Ankle Fracture Surgery | Nucleus Health

Ankle Fracture Surgery | Nucleus Health


If a person breaks their ankle, and the bones
no longer line up with each other, a doctor may need to perform a surgical procedure to
reposition and secure the bones. The ankle is the joint that connects the leg and the
foot. The ankle joint includes the two lower leg bones called the tibia and fibula, and
the ankle bone called the tailus. Together, the end of the tibia and fibula create a whartos
or “slot” for the talus which forms the bottom of the ankle joint. Tissues called
ligaments and tendons support the ankle bones. Ligaments attach bones to bones, and tendons
attach muscles to bones. The ankle joint allows the foot to move up and down. Ankle injuries
usually happen during athletic activities, falls, or car accidents. The most common type
of ankle fracture occurs when the foot turns inward, and the ankle rotates outward. If
the fracture is stable, the pieces of bone still line up in their normal position. In
any type of fracture, more than one bone may break. In a displaced fracture, the pieces
of bone no longer line up. If bone breaks through the skin, it’s known as a compound
or “open” fracture. In addition to broken bones, the ankle may be sprained. This means
the ligaments have been stretched or torn. If the ankle is very swollen, the surgeon
may delay a surgical procedure to allow the swelling to go down. During this time, the
surgeon may put the ankle in a splint to provide support. During this time, the surgeon may
recommend elevating the ankle above the level of the heart and applying ice to it. To treat
a stable ankle fracture, the healthcare provider may put the leg in a cast or a boot to keep
the ankle from moving so that the bones can heal together. Displaced and compound fractures
with multiple broken bones and torn ligaments may require a surgical procedure. The most
common surgical procedure to repair a displaced open fracture is called an open reduction
with internal fixation. To begin, the surgeon will make an incision over the area of the
fracture. The surgeon will open up the area to feel the pieces of bone and line them back
up with each other. A plate and screws will be used to keep them aligned. Additional screws
may be inserted through another incision to hold other fracture fragments in place. If
the ligaments holding the tibia and fibula together are severly damaged, the surgeon
will place a screw through both bones, or a suture device may be placed through both
bones. Either of these devices will help hold the bones together while the ligaments heal.
At the end of the procedure, the surgeon will close any skin incisions with stitches.

