#spina bifida clinic

[chrismerle]

Greetings from Boston while I wait to see a neurologist

My appointment isn't for an hour because we left really early. It took two hours to get here

[squarejaww]

Chronic Pain Is Such A Trip

A little background - I was diagnosed with scoliosis in the 5th grade, but was not treated for it until I was a sophomore in high school. This saw me going to the nearest Shriner's hospital, where I was fitted for a wretched plaster-cast back brace that was fitted from under the armpits to over my hips at sweet 16. It was horrible. And, from pressing insistently on my right hip, so fully killed the nerves there that I can't feel it to this day.

I moved through my teen years and into my adult life trying to manage this condition as best as I could on my own. According to the Shriner's doctor when I was a teen, any attempt at corrective surgery would be considered not medically necessary and purely cosmetic. So I should be able to live a fully happy life, yeah? No issues.

Except that the curvature progressed into the severe category, until I eventually got updated xrays in my late 20s that revealed the full extent of my situation, which was an S curve with a twist, a result of degenerative disc disease, spina bifida, and scoliosis. As someone who had been managing on my own with a strict pain medication management plan with my doctor, it was recommended that I pursue surgery. It took years, but eventually, I was able to have the surgery and Harrington Rods were installed in my back.

The surgery was traumatic. The healing process was traumatic. But, eventually, I recovered. That was four years ago.

The pain has returned in a whole new way. I've been going to the gym, eating better, managing with ibuprofen, and trying to do everything that my physical therapist has instructed me to do over the years. But some days, it's so bad that I physically cannot get myself out of bed. I tried urgent care and went to see a doctor, who referred me to a pain clinic. Guess what they did?

They photocopied some book covers, told me I was basically imagining the pain, and said I should get on antidepressants before shoving me, sobbing hysterically, out of the door. It was traumatizing and I refused to go to another doctor again.

That was two years ago. When it was bad enough again that I had to go home from work a coupla weeks ago, I finally scheduled an appointment with a new doctor. With updated xrays. Guess what they informed me?

There's degenerative tearing in my neck.

Holy shit, I'm not crazy. I was over the moon. Even if there was nothing to be done about the pain, at least it was good to know that I wasn't imagining the whole ordeal. I had them forward the report to my physical therapist, so that he could go over the documents with me.

He reported to me that nothing was wrong. According to the report, I was perfectly fine. In fact, his degenerative tearing was probably worse than mine, according to him.

To say that hearing this was devastating is... an understatement. He looked at me like I was imagining the whole thing. And so now I'm more confused and angry than ever. I don't know what to do with this information, especially considering I'm in between doctor's appointments while we try and figure out what is wrong with me, which I hurt constantly, and how we can fix it. (Cherry on top was phys therapist pointing out all my shitty posture and the like as I walked away. It was really hard not to cry)

I'm so tired of being in pain all the time.

[trupti]

Pediatric Neurosurgeon in Pimpri Chinchwad: Expert Care at Neuronest Clinic

When it comes to the health and well-being of children, specialized medical care is crucial. Pediatric neurosurgery, which focuses on diagnosing and treating neurological disorders in children, requires a high level of expertise and compassion. Neuronest Clinic in Pimpri Chinchwad is a leading healthcare provider in this field, offering world-class pediatric neurosurgical care. This blog explores the importance of pediatric neurosurgery and why Neuronest Clinic is the top choice for parents seeking the best care for their children.

Understanding Pediatric Neurosurgery

Pediatric neurosurgery involves the surgical treatment of neurological disorders in children, from newborns to adolescents. These conditions can range from congenital anomalies and brain tumors to epilepsy and spinal disorders. The complexity of these cases requires a specialized approach, tailored to the unique needs of young patients whose bodies and brains are still developing.

Why Choose Neuronest Clinic for Pediatric Neurosurgery?

Neuronest Clinic is dedicated to providing exceptional care for children with neurological conditions. Here are the key reasons why it stands out as the premier choice for pediatric neurosurgery in Pimpri Chinchwad:

1. Expert Pediatric Neurosurgeons

Neuronest Clinic boasts a team of highly skilled and experienced pediatric neurosurgeons. These specialists have undergone extensive training in both neurosurgery and pediatrics, equipping them with the knowledge and skills needed to address the unique challenges of treating children. Their expertise ensures that young patients receive the best possible surgical care.

2. State-of-the-Art Facilities

The clinic is equipped with cutting-edge technology and advanced surgical tools, essential for performing precise and effective neurosurgical procedures. The state-of-the-art facilities at Neuronest Clinic enable the medical team to diagnose and treat complex neurological conditions with the highest level of accuracy and safety.

3. Comprehensive Multidisciplinary Care

Pediatric neurosurgery often requires a multidisciplinary approach. At Neuronest Clinic, a team of specialists, including neurologists, pediatricians, anesthesiologists, and rehabilitation therapists, work together to provide comprehensive care. This collaborative approach ensures that every aspect of the child’s health is addressed, from diagnosis to recovery.

4. Child-Friendly Environment

Understanding the emotional and psychological needs of young patients is crucial in pediatric care. Neuronest Clinic is designed to be a child-friendly environment, aiming to reduce anxiety and make children feel comfortable. The compassionate staff at the clinic are trained to handle pediatric patients with care and empathy, making the experience as stress-free as possible for both the children and their parents.

5. Focus on Family Support

Neuronest Clinic recognizes the importance of involving families in the treatment process. Parents are provided with detailed information about their child’s condition, the proposed surgical procedure, and the expected outcomes. The clinic also offers support services to help families cope with the challenges of dealing with a child’s neurological disorder.

Conditions Treated by Pediatric Neurosurgeons at Neuronest Clinic

Neuronest Clinic’s pediatric neurosurgeons are equipped to treat a wide range of neurological conditions in children, including:

Congenital Anomalies: Conditions such as spina bifida, encephalocele, and craniosynostosis, which are present at birth and require surgical intervention.

Brain and Spinal Tumors: Removal of benign and malignant tumors affecting the brain and spinal cord.

Hydrocephalus: Treatment of excessive accumulation of cerebrospinal fluid in the brain.

