Nice Trauma Classes photos

Check out these trauma classes images:

Corpsman Up


Image by United States Marine Corps Official Page
Navy Petty Officer 3rd Class Benjamin Knauth (blue), a 29-year-old native of Centennial, Colo., and Petty Officer 2nd Class Dustin Koch, a 26-year-old native of Las Cruces, N.M., corpsmen with 3rd Battalion, 3rd Marine Regiment, place reassuring hands on the shoulder of an Afghan National Policeman while examining his injuries in the battalion aid station here following an attack by a suicide bomber in Helmand province’s Garmsir district, April 19, 2012. The 3/3 corpsmen treated eight injured Afghan policemen after being faced with a mass casualty situation following the attack on an ANP precinct headquarters in Garmsir’s Lakari region. Ten of the 18 total ANP casualties died from wounds sustained in the attack. After initially being stabilized by three 3/3 corpsmen at Combat Outpost Sharp, eight casualties were transported to FOB Delhi and treated by a team of 28 Navy personnel. Medical evacuation helicopters later transported six ANP casualties to Camp Dwyer’s Casualty Support Hospital for further treatment, while the remaining two were treated and released. (U.S. Marine Corps photo by Cpl. Reece Lodder)

ITLS class


Image by plong
The International Trauma Life Support class we took for certification.

Why did I need a referral to pain management?

Question by : Why did I need a referral to pain management?
This whole thing has me shaken. My dr decided to go back to urgent care basis and stop treating regular chronic patients. I am in physical therapy, use a tens unit,have my PT assessment , which discovered MORE than the MRI revealed, have my MRI results showing the damage from an accident over a yr ago. Perforated discs All my dr records and ive been on the same scrpt for pain and anxiety for 4 yrs. Anxiety 7 yrs. Well I got the paperwork for this pain place and it said
Dr will not be taking over ANY prescript from your pcp or referring doctor. Any being underlined. My medical records are clean, there is legitimate pain that keeps me from the life my children deserve. This feels like it could shake me up. Why would they have that in there. Does it mean I’ll be left high and dry? I don’t know what to make of this. I’ve always been timid with the dr, but now, I’m terrified. 33 f

Best answer:

Answer by The First Dragon
This means the pain specialists will be making their own assessment regarding what you need. The will of course take into account your history.
Pain specialists have many more options than the average doctor. I would think this is a valuable opportunity for you, and maybe should have been tried long ago.
Nevertheless, try to overcome your timidity with the doctor. If you have a problem, tell them, and ask what they suggest for you. Don’t just let it go.

Know better? Leave your own answer in the comments!

Various types of pain from a below-the-knee amputation resulting from diabetic neuropathy?

Question by : Various types of pain from a below-the-knee amputation resulting from diabetic neuropathy?
what pain management plan can be used for various types of pain from a below-the-knee amputation resulting from diabetic neuropathy

Best answer:

Answer by crazyowl
You really need to talk to your doctor about this as the medications available react differently for different people. Try and find a doctor who either specializes in pain management or has an interest in it and consult him/her. Or try alternative remedy’s such as accupuncture etc. Hope you get help

Add your own answer in the comments!

Cool Headaches And Chest Pain images

Check out these headaches and chest pain images:

Leaves of Chocolate weed …Lá c?a cây Tr?ng cua lá b?, Bái gi?y…


Image by Vietnam Plants & America plants
Vietnamese named : V?i gi?y, Bái gi?y, Tr?ng cua lá b?
Common names : Chocolate Weed, Hindi: Bundahia, Bundava, Bundaya
Scientist name : Melochia corchorifolia L.
Synonyms :
Family : Sterculiaceae . H?
Kingdom:Plantae
(unranked):Angiosperms
(unranked):Rosids
Order:Malvales
Genus:Melochia
Species:corchorifolia

Links :

**** 117.6.16.70/dongy/show_target.plx?url=/thuocdongy/V/VaiGi…
V?i gi?y, Bái gi?y, Tr?ng cua lá b? – Melochia corchorifolia L., thu?c h? Trôm – Sterculiaceae.

