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Author Topic: Human Life is Fragile but EVERY Life is Valuable  (Read 6274 times)

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AGelbert

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Six women and three men went to Heaven recently because of a demonic massacre perpetrated by a young man in the grips of evil.

Empathy Deficit Disorder is the greatest evil mankind has been saddled with. I am certain that young man has it. I am certain it aided him, above and beyond his racism, in perpetrating the massacre of innocent Christian African Americans methodically, calmly and without remorse. I am certain a drone operator in the USAF cultivates it every bit as much as the top CEOs in the Fortune 500 do.

If that young man can be convinced that he must shed his empathy deficit disorder if he wishes to have any peace whatsoever, then good can come from this great evil.

Those Church people who died are alright now. They no longer suffer in this valley of tears. They are more alive than we are. And they knew the score on planet earth. We don't like it, but that's the way things ARE down here, ESPECIALLY for Christians who live their Faith. From the point of view of the afterlife, the young people that died in the balcony collapse in Berkley may have been the real tragedy.
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Quote
Proverbs 30:7-9

7 O God, I beg two favors from you;

let me have them before I die.

8 First, help me never to tell a lie.

Second, give me neither poverty nor riches!

Give me just enough to satisfy my needs.

9 For if I grow rich, I may deny you and say, “Who is the Lord?”

And if I am too poor, I may steal and thus insult God’s holy name.

Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Just don't forget to tell your daughter, when she is about to be sexually mature,  about anti-luteinizing hormone, okay? There is NO WAY for her to avoid its influence when she is ovulating, capisce?  ;)

My problem is the opposite problem. I have three daughters, ages 32, 30, and 24. None of them is showing any sign of having babies.

I fear that I will never know my own grandchildren. It's not uncommon in our family. I only knew one of my grandparents. It's that long generation thing.

I understand. Three different females, all nurtured, educated and influenced by you and your wife's life experiences and views, yet they all are reticent to produce offspring.

They all may have different reasons, not just one. but do you think they are pessimistic about the quality of life their offspring will have, and therefore wish to prevent the parental suffering (and grandparental suffering too) of having to witness an environmental catastrophe leaving them living hand to mouth (or worse)?

You are a thinker. I imagine your wife is as well. So, it is expected that your daughters are deep thinkers too. Anyone with a lot of gray matter, and knowledge of how we ACTUALLY got to where we are, cannot be too optimistic about the future.

And having kids is ALL about HOPE for a better future for one's offspring, is it not? The slave women in Haiti knew what their children would face without any doubt whatsoever so they did whatever their limited knowledge provided them to avoid them. Contemplating the possibility that your daughters feel robbed of a decent future for their offspring by the bastards that have polluted this planet is not improbable. They were given love through shelter, security, nutrition and health in their upbringing and may not be confident that they can provide the same level of comfort they received, to their own offspring. 

Or, it could be something else. What do you think? Perhaps you should have JD or his wife talk to one or all of them. JD knows the score, but still decided to have a child.  8)

I just read about a baby that was found by a cat. The cat is a big hero heroine ;D  now because she would not stop meowing and actually snuggled up right next to the baby in a cardboard box to keep it warm (it was cold with snow on the ground when the baby was abandoned).

God wanted that baby to live, IMHO. So, being the simplistic Christian that I am, that means that there IS a future for babies born now. Of course many would scoff and say God lets people come into the world and suffer 24/7 until they die so there "ain't no God". Perhaps. But I am rather confident that their IS a creator and said creator is GOOD.  ;D

Quote
A friendly neighbourhood cat has saved the life of a baby boy abandoned by his parents in a freezing Russian city. The long-haired feline, affectionately named Masha by the block’s residents, discovered the baby boy inside a cardboard box in apartment block in the Russian city of Obninsk after hearing his cries in the cold.

Masha apparently climbed inside the box and wrapped herself around the abandoned child, believed to be less than 12 weeks old, to keep him warm. Hearing Masha’s loud meows, resident Irina Lavrova rushed to rescue the cat believing she was injured – instead she discovered her curled around the now quiet baby.

“You can imagine my shock when I saw her lying in a box next to a baby,” she told RT. The baby was rushed to hospital, with Masha attempting to follow the car, and was found to be healthy, despite his outdoors stay. “She was so worried about where we were taking the baby,” paramedic Vera Ivanina told REN TV. A search has now been launched to try and locate the child’s parents. He was discovered with clean clothes, extra nappies and some baby food.

