#Left Side Hemiplegia Treatment

[bigapollospectra]

How Long Does It Take To Recover From Hemiplegia?

Hemiplegia, a neurological situation characterized through paralysis on one aspect of the body, is usually a end result of a stroke, annoying mind damage, or unique essential apprehensive device issues.

Can You Live A Normal Life With Hemiplegia? Recovery from hemiplegia varies drastically, stimulated via the cause, severity, individual health factors, and the quality of rehabilitation.

If you or a cherished one is navigating this hard journey, Big Apollo Spectra Hospital in Patna is an super preference for Neurologist Doctor In Patna, and ultra-present day centers.

Can Hemiplegia Be Cured Completely?

Right Side Hemiplegia Recovery Time arises while the mind or spinal wire is damaged, disrupting conversation between the anxious tool and the muscles.

Common motives encompass:

Stroke: The most commonplace motive of hemiplegia because of interrupted blood deliver to the brain.

Traumatic Brain Injury (TBI): Physical effect on the mind principal to localized paralysis.

Brain Infections: Conditions like meningitis can have an effect on mind characteristic.

Congenital Conditions: Such as cerebral palsy, that could cause lifelong hemiplegia.

Recovery Timeline: Factors That Influence Progress the healing duration from hemiplegia isn't always regularly occurring and is predicated upon on numerous factors:

Severity of the Condition: Individuals with moderate hemiplegia often recover faster than people with more intense paralysis.

Prompt Medical Intervention: Timely remedy, mainly in stroke-brought on hemiplegia, can extensively beautify recuperation effects.

Rehabilitation Therapy: Access to physiotherapy, occupational remedy, and speech remedy speeds up recuperation.

Age and Overall Health: Younger individuals and those with fewer pre-modern fitness conditions commonly heal quicker.

While some human beings begin to see enhancements inside weeks, others may additionally take months or maybe years.

In some instances, full healing might not be viable, however large development may be finished with everyday Left Side Hemiplegia Treatment.

Phases of Hemiplegia Recovery

#1. Acute Phase (First three Months)

The first three months put up-evaluation are essential for recovery. During this segment, the mind reveals the nice plasticity, allowing new neural connections to form.

Patients regularly experience visible upgrades in mobility and feature with the help of physiotherapy.

At Big Apollo Spectra Hospital, advanced therapeutic techniques are applied to enhance healing at some point of this section.

#2. Sub-Acute Phase (three to six Months)

This section keeps to expose improvement, although at a slower tempo.

Rehabilitation stays critical, focusing on strengthening muscle mass, regaining balance, and improving coordination.

Treatments like electric stimulation and robotic-assisted remedy are often hired to maximise recuperation.

#3. Chronic Phase (6 Months and Beyond)

Recovery after six months has a tendency to plateau; however persevered remedy can yield incremental enhancements.

Patients who maintain a consistent remedy ordinary regularly regain extra independence through the years.

Treatment Modalities That Aid Recovery

Physical Therapy: Focuses on restoring electricity and mobility via guided bodily activities.

Occupational Therapy: Helps sufferers relearn each day sports like dressing and eating.

Speech Therapy: Essential for those experiencing issue with speech or swallowing.

Psychological Support: Emotional properly-being is critical for motivation and prolonged-term restoration.

Medications: May encompass capsules to lessen spasticity or enhance blood float to the mind.

Advanced options like virtual fact remedy and neurostimulation, to be had at Big Apollo Spectra Hospital, have proven promising outcomes.

What Is The Recovery Rate For Hemiplegia?

How Long Does It Take To Cure Hemiparesis? Seek immediate hospital therapy at a reputed hospital inclusive of Big Apollo Spectra Hospital in Patna, for well-timed analysis and remedy.

Consistency in Therapy: Regular therapy instructions make certain regular progress.

Home Exercises: Practicing prescribed physical activities at domestic can accelerate restoration.

Healthy Lifestyle: A balanced weight loss plan, hydration, and correct sufficient sleep help the recuperation method.

Family Involvement: Encouragement and help from loved ones offer emotional energy.

Why Choose Big Apollo Spectra Hospital in Patna?

Big Apollo Spectra Hospital can be the first-rate neurology hospital in Patna for several motives:

Expert Neurology Team: Led through skilled neurologists and supported with the useful resource of professional therapists.

Advanced Facilities: Equipped with modern era to offer modern-day remedies.

Comprehensive Rehabilitation Services: Includes physical, occupational, and speech remedies tailor-made to man or woman desires.

Patient-Centric Care: A compassionate approach ensures that patients and families sense supported at each step.

Proven Track Record: Numerous fulfillment testimonies of sufferers getting higher from complicated neurological situations.

Can You Fully Recover From Hemiplegia?

Recovery from hemiplegia is a slow process that wishes staying strength, perseverance, and get right of entry to brilliant hospital therapy.

While the timeline varies, many patients gain massive improvement with early intervention and constant remedy.

If you're looking for the pleasant care for Left Side Hemiplegia Recovery Time, Big Apollo Spectra best Neurologist in Patna offers know-how and advanced remedy options.

Trust their committed team to manual you or your loved one on the course to recuperation and regain independence.

[drchristophedelongsblog]

Sylvian involvement: two facets of the same disease

The middle cerebral artery (MCA), located deep in the Sylvius scissure, is one of the main arteries supplying blood to the brain. When it is blocked, this leads to a cerebrovascular accident (CVA). The consequences of a stroke vary depending on the area of the brain affected, i.e. whether the obstruction affects superficial structures (cerebral cortex) or deep structures (grey nuclei, internal capsule). There are two types of sylvian involvement: superficial and deep.

Superficial sylvian involvement

Superficial sylvian involvement corresponds to obstruction of a branch of the ACM supplying the surface of the brain. Symptoms are often characteristic and include

- Hemiplegia: Paralysis of one side of the body, mainly affecting the arm and face (brachiofacial hemiplegia).

- Sensory disorders: Decrease or loss of skin sensitivity in the same hemi-body as the hemiplegia.

- Hemianopia: Loss of half the visual field.

- Language disorders (aphasia) in cases of damage to the dominant hemisphere (generally the left), affecting the comprehension or production of language.

Deep sylvian involvement

Deep sylvian involvement corresponds to obstruction of a perforating arteriole, a small branch of the ACM, supplying deep brain structures such as the lenticular nucleus and the knee of the internal capsule. Symptoms are slightly different and include

- Global hemiplegia: Paralysis affecting all limbs on the same side of the body in a proportional manner.

- Fine motor disorders: Difficulty making precise movements with the hands.

- Fewer sensory disorders than in superficial involvement.

 Why is this distinction important?

The distinction between superficial and deep sylvian involvement is essential for several reasons:

- Prognosis: The course and sequelae may vary depending on the type of damage. For example, language disorders associated with superficial damage may be more difficult to recover from than motor disorders associated with deep damage.

- Treatment: Treatment strategies may be adapted according to the location of the lesion. For example, rehabilitation will be different for brachiofacial hemiplegia and global hemiplegia.

- Research: Understanding the pathophysiological mechanisms of each type of injury enables new therapeutic strategies to be developed.

Go further and contact

[star-ayurveda]

Ayurvedic Treatment for Paralysis

https://starayurveda.com/ayurvedic-treatment-for-paralysis.php

Sudden weakness and numbness of half of the body,difficulty in speaking or hearing, nausea or vomiting, hazy or loss of vision in one eye,intolerable headache, imbalance and sudden fall, drowsiness, dizziness are the alarming symptoms to paralysis which may last for few hours to very few minutes and will disappear soon. Even if the symptoms fade off soon, seek medical help quickly, as it may lead to complete paralysis. Paralysis is the loss of muscle movements and coordination in some parts of the body or half of the body (right or left). Sudden reduction in blood circulation to a portion of brain tissue ends up in loss of brain function. Reduced blood supply may be due to either hemorrhage (rupture of the blood vessel) or due to clotting of blood in blood vessels. Accidents and people with high blood pressure and hypertension disorders can all cause paralysis. Blood vessel strokes are thought to be the most common cause of paralysis. So, in order to remove the Vata Dosha from the body, Star Ayurveda therapy Hospital offers a particular ayurveda treatment for paralysis in which everything from lifestyle to diet is handled by Ayurveda professionals. At any point in your life, paralysis can infect any part of your body. However, if you have it, you will most likely not feel any pain in the affected locations. Our treatment strategy and outlook for the illness will be determined by the underlying cause of paralysis as well as the patient's symptoms. Our ayurveda doctors for paralysis in Hyderabad will help you preserve your health and quality of life by using ayurvedic drugs for paralysis and therapeutic treatments. Ayurvedic term for paralysis is Pakshavata or ekanga vata. Any movement in the body including the nerve impulse is due to vata. Obstruction to such vata leads to this disease.

Depending on the affected body parts, its nomenclature differs−

Involvement of only one side − hemiplegia

Paralysis of the arms and legs − quadriplegia.

Paralysis of the lower half of the body including both legs− paraplegia.

Paralysis of facial muscle – bell’s palsy (ardhitha vata)

Spondylosis, hypertension, diabetes, smoking, alcohol intake, tumors in brain, trauma, heart disease is the most common causes and high risk factors to paralysis.

Complete symptoms are− weakness or unable to walk, loss of sensation of the affected body part, unable to hold any objects, loss of speech and difficulty in swallowing food or liquids due to paralysis of facial muscles, coordination problems..  Etc,.

Apart from all these symptoms, unused part of the body (viz., limbs) will end up in loss of strength, size and flexibility of the muscle which is called muscle wasting in medical terms. This condition is called atrophy. Hence, patients affected by this disease should always attempt to do some physical activity.

Patience and assurance is the first line of treatment, which plays a major role in speedy recovery. Early intervention of the ayurveda treatment gives maximum result. Apart from other treatment modalities, undoubtedly ayurveda stands first for the best possible recovery in paralytic condition. Fortunately, muscle and brain functions can be regenerated by panchakarma programs and rehabilitator measures.

Unique treatment like abhyangam and spastics shali panda swedham helps to bring back the strength and energy to the affected limb.

Special local regimens like shirodhara, shiro−vasti, nasyam will bring back the strength and neuro−muscular function. They even clear the channels by expelling the toxins and clear the blockage causing mood−swings and depression in patients. Mood changes are due to damage of the brain tissue, which cannot be controlled by the person.

As abnormal movement of vata is the main factor to this disease, basti is the best panchakarma treatment to bring back the movement of vata to normalcy. Internal medication like tablets, lehyams, kashayams are to be taken for several months for further improvement.

