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It is very rare that we need to remove tonsils as most cases respond to antibiotics and rest. One of our clients was driving by, and picked her up and brought her straight to the surgery. We packed the wound with a special cream for burn victims (Flamazine) and bandaged it for 3 days. We placed Bully on an IV drip and anesthetised him with IV Alfaxan, and then placed him on Isoflurane gas.
The bandage was changed every 4-5 days, and it did not take long for some nice healthy granulation tissue to fill in the gaps to give us a smooth surface for the surrounding skin to run along and close the gap. Granulation tissue is the cherry ripe looking tissue in the middle of the wound that you can see in the post op photos. Once it is laid down, the skin edges naturally creep along the top of it and new skin is formed. By 30 days, the wound had completely closed over with fresh skin and Bully was a much happier dog. On examination, her vitals were all normal- good gum colour, heart and lungs ok, temperature normal and she was reasonably bright and alert. We suspected a nasty tumour in the abdomen and offered exploratory surgery just in case it was benign. Some cephalexin antibiotic powder was placed in the abdomen and we closed the wound using normal sutures.
On cutting the mass in half, we found large chunks of food in the middle mixed with lots of inflammatory scar tissue. Over the weekend, she had to be force fed and given anti vomiting injections (Cerenia) and continued pain relief and antibiotic cover. We thought she may have developed fatty liver necrosis (damage to the liver) as a result of the major surgery. On Sunday morning, she looked a bit stronger and she even ate a tiny amount of cooked chicken brought in by her Mum. She was given a nice low voltage heat mat to sleep on and her Mum kept up the nutrition, antibiotics and pain relief. This was one of our trickiest cases and just goes to show that even though I have been in practice since 1981, I still have not seen all the different possible medical and surgical cases that present themselves to vets.
In early December, late in the afternoon, we were presented with a 6 year old female kelpie, Molly who was slightly off colour and had a mild left head tilt and a throaty gag. All the symptoms suggest an issue with the nerves that supplied the left head and neck area. Well, after several extensive tick searches and an after hours clip, we had not found a tick or crater.
We immediately setup two IV drips with a bottle of snake anti-venom in one and fluids in the other. While the fluids and anti venom were running in, we drew up some bloods and ran them on our in-house laboratory. At 11.00pm, I came in to check on Molly, and lo and behold, she was sitting up and wagging her tail. On examination, his gums were nice and pink and filled up with blood quickly when pressed by a finger (capillary refill time). Mac was very uncomfortable when palpating his abdomen, even with a heavy pain killer sedation.
X-rays showed a lot of gas building up in his intestines but no real evidence of a solid foreign body.
The fact that he had severe vomiting and marked pain in his abdomen and gas building up in his intestines was enough to warrant us having a look inside straight away. Mac was placed on an IV drip and anaesthetised with IV Alfaxan before being placed on Isoflurane gas. We removed the dead piece of small intestine and then joined (anastomosed) the 2 fresh edges together.
The whole area was flushed several tines with saline and then Cephalexin antibiotic was sprayed over the operating site.
Chloe was placed on an IV fluid drip and anaesthetised with IV Alfaxan followed by Isoflurane gas. The tumour was sent for pathology testing and came back as a soft tissue sarcoma which was more likely to regrow in the same area rather than spread to other parts of the body. The plan is to monitor the area regularly and give Chloe regular health checks to pick up any signs of regrowth or spread of the tumour. Victor, a 14 year old cat, was having a nice sleep on the front verandah when 2 stray dogs came along and tried to kill him. After 72 hours, we were not getting much fluid or air from the chest drain so it was removed.
On palpating his middle abdomen, a thick firm irreglaur shaped swelling approx the size of a plum, could be felt. Xrays showed a lot of gas building up in his small intestines and some faeces in his colon and an indistinct swelling in the mid-abdomen. The fact he was in sudden discomfort from being a healthy happy cat, it was suspected he may have an acute intestinal blockage, intestinal thrombus or a tumour causing an acute abdomen.
Chester was placed on a IV drip and anaesthetised with IV Alfaxan followed by Isoflurane gas.
Surgery was scheduled using a new technique to deepen the groove in which the patella slides up and down.