VIDEO of Baby and Masha the kitty heroine!   


https://youtu.be/GzVcJV8yvnA







Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Words of Wisdom and Advice from Lucid,  A Wise Man:

I spent a lot of time dealing with death as ya'll know.  I'm not sure that one can deal with one's own death before the time comes, but I've done some preparations.  Namely I have a place picked out that I will arrive at upon just dying.  It's a vortex in Sedona that I visited recently.  Even if I find myself in Sedona I will not go back to that place.  It is reserved for my death so that I will know I have died. 

I'm only 35, but the first signs of my physical deterioration are arriving.  It's looking like I'll probably develop arthritis (my grandma was ate up with it).  The joints in my fingers are starting to give me mild pain from time to time.  Like a bruise, but with no bruising.  I've had a broken molar for a year or so now, but luckily there is no pain involved.  Other than those things it's taking me longer to recover from hard days of work than it used to.  I don't want you ole farts to think I'm complaining, I'm not, just chiming in with my thoughts on death and dying. 

Lately I've been thinking about death because of the things I just outlined.  I used to think about death and say "I'm not afraid to die."  I didn't have any physical signs of deterioration yet.  Now, just with the few minor things that have come about because my body is aging, I'm already thinking about it more.  I can't imagine what it will be like when I start having health problems due to my aging.  I'll get cancer at some point.  As far as I know 3 of my family members got cancer and two died from it.  Diabetes abounds as does heart disease.  I attribute all of the modern day health problems to the chemicals we've created that are ubiquitous in the air we breath, food we eat, and water we drink.  We have made our world toxic to human life.

I've watched people die on the back of an ambulance, and I've seen them dead before they even got a chance on the ambulance.  I've talked to people as they were dying and it certainly is the great equalizer of humanity. 

I think it's healthy to marinate on your mortality from time to time.  It helps keep things in perspective.  I read an article a while back that was written by a hospice nurse.  She said the number one thing that people regret on their death bed is that they didn't live life how they wanted to...they lived it how society wanted them toThey wished that they had done more of the things that they wanted to do. 

I think there is a lot of wisdom there.  We should all live as if we will die tomorrow, and we should live that way everyday.
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Re: Human Life is Fragile but EVERY Life is Valuable
« Reply #79 on: September 03, 2015, 02:54:25 pm »
Egypt billionaire offers to buy Med island for refugees 

The telecoms tycoon announced on Twitter that he would temporary shelters to house the people, before starting to building housing, schools, universities and hospitals.
POSTED: 04 Sep 2015 00:12
 
CAIRO: Egyptian billionaire Naguib Sawiris has offered to buy an island off Greece or Italy and develop it to help hundreds of thousands of people fleeing from Syria and other conflicts.

The telecoms tycoon first announced the initiative on Twitter.

"Greece or Italy sell me an island, I'll call its independence and host the migrants and provide jobs for them building their new country," he wrote.

More than 2,300 people have died at sea trying to reach Europe since January, many of them Syrians who fled their country's four-and-a-half year conflict. Sawiris said in a television interview that he would approach the governments of Greece and Italy about his plan.

Asked by AFP whether he believed it could work, he said: "Of course it's feasible. You have dozens of islands which are deserted and could accommodate hundreds of thousands of refugees."

Sawiris said an island off Greece or Italy could cost between $10 million and $100 million, but added the "main thing is investment in infrastructure". There would be "temporary shelters to house the people, then you start employing the people to build housing, schools, universities, hospitals.

"And if things improve, whoever wants to go back (to their homeland) goes back," said Sawiris, whose family developed the popular El Gouna resort on Egypt's Red Sea coast.

He conceded such a plan could face challenges, including the likely difficulty of persuading Greece or Italy to sell an island, and figuring out jurisdiction and customs regulations.

But those who took shelter would be treated as "human beings," he said. "The way they are being treated now, they are being treated like cattle."


Sawiris is the chief executive of Orascom TMT, which operates mobile telephone networks in a number of Middle Eastern and African countries plus Korea as well as underwater communications networks. He also owns an Egyptian television channel.

- AFP/yt
http://www.channelnewsasia.com/news/world/egypt-billionaire-offers/2099374.html
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Re: Human Life is Fragile but EVERY Life is Valuable
« Reply #80 on: September 10, 2015, 07:36:20 pm »

This ex-Black Panther started an urban farm to create jobs for ex-inmates


By Katie Herzog  on 9 Sep 2015 

Ray Kidd was incarcerated for violent crimes from the ages of 16 to 23. Both of his parents are currently in federal prison. Now, Kidd wants to break the cycle, and he’s doing it through farming. Kidd is an employee at West Oakland Farms, a for-profit operation founded by former Black Panther Elaine Brown. “Every day I come here I learn something new,” says Kidd. “I didn’t know that a lot of fruits start life as a flower; that just blew my mind.”

