Your Underactive Thyroid Could Be Controlling Your Life

Posted by admin | July 30th, 2010 in Thyroid | No Comments »

You might have to do some convincing to get your doctor to run the tests for thyroid disease. And even if you do and the results are not conclusive better hope you have an intuitive MD by your side or you’ll never get the treatment you need to bring this condition under control and give you back your life, which little more than some like to admit, is regulated by the hormone output of your thyroid.

Many times preliminary tests will not show enough variance from the norm to alert your doctor that your thyroid may be sending the rest of your body the right stop and go signals. Many times it will take an accumulation of the symptoms, some blood work and a doctors intuition and experience to get you on a treatment regime of thyroid-stimulating medications to kick start your metabolism and all the things that move forward from there.

When you consider the wide range of symptoms that could be caused either by some directly related illness or environmental condition while also being a great candidate for being thyroid induced and you have a panacea of possibilities. The best verifier is the multiple semi related symptoms that condense around a hypothyroidism problem.

You might have to let these symptoms play out until it starts to gel in the eyes of your physician and a common thyroid connection starts to become obvious, especially where previous blood tests were not good candidates or were a little suspect at best. You will need to be an equal partner in the quest to identify and then treat the underactive thyroid.

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Bariatric Surgery -part 3-

Posted by mzPOTTER | July 29th, 2010 in Bariatric Surgery | No Comments »

bariatric surgeryAfter Bariatric Surgery

The recovery, after Bariatric Surgery, in the case of the gastric band and the tube is fast. The patient can go out three days in a week-10 days, return to your normal life. The practice of any physical exercise or sports should be delayed until 20 days after surgery. The bypass rejoins normal activity on the 30th.

For both techniques, the patient is changing, gradually, your diet: liquid 2-3 weeks, going on a diet finely ground, crushed coarse and reaches the normal diet in 20-30 days, depending on the type of technique .

Diet, Lifestyle and Weight Loss

When our patients have reached the stage of solid foods, it is time that diets designed by nutritionists customized to each individual. These diets are tailored to the needs of each patient, depending on their degree of obesity, changes in weight, and program implementation. Although dietary guidelines must be observed, the patient undergoes little or no hunger if you have had a restrictive or mixed technique. Read the rest of this entry »

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Bariatric Surgery -part 2-

Posted by mzPOTTER | July 26th, 2010 in Bariatric Surgery | No Comments »

bariatric surgeryWhat kind of bariatric surgery is indicated for treating my obesity?

The best technique for interventional obesity is one that adapts to the excess weight of the patient, their food profile, psychological profile and their fears and lifestyle.

In general, depending on the degree of obesity, our team recommends:

* BMI 30-35 -> Intragastric balloon
* BMI 35-40 -> Balloons, Band or gastrectomy tubular pipe according to age, the food profile of the patient and whether or not severe comorbidities such as diabetes
* BMI 40-50/55 laparoscopic adjustable gastric banding or tubular gastrectomy
* BMI> 55-60 tubular gastrectomy or gastric bypass
* Special cases: male with BMI 45-50 with T2DM (diabetes). This patient will probably benefit much more from a tubular gastrectomy or bypass it in a band. You have to individualize their test HOMA insulin resistance, if your pancreatic function is maintained (peptide C) and when years ago suffering from T2DM. Read the rest of this entry »

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Bariatric Surgery -part 1-

Posted by mzPOTTER | July 22nd, 2010 in Bariatric Surgery | No Comments »

bariatric surgery

What is Bariatric Surgery?

The part of the surgery that deals with the surgical treatment of obesity.

Types of Bariatric Surgery

The techniques used in bariatric surgery are based on two principles:

• FOOD RESTRICTION: by reducing the stomach capacity, the patient eats less food, since it is satisfied earlier. The ball, band, tube gastrectomy and gastric bypass use this principle. Even if the balloon should be considered more invasive technique such as surgery.

• FOOD MALABSORPTION: by making the food no longer go through certain sections of stomach and intestine, is looking for decreased absorption of ingested food. Gastric bypass, the duodenal and biliopancreatic diversion are techniques that combine the principle restrictive and malabsorption of food components. Read the rest of this entry »

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Anesthesia For Laparoscopic Surgery -part 4-

Posted by mzPOTTER | July 19th, 2010 in Laparoscopic Surgery | No Comments »

anesthesia for laparoscopic surgeryCOMPLICATIONS OF LAPAROSCOPIC SURGERY

Complications related to anesthesia occur between 0.016 to 0.075% of patients and very rarely fatal. Complications can be divided due to the anesthetic technique, due to CO2 insufflation or error in the techniques and surgical instruments.

