Archive for the ‘Critical-Care’ Category

For a Good Story About Surgery Doctors Needing to Transplant a Liver Using the Transplant Symptoms

Tuesday, April 7th, 2009

This is a story that leads to a liver transplant. Liver transplants are a problem that the medical field has made huge advances in. The liver itself is an organ that will regenerate. If you take part of it out it will grow back close to it’s original size. I was a lucky one and am here now to tell the story.

I had the transplant back in March, 2005. 7 years earlier I started feeling more tired during the day and had to take naps. It was getting worse and worse. I thought I would have to see a psychiatrist. I was starting to get lazy. I had a cabinet shop that I just opened. I was working all night sometimes with a friend to get a job out on time because I was napping during the day.

At one of my jobs I was feeling sick on a trip to the plumber. I had to pull over and lay down in the truck I felt so bad. When I got back I started coughing up the red stuff. I was working and needed to get the job done. I asked Todd (my friend) if I should go see the doctor after we finished that day. Right away he took me to the hospital. After being in there for a week, I was on a no salt diet to keep the fluid from building in side. I thought I was cured.

One particular night I had this tremendous pain in my stomach area. It had been getting worse and worse over the last three days. Now it had me buckled over in pain. My friend and fellow worker Todd took me to the emergency room again to relieve the pain. They gave me something for the pain but during one of the tests they noticed my liver functions were way off.

A liver specialist sent the findings to Mayo hospital in Minnesota. He came back with good news and bad news. The good news was that they found out what was wrong. The bad news was that I had a rare disease called PSC. I would need a liver transplant. It is nothing genetic I’m just one of the lucky ones. It will take 7-10 years before I need the transplant, I was told. I needed the transplant 3 years later. Because the disease doesn’t effect my kidneys, I was told that I would never be at the top of the transplant list. I would need a living donor to live. One who would have almost the same size and blood type among other things. The donor would have to have the same painful surgery to give me half of their liver.

Right after the super bowl I received a call from another friend that told me he had something for me. He was going to give half of his liver. Here I am today able to tell the story.

For me it is a beautiful thing. For him it is a beautiful thing.

http://healthcareandtransplants.blogspot.com/

The Effects of a Brain Injury

Tuesday, April 7th, 2009

Trauma is the most common cause of acquired brain injury particularly in young people, of course there are other ways in which the brain can acquire injury, stroke is particularly common from middle age onwards then there are rarer conditions of the brain like infections and tumors. The brain is very sensitive to the amount of blood getting through to it, so anything which impedes the flow of blood to the brain or lowers oxygen to the brain, can damage it. Poisons in the blood, such as carbon monoxide from car fumes, can poison the brain. Finally there are treatments people can receive in good faith, which can damage the brain, a surgeon operating on the brain to remove a tumor can inadvertently damage it and radiation therapy, which is often used to treat malignant brain tumors, can damage the it especially in young people.

There are two broad guidelines to asses the severity of a brain injury. The first is how unconscious the patient is at their very worst, and this is measured with something called the Glasgow Coma Score, this is usually measured out of 15, 15 is fully conscious and three is as deeply unconscious as you can be and still be alive. The Glasgow Coma Score has three levels in it, one is to do with response to eye movement and eye opening, another is to do with response to speech, and the third is to do with response to movement. These three levels can all be given a number, and that gives you the total figure. Broadly speaking, any head injury in which the Glasgow Coma Score goes to eight or below is classified as a very severe brain injury.

The second things that’s used to asses the severity if a brain injury is what’s called the post traumatic amnesia (PTA), this is the period of time from the accident to when continuous memory returns. The PTA doesn’t shrink, so if a month after a head injury a person has a PTA of an hour, its still going to be an hour a year later. The PTA has a very close connection to time taken to get back to work and it’s also one of the factors in the risk of getting late traumatic epilepsy.

The temporal lobes, on either side of the brain, are concerned predominantly with memory, but they also have input into mood and emotions. The most devastating effect of serious damage to the temporal lobes is loss of memory, particularly the loss of short-term memory.