Kidd is one of 10 former inmates working at West Oakland Farms. “People come out of the joint with nothing to do and $200 in their pocket,” says Brown. “Once that money runs out … they’ll do anything to survive, including hitting somebody in the head for $20. We have to create positive opportunities for these people to return to the community.” 

Which is exactly what Brown is trying to do. West Oakland Farms, which has 40 raised beds full of fresh produce, is part farm and part prison re-entry program (workers make $20 an hour), but Brown has ambitions for even more. Civil Eats reports:

Down the road, Brown wants to add a juice bar, fitness center, grocery store, and tech design space, along with affordable housing on the city-owned property under the umbrella of the nonprofit organization she founded last year, Oakland & the World Enterprises. …

The farm is a welcome addition to the neighborhood. Oakland & the World Enterprises leases the three-quarter acre plot from the city in a section of Oakland that has been slower to bounce back than other areas. The land is located directly across from the Bay Area Rapid Transit (BART) line, which connects Oakland to San Francisco and other parts of the Bay Area. As with much of the rest of this city, West Oakland is a neighborhood that many believe is rapidly gentrifying: Community farms, cafés, and restaurants are popping up, but the area still lacks a supermarket.

Brown, who returned to Oakland in 2010 after at 30-year absence, has a long history of activism. An author, musician, and community organizer, she served as chairwoman of the Black Panther Party in the mid-’70s. “I’m not in the farm business,” she told Civil Eats. “I’m in the business of creating opportunities for Black men and women who are poor and lack the education, skills, and resources to return to a community that is rapidly gentrifying without economic avenues for them in mind.”

There is, however, a long way to go. Brown estimates the entire cost of the operation will be between $30 and $40 million. But it won’t just be good for the prisoners, she says. It will be good for the whole community. West Oakland was once a vibrant African-American hub, but redevelopment — including a series of freeways and a train line that divided the neighborhood — left it to decay in recent decades. This project, Brown hopes, will help to heal some of that damage.

http://grist.org/article/this-ex-black-panther-started-an-urban-farm-to-create-jobs-for-ex-inmates/
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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New program to help young adults who are blind get hired

Intensive 10-week workshop teaches job-search skills to students and young adults with visual impairments 


The Perkins Pre-Employment Program is tailored to young adults between the ages of 15 and 22 who want to strengthen their job search skills.


October 1, 2015

BY Alix Hackett

Perkins School for the Blind has launched a groundbreaking new program to give young adults with visual impairments the skills and confidence they need to navigate the job-search process and find meaningful employment.

The Pre-Employment Program (PEP), which begins in January 2016, is tailored to young adults between the ages of 15 and 22 who want to strengthen their job readiness skills and break through the barriers that have traditionally kept many people who are blind from getting hired.

“Work, whether paid or voluntary, is a great equalizer in society,” said Karen Wolffe, an international expert on career counseling for people who are blind or visually impaired who helped design the PEP course. “For youth with visual impairments to be fully integrated, they must learn how they can contribute and help support themselves and their families.”

Every Saturday for 10 weeks, participants will immerse themselves in a different aspect of employment – from identifying their career interests and goals to searching for jobs online and preparing for interviews. They’ll also learn how to disclose and discuss their disability to potential employers, a common stumbling point for candidates who are visually impaired.

Quote
]“We’re going to be teaching them about advocacy and self-determination,” said Kate Katulak, a Perkins teacher and co-facilitator of the program. “It’s important that they’re able to communicate their disability and, more importantly, explain how they can overcome their disability to get things done.” 

During the program, Katulak and other Perkins educators will be joined by hiring professionals and disability specialists from leading Boston corporations like Wells Fargo and Tufts Health Plan. They’ve also invited a panel of young adults and professionals who are blind to share stories of their own employment journeys and lessons learned.

“One thing that research shows and that we’ve heard from parents and families is that students really need role models who are visually impaired who have gone through the process,” said Katulak. “I think they’re going to gain a lot of perspective from this.”

In addition to career education, the program stresses skills like assistive technology and social interaction, which often aren’t formally taught in public schools. For students who are visually impaired, these skills, which are part of the Expanded Core Curriculum taught at Perkins School for the Blind, are crucial for workplace success.

“Something as simple as smiling when you walk in the office and nodding to someone to say hello is an important way to establish yourself in the workplace,” said Katulak. “We’re going to be teaching students things like body language and facial expressions and providing opportunities for them to practice.”