Mô t?: Cây nh?, cao 0,5-1m, phân nhánh. Lá m?ng nh? gi?y, hình b?u d?c, hình tr?ng thuôn hay hình ng?n giáo, tù hay nh?n, các lá ? d??i có 3 thùy, có r?ng ? mép, mép h?i g?p l?i, cu?ng lá m?nh, ng?n h?n phi?n, ? g?c cu?ng lá có màu h?ng nh?t. C?m hoa ? ??u cành hay nách lá, g?m nhi?u xim dày ??c mang nhi?u hoa nh? màu tr?ng. Qu? nang có lông, hình c?u, 5 ô m?i ô ch?a 1-2 h?t.

Cây ra hoa quanh n?m.

B? ph?n dùng: Thân và lá – Caulis et Folium Melochiae Corchorifoliae.

N?i s?ng và thu hái: Loài c?a Á châu nhi?t ??i và Á nhi?t ??i. ? n??c ta, cây m?c hoang d?i g?n b? b?i vùng ??i núi, trên các ??i c?, bãi hoang hay n??ng r?y.

Tính v?, tác d?ng: Có tác d?ng tiêu viêm, l?i th?p, ch?ng ng?a.

Công d?ng, ch? ??nh và ph?i h?p: Lá non có th? dùng n?u canh ho?c xào ?n, th??ng l?n v?i các lo?i rau khác. Lá c?ng ???c dùng làm thu?c d?u ?au; dùng ??p các v?t th??ng và m?n nh?t.

? ?n ??, thân và lá n?u v?i d?u dùng ??p các v?t c?n c?a r?n n??c ?? ?? phòng h?u qu? x?u.

? Trung Qu?c, thân và lá dùng tr? viêm gan th? hoàng ??n, m?n ng?a, eczema.

**** www.vncreatures.net/chitiet.php?page=2&loai=2&ID=…

___________________________________________________________

**** en.wikipedia.org/wiki/Melochia_corchorifolia
The Chocolate Weed, or Melochia corchorifolia, is a weed-like, tropical plant that is typically seen in the wastelands. It has been most frequently observed to grow in open areas, such as highways.[1] Although Melochia corchorifolia does not have any common usage, it has been utilized as a homeopathic remedy. Its weedy and invasive characteristic inhibits its wider cultivation.

Distribution

Melochia corchorifolia is common in the Southeastern regions of the United States. It has been observed to grow from North Carolina to all the way south into Mississippi. In addition, it is prevalent in tropical areas of Africa, Asia and Australia. Sunny or dimly shaded humid regions of riversides, lakesides are its familiar natural habitats. This plant also grows typically as weed in cotton, soybean and rice plants

Morphology

Melochia corchorifolia has ovate leaves; the petioles are generally 5 cm long with linear stipules of 6 mm long. The veins extend to be from 7 cm long to 5 cm long. [3] This plant is an annual or perennial type of herb. It usually develops to be up to 1.3–2.0 m tall; stem with line of stellate hairs. It’s simple, ovate leaves are normally arranged spirally with the margins very intensely serrated. The blade of the leaves range from narrow to broad to the tip, measures up to 7.5 cm × 5.5 cm

Flowers and fruit

The inflorescence of Melochia corchorifolia comprises crowded cymes with linear bracts. This plant species has flowers of 5 green sepals. The flower of Melochia corchorifolia is purple, with 5 petals, 5-7 mm long. Flowers are bisexual, regular with calyx campanulate of 3 mm long. It is also short-teethed and consists of petals of 8 mm long, white with yellow base inside. The stamens are fused close to the top of the filaments. This purple flower has superior ovary with 5 styles joint at the base. The flowering occurs from July to October.
The fruit contains a 5-valved capsule which measures up to 5 mm in diameter. It holds very few seed, approximately 1 seed per locule. The seeds are wrinkled and brown, about 2.0 – 2.5 mm long in length. Fruits usually develop from September to December

