A rotator cuff tear is a common injury, especially in sports like baseball or tennis, or in jobs like painting or cleaning windows. It usually happens over time from normal wear and tear, or if you repeat the same arm motion over and over. But it also can happen suddenly if you fall on your arm or lift something heavy. Your rotator cuff is a group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms. There are two kinds of rotator cuff tears. A partial tear is when the tendon that protects the top of your shoulder is frayed or damaged. The other is a complete tear. That’s one that goes all the way through the tendon or pulls the tendon off the bone.

#dialysis #uvahealth
If your kidney function is declining and medications and other treatments aren’t working, dialysis can offer life-saving care. UVA has one of the largest dialysis programs in the country. Nephrologist Daphne Knicely, MD, explains the types of home dialysis and how they can work to fit your life.

Find out more at: https://uvahealth.com/services/dialysis

Transcript

Dialysis is just a way to replace the kidneys when they're not working anymore. So when the kidneys stop working, they stop getting rid of water, stop balancing the chemistry, stop getting rid of the toxins. Then dialysis does its job by balancing the chemistries, getting rid of the toxins, and help remove fluid. It doesn't fix the kidneys. It just replaces them.

I usually think of dialysis as two components. There's hemodialysis and peritoneal dialysis. So peritoneal dialysis can only be done at home. Hemodialysis can be done in a center, or it can be done at home.

Hemodialysis is where you have some sort of access to the blood. Either some sort of shunt in the arm that connects an artery and vein, or a catheter. And it allows for blood to leave you, go through a machine, get cleaned, chemistries balanced, and then comes back to you.

For home hemodialysis, the patient actually learns how to do that treatment. It's a very simple machine, very user-friendly. Training is usually about anywhere from four weeks up to eight weeks, and you work one-on-one with a nurse. You still see the physician. You come in about once a month, maybe twice a month, to get labs. You'll see a social worker, and a nutritionist at the same time.

Peritoneal dialysis takes place by putting a tube into your abdomen. And we take dialysis fluid that's chemically balanced. When we put it into the abdomen, it uses those little blood vessels to pull toxins out, to balance chemistries, kind of like little filters. Now, after it sits in there for several hours, we drain it out.

Anyone that needs dialysis is a candidate for home dialysis. There's not one type of dialysis that's going to make you live longer. They're all equal. The goal is to pick the type of dialysis that fits with your life.

A detailed video showing how to clinically exam the abdomen

Knee pain location can often tell you what type of knee pain you have. If you confirm that with common symptoms and what aggravates it… you can get a pretty good idea of ‘why my knee hurts’. So, here’s a quick look at the most common type of knee problems.

‘The 3 Essential Exercises EVERYONE Should Do’ … Watch this EXCLUSIVE video, only here: https://stefan-becker.mykajabi.com/3-essentials

QUESTIONS? I answer questions here now: I’ve started a Facebook Group to help people achieve their musculo-skeletal goals. Join here… https://www.facebook.com/groups/bodyfixexercises

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0:00 Intro
0:11 Pain at the front of the knee (Pain in kneecap)
0:42 Pain below kneecap
1:40 Pain on inside of knee
3:05 Pain below knee on inside
3:29 Pain on outside of knee
3:28 Pain above knee
3:28 Pain behind knee

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Mentioned in this video...

How To Fix Pain In The Front Of The Knee… (Runner's Knee) https://youtu.be/g0qmx_0enAA

Looking to stop your knee problems? Do this...

Knee Strengthening Exercises To Prevent Knee Pain
https://youtu.be/Pk-ae_lyx7M

How To Treat Patellar Tendinopathy (Jumper’s Knee) & Quadriceps Tendinopathy
https://youtu.be/MkPwsb-rQwU
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If you’re asking yourself ‘what’s the cause of my knee pain?’ or ‘what kind of knee pain do I have?’ (so that you can look up solutions to your knee pain on YouTube) the position of your knee pain will tell you a lot.