By the end of the 10-week program, students will be armed with hiring portfolios stuffed with references, cover letters and a polished resume. They’ll know how to fill out a job application and put their best foot forward at an interview.
Quote

“Looking for work is often harder than working,”

said Wolffe. “But knowing how to find jobs and convince employers that you’re able to do the work tasks they need doing can make the job search process manageable. The Pre-Employment Program gives youth with visual impairments those skills in a structured and supportive environment.”

The Pre-Employment Program is open to students and young adults ages 15-22. Learn more at Perkins.org/gotowork.

http://www.perkins.org/stories/news/pre-employment-program
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Former President Jimmy Carter told his Plains, Ga. Sunday school class Sunday that he is cancer-free, the Atlanta Journal-Constitution reported.


“He said he got a scan this week and the cancer was gone,” Jill Stuckey told the newspaper. “The church, everybody here, just erupted in applause.”

Carter, 91, announced In August that he had cancer, but that he hoped it was limited to his liver. He later said doctors found small melanoma lesions on his brain. He received drug treatments and radiation therapy.
http://onpolitics.usatoday.com/2015/12/06/report-carter-says-cancer-is-gone/#cx_ab_test_id=19&cx_ab_test_variant=cx_trend&cx_art_pos=4&cx_navSource=arttop&cx_tag=trend&cx_rec_type=trend&cx_ctrl_comp_grp=true&cxrecs_s
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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What does it feel like to be a surgeon and have a patient die on your operating table?  ???

Greg W Self, Specialist Vascular Surgeon, Southern Vascular Clinic (Melbourne, Australia) •

Raghuraj S. Hegde, I'm an Ophthalmic plastic surgeon. What's that you ask? read my answer to that:


Quote

It depends on the situation, but in answering this question I am assuming that the patient was not on the operating table for last ditch, hail Mary pass kind of operation. That is, they were not expected to die.

This happens to me about 1 to 2 times per year, despite meticulous pre op planning, seemingly uncomplicated surgery can go pear shaped.

The first thing that happens is you begin to feel a little anxious, unnerved that something is not quite right - the operation is not moving the way it should be.

This is followed by fear, fear that the patient might actually not make it off the table, fear at how their family will react, fear at what your colleagues will say to you, or worse, what they will say about you to others. At this point a little panic begins to set in, as you mentally run through possible solutions to whatever it is that is the problem.

Next comes the rearguard action, where you take increasingly more desperate measures to try and save the patient.

Then, at the end, there is almost a feeling of acceptance and calm, a little like when you finally accept that you are not going to make that appointment and rushing panicked into traffic is not the answer.

Finally, after it is all over and you have spoken to the family, the coroner and often debriefed the nursing staff comes the anxiety, different this time to the beginning. What could I have been done differently or better? Did I leave something out, did I make mistake, should I have operated at all?

This last anxiety can be brief, running through the case with a colleague may be enough to realise that it wasn't you, that there were unknown forces at work. More often it lingers, burns itself into your subconscious to the point where it permanently affects the way you practice. This can be a good thing, you need to learn from your mistakes, but it can also be destructive, turning good surgeons to nervous, conservative practitioners. Worse, it can destroy careers and lives.

It is never easy. It never 'just is'.

https://www.quora.com/What-does-it-feel-like-to-be-a-surgeon-and-have-a-patient-die-on-your-operating-table
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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What you need to know about FROSTBITE that most people (even some doctors  :o) don't know:
So, you think you know what to do if you suspect frostbite?

Please take this quiz:
True  ???  or False  ???

1. The ABC's (Airway, Breathing and Circulation) basics of the victim must take priority over tending to the frostbite affected area.

2. If you come upon a victim of frostbite that you cannot carry and you need to walk a distance with the victim to get to a vehicle, it is better for the victim to walk on a frostbite affected limb, even if they risk further injury, than for you to begin suboptimal (less than 38-40C hydrotherapy - the use of circulating water at 40-42°C is common.) warming right away.   

3. Pressure bandages on a frostbite injury help to improve circulation. 

4. Rewarming in the field should not be attempted unless the time to arrival at a definitive care center exceeds 2 hours.

5. Massaging frostbite injuries for patient comfort and pain reduction during hydrotherapy at 40C degrees  (that is not part of this question and is the actual recommended ideal temperature for restoring adequate circulation and preventing added injury), initiated when normal reperfusion (the action of restoring the flow of blood to an organ or tissue) pain begins, is harmful to the patient.

6. Amputation of frostbite affected anatomy should be delayed until the necrotic tissue is clearly demarcated, normally 6-8 weeks.

