#Case Reports in Orthopaedics
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Journal of orthopedic case reports publishes Images in Orthopaedics Case Reports Journal, Orthopaedics Journal, Case Reports in Orthopaedics etc. Journal of Orthopaedics and Traumatology Case Reports provides an equal platform to orthopaedic based medicine as well as personal experience and every case report should reflect these important concepts.
#Journal of Orthopaedics#Journal of orthopedic case reports#Traumatology Case Reports#Images in Orthopaedics Case Reports Journal#Case Reports in Orthopaedics
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Prevention and rehabilitation in Middle Ages by Prof. Francesco Carelli in Journal of Clinical Case Reports Medical Images and Health Sciences
Italian hospitals in the late Middle Ages already offered much more than a simple reception and care. In a work that can be consulted in the Laurentian Library in Florence, datable about 1300, painter Gaddi shows a series of hospitalized people. Already the representation is not very sad perhaps due to the lack of modern white walls and patients appear regularly placed in beds with acts of assistance and care. The two couples in the foreground completely decline an idea of health that we moderns tend to, even though we have not yet reached it. In fact, therapy is combined with education and prevention. The disease in question is a chronic vascular sore, a subject not resolved at by us moderns and a source of great health care costs. One of the reasons for these costs is to be fund in the lack of attention of moderns to preventive and educational activities. In the foreground on the right the therapeutic act is portrayed, in which it is evident a doctor performing a cleaning, disinfection and dressing of a vascular sore. But the great news that is incredible in the so – called dark ages, is portrayed on the left. The doctor, recognizable by the red headdress, gives a stick, that is a device to improve, encourage and facilitate the ambulatory exercise by his patient. We also note that he spends time on an explanation to the patient who is portrayed as he listens to medical advice with interest. The rehabilitation intentions are proven by the fact the patient wears a rudimentary orthopaedic brace which surrounds widely the neck. The device allows the patient to walk keeping the arm hanging from the neck, unable to move perhaps following a trauma. In the hospitals of the Middle Ages, therefore, education and adapted motor activity were carried out which, today, together with food, is considered the basis of disease prevention.
#Prevention#rehabilitation#chronic vascular sore#dark ages#jcrmhs#Journal of Clinical Case Reports Medical Images and Health Sciences predatory Case Reports in clinical Medicine#orthopaedic
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Journal of Orthopaedic Surgery and Research Case Reports publishes Clinical Images in Orthopaedic Surgery, Orthopaedic Research Journal, Case Series in Orthopaedic Surgery, Clinical Video in Orthopaedic Surgery, Orthopaedics Research Articles etc. Orthopaedic Surgery experts use the latest techniques and technology to improve care for people with musculoskeletal problems.
#Orthopaedic Research Journal#case reports journal in Orthopaedics#Orthopaedic Surgery journal#case reports in Orthopaedic Surgery journal
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Palestinian Healthcare Workers are being TORTURED to DEATH in Israeli Concentration Camps!!!!
A senior doctor from Gaza died while under Shin Bet investigation in November, six days after Israeli forces arrested him from the Palestinian enclave, Haaretz reports. Dr. Iyad Rantisi, 53, was the head of a women’s hospital as part of the Kamal Adwan hospital in Beit Lahia, northern Gaza. He was arrested on 11 November and declared dead six days later at Shikma Prison, a Shin Bet interrogation facility. Haaretz says that following Rantisi’s death, “Ashkelon Magistrate’s Court issued a six-month gag order prohibiting publication of all details of the case, including the existence of the gag order”. The order expired in May. Dr. Husam Abu Safia, the manager of the Kamal Adwan hospital, said that Rantisi was arrested at a military checkpoint as he was trying to cross from the north to the south of Gaza following the Israeli army’s evacuation orders. The Shin Bet said they arrested him over suspicion of involvement in hiding hostages. Rantisi is the second known case of a Gaza physician dying in Israeli prisons, following Dr. Adnan al-Bursh, a surgeon who led the orthopaedic department at Gaza City’s Al-Shifa hospital, who died on 19 April in Ofer Prison in the occupied West Bank. No authorities have yet provided any information on the circumstances related to Rantisi’s death.
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#palestinian hostages#palestinian hospitals#healthcare#medicine#doctor doom#hospital#palestinian doctors#palestinian nurses#free Palestine#free gaza#I stand with Palestine#Gaza#Palestine#Gazaunderattack#Palestinian Genocide#Gaza Genocide#end the occupation#Israel is an illegal occupier#Israel is committing genocide#Israel is committing war crimes#Israel is a terrorist state#Israel is a war criminal#Israel is an apartheid state#Israel is evil#Israeli war crimes#Israeli terrorism#IOF Terrorism#Israel kills babies#Israel kills children#Israel kills innocents
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Abdomino-pelvic impalement x3 in a 17-year-old who somehow managed to not die
[Original medical journal case report] [Credit to how this was found]
A 17-year-old female fell from second floor directly over iron rods of an under-construction building at midnight. Although three iron rods penetrated inside her body, she was conscious and oriented but cried in pain. Neighbours cut the rods from the iron pillar with drilling machine and shifted the patient from accident site to the emergency department of our hospital which took 5 hours. During this interval, she was in sitting posture and could not lie down fearing additional trauma due to the penetrating rods. On examination, she was conversant and had a pulse rate of 126/minute and pallor. Two iron rods could be seen penetrating her abdomen and pelvis while the third one went through and through her gluteal region [Figure 1].
A part of her cloth also went inside the path of the iron rods. Blood clots could be seen at the entry and exit wounds. Abdomen was not distended, and child had passed clear urine once on her way to the emergency department. There was no evidence of any injury to the chest, head, neck, spine or the extremities. At arrival, along with the primary survey, an intravenous line was secured to start fluids, antibiotics and analgesics. Tetanus toxoid and tetanus immunoglobulin were administered. Simultaneously, samples were sent for routine blood investigations and cross match. Haemoglobin was 8.9 and haematocrit was 27. Chest, abdominal and pelvic skiagrams were taken to assess the passage of the rods and any bony injury. One of the rods could be seen penetrating through the right iliac bone. Another rod went through and through the ascending colon just distal to the ileo-caecal junction and also the right iliac bone. There were no major vascular or urinary injuries. All the solid organs were spared. Resection of the jejunal segment containing the two perforations was done followed by end-to-end jejuno-jejunostomy.
Patient was shifted to the operation theatre and was put in left lateral position between the operation table and shifting trolley, so that the rods came in between the trolley and the operation table. In this position, patient had induction of anaesthesia using 100% oxygen for 3 minutes followed by Etomidate (100 mg), Fentanyl (75 mcg) and Succinylcholine (75 mg) [Rapid sequence induction], followed by intubation using cuffed oro-endotracheal tube of size 7.0. Following this, patient was maintained on Oxygen, Air and Sevoflurane, then patient was shifted to operation table in sitting posture and surgical procedure was started. Rod in the gluteal region was removed first after increasing its entry and exit wounds slightly. It was seen to pierce only the gluteal muscles. The passage was washed with hydrogen peroxide and saline and packed with betadine-soaked gauze. She was then turned supine and laparotomy was done through midline incision. One of the rods was seen to pierce the jejunum twice at approximately 30 and 40 cm from the duodeno-jejunal junction [Figure 2].
Ileo-ascending anastomosis was done after excision of the caecum along with the perforated ascending colon. No orthopaedic intervention was needed for the rod penetrating the right iliac bone. Tension suturing was done after insertion of drains in pelvis, right and left paracolic gutter. She received three units of packed cells in the peri-operative period. Patient was transferred to the Intensive Care Unit post-operatively and was there for 5 days following surgery for intensive monitoring and management. Antifungal agents were added when positive fungal blood culture was seen following fever on 3rd post-operative day. Patient passed flatus on 5th post-operative day and tolerated oral food from the next day. Drains were removed on the 5th post-operative day. Wounds over gluteal and iliac regions were conservatively managed on dressing and antibiotics. The total duration of hospitalization was 24 days and patient were discharged with advice of daily dressing of these wounds. First follow-up was after 15 days of discharge and subsequent two follow-ups were after one and three months of discharge. She has been asymptomatic on follow-ups. Figure [3] shows her scars after 3 months of discharge from hospital.
