Finger etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster
Finger etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster

13 Ocak 2017 Cuma

Avocado emergency nearly cost my finger | Letters

I love Claire Ptak’s recipes, but the photograph showing her removing the stone from an avocado – holding the fruit in the palm of her left hand while tapping the stone with the knife held in her right – for her chocolate avocado mousse, made me blanch (Let there be light, Cook, 7 January).


I used this method once after seeing it illustrated in a magazine. The knife went straight through the avocado and nearly cut my finger off, resulting in 11 stitches and plastic surgery on the nerve.


The surgeon told me that there were three types of knife/finger accidents: the oyster-opening one, the avocado one, and the separating-two-frozen-burgers one. A paradigm of the British class system perhaps?
Vivien Bailey
St Albans, Hertfordshire


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Avocado emergency nearly cost my finger | Letters

11 Ağustos 2016 Perşembe

"I prick my finger while taking blood": my first week as a junior doctor

Monday


I’m shadowing the junior doctors, whom we will replace on Wednesday. It feels very alien to answer calls with “FY1 doctor here” after being a medical student for so long. Given the recent events in the NHS over the past year regarding the junior doctors’ contract, my morale towards starting my first job is low. Today I am working on the wards along with another junior doctor. It is not too busy and we get to go home at 5.30pm. I spare a thought for our colleagues on other wards, who do not make it home until 7pm or 8pm.


Tuesday


There are normally three FY1s on call but due to sickness and annual leave there are just two of us. A lot of patients are anxious as we do not yet know what is wrong with them, when they can go home or if they need an operation. To make things worse, there are not enough slots for all of them to have their CT scans done today.


In the afternoon, I get a bleep from my registrar, asking me to come and assist in theatre. Later, my colleague and I are handed an ECG from a patient with chest pain and he goes to assess if she’s had a small heart attack. I offer to finish some more jobs for him as he is very busy with this sick patient. It has been a long day but I have felt appreciated by all members of staff I have worked with, and I am a little less nervous about tomorrow.


Wednesday


The stabilisers are off. It is the first day I am officially an FY1, along with 28 others in the hospital. My anxiety is eased by my supportive registrars who emphasise that I can call them whenever I have questions. In the midst of a high-pressure moment, I accidentally prick my finger with a needle while taking blood. Not only am I embarrassed, I have to go to occupational health and I feel guilty about leaving my colleagues with one less doctor for 45 minutes. The to-do list keeps growing so I stay an extra hour to avoid handing over too many jobs to the evening on-call team.


Related: The secret junior doctor’s diary: ‘After 40 minutes of chest compressions, we stop’


Thursday


The night on-call FY1 hands over a very sick patient on the ward as soon as I arrive. Today tests our teamwork and delegation skills, as our sick patient requires discussions with various other departments and we are all nervous about approaching senior doctors whom we are not familiar with. While we review the patient, her family arrives and my colleague and I update them on their relative’s situation. As I go to inform another patient that he needs to be started on a drip to correct some abnormal blood results, he is upset to learn he cannot go home today and I, too, wish he could be at home, without the endless intrusion of doctors and nurses.


Friday


As I am on a week of night shifts from Monday, I have today off. I may not physically be at the hospital but I can’t stop thinking about one of my unwell patients from yesterday. I take some time at home to update my online portfolio, which is a requirement for us to progress past this year and in our careers. I can’t help texting my colleague to check on the patient from yesterday. I am happy when she replies to tell me he is much better and even walking around the ward.


Before Monday, the NHS had been sold to me as an overstretched, uncaring and outdated body. It may be busy, and there may be a very steep learning curve, but I have genuinely enjoyed my first week. Among other things, the level of support I have received from my peers as well as my seniors has restored my faith in our healthcare system, and I would urge everyone to take the sensational headlines about its failures with a pinch of salt.


If you would like to contribute to our Blood, sweat and tears series which is about memorable moments in a healthcare career, please read our guidelines and get in touch by emailing sarah.johnson@theguardian.com.


Join the Healthcare Professionals Network to read more pieces like this. And follow us on Twitter (@GdnHealthcare) to keep up with the latest healthcare news and views.



"I prick my finger while taking blood": my first week as a junior doctor

4 Şubat 2014 Salı

How to eliminate a ring stuck on your finger


We’ve all been there. The awkward second exactly where you try out on a ring in a jewellery store – or worse, your friend’s engagement ring – and just can’t get it off your finger.




Now, medical doctors at the Centre for Proof Based Emergency Care in Manchester have come up with a useful solution.




Professor Simon Carley, an specialist in emergency medicine, explains how a piece of elastic and a pair of tweezers – you can eliminate a ring from a swollen finger, with out cutting it off. The finger or the ring, that is.