Epilepsy: Surgical options for children with drug-resistant epilepsy.

Traumatic Brain Injuries: Management of head injuries resulting from accidents or falls.

Chiari Malformations: Treatment of structural defects in the brain and spinal cord.

The Surgical Process: What to Expect

The surgical process at Neuronest Clinic begins with a thorough evaluation and diagnosis, using advanced imaging techniques to pinpoint the issue. The pediatric neurosurgeon will then discuss the recommended surgical plan with the family, explaining the procedure, potential risks, and benefits. On the day of surgery, the child will be cared for by a team of specialists, ensuring their safety and comfort throughout the process. Post-operative care includes monitoring, pain management, and rehabilitation to support the child’s recovery and long-term well-being.

Conclusion

For families in Pimpri Chinchwad seeking expert care for their children’s neurological conditions, Neuronest Clinic offers unparalleled pediatric neurosurgical services. With a team of dedicated specialists, state-of-the-art facilities, and a compassionate approach, the clinic ensures that young patients receive the best possible care. Trust Neuronest Clinic to provide the expertise and support needed to navigate the challenges of pediatric neurosurgery and help your child achieve a healthier future.

[cubicdesignz]

Advancing Brain Health: Neurosurgery Excellence

1. The Brain: Our Command Center

Understanding Neurosurgery

The brain—the epicenter of our thoughts, emotions, and bodily functions—requires specialized care. At Orthomed Multispeciality Hospital, their neurosurgery team combines expertise, precision, and compassion to address a wide range of brain-related conditions.

2. Comprehensive Brain Services

From Diagnostics to Treatment

Orthomed’s neurosurgeons offer a holistic approach:

Brain Tumor Surgery: Precise removal of brain tumors, whether benign or malignant.

Cerebrovascular Surgery: Treating aneurysms, arteriovenous malformations (AVMs), and strokes.

Functional Neurosurgery: Addressing movement disorders like Parkinson’s disease.

3. Minimally Invasive Techniques

Navigating Brain Pathways

Orthomed’s neurosurgery team employs minimally invasive approaches:

Endoscopic Brain Surgery: Using tiny incisions and specialized tools for tumor removal.

Stereotactic Radiosurgery: Precise radiation targeting for brain tumors.

4. Spinal Cord Surgery

Brain-Body Connection

Orthomed’s neurosurgeons specialize in spinal cord procedures:

Spinal Tumor Resection: Safely removing tumors affecting the spinal cord.

Spinal Fusion: Stabilizing the spine to alleviate pain and improve function.

5. Traumatic Brain Injury Care

Urgent Interventions

Orthomed’s neurosurgery team responds swiftly to head injuries:

Craniotomy: Surgical repair of skull fractures.

Intracranial Pressure Monitoring: Vital for severe head trauma cases.

6. Pediatric Neurosurgery

Nurturing Young Minds

Orthomed’s pediatric neurosurgeons address congenital brain conditions:

Hydrocephalus: Managing excess cerebrospinal fluid.

Spina Bifida Repair: Correcting neural tube defects.

7. Rehabilitation and Support

Beyond Surgery

Orthomed’s neurosurgery care extends to rehabilitation:

Neurorehabilitation: Tailored programs for brain injury recovery.

Pain Management Clinics: Addressing chronic pain.

8. Patient-Centric Approach

Compassion and Expertise

Orthomed Multispeciality Hospital’s neurosurgery team understands the impact of brain health on overall well-being. They collaborate with patients, families, and other specialists to provide personalized care.

Conclusion: Navigating Brain Health with Orthomed

Orthomed Multispeciality Hospital ensures that Chennai residents receive advanced neurosurgical care, empowering them to lead healthier lives—one neuron at a time.

Remember, Orthomed Multispeciality Hospital is your partner in health. Explore their services on their website here. Feel free to delve deeper into any of these topics or ask for more information! 🌟

[dhanvantarihospital]

Pediatric Neurosurgery in Borivali West: Expert Care for Your Child's Neurological Needs

When it comes to your child’s health, especially concerning neurological issues, you want the best care available. Pediatric neurosurgery in Borivali West is a highly specialized field focusing on diagnosing and treating neurological conditions in children. In Borivali West, Dr. Bhavesh Doshi offers unparalleled expertise and compassionate care for young patients facing these complex challenges.

Understanding Pediatric Neurosurgery

Pediatric neurosurgery involves surgical procedures to address neurological disorders in children, ranging from newborns to teenagers. These conditions may include congenital anomalies, brain tumors, spinal cord problems, and traumatic injuries. The primary goal is to restore normal function or improve the quality of life for the affected child.

Why Choose Dr. Bhavesh Doshi in Borivali West?

1. Expertise and Experience: Dr. Bhavesh Doshi is a leading pediatric neurosurgeon in Borivali West, known for his extensive experience and successful outcomes. With a deep understanding of the delicate and intricate nature of pediatric neurosurgery, he ensures that each child receives the best possible care tailored to their unique needs.

2. Comprehensive Care: At Dr. Doshi’s clinic, the focus is on comprehensive care that addresses the physical, emotional, and developmental needs of young patients. From the initial diagnosis to post-surgical recovery, every step is carefully planned and executed to ensure the best results.

3. State-of-the-Art Facilities: The clinic is equipped with advanced technology and state-of-the-art facilities, ensuring that all procedures are performed with the highest standards of safety and precision. This commitment to excellence ensures that children receive the best possible care in a comfortable and supportive environment.

Common Pediatric Neurosurgical Procedures

1. Brain Tumor Surgery: Brain tumors in children can be benign or malignant. Early diagnosis and surgical intervention are crucial for successful treatment. Dr. Doshi uses advanced imaging techniques and minimally invasive surgical methods to remove tumors with precision.

2. Hydrocephalus Treatment: Hydrocephalus, characterized by an accumulation of cerebrospinal fluid in the brain, requires timely intervention to prevent brain damage. Shunt systems and endoscopic third ventriculostomy (ETV) are commonly used procedures to treat this condition.

3. Spinal Cord Surgery: Conditions such as tethered spinal cord, spina bifida, and scoliosis may require surgical correction. Dr. Doshi’s expertise ensures that these delicate procedures are performed with utmost care to minimize risks and promote recovery.