The occipital lobes at the back of the brain are where vision is perceived. They’re not often damaged in acquired brain injury, but when they are damaged, there can be very severe impairments of how the brain sees the world.
The cerebellum, at the back part of the head, controls coordination of movement and coordination of the muscles of the larynx (the voice box). If they’re damaged the injured person will be clumsy with their arms and their legs and their speech may also be slurred and clumsy, they may also have difficulty with swallowing too.

One of the most obvious problems that can develop from a brain injury is weakness of an arm or a leg or lack of coordination of an arm or a leg. Speech and language functions can be damaged either in terms of getting out words, understanding words or just in the mechanics of producing speech, so speech may become blurred or slurred. The special senses (hearing, vision, smell and taste) are not often damaged with the exception of smell, when smell is lost the finer points of taste are also lost.

When it comes to recovering from a brain injury there is no fixed period of time. The time is longer in children in the first 10 - 15 years of life. Essentially most recovery occurs in the first 18 months. A better way of looking at it is that when someone has reached the plateau and has remained at that plateau for six months, that’s probably how they’re going to stay.

Author name: Kimberlie Hutson

When you or someone close to you suffers from a head injury it can be hard to understand exactly what’s going on and some of the more technical medical terms.

Head Injury UK are specialist solicitors, experienced in dealing with head injury claims. We focus on providing specialist rehabilitation to assist with your recovery.

http://headinjuryuk.com/index.html

Critical Illness Claim Statistics 2008

Tuesday, April 7th, 2009

In line with the trends of the last 3-4 years, many insurance companies have announced their claims statistics for critical illness cover.

As a brief reminder, the idea with critical illness cover is that it will pay out a lump sum (usually) in the event of diagnosis of a number of serious illnesses.

Critical illness cover is purchased for a variety of reasons, with the main ones being to cover a mortgage loan (both personal and business) and for family protection purposes.

Unlike straightforward life assurance, which pays out on death, critical illness cover includes a great deal of small print that you need to research BEFORE you purchase cover. The QUALITY of the cover is one of the most important elements, not price. Unfortunately, many policyholders purchase on price alone and may be blind to what they are actually covered for.

The acid test comes when you make a claim.

Let’s take a look at some figures from two of the major critical illness providers; Scottish Provident and Legal & General.

Scottish Provident

From January - June 2008:

  • they paid £51.6m in claims
  • had 703 claims submitted
  • 87.3% of these claims were successful
  • the average payout was £73,423
  • the largest claim value was £552,487
  • the average age of a claimant was 44
  • the average time a plan was in force prior to a claim was 73 months

Of the 102 unpaid claims (12.7%):

  • 87 were declined as the illness did not meet Scottish Provident’s critical illness definition
  • 15 were declined due to the discovery of material non-disclosure at the time the plan was taken out
  • 80% of the £51.6m was paid out for claims for cancer, heart attack and stroke. There were 40 claims under children’s benefit, where the payout totalled £782,423.

Under the cancer claims, £8.8m was paid out for breast cancer, £2m for bowel cancer and £1.5m for prostate cancer.

Other successful claims were for benign brain tumour and angioplasty.

Legal & General

For the whole of 2008:

  • they paid £146m in claims
  • 93% of all claims were paid
  • only 4% were declined for non-disclosure
  • £146m was paid in claims
  • the average claim was £70,000
  • over 2000 claims were paid in total
  • the highest payout was £550,000

It is crucial that, when you apply for cover, you disclose ALL your known medical details on the application form. For example, Scottish Provident declined a claim from a 39-year-old under the heart attack definition as, at claim stage, his medical records indicated that he had a long history of stress and depression with alcohol, drug detox and overdoses. Had these been revealed at application stage, critical illness cover would have been declined.

Interestingly, the Association of British Insurers (ABI) has issued guidance on non-disclosure and treating customers fairly. Some providers may consider a proportionate amount of a critical illness claim if they consider the non-disclosure to be negligent and they would have still offered the cover at outset if the full facts had been known.

