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A sprain means a stretched or torn ligament, while a strain involves an injury of a muscle or tendon.
If the edges of a cut are separated but will go together, use a butterfly bandage to close the wound.
The hands and feet are exposed to more dirt than the face, so it's best to keep cuts covered.
Call your doctor for deep cuts, puncture wounds, or injuries that don't stop bleeding after several minutes of pressure.
Why using a sharp kitchen knife is actually safer, and other tips on keeping your family safe at home. False widow spiderThe false widow spider, Steatoda nobilis, is not native to the UK and was probably imported in fruit crates during the 19th century. To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements.
I originally put these memories on paper to share with my two sons when they become mature enough to comprehend more fully the events described. As long as I live, I will never forget my secretary, Kathy informing me on Tuesday, September 11, 2001, that an airplane had just struck one of the Twin Towers of the World Trade Center. That moment had an exceptional impact on me, as my nearly seven and nearly four and a half year old sons and I had been studying skyscraper history and construction for the past several months. I ran out to the lobby of my office building, where there was a television and watched in horror as the black smoke billowed out of gaping holes in Tower 1.
My heart sank as any doubts about this being a terrorist attack went up in the very smoke that I was now horrifiedly watching along with my colleagues.
I resumed seeing the shocked patients in my office, when my secretary informed me that one of the Towers (Tower 2) had just fallen. My mind was now miles away from my office, with those innocent victims of the ultimate in hate. I called both of my hospitals, Manhattan, Eye, Ear and Throat and New York-Presbyterian to learn that their emergency rooms had a€?adequate staffing for the time beinga€?. I now knew that if I were to make a significant contribution to the relief effort, I had to get a slit lamp downtown to treat the rescuers and victims with eye problems on-site.
I called the assistant administrator at the Manhattan Eye, Ear and Throat Hospital, Craig Ugoretz, who combed the building and found the one slit lamp microscope that was not bolted to a floor-mounted stand. Not knowing when my next meal would be, or when I would return home, I grabbed a quick bite in a local restaurant. When I arrived at the hospital, the slit lamp was in the lobby, waiting for me at the security desk. On our way it was suggested that I first stop at One Police Plaza to treat the eyes of injured police officers. The police officers that I cared for were still so debris-laden, that their uniforms appeared more khaki than blue from the concrete dust and ash. On the first day alone, I had the honor of caring for the eyes of more than one hundred heroes in every sense of the word. Fortunately, most of the eye injuries were not severe, but were nonetheless incapacitating.
During the night, when the steady flow of the injured slowed to a trickle I walked into the Command and Control Center next door to try to learn what was going on outside this fortress. Still later when the flow of injured officers stopped, I wanted to take the slit-lamp to a€?Ground Zeroa€? itself to care for injured members of the other uniformed services. I went uptown during the night for a few hours to check on my family, clean up and possibly get a nap to prepare for the next day. It wasna€™t until my second day downtown, during a break, that I first opened the blinds of my improvised emergency room at One Police Plaza to discover that the windows faced out over the devastation. After my final visit to One Police Plaza to render follow-up care on September 20th, I was escorted to a€?the sitea€? by Sergeant Giuzio from the Office of the Chief of Police. As we went through multiple checkpoints, I began to see large groups of rescue workers walking through the streets. We walked the blocks of lower Manhattan, through several more checkpoints, to an NYPD a€?staging areaa€?. The road on which we were walking (West Street), just days before, was under high piles of debris, left by the Towersa€™ collapses. We were now standing adjacent to a€?Ground Zeroa€? on West Street between Building 6 and the World Financial Center. While I was transfixed by the overwhelming spectacle of this tragedy, the sergeant asked me to stay where I was as he walked up to a tall thin man. As we walked around the corner to the Hudson River side of the World Financial Center both the lights and the clatter of the rescue work faded, somewhat.
Going down Albany Street, we passed a restaurant, where people must have been sitting until the windows were blown in by falling debris. As we walked onward toward the site of the Tower 7 collapse, there were many tents and tables set up to provide the workers with the essentials of life during their mission. We passed buildings that looked as if they had been spray-painted gray because of their coating of concrete dust. After the address we said farewell, feeling a sense of comradeship, which was disproportionate to the time we spent together. As we approached Liberty Street we saw a large group of rescue workers gathered under one of many gasoline-powered floodlights.
Taking Douglasa€™ design from concept stage to a scale model rendered in Plexiglas became a year-long father and son project.
Victimsa€™ names are an entirely appropriate means of remembering the dead in all memorials.