“I do find that individuals truly do not like their wedding rings destroyed,” he says. “There is no joy in cutting off the wedding ring of a lady whose husband died not too long ago. I’ve observed it completed and it just appears incorrect.”




Scroll to 1.52 to see how Professor Carley and his crew use the strap from a surgical mask to compress the tissues close to the knuckle, loop it via the ring and remove it.




Officially recognized as “the undertakers’ trick”, it can also perform if you use a shoelace or a piece of string. Even so, it is not one particular to try if there is a wound on your finger, or the ring is stuck on a bone rather than due to tissue swelling.


Video courtesy of ALiEM Educational Movies


Would you like to understand some more tips that will make your daily life easier?


Discover how a pinch of salt can make your morning coffee taste far better


View how to open a bottle of wine with out a corkscrew




How to eliminate a ring stuck on your finger

27 Ocak 2014 Pazartesi

E-Cigarette Makers Give Public the Finger


With Sarah Mittermaier and Lily Swartz


In 1964, smoking was everywhere: on television, on airplanes, in workplaces and movie theatres, school campuses, doctors’ offices, dining establishments and bars. In the 50 years given that the very first Surgeon General’s report on smoking and health was launched, smoking has slowly faded to the margins of public lifestyle. The Marlboro Marlboro man was bounced from the airwaves, complete smoking bans have been passed in hundreds of cities and 28 states, and smoking costs have been lower almost in half. The struggle to safeguard the public’s health is far from over—and shocking disparities in tobacco use and exposure to tobacco advertising and marketing remain—but we’re now reaping some rewards, with eight million lives saved more than the previous half-century.


But now a new threat is emerging. The use of e-cigarettes is increasing rapidly, with teenagers a essential target of advertising efforts. “Vaping” is producing smoking acceptable—even cool—once again as the tobacco sector returns to its outdated methods, putting e-cigarette commercials back on the airwaves for the 1st time considering that the 1970s.



Right now, e-cigarettes exist in what tobacco manage researcher Stanton Glanz calls a regulatory “Wild West,” with no federal regulation of the manufacturing, advertising and marketing and sales of these items. This regulatory vacuum threatens to undo the tough-won victories of the past 50 years in tobacco control.


E-cigarette firms are taking a page appropriate out of Big Tobacco’s outdated-college playbook: advertising their merchandise with intercourse appeal, celebrity endorsements, even cartoons. The companies argue that “vaping” is safer than classic smoking and that might or could not be true—there are far too few research to back up that claim or refute it. But it’s also a smokescreen.


The tobacco market is out to hook youngsters, and it’s functioning. E-cigarettes come in an array of child-friendly flavors, from“Cherry Crush” to “Coca Cola.” And in contrast to conventional cigarettes, e-cigarettes can legally be sold to kids in most US states. Information released last year by the Centers for Disease Management and Prevention showed that e-cigarette use more than doubled among middle and large college college students in the previous year. For twenty % of the middle schoolers, e-cigarettes were their first knowledge with smoking, raising considerations that e-cigarettes may act as a gateway to the use of other tobacco merchandise.


E-cigarettes also threaten to reintroduce smoking to workplaces, restaurants, bars and other public spaces the place challenging-fought public overall health campaigns have succeeded in banning cigarettes. These policies have transformed our communities from the ground up, producing new expectations and norms about smoking. The science is even now out on no matter whether e-cigarettes threaten non-smokers with toxic exposure, but their use in public legitimizes their use, generating them look acceptable, even Golden Globes-glamorous. We can not allow e-cigarettes undo the hard work tobacco manage advocates have attained in excess of the past 50 many years.


Some cities and states are pushing back towards e-cigarettes, taking measures to regulate the sale and public use of e-cigarettes. Above the past number of months, New York and Chicago city councils voted to regulate e-cigarettes as tobacco merchandise, extending current smoking bans to cover vaping. The Los Angeles City Council voted unanimously to regulate the revenue of e-cigarettes. Boston has banned e-cigarette smoking in workplaces. States this kind of as Utah, New Jersey, and North Dakota ban the use of e-cigarettes in indoor public spaces.


These regional and state efforts should be followed—and strengthened—by federal action. Attorneys general from forty states have known as on the Meals and Drug Administration to regulate e-cigarettes as tobacco items, a move that would give the FDA the electrical power to impose age restrictions and limit advertising and marketing of e-cigarettes. Proposed rules drafted by the agency have not yet been launched publicly.


We can not wait many years for scientists to carry out new research on the health risks of vaping just before we take action. We know better than to trust the tobacco industry’s wellness claims about their products—or to trust the business with our children’s long term. The time for action is now. To paraphrase a single anti-cigarette business in California: “Some folks will say anything to promote (e-) cigarettes.”



E-Cigarette Makers Give Public the Finger