac surgeon has, the better your results are likely to be. If possible, get in touch with patients whom the surgeon in question has treated to understand his approach.

Research Hospital QualityChoose a hospital which has all the advanced surgical facilities and more importantly, rehabilitation facilities as the duration of your hospital stay after surgery depends upon how quickly you respond to treatment post-surgery. Hence, choose a hospital which has a good track record for cardiac care as well as convenient to travel for frequent checkups.

CommunicationCommunication Skills and Confidence levels of your surgeon are equally important. It is good to engage a surgeon who can communicate freely and instil confidence in you especially if the surgery is tricky and communicated. At the same time, he should be able to understand if you have any budget constraints and suggest the best possible approach which does not deprive you of quality treatment.

Cardiac surgeries can be stressful for patients and their loved ones. Therefore, choosing a hospital and surgeon who makes you feel comfortable from the beginning is essential. If you're seeking a Good Heart Hospital in Bangalore with an experienced cardiac team, consider reaching out to United Hospital.

[mercuryhc2024]

Choosing the Right Sternum Saw: Key Features and Best Practices for Surgeons 

Selecting the right sternum saw is crucial for ensuring successful surgical outcomes, particularly in complex cardiac and thoracic surgeries. As the largest and most trusted manufacturer, supplier, and exporter of sternum saws worldwide, Mercury Healthcare is at the forefront of innovation, providing high-quality surgical tools that meet the needs of modern healthcare professionals. In this article, we explore the key features surgeons should consider when choosing a sternum saw and why Mercury Healthcare is the preferred choice for healthcare providers globally. 

Key Features to Look for in a Sternum Saw 

Precision and Control In critical surgeries, precise cutting is essential to minimize trauma and ensure patient safety. A sternum saw must offer excellent control, allowing surgeons to perform procedures with accuracy. Mercury Healthcare's S1 Sternum Saw is designed with a clear line of sight and lightweight construction, providing surgeons with exceptional control during surgeries. The precision of our saws ensures efficient cutting, reducing the risk of complications and enhancing patient recovery times. 

Ergonomics and Lightweight Design Long surgical procedures can be physically demanding for surgeons. A well-designed sternum saw should be lightweight and ergonomically crafted to reduce hand fatigue and allow surgeons to operate comfortably for extended periods. Mercury Healthcare prioritizes surgeon comfort, and our sternum saws are built with a balanced, lightweight design that enhances both maneuverability and ease of use. 

Sterilization Compatibility Fast and efficient sterilization is crucial in surgical settings to prevent infections. Our S1 Sternum Saw can be ETO sterilized or autoclaved, ensuring a quick turnaround between procedures. This feature is especially beneficial in busy operating rooms where time is critical, helping medical teams maintain optimal cleanliness without sacrificing efficiency. 

Convenience and Safety Features Safety features are a must for any surgical instrument. Mercury Healthcare's sternum saws are equipped with quick-release blades and a patented retention system, making blade changes seamless and reducing downtime during operations. Additionally, the tapered blade protector helps deflect underlying tissues from contact with the blade, minimizing the risk of tissue damage during surgery. These features make our saws both convenient and safe, allowing surgeons to focus on what matters most — patient care. 

Durability and Reliability A reliable sternum saw must withstand the demands of frequent use in high-stakes surgical environments. Mercury Healthcare's sternum saws are made from high-grade materials that ensure durability and longevity. Whether performing routine procedures or complex surgeries, our saws provide consistent performance, making them the trusted choice for surgeons worldwide. 

Best Practices for Using a Sternum Saw 

To maximize the performance of a sternum saw, surgeons should follow these best practices: 

Regular Maintenance: Proper cleaning and maintenance after each use will ensure the saw's longevity and precision. 

Blade Replacement: Always use sharp, sterile blades, and replace them as necessary to avoid unnecessary pressure on the sternum. 

Operator Training: Surgeons and surgical teams should undergo proper training to ensure the correct and safe use of the sternum saw, reducing risks and improving surgical outcomes. 

Why Choose Mercury Healthcare? 

At Mercury Healthcare, we are committed to delivering high-quality, innovative surgical equipment that meets the demands of healthcare professionals around the globe. As the leading manufacturer and exporter of sternum saws, we combine cutting-edge technology with a deep understanding of surgical needs. Our focus on precision, safety, and reliability has earned us the trust of surgeons worldwide, making Mercury Healthcare the go-to provider for advanced medical tools. 

Our sternum saws are not only built for superior performance but also designed with the future of healthcare in mind. As we continue to innovate and set new industry standards, we remain dedicated to improving patient outcomes and enhancing the surgical experience for healthcare providers. 

[eirenical]

Here's the updated map for June 7, 2023 7:00 AM:

If you are on the East Coast and trying to figure out what all of these air quality warnings mean and what you should do, here is what the colors and corresponding AQI numbers mean. The updated AirNow map is at this link:

Edit: this was posted at 10:50am on June 6 2023 and the screenshots were taken around 9am.

[vesearlee]

──── 𝑻𝒂𝒄𝒉𝒚𝒄𝒂𝒓𝒅𝒊𝒂

To see the well-versed, experienced cardiac surgeon in such a state of distress was a sight you were not keen to experience again, and even at the cost of your shared secret, you would do anything to soothe him and bring him down from the adrenaline high.

𝐏𝐀𝐈𝐑𝐈𝐍𝐆 ── Zayne x Scrub Nurse!F!Reader 𝐖𝐎𝐑𝐃 𝐂𝐎𝐔𝐍𝐓 ── 2.1k 𝐓𝐀𝐆𝐒 ── Smut, fluff, pet names, secret relationship, power imbalance, innappropriate use of an on-call room, Greyson is so sick of Zayne's shit ➺ Wall, public, desperate sex, creampie, praise, uniform, size kink 𝐁𝐄𝐓𝐀 ── @smutconnoisseur (my absolute saviour, thank you for buckling in with my utterly insane rambles) 𝐀𝐍𝐓𝐇𝐄𝐌𝐒 ── Keep It Down by Migrant Motel 𝐀𝐎𝟑 ── HERE 𝐀𝐔𝐓𝐇𝐎𝐑 𝐍𝐎𝐓𝐄 ── My first smut I have written in a year, oi vey.

𝐄𝐕𝐄𝐍𝐓𝐒 ── Medical Edition Bingo (@fandom-free-bingo) ⠄⠂⠁⠁⠂⠄⠄ Playful Growls • O5 ── MASTERLIST ── Gingerbread Bingo (@fandom-free-bingo) ⠄⠂⠁⠁⠂⠄⠄ Finally Kissing Them • G3 ── MASTERLIST ⠄⠂⠁⠁⠂⠄⠄ "Please." • B4 ⠄⠂⠁⠁⠂⠄⠄ Hospital AU • I5 ⠄⠂⠁⠁⠂⠄⠄ Desperate Kiss • O4 ── MASTERLIST ⠄⠂⠁⠁⠂⠄⠄ Public Sex • I5 ── MASTERLIST ── Any Fandom AU Bingo (@anyfandomaubingo) ⠄⠂⠁⠁⠂⠄⠄ Hospital AU • I3 ── MASTERLIST ── Under The Sea Bingo (@seasonaldelightsbingo) ⠄⠂⠁⠁⠂⠄⠄ nuzzling their partner's neck like a cat • G4 ── MASTERLIST

─── 𝒁𝒂𝒚𝒏𝒆 𝑴𝒂𝒔𝒕𝒆𝒓𝒍𝒊𝒔𝒕 ───

The atmosphere was tense — not unlike any other time within the bustling halls of the surgery floor, but this time, the air was thick with apprehension, a dash of uncertainty for what laid behind the double doors of the operating room. 

As though you could feel the gaze of those above in the observation window, you shivered from nerves beneath the countless layers you wore. The shirt you wore was form fitting, as all scrub wear was, but it felt somehow even tighter, closing in around your throat even with the deep-necked collar. 