4. Trauma Surgery: Accidents and injuries can lead to severe neurological damage. Prompt surgical intervention can significantly improve outcomes for children suffering from traumatic brain or spinal cord injuries.

Holistic Approach to Pediatric Care

At Dr. Bhavesh Doshi’s clinic, the approach to pediatric neurosurgery is holistic. This means considering not just the immediate surgical needs but also the long-term developmental and psychological well-being of the child. The team works closely with pediatricians, neurologists, physiotherapists, and psychologists to provide integrated care that supports overall recovery and development.

Support for Families

Navigating a child’s neurological condition can be overwhelming for families. Dr. Doshi and his team offer extensive support and guidance, ensuring that parents are well-informed and involved in every decision-making process. Educational resources, counseling, and follow-up care are integral parts of the patient journey, providing families with the tools they need to support their child’s recovery and well-being.

Book an Appointment

If your child is experiencing neurological issues, don’t wait to seek expert care. Dr. Bhavesh Doshi is here to help. With a proven track record and a compassionate approach, he is dedicated to improving the lives of young patients through exceptional pediatric neurosurgery in Borivali West.

Ensure your child receives the best possible care for their neurological needs with Dr. Bhavesh Doshi. Contact us at 9820565205 today to learn more and take the first step towards a healthier future for your child or click here for Direction to reach Clinic.

[shri-bone-joint-clinic]

Pediatric Orthopedic Specialist Doctor / Surgeon in Chennai

Introduction to Pediatric Orthopedics

Pediatric Orthopedics is a distinct field of medicine that concentrates on the examinations, therapy and supervisions of musculoskeletal disorders and traumas in youngsters. The musculoskeletal system encompasses bones, joints, muscles, ligaments and tendons and pediatric orthopedic experts possess the expertise to tackle concerns that are unique to maturing and evolving bodies of children’s.

Below are several essential elements of pediatric orthopedics.

Distinctive Expansion and Advancement

Their bones and joints experience notable transformations as children grow. Pediatric orthopedic Doctors possess a deep understanding of the distinct obstacles presented by the developing musculoskeletal system and adapt their methods to tackle age-related concerns effectively.

Frequent Ailments

Pediatric orthopedics conditions encompass a broad spectrum, varying from congenital anomalies present at birth to those that develop later in life. Among the commonly encountered conditions are limb abnormalities present at birth, scoliosis, hip dysplasia, clubfoot, fractures and injuries related to sports activities.

Early Intervention

It is really important to act quickly in pediatric Orthopedics. Some conditions can be treated or fixed successfully if they are caught early, which helps kids grow and develop properly. When we diagnose and intervene early, we usually see better results.

Multidisciplinary Approach

Collaboration with various medical specialists is joint in pediatric orthopedic care. Pediatricians, physical therapists, occupational therapists and orthopedic surgeons all work together to provide comprehensive care for the child’s overall well-being.

Conservative and Surgical Management

Pediatric Orthopedic Specialists can use various treatment methods, such as Physical therapy, bracing, casting and sometimes even surgery. The treatment option is determined by the particular condition, its seriousness and the age of the child.

Conditions Treated in Shri Bone & Joint Clinic

Congenital Conditions

Clubfoot

The foot takes twisted and downward positions in deformity.

Hip Dysplasia

The Hip joint develops abnormally, potentially resulting in dislocation.

Spina Bifida

A spinal cord and spine condition caused by defects in the neural tube.

Developmental Conditions

Scoliosis

During the teenage years, it is common for doctors to diagnose an unusual bending of the spine.

Kyphosis

The spine curvature is too much outward can cause a person to have a hunchback appearance.

Lordosis

The spine curvature is too much inward, resulting in a posture that looks like a swayback.

Injuries and Fractures

Fractures

Bones that are broken due to trauma or accidents.

Sprains and Strains

Sports activities frequently result in injuries to ligaments and muscles.

Dislocations

Joint dislocation occurs when a joint is moved out of its usual position.

Limb Abnormalities

Limb Length Discrepancy

A condition where one limb is shorter than the other.

Polydactyly and Syndactyly

Extra fingers or fused fingers, respectively. Amniotic Band Syndrome: Bands of tissue in the womb that can affect limb development.

Sports-Related Injuries

ACL Tears

Injuries to the anterior cruciate ligament in the Knee.

Little League Elbow or Shoulder

Overuse injuries in young athletes.

Trauma and Accidents

Various injuries resulting from accidents, falls, or trauma.

Services Offered by Shri Bone & Joint Clinic

Diagnosis and Evaluation

Conduct thorough physical check-ups to evaluate the conditions of your bones and muscles. Our diagnostic imaging techniques, such as X-rays, MRI, and CT scans, provide a clear view of your bones and joints. Additionally, we also analyze your walking pattern through gait analysis to detect any irregularities.

Treatment Planning

Our approach involves:

Tailoring treatment plans to meet the unique needs of each child.

Considering their specific condition.

Age.

Developmental stage.

We also collaborate with other medical specialists to provide comprehensive care.

Conservative Management

Enhancing physical strength, flexibility, and coordination through the means of physical therapy.

Utilizing orthotic devices, like braces or splints, to provide support and proper alignment for limbs.

Administering medications to manage pain and alleviate inflammatory conditions effectively.

Casting and Bracing

Application of casts for the immobilization of fractures or correction of deformities.Customized braces to support and stabilize joints.

Surgical Interventions

Orthopedic surgery is performed to rectify congenital deformities and tackle intricate musculoskeletal problems. In cases where it is suitable, minimally invasive procedures are employed.

Additionally, surgical intervention is utilized for the treatment of fractures, dislocations, or other traumatic injuries.

Best Pediatric Orthopedic Doctor / Surgeon in Chennai

Dr Shriram Krishnamoorthy is the best pediatric Orthopedic surgeon at Shri Bone & Joint Clinic in Chennai, Tamil Nadu. He has over ten and more years experience in the orthopedic surgery field. He is a national board-certified orthopedic surgeon.

