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.

For patients in extremis from respiratory failure or shock, securing vascular access is crucial, along with establishing an airway and ensuring adequacy of breathing and ventilation. Peripheral intravenous catheter insertion is often difficult, if not impossible, in infants and young children with circulatory collapse. Intraosseous (IO) needle placement, shown in the images below, provides a route for administering fluid, blood, and medication. An IO line is as efficient as an intravenous route and can be inserted quickly, even in the most poorly perfused patients.

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http://cfs-cure.plus101.com ----- Chronic Fatigue Syndrome Diet , Cures For Fatigue, Cure For Chronic Fatigue Syndrome. Chronic Fatigue Syndrome Treatment Chronic Fatigue Syndrome (CFS) is variable and unpredictable, and the condition takes its toll on the patient physically, mentally and emotionally. A number of studies have been performed on CFS, with one particular study determining poor early management of the disorder as a primary risk factor for severe CFS. Among the medical community, there is still no consensus on the best course of action for CFS. Most doctors feel that there is no cure for this condition, and limit their treatment to managing the symptoms. There is controversy over different approaches, and main ones being: • Prescription medications • Lifestyle changes • Diet • Nutritional supplements • Graded exercise therapy • Cognitive behavioral therapy • Other alternative/complementary treatments As CFS affects the patients not only physically but also mentally and emotionally, a holistic approach needs to be taken. It is also important that the people around CFS patients understand the condition, and realize that the patient is not just "being lazy" or "constantly feeling down" - chronic fatigue syndrome IS a serious illness and has severe symptoms. Cognitive Behavioral Therapy Cognitive behavioral therapy helps individuals to interpret their symptoms, which in turn helps the patient to shape their behavior in a way to better react to the symptoms. Graded Exercise Therapy A physical therapist can help determine the best exercises for the individual. Programs will start with low levels of exercising, increasing the intensity as the individual gradually builds strength and endurance. Lifestyle Changes Lifestyle changes will also be necessary, including individuals pacing themselves, lowering stress levels, eating a well-balanced diet, engaging in regular moderate exercise, and improving sleep habits. The individual’s work schedule may also need to be modified, as many individuals with CFS find maintaining their regular work schedule too draining. Diet and Chronic Fatigue Syndrome Treatment Diet is crucial in CFS, and dietary supplements may be needed. Certain foods may need to be restricted from the diet, as these may trigger or exacerbate CFS symptoms. A diet-symptom journal can help individuals to identify problem foods. In addition, a significant number of CFS cases may be caused or worsened by un-diagnosed food allergies and intolerances. Therefore, it should be a priority for every patient to check for these using a food-symptom diary and elimination diet, especially if in addition to fatigue you experience gastrointestinal symptoms such as stomach cramps, constipation, or diarrhea. Prescriptions and Medications Depression is often associated with CFS. Antidepressants may be prescribed to treat depression, which in turn will help individuals to cope with CFS-related problems. Studies also show antidepressants administered in low doses may help to relieve pain and improve sleep. Prescription sleep aids may also be prescribed to help individuals improve their sleep. Other drugs that may be prescribed include antiviral drugs, ADD/ADHD medications and anti-anxiety drugs. Alternative/Alternative Chronic Fatigue Syndrome Treatment While the usefulness of alternative/complementary therapy may still be controversial in the scientific community, many patients experience tremendous benefits from these. Main ones include:

Biliary and Pancreatic Sphincterotomies for Sphincter of Oddi Dysfunction

This 43 year old woman has severe recurrent RUQ pain post cholecystectomy. Liver and pancreatic chemistries and duct size are normal, but pancreatic manometry is abnormal. The plan is to perform dual biliary and pancreatic sphincterotomy. The pancreatic duct is cannulated with a 3.9 French tip tr...iple lumen papillotome loaded with a 0.025 inch Jagwire. Contrast is injected to outline the course of the duct. The wire is passed to the tail. Notice the knuckling of the wire into the tail. This provides a safety loop, but is only safe in a small duct with use of a smaller caliber wire. Then with the wire securely in PD, papillotome is used to cannulate the bile duct. Placement of the wire in PD guarantees access for pancreatic stent placement, which is mandatory in these patients to reduce risk, it also facilitates difficult biliary cannulation. Here is the fluoroscopic view as the papillotome is passed deep into bile duct. This shows wires in the CBD and PD. Now a biliary sphincterotomy is performed, with the pancreatic guidewire in place beside the papillotome. The scope is pushed into a longer position to orient up the middle of the papilla. The sphincterotomy is done in very careful stepwise fashion to avoid perforation. Now the biliary wire is removed and the papillotome passed over the pancreatic wire for pancreatic sphincterotomy. The incision is aimed back up towards the biliary sphincterotomy to ensure the septum only is cut. Note the large pancreatic orifice. Last, a 4 French 9cm unflanged soft material pancreatic stent is placed. We always use single pigtail design to avoid inward migration of the stent. The long unflanged design allows spontaneous passage within a few weeks.

This video demonstrates the use of an episiotomy to facilitate vaginal delivery of a baby

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Anatomy of Love

A VCUG (Voiding Cystourethrogram) is a test that looks at how well your child's kidneys, ureters and bladder are working. Your child's kidneys make urine. The urine flows from the kidneys through thin tubes (called ureters) into your child's bladder.

This is a surgery showing the removal of a large exostosis. Exostoses are bony growths in the ear canal from chronic exposure to cold water/air, most commonly from surfing. This patient had growths in both ears, which were completely obstructing the ear canals. This patient had a single exostosis that was blocking this side (the right side).

Vaginal Speculum and Bimanual Exam

The big bang is the moment when the uterus, vagina, and anus contract simultaneously at 0.8-second intervals. A small orgasm may consist of three to five contractions; a biggie, 10 to 15. Many women report feeling different kinds of orgasms

Total thyroidectomy is the treatment of choice for all types of thyroid cancer(papillary, follicular, medular and anaplastic).

An old video showing how to give an enema

Loyola Full Male Exam Part 4 A video from Loyola medical school, Chicago showing the full examination of the male

Loyola Full Male Exam Part 3 A video from Loyola medical school, Chicago showing the full examination of the male

Beating Coronary Heart Surgery

Adrenoleukodystrophy, or ALD, is a deadly genetic disease that affects 1 in 18 000 people. It most severely affects boys and men. This brain disorder destroys myelin, the protective sheath that surrounds the brain's neurons -- the nerve cells that allow us to think and to control our muscles.

A great video showing the multiple presentations of the baby which the doctor may encounter while delivery like breech presentation..etc

Orgasmic childbirth is a new variant of water birth delivery.