Reproduction

The proliferation is completed via seed. It is often thought that germination can be better significantly by scarification. With scarified seed, germination is done at temperatures of 35–40°C. Additionally, Melochia corchorifolia L is observed to be a host of fungal diseases, such as Rhizoctonia solani

Usage

Melochia corchorifolia is not utilized for decoration or food purposes. However, it contains several phytochemical features. For example, its leaves have been analyzed to have triterpenes (friedelin, friedelinol and ?-amyrin), flavonol glycosides (hibifolin, triflin and melocorin), aliphatic compounds, flavonoids (vitexin and robunin), ?-D-sitosterol , ?-D-glucoside and alkaloids. These naturally occurring alkaloids help in plant growth and contains nitrogen

Food
The leaves of Melochia corchorifolia are consumed as a potherb in West Africa and southern Africa. The cooked leaves present a popular, slimy side-dish in Malawi. Such utilization of the leaves are also quite common in Indo-China and India. Additionally, the stems are used for tying bundles and are used in the construction of roofs of houses.[8]
The dried leaves of Melochia corchorifolia L have been shown to have high crude amount of protein, as well as small amounts of lipids. It also contains critical dietary minerals such as potassium, calcium and magnesium

Medicinal
The leaves have traditionally been utilized for several remedies. For example, it was used to reduce ulcers, abdominal swelling, and headache and chest pain. Among other benefits of the plants, its roots and leaves can help with snakebites, sores and the sap can be treated on wounds due to Antaris

**** agris.fao.org/agris-search/search/display.do?f=2004%2FTH%…

Abstract (English)Seeds of Melochia corchorifolia L. which were surfaced sterilized in a solution of 40 percent Clorox for 40 minutes gave 80 percent of noncontamination. Sterile seeds were cultured on MS (Murashige and Skoog) medium without plant growth regulators. Two-month old seedlings were excised and cultured on MS medium supplemented with 3 mg/l 2,4-D. It was found that calli wer initiated from all explants but the nodal segments produced the best result within 20 days. Multiplication of calli were obtained when the calli were transferred to either solid or liquid MS medium lacking growth regulator; however, liquid medium yield better production of calli compared to solid medium. The crude extract from callus was tested for the vasodilator effect on female rat thoracic aorta. The result revealed that the crude extract decreased the vasoconstrictor effect of noradrenaline in the aorta. This result in similar to the vasodilator effect induced by the crude extract for Melochia corchorifolia L. grown in nature.

**** plants.usda.gov/java/profile?symbol=MECO4
**** www.hear.org/pier/species/melochia_corchorifolia.htm

Leaves of Melochia corchorifolia ….Lá c?a cây Tr?ng cua lá b?….


Image by Vietnam Plants & America plants
Vietnamese named : V?i gi?y, Bái gi?y, Tr?ng cua lá b?
Common names : Chocolate Weed, Hindi: Bundahia, Bundava, Bundaya
Scientist name : Melochia corchorifolia L.
Synonyms :
Family : Sterculiaceae . H?
Kingdom:Plantae
(unranked):Angiosperms
(unranked):Rosids
Order:Malvales
Genus:Melochia
Species:corchorifolia

Links :

**** 117.6.16.70/dongy/show_target.plx?url=/thuocdongy/V/VaiGi…
V?i gi?y, Bái gi?y, Tr?ng cua lá b? – Melochia corchorifolia L., thu?c h? Trôm – Sterculiaceae.

Mô t?: Cây nh?, cao 0,5-1m, phân nhánh. Lá m?ng nh? gi?y, hình b?u d?c, hình tr?ng thuôn hay hình ng?n giáo, tù hay nh?n, các lá ? d??i có 3 thùy, có r?ng ? mép, mép h?i g?p l?i, cu?ng lá m?nh, ng?n h?n phi?n, ? g?c cu?ng lá có màu h?ng nh?t. C?m hoa ? ??u cành hay nách lá, g?m nhi?u xim dày ??c mang nhi?u hoa nh? màu tr?ng. Qu? nang có lông, hình c?u, 5 ô m?i ô ch?a 1-2 h?t.