7. Healed tissue that experienced some degree of frostbite injury will be subsequently more sensitive to, and susceptible to injury from, heat or cold than surrounding tissue.

8. Thawing and refreezing is preferable, for the reduction of tissue morbidity, to delayed thawing of a frostbite injury.

9. Topical application of Aloe Vera Cream on affected areas is an important part of frostbite therapy.

10. During hydrotherapy at 40 degrees C, you know when reperfusion (the action of restoring the flow of blood to an organ or tissue) occurs in a frostbite injury when the distal (situated away from the center of the body or from the point of attachment) area of the extremity is flushed, soft, and pliable. 


The correct answers to the above quiz are:
1. True
2. True   
3. False 
4. True   
5. True   
6. True 
7. True   
8. False 
9. True   
10. True 

The main thing you need to understand about frostbite injury, even if you forget everything else, is this:

Ischemic injury in frostbite is most often caused by vascular compromise from thrombosis and not by compression from edematous tissue, ... .

WHY?
Because ischemic injury (Ischemia comprises not only insufficiency of oxygen, but also reduced availability of nutrients and inadequate removal of metabolites.) is a HUGE part of the complications that ensue when frostbite is treated incorrectly. Tissue swelling (edema) contributes to Ischemia.

In the next post I will discuss each true or false statement of the quiz, one by one, to clarify and possibly enable you to save someone from excessive frostbite injury at some future date.

Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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The management of frostbite itself may be divided into 3 phases: field management, rewarming, and postrewarming management.

Now I will discuss each question on the frostbite quiz.

NOTE: All the information provided is from the following article:
Frostbite Treatment & Management Author: C Crawford Mechem, MD, MS, FACEP; Chief Editor: Dirk M Elston, MD


1. The ABC's (Airway, Breathing and Circulation) basics of the victim must take priority over tending to the frostbite affected area.
TRUE
Quote
Be sure to correct the ABCs (A irway, B reathing, and C irculation) and life-threatening conditions before treating frostbite. The goal of frostbite treatment is to salvage as much tissue as possible, to achieve maximal return of function, and to prevent complications. Correct any systemic hypothermia to a core temperature of 34°C before treating the frostbite. Remove the patient from cold.




2. If you come upon a victim of frostbite that you cannot carry and you need to walk a distance with the victim to get to a vehicle, it is better for the victim to walk on a frostbite affected limb, even if they risk further injury, than for you to begin suboptimal (less than 38-40C hydrotherapy - the use of circulating water at 40-42°C is common.) warming right away.
TRUE

Quote
Rewarm the frostbitten area if no danger of refreezing is observed. However, rewarming should be avoided if it cannot be maintained (freeze-thaw-freeze cycle). Walking on frozen frostbitten areas and risking tissue chipping and fracture is considered better than thawing and refreezing. Reports from Canada show that forced-air rewarming with portable units can be used effectively to warm victims of hypothermia and frostbite in the field and during transport to a regional medical center.




3. Pressure bandages on a frostbite injury help to improve circulation.
FALSE
Quote

Replace wet and constrictive clothing with dry loose clothing. Dress the extremity in a manner that minimizes mechanical trauma.

Pressure dressings, occlusive dressings, and elastic wraps will decrease tissue perfusion and increase the risk of tissue loss. The presence of a concomitant injury with active bleeding requires direct pressure over the bleeding site, but caregivers should be aware that such actions are performed as life-saving measures and can result in increased morbidity.

In a report of a single patient treated with vacuum-assisted closure (VAC) therapy, Poulakidas et al described improved tissue salvage and early reepithelialization, suggesting that VAC may be of some benefit in the management of frostbite-induced tissue damage.



4. Rewarming in the field should not be attempted unless the time to arrival at a definitive care center exceeds 2 hours.
TRUE
Quote

When suspected frostbite does occur, transport to a trauma or burn center becomes a priority. Field rewarming should be started only if the time to arrival at a definitive care center exceeds 2 hours.


5. Massaging frostbite injuries for patient comfort and pain reduction during hydrotherapy at 40C degrees  (that is not part of this question and is the actual recommended ideal temperature for restoring adequate circulation and preventing added injury), initiated when normal reperfusion (the action of restoring the flow of blood to an organ or tissue) pain begins, is harmful to the patient.
TRUE

Quote
On admission, rapidly rewarm the affected area in circulating water (ie, a whirlpool bath) containing an antibacterial soap at 38-40°C. Constantly monitor water temperature. Thawing takes about 20-40 minutes for superficial injuries and as long as 1 hour for deep injuries.