He completed his AO master’s certification in Orthopedic trauma. He has a part of 1000 knee replacements in Fortis Malar Hospital. He specializes in knee and shoulder replacement surgery, Knee and shoulder arthroscopy, cartilage preservation and repair, ortho biologics, and geriatric orthopedics.

Dr Shriram Krishnamoorthy is an excellent doctor at problem-solving with good remedies and is very admirable.

Best Pediatric Orthopedic Hospital in Chennai

Shri Bone & Joint Clinic is the best pediatric orthopedic Hospital in Chennai, Tamil Nadu. Here, we have more than ten years of experience as Orthopedic specialists.

Why Shri Bone & Joint Clinic?

Shri Bone & Joint Clinic is the best and most genuine orthopedic hospital in Chennai. Here we have a well-experienced orthopedic surgeon. We provide the most comfort and care for all who visit for treatment regarding Knee-related problems.

You can visit us at any time; we are available for 24 hours, and you can call us to ensure the doctor’s availability.

The patient’s appointment request is scheduled for the same day based on the doctor’s availability. Emergency walk-in patients are accorded the same importance as patients with scheduled appointments. The medical fee is determined based on the treatments received and charged at a reasonable and minimal rate.

You can get immediate relief for your Knee-related problems from Shri Bone & Joint Clinic in Chennai.

[craniaa]

Transforming Lives: Physiotherapy for Children in Ireland at Crania Neuro Rehab Centre

In Ireland, parents and caregivers are continually seeking comprehensive and effective solutions to support the health and well-being of their children. When it comes to addressing physical challenges and neurological conditions, physiotherapy for children in Ireland emerges as a cornerstone of care, offering tailored interventions to optimize function and enhance quality of life.

At Crania Neuro Rehab Centre, we recognize the unique needs of children and the importance of early intervention in fostering development and maximizing potential. Through our specialized approach to physiotherapy for children in Ireland, we aim to empower young individuals to overcome obstacles, achieve milestones, and thrive.

Physiotherapy for children in Ireland encompasses a wide range of techniques and modalities, tailored to meet the diverse needs of each child. From developmental delays to neurological conditions such as cerebral palsy or spina bifida, our experienced therapists utilize evidence-based practices to deliver personalized care and meaningful outcomes.

Early intervention is key in supporting neurological development, making timely access to physiotherapy for children in Ireland essential. By harnessing the brain's remarkable capacity for neuroplasticity, our interventions focus on promoting motor skills, improving mobility, and enhancing overall function. Through engaging activities and therapeutic exercises, we create an environment that encourages learning and growth.

One of the primary goals of physiotherapy for children in Ireland is to promote independence in daily activities. Whether it's learning to walk, improving balance and coordination, or managing pain, our therapists work closely with each child and their family to set achievable goals and track progress. By incorporating play-based interventions and innovative technologies, we make therapy sessions enjoyable and effective.

In addition to addressing physical challenges, physiotherapy for children in Ireland also plays a crucial role in promoting social participation and emotional well-being. By providing a supportive environment where children can build confidence, develop social skills, and interact with peers, we foster holistic development and resilience.

Furthermore, physiotherapy for children in Ireland extends beyond the clinic, encompassing home-based exercises and caregiver education. By empowering families with the knowledge and skills to support their child's ongoing progress, we ensure continuity of care and optimize outcomes in the long term.

Research has consistently shown the positive impact of physiotherapy for children in Ireland on various aspects of physical function and quality of life. By addressing underlying impairments and promoting optimal movement patterns, children can experience improved confidence, independence, and overall well-being.

In conclusion, physiotherapy for children in Ireland at Crania Neuro Rehab Centre offers hope and support to families navigating the challenges of childhood disabilities and neurological conditions. Through personalized interventions, compassionate care, and a multidisciplinary approach, we are dedicated to making a meaningful difference in the lives of children and their families across Ireland.

[addonhealthcare]

Ever wondered how 🌟 Amniocentesis can tell you important things 🧬 about your baby's health?

Amniocentesis is a prenatal diagnostic procedure that can be useful in various clinical scenarios, providing valuable information about the health and development of the fetus. Here are some situations where amniocentesis may be considered necessary or beneficial:

🧬 Genetic Abnormalities Screening: Amniocentesis screens for genetic issues like Down syndrome and trisomies, unraveling the baby's genetic code from amniotic fluid.

👩‍⚕️ Advanced Maternal Age: For moms aged 35+, amniocentesis assesses chromosomal health, aiding in informed decisions about the baby's well-being.

📊 Abnormal Prenatal Screening Results: In cases of abnormal screenings, amniocentesis confirms or rules out chromosomal abnormalities, providing clarity for the pregnancy journey.

👨‍👩‍👧 Previous Child with a Genetic Disorder: For couples with a history of genetic disorders, amniocentesis evaluates if the same condition is present in the current pregnancy.

🌳 Family History of Genetic Disorders: Amniocentesis, prompted by family history, evaluates the risk of genetic disorders in the developing fetus, ensuring proactive care.

👶 Neural Tube Defects Screening: Screening for neural tube defects like spina bifida, amniocentesis identifies potential issues, allowing for timely intervention and support.

🫁 Fetal Lung Maturity Assessment: Assessing fetal lung maturity, amniocentesis aids decisions on preterm delivery timing, optimizing outcomes for potential premature births.

In essence, amniocentesis emerges as a vital procedure, offering insights crucial for personalized and proactive prenatal care. 💖

Book an appointment for Amniocentesis test Call Now: +91-9900811118

[steele-soulmate]

Tattooed Wings, CHAPTER 469, Peter Steele & OFC, Soulmate AU

SUMMARY: Mary Claire Bradley meets her soulmate- literally- the famous Peter Steele of metal group Type O Negative. But will obstacles including trauma, stalkers, and toxic family members get in the way of their life?

WARNING: mentions of child rape (nothing graphic) PTSD, milk kink, soft smut, grinding, assault, fingering, hand jobs, blow jobs, 69, P in V sex, blood, noncon rape, violence, death, vandalism, graffiti, attempted kidnapping, break-ins, wild animal attacks, terrorist attack (sabotage) consensual impregnation, bareback, impregnation kink, creampies, terrorist attacks (shootings) hit and run pedestrian accident, precipitous labor, neonatal death

WORDS: 1161

“Hello, Ratajczyk family!” Dr. Isles greeted us as she entered the exam room, flipping through my dense file as she caught up on what all I was at the clinic for. “How is everyone doing today?”