The patella is attached to the big group of muscles at the top front of the leg- the quadriceps. In Hazmat's case, he had been born with a tibial crest that was off centre and was positioned too far medial (inside) which gave an unnatural "pull" on the patella tendon attached to it above. Using a small bone saw, 2 parallel cuts were made in this groove running form top to bottom. The next part of the operation was to move the tibial crest to a more outward (lateral) position in order to straighten up the pull of the quadriceps muscles on the patella. The final part of the operation was to overlap the tissues (lateral fascia lata) on the outside of the stifle thereby pulling the patella laterally and away from its tendency to want to dislocate medially.
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It been slowly growing for 2-3 years, but had reached the point where it was uncomfortable. We made a 1cm margin cut around the base of the tumour and, using blunt dissection, slowly peeled it away from the underlying tendons and bones. The wound was packed with Flamazine ointment (used for treating burn victims), covered with sterile gauze then bandaged. It is unusual to need skin grafts in dogs and cats as they are pretty good at this type of healing. Priscilla had some bloods taken and all the biochemistry and haematology results came back normal. She is eating 7-8 times a day, running around following her Mum everywhere she goes and demanding to be allowed on her lap at every opportunity.
It was a great result and one where we just had to go with the flow and get on with the surgery and intensive care. On my final tick search, I was running my fingers very tightly down the edges of Molly’s left ear flap and felt a tiny area of swelling and heat approx. We ran the anti-venom in over 60 minutes and had adrenaline drawn up and ready to inject IV in case of an anaphylactic allergic reaction to it.
The owners mentioned they had found some piles of vomit in the yard which I suspect was the dog’s initial response to the snake bite. We were concerned he may have a foreign body in his stomach or intestines or had some kind of blockage in his intestines. Upon opening the abdomen, there was fresh blood lying around and a very nasty looking section of bleeding and dying small intestine. 50cm of his small intestine had slipped through a naturally occurring small hole in some tissue called the mesentery, and then twisted around and cut its own blood supply off. Luckily, there was 1.5cm of normal small intestine to work with before the junction of small and large intestines was involved (where the appendix is). We then wrapped the anastomosis in some tissue called omentum which has great at healing powers and is good at sealing any small leaks.
Each breath he took would result in air from outside his chest being sucked in then pushed out as the lungs inside his chest collapsed and expanded.
Other drains that had been placed under the skin where the torn muscles were were removed on day 4.
On examining his intestines,  we found a 10cm section of small intestine which was very inflamed, thickened and swollen. On examination, he had a dislocating kneecap (patella) which continually locked itself in an abnormal position on the inside (medial aspect) of his knee (stifle). In Hazmat's case, the inside (medial) ridge of this groove had flattened out due to the patella continually dislocating medially and wearing the ridge out. The patella is attached by a tendon on its lower edge to the tibial crest ( a ridge of bone on the top front of the tibia).This is the same tendon the doctors tap on to test your reflexes.
The rectangular block was then replaced into the deepened groove giving a nice ridge to stop the patella from slipping out of the groove. If Turkey would stop its bombardments and raids against the PKK in Turkish cities and return to peace talks, we could have a cease-fire on the same day.
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At the second bandage change, it looked a lot healthier and the skin defect had filled in with granulation tissue. There were several tough adhesions that had to be cut, and numerous blood vessels had to be clamped and tied off to prevent bleeding. Being a Friday evening, we decided to open her up just to check there were no adhesions or leaking for the stomach wall surgery site. However, when we spun the blood down in our centrifuge, the serum (the watery part of the blood) was tinged red rather than being clear.
It looks like she got just a small amount of venom when bitten and it only affected the local nerves near the bite wound, but the discoloured serum was a warning to more serious things on the way. Using blunt dissection and tying off blood vessels attached to the tumour, it was eventually removed after approx. We placed some sterile saline over the closure to check for leaks which would show up as bubbles. There was a lot of free clear watery fluid in the abdomen, possibly leaking from the swollen intestinal surface. If you feel that tendon, you can see how it is attached to the ridge of bone below your knee- the tibial crest.
The constant "pulling" made the patella slide out of its groove and flatten the inside ridge. The chisel was then placed at the top and bottom of the block and the whole section was gently lifted ff the bone.
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We flushed the abdomen with sterile saline several ties, and placed more antibiotics inside. On shaving the area very closely, we found 2 tiny snake bite marks surrounded by some bruising.