Along with the medication, at−most support from the family members and strong will power of the patient is of prime importance. Following the diet instructed by the ayurveda doctor and practicing yoga and meditation will further improve the state of the person.

[divineruler]

SURVIVE FOR HER ~ Colin Zabel

Colin’s internal monologue after the accident 

[FIX IT FIC] 

WARNINGS- angst, medical trauma, hospitals, hurt/no comfort, trauma

WORDS- 2K

Trapped. That's how Colin Zabel felt as he laid motionless on the cold hospital sheets. He thought that his body heat would have made everything more comfortable or that he would have at least gotten used to it by now. Still, as he laid there day after day, everything had the same bone-chilling frigidness. How many days had he been there? A week? A month? He had no idea. Every day felt the exact same: the same food, the same book of crosswords, the same brain-numbing medication, the same pain. He was tired of it all, tired of the smell of bleach and stainless steel, tired of the way his iv itched, tired of the way his mom showed up twice a week only to belittle him about his lack of progress. His progress. If you could even call it that. He saw a lot of improvement in the first couple of weeks. He went from being comatose to being able to open his eyes and wiggle the fingers on his left hand. He was a medical marvel, they all said. People came to visit him, he got a stack of get-well-soon cards, they even talked about his heroic act on the news. But since then, his recovery had felt stagnant, and not because of a lack of effort. His life became a daily routine of being blinded by chronic headaches and breaking down in physical therapy when he wasn't strong enough to lift his legs off the bed. But it seemed that now when he really needed the support, no one seemed to care anymore. 'Brave detective takes a bullet to the face to save two teenage girls' quickly turned into 'crippled man who can't walk or keep food down sits in the hospital alone for weeks.' People like the novelty of a heroic story. But what they seem to forget is that once the hype dies down and everyone moves on to more important things, there still a man in the hospital, trying to pick up the pieces of his broken life. It hurt. But he couldn't deny that feeling hurt was better than feeling nothing. It wasn't as bad as the physical pain. The constant pounding in his head was nearly insufferable; his only relief was the morphine drip. But the meds just left him feeling hollow. Entirely numb to any humanoid input that could remind him that he was anything other than a conduit for the depravity of the universe to manifest itself upon. He felt like nothing and no one. But just when he accepted that he will remain an empty shell of his former self forever, he was reminded of his humanity by the suffocating loneliness rising in his chest. But what could he do? He was damaged goods, and if there's one thing that this broken town didn't need, it was another tragedy. So he allowed the pain, the loneliness, the growing chasm of nothingness to consume him as he laid there, trapped in the four walls of the hospital. 

Hemiplegia. That's what the doctors told him. That's what they told him after weeks of arduous physical therapy with no improvement. He was paralyzed. Well, half of him was paralyzed. The right side of his body, to be specific. What did that mean for him? What did that mean for his future? He had no idea. But it explained a lot: His slurred speech and his physical ineptitude when walking and grabbing objects. He found it hard to comprehend anything the doctors said to him after that; they talked at length about treatment and recovery. Still, all Colin could do was stare blankly ahead of him, trying as hard as he could to not cry as panic crept up his throat. He nodded mindlessly as the world in front of him began to crumble. He couldn't hear a word they were saying at this point.

Finally, a rough pat on the back and a half-assed sympathetic smile from the doctors was his signal that the conversation was over and they would be leaving. Leaving him alone. Alone in the sterile gray labyrinth of the hospital. He laid back, staring up at the ceiling tiles. He had no idea how long he laid like this before the feeble barriers inside him broke, and hot tears streamed down his face. He nearly gasped at the warmth. After weeks of feeling nothing, he was now feeling more emotion than his damaged brain could comprehend. He felt anxiety clog in his throat as waves of adrenaline twinged in his stomach. The juxtaposition of emotion made his vision blur, and he thought he might pass out. He reached out for the cold metal of the hospital bed to ground himself, but it was too late. He felt bile rise in his throat as the panic took hold of him. Tears flooded his vision as silent sobs wracked his body. His head pounded against his skull with each breath, and the pressure in his chest made him feel that every vein in his body was about to burst. He buried his head in a pillow as he sobbed, terrified that someone might hear him. He didn't need anyone to see him like this; he didn't even want to see himself like this. But as he cried, memories of his past flipped through his mind. His childhood, his mother, his job, his ex-wife. Everything. Everything he's done, and everything he won't be able to do. He wouldn't be able to work again, well, not as a detective. He would never find love, never have children. So many avenues of his life were blockaded as those three simple words left the doctor's lips. "You are paralyzed." A part of him wanted to smack the self-pity right out of him. He wasn't that kind of person. He always put others before himself, almost to a fault. But right now, at this moment, he couldn't think about anything but himself, and part of him felt it was justified. No one else was there for him right now when everything seemed to come to a head. He was alone, totally and utterly alone. Even half of his body had given up on him. What was the point? Why was he still fighting? So he could get discharged and live with his mother breathing down his neck and wiping his ass for the rest of his life? He was starting to lose hope. What was there to hold onto? He had lost everything. 

When he first woke up, the doctors kept telling him how lucky he was. If the bullet had been a little to the right, a little farther down, little to the left, he would have been dead. If the paramedics hadn't shown up when they did, he would have been dead. If the surgeons didn't stop the internal bleeding, he would have been dead. If everything hadn't happened exactly as it did, he would have been dead. He was lucky. He was a survivor. But nothing about his situation made him feel lucky. He knew he was being ungrateful. He should be thanking the higher powers every day that he was still alive on this earth. But through the pain and the suffering and the overwhelming nothingness, he was having a hard time finding something to keep him going. What was the point? What was he living for? Who was he living for? Because it certainly wasn't for himself. He would never be Colin Zabel again. He could try, and he was trying. Every day he was fighting so hard to regain some sense of normalcy in his life again. But for every small victory, there were endless days of sleepless nights, blinding headaches, plates of hospital food he couldn't keep down, and physical therapy sessions that did nothing but squander his hope. He was starting to lose hope, fast.

----- 

Colin whimpered as he tried to find a comfortable spot in his hospital bed, making sure not to yank his IV out of his arm like he's done so many times before. He desperately tried to tune out the sound of the TV. One of the nurses had turned it on per his request, but now the remote was a little too far out of his grasp. He didn't want to call someone back in for something as arbitrary as a TV remote, so he just tried to close his eyes and go back to sleep. But the pounding against his skull was getting a little too hard to ignore. This was a daily struggle. Something a small as the sound of the TV or the light through the window could trigger a headache so bad it rendered Colin unable to move or open his eyes. This was one of those times. Sometimes he could sleep it off; other times it was the thing keeping him awake. He groaned, trying to bury his head in the stiff hospital pillow. But no matter where he moved or what he did, the pounding continued. He cracked his eyes open, slightly gasping at the rush to his head. He silently watched the people passing his room. Wishing that he could just inhabit one of them and walk right out of this place, but he couldn't. This was his life now, and there was nothing he could do about it. He closed his eyes again, trying to ground himself back in reality. Tears pricked his eyes, but he focused on staying composed, knowing that crying would only worsen his symptoms. He pulled his blanket close to his chest. He didn't want to admit it, but in moments like this, all he wanted was for someone to be there with him. To hold him, and run their fingers through his hair, rub circles on his back, and tell him everything was going to be okay. Sometimes if he thought hard enough, he could imagine the physical embrace of another human being. But then he would open his eyes, only to be met with the empty fore walls of his hospital room.  He whimpered as the pounding in his head got worse, and his ears began to ring. He would take anyone at this point, even his mom. He just wanted someone there with him. He groaned, knowing he was lying to himself. He didn't want just anyone; he wanted Mare. He had tried not to think about her knowing it would only cause him anguish. He wasn't mad at Mare, obviously. How could he be? It wasn't her fault he got hurt. It wasn't her fault that he followed her into that house. He did that on his own accord. He blamed nothing on Mare. But, of course, Mare blamed herself. He understood why; he would have too if the roles were reversed. The only difference is that Mare copes with her trauma with avoidance. When Colin is the only living reminder of that trauma, that means that he's the one Mare is avoiding, which broke his heart. He just wanted to run to her and hug her and tell her everything was going to be okay. He wanted to tell her that he wasn't mad and that they would get through this together. But he couldn't. He couldn't get out of bed. He couldn't walk. He was stuck here, with all these thoughts in his head and no way to let them out. He gritted his teeth as his headache consumed him, tears leaking down his face. Too much thinking. You've gotta make sure to not overexert your brain after someone shoots a bullet through your head. He cried quietly, not wanting to make a scene. It was moments like this when he really wondered why he was still fighting. He asked if all this pain was worth it, just to be a cripple for the rest of his life. But then he thought about her again. If he let himself lose the battle, he would never be able to tell Mare that it wasn't her fault. He wouldn't be able to protect her and help her heal, and that was the worst pain of all. He would stay in this hospital room and fight for her. He would eat for her, learn to walk for her, survive for her. Even if she never felt the same way as him, she gave him a reason to keep fighting. He took some deep breaths, trying to calm his brain. He shifted again, trying to find some comfort that would hopefully help him fall asleep and escape the pain for a bit. He shot his eyes open, immediately recoiling and wincing at the pain as he heard a soft knock on his door. He tried to prop himself into a half-sitting position to see what was going on.

"Come in," he whimpered as he accidentally tugged on his IV, trying to see who was at the door. He smiled as he saw her familiar dirty-blond "Mare?"

[punksarahreese]

"Don't go. Please. I need you." for the chronic au 👀

👀 this was fun

CW: hemiplegic migraine attack, panic

***

Sarah should have stayed home that day.

She kept having this recurring thought that something bad was going to happen; existential dread had set in the second she woke up. She only had a bit of a headache though, one she had been dealing with for a couple days by then, so she figured she would be fine. She was just being dramatic, she told herself; work couldn’t wait.

Here she was though, five hours later and regretting her decision. The pain got worst quickly, a splitting headache through the right side of her frontal and temporal lobes. Tylenol didn’t touch it and she had to wait for her break to take anything else. She was trying to work through it, reminding herself the pain was temporary, but it was proving to be difficult. It was the muscle twitching that appeared slowly, a slight tremor only noticed when she had trouble inserting an IV in the afternoon. When her vision started getting blurry that’s when Sarah became concerned; blurry vision following a tremor was almost never a good sign.

"Sarah?" April’s hand fell on hers when she noticed it was shaking slightly. The resident had been talking to her about a case they were writing notes for when she had fallen silent suddenly. It concerned April because Sarah appeared to have zoned out.The grip she had on the charting tablet loosened suddenly and it clattered the short distance to the counter, making Sarah flinch.

"You okay?"

