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a Woman Giving Triplets Natural Vaginal Birth
a Woman Giving Triplets Natural Vaginal Birth hooda 30,156 Views • 2 years ago

Watch that video of a Woman Giving Triplets Natural Vaginal Birth

WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery
WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery Surgeon 350 Views • 2 years ago

Dr. Debbie Song at Gillette Children's describes in detail selective rhizotomy surgery.

A selective dorsal rhizotomy is an operation performed to treat spasticity. It is thought that high tone and spasticity arise from abnormal signals that are transmitted through sensory or dorsal nerve roots to the spinal cord. In a selective dorsal rhizotomy we identify and cut portions of the dorsal nerve roots that carry abnormal signals thereby disrupting the mechanisms that lead to spasticity. Potential patients go through a rigorous assessment that includes an in-depth gait and motion analysis as well as a physical therapy evaluation.

They are evaluated by a multidisciplinary team that includes a pediatric rehabilitation doctor, a neurosurgeon, and an orthopedist, Appropriate patient selection is vital. Ideal candidates for selective dorsal rhizotomy are children who are between four and ten years of age, have a history of being born prematurely, and have a diagnosis of diplegia cerebral palsy. These patients usually walk independently or with the assistance of crutches or a walker. They typically function at a level one, two, or three in the gross motor function classification system or gmfcs. A selective dorsal rhizotomy involves the coordinated efforts of the neurosurgery, physiatry, anesthesia and nursing teams. The operation entails making an incision in the lower back that is approximately six to eight inches long. We perform what we call a laminoplasty in which we remove the back part of the spinal elements from the lumbar one or l1 to l5 levels. At the end of the procedure the bone is put back on. We identify and open up the Dural sac that contain the spinal fluid spinal cord and nerve roots. Once the Dural sac is opened ,we expose the lumbar and upper sacral nerve roots that transmit information to and from the muscles of the lower extremities.

At each level we isolate the dorsal nerve root, which in turn is separated into as many as 30 smaller thread light fruitlets.

Each rootlet is then electrically stimulated. Specialized members of the physiatry team look for abnormal responses in the muscles of the legs as each rootless is being stimulated. If an abnormal response is observed then the rootlet is cut.

If a normal response is observed, then the rootlet is not cut. We usually end up cutting approximately 20 to 40 percent of the rootlets. The Dural sac is sutured closed and the l1 through l5 spinal elements are put back into anatomic position, thus restoring normal spinal alignment. The overlying tissues and skin are then closed and the patient is awoken from surgery. The entire operation takes between four and five hours. A crucial component to the success of our rhizotomy program is the extensive rehabilitation course following surgery. With their tone significantly reduced after a rhizotomy, patients relearn how to use their muscles to walk more efficiently through stretching, strengthening, and gait training. Approximately one to two years after a rhizotomy patients undergo repeat gait and motion analysis. The orthopedic surgeons assess the need for interventions to correct bone deformities, muscle contractures, poor motor control, impaired balance, or other problems related to cerebral palsy.

At Gillette we work closely with patients and families to ensure that our selective dorsal rhizotomy program meets their goals for enhancing their function and improving their quality of life.

VISIT https://www.gillettechildrens.org/ to learn more

0:00 Why choose selective dorsal rhizotomy?
0:56 Who is a good candidate for selective dorsal rhizotomy?
1:31 What does a selective dorsal rhizotomy entail?
3:26 What is recovery from selective dorsal rhizotomy like?

Best Sex Position to Get Pregnant Fast
Best Sex Position to Get Pregnant Fast s 6,976 Views • 2 years ago

Best Sex Position to Get Pregnant Fast

Female Laparoscopy & Infertility by Fertility Doctor Raewyn Teirney
Female Laparoscopy & Infertility by Fertility Doctor Raewyn Teirney Surgeon 484 Views • 2 years ago

http://drraewynteirney.com.au/video/
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Dr Raewyn Teirney - fertility specialist and Gynaecologist in Sydney shows a video recording of a laparoscopy for a woman with infertility and pelvic pain.

Human Skull Opening and Brain Removal During Autopsy
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Draining Huge Back Cyst
Draining Huge Back Cyst Scott 39,672 Views • 2 years ago

Draining Huge Back Cyst

Is A Condom Enough Birth Control?
Is A Condom Enough Birth Control? samer kareem 2,199 Views • 2 years ago

The best way to make condoms work as well as possible is to use them correctly every single time you have vaginal, oral, and anal sex. That means wearing it the whole time, from start to finish. Make sure the condom is rolled on your penis the right way before there’s any skin-to-skin genital contact. Read more about how to use condoms correctly.