Analgesics (eg, ibuprofen and morphine) for pain relief are indicated during and after rewarming.

The most common error in this stage of treatment is premature termination of the rewarming process because of reperfusion pain. Mechanical trauma (massaging or rubbing with ice or by hand) and rewarming at higher temperatures and for longer periods of time are detrimental to preserving viable tissue and should be avoided. Direct dry heating using fire or a heater can lead to burns secondary to loss of temperature sensation and so should be avoided.



6. Amputation of frostbite affected anatomy should be delayed until the necrotic tissue is clearly demarcated, normally 6-8 weeks.
TRUE
Quote
Because of the extreme difficulty in differentiating viable tissue from nonviable tissue in the first few weeks after frostbite injury, amputation surgery is best avoided until complete demarcation and separation of gangrenous tissue occurs. This process normally takes 6-8 weeks. Consider early amputation if liquefaction, moist gangrene, or infection develops in the frostbitten area.

It may take weeks to months for frostbitten tissue to be declared viable. The affected area generally heals or mummifies without surgery. Lower-extremity involvement, infection, and delay in seeking medical attention are associated with an increased likelihood that operative therapy will be necessary.

Early surgery usually is contraindicated in frostbite, because of the time the nonviable tissue takes to demarcate. Older series show that performing debridement earlier than 2-3 weeks after warming significantly increases the amount of viable tissue removed and is harmful to the patient, resulting in increased amputation rate, mortality, and morbidity. The only indication for early surgical intervention is postthaw compartment syndrome warranting fasciotomy.
Compartment syndrome is generally not applicable in frostbite. WHY? Because the main issue here is the injury that results from reperfusion of frostbite areas. The Ischemic Cascade is a huge part of that contribution to tissue injury. But the injury itself has nothing to do with the compression of tissue.
Quote
Ischemic injury in frostbite is most often caused by vascular compromise from thrombosis and not by compression from edematous tissue, ...
The part of the tissue below the dermal layers called the fascia looks like a white jellylike substance. It is composed mostly of collagen. When it swells it compresses tissue around it and can result in necrosis of said tissue from loss of circulation. They call that "Compartment Syndrome". To reduce the pressure on the tissues so adequate perfusion can be maintained, some of the fascia is removed (fasciotomy). In frostbite, unnecessary tissue destruction, and possibly compartment syndrome, will occur when tight bandages are put on the affected area and also when the area is massaged during hydrotherapy. This is because both those actions will result in the cells producing more inflammation triggering chemicals.



7. Healed tissue that experienced some degree of frostbite injury will be subsequently more sensitive to, and susceptible to injury from, heat or cold than surrounding tissue.
TRUE
Quote
Counsel patients that the frostbitten area is more vulnerable to future heat and cold injury. Encourage patients to undergo active physical therapy.

Further outpatient care includes wound management, analgesia, and avoiding re-exposure to the cold. The choice of outpatient medications is dictated by the patient’s hospital course and may include antibiotics, analgesics, and ibuprofen.



8. Thawing and refreezing is preferable, for the reduction of tissue morbidity, to delayed thawing of a frostbite injury.
FALSE
Quote
Partial thawing and refreezing generate more damage than does prolonged freezing alone, through the release of multiple inflammatory mediators. In patients who experience a refreezing injury of thawed areas, rewarming should be delayed until it can be maintained.




9.
Topical application of Aloe Vera Cream on affected areas is an important part of frostbite therapy.
TRUE

Quote
Apply topical aloe vera cream to all frostbitten areas every 6 hours to inhibit the arachidonic cascade ("induces inflammation by its chemotactic and degranulating actions on polymorphonuclear lymphocytes (PML), and of LTC4, LTD4, and LTE4, the amino acid-containing LTs that induce vasoconstriction and bronchoconstriction ...") , especially thromboxane synthesis. Other arachidonic cascade inhibitor agents currently being investigated include topical methimazole (a thromboxane synthetase inhibitor) and topical methylprednisolone acetate (a phospholipase A2 inhibitor).
What all that means is that your tissue cells, when they 'wake up' while thawing and receiving oxygen again (reperfusion), release all kinds of chemicals that destroy cell walls and trigger inflammation. The Ischemic Cascade and the Arachidonic Cascade are tissue destroyers in frostbite victims. The biochemistry of the Ischemic Cascade in frostbite is even more damaging than in heart attack victims because the jacked edges of ice crystals in your tissues have scored and cut and pierced cell walls. The cells 'think' they are being attacked so they send their chemical warfare agents out - which end up killing healthy cells along with damaged or defective ones.  :P So, agents which thin the blood (to prevent clotting), agents to reduce histone release (inflammation triggering chemicals) and agents to reduce release from injured cells of cell wall attacking chemicals help to prevent further tissue injury. Finally, the therapy must include pain relief because sensed pain will also contribute constricted blood vessels from stress hormone release. You need MORE oxygen reaching your cells and wider blood vessels to carry away the waste products from the mentioned deleterious cascades.