In front of you were the immovable and ever-focused figures of your superiors. Both were skilled surgeons and almost indistinguishable while gowned in endless layers, but one stood out in particular — he was straight-backed and intently homed in on the chest cavity of his patient while his deft fingers moved with purpose, going from scalpel to scissors, to thread and needles. The occasional, clear command of: “Suction,” came every few seconds to every minute. 

“Doctor,” a voice spoke, clear and kind in tone. 

“We’re almost finished–” Snip.

Footsteps shuffled around you as a few team members re-emerged in new places to better accommodate the final stages of surgery. This singular procedure had been in the pipeline for months, and naturally, they called upon the most skilled surgeon to undertake it, the chief of surgery himself, Zayne. 

Few knew of the intimate relationship between the chief surgeon of Akso hospital and his dedicated scrub nurse — a secret you desperately hoped to maintain.

Time seemed to melt away in a haze of stolen glances and lingering touches, your history together blurring into an intoxicating mix of professional respect and burning desire. A shiver ran down your spine as Zayne declared the surgery complete, his commanding voice sending a familiar heat through your core. 

He stepped back from the patient, his scrubs marked with evidence of his skilled work — crimson streaks and surgical fluids that somehow made him look even more imposing, more powerful.

“Sir,” you said quietly, outstretching your hands to meet him halfway. Your own gloved hands carefully pulled the soiled gloves from his hands to reveal the scrub cuffs of his shirt.

Zayne strode silently toward the sliding, pressurized door leading to the preparation room. A large metal basin gleamed under the harsh downlights. You watched with concern as he gripped its edge, his wrists shaking from strain. 

The door slid shut with an ominous, loud click, leaving you alone with him in the preparation room. 

Your heart raced as you stepped closer, closing the distance between you both. The fingers on your outstretched hand trembled slightly as you reached for the ties of his surgical gown, and the fabric rustled beneath your touch as you slowly undid the knots at his upper back, then lower, each movement deliberate and charged with tension. 

The scrub gown fell away from his broad shoulders, and your breath caught at your proximity to him while you helped him shrug it off. 

With quick, almost desperate movements, you discarded both his soiled gown and your own into the waste bin, the sudden lack of barriers between you making the air feel electric.

The metal of the basin began to creak under his grip, and his shoulders heaved slightly. “Zayne?” you whispered, resting a hand on the back of his bicep. “Are you all right?”

It happened in a whirl — one moment you were standing beside the trembling figure of your lover, and then, the next moment your feet scrambled to keep you upright against the sudden tug of Zayne’s hand gripping your elbow. “Wait, wait, Zay– What’s wrong?” The question sounded sharp to your ears, and he only huffed in reply. 

His footsteps echoed harshly in the eerily deserted corridor outside of the surgery suite, and the sight seemed to bring his mind back into focus. “Come with me.” 

“Where?” you rushed, still jogging to keep up with his long strides. The determined pull of his brow and set line of his lips stirred something deep within you, but you shoved that thought down with extreme force — you were at work, you scolded silently. “They– Won’t they need you back–?”

“No, Greyson will handle it.” His pace increased, as did the rustle of his slacks. The sound caught your attention, but before you could glance down to make sure he wasn’t leaving the OR suite with contaminated clothes, fingers gripped your chin and forced your face upwards. 

You gulped, the flush of heat that coursed through you had nothing to do with nerves or exertion within the operating room. Deep, hazel eyes bore into your own, and his mouth opened around a few words that made your stomach swoop. “I need you.” 

The outline of his face grew blurry, and you blinked. “I– Uh, okay, um–”

“Now.” 

The force of his pull made a squeak of surprise slip past your tight lips, and you were tugged toward the closest on-call room. “But we’re at work–!”

“I don’t care,” Zayne grit out through clenched teeth. The door slammed open, and you rushed inside, him following right behind you. You noticed his grip was still trembling, the twitch of his arm far more noticeable now that his shirt left nothing to your imagination. 

“But– Oh, shit, Zayne!” Your feet were lifted from the ground, and your hands carded through his hair to ground yourself. The sheer volume of your shout made a sense of fear tear through your middle; being caught in such a compromising situation with your superior would spell disaster. “Wait, wait, baby,” you begged, panting against his lips, but he was not deterred. 

While one hand gripped the swell of your ass to keep you in the air, the other moved towards your neck. “No,” Zayne grunted, tilting your head back with his thumb beneath your chin. His lips trailed from your jaw to your collarbone and back up again. “The only way that I will wait,” he continued, his voice lowering into a husked rasp. “Is if you were to tell me you didn’t want this.” 

“No, no I do, please–” The hand pushing your head back vanished, and you lowered your chin to capture his lips with yours — to tease him even further, you nibbled on his bottom lip and grinned as he groaned low in his throat, a silent curse escaping in a sigh. 

“Be quiet for me then, darling.” 

You giggled and shifted in his grip to help pull down the scrub pants you wore, and they fell to your ankles with ease. The sheer strength needed to make such a move made you swoon, a rush of light headedness forcing you to gasp for air. “How can you–?”

“I need you,” Zayne repeated in a low growl. “I need this—need to feel you.” 

The pressure of his hand on your ass increased, and you felt the flutter of fabric against the back of your thigh, followed by the quiet clink of his belt. “Zayne, please,” you breathed, staring at him through half-lidded eyes. Fabric rustled as the waistband of his slacks shifted and fell to his hips. 

"I know," he whispered. His fingers traced along your clothed cunt, drawing a soft gasp from your lips. A knowing smirk curved his mouth as he felt your arousal. "I can feel how much you want this, already so wet for me, my darling girl, hm? Who knew you were so eager." 

The sudden sound of muffled footsteps made you both freeze, your attention now front and center on the fact you were currently half-way up the wall of an on-call room, legs wrapped around Zayne’s tense middle while he teased your clit with the pads of his fingers. Shocks of pleasure shot up your spine as he circled your clit with precision, and his other hand hastily closed your parted mouth. “Shh, keep quiet, darling. You don’t want them to know how well you take it, do you?”

“Shut up and kiss me,” you hissed, the words muffled by his palm. 

Zayne chuckled and stepped closer, the tip of his cock pressing against your clit. “Easy, darling,” he cooed, finally moving his hand away from your mouth. "Open up for me, sweetheart," Zayne murmured, his breath warm against your ear. "Let yourself feel everything–” The push of his cock made your eyes squeeze shut. “Yes, just like that, perfect."

A hitched whine caught in your throat as the pressure grew. “Ha– Oh, my god.” Your forehead fell to his shoulder, and your hands moved from his hair to his broad shoulders. “Don’t– Don’t you dare stop–”

“I don’t plan to, but you have to let me in, baby,” Zayne rasped, his breath hot over the shell of your ear. “You can do it—be a good girl for me.”

Shuddering with the onslaught of sensation, you took a deep breath. The gentle coaxes and praise from Zayne made it easier to breathe, and after several, slow inhales, you nodded slightly. “M’kay.”

A soft brush of Zayne’s lips against your temples made you smile dazedly, and you moaned softly as you felt him withdraw, then gasped at the delicious pressure as he pushed back in. “You must’a been all pent up,” you breathed. 

“You have no idea,” he grunted, and then you felt his resolve snap. 

The pitch of your moans increased as Zayne lost himself in you, the slide of the plaster wall while the force of his thrusts kept moving you up the wall behind you pulled at your shirt and exposed your lower stomach — the feeling of his own shirt against the strip of bare skin only made the intensity of your pleasure burn hotter. “Za– Ohmygod, you feel–”

“How you can be so tight, baby,” he growled, his forehead now resting against your sternum. “I can’t last– Fuck, I can’t.” 

The outward curse made you gasp, your heart raced to keep up with the rush of pleasure he gave you. “Give it to me, please—I need it, Zayne, ohgod–”

“You’ll have it.” 

Your scrub shirt rustled and you squeaked as you were pulled back down the wall, now eye to eye with him. “I want to watch you, see how pretty my darling is when she loses herself over my cock.”

“Don’t–” 

“Don’t what?” The few strands of hair that brushed against the very top of his glasses now stuck to his forehead. “I cannot help but be greedy for what’s mine.”