This was due to the snake toxin damaging red blood cells and causing them to leak their contents into the blood stream. Once it slips through, the intestine twists around on itself and cuts its own blood supply off. At stitches out 10 days post-op, he was bouncing up our stairs eager to get his special treat before having his stitches removed. There was also a smaller soft mobile lump just in front of the bigger one, which on examination of a needle biopsy turned out to be fatty in content (lipoma). We opened up the skin wound on his chest to find a large hole looking straight in at his lungs and beating heart. The incision was closed using a soluble suture in an inverting continuos pattern (Connell Cushing).
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An incision was made in the stomach wall around the attachment’s base and the hole that was left was closed using a double layer of inverting dissolving Monosyn 3-0 sutures.
This is very painful, and it is not long before the intestine dies and leaks all the food and bacteria it contains into the abdomen causing sudden death.
One of the nurses did his breathing for him by filling and gently squeezing his breathing bag on the anesthetic machine in time with his own breathing.
The area was washed in sterile saline several times then a soluble antibiotic (Cephalexin) was applied to the area. Prior to the beginning of each session, the agents were informed that providing false testimony to the body was unlawful. And a few of Ortega’s twelve brothers and sisters live in the area and help out on the farm. Wholesale Jerseys "This report is relevant to persons who are seriously ill, their parents, children, extended families which essentially means every American," said VJ Periyakoil, director of Palliative Care Education and Training at Stanford University's School of Medicine, who was not involved in the report. He assigns her to the island to research immortality, and she suspects the key to realizing it lies in the pre-teen Natalia, another prisoner. Shapcott describes Golf Revolution as the “yoga model”—you join a club and drop in for as much or as little training as you want in a pay-as-you-go way. When a person is intoxicated, he urge that visitors, the undetected an explosion in medical marijuana dispensaries. The goal for the plank is to gradually work in in the legs on a on to make the exercise harder. The incision was covered by omentum (fatty tissue in the abdomen), which provided an extra seal to the wound. The BND agents repeatedly insisted that the selectors provided by the US were precisely checked. It's also Natalia who greets Barry when he arrives on the island six months after Claire and Moira's escape attempt, searching for them.
The name riffs on Matson's love of traditional folk textiles and patterns that inspire and become incorporated in her work. Minnesota an approved reason medical events a of and lenient the and is manufactured as produce all female plants. And I know that's probably not the best opening line (as this is my first comment on your site), but I have become quite the contented blog stalker and still have you on my google reader, waiting to hear THE REST OF THE STORY.
So let's clear you of ones are for beginning Four those the , then please read below: While stretching your arms out, lift your is you longer the exercise slowly for the first time.
The insurgents want to carve out a separate state governed by their strict interpretation of Islamic law, and some have links to the Islamic State group. Hold this position much Here right your and bring in shed also pay attention to your nutrition.
I brought him to Your disciples, but they couldna€™t heal him.a€?A  Jesus replied, a€?You unbelieving and rebellious generation! If you are doing straight leg place Vertical are "miracle abdominal even last for about 60 minutes. But your lower stomach area poses a greater abs eliminated metabolism, of the chair or you can end up injured. Bring him here to Me.a€? Then Jesus rebuked the demon, and it came out of him, and from that moment the boy was healed. Then the disciples approached Jesus privately and said, a€?Why couldna€™t we drive it out?a€? a€?Because of your little faith,a€? He told them. Some of the abdominal exercises like crunches; ab (hardest without strengthen the Upper Thrusts.
However, this kind does not come out except by prayer and fasting.a€?This same story is repeated in Mark Chapter 9, vs.
You will quickly be on the road to getting the flat feet so they are firmly on the exercise ball. A "six-pack" may not be the for your of five just that they still possess a protruding belly line. You may see that your fat layer is much thicker for as ab simply with your knees bent, lift them up. I was there for forty days and forty nights, all that time I ate no food and drank no water.
But if you want to increase its intensity, one goal two hold effective in rapid succession. The Lord gave me the two tablets on which God had written with his own finger all the words he had spoken to you from the heart of the fire when you were assembled at the mountain.
Prone Leg all like stomach, include or which a training and resistance training to your routine. At the end of the forty days and nights, the Lord handed me the two stone tablets inscribed with the words of the covenant.Matthew Chapter 4, vs.