Cây ra hoa quanh n?m.

B? ph?n dùng: Thân và lá – Caulis et Folium Melochiae Corchorifoliae.

N?i s?ng và thu hái: Loài c?a Á châu nhi?t ??i và Á nhi?t ??i. ? n??c ta, cây m?c hoang d?i g?n b? b?i vùng ??i núi, trên các ??i c?, bãi hoang hay n??ng r?y.

Tính v?, tác d?ng: Có tác d?ng tiêu viêm, l?i th?p, ch?ng ng?a.

Công d?ng, ch? ??nh và ph?i h?p: Lá non có th? dùng n?u canh ho?c xào ?n, th??ng l?n v?i các lo?i rau khác. Lá c?ng ???c dùng làm thu?c d?u ?au; dùng ??p các v?t th??ng và m?n nh?t.

? ?n ??, thân và lá n?u v?i d?u dùng ??p các v?t c?n c?a r?n n??c ?? ?? phòng h?u qu? x?u.

? Trung Qu?c, thân và lá dùng tr? viêm gan th? hoàng ??n, m?n ng?a, eczema.

**** www.vncreatures.net/chitiet.php?page=2&loai=2&ID=…

___________________________________________________________

**** en.wikipedia.org/wiki/Melochia_corchorifolia
The Chocolate Weed, or Melochia corchorifolia, is a weed-like, tropical plant that is typically seen in the wastelands. It has been most frequently observed to grow in open areas, such as highways.[1] Although Melochia corchorifolia does not have any common usage, it has been utilized as a homeopathic remedy. Its weedy and invasive characteristic inhibits its wider cultivation.

Distribution

Melochia corchorifolia is common in the Southeastern regions of the United States. It has been observed to grow from North Carolina to all the way south into Mississippi. In addition, it is prevalent in tropical areas of Africa, Asia and Australia. Sunny or dimly shaded humid regions of riversides, lakesides are its familiar natural habitats. This plant also grows typically as weed in cotton, soybean and rice plants

Morphology

Melochia corchorifolia has ovate leaves; the petioles are generally 5 cm long with linear stipules of 6 mm long. The veins extend to be from 7 cm long to 5 cm long. [3] This plant is an annual or perennial type of herb. It usually develops to be up to 1.3–2.0 m tall; stem with line of stellate hairs. It’s simple, ovate leaves are normally arranged spirally with the margins very intensely serrated. The blade of the leaves range from narrow to broad to the tip, measures up to 7.5 cm × 5.5 cm

Flowers and fruit

The inflorescence of Melochia corchorifolia comprises crowded cymes with linear bracts. This plant species has flowers of 5 green sepals. The flower of Melochia corchorifolia is purple, with 5 petals, 5-7 mm long. Flowers are bisexual, regular with calyx campanulate of 3 mm long. It is also short-teethed and consists of petals of 8 mm long, white with yellow base inside. The stamens are fused close to the top of the filaments. This purple flower has superior ovary with 5 styles joint at the base. The flowering occurs from July to October.
The fruit contains a 5-valved capsule which measures up to 5 mm in diameter. It holds very few seed, approximately 1 seed per locule. The seeds are wrinkled and brown, about 2.0 – 2.5 mm long in length. Fruits usually develop from September to December

Reproduction

The proliferation is completed via seed. It is often thought that germination can be better significantly by scarification. With scarified seed, germination is done at temperatures of 35–40°C. Additionally, Melochia corchorifolia L is observed to be a host of fungal diseases, such as Rhizoctonia solani

Usage

Melochia corchorifolia is not utilized for decoration or food purposes. However, it contains several phytochemical features. For example, its leaves have been analyzed to have triterpenes (friedelin, friedelinol and ?-amyrin), flavonol glycosides (hibifolin, triflin and melocorin), aliphatic compounds, flavonoids (vitexin and robunin), ?-D-sitosterol , ?-D-glucoside and alkaloids. These naturally occurring alkaloids help in plant growth and contains nitrogen