1 .- Nausea and Vomiting: Handling the parietal peritoneum and the pneumoperitoneum after abdominal viscera, vagal stimulation can produce reflexes that trigger nausea, diaphoresis, and bradycardia. That is why we must take into account medication Ondancetron, Droperidol and H2 blockers prior to surgery. Read the rest of this entry »

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District Nursing Training Programs and Job Description

Posted by admin | July 15th, 2010 in Nursing Training | No Comments »

District nursing is one out of many specialized types of health care services available in the United Kingdom. The professionals are called the district nurses and they work by coming to their patients’ home or other assisted living centers and treating them there to reduce the necessity of hospitalization. The circumstances allow patients to live more independent lives.

NHS nurses jobs in the field of district nursing involve checking vital signs, changing dressings or bandages, and monitoring the use of devices such as pacemakers, catheters or colostomy bags. Additionally, district nurses also provide technical and emotional support to the families of the patients, which may come in the forms of resources for financial needs and counseling.

Before you apply for NHS nurses jobs and secure a position as a district nurse, you must be a qualified registered nurse and you will be required to take special training. The training programs are called as specialist practitioner programs and are at degree level. The whole programs take at least one year to complete under normal circumstances.

Comprised in 50% theory and 50% practice, the focus of this specialist practitioner programs covers clinical nursing practice, care and program management, clinical practice development, and clinical practice leadership. It is possible to complete the programs in less than a year if credit is given for prior learning or experience.

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Anesthesia For Laparoscopic Surgery -part 3-

Posted by mzPOTTER | July 15th, 2010 in Laparoscopic Surgery | No Comments »

anesthesia for laparoscopic surgery

ANESHETERISK MANAGEMENT OF LAPAROSCOPIC SURGERY

1. – Pre Anesthetic Medication: Since laparoscopic surgery is a procedure that has been widely used for its minimally invasive approach, favoring a speedy recovery and the return to daily activities of the patient. We then use the appropriate anesthetic medication pre not prolong the patient’s recovery.

Therefore drugs that can prolong the patient’s stay in recovery are relatively contraindicated, such as long-term opioids such as fentanyl and also to prolong the anesthetic effect can cause itching and nausea postoperatively. But is up to the, anesthesiologist use. Longed for analysis, it is more advisable to use benzodiazepines, especially midazolam, its rapid metabolism and amnesic effects. Read the rest of this entry »

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Anesthesia For Laparoscopic Surgery -part 2-

Posted by mzPOTTER | July 12th, 2010 in Laparoscopic Surgery | No Comments »

anesthesia for laparoscopic surgeryPHYSIOLOGICAL CHANGES DURING ANESTHESIA

During anesthesia in laparoscopic surgery we will find a series of pathophysiological changes that depend on CO2 insufflation into the abdominal cavity, resulting in hemodynamic, respiratory, metabolic and other systems which we must account for its handling and understand their possible complications.

1. – Hemodynamic changes: The hemodynamic changes observed during laparoscopic surgery will be determined by changes in position are subjected to patients and the mechanical effect exerted by the compression of CO2 into the peritoneal cavity. During induction, the pressures of reduced left ventricular filling in turn causing a decrease in heart rate, maintaining the same mean arterial pressure. These changes are probably due to the depressant action of induction agents as well as by decreased venous return by the position of the patient. Read the rest of this entry »

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Anesthesia For Laparoscopic Surgery -part 1-

Posted by mzPOTTER | July 8th, 2010 in Laparoscopic Surgery | No Comments »

anesthesia for laparoscopic surgery

INTRODUCTION

Laparoscopic procedures have revolutionized the current field of surgery, gynecology and urology modern, so that surgical graduate programs now include in their programs as part of laparoscopic surgery the surgeon’s training. Laparoscopic surgery has many advantages over traditional surgery “open”: You can do an outpatient basis, there is a quicker recovery and less trauma to skin scarring very small and less postoperative pain.

The concept of laparoscopy was accredited in 1920 Kellig who visualize the abdominal organs of a dog using cystoscopy. In 1923, he published his experience jacobeus Laparoscopy in human subjects. Originally atmospheric air was used as an agent to inflate the abdominal cavity for laparoscopy, a syringe through the abdominal cavity crossed by two holes made for this purpose. Read the rest of this entry »

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Laparoscopic Surgery

Posted by mzPOTTER | July 5th, 2010 in Laparoscopic Surgery | No Comments »

laparoscopic surgeryDEFINITION

Laparoscopic surgery is a surgical technique that is performed through small incisions, using the assistance of a video camera that allows the team physician to view the surgical field within the patient and operate on it. Is called minimally-invasive techniques such as avoiding large knife cuts required by the conventional open surgery or possible, therefore, a post-operative period much faster and comfortable.

The surgery is performed through a video camera that is inserted into the body through an incision, this small camera has a cold light source that illuminates the surgical field within the body. Read the rest of this entry »

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