10. During hydrotherapy at 40 degrees C, you know when reperfusion (the action of restoring the flow of blood to an organ or tissue) occurs in a frostbite injury when the distal (situated away from the center of the body or from the point of attachment) area of the extremity is flushed, soft, and pliable. 
TRUE

Quote
Rapid rewarming is the single most effective therapy for frostbite. Variations on the original work of McCauley et al are used at most centers experienced in the management of the frostbite patient. This includes admission of all frostbite patients to a specialty unit, if possible. Consider obtaining photographic records on admission, at 24 hours, and serially every 2-3 days until discharge.

On admission, rapidly rewarm the affected area in circulating water (ie, a whirlpool bath) containing an antibacterial soap at 38-40°C. The circulation of water allows a constant temperature to be applied to the affected area. Warming is continued for 15-30 minutes or until thawing is, by clinical assessment, complete (ie, when the distal area of the extremity is flushed, soft, and pliable).


They don't mention it, but I'm certain Cannabis products, that are anti-inflammatory, vasodilators and analgesic, would help in treating frostbite. Below are some of the mentioned potential therapies for reducing tissue damage by preventing blood clotting (Thrombolytics), insufficient perfusion (oxygenation) and promoting cell wall repair and blood thinning.

Quote
There are several other medication regimens that appear potentially beneficial, but they have not been prospectively validated, and standard doses have not been established. Such regimens include daily infusion of low-molecular-weight dextran, which may prevent erythrocyte clumping in cold-injured blood vessels. Low-dose infusions of heparin may prevent microthrombosis.

In addition, some data suggest that intravenous tissue plasminogen activator (tPA) with or without heparin, prostacyclin, or iloprost may improve outcome in some patients.[41, 42] Finally, bupivacaine has been used for either cervical or lumbar sympathetic blockade to decrease sympathetic tone and relieve pain, but its efficacy is unclear.

Other ancillary modalities that appear promising but have not been tested in well-controlled human trials include the following:

• Thrombolysis using intra-arterial tPA in deep frostbite to decrease tissue loss by 10% when administered within 24 hours of exposure

• Limaprost (a prostaglandin E 1 analogue) as a thera peutic vasodilator to increase peripheral blood flow

• Buflomedil (an alpha-blocker) to increase peripheral blood flow

• Hyperbaric oxygen [43, 44] 

• Subatmospheric pressure therapy (anecdotal) [45] 

• Pentoxifylline

• Vitamin C

• Superoxide dismutase

• Nifedipine
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Progress can Kill: Survival report reveals world's highest suicide rate

Suicide is often seen as the only option by people forced from their land and into a way of life they did not choose © João Ripper/Survival

A new report published by Survival International reveals that the appalling suicide rate among the indigenous Guarani Kaiowá people of southern Brazil is the highest in the world.   

The rate of self-inflicted deaths within the tribe is 34 times the Brazilian national average, and statistically the highest among any society anywhere on earth. Suicide rates among many other indigenous peoples such as Aboriginal Australians and Native Americans in Alaska also remain exceptionally high. This can be viewed as the inevitable result of the historical and continuing theft of their land and of "development” being forced upon them.

The report, “Progress can Kill”, exposes the devastating consequences of loss of land and autonomy on tribal peoples. As well as the shockingly high suicide rates among tribes, it also reveals high rates of alcoholism, obesity, depression and other health problems.

Particularly striking statistics include the sky-rocketing rates of HIV infection in West Papua, which increased from almost no cases in 2000 to over 10,000 by 2015, and the rate of infant mortality among Aboriginal Australians – twice that in wider Australian society. In large parts of the world, poor nutrition continues to cause further problems, such as malnutrition for Guarani children in Brazil, who are forced to live on roadsides, and obesity for many Native Americans, for whom junk food is the only viable option.

Many Aché starved to death after being forced from their forest home in Paraguay © Don McCullin/Survival

Roy Sesana of the Botswana Bushmen, forcibly evicted from their land in 2002, said: “What kind of development is this when the people lead shorter lives than before? They catch HIV/AIDS. Our children are beaten in school and won’t go. Some become prostitutes. We are not allowed to hunt. They fight because they are bored and get drunk. They are starting to commit suicide. We never saw this before. Is this “development”?”