“Baby Violet Marie is at thirty five weeks old, and is currently the size of a honeydew,” I announced with a little giggle as the person in context gave out a rather violent kick.

KICK KICK KICK KICK

Little girl giggled from her spot in Katie’s arms, her little baby hand pressed to my swelled out tummy.

“Kick kick kick!” she crowed happily. “Baa bee Vi wet mawie go kick kick kick!”

“Is that right?” smiled the doctor as she prepped me for the ultrasound. “Well, the fact that Baby Violet Marie is so physically active is a good thing! Okay, so first, we’re going to listen to the heartbeat.”

THUDTHUMPTHUDTHUMPTHUDTHUMP

Like a hummingbird’s wings, the rapid fire heartbeat filled the room, making my handsome older husband break out into a huge smile as he slipped his fingers into my hand.

“She’s saying hello,” I hummed softly, bringing my soulmate’s hand up to my mouth to press a sweet kiss into the backside over his tattoo.

“Hello, Baby Violet Marie,” Peter murmured.

“Let’s count her toes, alright?” Dr. Isles suggested before pointing to the digits.

“One… two… three… four… five… six… seven… eight… nine… ten!” counted the kids, overjoyed with be able to interact with the appointment.

“All ten toes, how about her fingers next?” the woman suggested.

“One… two… three… four… five… six… seven�� eight… nine… ten!” the kids counted.

“All ten fingers,” she smiled, making the notation in my file.

“Mommy, I think Baby Violet Marie is waving to us!” Katie squealed, bouncing up and down on the balls of her feet.

Dr. Isles frowned all of a sudden, the wand coming to a stop over a certain part of Baby Violet Marie as she stared intently at the screen.

“Well, there’s no easy way for me to tell you this,” she announced in a grim voice, Peter grabbing at my hand in fear. “But I’m almost positive that Baby Violet Marie will be born with spina bifida.”

“What is spina bifida?” Katie asked, chewing at the end of her braid.

“Spina bifida is where the spine doesn’t form correctly in utero,” she explained, moving the wand around a bit more. “There- see? The spine has formed in an unnatural way and will be almost certainly be positioned on the exterior of the body.”

Tears were welling up in my eyes as Baby Violet Marie kicked up hard, causing for a puckered indent to form on my tummy.

KICK KICK KICK KICK

“Baby Violet Marie will be so loved, special needs baby or not!” Peter swore as Dr. Isles began to wipe me off. “Doctor, is Baby Violet Marie’s spina bifida the result of all the excitement and stress that the family had seen?”

“Doctors aren't certain what causes spina bifida,” she explained with a shrug. “It's thought to result from a combination of genetic, nutritional and environmental risk factors, such as a family history of neural tube defects and folate (vitamin B-9) deficiency.”

“Doctor, what would you recommend we do in preparation of welcoming Baby Violet Marie into the world?” Peter asked next, helping me to sit up, taking to his knees to do a mental check in with me.

“I would recommend that you get in touch with the Spina Bifida Association and also the Spina Bifida Society of New York,” she told us. “It’s also important to understand that the diagnosis doesn’t mean Baby Violet Marie can and can’t do certain things- each case is unique and each child needs a care plan specially tailored for what they need.”

I couldn’t stop crying as Peter took me into his arms, letting out a soft whistle from between his teeth as he called the kids to follow closely behind him.

“Bitty, can you go and pay the copay while I put mommy into the car?” my husband asked, Elizabeth reaching into his back pocket and coming up with his wallet before going to stand in line with Baby Tommy holding onto her hand while Peter took the rest of the family out to the car to get settled in. “I’ll be back in just a moment, sweetheart.”

He shut the door before jogging back into the clinic, where I saw him joining Elizabeth and Baby Tommy at the check in desk, where he chatted with the receptionist as he paid the copay and collected the necessary paperwork to file for taxes.

“Mommy?” Katie meeped, drawing my attention back to her. “Will Baby Violet Marie need an IEP in school?”“I don’t know, mo stór,” I shrugged, my hand nestled over my popped out tummy. “It’s honestly too soon to know for certain, but if she does end up needing an IEP, we will already be well versed.”

“If she does need an IEP, I can advocate for her!” she declared as Peter, Elizabeth and Baby Tommy got into the car and buckled up for the ride back home. “I’m her big sister!”

“Are you going to be alright, sweetheart?” he asked me, placing a hand onto my knee as he carefully maneuvered the family station wagon. “What can I do to make you smile?”

“I don’t know,” I answered honestly. “My love, I know that Baby Violet Marie will be a very much loved babies, but what will we need to do to ensure her comfort?”

“We can look into it when we land, alright?” he told me with a hum. “We have two hours before I need to leave for the audiologist for my appointment, alright? What do you want to do in the meantime?”

Mo stór, my dear, Irish Gaelic

TAGLISTS ARE OPEN/ ASK BOX IS OPEN/ REQUESTS ARE OPEN/ PLOT BUNNIES ARE WELCOMED

If you liked this, then please consider buying me a coffee HERE It only costs $3!!!

PETER STEELE TAGLIST

@rock-a-noodle

@ch3rry-c01a

[art-fertility-clinics]

How to prepare for IVF treatment at a clinic in Al Ain

Embarking on the journey of in vitro fertilization (IVF) can be an incredibly stressful experience. The financial implications, time commitment, daily medications, and the fear of potential failure, with success rates hovering around 60%, can all contribute to this stress. IVF is a complex medical procedure, and the reasons behind its success or failure are still not fully understood. However, there are steps you can take to better prepare yourself, both physically and mentally, for the IVF process.

Before you go through the best IVF clinics in Al Ain, it's important to know the physically and mentally challenging factors.

Physical Preparation

To optimize your chances of success during IVF treatment, there are several lifestyle adjustments you can make. Firstly, it's advisable to limit your caffeine intake and eliminate smoking and alcohol consumption. These substances can potentially have negative effects on fertility and pregnancy outcomes.

