AVM News...

another guy... check him out here.

Is An Avm Ever "Incidental"?

It is my understanding that it goes either one of two ways with avm's. That either your avm is small and therefore more likely to cause a hemorrhage. Or it's bigger and puts you at risk of developing seizures. Either of which would be monumental just in having the risk of having something so serious occur while behind the wheel of an automobile. My point is that I believe that my doctor may have wanted to sweep under the rug this "incidental" finding, by calling it as such. I had to convince him to show me an image from the mri, and when he did it was this little white form the size of maybe a dime in relation to the rest of the brain. I'm unaware that even big avm's are anything but nearly microscopic. I mean we're talking about capillaries here, no? The thing is I was going to this hospital cause it was free at the time, and they are over-booked, and he was finishing his boards or whatever so I don't think he wanted the stress of dealing with me and my hysterical nature. Plus I have a history of psychiatric disturbance, so furthermore he would probably be wary of taking on such a difficult case. I'm pretty sure I've got a major cns disorder that is worsening, even if it's schizophrenia. No one has diagnosed me as such, so it's not that I'm having trouble accepting that diagnosis or something. In fact, I see it as all the same. It's all just a state of mental decay reflective of physiological decay, in my arrogant opinion. What does anyone think about any of this. Thanks in advance.

Saxby R
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Cerebral Hemorrhage

What EMS providers need to know about cerebral anatomy and common forms of cerebral hemorrhage

By Paul Murphy, MA, MSHA, EMT-P, Chris Colwell, MD, Gilbert Pineda, MD, FACEP, & Tamara Bryan, BS, EMT-P

CONTINUING EDUCATION FROM EMS

This CE activity is approved by EMS Magazine, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 1.5 CEUs.

To earn your credits, sign up for this RapidCE course online or log in to your account directly at www.rapidce.com. Or, to print and mail a copy, download the test here. The deadline to take this test is June 30, 2009.

OBJECTIVES

• Review the anatomy of the brain
• Discuss intracranial hemorrhage
• Discuss subarachnoid hemorrhage
• Review prehospital treatment of cerebral hemorrhage

Unit 6 responds to a call where law enforcement report that the patient was involved in an argument that turned into an assault. During the assault, witnesses saw the adult male being hit in the head and face several times with a baseball bat...

read more...

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I don't have a clue what I'm doing today... I've got another blog account that I will be messing with.
Other than that... don't know.

youtube...


Led Zeppelin Black Dog 1973


Led Zepelin - Stairway to Heaven

I'm gonna go... peace...
R

Delorumrex says...

I got nuthin!
I went job huntin... got nothing out of that.
I found out that Blockbuster takes ap's online... okay so I did something when I got home.
Then I took a nap...
I went through youtube...
I got this...

Kirk/Spock- If Kirk Were Gay


Family Guy - Cool Whip

Have you ever seen tv shows on Hulu? It is neat...
okay buy some stuff...



okay gotta go...

I had to share this with you...

Andy Mckee - Drifting



Richard Thompson - Vincent Black Lightning 1952


Adrian Legg - Cajun Interlude


Erik Mongrain - PercusienFa


Leo Kottke - Medley


Terry Rob - Acoustic Blues


Justin King - Knock on Wood


Tommy Emmanuel - Guitar Boogie

Wow thanx my friend...



Those are some wild guitars... Thanx to my friend for putting them up... there was a time that I though I could play guitar. I was a child in comparison.

Down to two... on American Idol!

Well after tonight we'll be down to two...

hummmm who could it be... could it be Kris?

Could it be Adam?

Could it be Danny?

Only time well tell....





































Here we go....
This is American Idol!
(Not Really but hey it sounds good)
A Young man from Africa wants to do a song to help his Mother Country kids with AIDS.

I'll give credit... he will get $5 from somebody... Heck I wish I had half of his $5 I could get away from my wife.

Well if you couldn't make it to watch... we got drawn into the long wait... with all three seated on the couch.




Jordin Sparks was the first to entertain us... she did a song that was good... okay I am getting mushy... but she's still hot!




(Katie Peery) Was the next singer... she was just okay...
Now the meat of this post!

First Person... is Kris!!!

Adam is the second...

by by Danny.
Okay so next week is the big show... got any guesses?



go see the rest here... American Idol.

No AVMs to Report...

I got a few things I dragged off of youtube...


Santana - Soul Sacrifice (Woodstock 1969)



Ziggy Marley: True to Myself




Black Sabbath - War Pigs (Live in Paris 1970)



Black Sabbath Heaven and Hell




okay... that's enough... I'll talk to you later... see ya'

This is American Idol... sorta

Two nights... what the H.
Danny...
He sings Terrance Trence Darby (however you spell it)... he did okay...







