Removal of drain tube after spleen surgery

Like a fine whiskey barrel and wine cellar, cannabis also comes at its best when aged in a dark, cool place. Though there is no steadfast expiration date for cannabis, the method you use for preserving the cannabis makes a big difference in maintaining the buds’ freshness and potency. The question is, how do you store cannabis in a way that could extend its longevity while maintaining the vigor and freshness? Experts have described different methods. However, here are some time-proven methods that are easy and inexpensive and require very less equipment. Use air-tight glass containers to store the weed Use clean air-tight glass containers or jars to store cannabis. You can buy glass containers from any ordinary supermarket or hardware store. The tricky part is to make sure you do leave some air in the container while the air stored with cannabis isn’t in detrimental extent. Always leave 1/4 space at the top of the canister or container. Do not fill the containers to the brim with the buds. If you leave no air, then the buds will dry out. If you have too much air, the buds will get damp and moldy. Freeze your cannabis in a convenient temperature The best way to store your buds is in air-tight glass jars, in a cool and dark place under an ideal temperature between 60 and 70 degrees Fahrenheit. If you need to store a high volume of cannabis, you can freeze them after keeping them completely dry for a period of 4 weeks. On this note, you should know that you must not handle frozen buds until it becomes normal in room temperature as trichomes become brittle and can easily break off in freezing temperature. Refrigerate your cannabis (Not Recommended) Even if you use airtight jars, cannabis can grow mold in the fridge. So, you should avoid storing cannabis in the fridge. If you can’t help but doing it, make sure the weed is completely dry and put them in the back where the humidity and temperature don’t fluctuate. Plastic Baggies (Worst method!) Albeit this is very common among people who aren’t expert in handling cannabis, this is the worst of all storage methods. Cannabis gets brittle and dries out in plastic bags. It also loses its natural smell, and the potency deteriorates sharply. So, it should be avoided entirely or can be used for a short-term if there is no better alternative. Here are some things you should know while storing cannabis - Make sure cannabis has been cured for at least 4 weeks before putting them into long-term storage. Without proper curing before storage, the buds can lose their strength and smoothness. - Sunlight can stop the medicinal qualities of cannabis. Your cannabis, if stored correctly, can maintain its medicinal qualities for a few years. Exposure to Sun will turn your cannabis brown, no matter how you have stored it away. - Air-tight, nonporous glass jar are the best way for storing the buds for long term. You can use metal or plastic box/bag, but that could reduce the smell and taste after a while. - Avoid heat and middling temperature in the place where you store your buds. The ideal temperature is 60-70°F (15-21°C) or under 32°F (0°C). Extra heat, cold or middling temperature cause the cannabis potency to decrease. - Keep your cannabis away from any electronic devices or appliances that will expose the cannabis to heat. Keeping cannabis on top of a microwave, or near a laptop or mobile charge is a bad idea. Now, as you know that how to store cannabis properly and make it last for years, enjoy the best form of your weeds even it comes from the previous year. Do write to us in the comments section if you have any questions. Also, don’t forget to hit the subscribe button below. Visit OnlineMedicalCard.com now to get an MMJ recommendation online in less than 10 minutes.

A video showing the PRK laser eye surgery

It demonstrates basic suturing techniques as might be applied in an emergency room setting.

How To Save The Facial Nerve During Parotid Gland Surgery

Cerebellar functions of the upper limbs from the USMLE collection

A video showing how to perform Cardio-Pulmonary Resuscitation on a child

Initial Assessment

An animation illustrating carcinoma of the colon

Use of Skin Stapler

Busadagur í fss 2008

Can bile duct injuries be prevented? A new technique in laparoscopic cholecystectomy