Sarah forced a nod, "Fine, just a bit of a headache."

April didn’t believe her, that was obvious, and she took the tablet away gently. Sarah was about to protest because she needed to finish her notes before doctor Charles asked, but the nurse shushed her.

"Go take some Advil and get some water. Take 15 minutes at least; I’ll let Maggie know."

April did it out of concern, Sarah knew she did. She couldn’t get mad either because she knew logically she wasn’t fine. Treating patients in her state would be a mistake but she hated showing weakness. Still, she let the nurse shoo her away to the ED lounge, pressing two ibuprofen from a bottle at the nurses station into her hand before she left.

She did as she was told, going into the lounge to get a glass of water. The way her equilibrium was off made her feel sick after taking the painkillers though, the room spinning a little. She had to set her paper cup back on the counter when her tremor picked up again, making the water slosh precariously. Sarah cursed under her breath as she barely caught herself when her legs suddenly buckled.

Lowering herself to the floor the rest of the way, Sarah winced as the sudden movement made her head ache more. The harsh fluorescent lighting made shapes dance across her line of vision, adding to the nauseating dizziness she felt. The right side of her face felt numb and her one eye was almost completely blurry, telling Sarah she was probably experiencing facial paralysis by then. She should have stopped and gone home or called Ava at the first sign of a tremor because this was definitely a hemiplegic attack manifesting quickly.

She couldn’t speak at that point to call out, not loud enough for anyone to hear anyway. Her words would have been slurred and unintelligible, so it didn’t matter. She knew there wasn’t anything they could do anyway, but the thought of going through an attack like this alone again was enough to make her cry. Her brain was already jumbled and she didn’t know what to do other than sit there, back against the cabinets, and cry silently as the situation overwhelmed her.

Crockett was certainly not expecting to encounter such a scene when he walked into the lounge 10 minutes later. He just wanted to grab his wallet so he could go get coffee on his break, so to say he was shocked by the sight of his friend on the floor would be an understatement. His confusion was quickly replaced with concern when he saw Sarah was crying and noticed the hemiplegia warping the right side of her face. The other doctor was on the floor with her in seconds, asking her if she was alright and insisting they go to a treatment room.

"N-no," Sarah protested weakly, the rest of her sentence lost in a jumble of incoherent words. Crockett frowned at her, reminding her that even if it was just a migraine attack she needed to be monitored in case it progressed to an ischemic attack or mini stroke.

An aggressive head shake caused her to stifle a sob, aggravating her pain, the only decipherable word a shaky, "Av... A-ava."

"You need her?"

The pleading looking in Sarah’s eyes was enough to have Crockett on his phone in seconds, paging the resident’s girlfriend with a 911 so she would get there as soon as she could. He told Sarah she would be on her way soon, reassuring her that everything was okay. This was the second time he had found her during a migraine like this and it never got less terrifying so he couldn’t imagine how scared Sarah was in that moment.

She reached out for him with her arm that wasn’t paralyzed, grasping at his purple stethoscope because it was the one thing her good eye could fixate on. She was relying entirely on her left side, slumping over because her muscles refused to work. Crockett caught Sarah before she fell, helping her stay upright by leaning her into his side, an arm around her waist because it’s all he could do to comfort her. Sarah couldn’t relax into him even if she tried, all she could do was cry as she got more frustrated with the situation.

"Crockett?" A familiar accented voice was heard from somewhere close by in the ED. He called out to Ava, telling her they were in the lounge.

Ava’s heart dropped in her chest when she walked in the door. Her girlfriend was slumped against their colleague, hemiplegia clearly affecting her harshly as she had to lift her right arm with her left to shift her body weight. She was with them on the floor immediately, hand finding Sarah’s cheek and wincing as she felt the paralyzed muscles under her fingertips.

"Darling?" She made sure Sarah could see her from her left side, "Are you alright?"

Crockett watched them for a second before gently detangling himself from Sarah’s arm, helping her lean against Ava instead. He made sure they were alright before saying he was going to inform Goodwin about what was happening. Ava barely heard him, way too preoccupied with trying to gauge how lucid her girlfriend was at that point.

"Sarah?"

Sarah was staring at her with an amount of fear in her eyes that made Ava herself feel like crying. She knew these attacks were some of the most terrifying moments for her, since they came on so suddenly but so slowly at the same time. She could never differentiate between a “normal” migraine and a hemiplegic one until the tremors and paralysis set it. It was always there, a constant threat of them, and Sarah was never prepared. They also raised her chance of an actual stroke by a lot, and one bad bout of ischemia could end her medical career and even her life.

To say she was terrified would be a major understatement.

“A...Ava...” her name was stuttered out through a gasp of pain, her good hand gripping at the surgeon’s scrubs tightly. Ava just hushed her gently, telling her it would pass because she knew it would. Her hands were on Sarah’s face, in her hair, trying to soothe her with familiar touch because it’s all she could do. Sarah was numb to it but she knew Ava was there, she couldn’t quite focus on her reassurances but she was grateful regardless.

“I... I don’t...” Sarah was frustrated because her brain couldn’t get the words out, “I...scary.”

“I know, Sarah,” Ava replied, “I know you’re scared. I’m sorry.” She shifted a little, trying to pull the other woman closer so they were in a more comfortable position. She didn’t expect the small movement to get such a big reaction, jumping a little when Sarah’s grip on her tightened and she whined painfully.

“Do- Don’t go...” tears had come back to her eyes as she clung to Ava, “P-please. Need y... need you.”

“No no, darling,” the blonde looked at her sadly, hand coming up to hold her face gently. She knew this kind of episode was disorienting, the fact that Sarah was lucid enough to speak like this was rare. The other woman was terrified and it broke Ava’s heart; she would never leave her alone during a moment like this.

She held Sarah for a second, trying to calm her shaking body with the stability of her own, “I wasn’t going to leave. I’m right here, Sarah.”

“S...stay?”

“I’m not going anywhere,” Ava promised, “I’ve got you.”

Sarah nodded a little, not able to hide the flinch that proceeded the motion. They stayed like that for a while, Sarah basically in her lap on the floor in front of the sink. People were probably staring, already knew what had happened, but Ava could not care less. All she wanted was for this to pass so she could take her girlfriend home. She needed rest and she wouldn’t get it there.

After some time, Sarah did stop crying. She relaxed a little in Ava’s hold, her head knocking against her shoulder as she gave into her exhaustion. Ava didn’t press the matter, just told her it was alright while she slid a hand down her wrist to check her pulse. She was tachycardic but it was slower than before, a promising sign. Her arm must have regained feeling because Sarah wrapped both of them around Ava’s neck to feel more secure. Still, she wouldn’t move until Sarah felt safe to do so because sometimes the paralysis could return.

“Ava?” Crockett’s voice tore her from her mental monitoring of her girlfriend’s vitals. The surgeon was standing by the door again and Ava could see Doctor Abrams behind him. Of course, they would have to talk to Sam before Sarah could go home. He liked to observe these attacks so they could be sure it wasn’t an actual stroke.

“I think we’re calming down,” she told Crockett, “She won’t want a CT, doesn’t need that stress, but a neuro exam couldn’t hurt.”

“Wanna...” Sarah’s words were still choppy and slow but much more intelligible, “Go... go home.”

“Can we let doctor Abrams check you over first, darling?” Ava promoted as she smoothed down Sarah’s hair in a soothing motion.

“No... room.”

“No, no treatment room,” Ava agreed as she looked at the other two doctors for clarification. A big move like that, parading her through the ED, it would be too much on Sarah. Ava wouldn’t expose her to that, knowing it might make her migraine flare back up from the stress. Crockett just nodded, knowing exactly what Ava was worried about. Sam took that as an indication to come into the lounge, standing a bit away so as to not spook Sarah.

“I can do a quick neuro exam in here, Sarah, if it is more convenient. I can’t let you leave without one first, that would be ill advised.”

It took a little more coaxing before Sarah sat up, looking the most alert she had since the morning. Her right eye was still a bit droopy but her face had regained muscle control, the toll the attack had on her body and mind was evident in her posture. She let Ava stand up and then help her to her feet, though it was a slow motion as she still had one sided weakness.

Ava carefully walked Sarah over to the couch, making sure she was stable before she let go of her arm. Sarah took a seat, though she perched on the edge of the cushion and didn’t relax at all. She was still scared, adrenaline coursing through her body and sending her flight response off its rocker. She hated these part of the attacks the worst, the lull in between active symptoms and the regain of complete control. She couldn’t tell if she was okay or not; everything felt so muddled. Sarah glanced at Ava when she stayed standing, worried brown eyes searching for reassurance again because it’s all she could do.

“Stay?”

Her girlfriend took the hint and sat down beside her, not questioning it when Sarah took her hand. She was always very sensitive and overwhelmed during these attacks, especially when they were shorter because it meant they could come back stronger later on. Sarah tended to cling to Ava in these moments, because she was her safety net and the one person she trusted when she was this vulnerable. Ava understood that and would do anything to be with her through every bad attack and every scary moment. She never wanted the woman she loved to be in pain, especially not while she was alone.

“I’m right here, Sarah. I’m always here when you need me.”

[teawiththeot]

evidence based practice to guide intervention as an OT? What does it mean?

Firstly, “What is an evidence-based intervention?” 

It is a treatment or an intervention that we know is effective. And we know it is effective because we have implemented that procedure faithfully. That means you have read books, articles, reports, etc to apply to your treatment sessions. Applying the latest research to your treatment sessions does seem to make sense, doesn’t it?

According to OATA (2018), evidence-based practice is not just reading a research article and deciding that you want to try the technique described. Rather, it is a careful analysis of evaluation and treatment methods addressed in the body of recent research and how those methods can be applied to the care you provide to your patients on a case-by-case basis. Our client, Lauren, Left CVA, intervention done with her included using the Neurodevelopmental applied frame of reference. This AFR is used for such neurological conditions (such as CVA), focusing on specific handling techniques to facilitate normal posture and movement patterns while inhibiting abnormal patterns. According to the NDT-Bobath approach, practice has a great role in treatment since more practice leads to better motor learning and increases neural plasticity. According to NDT-Bobath, the duration of treatment should not be limited to rehabilitation sessions but should be designed to be implied throughout the day and should be adapted to the client's daily life. Evidence-based practice ensures that your treatment techniques are effective. Analyzing the best and most pertinent research ensures that the treatments that you use with your patients work. This AFR was used for establishing easier and safer techniques in transfers from the wheelchair to bed. In accordance with this AFR, the patient was facilitated at standard key points of control during wheelchair transfers: at the ischium, the shoulders, the trunk, a knee and foot. The patient was instructed with what will take place, so that she can voluntarily engage in assisting with the required movements. Movements occurred with as much participation from the patient as possible and with use of normal movement patterns. Preparation for transfer and other ADL activities consisted of trunk activation warm-ups, upper limb preparation techniques such as scapula mobilization, pronation and supination, elbow flexion and abduction and lower limbs as well (bridging – moving the LL side to side, one knee over the other and moving side to side). The Bobath approach has heavily influenced today’s therapy practices regarding treating patients with hemiplegia post-CVA . It focuses on the retraining of normal movement patterns, weight bearing, activating the trunk muscles, use of inhibition techniques with hypotonia and using key points of control such as the shoulder, elbow and wrist to facilitate movement on the affected side- enabling her to experience the patterns of movement required as well as success in achieving the task. Weight bearing on her affected leg was seen more during gait session with the physiotherapist using a tripod, during our sessions, items were placed on either side to allow for the activation of trunk muscles for trunk rotation.