THE MOST COMMON KNEE PAIN TYPES?
Knee pain during running (or actually kneecap pain while running) is usually just that… Runner’s Knee (PATELLOFEMORAL PAIN SYNDROME, or it’s old name: Chondromalacia Patella) If you get knee pain while cycling it will often be the same thing. Same with knee pain with stairs.

Knee pain while squatting could be Runner’s Knee, but if you get pain in the tendon below the kneecap, it’s more likely to be Patellar Tendonitis or Jumper’s Knee.

Meniscus Tears will give you pain on the inside of the knee that is a localised pain, can feel as if it gets stuck, or feel like it’s going to give way, and often it’s hard to fully straighten or fully bend your knee.

Knee pain on the outside of the knee is usually Iliotibial Band Syndrome

ALSO COVERED:
Infrapatellar Fat Pad Syndrome (Hoffa's Syndrome)
Osgood-Schlatter Disease
Medial Collateral Ligament Tear
Iliotibial Band Syndrome
Osteoarthritic Knee Pain
Pes Anserine Bursitis.
Quadriceps Tendinopathy
Popliteus Strain
Baker’s Cyst
ACL Or PCL Tear/Rupture

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#bodyfixexercises #kneepainrelief #kneepain

Endoscopic Drainage of an Orbital Mucocoele

wide resection of giant cell tumor ,then strut grafting using free fibula graft,knowles pinning of the graft.

Shamika Burrage survived a near-fatal car accident two years ago, but not without losing something pretty important: her left ear. Now, thanks to a novel procedure performed at an Army medical center in Texas, Burrage is getting that ear back in a most unusual way. Plastic surgeons harvested cartilage from Burrage's ribs to create a new ear and then grew it under the skin of her forearm. Then the doctors at William Beaumont Army Medical Center in El Paso successfully transplanted the ear from her arm to her head. The technique -- a first time in the Army -- is called prelaminated forearm free flap, said Lt. Col. Owen Johnson III, chief of plastic and reconstructive surgery at William Beaumont Army Medical Center. Some of the big advantages of it is that it reduced the chance of more scarring around Burrage's ear. Also, growing the ear under the skin of her forearm allows new blood vessels to form. "(The ear) will have fresh arteries, fresh veins and even a fresh nerve so she'll be able to feel it," Johnson said on the US Army's website. Burrage, a 21-year-old private, still has to endure two more surgeries, but she's feeling more optimistic about the future than ever in the years since her accident. "It's been a long process for everything, but I'm back," said Burrage.

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What does a fistula for dialysis look like?
A fistula for dialysis is a surgical connection between a vein and an artery.
In this video, I will show you a real fistula and how we should evaluate it before a dialysis connection.

Additional videos:
💉How to properly cannulate a fistula: https://youtu.be/IqoHnzFyhJQ
💉 What is a fistula for dialysis treatment: https://youtu.be/B5EEf-MklFk
💉 The 10-second assessment for fistulas: https://youtu.be/Uqo0LhjZSI8

💉 If you would like to be trained as a dialysis professional focused on offering quality of care to renal patients, visit our program details here: https://utopiahcc.com/hemodialysis-technician/

For nursing and technician schools😷 🩺 🎓, we can offer a special renal failure class to your students. For inquiries please contact us: info@utopiahcc.com

Where to find us:
Facebook: https://www.facebook.com/utopiahealth​
Email: info@utopiahcc.com
Website: utopiahcc.com

🤔 Looking for renal and dialysis continuing education for your certification renewal? Check out our CE package where you will get a little over 40 contact hours for a small price and receive your certificates immediately.
Here's the link: https://bit.ly/3dbPvDZ​

Want to watch *Free Dialysis Training Videos*?
https://utopiahcc.com/free-dia....lysis-video-training
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Additional resources:

What Does a Healthy AV Fistula Look Like? | Azura Vascular ...
www.azuravascularcare.com infodialysisaccess healt...
Jul 17, 2018 — An AV fistula is a surgically-created permanent access located under the skin, making a direct connection between a vein and an artery. An AV fistula is typically created in the non-dominant arm. If the veins in your arm are not large or healthy enough to support a fistula, it may be created in your leg.