#medical gore#cw: gore#gore#impaled#impalement#medical journal#surgery#flesh#organ#wound#serious injury#personal
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tips for writing a character with type 1 diabetes
people make these for whatever disability they have. but most of the time they're not really about writing, they're just informative about the disability, which isn't always that helpful. i thought it'd be fun to do one that takes the writing part seriously. so, here's mine!
the only fictional depiction of diabetes i'm aware of is Paul Blart Mall Cop. it's a pretty stupid point of reference, so i'm mostly going to be talking about the protrayal of the blood plague in Bloodborne instead. perhaps surprisingly, this post contains Bloodborne spoilers.
Table of Contents
Preface on Modes of Narrative Discourse
Tip 1: Varieties of Diabetes
Tip 2: Onset of Diabetes
Tip 3: History of Diabetes
Tip 4: Living with Untreated Diabetes
Tip 5: Treatment of Diabetes Today
Tip 6: Hypoglycemia
Tip 7: Diabetes is an Immune System Disorder
Conclusion
before we start, in this post i'm going to use the division of the narrator's discourse employed by Lubomír Doležel in Narrative Modes in Czech Literature, 1973, 5-10, except i'm using 'third person' and 'first person' instead of Er-form and Ich-form because you'll stop reading if i call them that. here's his chart for reference:
the objective narrators (first and third person) are totally external to the events they narrate and have no interpretations to make about what they see—they write in the detached manner of an ornithologist's field journal. example: Hemmingway's 'the Killers.'
the rhetorical third person narrator gets to interpret what it sees; the interpreter in rhetorical third person will generally be someone not involved in the story, such as the author themselves or a fictional storyteller like Shazarad. example: Balzac's 'Sarrasine' (once the Sarrasine sequence actually starts).
the subjective third person narrator is when the answer to 'who speaks?' and 'who sees?' is different. here, the narrator confines their interpretation to the point of view of a specific character within the story. Dolezel's example: "When Helenka was finishing her internship in orthopaedics, there was in the ward a young man who had broken his thigh-bone. Such a common femur fracture, a rather uninteresting case" (M. Pujmanova, Playing with Fire). the comment that the fracture is "uninteresting" is spoken by the narrator, but it is obviously Helenka's interpretation.
the personal and rhetorical first person narrator is a character within the story who can report on their own thoughts and feelings. the personal narrator acts within the story, while the rhetorical narrator merely comments; generally first-person stories will contain all three kinds of first-person narration; personal for their own actions, rhetorical for the actions of others, and observer's for things like providing context about the enviornment. example: Hajime Kanzaka's 'Slayers.'
i promise it's going to be important. now for the tips!
TIP 1: there are different kinds of diabetes
Type 1 diabetes (5-10% of cases), MODY (1-2%) and MIDD (1%) are genetic, whereas Type 2 (90%) and Gestational Diabetes are acquired. you get Gestational Diabetes during pregnancy and then it goes away (it occurs in 6% of all pregnancies), and you acquire Type 2 diabetes pretty much randomly although it's highly correlated with bodyweight. MIDD is accompanied by hearing loss. there is another unrelated disease which is also called diabetes, diabetes insipidus.
if you're writing about a historical period Type 2 is going to be much less common. the number of people with Type 2 has exploded since the 1960s. "As of 2015 there were approximately 392 million people diagnosed with the disease compared to around 30 million in 1985" (wiki). personally i don't know jack shit about any of those other kinds, so i'm only going to talk about Type 1.
TIP 2: onset is prolonged and dangerous
while Type 1 is entirely genetic, onset doesn't actually start until your teens or twenties. basically, your pancreas just stops working. you cannot predict if this will happen, and you won't notice as soon as it does happen.
when you eat carbs or sugar you're absorbing glucose. your body detects the presence of glucose and the pancreas creates insulin which converts glucose into energy. when your pancreas stops working, you will not produce enough insulin to convert the glucose and it'll stick around in your system indefinitely. this is called 'hyperglycemia' or 'high blood sugars' and it is extremely perilous, but its effects come on slowly.
first of all, you will suffer fatigue and tiredness because you aren't making enough energy. at the same time, all the excess glucose your body isn't using will stick to your cells and cause problems. it sticks to the retina, causing vision problems (everything is white and gooey, like you've been rubbing your eyes). it collects in veins and arteries, slowing the flow of blood to the extremities, causing your hands and feet to become severely cold. you'll be lightheaded and dizzy all the time. you urinate constantly, and you also become extremely thirsty, nothing will parch your thirst, and your urine will be completely clear, like water. you lose a lot of weight. you sleep for extremely long periods of time and no one can wake you up. eventually you'll start to collapse during the day and lose consciousness. then you'll die.
if you're reading this and think you have some of those symptoms, please see a doctor!
for myself, i was collapsing unconscious regularly before anyone realized something was wrong. while i've just described these things as symptoms of a disease, your characters are probably not likely to interpret it as a disease right away. i was about fifteen, so my family probably thought i was just a teenager. i didn't want to go to school, but no teenager wants to go to school. i was sleeping in all the time, but that just meant i was lazy and needed to be disciplined. these years (years!) were very hard in my family; every morning i would fight back visciously to stay in bed. i would refuse to attend school and i would defend myself if they tried to drag me. punching and clawing. i was a disobedient teenager with behavioural problems and poor attendance. in fact, i was very close to death. it was only after i started passing out that it became evident to anyone (including me) that something was wrong with my health. when they took me to the doctors they hospitalized me immediately.
so if you're going to write about a character experiencing the onset of diabetes, they are going to have most of these symptoms, but they will probably not experience them as symptoms. if they are from a society like ours, which puts a lot of value on work ethic, they'll probably blame themselves for their flinching self-discipline. they are not likely to connect things like their worsening eyesight to their sleep and behaviour changes; they all come on slowly, over a long time, and don't look connected. other characters will notice gradual changes in their behaviour; their lover might find that they've become distant and disinterested in sex, the people at their church might notice that they attend less, and so forth. they're likely to have become isolated from the people in their life before they start passing out, so no one might be around to notice. i dropped out of my social life before anyone learned i had diabetes, so my old friends don't know what happened.
so, the onset period of Type 1 Diabetes is inherently denpa (see). it also has a natural narrative arc; there is a period of confusion, uncertainty and conflict which culminates in the dramatic symptoms of prolonged hyperglycemia—the sudden fall from unconsciousness. the diagnosis recontextualizes everything the reader has previously witnessed about this character. it therefore fits well in a slow story which takes place over a long time, months or years, and wants a coy narrator who can fairly hide information from the reader: personal first person, observer's first person, objecive third person or subjective third person. in this situation it's an especially good red herring, for example in a mystery or horror novel where the reader is paying close attention to out-of-character behaviour, and a long, slow, character-focused story is expected. but you could also pick a rhetorical third person narrator who conveys information to us which the characters are ignorant of, allowing the reader to cringe as the characters act on their misapprehensions. example:
once Eric didn't open the door on the third day of knocking Lune said "what the hell, you bastard," and then they said "i didn't need you anyway, and i'm not sad you're breaking up with me." then they went and wrote him a pissed-off letter about how they would just go to Denver on their own after all and they stuffed it in the letterbox. four days later when Eric woke up from his diabetic coma he found the letter.
i understand that suggestions like this can be a bit less than useful, since a lot of writing ideas only work in one story, so if you read it in a post someplace it's probably already too late to use it. i would like to make the case, however, that Type 1 diabetes onset can be a generically useful trope. Amnesia is a generically useful disorder in fiction because of how efficiently it solves narrative problems; it allows first person and subjective third person narrators to hide information, and it gives the characters an excuse to explain known information to the reader—the character just forgot all the important stuff. Type 1 diabetes can't be quite that useful to narrators, but it is quite useful; untreated diabetes causes a person to be inconsistent, unreliable and uanvailable. if you ever need a character to fail to show up at a crucial moment in the story, but you don't have a reason yet—it was the diabetes! EZ! this turns what might have been an inconsistency into a set-up for a later payoff, when they figure out what was wrong with them.
more generally than Type 1 diabetes, 'life-changing symptoms which no one realizes are symptoms' and 'slow onset of an unpreventable disease' are common situations in real life, but don't happen very often in fiction, so you should feel free to use them. it's a device that's used to excellent effect in Bloodborne, where it affects almost every character in the game, since everyone uses a substance the tragic effects of which they could not foreknow. because in Bloodborne it's happening to every character all the time the trope has a stochastic impact on the player; as the player learns more about the plague curiosity gradually shades into dread, the heart sinks with each new phase of the moon as the player worries about the characters they've left back at Oedon Chapel.