It must be noted that there were no recovered or identifiable remains belonging to over one thousand victims of the World Trade Center tragedy. Albeit not universally praised for their architecture, the Twin Towers were an integral part of New York City, which no longer grace our skyline. Both the names of the victims and a reincarnation of the World Trade Center icons could be represented simultaneously by the memorial, as there is no fundamental incompatibility between memorializing both human and material loss.
Relics and rubble from the disaster site represent significant and tangible ties to the actual tragic event and location.A  Relics of the disaster should not solely be housed in a museum or off-site (as they are now) in an airplane hangar. The design evolved into a pair of transparent towers with rectangular areas missing where the airplane impacts occurred, containing standing faA§ade relics inside one Tower and the recovered American flag inside the other. After studying the photo for pensively for several minutes, he said, a€?You have to do something with thisa€?.
Within a few weeks, I received not just one, but two letters from the General Counsel of the Lower Manhattan Development Corporation (the organization empowered with the rebuilding of the Ground Zero area).
Not knowing where to start, I casually asked an architect, Mark Mascheroni, who has a son at my sonsa€™ school, how much a set of architectural renderings might cost. We met face to face for only the second and final time at a very busy architectural printing shop, Esteban & Co at 139 West 31 Street. As I handed Mansion a check for his work, I asked him to sign the official LMDC release, required for all submission team members. One appropriately placed 3-dimensional rectangular space, devoid of its glass faA§ade, representing the a€?impact voida€? in each Tower (floors 93-98 of the North Tower and floors 78-84 of the South Tower) symbolize the loss from, and location of, the damage from each initial airplane impact. The difference between life and death for thousands of people inside the Twin Towers was the ability or inability to find an intact stairway by which to escape. Each of the two Memorial towers has a footprint of 40 x 40 ft., and is situated in the space in between the two 200 x 200 ft. The glass panels making up the curtain-walls are inscribed with each victima€™s name, date of birth, occupation, nationality and, when from a uniformed service, the appropriate shield (FDNY, EMS, NYPD, PAPD) (Image 1, Section E). The glass curtain wall is supported by an internal, open stainless steel frame, reminiscent of the Twin Towersa€™ metal infrastructure whose melting under the intense heat of the jet fuel fires resulted in the Towersa€™ ultimate collapse. 1)The inspiring American flag recovered from the World Trade Center rubble that was solemnly raised by rescuers.
A patient of mine, who saw the submission to the contest, was so impressed with Dougiea€™s concept that she arranged a meeting with the world-renowned architect, A. William Stratas, a website developer from Toronto created a wonderful website for contestants to share news of the competition and to discuss their personal experiences.
Stratas and I began to communicate on a regular basis and became long-distance comrades in architecture.
After office hours, I took Dougie to the party followed by a trip to the exhibition of the eight finalists at the Winter Garden of the World Financial Center. After talking to Dougie for a while, she informed me that the man standing directly behind me was Kevin Rampe, the President of the Lower Manhattan Development Corporation.
At the Forum, Dougie was interviewed by Georgett Roberts of the New York Post and by Alan Feuer of the New York Times. After the photo session and the presentation of the Certificate of Merit to Doug, we were escorted to a locked room called a€?The Family Rooma€?. Doug was introduced to the winner, Michael Arad, and his associate, Peter Walker, in a conference room.


Aptly stated about the competitors by New York Times reporter Julie Iovine was, a€?Working on their own initiative and against lousy odds, determined to express themselves and to keep memory alive, they spent countless thousands of hours conceiving, drafting, revising and explaining their visionsa€?.
As an ophthalmic surgeon, I expressed my personal need to do something constructive in the aftermath of the WTC tragedy by obtaining a portable slit lamp microscope and using it to treat the eye injuries of rescue workers at Ground Zero. I reflected on how many renowned architects begin their creative processes with Lego blocks (or equivalents), or perhaps with rough sketches on cocktail napkins. I discussed my feelings about these comments with a patient, who is an editor of the New York Times. Our teama€™s memorial design now proudly resides on the LMDC website along with the other 5200 entries.
One final note is that, several years later, a patient came into my office and informed me that he had just been hired as the General Counsel of an insurance company in Philadelphia, by, of all people, Kevin Rampe.
As I wrote in the beginning, I originally put these memories on paper to share with my two sons when they become mature enough to comprehend more fully the events that I have just described.
