In black and white you can appreciate the improvement in shadowing and restoration of volume in the areas of the nasolabial fold and marionette lines. This results in a natural, refreshed appearance. I achieved this over a few minutes using three syringes of the appropriate filler with the appropriate technique. One reason I love using soft tissue fillers is the ability to combine art, science, and medicine to help people look and feel their best. A great privilege!
Who do you call when you step on a landmine and suddenly find yourself needing high quality surgery to make sure you can still walk tomorrow? The good people at the Global Surgical and Medical Support Group (GSMSG). Here, GSMSG ortho and trauma surgeons are at work in Iraq reconstructing a lower limb blown apart by an IED. ISIS left behind thousands of IED's and it will take months if not years to clear them. Unfortunately in the process, EOD folks may occasionally set them off prematurely or they will detonate by being tampered with. Even worse will be the IED's that will go undiscovered for years, only to be found by a child playing in a field or an old man trying to dig a well. We can only hope that the GSMSG teams are nearby in those instances as well. Medical professionals and military veterans can apply to join on our website. Join the GSMSG roster and you may find yourself called up in the future. Learn more, support our work, buy a shirt all at www.GSMSG.org.
1 1525 minutes ago
Black sand, lava rock and basalt columns...aliens must have designed this beautiful beach
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La rinoplastia consiste en modificar los huesos (parte superior) y el cartílago (parte inferior) de la nariz para lograr una variedad de resultados estéticos deseados: una nariz más estrecha, un puente más alto, una punta más refinada, la eliminación de una protuberancia, etc. Hay dos tipos de incisiones que se pueden hacer. Uno de ellos se denomina comúnmente abordaje "cerrado" o endonasal e implica una incisión en el interior de la nariz. El otro se llama enfoque "abierto" o externo, y también implica otra incisión en la columela, o ese puente de tejido entre las fosas nasales. La piel luego se levanta para permitir que se realice el trabajo de rinoplastia.
Rhinoplasty involves modifying both the bones (upper part) and the cartilage (lower part) of the nose for a variety of desired aesthetic results: a narrower nose, a higher bridge, a more refined tip, removal of a bump, and so on. There are two types of incisions that can be made. One is commonly called the “closed” or endonasal approach and involves an incision on the inside of the nose. The other is called the “open” or external approach and also involves another incision across the columella, or that bridge of tissue between the nostrils. The skin is then raised up to allow for rhinoplasty work to be done.
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This is an extensive stage 4 full-thickness decubitus ulcer, bedsore, or pressure ulcer of the lower back and buttocks!
This is a skin ulcer caused by prolonged pressure against the skin resulting in completely or partially obstructed blood flow to the soft tissue.
The patients are risk are those who are paralyzed, bedridden, and debilitated patients.
The best treatment is prophylaxis.
In most cases, the use of special air mattresses prevents bedsores.
Periodic skin inspection is necessary to detect the damage early enough. Cleanliness and dryness help prevent ulcer formation as well.
Those lesions can ulcerate down to the bone and become infected, which further might lead to sepsis and death.
Major skin breaks like the one seen above are treated with aggressive surgical debridement and antibiotics for the prophylaxis of possible infection.
Repost from @medicaltalks
Hyperthermic intraperitoneal chemotherapy (HIPEC)! This is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Thanks to @dr.yazan.chaban for sharing this!
Unlike systemic chemotherapy delivery, which circulates throughout the body, HIPEC delivers chemotherapy directly to cancer cells in the abdomen. This allows for higher doses of chemotherapy treatment.
Before patients receive HIPEC treatment, doctors perform cytoreductive surgery to remove visible tumors within the abdomen. Once as many tumors as possible have been removed, the heated, sterilized chemotherapy solution is delivered to the abdomen to penetrate and destroy remaining cancer cells. .
The solution is 41 to 42 degrees Celsius, about the temperature of a warm bath. The solution is then drained from the abdomen and the incision is closed.
This aggressive multimodality treatment is complex, not only regarding surgical technique, but also regarding anesthesia, and is associated with major hemodynamic and metabolic changes. As well as primary disease and complexity of surgery.
Considered as a challenge for the anesthetist, it is associated with relevant fluid, blood, and protein losses, together with hemodynamic, respiratory, and metabolic dérangements.