TIP 3: diabetes was understood from ancient times all over the world
there's a bit of a misconception that nobody knew anything about health and illness until very recently, and past peoples attributed everything to magic. for example, there have been countless attempts to diagnose Hildegard von Bingen with Temporal Lobe Epilespy based on her descriptions of her mystical visions, which—while it isn't refuted by this evidence—seems a bit unchairtable considering she was a physician who especially wrote about epilepsy herself. in short, assume people in the past were medically informed.
according to wikipedia diabetes is one of the oldest diseases described (see). in ancient and imperial China it was called "wasting-thirst", and the article talks about how ancient Egyptian and Indian physicians diagnosed it based on the sweetness of the urine; we actually still diagnose diabetes this way, except we use a chemical that reacts with the urine instead of taste unfortunately. Galen named it diarrhea urinosa, 'diarrhea of the urine', in reference to how much you pee. Galen's medical writing was circulated all over the Middle East and, later, Europe in the medieval period, and diabetes was also described by Celsus who's work was circulated throughout early medieval Europe.
they didn't, however, have an effective treatment for it. if you're writing a historical setting it's likely to mean a long, slow, and unpreventable death. "[Aretaeus of Cappadocia] described the disease as 'a melting down of the flesh and limbs into urine' [...] commenting that "life (with diabetes) is short, disgusting and painful'" (wiki). i'll talk more about contemporary treatment below.
TIP 4: a short, disgusting, and painful life is worth writing about
in tip 3, when we talked about the onset of diabetes, we were thinking from the perspective of a character experiencing gradual changes. but death from untreated diabetes might take years, so they have plenty of time to settle into new habits and routines. it's worth thinking about not just how they change, but what kind of person they become, and therefore might already be before your story starts.
you will get access to the untreated diabetic's first person perspective in the narrative discourse if you're writing them from their own point of view in personal first person or subjective third person, as well as in their character's discourse (ie. dialogue) or in their reported speech. we immediately have some interesting questions about such a character's first person perspective:
1. do they know they have diabetes?
2. if so, are they receiving an ineffective treatment?
Avicenna (our Avicenna!) treated diabetes with "a mixture of lupine, trigonella (fenugreek), and zedoary seed" which could not have helped anyone.
3. if so, do they believe that treatment will work?
i have a very unusual form of Type 1 diabetes which is extremely difficult to treat (there isn't a name for it or anything, as far as i know i'm the only one). it took over ten years to stabilize, and i still have to endure a lot of compromises. all the while i also had Chronic Fatigue Syndrome, which further confused my and my physician's ability to understand what was happening to me. within my own psychology there were two stages of post-diagnosis experience; an initial faith that i would eventually respond to treatment and everything will go back to normal, and the gradual realisation that help isn't coming. yearning and passivity turn to dejection and stubbornness as doctors stop ordering new tests and i stop asking for them.
4. if they don't know they have diabetes, how do they interpret what's going on with them?
earlier on we talked about a hypothetical diabetic who blamed their lack of work ethic for their problems. how are they doing four years later? they might start identifying with their inaccurate self-image; now they've become a bitter, stubbornly workshy Belacqua.
4. how do they live as someone with untreated diabetes?
remember the symptoms from before; aside from constant urination, exhaustion and losing weight, your sleep becomes very disordered. it is difficult to socialize, keep appointments, work. for myself i have never worked a single day, i no longer leave my house, and i usually sleep during the day. as a teenager and young adult, either before diagnosis or during the unstable period where i did not respond to treatment, i certainly became a different person. i gave up on my physical hobbies and focused on things i could do by myself at any time of day. i read a lot of strange books, i argued with strangers online, and so forth. i was probably never destined to be a normal person, but i certainly became more strange, more reclusive, more self-involved, until i no longer even really share a culture with my neighbours. your untreated diabetic will probably be this way. an eternal stranger; a diseased anchorite, slowly dissolving in the latrine, barely touched by the material world which passes overhead.
many characters in Bloodborne are protrayed that way, but Gilbert is a good point of reference. he is locked in his house—we never see his human form—so we encounter him as a disembodied voice. he is a stranger to Yharnam—he is as alienated from it as the player and becomes our confidant—yet he is also the source of special information. he has certain foreknowledge of his own inevitable death; in conversation he is politely dismissive about it, although you can overhear his terrified pleading.
our experience of Gilbert in Bloodborne is a strictly third person one. Gilbert doesn't want to talk about his health, so his statements in character's discourse are brief and a bit dishonest. the player therefore has to read between the lines. after playing some more of the game they probably assume that Gilbert is suffering from the same beast plague everyone else is. when Gilbert finally turns into a beast and attacks the player we are therefore not surprised, but find our suspicions horribly confirmed. this kind of elenctic delivery, which coaxes knowledge from the reader rather than informs them, is an attractive way to present the symptoms of a secondary character who is only available in third person objective, third person subjective or another character's first person, and the nature of their condition never has to be made explicit. such a character might be—as we suggested earlier—missing or unavailable. they might live alone, not work or socialize, sleep all the time, seem exhausted, and so forth. every time these symptoms present themselves it both explains that character's personality and foreshadows their future, either early death or diagnosis.
all together, the symptoms of untreated diabetes can be part of the penumbra of an interesting character, and the progress of their disease can be a useful and emotionally significant means of advancing the plot. to summarize with a simple example, the protagonists might have to go to a certain character's house because it's known that they won't leave it themselves. then you could have a dramatic scene where the fully dressed detective (for example) has to interrogate the emaciated, barely clothed and barely conscious suspect in her tranny hovel while she lies in bed (or even in the bathroom while she pisses involuntarily). he tries to show her his badge but she can't even see it, "for all i see is white—it means God in heaven must be with me, sir." she makes a rotten smile.
TIP 5: treatment is difficult and prone to human error
the first effective treatments for diabetes came in the 18th century when it was discovered that restricting the intake of sugar improved outcomes. the diet which developed as a treatment resembles what today we call the "Keto diet", containing no sugar and few carbs. a diet like this works because it shifts the burden of energy production to the liver, which begins to turn fat into ketones which are converted into energy in a manner similar to glucose, a state called 'ketosis.' this is actually happening during prolonged hyperglycemia in untreated diabetes as well, since the body isn't converting glucose for energy, but at very high sugars these ketones are more likely to turn acidic in the blood and kill you, which is called 'ketoacidosis.' this happened to me and i had to have my blood flushed (after some emergency asthma treatment raised my blood sugars to toxic levels).
you might be surprised to learn this—most people seem to think there was no effective treatment for Type 1 diabetes until the discovery of insulin in the 1920s, but that isn't the case.
regardless, since the discovery of insulin it has been the first line treatment for diabetes. 1923 is the year that Eli Lilly first produced commercial quantities of insulin, incase period matters. wikipedia has a timeline of insulin milestones (see).
while i spent the last 3,000 words talking about the horrors of untreated diabetes, diabetes which is being managed may be nothing more than a nuisance. there are many diabetic athletes. in one study, "the absolute probability of working was 4.4 percentage points less for women and 7.1 percentage points less for men relative to that of their counterparts without diabetes" (see). that's a noticeable amount, but it still means a minority of diabetics are unemployed because of their diabetes (compare to schizophrenia or autism, where only a small percentage find employment). so diabetes is not necessarily even a disability for most diabetics.
insulin is a very effective treatment. normally the pancreas makes insulin in response to glucose; if you make insulin in response to glucose instead, it's like nothings wrong at all! the point is to take an appropriate amount of insulin relative to the amount of carbohydrates you're consuming. in principle there are no dietary restrictions necessary for a diabetic managing their diabetes with insulin, but in practice refined sugars in things like sweets and sodas raise the sugars too dramatically to manage. diabetics should therefore avoid sugary foods as much as possible, but sugars in foods like cottage cheese which are bound to proteins digest much slower and are much easier to manage.
note: the following descriptions of the treatment of diabetes are based on my own experiences and the experiences of people i've met. they may not represent a worldwide view, may be slightly out of date, and are likely to be partial or limited in other ways.
there is a lot of technique involved in taking insulin, most of it is outside the scope of this post. for your purposes it should be enough to know that there are two types of insulin a typical Type 1 diabetic will use: slow release and fast release. i know these as Lenovo and Novorapid, or green and orange insulin (because of the colour of the pens). a typical diabetic will take some slow release insulin at night, and possibly once or twice during the day, and will take rapid insulin every time they consume carbs. the more carbs, the more insulin. the patient is educated in the relationship between carbs, sugars, glucose and sugar levels and afterwards they are responsible for their own insulin management.