One of the most difficult things that I have ever been called upon to do, was to address the Connecticut Society of Eye Physicians on my experiences and on emergency preparedness, only a few months after the disaster, on December 7, 2001. I think about the tragedy every day, and particularly my personal memories of experiences that have changed the course of history. A total of 5,193 World Trade Center memorial proposals have been given the heave-ho, but the people who created them aren't slinking quietly back to their day jobs. On December 6, hundreds of teachers, architects, and engineers that didn't make it will gather at New York University to display their work and discuss their discarded ideas. Another participant, Barry Belgorod, plans to bring his 6-year-old son, Doug, to the all-day event. William Stratas, the Canadian Web developer organizing the forum, said the event wouldn't be a rally or a session dedicated to critiquing the eight designs that made it past the 13-member jury.
Only one session is dedicated to discussing the finalist designs, and he said he's anticipating some thoughtful but harsh critique. December 7, 2003 -- Some 60 people, including a 6-year-old boy, who were among the 5,000 entrants who submitted Ground Zero memorial designs, and lost, met in lower Manhattan yesterday to protest the closed-door judging process that produced the eight finalist proposals. Contestant Douglas Belgorod, 6, of Manhattan said he used his Lego building set to construct the two towers and had pulled out the blocks to leave a space where the hijacked planes hit.
Brian McConnell, 33, an engineer from San Francisco, said he was glad he made the effort to see other people's work. New York heart surgeon Robert Jarvik, 57, said the finalists lacked passion and imagination. The losers -- no, not the losers, the ones who did not win -- stood around doing what they had done for many months online, which is to say they thought, talked, argued, vented, ranted, complained and basically obsessed to the point of meltdown over how to build the best possible World Trade Center memorial. Naturally, there was a bit of surprise when Adrienne Austermann, who goes by the name of Trinity online, turned out to be a woman since many people thought she was a man, and there was more than pleasant applause when Eric Gibbons, also known as Lovsart, took his own turn at the lectern since people really liked the absence of public benches in his plan, benches that might encourage loiterers to hang out eating hot dogs -- not exactly what Mr. All in all, it was a remarkably diverse group, which had among its ranks a financial analyst, an engineer, a graphic designer, a schoolteacher, a sculptor, a union electrician, an ophthalmologist and his 6-year-old boy, and Robert Jarvick, the inventor of the artificial heart.
There was also a very simple replica of the towers done in glass that was conceived by Dougie Belgorod, the 6-year-old, who constructed the initial model out of Legoes. At any rate, the idea did not attract the interest of the competition's jury, which -- whenever it was mentioned -- seemed to produce in the crowd of nonwinners the kind of forced affability and small uncontrollable tics one often finds in people trying to suppress great rage. They spent the morning sharing their designs with one another, and in the afternoon set out to draft a Declaration (''Capital D,'' Mr.
Later in the afternoon, the nonwinners went down to ground zero, where they stopped off at the World Financial Center to look at the eight designs that had defeated theirs. It smarted having lost, no doubt about it, but all the nonwinners said they would not give up. As long as I live, I will never forget my secretary, Kathy informing me on Tuesday, September 11, 2001, that an airplane had just struck one of the Twin Towers of the World Trade Center.A  Prior to this, it seemed like a normal Tuesday morning, seeing patients in my ophthalmology office on the Upper East Side of Manhattan. Fortunately, most of the eye injuries were not severe, but were nonetheless incapacitating.A  When the Towers collapsed, there was a cascade of enormous quantities of pulverized concrete and sheetrock, wisps of fiberglass, asbestos dust (the buildings were not asbestos free) and splinters of glass. Still later when the flow of injured officers stopped, I wanted to take the slit-lamp to a€?Ground Zeroa€? itself to care for injured members of the other uniformed services.A  I was emphatically discouraged from doing this by the staff of the office of the Chief of Police, until buildings stopped collapsing and the ground beneath was more stable. Please enter the information requested in the About Your Family tab, then submit the form to return here.
Some obvious times to see the doctor might be if you have a compromised immune system, your wound gets infected, or there is excessive bleeding.
Robert Snyder, DPM, medical director, Wound Healing Center, University Hospital and Medical Center, Tamarac, Fla. With clean hands, and using a sterile bandage or clean cloth, apply firm pressure directly to the wound.
Immediately and thoroughly wash the wound with plenty of soap and warm water to remove as much dirt and saliva -- and the bacteria they carry -- as possible. Apply an adhesive strip bandage or sterile gauze and adhesive tape to small scrapes that may get dirty or irritated. After that, take a shower instead of a bath if there are stitches or skin tape on the incision. See your doctor right away if you have signs of an allergic reaction: mild nausea, intestinal cramps, diarrhea, or swelling around the area larger than two inches. Teens and adults may need a tetanus shot if they or their doctor don't know how long it's been since they got a booster shot, or if they didn't get the full vaccine series as a child. For most injuries, first you'll want to clean it with water to get rid of debris and help prevent infection.