Engaging in light to moderate exercise can be beneficial for both your physical and emotional well-being. As a general guideline, it's best to avoid vigorous or high-impact exercises that may strain your body during this time.

Taking folic acid supplements is crucial for pregnant women, as it helps reduce the risk of birth defects such as spina bifida in the unborn child. It's also important to maintain a balanced and healthy diet to support your overall well-being.

Mental Preparation

Managing stress is crucial as it can harm the success of IVF. Finding ways to relax and unwind can be immensely helpful. Consider activities such as yoga, massage, meditation, or prayer that help alleviate stress and promote a sense of calm.

Joining an online or live support group through IVF can provide tremendous support. Connecting with others who are facing similar challenges can help you realize that you are not alone in carrying the burden of infertility. Sharing experiences and receiving encouragement from others can be comforting during this journey.

Acupuncture is worth considering as some studies suggest that it may have a positive impact on IVF outcomes, although its effectiveness is not yet fully proven. However, it's always recommended to consult with your healthcare provider before incorporating any complementary therapies.

Be prepared for the unexpected as the IVF journey can be unpredictable. Always remember that you are not alone in this process, and seeking support and exploring various coping mechanisms can help you navigate the emotional challenges along the way.

[meetyourbabyca]

Is Ultrasound Scanning Safe During Pregnancy

Most expectant mothers will undergo Baby 4d Ultrasound Calgary at least twice during their pregnancies. It is not for Baby Gender Reveal but to know the condition of baby. An ultrasound may be performed as early as 12 weeks into a pregnancy to confirm the pregnancy and again at 20 weeks to ensure the foetus is growing normally and to establish the sex, though this timing differs from doctor to doctor. More Calgary Ultrasound Booking is going to be done if there are concerns about difficulties or if there is more than one foetus.

You should think about Booking Ultrasound Online as having an ultrasound done at 20 weeks from Pregnancy Ultrasound Clinic Calgary allows the doctor to check on the size and placement of the placenta, the degree of amniotic fluid, and the general physical growth of the foetus, among other things. When the placenta is covering the cervix, as in placenta previa, Ultrasound Services Alberta can save the lives of both the mother and the infant.

Many expectant mothers worry that the Private Ultrasound Scan Calgary would harm their unborn child. Numerous research has been conducted, and the results all point to their safety. Ultrasound Scan Calgary employs sound waves rather than radiation like x-rays. In order to send and receive these sound waves, a device named a transducer is used. The reflected sound from the bone and tissue forms an image. Some research shows that cells can be influenced by using extremely high-frequency sound waves. This is why it is crucial to constantly consult a qualified expert who makes use of cutting-edge technology.

Parents who seek a more detailed image of their unborn child are increasingly turning to 3d Scan Baby Ultrasound Calgary and Baby 4d Ultrasound. These scans additionally help doctors diagnose birth defects like cleft palates and spina bifida, which are more difficult to spot on a 2-dimensional image. However, most specialists agree that these scans are unnecessary and advise exercising caution while using them.

Many Women's Ultrasound Clinic now provide 3-D and even 4-D ultrasounds to proud parents who wish to capture unforgettable images of their newborn child. Using this service comes with several potential dangers. Scans can cause harm to the mother if performed by an incompetent technician who puts too much pressure on her uterus to achieve a clear image. They can also be unaware that sessions should end at a certain time. There are no regulations in place that mandate only a trained ultrasound technician perform 3d Ultrasound Baby. A false positive result for a medical problem in the foetus which does not exist can also cause worry and stress for the expecting mother.

Providers benefit greatly from Baby 3d Ultrasound, and parents benefit from having an early look at their developing child. A sonographer is the person who typically operates an ultrasound machine in a medical setting. There are many kinds of ultrasound scans available, but transvaginal and abdominal ultrasounds are the most prevalent. Transvaginal ultrasounds are most common in the first trimester of pregnancy, when the embryo is still very little and can be hard to see.

[health-and-medical-services]

Best Children Clinic In Sengkang | AcuMed Holdings Pte Ltd

AcuMed Holdings Pte Ltd is a leading health care provider in Singapore. The clinic was established in 2002, and has grown to become one of the best children clinics in Sengkang. It encompasses both Spina Bifida and cleft palate surgeries, as well as other reconstructive surgical procedures for children with developmental disorders such as cerebral palsy and autism. For more information, visit our website: https://bit.ly/3JXwBlW

[peertechz]

The OEIS complex – clinical & radiological evaluation

Although the first description of a case of OEIS complex was reported in 1709, it was only in 1978 that Carey et al first used the term OEIS complex [1,2]. The anomaly is thought to be due to a defect in early blastogenesis or of mesodermal migration during the primitive streak period [7,8]. These defects lead to improper closure of ventral abdominal wall due to failure of convergence of four ecto-mesodermal folds (a cranial, a caudal, and two lateral) of an embryo with associated defects in the development of cloaca and urorectal septum during 4th gestational week. The cloacal membrane is composed of ectodermal and endodermal layers and it covers the region from the umbilicus to the tail portion of the embryo at the 4-mm stage. In subsequent stages, the primitive streak mesoderm invades the membrane to form the lower abdominal wall. Lack of mesoderm in the infra-umbilical abdominal wall results in omphalocele. During the 8- to the 16-mm stage, the urorectal septum meets the cloacal membrane and divides the cloacal chamber into an anterior urogenital and posterior alimentary systems. Cloacal exstrophy results when the membrane ruptures before the formation of the urogenital septum. The coexistence of cloacal exstrophy and spinal dysraphism may be explained by a single insult in the embryonic tail in early pregnancy [6]. Caudal dysgenesis interferes with somite formation resulting in defective vertebrae [9].

Because of its rarity and sporadic occurrences, some environmental and genetic factors may be responsible for its causation [6]. One study reported maternal exposure to diphenyl hydantoin and valproic acid and cigarette smoking as possible risk factors [2,6,9]. Higher incidence of OEIS in monozygotic twins than in dizygotic twins suggesting a possible genetic contribution to the occurrence of these defects was reported [10].