Preparing for Dialysis (AV Fistula) Fact Sheets Yale ...
www.yalemedicine.org › conditions › preparing-dialysi...
To undergo dialysis, patients need a surgical procedure to create an access point for the dialysis machine. An AV fistula is the most common access point.

Vascular Access for Hemodialysis - Life Options
lifeoptions.org living-with-kidney-failure vascular-a...
Jump to How a Catheter Looks and Feels — This makes a pattern that looks a bit like a rope ladder. The next best way—for fistulas ONLY—is the “Buttonhole ...
‎Fistula or Graft Surgery · ‎Needle Fear · ‎How a Fistula or Graft Looks...

Taking Care of Your Fistula - DaVita
www.davita.com dialysis preparing-for-dialysis › ta...
An arteriovenous (AV) fistula is a type of access used for hemodialysis. ... access because it utilizes the patient's own vessels and does not require permanent placement of foreign materials such ... Look for redness or swelling around the fistula area. ... This sound may change from a whooshing noise to a whistle-like sound.

Vascular Access for Hemodialysis - Department of Surgery
surgery.ucsf.edu conditions--procedures vascular-ac...
The patient does not need anesthesia for this procedure. ... A vascular surgeon performs AV graft surgery, much like AV fistula surgery, in an outpatient center or ...

Frequently Asked Questions about Dialysis Access Surgery ...
www.bidmc.org transplant-institute frequently-aske...
Dialysis access surgery creates the vascular opening so a needle can be inserted for ... fluid and to correct electrolytes like potassium, sodium, phosphate and calcium, to name a few. ... Where are AV fistulas located and how long do they last?

Fistula and Graft Placement (Eric K. Peden, MD) - YouTube
www.youtube.com watch
Mar 28, 2016 — ... Bootcamp 2015 August 14 - 16, 2015 "Dialysis Access" Fistula and Graft Placement (Eric K. Peden, MD) DICET@Houstonmethodist.org.

Distal Urethroplasty with Dorsal Dartos Flap

The endoscopic resection of a sharp bony nasal septal spur video

Medical technology continues to advance and help doctors continue to treat patients. From face transplants to LASIK eye surgery watch the video below for 8 medical procedures that are improving lives.

MORE MEDICAL CONTENT:
Meet The 24-Year-Old Whose Prosthetic Limbs Are Changing Lives
https://www.youtube.com/watch?v=E0dbagxeMT0
Lifelike Medical Robot Actually Bleeds
https://www.youtube.com/watch?v=IjnhmcCQLsc
Medical Tourniquet Works Like A Zip Tie
https://www.youtube.com/watch?v=k9q27yVxPL8

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8 Medical Procedures That Are Improving Lives

Funny School Exam

The Principles of Laparoscopic Suturing

In dark or dim light, the pupil dilates to allow more light into the eye to improve vision. Normal pupil size tends to range between 2.0 and 5.0 millimeters, depending on the lighting. The younger you are, the larger your pupils tend to be.

Dealing with bleeding

Coronary Artery Bypass Surgery CABG Heart

Glioblastoma is a type of astrocytoma, a cancer that forms from star-shaped cells in the brain called astrocytes. In adults, this cancer usually starts in the cerebrum, the largest part of your brain

An intrauterine device (IUD), also known as intrauterine contraceptive device (IUCD or ICD) or coil, is a small, often T-shaped birth control device that is inserted into a woman's uterus to prevent pregnancy. IUDs are one form of long-acting reversible birth control (LARC).

This video demonstrates how to test for trace amounts of blood in the patients stool. Trace amounts of blood in the stool can be sign of a number of problems, colon cancer being the most worrisome.