3rd. Annual W.B. Ingalls Memorial Seminar - Dr. Sartor
3rd. Annual W.B. Ingalls Memorial Seminar - Dr. Sartor tmanrique 9,401 Views • 2 years ago

Prostate Health and Cancer Seminar features nationally renowned physicians and scientists presenting the most current study and practices for the diagnosis and treatment of prostate cancer. This day-long program offers in-depth exploration of prostate issues that range from monitoring PSA counts to cutting-edge research to current treatment trends.

Medical Videos - World's First Head Transplant Surgery
Medical Videos - World's First Head Transplant Surgery hooda 83,376 Views • 2 years ago

Watch that video to know more about the World's First Head Transplant Surgery

Hemodialysis Procedure #shorts #dialysis
Hemodialysis Procedure #shorts #dialysis Scott 59 Views • 2 years ago

The objectives of hemodialysis are to extract toxic nitrogenous substances from the blood and to remove excess water. In hemodialysis, the blood, laden with toxins and nitrogenous wastes, is diverted from the patient to a machine, a dialyzer, in which the blood is cleansed and then returned to the patient. Diffusion, osmosis, and ultrafiltration are the principles on which hemodialysis is based.

The toxins and wastes in the blood are removed by diffusion—that is, they move from an area of higher concentration in the blood to an area of lower concentration in the dialysate. The dialysate is a solution made up of all the important electrolytes in their ideal extracellular concentrations.

The electrolyte level in the patient’s blood can be brought
under control by properly adjusting the dialysate bath. The semipermeable membrane impedes the diffusion of large molecules,
such as red blood cells and proteins.

#hemodialysis #dialysis #viral #urinaryinfection #shorts #medical #animation

Female Foley Insertion (Urinary Catheter) [How to Insert Nursing Skills]
Female Foley Insertion (Urinary Catheter) [How to Insert Nursing Skills] nurse 1,168 Views • 2 years ago

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Female Foley Insertion (Urinary Catheter)- Nursing Skills

In this video, we’re going to look at inserting a Foley catheter in a female. Of course make sure you’ve verified your order and told the patient what’s happening. You’ll also typically want to perform perineal care before you start. Then, you’ll want to assist the patient into the appropriate position. For females, that’s supine with their knees bent and feet close to their hips – allowing their knees to fall to the side. You may need a helper to help hold the patient in this position. We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Female Foley insertion introduction
0.15 Patient positioning
0.27 Opening the sterile kit
1.41 Setting up the sterile field
2.25 Prepping the remaining Foley kit items
2.34 Catheter lubrication
3.00 Saline syringe attachment
3.10 Iodine, swabs and cleansing the area
3.52 Catheter insertion (into urethra)
4.06 Balloon inflation
4.25 Final catheter setting
4.31 Securing the catheter and bag
4.48 Discarding your supplies
5.00 Documentation
5.08 Foley insertion outro

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NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.com.

Late Term Abortion Baby Stuck inside Mother Doctor Crushes Head
Late Term Abortion Baby Stuck inside Mother Doctor Crushes Head Osama Kloub 479,319 Views • 2 years ago

CORRECTION: After review of this video, it is clear that this video is of a baby who is near full term (40 weeks) based on the size. Late trimester "abortions" are defined only to viability of a baby (24 weeks) A 24 week baby is much smaller than this baby shown and by definition this is not a late "abortion" procedure. The proper labeling of this video should be management of a deceased breech baby with "head entrapment" as this was almost certainly a naturally occuring delivery and an OB nightmare (Reviewed by Dr. Frederick Bright)

Best Positions for Getting Pregnant
Best Positions for Getting Pregnant Scott 53,056 Views • 2 years ago

There are lots of fallacies about the missionary position being the best position for getting pregnant. With the woman on her back and her partner on top, it is thought that gravity will assist the sperm to swim upwards towards the egg.

Vaginal Speculum and Bimanual Exam
Vaginal Speculum and Bimanual Exam Medical_Videos 51,083 Views • 2 years ago

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Superior Treatment for Varicose Veins
Superior Treatment for Varicose Veins samer kareem 1,869 Views • 2 years ago

Varicose veins are generally benign. The cause of this condition is not known. For many people, there are no symptoms and varicose veins are simply a cosmetic concern. In some cases, they cause aching pain and discomfort or signal an underlying circulatory problem. Treatment involves compression stockings, exercise, or procedures to close or remove the veins.

Vaginal hysterectomy!
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Men Health - Difference Between White and Clear Sperm
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Prostate exam: Digital rectal exam demonstration
Prostate exam: Digital rectal exam demonstration Scott 13,488 Views • 2 years ago

A digital rectal examination (DRE) is a simple procedure doctors use to examine the lower rectum and other internal organs. A DRE is done for a number of reasons. It's a quick, easy way to check the health of a man's prostate gland. It can detect conditions like an enlarged prostate

Disorders of sexual development
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Abortion Surgery Video
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Dilatation and curretage technique.

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