“Oh– Zayne, Zayne,” you chanted, the sudden burn all consuming as the coil in your stomach grew unbearably taut. “Please, ‘m so close, please!”

The sounds and mewls of pleasure that fell from your parted lips were silenced by his own, a kiss that was all teeth and tongue — the feeling of being consumed from the inside out by him blurred your vision around the edges with its intensity. 

“Give it to me, baby. Give it all to me, come on,” he coaxed, voice rough against your lips, and his harsh pants for air only added to the litany of sensations. “Come apart for me, that’s it–”

“Zayne!”

Waves of pleasure crashed over you as your senses overloaded — blood rushed in your ears, your thighs trembled uncontrollably against his sides, and your toes curled in your shoes. Your fingers desperately sought anchor; one hand gripped his broad shoulder while the other tangled in his hair, pulling him closer as ecstasy consumed you completely.

“Fuck, oh god, fuck,” Zayne groaned deeply, his hips stuttering to a stop as your walls clenched around him. “I’m going to–” His words cut off with a guttural moan as he came, flooding you with warmth that triggered another wave of pleasure through your oversensitive body. Each subtle movement of his cock inside you drew out more delicious aftershocks.

“Please,” you hoarsely begged, putting your arms around his shoulders to pull him closer. He moaned in reply and tucked his face into your neck, all while rocking in place to ride out what pleasure was left. 

The room filled with your shared breaths and soft moans as you squeezed around him deliberately, making him press even closer. “You're quite unprofessional,” he rumbled against your neck, his smile evident in his voice. “And such a troublemaker too.”

You let out a wicked laugh, ignorant of the footsteps outside in the corridor, and squeezed around him deliberately, delighting in the strangled gasp that escaped his throat. “Oh, that's rich coming from the one who just had to have me against a wall at work. So much for being professional, Doctor.”

“Hush.” ​​His hands slid from your hips to your waist as he let out a breathless chuckle. "If I were you, I would be more careful with that mouth of yours, darling. We still have half a shift to get through." The warning in his voice held a playful edge that made you shiver with anticipation for when he would drive you home.

[literaryvein-reblogs]

Some Cardiology Vocabulary

for your next poem/story

Ablation ��� Elimination or removal.

Annulus – The ring around a heart valve where the valve leaflet merges with the heart muscle.

Arrhythmia – (or dysrhythmia) An abnormal heartbeat.

Autologous – Relating to self. For example, autologous stem cells are those taken from the patient’s own body.

Bruit – A sound made in the blood vessels resulting from turbulence, perhaps because of a buildup of plaque or damage to the vessels.

Cardiac – Pertaining to the heart.

Cardiomegaly – An enlarged heart. It is usually a sign of an underlying problem, such as high blood pressure, heart valve problems, or cardiomyopathy.

Carotid artery – A major artery (right and left) in the neck supplying blood to the brain.

Claudication – A tiredness or pain in the arms and legs caused by an inadequate supply of oxygen to the muscles, usually due to narrowed arteries or peripheral arterial disease (PAD).

Commissurotomy -A procedure used to widen the opening of a heart valve that has been narrowed by scar tissue.

Digitalis – A medicine made from the leaves of the foxglove plant. Digitalis is used to treat congestive heart failure (CHF) and heart rhythm problems (arrhythmias).

Endocardium – The smooth membrane covering the inside of the heart. The innermost lining of the heart.

Infarct – The area of heart tissue permanently damaged by an inadequate supply of oxygen.

Jugular veins – The veins that carry blood back from the head to the heart.

Maze surgery – A type of heart surgery that is used to treat chronic atrial fibrillation by creating a surgical “maze” of new electrical pathways to let electrical impulses travel easily through the heart. Also called the Maze procedure.

Myocardium – The muscular wall of the heart. It contracts to pump blood out of the heart and then relaxes as the heart refills with returning blood.

Palpitation – An uncomfortable feeling within the chest caused by an irregular heartbeat.

Pericardium – The outer fibrous sac that surrounds the heart.

Regurgitation – Backward flow of blood through a defective heart valve.

Septal defect – A hole in the wall of the heart separating the atria or in the wall of the heart separating the ventricles.

Sources: 1 2 3 4 ⚜ More: Word Lists

[med-fetish]

Hello! Today I started playing with AI, this is what I came up with, I hope you enjoy it !

Isabelle was 26 years old when her life took an unexpected turn. Since childhood, she had always been an active and energetic woman. She loved running in the park, practicing yoga, and spending hours exploring the city with her friends. But everything changed one summer day when she began to feel a persistent pain in her right side. At first, she thought it was just a muscle strain, a consequence of her busy schedule and long hours at the gym.

However, the pain did not go away. After several medical consultations and tests, she received a devastating diagnosis: kidney cancer. The news hit her with overwhelming force. The idea of facing such a serious illness at her age was terrifying. Despite the tears and anguish, Isabelle gathered her courage and prepared for what lay ahead. She knew she had to undergo surgery to remove the affected kidney.

On the day of the operation, Isabelle arrived at the hospital with a mix of nerves and hope. She was greeted by a medical team that reassured her and prepared her for the procedure. In a private cubicle, she changed into a surgical gown, feeling the cold fabric against her skin. Clara, a kind nurse, placed a hair cap on her head and explained the importance of the compression stockings, which were put on her to aid circulation during the surgery. Despite her discomfort, Isabelle felt a bit more at ease.

When it was time for anesthesia, Dr. Martínez placed an intravenous line and explained that she would feel a little dizzy. As the medication took effect, Isabelle felt the world slowly fade away, leaving behind her worries. However, what no one expected was that the surgery would become complicated.

Hours passed, and the medical team realized that something was wrong. As the operation dragged on, a growing fear filled the operating room. Suddenly, alarms began to sound. Isabelle had gone into cardiac arrest. “She’s going into arrest!” shouted a nurse. In an instant, the room became a whirlwind of activity.

Dr. López, the lead surgeon, moved quickly, directing the team with precision. Dr. Martínez adjusted the anesthesia and administered emergency medications. Every second counted as the team fought to stabilize her. After several attempts, they finally managed to restore her pulse. The operating room, once filled with tension, was flooded with a sigh of relief.

With Isabelle’s heart beating again, the team continued the surgery, this time with renewed determination. Finally, after hours of hard work, Dr. López announced that they had finished. Isabelle was transferred to the recovery room, where she began to awaken. Her body felt heavy and confused, but the sound of the monitors reminded her that she had overcome a great battle.

As she regained consciousness, she found herself in a calm silence. When she opened her eyes, she saw a nurse approaching, who explained what had happened and assured her that she was okay. Over time, Isabelle began to understand what she had experienced. Although she had faced an overwhelming challenge, she had come through it.

Her recovery was a gradual process. With each passing day, her strength returned, along with her determination to live fully. She joined support groups, shared her experience on social media, and became a health advocate. Her story resonated with others facing similar situations, inspiring them to keep fighting.

A year after the surgery, Isabelle signed up for a charity 5K run, a goal she had set for herself before her diagnosis. On the morning of the race, she felt a mix of emotions. As she ran, each step reminded her of her struggle and the life she had regained. Crossing the finish line brought tears to her eyes, but this time they were tears of joy and gratitude. She had faced her fear and emerged victorious.

Isabelle had not only survived an illness; she had learned to live again, with a new perspective and a deep appreciation for each day. Her story became a testament to resilience, reminding others that even in the darkest moments, there is always a light at the end of the tunnel.

[orionremastered]

Ok but just imagine :

Surgeon!Damian Wayne and Surgical intern/resident!reader. Or the reader could be an attending idk? But it’s so enemies to lovers coded! The tension??!???!!!!! Damian is the scary attending and the reader doesn’t dower like the rest? Or the reader is sunshine and the complete opposite of Damian’s personality. It’s a very scrambled idea but I just thought you might like to work with it?

Enemies to lovers? sign me tf up

Also, istg I had no idea what a surgical resident was before this. For those who don't know, they spend about five-ish years in a hospital and are usually under direct supervision of a more senior resident or an attending surgeon, attending for short.