8 Feb 2018 news today – benefit, relief mental health advice and news


hi I’m Andy Bailey from and the Emmys
video diary walking and talking v-log on Facebook and on YouTube and E and M s
that’s where you see me that’s where you find me come along and you’ll be part my
community now every morning I have Google Alerts go off well I shouldn’t
come into my inbox and tell me about certain things to do with multiple
sclerosis depression anxiety those kind of things so I can keep up to date with
what goes on in those things these are some of the things that have caught my
eye this morning we’ve got the social care system is in crisis okay with
patients receiving 15-minute visits what the hell are you gonna do with 15
minutes forget about it oh dear see what are you gonna do with 15 minute things
what are you gonna do what are you gonna do what you’re gonna do come in come in
hey yeah we’re gonna talk okay bye and forget about it hmm
what are you gonna do with 15 minutes there are some people that are only
getting one minute visits please please that’s unacceptable there are these are
the most vulnerable people in our society they’re elderly the disabled the
the mentally healthfully challenged people the vulnerable people and they’re
not getting proper thing I can understand where the NHS is coming from
they’ve got a cut corn not cut corners but cut costs it’s the bottom line
because other people are telling them that but you can’t just look at the
price because look at the cost of that my friend says his mum my Polish friend
says his mom says cheap is expensive and that’s so true especially in this case
if you’re keeping it out on on the assessments on the care on the system
within and looks after the vulnerable people that’s gonna cost you in the
future in palliative care in depression for the
people that are the carers oh there’s so many though a ripple effect go now so
you take care of this you take care of a lot of the other things happen but they
can’t do that because that bits expensive to do
they don’t look ahead to see when it costs in the future the bean counters
talking about bean counters the DWP bean counters they’ve got to review 220,000
benefit claims so people with mental health conditions like autism depression
anxiety etc etc all those people those kind of things are gonna be reassessed
and that’s because dwb have just messed it up and talking of bean counters the
bean counters work out that how much does it cost to refuse you your pip and
how much does it cost to fight it in court and then how much will it cost if
they get told to do the proper job and they worked it out and the balance is
it’s cheaper for them to say screw off me oh you can’t have nothing and then
people like oh shit alright then because you know they might have mental health
anxiety and they don’t want to cause a fast and they’re too guilty about stuff
cos being stigmatized for having mental health problems mmm or do they know that
only a certain amount of people will appeal only a certain amount of people
will take you to court judges have ruled that most of these cases that come into
the court for appeal shouldn’t even have got to the appeal the police used a
Crown Prosecution Service system and if they don’t have the evidence you don’t
get taken to court that’s how it works for criminals that’s why the everybody
the knives everyone me because police have got to prove it before they any
even tell you to call different with the dwb a tox and independent Assessors
because it’s cheaper for them to say no because they know that a certain
percentage enough people will not appeal for it to be more profitable to say no
than it would be to just give you what you deserve and that’s just business
that’s how it works unfortunately that’s the that’s the game
so you’ve got to appeal especially if you’ve got mental health problems all
your caring for someone with mental health problems like autism depression
anxiety etc so stay on it good news there for you yeah now some good news
they could drinking four cups of coffee might help your ms well mines the
cappuccino of I said don’t do encapture anymore because the milk makes me fat
milk is basically baby cow growing juice they would grow baby cows with with milk
I have soy milk now cuz I’m a hippie can is help huh
but I knew that caffeine is supposed to be good for you either got a recipe from
Jamie Oliver how to make granola dust which I have everyday with vanilla
soymilk oh it’s gorgeous with some frozen fruit in Israel uh Aimee GERD
it’s so good so caffeine I put bear caffeine in my
granola as caffeine is supposed to be good for you I don’t
I’m not sure it can be as simple as against just having drinks of coffee but
you know puppy now I want to tell you about anxiety or overcoming a particular
period of anxiety this is really good this system is something that I use
constantly when I’m anxious in the mornings okay look at this try this if
you start to get me shaky there’s a woman she called Mel Robbins she wrote a
book called five four three two one the five-second rule she did the audiobook
as well listen to it I’ve read it is brilliant and she’s only telling you
stuff that you already know the best thing about it is she’s not inventing
anything new she’s using references to Harvard and to medical studies and stuff
and really is a good thing but she says something in one of her books about
anxiety she says if you ever been in the car as a passenger drive it doesn’t
matter and a card just misses you like you like internally externally whether
it shows all night doesn’t matter in turning your boom and your brains out
Wow I need weed I then fight or flight or it’s okay it’s over calm down calm
down everything’s go over this guy was it
gradually together now anxiety is like having that but it happened at the
kitchen sink just you and there is a disconnect there from what your brain
can see and experience and what you’re actually feeling the chemicals that have
been released in your brain the adrenaline the cortisone whatever it is
that gets released when you reveal like that so that’s what
anxiety is to her and it does make sense so if you ever get that kind of oh
here’s something that will help you because I used it loads and it does work
it really does it worth Gojo okay when you’re on your own and you’re feeling it
dumb at no one I know are you doing it right listen look find five things right
the you can see actually look at the things okay I can see a blind I see a
lighthouse thing for my VR exam I can see my audio mixer flashing there I can
see the bottle of water that I used to drink water and I can see an off monitor
I can see their things don’t just pluck things that are able to be seen but
things are you see right now it’s called grounding that’s part of mind for us
four things that you can touch you can reach out and touch I can reach out and
touch this mouse I can reach out and touch a keyboard I can reach out and
touch this cable feel what that cables I use mindfulness again I can reach out
and touch a vicks vapor nasal never I can imagine what it smells like
talkative things three things that you can hear right now that you can actually
feel the vibrations going into your brain I can hear the fan on the computer I can in the fridge downstairs gonna I can either rain outside hitting some
windows and we’re mindful things you can actually hear not things that can be
heard okay two things that you can smell I can smell the soap on my hands the
vanilla soap or lush I really like that so I like it a lot
well I can smell it is warm from the radiator it’s got that smell you know
yeah I know one thing that you can taste now this is something you could lick us
puros but i prefer something that can already taste cuz there’s always a
memory of something that i tasted before oh it’s the steamed veggies I had for
lunch I’ve tasted even the cheese right and that is the kind of thing the
mindfulness thing and that’s how you can reconnect and once you’ve done that you
realize you’re not anxious anymore just take five things five four three two one
just take a moment do it well worth it may I like it now good news if you have
a zit acne is increase risk of depression isn’t that good news they
would look I’m gonna spot oh good no the what they’re saying is within the
first five years about my acne you’re more likely to get depressed I remember
I got well sad and depressed one of those gonads is it actually I wasn’t I
was almost quite proud of that aspect we gonna draw a big circle ads are going
sit with a big arrow but when you get older is different and so now they’re
advising doctors in the first five years keep an eye out for depression and
depressive signs and people and GPS are trained to notify and notice these
things so those are the things that picked out in the news today I am loony
o of the geek fun I am Andy Bailey on M s video diary and Andy an MS on YouTube
and loony fun on some other streaming places by Mandy this has been the MS
news today this morning welcome see you later – louve did it oh I could do that
you know