Olimpio, of the Guajajara tribe in the Brazilian Amazon, said: “We are against the type of development the government is proposing. I think some non-Indians’ idea of “progress” is crazy! They come with these aggressive ideas of progress and impose them on us, human beings, especially on indigenous peoples who are the most oppressed of all. For us, this is not progress at all.”

All of these statistics demonstrate the fatal consequences of forcing change on tribal societies in the name of “progress” and “development”. In many cases, tribes have been forced to move away from abundant and sustainable food sources and a sure source of identity in favour of poverty and marginalization on the fringes of mainstream society. Tragic repercussions of such forced change can continue even several generations down the line.

Around the world, tribes continue to fight for the recognition of their right to live on their lands in peace. Where this right has been respected or restored, tribes flourish. For example after the creation of an indigenous reserve in the northern Amazon in 1992, medical teams worked with tribal shamans and together they halved the mortality rate among the Yanomami Indians. Likewise, the Jarawa In India live on their ancestral lands and enjoy what has been called a “life of opulence”. Nutrionists rate their diet as “optimum”.

Survival International, the global movement for tribal peoples’ rights, is calling for the United Nations to enforce better protection of tribal land rights and to call on governments to uphold their commitments to their indigenous peoples.

http://www.survivalinternational.org/news/11071?
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Suspend loans tainted by Uzbek slavery  >:(

In Uzbekistan, the whole country suffers because of the government’s dependence on revenue from the cotton harvest. The government operate the world’s largest state-run system of forced labour where activists like Elena are brutally repressed, pensioners are being forced to pick cotton or submit 50% of their pension, and education and health care are undermined for two months every year due to the mass mobilisation of teachers and doctors.2

What’s worse is that there are international actors helping Uzbekistan keep its dirty secret – including the World Bank. The World Bank is an international institution that provides loans for developing countries. Right now they are funding projects totalling $500 million in Uzbekistan that are documented to be using forced labour.3

The good news is that the World Bank signed a contract agreeing to suspend loans if evidence of forced labour was uncovered.4 Now we need your help to hold them to this promise.

This year, as the latest announcements calling “everyone to the cotton fields” were heard echoing around the countryside of Uzbekistan, we’re planning to hit the Uzbek government where it hurts – its pocket.5

By calling on the World Bank to account for its actions in propagating Uzbekistan’s forced labour regime, we’re showing that the international community will not accept or fund this state-sanctioned form of modern slavery. But without huge public pressure, the World Bank may turn a blind eye – please don’t let this happen:

Sign our petition now and help put an end to forced labour in Uzbekistan.

https://www.walkfree.org/uzbek-slavery/?utm_source=taf&utm_medium=post-action&utm_campaign=uzbek-slavery
Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

AGelbert

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Which is the most horrifying thing/disease you have seen in your medicine career?

Crysti Drake, Am a University of Oklahoma grad. Have two grown children

Crysti is a Most Viewed Writer in Medical Professions and Professionals.


I was an R.N. in Oklahoma for awhile. One day we had a young couple come in the E.R., he had cut his arm off with an axe. We immediately took him into surgery. A little while later I told his wife we were able to reattach the arm. She began to cry, while I calmed her, she told me that they were short on money and had insurance for a disability, they had purposely cut his arm off hoping to cash in on the insurance, she was distraught because they had no way to pay for the surgery. I was appalled at the length they were willing to go to pay their bills. He survived and recovered very well. I never said a word about the situation.

Anthony G. Gelbert
 
There is no excuse for people being placed in such an economically difficult position in this country. This is an indictment on the empathy deficit disordered 'greed is good' worshipping society that is degrading our biosphere, our society and our democracy.
 
Irrespective of what any religious book may correctly claim, biosphere math (i.e. the successful perpetuation of a species in harmony with those life forms from it and around it), dictates that we ARE our brother's keeper. Spencer was WRONG. Darwin made it CLEAR that altruistic behavior was sine qua non for a successful species.
 
I know there are quite a few hairsplitters here (and some INTJ/psychopaths too!) that will scoff. They are wrong. They are, true to their egocentric and selfish nature, defending 'greed is good'. GREED IS BAD!
 
I applaud Crysti Drake for this post and for the way she handled this tragic case.

https://www.quora.com/Which-is-the-most-horrifying-thing-disease-you-have-seen-in-your-medicine-career




Hope deferred maketh the heart sick: but when the desire cometh, it is a tree of life. Pr. 13:12

 

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