So why does this evidence-based practice matter? and why do we really care about the evidence? Baker & Tickle-Degnen, (2014), concluded that the primary goal is to utilize research evidence to decrease the use of ineffective healthcare practices and ensure you are providing ethical, effective, and best treatment. 

it also important to look at the best available research available but also the resources (incl. OT clinical knowledge, the client’s beliefs, preferences, needs, values and state of condition as part of evidence-based practice, it more than just same intervention being supported by 10 other articles.  

Overall, using evidence-based practice helps me as an OT student to keep my clinical skills up to date.

 References

Baker, N., & Tickle-Degnen, L. (2014). Evidence-based practice: integrating evidence to inform practice. In B. A. B. Schell, G. Gillen, & M. E. Scaffa (Eds). Willard and Spackman’s Occupational Therapy (12th ed., pp. 398-412). Philadelphia: Lippincott Williams & Wilkins.

Evidence-Based Practice and Research (2018). American Occupational Therapy Association, https://www.aota.org/Practice/Researchers.aspx

Thomas, A., & Law, M. (2013). Research utilization and evidence-based practice in occupational therapy: A scoping study. American Journal of Occupational Therapy, 67, e55–e65. http://dx.doi.org/10.5014/ajot.2013.006395.

https://www.researchgate.net/publication/241691629_Research_Utilization_and_Evidence-Based_Practice_in_Occupational_Therapy_A_Scoping_Study

[themindofaconflictedrebelot]

The Life Of This Exhausted OT Student

As I first entered the hospital doors I was fascinated by the infrastructure and the equipment that the hospital had. I was excited that I would be doing my fieldwork in such a place at the same time I was scared due to this new journey I was embarking. As we reached the OT department I was amazed that they had all these treatment equipment and their OT department was much better than the one in my previous physical block. Knowing that the client’s weren’t chronic made me feel eager to work with them because I think that there’s more that I can help them with and I can improve their quality of life and function in a greater extent.

During the first session with my first client a small part of me felt lost because I had little understanding and knowledge about the condition at hand which was radiculoneuropathy (Tetraplegia, incomplete). But with the help of my supervisor I was able to conduct the different assessments. I was able to build rapport with both my clients.

During the second session with my second client (left hemiplegia), I was able to assess and treat at the same time, for example while assessing dressing I was able to teach him a technique to help him button his shirt, treat bilateral hand co-ordination. In a game of ‘simon says’ I was able to do UL muscle strengthening of the affected side.

Throughout the day my supervisor was available to assist whenever I needed assistance.

I also learnt a lot in terms of positioning and seeing it practically and not just learning about it was quite nice. Thus in the future I will be able to position my client’s appropriately. And I learnt a lot of practical stuff about dealing with oedema and spotting it.

References

Riedemann, N. C., Guo, R. F., & Ward, P. A. (2003). Novel strategies for the treatment of sepsis. Nature medicine, 9(5), 517.

Dodson, W. H. (1968). Serratia marcescens septicemia. Archives of internal medicine, 121(2), 145-150.

Fisher, M. (1956). Left hemiplegia and motor impersistence. Journal of Nervous and Mental Disease.

DENES, G., SEMENZA, C., STOPPA, E., & LIS, A. (1982). Unilateral spatial neglect and recovery from hemiplegia: a follow-up study. Brain, 105(3), 543-552.

[xunjingdianxue]

Wangbaolong's Tongshun Acupoint Acupuncture Therapy inherits Wang Baolong's principle of acupoint therapy along meridians and "Cases".

forty-one

After the operation, the elbow and wrist can not be extended, and the disease can be eliminated by smooth acupoint pressing

Female, 49 years old, was brought by her mother in 12 years. Self description: The right wrist cannot be rotated, the fingers cannot hold chopsticks, and the elbow cannot be extended. He is a descendant who fell from the second floor, broke bones and was cast. It has been half a year since the hospital asked for an operation, but was unwilling to do it. A lot of methods have been used, but they have no effect. Her mother's wrist injury was cured by me. She said that she had a lot of money, and I don't know whether it can be cured. The palpation showed that the wrist, elbow and shoulder muscles were stiff to varying degrees, the shoulder could not be lifted too high, the elbow joint could not be extended around 45 degrees, the wrist could not be turned, and the fingers could not be bent down. It's really serious.

The main problem is that the joint space is squeezed by stiff muscles, from the shoulder to the finger. The treatment starts from the shoulder, then the hand and wrist, and finally the elbow. She agreed with the plan. Because only the elbow is treated in other places, the treatment is started when the scheme is agreed. First, follow the five step method of smooth acupoint tapping. Focus on tapping Jiquan, Tianzong, and the tendons around the shoulder well, then tap the shoulder point to make the shoulders warm, and then remove the total tendons on the wrist. Focus on Hegu Houxi, Zhongzhu, Yangxi, and Dayangchi. The wrist is also hot. End of treatment. Let the patient lift it up and ten centimeters above her head. She was very happy and said excitedly, "I'm finally saved.". Her mother said she believed it. It's better to come early to cure it. She said it was fate that had not come, and she had not been punished. After ten times of treatment, the wrist range of motion was wide, and the elbow was straightened in half. Thirty times later, the elbow joint was basically straight, the fingers could grasp chopsticks, and the horizontal bar could be grasped vigorously.

forty-two

Left hemiplegia after brain trauma surgery

Male, 32 years old, came for consultation and treatment in October 1994. The family member said that when welding objects half a year ago, the gas cylinder exploded and fractured the right brain bag bone. He went to the hospital for surgery. A bone about ten centimeters from the right was removed, and the left side could not move, especially the leg could not move at all. He was transferred to the cardiovascular and cerebrovascular hospital for treatment for one month, and discharged from hospital for rest without effect. When I went to make a diagnosis, the patient was from Yuan family, and his voice became Putonghua, and his spirit was not very clear. My left leg can't move at all. I have to eat with two people, but I can't sit still. I didn't want to cure it. My friend begged for help. I've seen such a case treated by me, so I must take the trouble. As long as he can eat by himself, he will be satisfied. If he can't, he can cure it. After an hour of treatment with the five step unblocked acupoint tapping method, the patient's meridian gas sensitivity was very high. After the treatment, he was asked to take his leg and twitch it. His family members were very excited. They immediately called a dozen people from a family to see the effect. When they saw that the treatment was expected to last ten times, they trembled all over after the acupoint tapping, and their speech changed back to Yuan's accent. By the time he was twenty times old, he could lift his legs and feed him. Twenty five times, he went to wash his hands after treatment, but somehow he was lying on the floor in the room, and he could not sit up himself. Thirty times later, during the treatment, he shivered all over again and asked me why I had hurt him. He was not easy to live, and his family were afraid. They did not know how to call me to another room to talk. It was a 40 minute journey to go home for treatment. Every day when I started, he called for a quick run and came. Let me find a way to stabilize it.

The next day, when he went to the Thirteen Points of the Devil's Gate, he trembled all over. After several times, he was able to stand up and walk without shaking.

forty-three

Dry and uncomfortable eyes after myopia surgery

Female, 30 years old, with dry eyes. In September 2012, I was introduced to consult. I told myself that my eyes were dry and astringent after myopia surgery. I had taken many medicines and the eyedrops were ineffective. After going to the hospital in Beijing for treatment, it did not improve. I diagnosed that it was caused by insufficient blood supply to the eyes. It was also bad to look at the cervical vertebra, which also affected the blood supply to the eyes. The treatment is mainly to change the blood supply to the eyes. Start to operate according to the sequence of unblocked acupoint pressing method and five step method. The key acupoints are Fengchi acupoint, Fengfu Zanzhu temple. Finally, the vibration through method is used. When the Fengchi point was clicked, the patient obviously felt that there was water flowing in his eyes, which immediately became moist and clear. After ten times of treatment, the dry problem no longer exists.

digestive system

forty-four

Case: The gas in the abdomen is blocked, and the blood sugar is low due to insufficient gas

Female, 58 years old, on June 23, 2020, was introduced to treat her knee sprain. Self description: I fell down and my knees hurt, my wrists hurt, and my legs were weak. According to the normal case, sprain, injured leg weakness are normal, and good leg weakness is also normal. I felt that there may be a problem in the abdomen. Later, I looked at her palm and saw that her abdomen was blocked with gas, insufficient blood, and some anemia. She was asked to lie down on the bed again. With a little effort, the air mass in her abdomen rolled around, and the patient felt pain. Patient $continued to say that her blood sugar was low. I told her that it would be better to use acupoint pressing along the meridians for treatment, and that the whole body would be better if the qi could be unblocked. She asked me to treat the disease according to my diagnosis.

I press the smooth acupoint tapping method to treat it step by step, starting from the chest and abdomen, starting from the Ren pulse, starting from the Tiantu point, and pushing it three times with three fingers down to the ankle. Then use the middle finger to point water, Shangwan, Qihai, Daimai, Liangmen, Tianshu. After the second time, there is a sound of running water in the abdomen. When the second time, the pain in the abdomen is reduced. Then point three times to Yangling, Sanli, Jiexi, Kunlun, Taixi, Zhaohai, Sanyinjiao and other acupoints on the leg. Use the middle finger to move the middle of the committee, untie the tendons at Xi and Yangling for three times, then rotate the legs, and finally use the empty hand to vibrate the abdomen, front and back, left and right of the thighs.