The Financial Tips Bottom Line

Critical illness cover is a key cover and should be considered as part of any sensible financial plan. Not having cover in place could seriously impact upon you and your family’s lives in many ways.

The KEY is to make sure you not only work out how much cover is required, but you also analyse the small print of each plan on the market as well as finding out more about their claims history.

ACTION POINT

The starting point is to find out whether or not you need any critical illness cover. If you do you then need to:

  • work out how much cover you need
  • take any existing cover into account
  • review the existing cover to ensure it is competitive
  • decide which type of plan you need (term, whole of life etc)

You can either do this yourself or employ the services of an expert who can take the time to explain all the options available to you and help you choose the right cover.

Whatever you decide, just make sure you take action!

Ray Prince is an Independent Financial Planner with Rutherford Wilkinson ltd, and helps UK Resident Doctors and Dentists get the best deals on mortgages, protection and investments, as well as helping them achieve their financial objectives. Just visit http://www.medicaldentalfs.com to get your free retirement planning guide.

Rutherford Wilkinson ltd is authorised and regulated by the Financial Services Authority.

Caring For Elderly Parents - Emergency Pendants

Tuesday, April 7th, 2009

What will happen if Mom or Dad can’t reach the phone after falling or having some other medical emergency? Accidents do happen. In the Fall of 2000, my parents Imogene and Joe moved from their home in Spokane, Washington to live with my family outside of Fort Worth, Texas. My father had a stroke about a year prior, but otherwise both parents were in relatively good health. My father could no longer drive though and wanted a long term living arrangement in place for him and Mom. So we decided that they could live with our family.

Within 6 weeks of moving in though, Dad unexpectedly passed away, leaving behind his wife of 56 years. How grateful we were that long term living arrangements had been made and that Mom was with us.

While Mom had a comfortable home to live in, she still found herself home alone during the days. My wife and I both worked and our children were grown and had moved away. While Mom had friends who would periodically stop by to visit her, and while my wife would often come home from work at lunchtime to check up on her, I was still concerned that if she had an accident of some sort or other emergency that she would be unable to get to a phone to call for help.

I had seen the television commercials for the emergency pendants-you know, the one with the elderly lady on the floor pushing the button on her pendant and saying she had fallen and couldn’t get up-and decided that an emergency pendant was the way to go. After doing some research on the internet, I discovered that there are two basic types of emergency pendants-ones that are available through a monitoring service and ones that are standalone emergency dialers that deliver a recorded message to programmed phone numbers of friends or family members.

We opted for a standalone emergency dialer. Mom began wearing a pendant that, when triggered, would repeatedly call up to 9 designated phone numbers until someone answered. The person answering would be instructed to press a key to distinguish that it was a live person answering the call and not an answering machine. A recorded message would then play stating that Mom needed help.

Mom’s emergency dialer was only for 1-way communication, but there are emergency dialers on the market today that offer 2-way communication allowing the person in need of help to be connected via a speaker phone with the family member, friend, or emergency personnel answering the call.

I wish I could say that Mom never needed the pendant, but it proved to be useful on several occasions-such as the time she fell out of her chair and on another occasion when she had uncontrollable nosebleeds. In both of these cases, my wife received a phone call letting her know that Mom needed help, after which she rushed home to offer assistance.

Anyone with elderly parents still living independently should look at the emergency pendants on the market. Remember though, for many senior citizens, it is difficult to admit that their health is declining and that they might need assistance-they might fear a loss of independence or don’t want to be a burden on their loved ones. They may not be ready to acknowledge that they can’t do things that they once could. While your parent may be reluctant to begin wearing an emergency pendant (again fearing a perceived loss of independence), in actuality the pendant is prolonging the time they can live alone.

Having these discussions with our elderly parents is not always easy. If there is an emergency however, you can have peace of mind in knowing that with an emergency pendants, your loved one will be able to alert someone that help is needed.