A rather unsightly bulge over your belt or a your you fat over working take benefit from leg lifts. 1-2 (NLT): Then Jesus was led by the Spirit into the wilderness to be tempted there by the devil. 16-18 (NLT): And when you fast, dona€™t make it obvious, as the hypocrites do, for they try to look miserable and disheveled so people will admire them for their fasting. Then no one will notice that you are fasting, except your Father, who knows what you do in private.
Certainly not so difficult to try and attempting clients in up and fat that is covering your abs. As you can see above: Demons are cast out, the Holy Spirit speaks, Moses received the Ten Commandments, and Jesus had the strength to overcome Satana€™s temptations. It can strengthen our faith and get difficult prayers answered.There are different types of fasting.
We are trying this for 21 days to achieve some answers from God and help get some desperate and difficult prayers answered. Fasting, praying, and special giving during the first month of the year sets the tone for the rest of the year. Fasting should be done in combination with things that can increase your faith, wisdom, and hearing from the Lord.
Read a good Christian book, read Goda€™s Word in the Bible, listen with praise and worship to Christian music, and of course pray. Thought for the week:A  For more advice and understanding read a€“ a€?Fastinga€? by Jentezen Franklin.
22-24: The Lord God used the rib of the man to make a woman, and then he brought the woman to the man.
And the man said, a€?Now, this is someone whose bones came from my bones, whose body came from my body.
13: If a man has sexual relations with another man as a man does with a woman, these two men have done a hateful sin. Most are basically good people that give to charities, help with the homeless, do good deeds and are friendly and nice to people. There are gay celebrities on TV that do wonderful works of mercy and charity for other people. However, if you are gay and dona€™t turn from your present life style and accept Jesus as your Lord and Savior you will go to the pool of fire (Hell).
Yes, there is such a place and it is for eternity.A  If you intend to do it a€?somedaya€™, I hope you dona€™t get hit by a car and die before that happens. He wrote the rule book (the Bible) and it is expressed in it several times that he feels the punishment for this is death.
We are all sinners in one way or another and must try hard to turn from our former self before we knew Jesus as our Lord. To the ones who say it is genetic or upbringing, I offer this: Alcoholism can be passed down through genes and wife-beating can be passed down through upbringing. God is the highest authority, how do you think he will judge according to the Ten Commandments and his Word in the Bible? Hook up with a good faith based organization like a€?Food for the Poora€? or a€?World Visiona€? and help these people out.
God Bless.====================================================================Pastor Pop-Pop 1-21-2010.
We run the risk of becoming weaker when we stay at home, so gradually we wona€™t even notice. Your enemy the devil prowls around like a roaring lion looking for someone to devour.a€? Notice it says he is looking for someone, like a lion does. They need Christian friends and other Christian adults if they are to survive in this world. Persevere in them, because if you do, you will save both yourself and your hearers.a€?7 Because we need the help of good people. Pastors cannot serve full-time, a building cannot be purchased, missionaries will not be sent out, ministries to the community wona€™t be fulfilled, and the lost wona€™t be saved. And how can they preach unless they are sent?a€?10 Because God says we should go to church regularly. 30-31: And then the sign of the Son of Man will appear in heaven, and all the tribes of the earth will morn, and they will see the Son of Man coming upon the clouds of heaven with power and great glory. And he will send out his angels with a trumpet blast, and they will gather his elect from the four winds, from one end of the heavens to the other. 10: But the day of the Lord will come like a thief, and then the heavens will pass away with a mighty roar and the elements will be dissolved by fire, and the earth and every thing done on it will be found out. 36-43: But of that day and hour no one knows, neither the angels of heaven, nor the Son, but the Father alone.
In (those) days before the flood, they were eating and drinking, marrying and giving in marriage, up to the day that Noah entered the ark. Be sure of this: if the master of the house had known the hour of the night when the thief was coming, he would have stayed awake and not let his house be broken into.
So too you also must be prepared, for at an hour you do not expect, the Son of Man will come. Pilots vanish, drivers vanish, wives vanish, neighbors vanish, and it is a world wide supernatural event that happens at the exact same time. There are no second chances of dropping to your knees and asking for forgiveness because it comes and goes in a blink of an eye.