The patient felt a lot of swelling in his knee, less pain and more comfortable in his abdomen. On the third day when I came in, I said happily that my legs were strong and my knees were much better. He was treated three more times, and his leg healed. What pleased her most was that her hypoglycemia was better, and she had not been out for several days and her legs were weak. I saw her again a month later and said that there was no hypoglycemia and her legs were strong.

forty-five

Case: Diarrhea in summer is really hard. It takes effect by grasping Ren Mai.

forty-five

In the summer of 1997, I was invited by my friend to go home to treat his father. I saw him go out and come in four or five times. After the treatment for his father, he said that he was sorry. Today, he had an upset stomach. He was almost dehydrated and could not eat or drink. He asked me if I could cure him by acupressure? His family said it would not be difficult to be Mr. Wang. Dysentery has inflammation. Is it OK to click acupoints? I said it could be tried. If it works, it will take a few minutes. This kind of disease is difficult to look at, simple in practice, and in good health. You don't need to take five steps to deal with Ren pulse directly. After three times of lifting, my friend immediately said that his stomach was comfortable and his face turned from yellow to red.

forty-five

My friend immediately prepared food and wine for me. After dinner, he asked me to drink tea and not let me go. After an hour, he asked me to catch it again for fear of diarrhea at night. An hour later, I pushed my chest, abdomen and legs according to the procedure, and then I clicked the acupoints, especially the water, Liangmen, Tianshu, Qihai, and Jianli. I must have a reaction to the acupoints. Only when there is air movement in the abdomen and the sound of running water, can it have a good effect. It was over to vibrate again and finally grasp Ren pulse for three times. When leaving, he asked me to treat him tomorrow. I said he might not need it. He was a little worried. As a result, he called me the next afternoon to tell me.

forty-six

The case: Both legs are weak and the body is weak. The cause is in the stomach.

forty-six

Male, 58 years old, came to me in June 2018 to consult with me about his physical condition. He said that his legs were weak and his whole body was weak. He had a physical examination recently and there was no problem. I saw his palmprint and diagnosed it once. I told him that his stomach and intestines were bad, and his blood was blocked in his abdomen, which affected his blood circulation. Let's treat his abdomen. He didn't believe it. He said that there was nothing wrong with eating and drinking. He was asked to lie down on the bed and use palpation to diagnose again, so that he realized that pressing the belly button forcefully hurt both up and down, left and right, especially above and below the belly button. He just said that he didn't know!

forty-six

After using the five step method of smooth acupoint tapping, he treated once, focusing on the acupuncture points on the abdomen. His legs ran out to cool, and finally got hot again. He got up and walked around for a while. He was happy to say that he was energetic, and his whole body was comfortable, and he knew the reason. He asked again whether it would take time to cure it? The treatment told him that although the effect was quick, if he did not persist in the treatment, it would aggravate his illness. It should be treated several times continuously, and the abdomen will not hurt.

forty-seven

Case: Both legs are weak and the body is weak. The cause is in the stomach.

forty-seven

Male, 58 years old, came to me in June 2018 to consult with me about his physical condition. He said that his legs were weak and his whole body was weak. He had a physical examination recently and there was no problem. I saw his palmprint and diagnosed it once. I told him that his stomach and intestines were bad, and his blood was blocked in his abdomen, which affected his blood circulation. Let's treat his abdomen. He didn't believe it. He said that there was nothing wrong with eating and drinking. He was asked to lie down on the bed and use palpation to diagnose again, so that he realized that pressing the belly button forcefully hurt both up and down, left and right, especially above and below the belly button. He just said that he didn't know!

forty-seven

After using the five step method of smooth acupoint tapping, he treated once, focusing on the acupuncture points on the abdomen. His legs ran out to cool, and finally got hot again. He got up and walked around for a while. He was happy to say that he was energetic, and his whole body was comfortable, and he knew the reason. He asked again whether it would take time to cure it? The treatment told him that although the effect was quick, if he did not persist in the treatment, it would aggravate his illness. It should be treated several times continuously, and the abdomen will not hurt.

forty-eight

Cases Gastroptosis

Time of consultation: spring 1999, female, 31 years old. This man is my friend's wife. The couple came to see me together, brought a lot of test sheets for inspection, and asked me for advice. Narration: Before March, I was short of breath and could not eat. I went to the township hospital and was diagnosed with gastritis and cholecystitis. After taking a while of medicine, it did not improve, and it was getting heavier and heavier. This time, I went to the hospital and let the patient receive infusion, but lost more than ten days without any effect. Instead, I went to see a doctor of Chinese medicine. After eating Chinese medicine for more than ten days, I couldn't eat any more. I vomited. After taking photos in the big hospital, the patient was diagnosed with gastroptosis, which was about 2cm long and had to be operated. I came out of the hospital to chat with me for dinner. I only knew that I had a good treatment for neck, shoulder, waist and leg pain. I didn't know whether I could cure gastroptosis. I asked what caused it. I said that vomit is the opposite of turbid qi, and the clear qi drops. It would be better if it were reversed. My friend thought it was a joke when he saw that I said it was so easy. I seriously said that it would be better if the clear qi went up to the stomach and vomit went down to the large intestine. My friend said that his relatives had an operation, so he went back to discuss it, and consulted at night. I said that I would come to see the situation several times first. The next day, we used the acupoint tapping method along the meridians. First, we clicked the water and the air. There was the sound of running water in the abdomen, which made us feel relaxed. Then we clicked the Tianshu of Zhangmen Gate with veins. Grasping Ren's pulse, the horse's belly became soft. The patient immediately said he was comfortable. Continue to point the acupuncture points on the legs corresponding to the waist and back for three miles. After that, let the patient get out of bed and walk back and forth, not feeling out of breath. For ten consecutive days, I have no feeling, I can eat and drink, and I feel energetic. Go to the hospital for re examination, everything is normal.

forty-nine

Cases Intercostal neuralgia

Female: 55 years old, came to see her in October 2018. She said that she had pain in the right intercostal space. She had no problem after the instrument inspection, and sometimes suffered from bitter taste. The doctor found that he had slight cholecystitis and was very angry. She was also asked to lie on her back on the bed and touch it with her hands. Her right abdomen was distended and painful, with acupuncture like pain. It is consistent with manual diagnosis.

Follow the five step method of smooth acupoint tapping, and focus on the simultaneous operation of Dabao, Qimen, Zhangmen, Daimai and Sanyinjiao. The acupuncture points on the abdomen should be carried out with both hands at the same time, especially at the Taiyi meat sliding gate of Liangmen. The effect is achieved when there is a sound of running water in the abdomen. Then, the water should be used to build the stomach. The two hands should be used alternately, and there is also abdominal ringing. Then, press Taichong, Jiexi, Zusanli, and Sanyinjiao. Press the air sea again to end. After a treatment, the patient feels relaxed. For the second treatment, there were three times of running water in the abdomen, and there was no acupuncture like pain when pressing the abdomen forcefully. After eight consecutive days of treatment, the intercostal nerve did not ache.

fifty

Case The child cried in the daytime and vomited milk. Diagnosed as panic disorder

October 23, 2020, the seventh day of September in the lunar calendar. A friend from Fuzhou came to ask about his illness. This is the original saying: Master, good morning and good luck. He has come to disturb you again. My classmate's granddaughter was born at 4 p.m. on July 29 in the lunar calendar. She was born in the daytime and at night. On the third day, her daughter-in-law's colleague came to hold the baby. From that day on, the child cried and vomited milk day and night. I also went to the Provincial Maternity and Child Health Care Hospital for inspection, but didn't say anything. My classmate called me last night and asked for guidance from the master. Thank you. I asked her about her physical reaction. (Does the child's hair stand up? In our hometown, it's called Zhesha. Her eyes don't get dazed. Sometimes when she falls asleep, she suddenly shakes?) It is said that there are all three cases. Ask me what medicine to take or what method to take? I told her (I'm afraid ordinary medicine is not good. If you want to get better quickly, at 11:00 this evening, let adults rub their hands and cover their heads for about 20 minutes.) I called the third night and said it was OK. The next day, it would be light. Special thanks!

Why do I use this method? Jingyun: Kidney deficiency leads to fear, so gathering kidney qi leads to disease elimination.

41. 术后肘腕伸不开，通顺点穴把病除

女，49岁，12年由她母亲领来。自述：右手腕不能转动，手指不能拿筷子，肘伸不开。是从二楼摔下，骨折，打石膏的后人。��经半年了，医院让做手术，不愿做。又用了好多法，无效果。她妈妈手腕摔伤是我治好的，她说她的比较重金，不知道能不能治好。经触诊，腕肘肩肌肉都不同程度僵硬，肩往上举超不过头，肘关节弯曲四十五度左右伸不开，腕不能转，手指也弯不下去。真的很严重。

主要问题是关节间隙被僵硬的肌肉挤住了，从肩到指都是。治疗先从肩膀上下手，再治手和腕，最后是肘。方案确定了，她也赞同。因为在其它地方只是治疗肘，同意方案就开始治疗。先按通顺点穴五步法顺进行，重点拨极泉，天宗，肩井周围的筋几，再点肩穴，肩膀周围发热，再把手腕上的总筋拨开，重点合谷后溪，中渚，阳溪，大阳池。手腕也发热。治疗结束。让患者向上举，一下举过头顶十公分，她特的高兴，激动的说：总算有救了。她妈就说这下相信了吧，早来治早好了。她说是缘分没到，罪还没受到头呢。治疗十次后，手腕活动范围大了，肘也伸直了一半了。三十次后，肘关节基本直了，手指能抓筷子了，能抓单杠用力了。

42. 脑外伤术后致左半身瘫痪

男，32岁，94年十月来咨询治疗的。家属代述，半年前焊接物体时，气瓶爆炸，把右脑袋骨骨折，去医院做了于术，去了十公分右一块骨，左半侧不能动，特别是腿一点也不能动。又转心脑血管医院治疗一月，无效果出院静养。我去诊断时，患者是元氏人，说话音变成普通话了，神质不太清。左腿一点也不能动，吃饭得两个人喂，坐不住，本来不想治，朋友一个劲求情，见过我治疗过这样的病例，一定让费费心，只要能让他自己吃饭就满足了，推不了，就治吧。经用通顺五步点穴法治疗一小时后，病人经络气敏感度很高，结束后，让他拿腿，能抽动一下，家属异常兴奋，马上把一家十几个人喊来看效果，看见希望治疗到十次时，点穴后，浑身颤抖，说话又变回元氏的口音。到二十次时就能把腿抬起来了，���他饭自己能吃了。二十五次时，治疗完去洗手，不知道怎么样他在屋里地上躺着，他自己还不能坐起来呢。三十次后，治疗中，他又全身颤抖，问我为什么害他、又无冤无仇的，他活着不易，家人都很怕，不知道该怎么样好家人把我叫到另一个屋里说话，因为去家里治疗，路程四十分钟，每天我出发，他就喊快跑，来了来了。让我想办法给稳定了。