The OEIS complex involves multiple body systems. The classical presentation consists of omphalocele superiorly with an open plate mucosa inferiorly consisting of two posterior walls of hemibladder on either side with a central strip of ithe ntestinal mucosa [11]. Similar findings were noted in our case with the passage of meconium and stool from the protruding bowel loop in the upper part of the central bowel strip. Ambiguous genitalia is common with bilateral cryptochidism in males. In the present case, one testis was found in the hemiscrotum, but the other remained high in the inguinal canal. Renal anomalies such as agenesis, rudimentary kidney, ectopic kidney pelviureteric junction obstruction etc have been reported [12]. The congenital vertebral malformations associated with cloacal exstrophy vary from congenital scoliosis, kyphosis, abnormal lumbosacral segmentation, sacral agenesis, interpedicular lumbar widening to hemivertebra, spina bifida occulta, and myelomeningocele [13,14]. In the present case, there was terminal myelocystocele with tethered cord and syrinx formation. The baby had a partial neurological deficit in both lower limbs below the level of the knee. Talipes in association with OEIS complex is related to a tethered cord. Central nervous system anomalies are not commonly encountered in OEIS complex.

https://www.peertechzpublications.com/articles/AUR-5-136.php

[teachingrounds]

Spina bifida is a neural tube defect that typically occurs within the first 28 days of pregnancy and is why people with a uterus are recommended to take a daily folic acid supplement, even if they aren't anticipating getting pregnant, as ~50% of pregnancies are unplanned. ~166,000 individuals in the United States have Spina Bifida.

Image courtesy Cleveland Clinic.

[jcrmhscasereports]

Basal cell carcinoma resection in an Ecuadorian patient with Gorlin-Goltz syndrome by Andrea Villarreal-Juris in Journal of Clinical Case Reports Medical Images and Health Sciences 

ABSTRACT

Gorlin-Goltz syndrome is an inherited dominant autosomal disorder characterized by a predisposition to numerous cancers. The clinical-pathological findings of this syndrome are very diverse. The objective of this report is to present an Ecuadorian patient with Gorlin-Goltz syndrome who underwent surgical resection of basal cell carcinoma compatible lesions.

Conclusion: Gorlin-Goltz syndrome encompasses a variety of clinical signs and symptoms, including important oral manifestations and skin lesions that must be recognized to achieve an early specialty referral, thus reducing the risk of malignancy through a multidisciplinary treatment.

Keywords: Basal Cell Nevus Syndrome, Gorlin-Goltz syndrome, Carcinoma, Basal Cell

INTRODUCTION

Gorlin-Goltz (G-G) syndrome or nevoid basal cell carcinoma syndrome (NBCCS) is a dominant autosomal genetic disorder with high penetrance. Fifty percent of patients who suffer from it have a mutation in the long arm of chromosome 9q22.3 in the area of the PTCH gene (protein patched homolog) (1–3), a homologue of the Drosophila patched gene (PTC), which encodes a transmembrane receptor protein (4). This protein binds to a soluble factor of the hedgehog family (Hh), thus activating the Smo (smoothened) receptor, which unblocks the transcription of several growth factors. Therefore, the PTCH gene is an oncosuppressor that is part of the Sonic Hedgehog Homolog (Shh) signaling pathway and is crucial in embryonic development, cell division control, and tumor growth (5).

Its approximate prevalence is 1 in 57000 to 1 in 256000 and the ratio of males to females is 1:1 (6). Binkley and Johnson reported this syndrome for the first time in 1951 (7), then, in 1960, Gorlin and Goltz described the association between multiple basal cell carcinoma, odontogenic keratocysts (OKC) and bifid ribs, which account for the characteristic triad (8). In 1977, Rayner et al. added additional features, including calcification of the falx cerebri and palmar/plantar fossae (9).

According to the criteria of Kimonis et al., the diagnosis of G-G syndrome requires the coexistence of at least two major criteria or one major and two minor (10).

The characteristic that is usually diagnosed first is OKC, because it can be detected during the first decade of life and appears in almost 80% of G-G syndromes.

Other manifestations include palmar and plantar ulcers that appear as shallow pits, caused by partial or complete absence of the corneal layer, which can also appear along the sides of the hands and fingers and even on the tongue; spina bifida (10,11); medulloblastoma (can be an epiphenomenon of G-G, especially in children who are ≤5years-old) (12); cardiac tumors, including fibromas and ventricular histiocytomas, usually congenital (13); hypertelorism, congenital cataract, nystagmus, coloboma and strabismus (14); and ameloblastoma (extremely rare) (15,16).

Early diagnosis of G-G syndrome and its subsequent treatment are very important due to neoplasm susceptibility (2).

The case of a patient with a previous diagnosis of Gorlin-Goltz syndrome who presented multiple lesions compatible with basal cell carcinoma is presented below.

CASE REPORT

A 35-year-old male, living in Quito, Ecuador, without allergies; no history of tobacco or alcohol intake. His mother and his brother presented Gorlin-Goltz syndrome (G-G).

The patient presents hereditary and congenital G-G syndrome (multifocal basal cell carcinoma and maxillary keratocysts), whose manifestations began at the age of 22. He underwent surgery for bilateral keratocysts at the age of 25, and multiple biopsies of the upper left eyelid were taken since 2012. In August 2015, with a positive tumoral activity biopsy report, a wide resection involving 60% of the left upper eyelid plus flap reconstruction was performed.

Figure 1: Facial skin lesions and previous left maxillary keratocyst

Physical examination revealed multiple surgical scars on the left upper eyelid with tumoral activity on the eyelid margin, as well as on the outer third of the ipsilateral lower eyelid and on the right side.

Figure 2: Surgical scars with tumoral activity in the left and right eyelids.

In October, a wide resection of the left upper and lower eyelid was planned, plus reconstruction and transoperative study, which are performed without complications.