Masterlist

Surgeon!Damian Wayne x Surgical Resident!reader

Part One, Part Two

You’re not stressed, you’re just… very close to breaking down. Or breaking a law. Or breaking someone’s nose “accidentally”. Or breaking… it didn’t matter what you broke, you just needed to break it.

Two years in to your internship at Gotham General hospital and you couldn’t be more of a wreck. In the bathroom stall no less- getting yelled at by the chief resident after not knowing what some extremely rare condition was (he didn’t even know it himself) and getting called one or two slurs by a senior resident wasn’t something you were used to and yet you knew it was normal.

Taking in a deep breath, you exit the stall and wash your hands and face before making your way to the OR, muttering positive phrases in your mind that were not helping at all.

With one more nod to yourself for reassurance, you open the door and are immediately greeted by the one face you didn’t want to see.

Dr. Wayne had a very prominent reputation for being less than friendly, for giving any resident- no matter how experienced- mental breakdowns and most importantly for being one of the best cardiac surgeons in Gotham. You exchange a nervous glance with another second-year resident, but only for as long as you dared.

Somehow, you were walking on eggshells without even taking a step.

The patient required a maze procedure, where the surgeon creates a pattern of scar tissue that allows the heart’s rhythm to return to normal.

You try sneaking a glance or two to the attending surgeon, but he glares back at you in warning before you can deduce his mood. Although that was probably a good tell.

The patient finally drifts off to sleep, you shift your attention right back to the attending as he begins the procedure with an incision on the patient’s chest.

Two hours later and maybe a bit too much yelling, the surgery was complete. The other residents begin leaving, but Dr. Wayne stays. You’re about to leave too when a low voice fills the silent space.

“That was the District Attorney,” Dr. Wayne says, and you pause all thought. You did everything right, didn’t you? You didn’t really do much, honestly, but what you did was correct, right? “And I can’t have a day-one intern screw up and jeopardize his health. He’s had a heart surgery before.”

“Do you want me to-”

“Yes,” he snaps.

“What do I tell the-”

“Chief resident? Tell him it’s not his problem.”

You nod and awkwardly leave the OR as fast as possible, not risking another moment in the same room as the man who is known for biting people’s heads off. Not literally.

You hope.

Not wanting to take any chances with the attending surgeon, you manage to find a space just near the DA’s ward that allows you to do paperwork while also being able to easily see the patient every five or ten minutes.

It went on like this for an hour and a half without problem and a snack in between before you exited the DA’s ward yet again, only this time loud and angry steps echoed through the hallway.

Your head whips around and your heart immediately drops to your feet. Your blood runs cold as the chief resident storms down the hall, eyes deadset on you.

You open the door to his office and politely gesture for him to walk inside. The chief resident, Langley, stops, glares and despite his temper, he agrees. You follow him in and swallow nervously, heart pounding in your ears.

“Before you get mad-”

“I already am mad,” Langley seethes, slamming his meaty hand on the small desk. “You abandoned all of your duties to- to what, to suck up to the District Attorney?”

“No sir-”

“Other patients need care and we’re already short on staff without some fucking idiot thinking that they can do whatever the fuck they want-”

“Dr. Wayne specifically requested me to do post-operation patient care-”

Your voices had risen to the point of shouting. You wouldn’t be surprised if the DA could hear it or even the other staff in the nearby wards and hallways.

“He doesn’t need a FUCKING NANNY.” the chief resident cried, and in one swift movement, he grabs a binder and slams it into the side of your face. “And who gives a fuck what that stuck-up WAYNE SURGEON wants?”

“Who gives a fuck on what I want?” a calmer, lower and yet far more terrifying voice states behind you. The hairs on the back of your neck raise and Langley’s eyes go wide. “Certainly not you. And here’s the thing, Langley,” the surgeon moves you aside in the already crowded space, more gently than you expected as he steps towards the chief resident, broad shoulders blocking your view, “that’s a problem. I could have your future ruined with a simple phone call or complaint and you decide to simply not respect authority?”

“That bitch-”

“Did exactly what I wanted her to,” Dr. Wayne replies in the same condescending tone. “Maybe you could learn a thing or two.”

Silence, apart from Langley’s ragged breathing. The ear that was hit rings loudly and when you softly touch you cheek, you can feel a bruise forming.

“You won’t apologize? That’s fine,” the surgeon says with an innocent shrug. “Consider your career gone.”

You certainly weren’t expecting that, and neither did Langley. He sputters in an attempt to right the course of a train that’s already fallen off the cliff, his eyes no doubt as wide as his steadily shrinking ego.

Was Dr. Wayne serious? You were confident that he could ruin someone’s career in a single phone call- he’s the best cardiac surgeon in the state, maybe even the country, and a Wayne, for crying out loud- but would he really just ruin someone’s career so quickly?

“You can show yourself out, by the way.” The surgeon raises an arm in a mocking gesture, beckoning the chief resident to leave and never return. “Security can, too.”

With no options left, Langley huffs and pushes past Dr. Wayne. You can still hear his angry footsteps, like a stampede of bison, as he storms down the hall.

“Thank you,” you murmur to the surgeon as he slowly turns around, inspecting the blow you took by carefully holding your chin and jaw in his large hands. You couldn’t tell if your heart was beating faster when Langley started ripping into you or right now, in this very moment, when you’re forced to stare in to green eyes so close you can make out every speck of dark gold within them.

“Don’t worry about it.” You swear on God’s good graces that the man smiled, just a twitch of his lips. “And please, call me Damian.”

With that, he lets go of your jaw and exits your makeshift office, leaving you flustered and confused.

He wanted you to call him by his first name?

[killed-by-choice]

“Dottie Roe,” 30 (USA 1965)

“Dottie” was a New Yorker seeking medical attention because she had started bleeding in the second trimester. She had suffered two miscarriages in the past and likely feared that she might lose this baby too. Unfortunately, the doctor’s dubious course of action would end her baby’s life and her own.

The medical journal that recorded Dottie’s case does not specify what the diagnosis was, but the doctor decided to put Dottie through a hysterotomy abortion and a tubal ligation. This was a questionable course of action considering that hysterotomy abortion is associated with a very high maternal mortality rate. But since it qualified under the health exemption (“life of the mother” exception), it was completely legal.

The report of Dottie’s death raises questions. She was under general anesthesia for the abortion and tubal ligation, but would never wake up. The journal states that “Cardiac arrest ensued during the procedure, and the patient expired following completion of a tubal ligation, never having regained consciousness.”

Later research found that the risk of hysterotomy abortion concurrent with surgical sterilization was unjustified even in someone perfectly healthy. Today, medical knowledge has advanced beyond the antiquated approach of abortion for pregnancy complications— the recommendation that failed Dottie and her child.

Other pre-Roe legal abortions that were meant as “life/health of the mother” exceptions and killed the patient instead include:

“Carolyn” and “Caroline Roe”: Both died in North Carolina in 1970 or 1971 after abortions for “health indications”

“Bonnie Roe”: Put through an abortion because her heart condition, then died because of drugs for the abortion that were contraindicated in heart patients

“Molly Roe”: Her killers were rebuked by a maternal health committee for a saline abortion that was more dangerous to the young lupus patient than her pregnancy

“Rita Roe”: A cardiac patient who died from multiple pulmonary emboli after an abortion at 12 weeks pregnant

Caro Lena Grasso: An Italian immigrant with a chronic respiratory illness who died of infection caused by the abortion meant to stabilize her

Erika Charlotte Wullschleger: At 28, she was in a tank respirator at Scripps Memorial Hospital. She was just starting to get better before dying from the abortion that her husband, not she, signed the consent forms to.

Barbara Riley: After a doctor told her to have an abortion instead of giving birth again, she reluctantly underwent the highly dangerous saline abortion that took both lives.

(Sources below)

New York State Medical Journal, January 1974

[circadeacademia]

Prompt: Surgery (Escapril Day 28)

Procedure:

Dissection of a desolate cadaver with special focus on the physiological impact of emotional distress

Introduction:

The said procedure aims to explore the anatomical structures of an agonized cadaver with a focus on understanding the physiological manifestations of a heartbreak.

