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When He Stood Up Quickly, He Sometimes Fainted. What Was It?

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Years earlier than, the affected person had fallen within the bathtub, damaged his ribs and punctured a lung. Blood crammed his chest and collapsed the lung. He needed to be rushed to the hospital. Sufferers who’re caught in mattress whereas within the hospital are liable to creating blood clots within the veins of their legs as a result of they’re immobilized. Clots kind when blood isn’t shifting. These sufferers are often began on blood thinners to scale back that threat. As a result of this man had bled into his chest, blood thinners weren’t a great possibility for him. Clots that kind due to immobility block veins and trigger swelling and ache, however they may also be lethal in the event that they journey by the physique and find yourself within the lungs or mind. So his docs had chosen to place a filter in the principle vein that introduced blood from his legs again to his coronary heart — a vessel referred to as the inferior vena cava — to catch any clots that shaped and broke free.

These filters are presupposed to be eliminated a number of months later when the danger of clotting goes down, however many should not eliminated on schedule. This one had been left in place for greater than 15 years. What if, Slief urged after explaining this historical past, the filter had executed its job and captured clots and so they have been now blocking all the vessel? May that trigger his positional hypotension? Centor listened thoughtfully. He’d been a health care provider for 45 years and had by no means seen this. And but it was an fascinating concept. Definitely value contemplating.

One of many many benefits of the V.A. Hospital system is that it has computerized medical information going again a long time. Slief did a deep dive into this man’s medical historical past and hit what seemed like some promising outcomes. Seven years earlier, the person had a CT scan that confirmed an virtually whole blockage of his vena cava. Was it potential that the additional blood that was presupposed to go from the legs to the mind when the person stood up didn’t get there quick sufficient due to the narrowed vena cava?

There was actually no option to take a look at this speculation, but it surely made sense. They defined to the affected person that the subsequent step was to get the filter out. The affected person was desirous to attempt. The staff reached out to Dr. Invoice Parkhurst on the College of Alabama at Birmingham Hospital, who specialised in this type of process.

The affected person was sedated for the operation. Parkhurst put a tiny tube by an incision into the affected person’s jugular vein in his neck and slowly superior it down previous the guts into the vena cava the place the filter was situated. These contraptions appear to be daddy longlegs with tiny hooks at every foot to carry them in place within the vein. The place the physique of the insect can be situated was a small hook. Parkhurst used a tiny gripping device to know the hook and pull the filter up by the vena cava and out by the small incision within the affected person’s neck. Subsequent Parkhurst inserted tiny balloons that he inflated to reopen the threadlike stream by the narrowed vena cava. He then positioned a stent to carry the vessel open. He continued this course of down the first vein of every leg. The process took six hours and required 9 stents, however lastly there was good blood move between the legs and the guts.

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The primary time the affected person stood up after this process, he was amazed. The dizziness was gone. It has been 4 months and it hasn’t come again. No weak legs, no lightheadedness, no falls. His toes are nonetheless numb, however he can dwell with that as long as they continue to be on the bottom and he stays upright.

Slief is modest about making this obscure analysis. There are solely a handful of case experiences within the medical literature. Nonetheless, Slief advised me, it does make you marvel if possibly that is occurring extra usually than reported. He’s definitely going to be searching for it.


Lisa Sanders, M.D., is a contributing author for the journal. Her newest e book is “Analysis: Fixing the Most Baffling Medical Mysteries.” If in case you have a solved case to share, write her at Lisa.Sandersmdnyt@gmail.com.

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WHO updates list of medicines governments should stockpile in case of a nuclear emergency

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The World Well being Group launched an up to date report on Friday detailing medicines that governments ought to have readily available within the occasion of a radiological or nuclear emergency. 

Governments ought to have a nationwide stockpile of private protecting gear, but in addition a spread of prescribed drugs, together with potassium iodide tablets, antiemetics, anti-diarrhoeal brokers, decorporating brokers, alkylating brokers, and different medicines, WHO stated. 

“It’s important that governments are ready to guard the well being of populations and reply instantly to emergencies,” Dr. Maria Neira, the Appearing Assistant Director-Basic at WHO, stated in an announcement on Friday. “This consists of having prepared provides of lifesaving medicines that can scale back dangers and deal with accidents from radiation.” 

Marcin Rossak, an area firefighter opens a field of iodine tablets in Milanowek Hearth station, one of many distribution factors, in Milanowek, Poland on October 10, 2022.
(Artur Widak/Anadolu Company by way of Getty Photos)

Radiological disasters may end up from an accident at a nuclear energy plant or the intentional detonation of a nuclear bomb in armed battle. 