insulin is a completely clear, water-like liquid. it comes in pens with metered doses. doses are very small to allow granularity. most people take double digits of rapid insulin with every meal; i take very small doses, 1-2 units at a time, because i'm extremely sensitive to insulin (part of my strange case). disposable needles are screwed onto the top of the pen and discarded after one use. injection is hypodermic; it is typically injected into the outer thighs or at the bottom of the stomach, but it can be injected elsewhere, such as the butt. pens can be disposable or reusable with disposable cartridges of insulin. the injection is painless in my opinion.
most diabetics will also have a blood-glucose reading kit which tells you what your sugar level is. you do this with meals, anytime you think something might be wrong, and to help make decisions relating to sugars (eg. can i wait and order takeout or do i need to eat right now?). to take a blood reading, a disposable strip is inserted into a small computer with a digital screen. the user pricks their finger with a lancet needle (a sort of small needle gun) and draws blood that way. this is a lot more painful than taking insulin!
all that sounds pretty good, right? so why the ominous headline? well, it's very easy to mess this up. if you take too little insulin then you're going to be high blood sugars again. you might feel lightheaded and tired, but short-term high sugars aren't really a big deal. the problem is that you can take too much insulin. apart from mere forgetfulness, there are many situations in life where we end up with less carbs on our plate than we predict. burning some food, ordering at a restauraunt, and other situations out of your control can present dangers any time you have already taken insulin. while you can delay taking rapid insulin until the food is ready, your long-acting insulin is always ticking down. taking too much insulin by mistake or missing a meal entirely because of circumstance happens more often than you think it would, and it always leads to
TIP 6: Hpyoglycemia... Living Hell
shaking hands, vertigo, cold sweat, nausea, intense dysphoria. none of it really does it justice; hypoglycemia is an overwhelming, all-consuming hunger. but it's not a hunger in your stomach, it's like a hunger with your whole body.
if you don't treat a hypo you'll pass out. then you'll die. i have passed out from a hypo before and had to be taken to hospital; my grandfather fortunately found me lying unconscious, otherwise i would have died. while its hard to get to this stage under normal circumstances—you cannot fail to notice hypoglycemia, it's so intense—humans are not always in normal circumstances. especially in a story, you're often talking about abnormal circumstances. getting lost in the forest, your car breaking down in the desert, getting shipwrecked, or even getting locked out of your apartment. these are all potentially lethal predicaments for a diabetic with insulin in their system, their sugars inexorably ticking down to nothing. it's a very dramatic situation which can turn things which are small inconveniences for other characters into life or death situations for the diabetic. meanwhile, hypoglycemia impairs your ability to resolve your situation.
hypoglycemia is used as a plot device in this way in Paul Blart Mall Cop. actually, it's used in a very funny way. they're doing the 'Dark Night of the Soul' beat, where the hero has to look like they're on the verge of defeat, but they turn it around for the climax. so all the action is going on—whatever the hell it is that happens in that movie—and Blart enters hypoglycemia at the worst time. he's lying on the floor, incapacitated... defeated by his illness, just like back in the Police Academy... when he finds—miraculously—just out of reach—a lollipop! sugar! shots of him struggling to reach the lollipop are intercut with the rising action in the A plot. then once he reaches it, it's all gross because it was on the floor. comic gag of him eating a gross, floor lollipop... and then he leaps into action and saves the day!
it's very funny, and part of what makes it funny is how incredibly inaccurate it is. sucking on a lollipop basically gives Blart superpowers; in his post-hypo sugar rush he can accomplish things he couldn't even accomplish normally. it certainly doesn't work that way, you're really going to be in a daze all day and should be in bed. but this goes over while you're watching. what's funny is that they're turning the language of blockbuster cinema to a very mundane, stupid situation, to which it cannot possibly really apply. it's absurd that a diabetic mall cop can turn into a Sylvester Stalone-like movie hero with the help of a piece of candy, and that's the joke the movie is making.
so you can take a lot of artistic license here, and lean on the drama, and the audience will understand. Paul Blart Mall Cop actually takes something like the first step towards making diabetes into a generic narrative disease like Amneisa the way we discussed. by the way, there's another Kevin James movie, Hitch, which does a similar thing with Asthma. in that movie, the Asthma of Jame's character, Albert Brennaman, is made into an image for his imperfection and thus low status as a person (which makes him incompatible with the very high-status woman he is in love with). because asthma attacks take us by surprise, he must use his inhaler at times not of his choosing, and inconveniently expose his poor health and, poetically, his low status. Hitch, the date coach, attempts to make him mask his low-status and, consequently, his asthma, bad advice which Brennaman overcomes in the finale when he opens his big gesture to the leading lady with a few puffs of his inhaler.
it's a bit wasted on those movies, but it's actually very good writing—it's a very good way to use impairments, making them plot devices, poetic motifs and sources of comic relief, without being at all mean spirited.
anyway. there are, again, two ways to depict hypoglycemia: the first-person view of the diabetic, available to personal first person or subjective third person narrators, or the third-person view of another character, available to the rest.
in third person, the hypo is another way in which diabetes is naturally denpa. on this occasion, when we encounter this character, they are acting differently—not just strange, but scarcely human. possessed, possibly even violent. once when i entered hypoglycemia in town i had to try and navigate to a shop and buy a can of soda, since i didn't have anything with me to help. i managed to find a shop, grab a soda and navigate to the till, but i missed the queue entirely and pushed infront of an old lady. she interrupted me to scold me, but once i turned around—i don't know what she saw in me, but she immediately became very frightened and apologized. the situation is even worse for a diabetic who doesn't understand their condition and doesn't know how to help themselves.
if you choose a coy narrator and withold the fact that they're diabetic, or presently low blood sugars, from the reader, you can present a lot of confusing signals to them. it naturally creates an enigma which the reader wishes to solve. and if you choose a narrator who is free to interpret the situation for the reader, such as the rhetorical third person narrator, then it is once again a situation to stage tragic ironies—conflicts or confusions which the reader understands, but which the diabetic character cannot communicate.
it's also a captivating way to introduce a character for the first time. here it's a bit like Father Gascoigne in Bloodborne, who we only meet in person after his blood-craze has begun—sweet blood, ooh, it sings to me—but before and afterwards we have the chance to hear reports about his loving faterhood and doting family.
from the first person, it's probably going to be a bit of a challenge to represent hypogycemia. it is characterized by a total distortion of the inner experience. i generally don't remember what happens during one, but if i do, it is not at all what others recall. only certain prose styles—highly emotional, subjective ones, such as the stream of consciousness—will really be appropriate. it is acceptable to treat it as a blackout, accessible only through vague flashbacks. however, if you are writing a highly emotionally intense story which cares a lot about the inner experience of its characters, hypoglycemia may be an alluring state to paint with. i am not aware of any attempt to render this in prose fiction. Serious Weakness has scenes a bit like that, for other reasons, that's the closest i can compare it, or else some of the junk sickness sequences in Burroughs.
TIP 7: diabetes means being sick all the time
this is a rather minor point, but diabetes is an autoimmune disorder. your immune system is very compromised. you get sick all the time, sometimes for reasons you can't specify. i have severe flu-like symptoms a lot of the year.
in conclusion, i think Type 1 diabetes is a very strange disease with a lot of alarming symptoms which no one is really exploiting in fiction. a lot of our everyday experiences as diabetics lend themselves well to fictional situations and there's a lot of room for the writer to use their artistic license. depending on how you choose to narrate the symptoms of diabetes it can take on many different appearances and colours and therefore fit into a lot of stories. and much of this is probably true not just of diabetes, but of disorders and impairments in general. it's up to you to decide how and why you want to write about impairment, the 'moral' organization of your story which this post doesn't care about. hope that helps you write something, fuckers!
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What does 'pletis' mean?
Hi angel 🌸 so glad you asked!
Pletis is the title of my new WIP. It’s a medical Romcom AU with Attending Intensivist Louis, a super hot 34yo Doctor who likes his job so much and adds new 100bpm songs to his CPR plylist everyday, and a young Emergency Medicine Resident Harry, who wants to learn as much as possible as fast as possible.
Also starring the fit Cardiologist Liam, the filthy easygoing Orthopaedic Niall and the coolest Neurologist in dr Martens, Zayn.
The fic revolves around their relationships and struggles in a peculiar environment (the hospital) since before the pandemic and throughout of it. I will want to add clinical experiences and real cases reports and try to make the topic as light as possible, so that even the person who can be triggered easily by the eventual mentions of diseases, death or medical stuff in general can enjoy reading it.