Then Kris... He sings One Republic...








Then comes Adam... he sings U2...








They all do good...

There is many many commercials in between... they all suck.

Okay who's gonna be in the finals... right now I think it's gonna be.... Adam & Kris...

Danny Gokey.... he chooses Joe Cocker...



next is Kris... he chooses Heartless... by someone? Heartless, Canya did one version... (Jesus I can't spell and the spell checker is no help)

And then comes Adam... he chooses Aerosmith...


It is going to be a tough call...
Don't forget to vote!

Got a good one today... AVM News

clinic

I just started work last week in the Interventional Neurovascular Unit at the hospital, a subgroup within Radiology & Diagnostic Imaging, and I have to say that being in the clinic is a completely different experience from learning in the book. Reading papers is fantastic when you're just studying the theory behind it, but when it comes to actual intervention, knowing how to roll a patient properly holds much more weight than knowing the physiology of why heparin works.

Irregardless of my lack of clinical prowress, I've seen some really interesting things the last few days. We do a lot of angiograms where I work, which allows for visualization of the vessels in the brain. Our unit takes X-ray pictures of the vasculature using a contrast agent to show the vessels, and then using this data, we can recreate a 3D image that can be manipulated, spun, and measured to plan surgical treatment.

I got to see a patient with a MASSIVE berry aneurysm coupled by two smaller aneurysms. An aneurysm is essentially a bubble in a blood vessel due to wall weakening, which is extremely dangerous. It's basically a time bomb - the overly dilated vessel itself does nothing on its own, but can rupture at any point in time, causing inter-brain hemorrhage that quickly can result in death. I've seen some textbook photos of aneurysms, but nothing so big as what I saw on that screen.



I also got to witness an ateriovenous malformation (AVM). Blood vessels typically grow in a regularly spaced fashion, but individuals with AVMs have abnormally growing vessels that become almost neoplastic in nature. These people have massive clumps of vessels that provide inadequate blood circulation to the areas of the brain that require perfusion.



Today, I also got to see another aneurysm, but what was more interesting was that the patient just had a craniotomy (they open up the skull to expose the brain), and her forehead was stapled shut. She had this hairband of staples to close the surgical wound, and on the scans you could see this snowflake-shaped material clearly in contrast to the rest of the image. I asked one of the nurses what it was, and she told me that they were surgical clamps, permanent pieces of metal embedded in the skulls to hold the bone in place after craniotomies.



What I find most fascinating is that these patients who have severe brain abnormalities are completely intact cognitively - they can converse and laugh and grumble about how it takes so long for procedures to start. They are absolutely able to function normally, albeit with minor seizures or headaches, even though they have this time bomb in their head that might kill them or utterly incapacitate them at any point in time. It's almost a sad story, but I suppose the best kind of disease, apart from having no disease, is one that doesn't affect you until the moment before you die.

go check em out...
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Me,
I had a hell of a day... I had suicide on my mind... did not do anything... but the thought was there. I think it was my wife... She was hard on me yesterday... but I really don't know. Hell... it could have been my stomach, that had me thinking that way. (I was sick)
okay it's youtube time...

I Will Always Love You (Hee Haw, 1974) - Dolly Parton

Whitney Houston - I'll Always Love You




The Trashmen - surfin bird ( With Lyrics)


okay 'nuff for now...

more later... maybe.

got a avm news... and me too...

Losing normal

Son's Successful battle with rare, often-deadly brain condition strengthens family's bonds.

I can't go to any more basketball games," 10-year-old Christopher Banks said, teary eyed"Why not?" his mom wanted to know.

He pointed to his head, shaved for surgery with a still-raw incision marking the spot where doctors had removed the tumor from his brain. "Because of this."

Kim Banks looked at her son. For almost two years, she'd waited for a moment like this one, a moment when her son faced a challenge she could help him with without consulting specialists, without undergoing tests, without traveling halfway across the country. Here was a problem she could solve....
read more...
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if you want a new look buy a book...

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okay wassup with me... nothing really... I had turkey for dinner... and I may be allergic to it... i mean i am really sick... so i'm gonna make this short...

i have a friend who loves my photos.. so this is for you...

okay there you go... pics of me... i don't know what you see in me...

Led Zeppelin - Black Dog - Rare Acoustic



After hearing the lovely fake that was a youtube I thought I had better put some led zep on... go ahead and buy something... or don't.

I'm gonna leave.. see ya!
R

nothing... but...

http://www.welcometowallyworld.com/
He's a friend... go see the way his mind works.

On the home stage... there is nothing to report. (other than ) a mother than a visit with my mom and g-ma.

here have some youtube...


Family Guy - Peter's Cowboy Song

buy something...



The books r the least i can do...