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Transitional Pain Program – Expert Quote – Dr. Hance Clarke

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A world-first transitional pain program that aims to stop pain from becoming chronic after surgery is being pioneered at Toronto General Hospital, University Health Network.

The one-year pilot program is designed to treat complex pain patients who have had surgery by helping with pain control, monitoring and weaning patients off excessive amounts of opioid medications for pain, and providing much-needed support for patients after they are discharged from the hospital. Follow-up care is provided by a diverse team of clinicians who specialize in pain control. Program specialists are not aware of any other such program in scientific publications.

Poorly controlled postsurgical pain is a risk factor for hospital re-admission and increased use of health care resources.
The program, which began in June 2014, also hopes to answer compelling questions of which risk factors cause chronic pain, what works best to stop or modify the “pain pathway” for patients, and how interventions can prevent hospital re-admissions of complex patients after surgery.

“We want to break the cycle of pain with multiple pain strategies,” says Dr. Hance Clarke, Medical Director of the Pain Research Unit and Director of The Transitional Pain Service in the Anesthesia Department and Pain Management at Toronto General Hospital (TGH). He adds that after about three months, post-surgical pain can develop into chronic pain, therefore it is important to intervene before this happens. As many as 30% of surgical patients develop chronic pain after surgery, and are at an increased risk for long-term opioid use. 50% of patients after major surgery are discharged from hospital with a prescription for opioids.

Chronic Pain Following Inguinal Hernia Repair: Archana Ramaswamy, M.D.

Challenging Hernias Postgraduate Course
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Treating the Whole Person: Chronic Pain and Fatigue Research Center

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Andrew Schrepf: Chronic Pain and Fatigue Research Center

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"Psychological Strategies for the Treatment of Chronic and Procedural Pain" by Neil Schechter

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"Psychological Strategies for the Treatment of Chronic and Procedural Pain"  by Neil Schechter

In this video, Drs. Schechter, Logan, Coakley and Chambers discuss the role that psychologists play in the treatment of pediatric chronic and procedural pain.

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

Meet Katie, who has struggled with pain for most of her life. After participating in the Pain Program for Active Coping & Training, a study funded by the National Institutes of Health Common Fund, Katie now has the support and skills to take a more active role in managing her pain.
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Understanding the Cells of the Immune System

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Understanding the Cells of the Immune System

A visual explanation of the cells of the immune system and their different functions that provide an immune response to an invading pathogen.

Written notes on this topic are available at: https://zerotofinals.com/physiology/immunology/cells/

Why not have a look at some of the other resources available:

Website: www.zerotofinals.com
Notes: www.zerotofinals.com/learn
Multiple Choice Questions: www.zerotofinals.com/test
Instagram: www.instagram.com/zerotofinals/
Book: www.zerotofinals.com/themedicinemanual
Facebook: www.facebook.com/zerotofinals
Twitter: https://twitter.com/zerotofinals
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This animation shows how the body naturally responds to and destroys invading bacteria.

Symptoms of a Herniated Disc

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Symptoms of a Herniated Disc

It’s the most common cause of back and neck pain. A herniated disc can happen from an injury, exertion, or over time.

Dr. Dean Lin, a neurosurgeon with Lee Health, says sometimes there are options other than surgery that can help patients manage the pain. “A herniated disc is when part of the disc material that’s in the body that separates the vertebra actually comes out of that area where it normally lives. The problem with that is there are nerves that run right past this area so it ends up pinching a nerve.”

A pinched nerve can cause pain throughout different parts of the body. “A herniated disc, if it happens in the neck, will cause shooting pain down the arm to the fingers. The same with the lower back except it goes down to the leg, typically just one leg,” said Dr. Lin.

In addition to the back or neck pain, a herniated disc can also cause numbness, tingling, even weakness. “If there’s a weakness there then this is something we typically operate on sooner rather than later but if there’s no weakness and we are primarily dealing with a pain issue then we can try to treat this conservatively first,” said Dr. Lin.

Patients experiencing pain can try physical therapy, rest, or medication like epidural injections to manage the pain. Doctors say there are times a herniated disc can repair itself. “But if the pain gets worse and they develop a motor deficit like we talked about then surgery is indicated,” said Dr. Lin.

Doctors say it’s a very common injury that can happen at any age. If you have any of the symptoms check with your doctor about managing the pain.

View More Health Matters video segments at LeeHealth.org/Healthmatters/

Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health – Caring People. Inspiring Care.