Back to the original question, pletis is an instrument used to measure the changes in volumes in organs (mostly lungs from my experience). We use it daily in the ER, integrated in monitors, to check blood saturation.
Since the fic will be mostly set in ER/shock room and since these monitors’ sounds are the most frequent (and loudest!!!) sounds you’d be listening in an Emergency Room, I thought it would have been cute to give the fic this title.
Also it comes from Greek, which is obviously something I adore and I like the sound of the word.
Thanks for asking <3
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Thousands of hospital staff are reporting claims of sexual assaults and harassment by patients, an investigation has found, prompting calls for ministers to address the “daily threat of abuse” faced by doctors and nurses.
More than 20,000 alleged incidents of sexual violence and sexual misconduct by patients on hospital staff were recorded in the five years to 2022 by 212 NHS trusts in England, freedom of information (FoI) requests by the Guardian and the British Medical Journal (BMJ) found.
The 20,928 cases accounted for just under 60% of the total alleged incidents trusts disclosed. Allegations included claims of rape, sexual assault, harassment, stalking and sexualised remarks.
Experts cautioned that the figures were likely to be a serious underestimate as staff are often deterred from making complaints when patients abuse them.
Deeba Syed, a senior legal officer at the Rights of Women helpline, said: “Women tell us they are expected to continue to care for patients who are abusive or harassing without efforts to adequately safeguard them from further harassment.
“We hear worrying reports of women feeling pressured into not raising formal grievances and instead being transferred to different departments or locations. They tell us it is argued that this is more expedient than moving the harassing patient, despite victims feeling this is unsafe to others and a punishment on them.”
Katie, not her real name, a junior doctor in the south-east of England, said patients had made sexual comments about her since she was a student.
“From the word go within clinical placement, I always felt very heavily sexualised by patients,” she said. “One time, when I had to get close up to a patient’s face to examine his eyes, the patient started licking his lips and rubbing himself. I was 19 or 20 at the time and the consultant had left the room – I was completely terrified.”
She said she has also experienced sinister, crude comments, like being asked if she was going to “pleasure” a male patient. Katie said she did not feel she could tell anyone as she found most of the consultants intimidating.
The everyday harassment has made her reevaluate her career path and she is hoping to go into obstetrics and gynaecology so she does not have to treat men. “I find the sexual harassment affects me too much and makes me feel like shit.”
The Guardian and BMJ investigation found trusts recorded 35,606 sexual safety incidents, a term that covers a spectrum of behaviours from abusive remarks to rape, allegedly perpetrated by staff, patients or visitors in NHS hospitals in England between 2017 and 2022.
While the majority were cases of patient-on-staff abuse, nearly 7,500 were allegations of patients abusing other patients and more than 3,000 were cases of staff abusing patients.
Responding to the findings, Simon Fleming, an orthopaedic surgeon and co-author of a 2021 report on sexual assault in surgery for the Royal College of Surgeons, said the NHS needed to take a more robust approach to sexual misconduct by patients.
He said: “Patients abuse staff often. Some of this is normalised, some of it less so. What you permit, you promote, and the NHS needs to stop permitting patients and staff behaving in a way that makes healthcare less safe for all of us.”
Some NHS workers do feel able to speak out. Charlotte Miller, a paramedic at Westminster ambulance station, London, said her employers were “incredible” when she reported being molested while attending to a patient on Edgware Road, west London, in October 2022. The patient, Naveed Ahmed, in his mid-30s, was jailed for nine months in November 2022.
Miller said: “He had already told my crewmate and I we were sexy and had been leering at us, but then he grabbed my crotch. I was really shocked. I’ve had comments before, but that was the first time that someone actively tried to grope me. I didn’t know what he was going to do next.”
As soon as she radioed for help, the police were called and her station sent a colleague, along with an incident response officer. “I had all these phone calls from various managers to make sure I was OK, they told me to have the rest of my shift off and go home to rest. They constantly checked in on me in the days afterwards and helped support me while I made my statements to the police. I couldn’t ask for any better management, if I’m honest.
“I hope this will encourage other people to have the confidence to report these things,” she said.
Dr Becky Cox, a co-founder of Surviving in Scrubs, said: “The stark findings of this investigation should put into sharp focus the work that the health secretary and NHS leaders need to do to ensure the freedom of NHS staff to work without threat of sexual violence from patients and other staff members.
“It was not long ago we were being heralded as pandemic heroes by the government and cheered by the general public, yet we continue to face unsafe working conditions and the daily threat of abuse.”
Surviving in Scrubs lists more than 150 personal accounts of sexual harassment and abuse. They include cases of patients assaulting, molesting and sexualising nurses and doctors.
The health secretary, Steve Barclay, said: “NHS leaders have a statutory duty of care to look after their staff and patients and prevent harassment, abuse or violence in the workplace. I expect employers to be proactive in ensuring staff and patients are fully supported, their concerns listened to and acted on with appropriate action taken where necessary.”
Dr Navina Evans, the chief workforce officer at NHS England, said the health service should not tolerate any sexual misconduct, violence, harassment or abuse.
“NHS England has established a dedicated team to ensure people who experience violence and abuse are supported in the workplace, and there is greater provision of support for all victims and survivors. All NHS trusts and organisations have measures in place to ensure immediate action is taken in any cases reported to them and I strongly encourage anyone who has experienced any misconduct to come forward, report it and seek support.”
• Information and support for anyone affected by rape or sexual abuse issues is available from the following organisations. In the UK, Rape Crisis offers support on 0808 500 2222 in England and Wales, 0808 801 0302 in Scotland, or 0800 0246 991 in Northern Ireland. In the US, Rainn offers support on 800-656-4673. In Australia, support is available at 1800Respect (1800 737 732). Other international helplines can be found at ibiblio.org/rcip/internl.html
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🔰JOCR November Issue Online Now
🙏Thanking all Authors, Reviewers & Editorial board members
🔅Read full issue : "Current Issue | Journal of Orthopaedic Case Reports" "Current Issue | Journal of Orthopaedic Case Reports" https://jocr.co.in/wp/current-issue/#
🔅Pubmed link to issue : "J Orthop Case Rep Volume 14(11); 2024 Nov- PMC" https://www.ncbi.nlm.nih.gov/pmc/?term=Journal+of+orthopaedic+case+reports
✅ JOCR Now accepting Original Articles and Case series too– https://www.jocr.co.in/wp/submit-article/
🔆 JOCR Indexed with Pubmed, DOAJ
#JOCR#Orthopaedics#CaseReports#OrthopaedicResearch#SurgicalEducation#MedicalJournal#OrthopaedicCases#PubMed#DOAJ#TraumaSurgery#OrthopaedicSurgeons#OriginalResearch#SubmitYourArticle#MedicalPublications#ResearchInOrthopaedics
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Orthopedic Devices Industry worth $48.1 billion by 2028, with a CAGR of 4.8%
The report “Orthopedic Devices Market by Product (Fixation, Replacement Devices {knee, Hip, Shoulder}, Braces, Spinal Implants, Arthroscopy, Orthobiolgics), Application (Fracture Treatment, Osteoarthritis), End User (Hospital, ASCs)- Global Forecast to 2028” is projected to reach USD 48.1 billion by 2028 from USD 36.3 billion in 2022, at a CAGR of 4.8% during the forecast period. Growth in elderly population worldwide, increasing number of osteoarthritis cases, growing participation in sports, rising awareness about the presence of orthopedic treatment, technological advancements and growth strategies adopted by the players in the orthopedic devices such as product launches, agreements, partnerships, and acquisitions are expected to propel the growth of the market.
Browse 278 market data Tables and 41 Figures spread through 386 Pages and in-depth TOC on “Orthopedic Devices Market — Global Forecast to 2028” View detailed Table of Content here — https://www.marketsandmarkets.com/Market-Reports/orthopedic-device-280.html
The orthopedic devices market includes major Tier I and II suppliers of orthopedic products are Stryker Corporation (US), Johnson & Johnson (US), Smith & Nephew (UK), Medtronic plc (Ireland), Zimmer Biomet (US), B. Braun (Germany), Enovis (US), NuVasive (US), Acumed LLC (US), BSN Medical (Germany), CONMED Corporation (US), Orthofix Medical Inc. (US), Arthrex (US), Allegra Orthopaedics (Australia), DeRoyal Industries (US), MicroPort (China), Nippon Sigmax Co., Ltd. (Japan), TriMed Inc. (US), Altis Biologics (South Africa), Isto Biologics (US), ITS (Austria), Meril Life Sciences Pvt. Ltd. (India), Mueller Sports Medicine, Inc. (US), RCH Orthopaedics (India), and FLA Orthopedics (US).