Falls Can Be a Big Part of Wintertime

Tuesday, April 7th, 2009

Everyone knows that in the wintertime in the northern states, you’re going to have to deal with snow and ice. Snow removal teams will do their best to get out and plow, salt, and sand the roads to keep them from turning into a massive game of bumper cars. But what about all the sidewalks, walking paths, and parking lots? Sure, there are store owners, city workers, and smaller plows that do what they can, but invariably there is always some snow and ice left over. To avoid a trip to Dwight healthcare, it’s important to use caution when trying to navigate any of these areas. Even if you’re healthy and have good coordination, it’s easy to slip and fall. It sounds innocent enough, but the injuries are sometimes severe: broken hips, collarbones, and wrists-even concussions. Fortunately, there are precautions you can take.

Many times these falls occur when people are walking with footwear that is not intended for snow and ice. Commonly these are work shoes with little or no tread. It’s no wonder people can’t keep their balance and fall down! Avoid the trip to Southern Chicago Healthcare and get a pair of overshoes, which slip on over your work shoes and have sufficient tread to get better traction in wintry weather. Sure, it’s an investment to get a pair that will do the job, but it’s certainly worth knowing that you will have good enough grip to walk to and from your job safely. Another option is slip-on shoe bottoms that have metal springs or other traction devices. These are a low-cost alternative and do a surprisingly good job on slippery surfaces. They have a tendency to slip off sometimes, but that’s a small annoyance if you can walk around without falling.

Sometimes, you’re not at your best. Let’s say you tweaked a knee or an ankle playing basketball or, more serious, are in the middle of a cardiac rehab program. The last thing you need is to aggravate a pre-existing injury or condition because of a fall. If you find yourself in this situation, do what you can to minimize the risk. If you need help up an incline, don’t be bashful. Ask someone to give you a hand. Or better yet, avoid the incline altogether. Take smaller steps and slow down. Sometimes a fall happens simply because someone is in a rush and not paying attention to the pavement below them. If you take a little extra care, hopefully you won’t slip and find yourself in the doctor’s office!

If you’re not looking for an extended stay at Dwight healthcare, make sure you wear proper footwear and exercise caution during the winter months. Riverside Medical Center can certainly take care of your Southern Chicago healthcare needs, but if you can avoid a fall in the first place, that’s even better. In fact, whether you need emergency service or a cardiac rehab program, Riverside probably has what you need. Learn more at Riverside Medical Center today.

Advanced CPR Training Manikin (Adult)

Tuesday, April 7th, 2009

This CPR Manikin is designed according to the AHA Guidelines for CPR and EEC. The operation standard: the AHA Guidelines for CPR and EEC. Issued by AHA (American Heart Association)

CPR Manikin Functional Features:

-Airway Simulating

-The Compression indicated by Indicating lights, Counter and audio instruction

*When the compression position is right, it will be indicated by the light, which is located in the central position in the chest, with green flash. And wrong position will be indicated by red flash. The compression times is indicated by the counter, which is located on the left side of the monitor. Some procedures will be guided by audio instruction.

* When the compression strength is in appropriate range (within the depth in 4-5 cm), the green light will be on. And when not in appropriate range: depth> 5 cm, the red light will be on; depth <>

- Mouth-to-Mouth ventilation indicated by Indicating lights, Counter and audio caution:

*When the volume reaches 500ml-600ml for one time ventilation, it will be indicated by green light. The correct ventilation times is counted by the counter.

*If the volume is one time ventilation is more than enough or too fast, to make the air get in the stomach, the light will be indicated by the light in the stomach position in red flash.

-The ratio between compression and mouth-to-mouth ventilation : 30:2

- The numbers of a whole circle: five circles of 30 times compression and 2 times ventilation.

- Frequency: 100 times per minute.

- Report: A report is printed after practice.

- Mode: Training mode; Test mode.

-Pupil observation: From the beginning of the practice to the end, people can observe the change of the pupil vary from release to collect.