Visit LeeHealth.org
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In this animation we explain what a hernia is and that this condition can involve discs in the spine. Although in many cases herniated discs recover without intervention, sometimes surgery is necessary. In the animation we explain the different types of surgical treatment of a herniated disc, such as an open discectomy, a laminotomy and a laminectomy.

Healthchannel makes complex medical information easy to understand. With 2D and 3D animations checked by medical specialists, we give information on certain diseases: what is it, what are the causes and how is it treated? Subscribe to our Youtube channel and learn more about your health!

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432 Hz – Deep Healing Music for The Body & Soul – DNA Repair, Relaxation Music, Meditation Music

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432 Hz - Deep Healing Music for The Body & Soul - DNA Repair, Relaxation Music, Meditation Music

432 Hz – Deep Healing Music for The Body & Soul – DNA Repair, Relaxation Music, Meditation Music

Welcome to our channel Meditation and Healing.
Meditation and Healing is an online channel which aims to serve you the best quality of Relaxing Music, Meditation Music, Sleep Music, Healing Music, Study Music, Reiki Healing Music, Zen Music, Spa Music, Yoga Music and Massage Music.In Addition we also generates brain wave Binaural Beats ( Delta Wave, Theta Wave, Alpha Wave, Gamma Wave & Beta Wave ) to solve the various health problems like anxiety,disorders,sleep problem,depression,insomnia,focus,migrain,stress, agressive behaviour and many more.

We compose the music which has soothing and calming sound for perfect Relaxation,Meditation,Sleep and also for Concentration and Focus.

Relaxation Music : Meditation and Healing is the perfect channel for Relaxation Music.The Soothing sounds of Piano, Guitar, Violin, Pads, Light Drums, Flute and Bells are so relaxing which encourage you to relax your mind,body,soul,reduce your stress and gives you inner peace.

Meditation Music : The numbers of Meditation Music which are uploaded in our channel are specially designed for the meditation purpose.Soothing sounds of pads and bells sound give you positive vibes.These kinds of Meditation music are perfect for Positive Motivation Energy and Relax Mind Body.

Yoga Music : Soothing, Calming and Soft Music we uploaded in our channel are also very useful for Yoga Meditation.We have also Yoga Morning Energizing music which is also for Yoga beginners.

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CD BABY ► https://store.cdbaby.com/Artist/PrabinDangol1

Please like, share and subscribe.
© Meditation and Healing © Prabin Dangol All rights reserved

🙏 Please follow me on:
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🎶 Download My Music from the following sources:
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👦 About Myself:
My name is Prabin Dangol, a music composer and a sound designer. I have been composing music for almost 15 years on various genre. My moto is simply to spread positive energy and thoughts all over the world. My music generally helps to enhance positive energy and relax mind body.
If you love my work, I request you to connect with me by subscribing to my Meditation & Healing or Transformation & Miracle Channel.
More about me: http://meditationhealingmusic.com/about/

© All Music are copyrighted to Meditation & Healing YouTube Channel by Prabin Dangol ( P.D)
Images Licenced from: DepositPhotos.
Footages Licenced from: Videoblocks/ Storyblocks.

Hernia Repair Inguinal (Laparoscopic) Nebraska Patient Education

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Hernia Repair Inguinal (Laparoscopic) Nebraska Patient Education

Before we talk about treatment, let’s start with a discussion about the human body and about your medical condition. Your doctor has told you that you have a hernia. But what does that actually mean?
Patient Education
In general terms, we can say that a hernia occurs when the layers that make up the abdominal wall weaken. In other words, the fabric of muscle and other tissues which protect the gut, develops a defect, or weakness. Through that defect the peritoneum (PER-IT-TA-NEE-UM) – and perhaps other organs – push their way outward, forming a lump which can be felt – and sometimes seen – protruding from the abdomen.
During normal childhood development, boy’s testes slowly descend from the interior of the abdomen, down into the scrotum. They pass through the abdominal wall by way of a natural passageway called the inguinal canal.
In men, the inguinal canal contains blood vessels that supply the testes, as well as the vessel that carries sperm to the penis. Hernias that occur due to a weakness in the abdominal wall at the inguinal canal, are called inguinal hernias. And not surprisingly, men are 25 times more likely than women to experience a hernia in this area.
Some inguinal hernias press directly through the floor of the inguinal canal.
Others follow the route taken by the blood vessels that supply the testes. This kind of hernia – called an indirect hernia – can even push all the way into scrotum.
Patient Education
Perhaps you’re wondering: what causes a hernia to develop? There’s no single cause. Most people understand that hernias can sometimes occur following sudden, forceful lifting. But most often, hernias develop gradually …

… and finally make their appearance when the abdominal wall is under somewhat less dramatic pressure. Pregnancy, constipation, straining during urination – even repeated coughing – any of these actions can, in fact, put enough pressure on an abdominal weak spot to cause a hernia.
Patient Education
Symptoms of hernias can vary. If you have a mild hernia, you may not even be aware of it. But in most cases, a hernia causes a noticeable lump or swelling. There may be some pain or discomfort – often increasing when standing, and subsiding when lying down.