Increasing aging population with degenerative spine diseases are anticipated to accelerate the demand for spinal implants and surgical devices
The incidence of degenerative lumbar spine disease is currently increasing among older generation and this has led to an increased demand for spinal surgeries. Acceptance of minimally invasive procedures in treatment of spinal cord disorders involve lesser muscle damage, blood loss, shorter hospital stays; quicker recovery; and preservation of spinal mobility post-surgery are contributing towards the growth of the segment. Moreover, rising cases of road accidents and sports related spinal injuries and growing advancements in spinal implants are anticipated to enhance the growth of segment.
Orthopedic devices market is anticipated to grow at the fastest pace in Asia Pacific
The Asia Pacific orthopedic devices market is projected to grow at the highest CAGR of 5.8% from 2022 to 2028. The presence of a large patient population, improved healthcare infrastructure, the rising number of hospitals, and the rapidly growing aging population (especially in Japan and China) are likely to contribute towards the rapid growth of orthopedic devices market in Asia Pacific Additionally, grants offered by the government to promote the awareness and research on orthopedic diseases, expansion of geographical footprints of key players in Asian Countries by setting up orthopedic devices manufacturing units and increasing local manufacturers in the region are anticipated to support the significant growth orthopedic devices market in Asia Pacific.
Prominent players in this market are Stryker Corporation (US), Johnson & Johnson (US), Smith & Nephew (UK), Medtronic plc (Ireland), Zimmer Biomet (US), B. Braun (Germany), Enovis (US), NuVasive (US), Acumed LLC (US), BSN Medical (Germany), CONMED Corporation (US), Orthofix Medical Inc. (US), Arthrex (US), Allegra Orthopaedics (Australia), DeRoyal Industries (US), among others
Recent Developments of the Orthopedic Devices Market
In January 2023, Zimmer Biomet acquired Embody, Inc. with a focus on strengthening its brand presence in the orthopedic devices market.
In November 2022, Enovis announced the launch of a new DynaNail Helix fixation system used for the treatment of bone fractures, joint fusion, and bone reconstruction.
In September 2022, Stryker Corporation introduced New Gamma4 Hip fracture nailing system to expand its orthopedic fixation devices product portfolio.
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Journal of orthopedic case reports publishes Images in Orthopaedics Case Reports Journal, Orthopaedics Journal, Case Reports in Orthopaedics etc. Journal of Orthopaedics and Traumatology Case Reports provides an equal platform to orthopaedic based medicine as well as personal experience and every case report should reflect these important concepts.
#Journal of Orthopaedics#Journal of orthopedic case reports#Traumatology Case Reports#Images in Orthopaedics Case Reports Journal#Case Reports in Orthopaedics
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Expert Knee Replacement Surgery in Dombivli: Experience Pain-Free Mobility with Dr. Varun Pandey at Sai Hospital
Knee replacement surgery is a transformative procedure for individuals dealing with severe knee pain or arthritis. If you’re exploring options for Knee Replacement Surgery in Dombivli, you’re likely experiencing ongoing discomfort that impacts your daily life. This blog provides valuable insights into the procedure, its benefits, and why choosing Dr. Varun Pandey at Sai Hospital in Dombivli can be an excellent decision for your care.
About Dr. Varun Pandey
Dr. Varun Pandey is a highly skilled orthopedic surgeon in Dombivli, specializing in trauma surgery, joint replacement, and spine injury treatments. With over 12 years of experience, Dr. Pandey is committed to delivering exceptional patient care. He earned his MBBS from GMC Akola, MUHS in 2011, followed by a Diploma in Orthopaedics from MLB Medical College, Jhansi, in 2014. Furthering his expertise, Dr. Pandey completed his DNB Orthopedic training at Jaslok Hospital, Mumbai, in 2018. His extensive training and dedication to patient outcomes make him a trusted orthopedic specialist in Dombivli.
What is Knee Replacement Surgery?
Knee replacement surgery involves replacing damaged or worn-out parts of the knee with artificial components. There are several types of knee replacement surgeries, each tailored to address specific conditions and deliver optimal results:
Total Knee Replacement (TKR): This is the most common form of knee replacement surgery, where the entire knee joint is replaced with artificial components. Dr. Varun Pandey often recommends Total Knee Replacement Surgery in Dombivlifor patients with severe arthritis or significant knee joint damage, providing substantial pain relief and enhanced mobility.
Partial Knee Replacement (PKR): For patients with damage confined to one part of the knee, a partial knee replacement may be performed. This procedure preserves as much of the natural knee as possible, typically leading to a quicker recovery and less post-operative pain. Dr. Pandey excels in performing PKR at Sai Hospital, offering personalized care tailored to each patient’s needs.
Complex or Revision Knee Replacement: This procedure is necessary for patients who have experienced a failed previous knee replacement or have severely damaged knee joints. It may involve complex reconstruction, and Dr. Pandey’s expertise in handling these challenging cases ensures successful outcomes for patients with complicated knee conditions.
Understanding these surgery options can help you make an informed decision if you’re seeking "Knee Replacement Specialists in Dombivli."
Who Needs Knee Replacement Surgery?
Knee replacement surgery is often recommended for those experiencing severe knee pain, stiffness, or reduced mobility due to osteoarthritis, rheumatoid arthritis, or injury. If you’re looking for a Knee Surgeon in Dombivli, knee replacement surgery, Dr. Varun Pandey at Sai Hospital can help you regain your quality of life through expert surgical care.
Benefits of Knee Replacement Surgery
Improved Mobility and Quality of Life: One of the most significant benefits of knee replacement surgery is improved mobility. Many patients report renewed ability to perform daily activities without pain. By choosing Dr. Varun Pandey at Sai Hospital, you gain access to top-quality care close to home, ensuring a smoother and more convenient recovery journey.
Long-Term Pain Relief: Patients can expect long-term relief from chronic knee pain following surgery. Dr. Pandey’s pain management strategies in Dombivli ensure that you can return to pain-free living and participate in activities that were previously too difficult.
Why Choose Knee Replacement Surgery in Dombivli?
Expertise of Dr. Varun Pandey at Sai Hospital: Dombivli is home to some of the top Knee Replacement Surgeons in Dombivli, with Dr. Varun Pandey standing out for his specialized care. Whether you’re seeking Knee Replacement Doctor in Dombivli or a Knee Specialist in Dombivli, Dr. Pandey’s expertise ensures the highest quality treatment.
Advanced Medical Facilities at Sai Hospital: Sai Hospital is equipped with modern technology and advanced surgical techniques, ensuring you receive top-notch care. Dr. Pandey and his team are well-prepared to handle even the most complex cases.
Convenient Location and Post-Operative Care: Opting for Knee Operation Specialist in Dombivli with Dr. Pandey at Sai Hospital means easy access to follow-up care and rehabilitation services, which are crucial for a successful recovery. Sai Hospital provides comprehensive post-surgical rehabilitation to help you regain strength and mobility.
The Knee Replacement Surgery Process
Pre-Operative Preparations: Before surgery, Dr. Varun Pandey will conduct a thorough evaluation, including consultations, physical exams, and necessary tests at Sai Hospital, ensuring you are fully informed and prepared for the procedure.
The Day of Surgery: On the day of your surgery, Dr. Pandey and his team will ensure you are well-cared for at Sai Hospital. The procedure typically lasts a few hours, after which you will be closely monitored during recovery.
Post-Operative Recovery and Rehabilitation: Recovering from knee replacement surgery involves physical therapy and at-home care. Sai Hospital offers a range of support services during your rehabilitation phase, helping you achieve the best possible outcome.
Knee replacement surgery in Dombivli offers a range of benefits, from enhanced mobility to long-lasting pain relief. With the expertise of Dr. Varun Pandey, the advanced facilities at Sai Hospital, and comprehensive post-operative care, Dombivli is an excellent choice for this life-changing procedure. Ready to take the next step toward a pain-free life? Contact Dr. Varun Pandey at Sai Hospital to learn more about your knee replacement options.
Frequently Asked Questions (FAQs)
What is knee replacement surgery, and when is it needed?