Equipments:

i. A desolate cadaver: A cadaver with a history of chronic heartbreak and acute agony.

ii. Dissection instruments: scalpel (sharpened by an apathetic tongue), scissors (ready to snap at any instant) , forceps (multi functioning i.e grasping truth from the windpipe, retracting false accusations, manipulating sutures of empty consolation), gauze bandages (to fill the void of heart) and other surgical tools.

iii. Dissection table: A sterile table (any empty casket will do) equipped with enough darkness and suffocation particles.

Method:

i. A midline scalp incision was made by the tongue-sharpened scalpel, extending from the forehead to the occipital region.

ii. A craniotomy was performed with high-speed derogatory remarks to create a bone flap in shape of a crushed soul, over the frontal, parietal and temporal lobes.

iii. The dura mater was then incised with utmost neglect to expose the wilting brain tissue.

iv. The brain was then thoroughly laughed at with special attention to the limping limbic system and paranoid prefrontal cortex. Tissue samples were then collected for histological analysis to assess the impact of emotional distress for future guinea pigs.

v. Next, a midline incision was made through the worn sternum using the same scalpel infused with misery.

vi. The torn pericardium curtain was removed to expose the fractured heart.

vii. The heart was then examined for any intact cardiac chambers or other decently performing arteries. The heart was then shattered by the rhythmical hammering of a regular sized taunt.

viii. The heart was then ruthlessly excised in one piece and the cracks were sutured with delusion to put it up for auction.

ix. The cadaver was then abandoned to breathe and walk.

Reflection:

The findings of the following procedure suggest that — active exposure of victim's brain and heart to continuous emotional distress, allows the offender to shape them into malfunctioning masses.

Conclusion:

In conclusion, the following procedure was a success and more such breathing cadavers are currently undergoing the same procedure to ensure the triumph of this groundbreaking surgery.

note: no cadaver was harmed in the following process, all mentioned criteria and procedures are a work of fiction.

— circadeacademia

[kk095]

Christine’s Malpractice Case

Every year, there are thousands of medical malpractice cases reported in the United States. Ranging from surgical or procedural errors, to misdiagnosis, to anesthesia errors, and many other possible factors not listed. We all have a certain level of trust in medical professionals because of their many years of training and education. However, these professionals are people too, and are prone to making mistakes from time to time. Unfortunately when medical professionals make a mistake, it can have major consequences for their patient- leading to further injury, disability, or even death. Sadly, one such case took place at our hospital recently.

The patient was Christine Rossi. She was 47 years old and stood at only 5 feet tall, but her big personality made up for her lack of height. She had a pleasantly plump figure, beautiful brown eyes, shoulder length brown hair, was olive skinned since she was of Italian descent, and always had a fresh mani+pedi. She looked good for her age since she never had kids, and she was never married- but definitely married to her career as a medical malpractice attorney.

Christine’s case began when she was brought into our emergency department one evening straight from her office. She was wheeled into trauma 1 sitting up on the gurney, stripped down to just her bra and underwear. She was wearing an oxygen mask, had EKG electrodes all over her chest, and had IVs going in both arms. “hi, I’m Dr Lindsay. Can you tell me what’s wrong?” Dr Lindsay, the ER attending from that evening asked Christine in a calm, inviting tone. Christine was gasping for air and had one hand on her chest. Her eyes were absolutely bugging out at times, and she was visibly uncomfortable. “my chest…” Christine utters to Lindsay. “your chest hurts? How long has it been hurting you?” Dr Lindsay asks in response. “since yesterday… but it got worse- a lot worse just now…” Christine tells Dr Lindsay.

On the heart monitors, Dr Lindsay saw that Christine was tachycardic, hypotensive, and had an abnormal EKG. The EKG showed unifocal PVCs with ST elevation. The doctor ordered some blood tests: a CBC, BMP, tox screen, and a stat cardiac enzyme test. An echocardiogram and chest x ray were also ordered while the blood was being drawn for the labs.

While the blood samples were sent off to the lab, the chest x ray was performed first. The only thing that was abnormal was some swelling and irritation in both lungs. This can be caused in part by Christine’s rapid, labored breathing, but it can also be associated with blood clots in the lungs, heart attacks, or fluid buildup in the lungs (for example, from pneumonia, covid, and sometimes severe bronchitis). The chest x ray definitely provided some good information, but it didn’t give Dr Lindsay the whole picture, so an echocardiogram was ordered. The echo showed right ventricular hypertrophy. Basically, the right side of her heart was enlarged and working much harder than it should. With the stat cardiac enzyme lab still pending, a dose of nitro was given for chest pain, and cardiology was called for consultation.

The two members of our cardio team to arrive were Dr Rachel, one of our cardiothoracic surgeons, and her cardio resident Dr Sarah. “hey guys, I appreciate you coming down. I think she’s having an acute STEMI and needs the cath lab, just waiting on the cardiac enzyme test to come back to confirm. What do you think?” Dr Lindsay says to the 2 cardio doctors. Dr Sarah looks at Dr Rachel, waiting for her to do the talking. “don’t look at me! What do you think of Dr Lindsay’s assessment?” Dr Rachel told Sarah, trying to get her resident to take some initiative. “I um… I agree.” The resident replies hesitantly. “why do you agree? Go on!” Dr Rachel tells Sarah. “well… um… the EKG shows ST elevation. And uh…. The patient has angina pectoris and shortness of breath.” The resident replies, nervously, and without confidence.

Nurse Nancy walks into the room with a few pieces of paper. “labs are back.” She says, handing the papers to Dr Lindsay. “Cardiac enzymes are high. This is definitely a STEMI.” Dr Lindsay says thinking out loud. “ok, let’s get her to the cath lab. We need to start a central line and get a stent in her.” Dr Rachel called out to the rest of the ER team. “what… what’s going on?” a nervous Christine asked, still breathing heavily. “you’re having a heart attack and we have to put a stent in, ok?’” Dr Lindsay tells the nervous lawyer. “a heart attack?!” Christine asks in response, surprised at what she’s heard. “am I going to die?!” Christine continued. “you’re in great hands! We’ve seen plenty of heart attacks like this. We’re going to place a stent, keep you here for a day or two, and you should be good to go.” Dr Lindsay replies with relative confidence, oblivious to the fact of what was to come. “Can you call my mom? I’m scared…” Christine asks Lindsay, still short of breath, visibly in pain from the crushing pressure she felt in her chest. “of course! We’ll have one of the nurses reach out to her, ok?” Lindsay replies, reassuring.

Over the following few minutes, Christine is taken up to the cardiac catheterization lab. She’s laid flat on the table and her bra is removed, allowing her large, D cup breasts to spill out. “alright Christine, our resident Dr Sarah will place the line and the stent. We’ll be getting started shortly.” Dr Rachel tells the nervous attorney. “the resident? I don’t want her to practice on me…” Christine protests, having a gut feeling against having the resident perform the catheterization and stent placement. “don’t worry ma’am, me and Dr Lindsay have done these plenty of times. Sarah will have plenty of adult supervision!” Dr Rachel tells Christine, attempting to add a little comedic relief to the urgent situation. Christine still had a bad feeling about it, but ultimately agreed to let Sarah perform the procedure.

The upper right portion of Christine’s chest was splashed with betadine to sterilize the area. The resident identifies the superior midpoint of the clavicle, and moves down a few centimeters. This is the location of the subclavian vein, so it’s important that the correct location be identified in the early stages of the procedure. Next, a local anesthetic is injected into Christine’s chest to numb the skin and some of the underlying tissues. She winced in pain, feeling a pinch and a burn from the injection. It normally takes 45-60 seconds for the local anesthetic to numb the area effectively, so in the meantime, an ultrasound was set up. This is to further confirm the location of the subclavian vein, and to follow the catheter’s path once placed. Next, a hollow needle was advanced through the skin. Christine could feel the pressure of the needle being inserted, but no pain. The resident Sarah advanced the needle slowly into the beautiful attorney’s chest, looking at the ultrasound monitor. Eventually, the needle was in the correct depth and blood was aspirated. The needle was held in place for a moment while the blunt guide wire was maneuvered through the needle and into the subclavian vein. While inserting the guide wire, Sarah pulled it out and inserted it again quickly, unnoticed by Rachel or Lindsay. However, everything seemed fine at the time. But in that moment, unbeknownst to everyone, Sarah introduced an air bubble into the central line, which would now become a ticking time bomb.