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WHO didn’t title any particular battle, however the specter of a radiological catastrophe has turn into clear worldwide over the previous yr amid Russia’s invasion of Ukraine. 

RUSSIA’S NUCLEAR AGENCY HELPS MILITARY SIDESTEP SANCTIONS: REPORT

Worldwide Atomic Power Company Director Basic Rafael Mariano Grossi stated this month stated his company is establishing a “steady presence of nuclear security and safety consultants” at Ukraine’s nuclear amenities to “assist forestall a nuclear accident throughout the present navy battle.” 

Russian officers have additionally repeatedly reminded the world that it has weapons of mass destruction, with Putin ally Dmitry Medvedev, the Deputy chairman of Russia’s Safety Council, saying final week that the “lack of a nuclear energy in a standard conflict can provoke the start of a nuclear conflict.”

A Russian serviceman patrols the territory of the Zaporizhzhia Nuclear Power Station in Energodar on May 1, 2022. 

A Russian serviceman patrols the territory of the Zaporizhzhia Nuclear Energy Station in Energodar on Could 1, 2022. 
(ANDREY BORODULIN/AFP by way of Getty Photos)

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WHO’s report on Friday updates an inventory from 2007, and the group stated extra novel therapies might be on the way in which. 

“Analysis is making progress in creating novel therapies and attaining technical advances that will end in new merchandise to be used throughout a radiation emergency,” the report reads. 

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Does Your Dog Hate Nail Trims? Here’s How To Give Them a Stress-Free “Pawdicure”

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Many individuals pay prime greenback for another person to beautify their fingers and toenails. However for our furry associates, getting their nails trimmed is usually a scary expertise. In case your canine hates nail trims, you know the way troublesome it’s to get the job carried out. You need to wrestle them to remain nonetheless, and once they inevitably wiggle, you threat slicing their nail too quick, inflicting ache and bleeding. Sure, you may take your canine to a vet or groomer, however that doesn’t imply the expertise shall be much less traumatic for them — although it definitely will stress your pockets. By trimming Fido’s nails at house, you may bond, construct belief, and get monetary savings. What’s to not love? Try the following pointers for trimming your canine’s nails at house and giving them a stress-free spaw day. 

How typically must you trim your canine’s nails?

In case your canine hates nail trims, even doing it as sometimes as twice a yr can really feel like an excessive amount of — nevertheless it’s essential to maintain their nails quick. If the nails develop too lengthy, your canine might expertise painful stress or develop an unnatural posture that may trigger critical joint points, in accordance with Dr. Karen Gellman for Canines Naturally Journal. In case your canine is lively, their nails could not develop lengthy as rapidly, as a result of they’re grinding them down by working round. However Dr. Gellman suggests you need to trim — or not less than examine — your canine’s nails each two to a few weeks.

What ought to I exploit to trim my canine’s nails?

The preferred instruments for trimming your canine’s nails at house are clippers and nail grinders, that are electrical instruments with a rotating emery board that file the nail down as an alternative of slicing. There are professionals and cons to every instrument, and which you utilize is fully depending on you and your canine. Whichever instrument you’re feeling most assured wielding — and whichever seems least traumatic in your canine — is the suitable instrument for you. Whether or not you go along with clippers or a nail grinder, there are some essential issues to remember. 

In the event you use clippers:

  • Use scissor-style clippers (Purchase from Amazon, $12.99) as an alternative of guillotine-style ones, recommends Dr. Gellman. Scissor-style clippers cleanly minimize the nail, whereas guillotine-style clippers can crush it, which is painful. 
  • Hold your clippers sharp. In the event that they begin to uninteresting, exchange them. 
  • Solely minimize small bits at a time to keep away from slicing too far. 
  • Use smaller clippers for higher management. 
  • Hold clippers parallel to the nail when trimming.

In the event you use a nail grinder:

  • The American Kennel Membership says to maintain fur out of the best way so it doesn’t get caught. 
  • Use a instrument that’s particularly made for trimming your canine’s nails (Purchase from Amazon, $19.99).
  • Grind throughout the nail’s backside, after which rigorously transfer in from the tip, being cautious to clean out tough bits. 
  • Maintain nail grinder larger up for higher management. 

What if I minimize my canine’s nail too quick?