Knee replacement surgery involves replacing the damaged parts of the knee joint with artificial components. It is typically recommended for patients suffering from severe arthritis, chronic knee pain, or reduced mobility that does not respond to other treatments.
How do I know if I need a total or partial knee replacement?
The decision between total and partial knee replacement depends on the extent of damage in your knee. A consultation with your orthopedic surgeon, such as Dr. Varun Pandey, will determine the best option based on your specific condition.
What are the risks and complications associated with knee replacement surgery?
Like any major surgery, knee replacement carries some risks, including infection, blood clots, and implant issues. However, with an experienced surgeon like Dr. Varun Pandey at Sai Hospital, these risks are minimized.
How long is the recovery period after knee replacement surgery?
Recovery time varies, but most patients can expect to resume normal activities within 6 to 12 weeks after surgery. Full recovery and the return to all activities may take several months.
What kind of pain management is available after knee replacement surgery?
Pain management is a crucial part of recovery, and it typically includes medications, physical therapy, and sometimes other methods like ice packs and elevation. Dr. Varun Pandey and his team at Sai Hospital will create a personalized pain management plan for you.
How long does a knee replacement last?
Modern knee replacements can last 15 to 20 years or longer, depending on factors like activity level, weight, and overall health. Regular check-ups with your surgeon can help ensure the longevity of the implant.
Will I need physical therapy after knee replacement surgery?
Yes, physical therapy is an essential part of the recovery process. It helps restore strength, flexibility, and range of motion in the knee. Dr. Varun Pandey will guide you through a customized rehabilitation plan at Sai Hospital.
Can I lead a normal life after knee replacement surgery?
Most patients return to a normal, active life after recovering from knee replacement surgery. You may need to avoid high-impact activities, but many patients enjoy activities like walking, swimming, and cycling.
How should I prepare for knee replacement surgery?
Preparation may include stopping certain medications, arranging for help at home during recovery, and completing any necessary pre-operative tests. Dr. Varun Pandey will provide detailed instructions tailored to your situation.
What is the cost of knee replacement surgery in Dombivli?
The cost can vary depending on the type of surgery, the surgeon's expertise, and the hospital's facilities. During your consultation at Sai Hospital, Dr. Varun Pandey can provide a detailed estimate based on your specific needs.
Is knee replacement surgery covered by insurance?
Most health insurance plans cover knee replacement surgery. It's important to check with your insurance provider to understand your coverage and any out-of-pocket costs.Are you looking for Healthcare Marketing Agency ? Please feel free to contact Kaushal Pandey
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Journal of Orthopaedic Surgery and Research Case Reports publishes Clinical Images in Orthopaedic Surgery, Orthopaedic Research Journal, Case Series in Orthopaedic Surgery, Clinical Video in Orthopaedic Surgery, Orthopaedics Research Articles etc. Orthopaedic Surgery experts use the latest techniques and technology to improve care for people with musculoskeletal problems.
#Orthopaedic Research Journal#case reports journal in Orthopaedics#Orthopaedic Surgery journal#case reports in Orthopaedic Surgery journal
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Best Joint Replacement Doctor in Lucknow: A Spotlight on Dr. Intekhab Alam
When it comes to joint replacement surgery, choosing the Best Joint Replacement Doctor in Lucknow can make all the difference in achieving a successful outcome and a smoother recovery. In Lucknow, a city renowned for its medical expertise and advanced healthcare facilities, one name stands out in the field of orthopaedics: Dr. Intekhab Alam.
Why Joint Replacement Surgery?
Joint replacement surgery is a critical procedure for patients suffering from severe joint pain or damage due to arthritis, injury, or other degenerative conditions. The goal of this surgery is to replace a damaged joint with an artificial one, thereby alleviating pain, restoring function, and improving quality of life. Given its complexity, finding the best joint replacement doctor is crucial for optimal results.
Dr. Intekhab Alam: A Leading Orthopaedic Surgeon in Lucknow
Dr. Intekhab Alam is widely recognized as one of the foremost experts in orthopaedics in Lucknow. With extensive experience and a stellar reputation, he has become a go-to specialist for joint replacement surgeries in the region. Here’s why Dr. Alam is considered the best joint replacement doctor in Lucknow:
Extensive Experience: Dr. Alam brings years of experience to the operating table. His in-depth knowledge and hands-on experience with various joint replacement techniques ensure that he can handle even the most complex cases with precision.
Advanced Techniques: Embracing the latest advancements in orthopaedic surgery, Dr. Alam employs cutting-edge techniques and technologies in joint replacement procedures. His commitment to using the most effective and minimally invasive methods helps patients experience faster recovery and better outcomes.
Personalized Care: Dr. Alam is known for his patient-centered approach. He takes the time to thoroughly evaluate each patient’s unique condition and tailor a treatment plan that best suits their needs. This personalized care extends from the initial consultation through to post-surgery rehabilitation.
Successful Outcomes: The success rate of joint replacement surgeries under Dr. Alam’s care speaks volumes about his expertise. His patients often report significant improvements in mobility and a substantial reduction in pain, which greatly enhances their overall quality of life.
State-of-the-Art Facility: Dr. Alam practices at a well-equipped facility in Lucknow, which features the latest in medical technology and infrastructure. This ensures that patients receive the highest standard of care in a safe and comfortable environment.
Comprehensive Follow-Up: Post-surgery care is just as important as the procedure itself. Dr. Alam provides comprehensive follow-up services to monitor recovery, manage any complications, and ensure that patients are on track to regain full function.
Choosing the Best Joint Replacement Doctor in Lucknow
Selecting a joint replacement specialist is a significant decision that can greatly impact your recovery and overall well-being. Dr. Intekhab Alam’s credentials, combined with his dedication to patient care, make him a top choice for the Best Joint Replacement Doctor in Lucknow. Whether you are dealing with severe arthritis, joint injuries, or degenerative conditions, Dr. Alam’s expertise and compassionate approach offer a pathway to a better, pain-free life.
If you’re considering joint replacement surgery, reaching out to Dr. Intekhab Alam for a consultation could be the first step towards a more active and fulfilling life. With his outstanding track record and commitment to excellence, you can be confident that you’re in capable hands.
#Best joint Replacement doctor in lucknow#Best Knee replacement doctor in lucknow#Best Orthopaedic doctor for fractures in lucknow
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The trauma devices market is experiencing substantial growth, with projections indicating a rise from USD 9.3 billion in 2023 to USD 18.2 billion by 2032, representing a robust compound annual growth rate (CAGR) of 6.88%. The trauma devices market is a crucial segment within the medical devices industry, providing essential tools and equipment for the treatment of traumatic injuries. These injuries, which often result from accidents, falls, or violence, require immediate and effective medical intervention to prevent complications or fatalities. The market for trauma devices has been expanding rapidly, driven by technological advancements, rising incidence of trauma cases, and increasing awareness of the importance of timely medical intervention.
Browse the full report at https://www.credenceresearch.com/report/trauma-devices-market
Market Dynamics
1. Rising Incidence of Traumatic Injuries: The primary driver of the trauma devices market is the increasing number of traumatic injuries worldwide. According to the World Health Organization (WHO), road traffic accidents alone are responsible for over 1.3 million deaths annually, with millions more suffering from non-fatal injuries. Additionally, falls and sports-related injuries contribute significantly to the global burden of trauma. The growing prevalence of these incidents has created a heightened demand for trauma devices, ranging from basic splints to advanced fixation systems.
2. Technological Advancements: The evolution of medical technology has significantly impacted the trauma devices market. Innovations in materials science, such as the development of bioabsorbable implants and 3D-printed devices, have revolutionized trauma care. These advancements not only enhance the effectiveness of treatments but also improve patient outcomes by reducing recovery times and minimizing complications. Furthermore, the integration of digital technologies, such as AI-driven diagnostic tools and robotic surgery systems, is opening new avenues for precision and personalized trauma care.
3. Aging Population: The global aging population is another key factor fueling the growth of the trauma devices market. Older adults are more prone to falls and fractures, particularly hip fractures, which often require surgical intervention. As the population of individuals aged 65 and older continues to grow, so does the demand for trauma devices, particularly in developed regions with high life expectancy.
4. Increasing Healthcare Expenditure: Governments and private healthcare providers are increasingly investing in healthcare infrastructure, particularly in developing countries. This investment includes the procurement of advanced medical devices, including trauma devices, to improve the quality of care. Additionally, the expansion of health insurance coverage in many regions has made trauma care more accessible, further driving market growth.