Hernias become more serious problems if abdominal contents – such as part of the small intestine or another organ – slide into the hernia sack and become trapped there.
Patient Education
If those organs cannot slide easily back into the abdomen,the hernia is said to be irreducible. Irreducible hernias are often painful and can lead to complications.
For example, if the intestine becomes trapped in the hernia sack it is said to be incarcerated.
If the neck of the hernia sack actually pinches off the supply of blood to those organs which have become trapped inside, the hernia is said to be strangulated.

These are both considered to be medical emergencies and if left untreated, an incarcerated or especially a strangulated hernia can lead to very severe illness and even death.
Patient Education
Luckily, the vast majority of hernias are not considered to be emergencies. However, if you should ever feel a sudden onset of severe pain in your hernia, you should definitely seek immediate medical attention.

Patient Education Company

Are OTC pain medications too minimal for managing pain after surgery ?

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In this video, spine surgeon Michael Hasz, MD from StoneSprings Hospital Center explains why over-the-counter pain medications are an important part of managing post-operative pain.
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Abdominal Wall Hernias

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Dr. Peter Geller, surgeon emeritus at Columbia University Medical Center, explains the anatomy of the abdominal wall, the causes of abdominal wall hernias, and methods of hernia treatment.

You can learn more about hernia at Columbia University Department of Surgery at: http://columbiasurgery.org/hernia
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Hernias are considered by some to be a ‘manly’ health condition, often caused by excessive or heavy lifting.

“A hernia is essentially a defect or a hole in the abdominal wall that allows contents from inside the abdomen to push through the abdominal wall and usually present with a bulge or a mass in the tissue between the skin and the muscle,” says Dr. Darren Miter, a laparoscopic surgeon with Lee Memorial Health System.

They’re more commonly treated in men. Women make up only 8% of those diagnosed.

“The most common hernias that we hear about are hernias that develop in the groin or inguinal hernias. Women are less likely to develop the inguinal or groin hernias,” says Dr. Miter.

Most frequently identified hernias in women are ones that occur along scars from previous surgeries.

“Women end up undergoing more surgical procedures than men especially younger in life, so I see more incisional hernias in women than in men,” says Dr. Miter.

But many women may be women hiding a secret, a hernia they never suspected. Experts find women with pelvic pain may be misdiagnosed as having ovarian cysts, fibroids, even endometriosis when in fact they have a hidden hernia, one that was missing an outward sign.

“The typical or classic presentation of a hernia is someone feels a sudden tearing sensation either in the groin or perhaps the belly button and then develops a bulge in that area,” says Dr. Miter.

Unlike hernias in men, ones that afflict women are usually small and internal and rarely cause that obvious bulge. The good news is, once detected, they are fairly simple to fix.

“All we need to do is push whatever is pushing out of the abdomen back in and usually we reinforce the area with a piece of mesh or graft to make that area stronger,” says Dr. Miter.

Your best advice it not to expect the tattle of the bulge, women with chronic, severe abdominal pain should ask their doctor if it could be a hernia.

View More Health Matters video segments at leememorial.org/healthmatters/

Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

Visit leememorial.org
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#41-Healing by First and Second Intention, Wound Strength

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Visit http://www.kevinmangum.com for a full list of videos. Enjoy.

This video describes the healing of skin wounds (cutaneous wound healing). Primary union, or healing by first intention, and secondary union or healing by second intention are explained in this video. Wound strength is also discussed.

Kumar, Vinay, Abul K. Abbas, and Jon C. Aster. Robbins basic pathology e-book. Elsevier Health Sciences, 2017.

Kumar, Vinay, et al. Robbins and Cotran pathologic basis of disease, professional edition e-book. Elsevier health sciences, 2014.

https://www.amazon.com/Robbins-Cotran-Pathologic-Disease-Pathology/dp/1455726133

https://www.amazon.com/Robbins-Basic-Pathology/dp/0323353177
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