The exception -- if a blister is in an area where it might get rubbed, such as on the sole of the foot.
Antibiotic ointment or moisture-enhancing bandages, also called occlusive bandages, can do the job. Adults should call a doctor about getting a tetanus shot if they haven't had one in the past 5 years.
Department of Health and Human Services: West Nile Virus is a Risk You Can Do Something About With a Few Simple Steps.
It is intended for general information purposes only and does not address individual circumstances. Charles Mango, from New York-Presbyterian Hospital, had managed to get downtown near the disaster site. Lester, a detention-center designer, is flying in from Kansas City, Mo., to show his design, which involves a kinetic polycarbonate sphere etched with the names of the victims.
McConnell used mathematical equations to design his plan for a spire that creates the illusion of infinite height. Stratas posted registration forms online Wednesday morning, as the Lower Manhattan Development Corporation was announcing the finalists. Stratas insists the forum isn't about political action, some people say they'd like to find power in numbers. Stratas was standing at the lectern, on the fourth floor of the student center at New York University, talking to a group of peers whom he knew intimately but had never met before. Mango said: ''You see, when I came up with my idea, I really thought that I was going to win.
Stratas said), which will lay out their displeasure with the competition's eight finalists and which could be released to the public as early as today.
Heys's comment, Zane Kinney, who had flown all the way from Ellensburg, Wash., felt compelled to correct the record.
Vincenta€™s (which is not one of my hospital affiliations), which was closer to the scene, but they too had a€?enough medical personnela€? for the task.A  I was referred to a triage center at Chelsea Piers where medical volunteers could go to see a€?if they were neededa€?.
Whether it's a minor cut, scrape, or burn, or something more serious, do you have what you need to give first aid? Scrub the bite well and rinse with water for several minutes to make sure it is clean and all soap is rinsed out. Usually after the first 24 hours, you can cleanse minor, non-surgical wounds with water and a washcloth and change bandages daily.
If there is no infection, you can flush a small cut with normal saline or cool water and then close it with a butterfly bandage or tape, or thin adhesive strips.
But keeping a wound moist and covered helps it heal faster and reduces inflammation and scarring. Call your doctor if your wound is deep or wide, you can't get the edges to stay together with a bandage, or the edges are jagged. It's especially important to get immediate attention if the wound is a puncture wound or is dirty or was caused by rusty metal. In addition to icing the injury, wrap it with an elastic compression bandage and keep it elevated when possible. Each time you remove the old dressing, check the wound for signs of infection, such as increasing redness around the wound, a yellow or green discharge, or an unusual odor. Bandages that are hourglass shaped or notched so they are shaped like an "H" can prevent folds and bunching. Adhesive strips can be used for small cuts, but be sure to change the bandage if it gets wet or dirty.


It is intended for general informational purposes only and does not address individual circumstances.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
Their design was a glass replica of the twin towers with rectangular holes where the airplanes struck. His design includes uniformed honor guards, firefighters and cops watching over a tomb in defense of the nation.
Rinse a puncture wound (from a knife or nail) for at least five minutes before washing surrounding skin with soap. If a bandage gets wet or dirty, or fluids soak through it, change it promptly so that it doesn’t stick to the wound. A butterfly bandage is a narrow adhesive strip that flares at the sides, resembling a butterfly. Stitches are also used to hold together wounds on parts of the body that stretch and move a lot. If a burn or wound has not healed after two weeks, you may need to see a wound care specialist. For a broken blister that has drained, protect it from infection by covering it with a bandage. Seek professional care for cuts that are gaping, longer than a half inch, or don't stop bleeding after 15 minutes of pressure. All have globular shaped bodies and their name derives from the fact that they are commonly mistaken for black widow spiders. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. There was a 70-foot glass sculpture of a pair of hands cupped together reaching for the heavens, and a sort of paddle-wheel thing that people pushed, and when they pushed it, it generated energy, and the energy was used to power spotlights, and the spotlights shone up into the sky, and the intensity of the shine, well, it depended on how many people were pushing the wheel. Tell us a few things about your family, and you'll get a list of items that a well-stocked first aid kit should have -- as well as some suggestions on how to keep kits handy. For an animal bite, get emergency help if the bite is large or from a cat, monkey, raccoon, or bat, or a wild animal.
Then apply a thin layer of antibiotic ointment and cover loosely with a sterile gauze bandage. Seek medical care if a wound becomes red, painful or swollen, or if it continues to drain, especially if you have a fever.
Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. The worldwide impact of the tragedy is emphasized by recognizing the international scope of the loss. Still, they wanted to remain involved and to contribute something -- anything, please -- because their energies and passions, the collective vat of their creative juices, really, could you throw it all away? The bite causes pain, redness and swelling, but more serious complications have been reported in a few cases. If you enjoy the outdoors, be careful of ticks – they can attach to your skin as you brush past grass and plants.
Ticks don't always carry diseases, and most bites are not serious, but they can carry Lyme disease.
There are thought to be 2,000-3,000 new cases in England and Wales each year but they are not all reported.
Tick bitesOnce a tick latches onto skin, it often moves to the warm, moist armpits and groins, feeding on blood and passing on any disease it carries. Seven World Trade Center was not actually on the same plot of land as the rest of the World, Trace Center complex.
Use tick repellant and check for ticks after spending time in grassy or wooded areas in some parts of the UK, including Exmoor, the New Forest, the South Downs, parts of Wiltshire and Berkshire, Thetford Forest in Norfolk, the Lake District, the Yorkshire Moors and the Scottish Highlands.
Infected ticks usually don't spread the disease until they've been attached for at least 36 hours.
Untreated Lyme disease may spread to other parts of the body, including the muscles, joints, heart and nervous system. If you have headlice, you're likely to have got them from head to head contact with a person who has headlice.
Head lice remediesTo kill headlice use wet-combing, or medicated lotions or sprays from a pharmacy or prescribed by your doctor.
Detection combing on a regular basis helps to identify headlice so they can be treated, reducing the chance of passing headlice on.
Fleas: Not just for petsFleas are small, wingless, agile insects that live off the blood of their host, and they don't just bite pets. Flea bitesSome people are very sensitive to flea bites, but scratching can cause a wound or infection. Bees and waspsWhen a bee stings, it loses the stinger and dies, but a wasp or hornet can inflict multiple stings because it does not lose the stinger.
Bee and wasp stingsIf you don't have an allergic reaction, simply remove the stinger by scraping it out, clean the sting site, and apply ice. The pictures show a wasp sting (left) and a severe allergic reaction to a wasp sting (right). Scabies: Stealthy pestsWhen scabies mites get into the skin, they can cause a big skin problem. The mites spread through skin-to-skin contact with an infected person or by sharing towels, bed linen and other objects. Treating scabiesIntense itching and skin sores don't appear until several weeks after mites get into skin. The rash typically is seen on the sides and webs of the fingers, the wrist, elbows, genitals and buttocks. Bedbugs: Hitching a rideTheir name tells the tale, as these tiny insects tend to hide in bedding.
They are often found in hotel bedrooms and can hitch a ride into your home in luggage and on pets. More of a nuisance than a health hazard, it is possible to develop an infection from scratching. Midges, gnats and mosquitoes: More than irritating!Mosquitoes aren't just a problem abroad, they can be a bother at home too. Harvest mitesHarvest mites lurk at ground level or on low bushes to wait for a warm blooded animal or person to come past.
They can cause intense itching, with a rash that looks like flea bites, and which is extremely uncomfortable. Once they latch onto you with a feeding barb, the harvest mite injects a fluid that causes the irritation. Harvest mites are common around rabbits, and are a known pest around the Chilterns, Cardigan, Montgomery and parts of the Lake District. Houseflies: Dirty, hairy!A housefly is a dirty insect, carrying more than one million bacteria on its body. Filling holes in walls, sealing food containers and pesticides can help keep cockroaches at bay. Blandford fly: Tiny bug, big biteA small fly is causing big problems with its painful bites during the summer months. The Blandford fly is a 2-3 mm bloodsucking black insect and can be a big nuisance with some bites needing medical attention.
Named after the area of Dorset when it first became infamous, it is now found in other areas including Norwich and Oxfordshire.
They tend to fly at less than half-a-metre from the ground, so most people are bitten on the legs.
Adder bites: Rare but dangerousNot a bug, but a rare danger slithering through the undergrowth. Bites from adders, also known as vipers, are rare and each year in the UK there are only around 100 reported cases.
In some cases, adder bites can cause allergic reactions, making skin go dark and requiring antivenom treatment in hospital.
Since records began in 1876 there have only been 14 reported deaths as a result of adder bites.
The caterpillar's tiny hairs can cause severe asthma attacks and allergic reactions – and can be carried in the wind in late May to early June. Symptoms include an unpleasant rash, sore throat, breathing difficulties or eye irritation.



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