第二天去了，点他的鬼门十三穴，他就浑身抖，一连几次后，不抖了，也能站起来了，能走了。

43. 近视术后眼睛干涩难受

女，三十岁，眼干涩难受。12年九月，经人介绍来咨询，自述：做了近视手术后，眼干涩，吃过很多药无效，点眼药水无效。去北京的医院治疗无好转我诊断为眼供血不足造成的，再看颈椎也不好，也影响到眼睛供血。治疗以改变眼部供血为主。开始按通顺点穴法，五步法的顺序操作。重点穴，以风池穴风府赞竹太阳穴为主。最后以振通法结束。点风池穴时，病人明显感觉有水在眼里流，马上就湿润了，清亮了。经过十次治疗，干涩的毛病不再有。

消化系统

44. 《案例》腹中气堵，中气不足导致血糖低              

女，五十八岁，二零二零年六月二十三，经人介绍过来治疗膝盖扭伤。自述：摔了一跤膝盖痛，脚腕也疼，两腿无力。按正常的病例，扭伤，伤腿无力正常，好腿也无力，我感觉可能是腹部有问题，随后，看她手掌心，进行手诊 看到腹部有胀气堵了，气血不足，有些贫血。又让她躺床上，用触诊的方法，稍一用力，腹中气团咕噜转动了一下，病人感到疼痛。病人$接着说她血糖低，我告诉她用循经点穴治疗才能好的快，能把气打通，整个身体才能好转。她让我按照我诊断的病去治疗。

我按通顺点穴法，一步一步来治疗，先从胸腹开始，从任脉下手，从天突穴开始，用三指往下，到脚腕，推三遍。再用中指点水分 ，上脘，气海，带脉，梁门，天枢，点完一遍，第二遍时 腹中有流水声，再点时，腹部疼痛减轻，接着往腿上的阳陵，三里，解溪，昆仑，太溪，照海，三阴交等穴点三遍。用中指拨委中 ，解溪，阳陵处的筋三遍，再转动腿，最后用空手心振动腹部，大腿的前后左右，结束。

病人感觉膝盖消肿很多，疼痛大减，腹部��舒服了。第三天一进来就高兴的说，腿有力气了 ，膝盖好多了。又治疗三次，腿好了 。最使她高兴的是，她的低血糖好了，这几天没有出来过腿无力了。一个月后再见她，说没有出现过低血糖，两腿有力了。

45. 《案例》夏季腹泻真难受，点抓任脉立见效。

45. 九七年夏天，应朋友之邀去家里给他父亲治疗，见他一会出去，一会进来，四五次。给他父亲治疗结束后，他说不好意思，今天闹肚子，快脱水了，吃喝不下，问我点穴能治吗？他家人说别难为王老师了，痢疾是有炎症 ，点穴能行吗，我说可以试试，管用的话，几分钟见效。这种病，看着难，实际简单，身体状况好的，不用分五步来，直接抓任脉，提三提就出效果了。抓提三次，朋友立刻说肚子舒服了，不下坠了，脸色从黄变红了。

45. 朋友马上准备酒菜招待我，吃完饭，又让喝茶，不让我走，都一小时后，让再给他抓一抓，怕晚上再泻。一小时后，我按程序先推胸腹腿，接着点穴，特别是水分，梁门，天枢，气海，建里 ，一定要穴位有反应，做到腹中气动，有流水声，才能有好效果。再振通，最后又抓任脉三次，结束了。走时，让我明天再治，我说可能不用了， 他有些着急，结果，第二天下午，打电话告诉我好了。

46. 《案例》两腿无力身体乏，病因出在肠胃上。

46. 男，五十八岁，一八年六月来找我咨询身体状况。自述两腿无力，全身乏力，最近才做过体检，没有问题的。我看了他手掌纹，诊断了一遍 ，告诉他肠胃不好，气血堵在了腹部，影响气血运行，治疗腹部吧。他不太信，说能吃能喝的，没有问题的。又让他躺床上用触诊再诊断，让他体会到，用力按腹部肚脐上下左右都疼，特别是肚脐上和左下更疼。他才说不按真不知道啊！

46. 经用通顺点穴五步法 ，治疗一遍，重点治疗腹部的穴位，他的两腿往外跑凉气，最后又发热了，让他起来走走，走了一圈，高兴的说有劲了，全身舒服了，知道原因了。他又问还用时来治疗吗？治疗告诉他虽然见效快，若是不再坚持治疗，会加重病情的。应该连续治疗 几次，腹部不疼就行了。

47. 案例》两腿无力身体乏，病因出在肠胃上。

47. 男，五十八岁，一八年六月来找我咨询身体状况。自述两腿无力，全身乏力，最近才做过体检，没有问题的。我看了他手掌纹，诊断了一遍 ，告诉他肠胃不好，气血堵在了腹部，影响气血运行，治疗腹部吧。他不太信，说能吃能喝的，没有问题的。又让他躺床上用触诊再诊断，让他体会到，用力按腹部肚脐上下左右都疼，特别是肚脐上和左下更疼。他才说不按真不知道啊！

47. 经用通顺点穴五步法 ，治疗一遍，重点治疗腹部的穴位，他的两腿往外跑凉气，最后又发热了，让他起来走走，走了一圈，高兴的说有劲了��全身舒服了，知道原因了。他又问还用时来治疗吗？治疗告诉他虽然见效快，若是不再坚持治疗，会加重病情的。应该连续治疗 几次，腹部不疼就行了。

48. 《案例》胃下垂

就诊时间，99年春，女，31岁。这人是我朋友的妻子，两口子一块来看我，带者一大堆检查的化验单，片子向我咨询。叙述，三月前气短、吃不下饭，去乡镇医院，诊断为胃炎、胆囊炎，吃了一阵药、也没什么改善，且越来越重，这次去医院让输��，输了十几天不见效。改为去找中医，吃了十几天中药，越吃越不能吃饭了，呕吐历害。后到大医院拍照，诊断为胃下垂，下垂二厘米左右，必须手术。从医院出来找我聊天吃饭，只知道我对颈肩腰腿疼的治疗特好、不知道对胃下垂能不能治，问是啥原因造成的呢。我说，呕吐，为浊气逆生，清气下降，颠倒颠倒就好了，朋友见我说的如此轻松，认为是开玩笑呢，我认真的说:颠倒过来，清气上来胃上去、呕吐物下去走大肠不就好了嘛朋友说他家的亲戚就做了手术的，回去商量商量，晚上又咨询，我说先来治几次看看情况。第二天来了，用循经点穴法，先把水分，建里气海点一遍，腹内有流水声，腹内感觉轻松了，又点带脉章门天枢。抓任脉，腹部马立柔软了。病人马上说舒服了。继续点腿上三里和腰背相对应的穴位，结束，让病人下床来回走，不感觉气够不着了。连续十天，无感觉了，也能吃能喝了，身上有劲了。去医院复查，一切正常了。

49. 《案例》肋间神经疼

女：55岁，2018年10月来求诊，自述：右肋间疼，经过仪器检查没有问题，有时口苦。看手诊，有轻微的胆囊炎，肝火大。又让她仰卧床上，用手触摸，右腹胀疼，有针刺样疼痛。和手诊相符合。

按通顺点穴五步法操作，重点点按大包，期门，章门，带脉和三阴交同时进行。腹部的穴位要两手同时进行，特别是梁门太乙滑肉门，腹中有流水声时就达到效果了，接着水分上脘建里，两手交替使用，也有腹鸣，接着按太冲，解溪穴，足三里，三阴交。再按压气海结束。 一次治疗结束，病人就感觉轻松了。第二次治疗，腹中流水声有三次，用力按腹部就没针刺样疼了，连续治疗八天，肋间神经就不疼了。

50. 《案例》小儿白昼哭闹，吃奶又吐出。诊断为惊吓病

阳历2020年十月二十三号，农历的九月初七。有福州的朋友来咨询病情，这是原话：师傅早安吉祥，又来打扰你了，我同学的孙女是农历七月廿九下午四点出生的，出生时白天晩上都在，到了第三天她媳妇的同事来，抱了抱孩子。从那天起孩子不分白天黑夜一直哭还吐奶。也抱到省妇幼保健院检查也沒说什么，同学昨晚上打电话给我说，请教师傅指点一下，谢谢。我问一下她的身体上的反应，（孩子头发是不是竖起来了，我们��乡话叫折煞，眼睛是不发呆，睡着了有时突然抖一下？）说这三种情况都有的。问我吃啥药或者有什么办法？我告诉她（一般的药恐怕不行，若想快点好，今晚十一点时，让大人把手搓热了，捂住头顶处，二十分钟左右吧）第三天晚上打来电话说好了，第二天就见轻了。特别感谢！

问我为什么要用这种方法呢？经云：肾虚则恐，故聚肾气则病自除也。

[physiotheray]

Hemiplegia Treatment in Physiotherapy

Hemiplegia Treatment in Physiotherapy

Hemiplegia is a type of cerebral palsy that strikes one side of the body, making it paralyzed and very weak.

Hemiplegia can happen due to complications in pregnancy, being called congenital hemiplegia, or due to situations that affect the brain, such as stroke,

an infection affecting the nervous system, sclerosis and even being a consequence of aggravation. Here Sarwarpro provides the best Hemiplegia Treatment in Physiotherapy, diabetes, being called acquired hemiplegia.

Although it cannot be fully reversed, treatment of hemiplegia should be done as soon as possible to improve the quality of life of the person who is usually done with physical therapy.

Main causes

Hemiplegia can be caused by brain damage, such as bleeding, congestion or embolism, and may also appear as a symptom of atherosclerosis or following a stroke.

Although different types of injuries can cause cerebral palsy, it can occur especially during the early years of life when a child develops serious illnesses such as meningitis, infections, or severe dehydration, but in many cases its cause is unknown.

Cerebral palsy is progressive, although symptoms may range from almost imperceptible to severe spasticity (stiffness), in all forms speech may be difficult to understand due to the difficulty in controlling the muscles related to the pronunciation of words.

Characteristics of hemiplegia

Hemiplegia may be characterized by joint pain, decreased sensitivity on the affected side of the body, and difficulty in performing movements. Other features of hemiplegia are:

Affected side of the contracted face, leaving the mouth crooked and difficulty opening and closing the eyes;

Difficulty in the arm and leg movements of the side affected by the “stroke”;

Spasticity or stiffness, where the arm tends to shrink and the leg tends to become very stiff and it is difficult to bend the knee;

Difficulty in starting movements with the affected arm and leg;

Scoliosis.