Local vape shops get a sigh of relief

Local vape shops get a sigh of relief


FOR LOCAL VAPE SHOPS — WHO WERE BRACING FOR A BAN ON FLAVORED E- CIGARETTES. ((ADAM/2EAST)) ENFORCEMENT OF THE BAN WAS SET TO BEGIN TOMORROW. BUT THE COURTS HAVE BLOCKED THAT – FOR NOW. ((ADAM/DBOX)) CHRISTIAN GARZONE JOINS US LIVE OUTSIDE A VAPE SHOP ON MONROE AVENUE IN ROCHESTER. CHRISTIAN — A BIT OF AN EXHALE FROM FOLKS BEHIND YOU, NO? ((CHRISTIAN/LIVE)) ADAM, VAPE SHOPS WE SPOKE TO ARE THRILLED. JUDGES RULED TODAY THE STATE IS “PREVENTED FROM ENFORCING” THE BAN FOR THE TIME BEING. RIGHT NOW, VAPING STORES ARE OPEN AND CELEBRATING… BUT THEY STILL LOST QUITE A BIT FINANCALLY…AND ARE WONDERING WHAT LAWMAKERS WILL DO DOWN THE ROAD. ((PKG)) “” DOWN THE ROAD. ((PKG)) “” FOR VAPE SHOP OWNERS AND EMPLOYEES STILL HANGING IN, WITH BAN ENFORCEMENT SCHEDULED TO START TOMORROW… TODAY’S COURT DECISION WAS A RELIEF. ((SOT)) “I got right on the phone and called the most important people in my life.” NICHOLAS STUMPF, WHO OWNS “THE JOINT” SMOKE SHOP, SAYS HE LOST ABOUT SIX THOUSAND DOLLARS SINCE THE BAN TOOK EFFECT, SLASHING PRICES TO GET RID OF PRODUCT BEFORE THE FINES AND INSPECTIONS STARTED. BUT HE SAYS FOR OTHER VAPE SHOP OWNERS, IT’S TOO LATE. ((SOT)) “There’s some guys that already shut down.” ((SOT)) “Yeah, there’s a bunch…there’s a bunch.” ANDREW RIBBLE WITH THE LIQUID CLOUD LOUNGE STUCK IT OUT, SLASHING INVENTORY AS WELL. WHILE TODAY’S DECISION WAS A WELCOME ONE, RIBBLE’S STILL OUT THOUSANDS HIMSELF. ((SOT)) “I’m angry… but not surprised they did this.” RIBBLE SAYS HE DOESN’T MIND FURTHER DISCUSSION ON VAPING AND WHAT CAN BE DONE TO MAKE IT SAFER, IF STUDIES DETERMINE IT NEEDS TO BE. ((SOT)) “This can ultimately be remedied, there’s common sense things we can do with legislation.” IN A STATEMENT FROM NEW YORK’S HEALTH COMMISSIONER HE SAYS, “MAKE NO MISTAKE: THIS IS A PUBLIC HEALTH EMERGENCY” AND HE’S CONFIDENT ONCE THE COURT HEARS THEIR ARGUMENT ON THE BAN, THEY WILL AGREE. FOR THE TIME BEING, VAPE SHOPS ACROSS THE STATE ARE HANGING IN AND OPEN FOR BUSINESS TOMORROW. ((CHRISTIAN/LIVE)) A RULING ON THE MOTION FOR A PRELIMINARY INJUCTION IS SET FOR OCTOBER 18TH….WE’LL SEE WHAT HAPPENS WHEN THAT COMES DOWN. ((ADAM/1-SH)) THANKS CHRISTIAN MEANTIME TODAY THE CENTERS FOR DISEASE CONTROL

APS Crisis Intervention team holds mental health first aid certification class

APS Crisis Intervention team holds mental health first aid certification class


A-P-D WANTS THE COMMUNITY TO GET CERTIFIED IN MENTAL HEALTH FIRST AID.. THE DEPARTMENT )S CRISIS INTERVENTION TEAM IS HOLDING A FREE MENTAL HEALTH FIRST AID CERTIFICATION CLASS.. ON FRIDAY THE PUBLIC IS INVITED TO THE ALBUQUERQUE POLICE ACADEMY.. OFFICIALS WILL TEACH YOU HOW TO iDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN THE COMMUNITY. THIS IS PART OF APD )S INITIATIVE TO RAISE AWARENESS ON MENTAL ILLNESS IN THE COMMUNITY.. SANDIA LABS IS TESTING