-To check the pulse of the cervical artery.

-Power supply: 220V AC puts in through power adapter, and the output is 24V DC. The power supply for the Report Printer is 9V.

click here to visit the website

http://www.scienceworldindia.blogspot.com

Traumatic Brain Injury - Giving Care For the Survivor

Tuesday, April 7th, 2009

When life changes in a blink of an eye, people are never prepared for what will happen or how they will deal with the changes. Being a caregiver for a person with Traumatic Brain Injury is learning and a teaching experience for all individuals involved. Family and friends must know what to do and how to deal with the unexpected. Although you never quite understand what goes on in the injured brain, there are signs that will give you a good idea of which way to turn.

Head trauma can be as slight as a bump on the head or as severe as an almost fatal automobile accident. In any case, damage to the brain can occur with the slightest of injury. What happens after still mystifies a lot of the medical professionals today. Does the person who has had the trauma forget things, get irritated quickly, have headaches or vision problems, has difficulty with solving problems that were very easy to do before or maybe go into a blank stare, get lost in the store while shopping or even driving to a place they had been to hundreds of times before? People with Traumatic Brain Injury might have some of these symptoms if not more.

Compassion for the survivor is of the utmost importance due to the fact that they probably do not realize the reasons why they can’t complete a sentence, lose their thought in a conversation with a blank stare, forget about the cake in the oven or dinner that was ready in twenty minutes but it has been an hour and the roast is now a piece of jerky, then all of a sudden get frustrated and a irritated, an outburst of anxiety comes out and the people around them think that they might be losing their mind…well, in a sense, they did. Their routing of cognitive thinking has been impaired. Frustration and aggravation, self esteem and confidence goes down, and their self worth is being diminished by the simple things in life that they used to be able to do so well.

On the outside, everything looks fine. For the lucky ones who can still dress and take care of their hygienic needs every day, family and friends think that everything is normal, but the invisible damage from the trauma lingers on inside the brain. Understanding through educating yourself will get you and the individual on the right track to get their life and yours back to a normal way of life.

Acceptance that life has changed as you knew it is one of the hardest things to overcome. Being a caregiver is sometime difficult to change the things you did in the past to things you have to do now. Educate yourself on the injury and what can be done to help overcome this traumatic event. There are many organizations, support groups, books, articles, doctors, and friends that will help. Rest assured that you are not alone out there and the situation is not unique. The more you learn about Traumatic Brain Injury-Giving Care For the Survivor will be easier, and the tasks at hand will become a part of everyday life. Have patience, love, and compassion and all will be just fine.

I am a caregiver.

If you would like to learn more about Traumatic Brain Injury and how several survivors have overcome issues, Click Here

Brain Injury Happens Especially When a Person Throws Caution to the Wind

Tuesday, April 7th, 2009

If there is one thing that people hope won’t happen to them, it is brain injury. The brain is so vulnerable that an impact can mean disastrous results? Now, aren’t we glad that it is safe inside our skull? Can you just imagine how dangerous it is if it’s not? Most probably we will not move from our beds and be paranoid of people and objects hitting our heads. We will probably walk around wearing our helmets even if we are taking a bath.

Do you know that people haven’t figured out how a brain works? It is the most important part of the body and how it works still remains to be a mystery. It is the reason why we can do anything. It is the boss of the body. That is why we should protect it as much as we can. Head helmets should be worn whenever one is about to embark on a dangerous activity. Wear a helmet whenever you ride the motorcycle, a bike, when you are about to enter a construction site and others. There is always a reason why there are precautionary measures for any activity that might injure the head. So many people have thrown caution to the wind and it has caught up with them. They might have regretted that second when they decided not to wear that helmet only to find them in an accident that they may never recover from. It is such a shame really and we can never tell when a person may recover from it.

If you suspect someone who has sustained brain injury, call 911 for help immediately. You may save a life.

Cheryl Forbes owns and operates the website http://www.brain-injury-hotline.com