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This anatomical implant was originally placed in 1997. Due to the dark yellow color inside the implant it is clear the implant has been ruptured for quite some time. When implants rupture, it is important to have them replaced as soon as possible to avoid excessive scarring in the breasts. If too much scar tissue has accumulated around the deflated implant, it becomes difficult to create a normal breast shape in the future. Therefor its important to know the signs of a ruptured implant such as, painful to touch, visible asymmetry or loss of integrity to the bag. Dr. Stuart Linder 9675 Brighton Way Suite 420 Beverly Hills, CA 90210
Hand hygiene for healthcare workers: Learn how to perform hand washing with soap and water (nursing procedures).
There are two ways to perform hand hygiene as a nurse. You can use soap and water or an alcohol-based hand rub (also called hand sanitizer or hand gel).
Hand hygiene is essential for providing safe patient care. If hand hygiene is not performed regularly, germs can be easily be spread to patients, other healthcare workers, and even yourself.
Hand hygiene is ALWAYS performed before and after patient care, after coming into contact with any type of body fluid or open wounds, when touching any object that is near a patient (hand railing, bedside table etc.), removing gloves, prior to eating, or after using the bathroom.
This video discusses when you should use soap and water versus an alcohol-based hand gel, when to perform hand hygiene, and demonstrates how to perform hand hygiene using soap and water.
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Ellis demonstrates how to connect an NG tube to suction.
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Dr. Linder is removing a patients breast implants after having five breast augmentations from three previous surgeons. She has baker 4 capsular contracture and is look forward to having them removed. The most common reasons for removing a breast implant include; heath reasons such as back pain, reoccurring complications and the desire for a different shape or size. For implant removal surgery, Dr. Linder makes an inframammary incision (along the breast crease). The implant can be removed intact, or it may need to be punctured before removal. An antibiotic solution is used to irrigate the breast pocket after implant removal. For more information about breast implant removal go to www.implantremoval.net or call Dr. Linder's office at 310-275-4513
Urinary incontinence isn't a disease, it's a symptom. It can be caused by everyday habits, underlying medical conditions or physical problems. A thorough evaluation by your doctor can help determine what's behind your incontinence. Temporary urinary incontinence Certain drinks, foods and medications can act as diuretics — stimulating your bladder and increasing your volume of urine. They include: Alcohol Caffeine Decaffeinated tea and coffee Carbonated drinks Artificial sweeteners Corn syrup Foods that are high in spice, sugar or acid, especially citrus fruits Heart and blood pressure medications, sedatives, and muscle relaxants Large doses of vitamins B or C Urinary incontinence also may be caused by an easily treatable medical condition, such as: Urinary tract infection. Infections can irritate your bladder, causing you to have strong urges to urinate, and sometimes incontinence. Other signs and symptoms of urinary tract infection include a burning sensation when you urinate and foul-smelling urine. Constipation. The rectum is located near the bladder and shares many of the same nerves. Hard, compacted stool in your rectum causes these nerves to be overactive and increase urinary frequency. Persistent urinary incontinence Urinary incontinence can also be a persistent condition caused by underlying physical problems or changes, including: Pregnancy. Hormonal changes and the increased weight of the uterus can lead to stress incontinence. Childbirth. Vaginal delivery can weaken muscles needed for bladder control and also damage bladder nerves and supportive tissue, leading to a dropped (prolapsed) pelvic floor. With prolapse, the bladder, uterus, rectum or small intestine can get pushed down from the usual position and protrude into the vagina. Such protrusions can be associated with incontinence. Changes with age. Aging of the bladder muscle can decrease the bladder's capacity to store urine. Menopause. After menopause women produce less estrogen, a hormone that helps keep the lining of the bladder and urethra healthy. Deterioration of these tissues can aggravate incontinence. Hysterectomy. In women, the bladder and uterus are supported by many of the same muscles and ligaments. Any surgery that involves a woman's reproductive system, including removal of the uterus, may damage the supporting pelvic floor muscles, which can lead to incontinence. Enlarged prostate. Especially in older men, incontinence often stems from enlargement of the prostate gland, a condition known as benign prostatic hyperplasia. Prostate cancer. In men, stress incontinence or urge incontinence can be associated with untreated prostate cancer. But more often, incontinence is a side effect of treatments for prostate cancer. Obstruction. A tumor anywhere along your urinary tract can block the normal flow of urine, leading to overflow incontinence. Urinary stones — hard, stone-like masses that form in the bladder — sometimes cause urine leakage. Neurological disorders. Multiple sclerosis, Parkinson's disease, stroke, a brain tumor or a spinal injury can interfere with nerve signals involved in bladder control, causing urinary incontinence.
Plantar warts are hard, grainy growths that usually appear on the heels or balls of your feet, areas that feel the most pressure. This pressure also may cause plantar warts to grow inward beneath a hard, thick layer of skin (callus). Plantar warts are caused by the human papillomavirus (HPV). The virus enters your body through tiny cuts, breaks or other weak spots on the bottom of your feet. Most plantar warts aren't a serious health concern and may not require treatment. But plantar warts can cause discomfort or pain. If self-care treatments for plantar warts don't work, you may want to see your doctor to have them removed.