Food
The leaves of Melochia corchorifolia are consumed as a potherb in West Africa and southern Africa. The cooked leaves present a popular, slimy side-dish in Malawi. Such utilization of the leaves are also quite common in Indo-China and India. Additionally, the stems are used for tying bundles and are used in the construction of roofs of houses.[8]
The dried leaves of Melochia corchorifolia L have been shown to have high crude amount of protein, as well as small amounts of lipids. It also contains critical dietary minerals such as potassium, calcium and magnesium

Medicinal
The leaves have traditionally been utilized for several remedies. For example, it was used to reduce ulcers, abdominal swelling, and headache and chest pain. Among other benefits of the plants, its roots and leaves can help with snakebites, sores and the sap can be treated on wounds due to Antaris

**** agris.fao.org/agris-search/search/display.do?f=2004%2FTH%…

Abstract (English)Seeds of Melochia corchorifolia L. which were surfaced sterilized in a solution of 40 percent Clorox for 40 minutes gave 80 percent of noncontamination. Sterile seeds were cultured on MS (Murashige and Skoog) medium without plant growth regulators. Two-month old seedlings were excised and cultured on MS medium supplemented with 3 mg/l 2,4-D. It was found that calli wer initiated from all explants but the nodal segments produced the best result within 20 days. Multiplication of calli were obtained when the calli were transferred to either solid or liquid MS medium lacking growth regulator; however, liquid medium yield better production of calli compared to solid medium. The crude extract from callus was tested for the vasodilator effect on female rat thoracic aorta. The result revealed that the crude extract decreased the vasoconstrictor effect of noradrenaline in the aorta. This result in similar to the vasodilator effect induced by the crude extract for Melochia corchorifolia L. grown in nature.

**** plants.usda.gov/java/profile?symbol=MECO4
**** www.hear.org/pier/species/melochia_corchorifolia.htm

X-Ray of Cervical Spine | Spinal Cord Compression | Donald Corenman, MD | Spine Surgery Colorado

Some cool reduce back pain images:

X-Ray of Cervical Spine | Spinal Cord Compression | Donald Corenman, MD | Spine Surgery Colorado


Image by neckandback
This image represents a pre-operative lateral x-ray of the cervical spine. The black double arrow notes the reduced diameter of the spinal canal causing compression of the spinal cord

All photos provided with a creative commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Use freely without alteration for non-commercial use but give attribution to "Dr. Donald Corenman, MD – Spine Surgery Colorado" and link to www.neckandback.com. Requests for commercial usage: neckandback.com/contact/dr-donald-corenman-md-dc.

X-Stop Spine Implant | Treatment for Spinal Stenosis | Spine Pain Treatment | Colorado Spine Specialist


Image by neckandback
This figure shows an X-Spot implant that is positioned between spinous processes. Lumbar spinal stenosis occurs when the space that resides between the vertebrae is decreased and/or reduced. When this occurs, bone and soft tissue can come into contact with spinal nerves causing spinal pain and leg pain. One treatment option is to use a device known as an X-Stop spacer. This implant fits between two bones in the spine–right where the pinched nerve resides. This spacer is designed to help relieve pain by lifting the vertebra off of the pinched nerve.

Dr. Donald Corenman, Vail, CO Orthopedic Spine Surgeon, has written countless articles and documents on spine and back pain. He is also the author of books relating to the spine and back.

For consumer books: whybackshurt.com

For professional book: understandthespine.com

Attribution-NonCommercial-NoDerivs 3.0 Unported License. Use freely without alteration for non-commercial use but give attribution to "Dr. Donald Corenman, MD – Colorado Spine Specialist" and link to www.neckandback.com. Requests for commercial usage: neckandback.com/contact/dr-donald-corenman-md-dc.

Chronic pain in left foot? Not the bones, tendons, or ligaments? What could this be?