Eventually, the guide wire and catheter were sent to the correct location, and the occluded coronary artery was identified. A small stent was navigated into the central line and carefully and methodically navigated to the correct location. Once the stent was in place, it was placed and opened, restoring blood flow to the previously blocked artery. After confirming the placement of the stent via ultrasound and x ray, the guide wire was removed and a port was left in the initial site to leave the central line open for the duration of Christine’s hospital stay.

After the procedure was completed, Christine was brought back to an exam room in the ER to wait until a bed opened up in the recovery area. “how’re you feeling?” Dr Lindsay asked. “I definitely notice a difference. Thank you…” Christine replied, no longer breathing heavily, and seemed a lot more calm than earlier. “look who’s here!” nurse Nancy says excited, bringing Christine’s 70 year old mother Marie into the room. Marie hurries over to the bed as fast as her 70 year old body can, and gives her daughter a hug and a kiss. “How are you doing sweetie? They said you had a heart attack!” the concerned mother asks. “I’m doing a lot better mom! Thanks for coming.” She replies, with a smile on her face. “we’ll leave you two alone. It’s been quite a day, right?” Dr Lindsay said, exiting the room with nurse Nancy.

Approximately 2 hours go by. “something’s wrong! Come in, quick!” 70 year old Marie shouts to the ER team while scurrying out of the exam room, visibly worried. Dr Lindsay, nurse Heather, and nurse Nancy head into the room. The heart monitors are chirping loudly, showing that Christine is severely hypotensive and tachycardic. Christine’s eyes are shut, but she’s groaning. “christine? What’s wrong?” Dr Lindsay asks, doing a gentle sternal rub, to which Christine doesn’t respond. “she passed out and won’t wake up! What happened?!” Marie asks in a panicked tone. “We’re gonna get to the bottom of this, ok?” Dr Lindsay replied. Heather shined a pen light into Christine’s eyes and both pupils were fixed and dilated. “Pupils blown Linds” Heather tells Lindsay, shaking her head. “lets get her intubated! Get cardio back down here NOW!” Lindsay shouts, wondering what the hell just happened. “christine? Can you squeeze my hand?” Lindsay asks, receiving no response. Marie was holding her daughter’s other hand and talking to her while chaos ensued. “get me a 7.0 ET tube!” Lindsay shouted.

The ET tube was being navigated carefully into the woman’s airway by Lindsay. “no pulse, starting compressions!” Heather called out. “damn it!” Lindsay said frustrated, finishing her rapid sequence intubation. Heather delivered deep, violent chest compressions on Christine while her 70 year old mother continued to hold her hand and stroke her hair. “she’s in PEA. Push epi and atropine. And where the hell’s cardio?!” Dr Lindsay shouted again, frustrated. While Lindsay ambu bagged and lead the code, Heather continued delivering CPR. Christine’s chest caved in, and her belly jiggled outwards. Her breasts shook and trembled from the residual force of the compressions being received.

Dr Rachel and Sarah enter the room and are shocked, seeing their seemingly stable patient having her chest pumped violently. “what happened?!” Rachel asked, stunned. “I figured you two might try to figure that out for us. Any ideas?” Lindsay replied sternly. “what do you mean? She was fine a little while ago!” Rachel replied. “sarah even did a good job on her first stent placement and central line.” Rachel continued. “wait! This was the first time she ever operated on someone?!” Marie shouted, overhearing what was said. “ma’am… believe me, she is absolutely qualified. And every procedure has its risks.” Rachel replied, jumping to Sarah’s immediate defense. “did she kill my baby girl?!” Marie asked, becoming teary eyed. “Ma’am, why don’t we bring you to a private waiting room while the doctors work.” Nurse Nancy suggested, trying to gently direct the 70 year old woman out of the room. “no no no, I’m not going anywhere! That’s my daughter!” Marie shouted, tears running down her face, still holding her daughter’s hand as her chest was being absolutely pummeled.

The heartbreaking scene was interrupted by Dr Lindsay announcing that v-fib was on the monitors. “alright, charge the paddles to 200.” Lindsay called out. Nancy gently made Marie back away from the table because of the impending shock. The paddles were pressed up against Marie’s bare chest, the ambu bag was temporarily detached, and the shock was delivered. Marie’s body flopped on the table while a KA-THUNK was heard in the room. “still no change, charge to 250.” Lindsay called out, shaking her head a bit. After a cycle of compressions, the next shock was delivered. The electricity ran through the 47 year old’s limp, lifeless body, causing her to twitch sharply in response. “no pulse, let’s hit her again at 300.” Lindsay responded, looking at the monitors. “please… save my baby! That’s my little girl!” Marie begged the team while living every parent’s worst nightmare. “paddles charged.” Heather called out. The defibs were placed back onto Christine’s chest, and shock #3 was promptly delivered. Christine’s feet kicked up above the table and slammed back down half a second later, showing off the deep, soft, silky, prominent wrinkles throughout the soles of her size 7 feet. “still nothing doc.” Heather said, having 2 fingers placed on Christine’s neck for a carotid pulse. The paddles were recharged, and in a moment’s notice, Christine was shocked at 360j. Her body reacted more violently to the stronger shock, with her eyes opening up halfway, staring blankly up above. “PEA, resuming compressions.” Dr Lindsay said, taking over CPR for Heather.

More meds were pushed while CPR went on. However, it took another 6 minutes to produce another shockable rhythm. Nonetheless, when v-fib appeared on the monitors again, the paddles were recharged to 360 joules, and Christine was shocked again. Marie’s lifeless body twitched abruptly in reaction to the shock while her eyes remained open, staring blankly at the ceiling above. After another cycle of chest compressions, the next shock was delivered, causing Christine’s toes to curl, once again showing off the deep, soft wrinkles in the soles of her feet. But unfortunately at that point, the code started to become more redundant: CPR, shock, meds, repeat.

It was now 24 minutes into the code and Christine was still in v-fib. Her complexion was a ghastly pale color, her skin was ice cold to the touch, and there was a huge bruise on the center of her chest from all the CPR she’d received. At that point it was Dr Rachel doing CPR while Lindsay still ran the code. Lindsay looked around the room, eventually making eye contact with Rachel. Lindsay shook her head at Rachel, knowing Christine wasn’t coming back. Dr Rachel backed off, and nurse Heather detached the ambu bag. “what’s going on? Why are you stopping?” Marie asked the team, still holding her daughter’s hand. “I’m so sorry ma’am…” Dr Lindsay said, before Marie interrupted, “no no no! Shock her again! Keep pounding her chest! There’s gotta be SOMETHING you can do, right?!” Dr Lindsay paused for a moment, then said “I’m so sorry ma’am. We did everything we could. Your daughter’s heart won’t restart, and her brain has been deprived of oxygen for so long.” Marie started to cry at the point, practically crumbling to the floor. “time of death, 8:45pm.” Dr Lindsay said, peeling her gloves off. “no no no!” Marie wept. Nurse Nancy scurried over to try and console the woman while Heather began basic postmortem care.

The monitors were switched off, the EKG electrodes were disconnected, and the ambu bag was detached. A toe tag was filled out and placed on the big toe of Christine’s left foot, dangling in front of her beautiful, wrinkly soles. Her body was covered up, but Heather lowered the blanket down to Christine’s shoulders so Marie could have as much time as she needed to grieve her daughter’s tragic passing.

Since the exact cause of Christine’s death was unknown, an autopsy was ordered. The results of said autopsy concluded that Christine died from an air embolism that traveled to her brain. Essentially, air was introduced in the central line by Sarah, and it eventually traveled to the brain and got stuck in the smaller, more delicate vessels there. With these findings in mind, Marie was able to sue the hospital for Malpractice and received a hefty settlement payment. It was an absolute tragedy that Marie witnessed the death of her own daughter, and it was also a bit ironic that a medical malpractice attorney died from medical malpractice.