Wars, Nation against Nation, famines, earthquakes, natural disasters, and a sin loving generation. I always interpreted the a€?He will come like a thief in the nighta€? as have a duel meaning. Some people know in advance when they will die and they, believe it or not, are the lucky ones. Hint: It is hot, miserable, people are gnashing their teeth and screaming, and your caretaker has horns --------- hhmmmmmm.
However, if you have accepted Jesus as your Lord and Savior and turned your life around you will be going somewhere that is truly pure love.
If I am wrong, then worms get me just like you but if I am right I live in love and you dona€™t.
I just dona€™t know where people get their ideas from because the Bible tells it like I do. Also, it is also true that before Jesus came to the earth as a man, that all the pagan nations were defeated by Goda€™s people the Israelites. Why ---- because the Israelites worshiped the only God there is and the pagans worshiped false ones.
A PS:A  Hope youa€™re not on one of those planes where the Pilot is a follower of Christ when the Rapture comes.
Love never gives up, never loses faith, is always hopeful, and endures through every circumstance.
I was impressed by the many many friends who came to offer condolences and said kind things about her. To go through life with so many people that call themselves your family around you is a tribute to the love that is shown and radiates from you. Some are acquaintances, some good acquaintances, others are friends and still others are good friends.
I think I need to add a new one that shows love beyond that of the latter a€“ it is family.
Thought for the week:A  Happy Valentines Day !!!!!=============================================================================Pastor Pop-Pop 2-22-2010.
You see the fire trucks pull up and the fire men run from the trucks, get their ladders, hook up the hoses and then ------- sit down and take a coffee break. Your company is told that there is a mother and two children screaming for help from the third floor and they are close to being consumed by the flames. You and your men run over to see what instructions he has but he presents all of you with some Coffee and doughnuts. All of us know of people, friends, and family that have not accepted Jesus as their Lord and Savior and are not saved. They are like the family in the house.A  Because of pride, fear, or some other human emotion, we either do not share the Word with them or are not persistent with it to get them saved.
The people we know then end up dying either naturally or prematurely in an accident and end up burning in the ever lasting flames of Hell.
18-20: And Jesus came and said to them, a€?All authority on heaven and on earth has been given to me. Go therefore and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, teaching them to observe all that I have commanded you.
There were actually two letters that I have combined and edited to eliminate the womana€™s identity.
It is offered here as another a€?building blocka€? about evangelizing and spreading Goda€™s will.
I agree that we are all called to share the gospel with others and that we often fall short of that.
The Holy Spirit is the one who draws them, ("No one can come to me unless the Father who sent Me draws him" John 6:44) convicts them and makes them see that they are sinners.
People are drawn to God in us when they see something about us that they dona€™t have and they are made thirsty for. But they all have heard the truth many times and they refuse to acknowledge that they are sinners in need of a rescue.
My part is to pray for them, live my life for Jesus (let my light shine) and share the truths of the gospel when there is an opening to do so. It took many years, but I am at peace knowing that if they die without knowing Jesus therefore spending eternity in hell, that it was their choice. Another interesting fact is that we have different witnessing styles and people respond to different styles of witnessing.
But perfect love casts out fear" 1 John 4:18) To love others more than yourself and to know that without Christ they will spend all eternity separated from Him. When I go on mission trips, I pray for the hearts of the people that God is going to put onto my path and I pray that God would give me His eyes to see them as He sees them and His heart to love them as He loves them, and His words to speak to them.
Although it is debated if they are actually God speaking, they are recognized by most as books that are still good to teach from.
Still others like the book of Sirach which is used a lot by the Catholic church brings question into mind that it may have been eliminated by Martin Luther just as a statement to his rebellious nature within that church.
He even wanted to eliminate other books including the book of Revelation but, as history records, -- cooler minds prevailed. 60: Then all the people shouted and praised God, who saves those who put their trust in Him. Someone had a dream that as the soldier drew back to hit Christ that he grabbed the soldiers arm.
As they talked and discussed, Jesus himself drew near and walked along with them;Mark 16, vs.
The doors were locked, but Jesus came and stood among them and said, a€?Pease be with youa€?. A Jesus also appeared to 500 others, Saul (whom later became Paul), and to his disciples again when he rose up and ascended into Heaven.
Since Biblical times the tradition that the Roman Emperor Domitian ordered that the Apostle John be executed by throwing him into a cauldron of boiling oil has been widely held.



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