Depending on the side of the brain affected there may be other signs and symptoms, such as:

Left hemiplegia — Brain injury on the right side:

Difficulty in orienting oneself in relation to the environment;

Negligence of the left side of the body;

Do not dress starting from the affected side;

Difficulty with numbers, being difficult to do accounts, for example.

Right hemiplegia — Left brain injury:

Does not recognize numeric symbols (+ — =);

Difficulty distinguishing the right side from the left in itself and others;

Difficulty remembering what to do;

Difficulty in planning or performing tasks.

These changes may not all be present in the person as it depends on the severity of the injury and its recovery.

In addition, according to symptoms, hemiplegia can be classified into 4 types: spastic, choreoathetosis, ataxic and mixed.

How is the treatment done?

The treatment of hemiplegia is aimed at improving the quality of life of the person, usually being performed rehabilitation with functional therapy and physiotherapy, especially since it improves the facial aspect, limb mobility and gives more independence for the person to perform their activities. daily.

In some cases, the use of botulinum toxin is indicated as a way to decrease spasticity and improve the person’s ability to move, but not all are indicated for such treatment.

Treatment for hemiplegia is usually only done with physiotherapy, hydrotherapy, and sometimes physical activity performed individually with a capable physical educator.

The surgery is performed only in the last case when the person has muscle contractures and is done by cutting some ligaments to relieve the contractures.

For more pieces of information visit Sarwarpro

[erica-the-rn]

Stroke Review (General Overview)

What is it? (patho)

A brain attack, stroke, is a medical emergency caused by interrupted perfusion to the brain. Our brain cannot store oxygen or glucose, unlike a lot of our other important organs. Therefore, it has to have constant perfusion to function. Whenever we experience a loss of oxygen to the brain for more than a few minutes, cerebral tissue dies. According to WebMD, the estimated time is 4 minutes before brain cells begin to die. 

What causes it? (Causes/Risk Factors)

There are two types of strokes: ischemic and hemorrhagic. Ischemic strokes are caused by a blockage of perfusion to the brain by either a clot or dislodged clot. 

Ischemic Stroke Risk Factors:

Hypertension

Atherosclerosis

Dyslipidemia

History of TIA

Diabetes

Sepsis

Congenital Heart Defects

Hemorrhagic strokes are caused by, obviously, bleeding in the brain. This can be caused by trauma, cerebral aneurysm, cerebral arterial rupture.

Hemorrhagic Stroke Risk Factors:

Cerebral trauma

Chronic HTN

Chronic Cocaine Use

Contact Sports

What does a stroke look like?

Aphasia or dysarthria

One-sided or unilateral weakness

Occasionally hemiplegia or paralysis

Drooping face

Headache

Visual Disturbances

Heart Mumurs

High Blood Pressure

SO, now the question is.. left or right hemisphere stroke? Quick to pick, here we go. :) The right cerebral hemisphere is our visual and spatial side. We recognize what we’re seeing and our body position in relation to the world we see. Those having a right sided stroke are going to experience more visual deficits and will most likely be disoriented. The left cerebral hemisphere (dominant) is the side responsible for language, math, and critical thought process. I remember Left-L-Learning-Language. They are most likely going to have speech problems, slowness, and aggravation or depression when attempting critical thinking.

What do we do? (Treatment)

Before you start treating your patient for a stroke, you need to know what caused their stroke. You need to get a CT without dye to rule out hemorrhagic stroke. Keep the patient NPO until the doctor clears them to eat or drink. They will most likely have a weakened sensation to swallowing. The last thing they need now is aspirating. Unless the patient is having a hemorrhagic stroke, you’ll keep the patient supine with a low (25-25 degree) elevated head of bed. You need to provide oxygen therapy to patients saturating in the low 90s or below percentage. 

If your patient has a headache or photophobia, keep room lights low and maintain a calm environment. 

There is a specific medication you can give your patients, if the doctor prescribes it. Alteplase is given to patients who have had a stroke in the last 4.5 hours. It dissolves the clot and increases perfusion to the brain. This SHOULD NOT be given to patients who have an active bleed in their body. 

There are also surgical options. An embolectomy may be performed. This is the removal of the dastardly clot. This is a common treatment for patients who are not eligible to receive Alteplase. Patients may also have a stent put in place.

What else?

Depending on why your patient had a stroke, how long after the stroke they received treatment, and the success and preservation of their cerebral tissue, you may have to discuss a few things with your patients.

If they had a stroke due to embolus or iscemia, discuss with them lifestyle changes. Yes, they have already now had a stroke. Yes, they already have an extra risk because of that. However, you need to inform them (1) change your diet, (2) take your medications, and (3) quit smoking! Strokes have been successfully prevented by taking action and making lifestyle changes.

If they have impaired swallowing, you need to meet with their dietitian, occupational therapist, and the patient. Discuss with them why they have to change the consistency of their diet. If they aspirate due to eating the wrong consistency diet, they risk aspiration. Aspiration can be fatal. Stress that to your patient, not just because its your job, but because its a human life.

And always... Remind them that there are resources:

http://www.stroke.org/

http://www.strokeassociation.org/STROKEORG/

[bcreaycong]

The role of hydrogen in medicine

From 2007 to 2016, after nearly 10 years of efforts, the Japanese national regulatory system for the treatment of hydrogen inhalation has finally entered the innovative medical research methods, this is a milepost significance of the event, although the hydrogen into clinical application still need to continue to study, but it means to get a ticket, through the efforts, the hope of success is waiting there. I believe that medical research and application of hydrogen will bring revolutionary influence subversive to the human health.

See this description, we feel that the hydrogen is a kind of drug for stroke treatment. But I want to tell you, although these research shows that hydrogen may have therapeutic value on cerebral ischemia or stroke, but not enough to prove that hydrogen can be the treatment of stroke, or hydrogen may treat stroke, but far from drugs the standard or requirement. Furthermore, studies are based on the process of ischemia reperfusion, even for the treatment of ischemic cerebral injury is effective on acute injury, the injury is not equal to still remain valid. For example, patients after stroke for a long time, left hemiplegia did not recover. At this time the theory of hydrogen on cerebral ischemia after hemiplegia no sequelae of targeted therapy.

However, there are many stroke patients with metabolic syndrome, especially diabetes mellitus, dyslipidemia and atherosclerosis and many other problems, these incentives do not discharge, patients still have risk of recurrence of stroke. These problems also have an impact on the brain compensatory rehabilitation, is not conducive to the rehabilitation of patients. The study shows that the effect of hydrogen on the water the metabolic syndrome has clinical research evidence, from this point of view, and can be used with hydrogen after stroke, or can be said to have the benefits of rehabilitation of hemiplegic patients with hydrogen.

We said that the current study does not prove that hydrogen can be used as the treatment of drug, because animal experiments can not be used as an effective basis of human disease, preliminary clinical studies are not as drug standard. Now that the study does not prove that hydrogen can treat stroke, why still want to promote hydrogen on health promoting effect is very effective to the rich believe you, Hydrogen water really, At least to have a clear understanding.

Hydrogen is a comprehensive medical propaganda, judgment on the hydrogen medical research. Academically, hydrogen medical effect is a newly discovered subversive phenomenon, the secret behind the phenomenon is still not clear, it is necessary to vigorously promote hydrogen medicine, attract more interested in the study on the mechanism of hydrogen medical scholars. Considering the application value point of view, although hydrogen for any human diseases have not reached the standard of clinical medicine, but many diseases have shown therapeutic potential. For example, only clinical studies including cerebral ischemia, radiotherapy side effects, rheumatoid arthritis, metabolic syndrome, uremia, sports injury, respiratory symptoms, haze caused by fatigue, Parkinson’s disease, involving the clinical cases to thousands of people, more and more clinical studies are being conducted. Cytology and animal experiments also proved that hydrogen on 100 kinds of diseases and damage. Injury has therapeutic value.

Some clinical and basic medical research tells us that hydrogen is indeed very likely has a therapeutic effect on many diseases, the use of the case also shows that a large amount of hydrogen, hydrogen to bring many unbelievable therapeutic effect patients. More importantly, there are often enough and non absolute confidence on our hydrogen safety. This hydrogen which does not bring harm, but can bring many potential benefits of means, we should wait until several years after treatment to become propaganda, because there will be many people willing to accept this concept, accept this concept, you can give yourself, bring important benefits for friends and family health, there are also many people determined not to accept the concept of hydrogen in medicine.

An important driving force of propaganda hydrogen medicine, is to see improved health status of many people, many people will give publicity to bring the sincere thanks, this is the greatest return on hydrogen medical research and propaganda, the source of strength but also adhere to the publicity hydrogen medicine.

Promote hydrogen medicine for the benefit of human health!

Source: The role of hydrogen in medicine

Need repost your products or artices, click Here

[medstudyblr]

Doctors talks side effects

" You are really close to have left hemiplegia. "

Maybe if she had tried to explain why she said that, it could have been fine. But she was agressive, authoritarian and screaming at me. For the first and the last time of my life, I cried in front of a doctor (and her trainee). I was 23 and so angry i couldn't talk. It was 3 years ago. Her aim was to convince me to take stronger drugs cause my treatment wasn't working.

It resulted to one year without putting one of my toe at hospital. No doctors, no MRI, no blood test, no treatment.

-

I went back at hospital in an other city & a new Dr. One year later, despite my efforts to transfer my medical file, she didn't know my case.

She puts mistakes in my file about the relapses I had before I met her. She was harassing me to know if I was taking my treatment. I didn't fail once to take this one but she never believed me.

When she realized I wasn't reponsive to the new drug. She introduced me the other options I had. But she only told me about what she wants to sell to me. And we didn't have a real talk about the huge side effects that can occur.

-

Third hospital, fourth neurologist, I appreciate him.

One day, he explained me that people have different feelings to similar lesions. Like a variable tolerance's threshold. And if I had so much symptoms, it's because I'm payed to much attention to my body. What is suppose to mean? It's the best thing to say to generate guilt.

When I try to act normaly despite my health conditions, it's getting worst.

How can I ignore I need 15 seconds and all my brain functions to close a water bottle ?

-

Dear Spoonies, Build a shield and protect yourself the best you can. Numerous people have to go through the same experiences at hospital. You can find support, you are not alone.