Within the heart of your canine’s nail is the “fast,” which is the place the blood vessels and nerves sit. should you minimize into it, your canine will expertise ache and bleeding. In the event you by accident minimize your canine’s fast, apply stress for about two minutes after which use styptic powder, an anti-hemorrhagic agent to cease the bleeding, recommends PetMD. In a pinch, you may also use baking flour or corn starch, provides Dr. Gellman. 

With the intention to keep away from slicing the short, you should be cautious. In case your canine has light-colored nails, you may see it; but when your canine has darkish nails, it might be a bit of harder to determine. Dr. Gellman recommends you solely minimize the nail till you see a white ring with a dark-colored dot within the heart. If there’s no white, you may minimize a bit of extra, however solely in small increments. “The insensitive nail will present as chalky ring across the delicate fast,” she explains.

Suggestions for Stress-Free Trimming

Regardless of how properly you put together, trimming your canine’s nails is usually a troublesome expertise for each of you. Excellent news: There are some simple steps you may take to set your self up for fulfillment and make trim time a extra paw-sitive bonding expertise. The following pointers are from Concern Free Pets. 

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Tip #1: Put together the house.

If you go to a spa, you’re instantly welcomed by soothing sounds, sights, and smells. These components put you in a restful headspace so you may loosen up. Do the identical factor in your canine: Present a tender, non-slip floor for them to relaxation on, play calming music, and use scents like lavender within the room. It’s additionally essential that you’ve your canine’s favourite treats inside attain.

Tip #2: Put together your pooch. 

Leaping proper into the nail trim with out first familiarizing your canine with the method could cause further upset. Concern Free Pets recommends slowly introducing your canine to every aspect of the nail trim, and rewarding them with treats after each step to create optimistic associations. For instance, present your canine the instrument you’re utilizing. Allow them to sniff and examine, then reward. In the event you’re utilizing a nail grinder, flip it on so your canine can hear the sound. In the event you’re utilizing clippers, snip a chunk of dry pasta to simulate the noise of nail clipping. Contact their paws, gently squeezing the toes as should you’re trimming their nails. And once more, bear in mind to closely reward your pup at every step. Going by means of the method permits them to really feel extra acquainted and assured, so when it comes time to really trim these nails, they gained’t really feel caught off-guard. 

Tip #3: Take note of your canine’s cues. 

Trimming your canine’s nails takes endurance. If they’re displaying any indicators of misery, pushing ahead and trimming anyway will solely make the expertise scarier for them. Take note of your canine’s physique language: in the event that they’re leaning or pulling away, licking their lips excessively, shaking, tucking their nail, or pinning their ears to their head, it’s essential to take a break or step away. You might be your canine’s largest advocate, and she or he must know they will belief you. 

In case your canine’s nails are wanting lengthy, they usually aren’t responding to any of your trimming makes an attempt, search assist out of your vet. They could have a better and extra profitable time trimming your canine’s nails if want be, since they’ve entry to superior instruments and sedatives. And bear in mind to deal with your self to a mani-pedi too. You’ve earned it!

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Barbara Stanley, Influential Suicide Researcher, Dies at 73

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Dr. Stanley wrote greater than 200 papers. She was president of the Worldwide Academy for Suicide Analysis and served on boards and committees of {many professional} organizations. She additionally continued her scientific observe, treating sufferers who struggled with suicidal emotions.

Ms. Morris, Dr. Stanley’s daughter, stated that her mom was modest about her skilled success however was all the time thrilled to listen to from clinicians in far-flung locations who had used the methods she developed to assist sufferers.

“She was deeply touched by that, little question,” she stated in an interview. “She discovered it very, very, very significant and really passionate. The work was so fulfilling to her, each on a private degree and on a bigger degree, to have been of service.”

Barbara Hrevnack was born on Aug. 13, 1949, in Newark. Her father, John Hrevnack, labored as a tool-and-die maker, and her mom, Marie (Wnukowski) Hrevnack, labored within the claims division of an insurance coverage firm.

She earned a bachelor’s diploma at Montclair State Faculty and a doctorate in scientific psychology at New York College.

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She married Michael Edward Stanley, a neuroscientist, in 1970, and the 2 printed a variety of analysis papers collectively on such matters as knowledgeable consent and borderline character dysfunction. He died in 1993.

Along with her daughter, Dr. Stanley, who lived in Chatham, N.J., is survived by her son, Thomas Stanley, and her siblings, John Hrevnack, Michael Hrevnack and Joanne Kennedy.

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