Challenges and Opportunities
Despite its growth, the trauma devices market faces several challenges. Regulatory hurdles, particularly in regions with stringent approval processes, can delay the introduction of new products. Additionally, the high cost of advanced trauma devices may limit their adoption, particularly in low- and middle-income countries. However, these challenges also present opportunities for innovation and cost reduction, particularly through the development of affordable, high-quality devices for emerging markets.
Key player:
Acumed LLC
Advanced Orthopaedic Solutions
Bioretec Ltd.
Cardinal Health, Inc.
DePuy Synthes
Integra LifeSciences Holdings Corporation
Smith & Nephew PLC
Stryker Corporation
Wright Medical Group NV
Zimmer Biomet Holdings, Inc.
Segments:
By Type:
Internal Fixators
External Fixators
By Surgical Site:
Lower Extremities
Upper Extremities
By End User:
Hospitals
Ambulatory Surgical Centers
Others
By Region:
North America
US
Canada
Mexico
Europe
Germany
Uk
France
Italy
Spain
Russia
Rest of Europe
Asia Pacific
China
Japan
India
South Korea
Australia
Rest of Asia Pacific
South America
Brazil
Argentina
Rest of South America
Middle East & Africa
UAE
Saudi Arabia
Qatar
South Africa
Rest of the Middle East & Africa
Browse the full report at https://www.credenceresearch.com/report/trauma-devices-market
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Understanding the Role of a Trauma Expert Witness in Legal Proceedings
The legal field often encounters cases where trauma is central to the dispute, necessitating the involvement of a trauma expert witness. These professionals play a crucial role in interpreting the complex medical and psychological aspects of trauma, thereby assisting the court in understanding the nuances involved. This article delves into the role, responsibilities, and significance of trauma expert witnesses, particularly in the context of legal proceedings. We will also explore the role of nursing expert witnesses and the comprehensive services provided by medical expert witnesses, including those offered by Clinical Witness Reports.
The Importance of Trauma Expert Witnesses in Legal Cases
Trauma expert witnesses are vital in legal cases where understanding the nature and impact of trauma is essential. Their expertise helps clarify whether the trauma experienced by an individual is consistent with the claims being made, thereby influencing the outcome of the case.
Defining a Trauma Expert Witness
A trauma expert witness is a professional with extensive knowledge in medical fields related to trauma, such as orthopaedics, psychology, or emergency medicine. Their role is to provide impartial, evidence-based opinions on the nature, cause, and extent of injuries or psychological trauma that an individual has suffered.
Types of Cases Involving Trauma Expert Witnesses
Trauma expert witnesses are commonly involved in a variety of legal cases, including personal injury claims, medical negligence suits, and criminal cases. In each of these scenarios, their testimony can provide the critical evidence needed to support or refute claims of trauma.
Qualifications and Expertise Required for a Trauma Expert Witness
To serve as a trauma expert witness, one must possess a high level of education and experience in relevant medical fields. This typically includes advanced degrees and extensive clinical experience in trauma-related disciplines, ensuring that the expert can provide reliable and authoritative testimony.
The Role and Responsibilities of a Trauma Expert Witness
The role of a trauma expert witness extends beyond simply offering testimony in court. These professionals are also involved in the thorough analysis and preparation of cases, ensuring that all aspects of the trauma are adequately understood and represented.
Providing Objective Analysis and Testimony
One of the primary responsibilities of a trauma expert witness is to offer an objective analysis of the trauma in question. This includes reviewing medical records, conducting examinations, and providing a detailed report that explains the nature and impact of the trauma.
Assisting in Case Preparation and Strategy
Trauma expert witnesses often work closely with legal teams to prepare the case. Their insights can shape the legal strategy, ensuring that the arguments presented in court are supported by solid medical evidence.
Collaborating with Legal Teams
Effective collaboration between trauma expert witnesses and legal teams is crucial for the success of a case. This partnership ensures that the medical aspects of the trauma are accurately presented and understood by the court.
Trauma Expert Witness Services
Trauma expert witness services encompass a range of activities, all aimed at providing a comprehensive understanding of the trauma involved in a case. These services are essential for ensuring that the court receives a clear and accurate picture of the injuries or psychological effects in question.
Evaluating Physical and Psychological Trauma
Trauma expert witnesses are tasked with evaluating both the physical and psychological aspects of trauma. This evaluation is crucial in cases where the extent of the trauma is disputed, as it provides an objective basis for the court's decisions.
Expert Testimony in Court
Providing expert testimony in court is one of the most critical roles of a trauma expert witness. Their ability to clearly and convincingly present their findings can have a significant impact on the outcome of the case.
The Role of a Medical Expert Witness in Trauma Cases
A medical expert witness plays a complementary role in trauma cases, providing additional insights into the medical aspects of the trauma. Their expertise can further strengthen the case, offering a more comprehensive understanding of the injuries or psychological effects involved.
The Critical Role of Nursing Expert Witnesses in Trauma Cases
Nursing expert witnesses also play a significant role in trauma cases. Their expertise in patient care and medical procedures offers valuable perspectives that can influence the outcome of the case.
Nurse Expert Witnesses in Trauma Cases
Nurse expert witnesses bring a unique perspective to trauma cases, offering insights into the standard of care provided and whether it met the required medical standards. Their testimony can be crucial in determining the validity of claims related to medical negligence or malpractice.
The Expertise of Nursing Experts in Understanding Trauma
Nursing experts have a deep understanding of the care and treatment of trauma patients. This expertise allows them to provide informed opinions on whether the care provided was appropriate and whether it contributed to the patient's recovery or exacerbation of the injury.
How Nurse Expert Witnesses Complement Trauma Expert Testimony
The testimony of nurse expert witnesses often complements that of trauma experts, offering a broader perspective on the case. Together, they provide a comprehensive understanding of the trauma and its effects, ensuring that all aspects of the case are thoroughly examined.
Choosing the Right Trauma Expert Witness
Selecting the right trauma expert witness is crucial for the success of a legal case. This decision should be based on the expert's credentials, experience, and ability to communicate effectively in court.
Evaluating Credentials and Experience
When choosing a trauma expert witness, it is essential to evaluate their credentials and experience. This includes reviewing their education, professional background, and previous experience as an expert witness in similar cases.
The Importance of Specialisation in Trauma
Specialisation in trauma is another critical factor to consider. A trauma expert with specialised knowledge in a relevant area, such as orthopaedic surgery or psychology, will be better equipped to provide accurate and reliable testimony.
The Role of Communication Skills in Effective Testimony
Effective communication is key to delivering compelling testimony in court. The ability to explain complex medical concepts in a clear and understandable manner is essential for a trauma expert witness, as it ensures that the court can fully grasp the implications of the trauma involved.
The Impact of Trauma Expert Witnesses on Case Outcomes
The involvement of a trauma expert witness can significantly influence the outcome of a case. Their testimony can sway the jury's opinion, strengthen the validity of the case, and ultimately determine the verdict.
Influencing Jury Decisions
Trauma expert witnesses can have a profound impact on jury decisions. Their ability to present a clear and objective analysis of the trauma can help the jury understand the severity and implications of the injuries, thereby influencing their final decision.
Strengthening Case Validity with Expert Testimony
Expert testimony from a trauma expert witness can also strengthen the overall validity of a case. By providing credible and authoritative insights, the expert can help establish the legitimacy of the claims being made, increasing the chances of a favourable outcome.
Case Studies Involving Trauma Expert Witnesses
Several case studies highlight the critical role that trauma expert witnesses play in legal proceedings. These examples demonstrate how expert testimony can be pivotal in securing justice for victims of trauma.
How Clinical Witness Reports Can Support Your Case
At Clinical Witness Reports, we offer comprehensive trauma expert witness services designed to support your case. Our team of highly qualified experts is dedicated to providing objective and reliable testimony that can significantly impact the outcome of your legal proceedings.
Our Expertise in Trauma Cases
Our experts at Clinical Witness Reports possess extensive experience in handling trauma cases. We understand the complexities involved and are committed to providing the highest level of service to our clients.
Comprehensive Medical Expert Witness Services
In addition to trauma expert witnesses, we offer a range of medical expert witness services. Our multidisciplinary team includes specialists in various fields, ensuring that we can provide comprehensive support for your case.
Why Choose Clinical Witness Reports?
Choosing Clinical Witness Reports means selecting a team of professionals dedicated to excellence. Our commitment to providing accurate, reliable, and objective testimony sets us apart as a leading provider of expert witness services in the field of trauma and beyond.
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