Question by : Chronic pain in left foot? Not the bones, tendons, or ligaments? What could this be?
Hi, I am 15, and for 9.5 months I have had chronic pain in my left foot that is worst when bearing weight on my left foot. I was in a boot for 8 weeks, on crutches for 6, from mid-April to mid-June. While the pain diminished, it was never fully resolved, but I was able to exercise relatively normally over the summer, but I began experiencing worse pain in September when I began school again. We were running in gym class twice a week, and while I had been running over the summer, that seemed to push me over the edge. I have been out of gym since then, and for about a month I have been back in a boot, but walking. My foot still is not healing, and we are going to see a diagnostic pediatrician, who will hopefully be able to tell us what is going on (they are the people who make complex diagnoses, and connections that could be seemingly unrelated), but we cannot get an appointment for another month. I have had countless x-rays, so there are no fractures. I have had a MRI, so it is not a tendon/ligament tear. I have also had a bone scan so nothing is structurally wrong with the bone. According to my MRI, bone scan, and x-rays, I should not be feeling pain. We have, I feel, explored nearly every option there is. I do sometimes experience numbness and tingling in my left foot that I do not feel anywhere else on my body. There is a spot above my big toe, where, if you press, it sends a sort of shock up to the end of the toe. I have tried both using ice and taking ibuprofen, and neither helped.

I feel almost like there are no other causes of this chronic pain. I know seeing the doctor is the only way to truly find out, but are there any possibilities as to what this could be besides the bones, tendons, or ligaments? Has anyone else experienced this and gotten a diagnosis of it? What can I do to manage the pain for the next month? The pain has become so severe that I find myself almost wanting to be completely off my foot. Please help me, I’m desperate.

Best answer:

Answer by Mr E
” i know seeing this doctor is the only way…”. then why are you asking us? horse crap. i had someone who had chronic foot pain. they went to a podiatrist who couldn’t find anything wrong. when they kept complaining, the quack said he would do an exploratory surgery, even though he still had no clinical justification to cut her. i found she had a subluxated navicular and adjusted it. the pain was gone.

What do you think? Answer below!

Lastest Foot Pain Between Toes News

walking wounded – 56:366


Image by noodlepdx
week 8 milestone – 25 March – only three more missed days’ photos to upload, then I’m current again.

My toes have been like this since I bought new cleats for frisbee in July of last year. I guess my big toes in particular are nonconformist. It hurt the first few times I played. Now it’s mostly all right, though I can feel fresh injury a little bit here and there. In other respects the cleats fit well, and I’m still hoping they’ll be fully broken in eventually — but I’ve played in them probably as much as a hundred hours.

I decided to shoot my feet on this day because I was still a mess, unshowered and unshaved, and it seemed symbolic to me that I have made the effort, done my part, but change is slow and our actions leave marks on our bodies and in our minds. Sometimes they take quite a long time to heal, and sometimes we continually subject ourselves to re-injury.

There’s a desaturated color outtake with a square crop.

This song goes out
To all the hopeless sinners
With grave allegiances
So meaningless and vain

The walking wounded
In a pageant of contenders
Who balance on a rail of pain
For just a pail of rain

And everything is barely mist
Blood relations and bricks
My expression, my confession, add it up
Extract a lesson more than this
Once again, like a bullet, as a friend
Tell me, can that be all there is?

In my rectory of doubt
I kneel to pray like one devout
As time the great gray dreamless sleep
Of a useless modern God

Erodes away, each storied day as
Wretched Adams, with hell to pay
Content upon a rail of pain
For just a little rain

And everything is dearly missed
Blood relations and bricks
My expression, my confession, add it up
Extract a lesson, more than this
Once again, like a bullet as a friend
Tell me, can that be all there is?

There’s an endless disposition
And it doesn’t mean a goddamn thing
There’s space for a paper airplane race
In the eye of a hurricane

And if pigs could fly, then surely so could I
But this pedestrian knows better than to even try
And my divinity is caught between the colors of a butterfly

And everything is dearly missed
Blood relations and bricks
My expression, my confession, add it up
Extract duress and more than this
Once again, like a bullet, as a friend
Tell me, can that be all there is?

All there is?

– "All There Is" by Bad Religion