[unitedhospital]

What are the Different Types and Treatments of Arthritis?

Leading a beautiful life doesn’t come without challenges. Our body goes through a lot of stress and grind in the process and there comes a stage when it needs more attention and care than ever before.

The Best Orthopedic Doctor in Bangalore at United Hospital explains that the wear and tear, our body is subjected to, leads to pain in the ankles and knees. Sometimes, it can get pretty hard to walk!

Are we welcoming Arthritis in this case?! Well, in the worst case, unfortunately, we may be. However, experts indicate that there is no need to panic. With rapid advancements in medical science, there is not just hope, but more confidence that we can defeat Arthritis.

It is all about being aware of what Arthritis exactly is and taking precautions at the right time that could be the best beginning to arrive at a successful solution.

Understanding Arthritis?

Experts at United Hospital, a dedicated Orthopedic Centre in Bangalore focusing on Arthritis care, explain that Arthritis is a medical condition involving swelling and tenderness of one or more joints. It may worsen with age and is a prevalent cause of discomfort among senior citizens

Types of Arthritis

Arthritis can affect individuals of any age, but the elderly are more vulnerable.

Some of the common forms of Arthritis are:

Osteoarthritis - It is a condition that affects joints in your Hands, Knees, Hips and Spine.

Psoriatic Arthritis - This a condition that develops in people due to a very challenging skin disease called Psoriasis.

Reactive Arthritis – This causes joint pain and swelling triggered by an infection in prominent parts of your body — most often your intestines, genitals or urinary tract.

Rheumatoid Arthritis – This is a chronic inflammatory disorder which can affect more than just joints including premier organs like lungs, heart, eyes and blood vessels.

Some of the other conditions faced notably by the elderly include Ankylosing Spondylitis.

Symptoms of Arthritis

The most common signs and symptoms of arthritis involve the joints. Hence, it is important to seek an expert opinion if you observe one or more of the following symptoms:

Pain in the joints.

Stiffness felt in the joints.

Swelling observed in or around the joints.

Redness observed in the joints.

Difficulty in moving.

Treatment for Arthritis

Arthritis, if untreated, can be a really painful thing to handle. However, what really matters is the right type of medical attention at the right time and from the right source. Your treatment is based on how severe is your condition and can include:

Medications

Depending upon the type of Arthritis diagnosed, your medications may include:

Non-steroidal anti-inflammatory drugs.

Creams and Ointments.

Steroids

Physical therapies and exercises.

Surgical Interventions

In case you do not get any relief from the above medications your doctor might recommend surgical interventions to bring you back to your routine lifestyles in quick time. Some of the types of surgeries performed include,

Joint Repairs

Joint Replacements

Joint fusions

Let’s say Goodbye to Arthritis forever and welcome a painless life. For many of us, life may begin at 40, but so does Arthritis! Hence, if you are wondering as to, “Which is the Best Orthopaedic Clinic near me to treat Arthritis”? feel free to connect with United Hospital.

[tentabs1]

Top 5 Most Needed Equipment in a Hospital

Hospitals are the cornerstone of healthcare, playing a crucial role in saving lives and improving the quality of care. To deliver optimal treatment, hospitals must be equipped with the latest and most essential medical devices. These tools not only enhance diagnostic accuracy but also ensure patient safety and efficient operations. In this article, we’ll explore the top 5 most needed equipment in a hospital, detailing their importance and functionality. If you’re looking to procure high-quality devices, consider exploring options to buy medical supplies online, where convenience meets affordability.

1. Diagnostic Imaging Systems

Diagnostic imaging systems are indispensable in modern medicine, allowing doctors to view and analyze internal structures of the body. Equipment such as X-ray machines, CT scanners, and MRI machines provide critical insights into a patient’s condition.

Why They’re Needed:

Enable early and accurate diagnosis.

Help in planning surgical procedures.

Monitor the effectiveness of ongoing treatments.

Investing in reliable diagnostic imaging systems ensures better patient outcomes and streamlines the treatment process. High-quality imaging devices are widely available through medical supplies online platforms, offering advanced technology at competitive prices.

2. Patient Monitoring Systems

Patient monitoring systems are essential for tracking vital signs such as heart rate, blood pressure, oxygen saturation, and temperature. These systems are particularly crucial in intensive care units (ICUs) and operating rooms.

Key Features:

Continuous monitoring of patient health.

Real-time alerts for any abnormalities.

Integration with hospital information systems for data storage and analysis.

Modern patient monitors are equipped with wireless capabilities, enabling remote monitoring. This feature is invaluable, especially during emergencies or in telemedicine settings.

3. BPL ECG Machine

An electrocardiogram (ECG) machine records the electrical activity of the heart and is essential for diagnosing various cardiac conditions. Among the top-rated ECG machines, the BPL ECG machine stands out for its precision and user-friendly design.

Benefits of BPL ECG Machines:

High accuracy in detecting arrhythmias and heart abnormalities.

Easy-to-use interface for healthcare professionals.

Portability, making it ideal for both hospital and home use.

Cardiac health is a critical aspect of patient care, and a dependable ECG machine ensures timely intervention. Purchasing a BPL ECG machine from trusted sources online guarantees authenticity and quality.

4. Surgical Instruments and Equipment

No hospital can function without a comprehensive range of surgical instruments. From scalpels and forceps to advanced robotic surgical systems, these tools are vital for performing both minor and major surgeries.

Must-Have Surgical Equipment:

Sterilizers to ensure a contamination-free environment.

Laparoscopic tools for minimally invasive procedures.

Advanced anesthesia machines for patient safety during operations.

To maintain high standards of patient care, hospitals must regularly update and replace their surgical instruments. Many healthcare facilities prefer sourcing these items through medical supplies online, ensuring timely delivery and cost-effectiveness.

5. Ventilators and Respiratory Equipment

Ventilators and other respiratory equipment have become indispensable, especially in the wake of the COVID-19 pandemic. These devices provide critical support for patients who struggle to breathe independently.

Importance of Ventilators:

Assist patients with respiratory failure.

Play a crucial role in ICUs and emergency care units.

Provide life-saving support during severe illnesses or post-surgical recovery.

Modern ventilators come with advanced settings to customize airflow and pressure, catering to the unique needs of each patient. Hospitals can explore various models and price ranges by purchasing these devices from medical supplies online platforms.

Why Choose Medical Supplies Online?

The healthcare industry is evolving rapidly, and so is the way hospitals procure equipment. Buying medical supplies online offers several advantages, including:

Wide Range of Options: From basic tools to advanced machinery, online platforms provide a comprehensive selection of medical equipment.

Cost Efficiency: Competitive pricing and frequent discounts make online shopping more affordable.

Convenience: Avoid the hassle of visiting multiple vendors; place orders with just a few clicks.

Authenticity: Reputable platforms ensure that all products meet international quality standards.

[jcsmicasereports]

Successful Jatene procedure for great arteries transposition correction in newborn with SARSCoV-2 infection by Guillermo Careaga-Reyna MD in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

Pandemic of COVID-19 represents a challenge for treatment of patients with congenital herat disease. We present a newborn with great vessels transposition and positive SARS-CoV-2 PCR test. The patient was submitted to a successful surgical treatment with corrective Jatene procedure, requiring opened chest wall during 72 h of postoperative period and 43 days of total in-hospital lenght of stay.

KEY-WORDS: COVID-19, SARS-CoV-2, great vessel transposition, Jatene procedure, congenital heart disease.

Introduction

Coronaviruses are single stranded ribonucleic acid viruses with a diameter of 60–140 nm and a high rate of genetic mutations and recombinations, rendering them capable of escaping from the immune system and causing novel infections (1). In less than six months, the coronavirus disease 2019 (COVID-19) pandemic has swiftly spread from one city in China to over 190 countries worldwide (2-4). Neonatal infections with SARS-CoV-2 have been described although robust data on vertical transmission are lacking. In most instances where neonatal infection has been reported, close contact with infected mother or caregiver is postulated to have occurred (4).