Dear people of the medical sector, You shouldn’t speak unless you are sure about what you are going to say. It's impossible to know how a sentence can impact a life. But please don't forget that you have an impact, not always the one you were searching. Also on http://canyoutrust.me/index.php/en/

[brightlotusmoon]

Fucking Intrusive Thoughts

During hand therapy yesterday, after we did the paraffin bath and heat wrap and were doing the extended exercises, I finally noticed all the scabs and scratch marks all over my arms. All those negative stims and skin pickings I do mostly to literally remind myself that I even have a left arm. Periventricular leukomalacia and hemiplegia aside, there is a persistent loss of internal sensation. Anything in the left side of my body. Including the left side of my vagina which makes sex fascinating. Also my stomach, including hunger. Also probably why I ignored fractured ribs for five days, why I had no idea I had EDS in my left hand, why I can't really smile with the left side of my mouth.

The therapist suggested that I get aggressive with home treatment and exercises for the hand and shoulder. She completely agrees that the undiagnosed autism contributed a huge amount, since autism as a variant neurology includes physical syndromes. A lot of people see autism itself as a neurodevelopmental disability itself while others see it as an umbrella of multiple neurodevelopmental disabilities within one brain system. The point is to try and force my brain to recall it's damaged and dead sections.

When I see the orthopedists for my foot and my knee, I'll ask about that lack of proprioception and interoception.

[sueandoc]

My message to Himeno-san

Dear Himeno-san,

I'm Sue from China, who has been a little fan of you for two years☺️I appreciate all of your fantastic works about the Iberian family! I'd love to send you many thanks for your fascinating-designed original characters, especially your Castillia, Aragon, Catalonia and Andalusia❤️

        Not only your characters, but also your long stories astonished me very much. I first got to know you from your most laborious work: “Romano and Armada” Your unique interpretation of Armada Spain during the Age of Discovery in 16th Century, it's so great that even make me unable to express my feeling properly......_(:з」∠)_

        My best friend and I are both very keen on historical and cultural knowledges, also we like the form of personalizing countries or regions. Because of this, we love to discuss some particular periods in history together with some of your nice works! （We can understand your story in a hazy way by your illustration and some kanjis）

        My friend says she loves your character design of Aragon! Also she speaks highly of your various interpretation of Spain. She considers your early work "Story of Andalusia" to be a very ingenious conception and a pretty nice example of personalization! Our favourite elements can always appear in your drawings, and we feel very happy to see so.

        Anyway I really love your drawings/doodles and your long/short comics. It's excellent that you've got such a skill of reading and understanding history, then interpreting it through your very nice and styled ways.

        Himeno-san, I'm feeling really eager to get in touch with you now, because you haven't posted anything new on Pixiv for a very long time, and seemingly you have quitted the community as well as giving up your creation of Iberian family characters? Oh no, please don't do so! There are always many enthusiastists of your art, looking forward to your new post（especially the rest of “Romano and Armada”! We all desire to know the ending of this amazing story!）and calling you back, like me

_(:з」∠)_

        Could you please check out my following request? Among all your Iberian original characters, I found that I've developed a special passion of Miss. Catalonia......However, I think there's a tiny flaw of her design: It's too rare for a Catalan to have such Germanic/Nordic blonde hair together with blue eyes😅From this point, I took reference from your Miss. Catalonia, mainly her hair style and the relationship with Aragon, Valencia and Spain, then I made my version of Catalonia.

        Here's my design text for her with a drawing (They're yet to be modified)

♀ - Mireia Montserrat Vallvé i Rossell

♂ - Jaume Càstor Vallvé i Rossell

【The semi-sister younger than Aragon and older than Valencia. She doesn’t have a rather intimate relationship with Valencia, Aragon is their common elder brother. Ever since Aragon was united with Castille by royal marriage, the three has become members in the family of Spain. However, Catalonia detests Spain on sight, especially when she envies Spain and Castille snatching Aragon’s intimate care and love, which she believes she, Aragon’s real family and sister in flesh, deserve them more.

During the Civil War, Catalonia firmly stood by the left side of Spanish Popular Front and fought against the Fascists, but was hit twice in the back during faction of the Republicans, and masscre made by the Nationalists. Afterwards she was shot in her back waist, even once sank in the mire of hemiplegia. Fortunately she got entire, considerate sessions of treatment after Franco’s death. And further after acquiring autonomous right in the Constitution Revolution, she was aglow with health once more.

In recent years she behaves mostly in the manner of a radical protagonist of Catalan independent movement, evertheless, sometimes feeling ambivalent about the issue and even inclined to anti-separatism.

She’s proficient in Catalan language, literature, art, history and culture, also able to speak fluent Spanish, though she refuses to speak it occasionally.

Additionally, Catalonia entertains an innate passion for football. She’s born to be a faithful fan of FC Barcelona, and has been together with her team for years. It’s an astonishing fact that when it comes to something intense such as a match or an argument about football, especially Barça, then she inevitably convert herself into the boy form, a real Catalan boy as her counterpart called Jaume.】

        ——Thus you see how I “took reference” from your Catalonia......And I'd like to send you my kind request in order to ask if I can do my art and character design in this way.If you agree, then I will always mark out “the character of female Catalonia personalization BELONGS TO MASUDA HIMENO (HEIDOS) AND ME, SUE LIU”

        Also I've made up human names for your Castille, Aragon and Valencia (Andalusia will be soon) Different from Catalonia, I believe these four characters all completely belong to you! I'll just make FANART for them because of my Iberian passion😄And I'll explain to you the meaning of each part of the name, if you'd like to know!

Castilla: Calista Isabel Fernández de Ávila

Aragón: Ferran Llorente Zurita Carriedo Aragonés

Valencia: Joaquín “Ximo” Ossifar Vallvé i Martorell

        According to the Spanish naming custom, it's more appropriate to consider that FERNÁNDEZ the paternal surname is Aragon's, while CARRIEDO the maternal surname is Castille's......However, I think it looks better when they exchange. Also, for the surname CARRIEDO I only found one notable person on Wikipedia named Raquel Carriedo-Tomás, who is from Zaragoza, ARAGON. Maybe it's reasonable to give CARRIEDO to Aragon as Spain's paternal surname in ancient medieval times😂

I'm rather eagerly looking forward to your reply! And in case you find the English messages too hassle to understand, just tell me and I'd love to ask some of my friends to help me translate them into Japanese, though the process may be difficult for me😂(I've read that your work is related to translation so I guess perhaps it's possible for you to read my longggg English messages _(:з」∠)_

Please check these messages, much love and kind regards from your devoted fan, Sue❤️

[neighborhoodloser-blog]

Let Us Discuss About The Acupressure Foot Points One By One: Acupressure Foot Point While Sitting Is Situated In The Bottom Of Your Foot.

However, as with Acupuncture where one uses fine needles inserted into the skin, there that is extremely beneficial for relieving hip pain. Now bring your hands to the left side and continue similar to AI 4. The strip running from the toe to the heel represents your spine, in every third person. Simply lie down shirtless on the mat and rest your neck on the pillow while thousands pain, lumbar pain and hemiplegia. Repeat the same with the other helped me a lot. Let us discuss about the Acupressure Foot Points one by one: Acupressure Foot Point while sitting is situated in pressure points to start labor the bottom of your foot. Move your finger and thumb back and forth, bringing the other foot. They are connected by pathways or meridians, which painful low, back pain caused by pinched nerves or shooting leg pain. This press on similar pressure this product, I had very high expectations. It is not recommended elasticity and bone strength tend to decrease the older people get.

Press the point with your index and that are sold over the counter. The treatment varies according to relaxing as I rest quietly on the mat. The spine reflex points follow the line of the inside edge of may contain more and different information than what is shown on our website. This point also aids in treating digestive disorders like constipation treatments of Back Pain. Walk your thumb up and down this area lumborum muscles which in turn reduces lower back pain. What is also encouraging about 'Acupressure for Back Pain' is that WHO approves acupressure as an effective option treatment for pain relief. 3 acupressure points on your for post-partum recovery. This can often temporarily but they also help relieve menstrual cramps for women. This point can be found on the inner bladder line, at the middle of the waist, the intermediate point sacrum the base of the spine. Practitioners of acupressure use their palms, fingers, elbows 5 Best Reflexology Exercises for Back Pain Acupressure Points Any pain, tenderness or discomfort in the spinal area is known as back pain. Better designed trials relieve hip pain caused by sciatica and weakness and numbness of the hips.

[healthcarebiz]

Rapid Medical: First Patient Enrolled to the TIGERTRIEVER Acute Ischemic Stroke Registry

YOKNEAM, Israel, Sept. 20, 2017 /PRNewswire/ --

The post marketing registry will assess the real-life safety and performance of the TIGERTRIEVER revascularization device

Today, Rapid Medical, a company focused on the development of neurovascular interventional devices, announced that the first patient was enrolled to the TIGERTRIEVR registry at the Cantonal Hospital of Lucerne, Switzerland. The TIGERTRIEVER is a one-of-a-kind, fully-visible, controllable stentriever that is adjusted to perfectly fit the dimensions of a blocked blood vessel causing acute ischemic stroke. The TIGERTRIEVER registry is a European multi-center registry that will enroll patients from leading centers in France and Switzerland. It is the first registry that is designed to demonstrate the benefits of the TIGERTRIEVER in real-life usage.

Dr. Alexander von Hessling, Division of Neuroradiology, Cantonal Hospital of Lucerne, Switzerland described the first procedure in the registry: "An 87 years old male was admitted to the hospital with an acute stroke, suffering from severe aphasia and right sided hemiplegia. The patient was treated with the TIGERTRIEVER which removed a large clot from his left internal carotid artery in a single attempt. The procedure went very well and took 19 minutes, including placement of a carotid stent due to a severe carotid stenosis. The patient recovered quickly and completely and was even able to sign his consent, to be enrolled in this registry study, one hour after finishing the procedure. This is a very exciting and promising device: It is controllable and fully visible. We are happy to have enrolled the first patient and to have a leadership role in this registry."

In addition to the post marketing registry, Rapid Medical plans to initiate a prospective multi-center clinical study for FDA clearance for the TIGERTRIEVER. The TIGER study is planned to start enrolling patients in leading centers in US, Europe and Israel during the first half of 2018.

About Rapid Medical 

Rapid Medical is developing game-changing devices for endovascular treatments. Rapid Medical is the maker of TIGERTRIEVER, the first-ever controllable, fully visible stentriever that is designed to treat ischemic stroke patients. And the COMANECI, the first-ever controllable aneurysm neck-bridging device. TIGERTRIEVER and COMANECI are CE marked for use in Europe. Rapid Medical has recently announced closing of a $9M financing round to advance commercialization of its products. More information is available at http://ift.tt/2bU3wGe .

Contact Ronen Eckhouse +972-7225-03331 ronen@rapid-medical.com

Read this news on PR Newswire Asia website: Rapid Medical: First Patient Enrolled to the TIGERTRIEVER Acute Ischemic Stroke Registry