Over the last decade, laparoscopic cholecystectomy has gained worldwide acceptance and considered to be as "gold standard" in the surgical management of symptomatic cholecystolithiasis. However, the incidence of bile duct injury in laparoscopic cholecystectomy is still two times greater ...compared to classic open surgery. The development of bile duct injury may result in biliary cirrhosis and increase in mortality rates. The mostly blamed causitive factor is the misidentification of the anatomy, especially by a surgeon who is at the beginning of his learning curve. Biliary tree injuries may be decreased by direct coloration of the cystic duct, ductus choledochus and even the gall bladder. Methods gall bladder fundus was punctured by Veress needle and all the bile was aspirated. The same amount of fifty percent methylene blue diluted by saline solution was injected into the gall bladder for coloration of biliary tree. The dissection of Calot triangle was much more safely performed after obtention of coloration of the gall bladder, cystic duct and choledocus. Results Between October 2003 and December 2004, overall 46 patients (of which 9 males) with a mean age of 47 (between 24 and 74) underwent laparoscopic cholecystectomy with methylene blue injection technique. The diagnosis of chronic cholecystitis (the thickness of the gall bladder wall was normal) confirmed by pre-operative abdominal ultrasonography in all patients. The diameters of the stones were greater than 1 centimeter in 32 patients and calcula of various sizes being smaller than 1 cm. were documented in 13 cases. One patient was operated for gall bladder polyp (our first case). Successful coloration of the gall bladder, cystic duct and ductus choledochus was possible in 43 patients, whereas only the gall bladder and proximal cystic duct were visualised in 3 cases. In these cases, ductus choledochus visibility was not possible. None of the patients developed bile duct injury. Conclusion The number of bile duct injuries related to anatomic misidentification can be decreased and even vanished by using intraoperative methylene blue injection technique into the gall bladder fundus intraoperatively.

This 38 year old woman has increasingly intractable RUQ pain after cholecystectomy done one year prior. LFTs and pancreatic enzymes have been normal, and ducts are non-dilated, thus she is a Type III possible SOD patient. Initial goal is to define course of pancreatic duct for manometry. 5-4-3 Co...ntour catheter (Boston Scientific) is used to perform the pancreatogram which shows a small straight distal duct. The aspirating triple lumen manometry catheter (Wilson Cook) is used to cannulate the pancreatic duct, with continuous aspiration of fluid once the duct is entered. Careful stationed pullthrough manometry shows markedly abnormal basal pressures in both leads in the pancreatic sphincter. Plan is dual pancreatic and biliary sphincterotomy. Biliary manometry will not now change our plan therefore is omitted. Our first goal is to access the pancreatic duct so we can guarantee wire access for placement of a small caliber pancreatic stent which is critical for safety. Contrast is injected as the 0.018in Roadrunner wire (Wilson Cook) is advanced in order to outline the course of main duct. A separate biliary orifice is clearly seen, unusual in SOD patients. A soft 4Fr 3cm single inner flange pancreatic stent (Hobbs Medical) is placed. We did not want to use our typical 9cm long unflanged stent as even a 3 or 4 French stent might be traumatic to the tiny caliber of this duct out in the body of the gland. Next the bile duct is cannulated with a papillotome (Autotome 39, Boston Scientific), showing a small perhaps 6mm bile duct. Biliary sphincterotomy is performed in very careful stepwise fashion as landmarks are unclear and perforation is higher risk in small duct SOD patients. On the other hand, inadequate sphincterotomies offer limited chance of symptom relief. You can see here a patulous sphincterotomy. Next a pancreatic sphincterotomy is performed with the needle knife (Boston Scientific) over the pancreatic stent. Again this is performed cautiously due to the small size of the pancreatic duct. We are reaching along the stent and cutting the fibers deeply. This is a limited pancreatic sphincterotomy due to small pancreatic duct size, and concern for scarring of the pancreatic duct. It is important to document passage of the stent by xray or remove it endoscopically with two weeks or so. We and many other specialized centers perform dual sphincterotomies at the first ERCP in all SOD patients with abnormal pancreatic manometry and frequent or intractable symptoms based on the belief that response rates are better than for biliary sphincterotomy alone.

Bunionectomy steps

Video demonstration of proper CPR for a child

Dr. Schreiber at Harper University Hospital pioneers a new minimally invasive treatment to prevent stroke in patients with carotid artery disease. ~ Detroit Medical Center

O'Brien's Active Compression Test