In newborns, the case is regarded as positive for infection if any of the following conditions occurs, (1): positive PCR for SARS-CoV-2 in respiratory tract or blood samples, high homology of viral gene sequences of the samples from the respiratory tract or blood to the COVID-19 sequence.

We present a case of a newborn with great vessel transposition and SARS-CoV-2 infection.

Case Report

We present a new born with great arteries transposition associated to aquired SARS-COV-2 infection.

The patient was refrerred to our hospital, with a positive SARS-CoV-2 test, with mechanical ventilatory support in order to confirm a complex congenital heart disease.

The diagnosis was established via echocardiographic evaluation which showed normal venous return, concordance atrio-ventricular and ventriculo-arterial discordance. It was concluded: great arteries transposition, patent ductus arteriosus and permeability of foramen oval.

The patient was recovered from a septic shock with no evidence of systemic inflammatory response requires inotropic support and after stabilization in neonatal intensive care unit, at 10 day in-hospital stay,  was submitted to an open heart surgery consisted in anatomic correction with Jatene procedure. The aortic cross-clamping time was 119 min, with cardiopulmonary bypass (CPB) of 181 min. It was decided to maintain in postoperative period opened chest wall, and after 72 the chest wall closure was succesfully realized with favorable posoperative evolution. After 32 days of postoperative, the patient was discharged from hospital. Actually, two years after surgery, the patient is doing well, only with mild pulmonary stenosis without hemodinamic or clinical repercusion.

Discussion

For infants born to COVID positive mothers should be reasonable to separate him from the mother if will need cardiac surgery to try avoid post-natal infection.

In fact, there is minimal evidence of placental vertical transmisión. In this case, the patient has a positive test for SARS-CoV-2 infection and evolved with septic shock in the preoperative period.

It may also be reasonable to do serial testing on the infant, but there is no consensus on the correct timing surgery should be scheduled with advice from a multidisciplinary team of experts including cardiac medical, cardiac surgical, and infectious diseases as indicated. After evaluation of the clinical conditions for a heart team in our hospital, it was decided to realize the surgical procedure in order to avoid progression of heart damage and irreversible heart failure.

However we must remember that, if prudent, surgery should be delayed until the patient’s symptoms have improved and/or testing has been repeated (often after 14 days) and is negative (5).

On the other side, in older patients the inflammatory response due to SARS-CoV-2 infection has been a frequent complication.

In our patient, probably due to the age, it was no presented even with the septic shock o posteriorly associated to the use of CPB during the surgical procedure

It was concluded taht COVID-19 may affect all age patients. However with cautious evaluation and treatment of associated disease as in our case, the patient improves survival, despite severity of viral illness, and during this pandemic period, patients with active COVID-19, at neonatal period we have no treated any other.

[skyloftian-nutcase]

Lofty, im curious.

If you'd care to share, are you an EMT Basic, Intermediate or Paramedic?? I just learned there was a difference haha

YOU KNOW THE DIFFERENCE :D

Intermediate is an old level that’s being phased out, though I have a coworker who is an intermediate. The national standard levels in the USA are EMT (basic), Advanced EMT, and Paramedic. I’m an advanced 👍🏻 The difference between me and a medic is I don’t do cardiac drugs (which is highly ironic considering I’m a cardiac ICU nurse and I play with cardiac drugs all the time at my nursing job lol), I don’t medically sedate people, and I can’t do certain procedures like intubation, needle decompression thoracotomy, or surgical airways (cricothyrotomy). I can start IVs and give most of the meds in our drug boxes, I can do IO and blind airways and CPAP. That kind of stuff.

I don’t usually call for a medic all that often, it has to be pretty freaking dire. I think the last time I called for one was because we were about to code a baby (baby was fine in the end, don’t worry).

[thetechempire]

World's first fully robotic heart transplant performed

🔹A groundbreaking achievement in medical technology has been made at King Faisal Specialist Hospital and Research Centre in Riyadh, Saudi Arabia, where the world’s first fully robotic heart transplant was successfully performed. The operation, lasting about two and a half hours, was conducted on a 16-year-old patient suffering from end-stage heart failure, who specifically requested that his chest remain unopened during the procedure.

🔹The surgery was led by cardiovascular surgeon Feras Khaliel, who prepared meticulously with his team, conducting seven training sessions over three days to ensure everything went smoothly. This rigorous preparation highlights the complexity and innovation involved in performing such a pioneering operation.

🔹Majid Al Fayyad, the CEO of the medical center, praised the accomplishment as a significant advancement in healthcare, drawing parallels to the historical significance of the first heart transplants conducted in the 1960s. The fully robotic approach marks a new era in surgical procedures, emphasizing precision and minimally invasive techniques.

🔹This landmark surgery not only showcases the capabilities of robotic technology in medicine but also sets a precedent for future procedures. It represents a major step forward in cardiac care, offering hope for improved outcomes in patients requiring heart transplants.

[sarvodhyahospital]

Heart Hospital in Greater Noida West

Introduction to Heart Hospital in Greater Noida West

At the Heart Hospital in Greater Noida West, we are dedicated to providing exceptional heart care. Our hospital is designed to meet the needs of patients requiring advanced cardiology services.

Heart disease remains one of the leading health concerns worldwide. Early diagnosis and effective treatment are crucial. Our hospital offers comprehensive solutions to ensure your heart stays healthy.

We believe that with the right care, heart disease can be managed effectively. Our facility is equipped with the latest technology to deliver top-notch medical services.

Choosing the right heart hospital is vital for your overall well-being. At our hospital, you receive care from some of the most qualified professionals in the field. We focus on personalized treatment plans tailored to each patient’s unique needs.

Why Choose Our Heart Hospital?

Our Heart Hospital in Greater Noida West stands out due to its advanced facilities and highly skilled medical team. We utilize cutting-edge technology to diagnose and treat heart conditions accurately.

Our state-of-the-art equipment ensures precise results and effective treatment plans. We stay updated with the latest advancements in cardiology to provide the best care.

Our team of cardiologists and surgeons brings years of experience and expertise. They are committed to delivering personalized care and ensuring the best outcomes for every patient.

We understand that heart health is critical and require careful management. Our professionals are here to guide you through every step of your treatment.

Our Services and Treatments

We offer a comprehensive range of cardiology services at our hospital. From detailed diagnostics to complex surgical interventions, our facility is equipped to handle various heart conditions.

Cardiac Diagnostics: We provide thorough diagnostic services including ECG, echocardiography, and stress tests. These tests help in accurately diagnosing heart diseases.

Surgical Interventions: Our hospital offers advanced surgical treatments such as angioplasty, bypass surgery, and valve replacements. We ensure the procedures are performed with the utmost precision.

Preventive Heart Care: We focus on preventive measures to maintain heart health. This includes lifestyle counseling, regular check-ups, and monitoring for early signs of heart disease.

Our holistic approach ensures that patients receive comprehensive care tailored to their specific conditions.

Patient-Centric Approach

At our Heart Hospital, patient care is our top priority. We believe in providing a personalized approach to treatment, focusing on the individual needs of each patient.

Our staff is trained to offer compassionate and attentive care. We understand the emotional and physical challenges of heart conditions and are here to support you throughout your journey.

We offer various support services including nutritional guidance, psychological support, and rehabilitation programs. Our goal is to help you recover and maintain a healthy lifestyle.

How to Book an Appointment

Booking an appointment at our Heart Hospital is simple and convenient. You can choose to book online through our website or contact us directly via phone.

Our online booking system allows you to select a suitable time and date for your appointment. Alternatively, you can call our reception for assistance.

For more details or to schedule an appointment, visit our website or reach out to our customer service team. We are here to help you with all your heart health needs.

Patient Testimonials and Success Stories

Our patients’ experiences speak volumes about the quality of care we provide. Many have shared positive feedback about their treatment and recovery at our Heart Hospital.

Real-life stories highlight the success of our medical interventions and the dedication of our healthcare professionals. Patients have expressed gratitude for the personalized attention and effective treatments they received.

These testimonials reflect our commitment to delivering excellent care and achieving positive outcomes. We take pride in the trust our patients place in us and strive to continue providing exceptional heart health services.