Figure 3 : Surgical planning

Figure 4 : Tumor resection involving the upper and lower eyelids with safety margins and surgical piece

Figure 5 : Confection of the left fronto-parietal flap

Figure 6: Immediate reconstruction results

Subsequently, the patient attended scheduled control, reporting the presence of a left superciliary nodular lesion. Physical examination revealed multiple lesions located in the left superciliary region, left helix, concha, and antihelix, in the inner corner of the left lower eyelid, in the left parieto-temporal and occipito-temporal regions, and other small bilateral genian lesions. There were no alterations in the flap. Left external campimetry was limited. It was decided to perform a facial bone and skull simple and contrasted tomography (CT) and laboratory tests.

Then, resection of the previously mentioned lesions and resection of the lower eyelid with transoperative study, shield-type incision and external canthoplasty of the lower left eyelid was planned. A plastic surgeon was included in the surgical team.

Figure 7: Shield-type incision

Altogether, 9 skin lesions located in the left superciliary, left frontal, interparietooccipital, posterior occipital, auricular, and left retroauricular regions were resected, which were positive for basal cell carcinoma.

In the subsequent control, the patient's campimetry showed improvement.

Figure 8 : Final result

DISCUSSION

Reports about Gorlin-Goltz syndrome are scarce in the literature (17). The rarity and phenotypic variability of this syndrome causes a delay in its diagnosis. Syndromicassociated keratocystic odontogenic tumors are often treated in the same way as nonsyndromic cases (18) and associated systemic signs can easily be missed due to lack of understanding of the syndrome. In addition, their characteristics vary globally, so doctors and even dentists must identify them in a timely manner, considering those that are more prevalent in their population or similar populations (19,20).

The pathogenesis of basal cell carcinoma (BCC) is thought to involve increased sensitivity to ultraviolet light and to involve ineffective mechanisms that repair UVinduced DNA damage. In any case, this theory is not accepted by all authors since these lesions can also appear in areas that have not been exposed to sunlight. Especially in children, patients with G-G syndrome who undergo radiotherapy for other cancers have shown to be at increased risk of radiation-induced BCC (21).

In 50% of patients with G-G syndrome, jaw keratocysts appear, characterized by a thin surrounding layer of epithelial cells, which tend to reappear locally after excision in 6 to 60% of cases, therefore, the indication for surgery should be carefully considered, also due to the possibility of intensive clinical and instrumental monitoring (22).

In recent years, new drugs have been developed to inhibit certain components of the sonic hedgehog signaling pathway. In 2013, the FDA approved vismodegib, the first small molecule to target this pathway (11). Although these agents seem promising options for patients with G-G syndrome, their efficacy is limited by adverse effects and the development of resistance (23). Logically, a more aggressive approach is necessary if basal cell carcinoma is suspected; subsequently, depending on the lesion site and the surgery type, a reconstruction can be performed, as in the case presented in this article (24,25).

CONCLUSION

Gorlin-Goltz syndrome encompasses a variety of clinical signs and symptoms, including important oral manifestations and skin lesions that must be recognized to achieve early referral to a specialty, thus reducing the risk of malignancy through multidisciplinary treatment.

Ethical responsibilities

In this case report, the informed consent of the patient was obtained. Its elaboration and all the inherent details were based on the Declaration of Helsinki.

Financing

Self-financed

Conflict of interests

The authors declare the non-existence of conflicts of interest.

For more information: https://jmedcasereportsimages.org/about-us/

For more submission : https://jmedcasereportsimages.org/

[moreliacliinic]

What Precautions A Mother Should Take In Her First Trimester?

Are you expecting a child? Congratulations. It's the start of your new life. Pregnancy is the most significant and rewarding experience any woman has ever had. A lot of things must be done during the first trimester of your pregnancy to ensure a healthy baby. If you want your pregnancy to go as smoothly as possible, you should follow the few stages suggested by Pediatrics care in el monte. Every woman desires a healthy delivery. Here we present you with the preferred route for a healthy delivery to ensure a healthy delivery.

How can I have a healthy pregnancy?

Eat well: Proper nutrition is essential for a healthy pregnancy. After consulting with your general doctor in El Monte, start by feeding your boy healthy foods. Consume as many organic foods as possible. Consume food sourced locally or fresh from nature. Avoid eating raw or partially cooked foods. Consume brightly coloured foods such as yellow bananas, spinach, red apples, carrots, and blueberries. It is high in nutrients and antioxidants, which help to nourish the body and promote child growth. The healthier the food you eat, the healthier your baby will be after birth.

Don't eat for two: According to traditional wisdom, when pregnant, you should eat for two. According to the research, nearly half of all pregnant women gain weight. So, this is simply a myth that you should avoid. Eat that much to feel satisfied. Yes, as the time approaches, you should increase your food intake as your baby grows. However, according to the renowned El monte clinic, nothing like this is required during the first trimester.

Vitamins and supplements: Make sure to take vitamins and supplements during your first trimester of pregnancy. Make sure you get 400 micrograms of folic acid every day. This way, birth defects such as spina bifida can be avoided. You also require additional calcium, zinc, iron, and DHA, omega-3 fatty acids that help your baby's brain develop.

Get plenty of rest: Apart from that, try to get plenty of rest. When you are expecting a child, your body undergoes significant changes. You must get plenty of sleep if you want a healthy baby. Take frequent naps and get at least eight to nine hours of sleep each night.

Exercise: Staying active is beneficial to your overall health because it can assist you in lowering stress, promote healing, and improve your mood. It may also promote better sleep. To avoid overheating, attend a pregnancy exercise class or walk for at least 15 to 20 minutes per day at a moderate pace in cool, shaded areas or indoors. Pilates, yoga, swimming, and walking are also excellent activities for most pregnant women; however, before beginning any exercise program, consult your doctor first. Aim for 30 minutes of exercise most days of the week. However, pay attention to your body and avoid overdoing it.

Apart from that, visit primary care el monte on a regular basis and stay hydrated. Avoid smoking and drinking alcohol, and limit your caffeine intake. By taking preventive measures, you can ensure a healthy delivery and the best days of your life.

For More information visit at:: http://moreliaclinic.com/what-we-offer/

Source URL:: https://www.evernote.com/shard/s615/sh/bd62c816-6998-e999-6cfa-6d2e62ee6d80/4e3e3464aa97ba8dc488df053d4db729