How can you save money while shopping. What features does the Hip2Save app offer. How do users rate the Hip2Save app. What are the benefits of using Hip2Save for budgeting and deal-hunting.
Discover the Power of Hip2Save: Your Pocket-Sized Savings Companion
In today’s fast-paced world, finding ways to save money while shopping has become increasingly important. Enter the Hip2Save app, a free mobile application designed to help savvy shoppers maximize their savings potential. This innovative tool brings together a wealth of money-saving features, making it an indispensable companion for budget-conscious consumers.
What is Hip2Save?
Hip2Save is a free mobile application available for both iOS and Android devices. It serves as a comprehensive platform for deal-hunters, offering real-time updates on the latest discounts, coupons, and money-saving opportunities across various retailers and restaurants.
Real-Time Deals: Stay Ahead of the Savings Game
One of the standout features of the Hip2Save app is its ability to provide users with up-to-the-minute deal information. How frequently are new deals posted? The app updates its content as often as every five minutes, ensuring that users always have access to the most current savings opportunities.
This real-time feature is particularly valuable for time-sensitive deals or limited-time offers. By staying connected through the app, users can capitalize on flash sales and quickly expiring promotions, potentially saving significant amounts of money on their purchases.
Personalized Savings: Tailor Your Deal-Hunting Experience
The Hip2Save app understands that every shopper has unique preferences and favorite stores. To cater to this diversity, the app allows users to customize their experience by sorting deals according to their preferred retailers.
How does the store-specific sorting feature work?
Users can easily filter and view posts specific to their desired stores, streamlining the process of finding relevant deals. This personalization feature saves time and ensures that users don’t miss out on savings opportunities at their go-to shopping destinations.
The Hiplist: Your Personal Savings Vault
In the world of deals and discounts, timing is everything. The Hip2Save app addresses this challenge with its Hiplist feature, a convenient way to save and organize deals for future reference.
What is the Hiplist?
The Hiplist functions as a personal savings vault within the app. When users come across a deal they’re interested in but not ready to act on immediately, they can save it to their Hiplist. This feature allows for easy access to saved deals at a more convenient time, ensuring that no money-saving opportunity slips through the cracks.
Dining Out for Less: Restaurant Deals at Your Fingertips
Eating out can be a significant expense for many households. The Hip2Save app helps users reduce their dining costs by providing a dedicated section for restaurant deals.
How can the app help you save on dining out?
Before making plans to eat out, users can quickly check the Hip2Save app for the latest restaurant deals. This feature covers a wide range of dining establishments, from fast-food chains to local eateries, helping users find discounts, special promotions, and limited-time offers that can significantly reduce their dining expenses.
Culinary Inspiration: Build Your Digital Cookbook
For those who prefer to cook at home, the Hip2Save app offers a unique feature that combines savings with culinary inspiration.
What is the Cookbook feature?
The app’s Cookbook feature allows users to save and organize their favorite recipes from the Hip2Save collection. These recipes are designed to be both delicious and budget-friendly, covering a wide range of dishes including meals, snacks, sides, desserts, and drinks.
By utilizing this feature, users can plan affordable meals, try new recipes, and potentially reduce their grocery expenses while enjoying home-cooked meals.
Community-Driven Savings: Hip2Share Feature
The Hip2Save app goes beyond just providing curated deals; it empowers its users to become active participants in the savings community through the Hip2Share feature.
How does Hip2Share work?
This innovative feature allows users to share deals they’ve discovered with the broader Hip2Save community. Users can snap a picture of a deal they’ve found in-store or online, upload the details, and share it with other app users. This collaborative approach to deal-hunting expands the reach of savings opportunities and fosters a sense of community among bargain-loving shoppers.
Budgeting Made Simple: Digital Envelope System
The Hip2Save app isn’t just about finding deals; it also helps users manage their overall financial health through its digital envelope budgeting feature.
What is the digital envelope budgeting system?
Inspired by the traditional envelope budgeting method, this feature allows users to create digital envelopes for different spending categories. Users can allocate funds to each envelope and track their spending by adding transactions as they occur. This visual and interactive approach to budgeting helps users stay on top of their finances and make more informed spending decisions.
User Testimonials: Real Savings, Real Satisfaction
The true measure of any app’s value lies in the experiences of its users. The Hip2Save app has garnered numerous positive reviews from satisfied users who have experienced significant savings through the platform.
What do users say about the Hip2Save app?
- “Absolutely the best app! Collin and Crew are a part of my everyday life. Shopping becomes much less stressful thanks to Hip2Save. Very caring and friendly site. I cannot Christmas without this app! 5***** and A+!”
- “This app is great. My daughter and I use it all the time. I have saved a bundle!! It really helps a single parent!!!”
- “Best way to buy anything!! This is the best saver site!! I purchased all of my Christmas gifts last year through the advice of this site. I saved hundreds of dollars!! I have also used this site for birthday gifts, back to school shopping, & just because items. This site checks all of the sales & promo codes and displays ever.”
- “Love Hip2Save!! The site and Collin have saved me so much money in the few years I have been following. It’s amazing. I am so thankful for this blessing!!”
- “Awesome! Best app hands down for saving money and getting coupons. I visit daily. Saved me lots on my Christmas shopping.”
- “*HANDS DOWN, THE BEST* This is truly THE BEST site for amazing deals that also saves you $$. A MUST for your Christmas shopping!! They find the best deals on whatever you’re looking for. Can’t say enough!”
Maximizing Your Savings: Tips for Using Hip2Save Effectively
While the Hip2Save app is user-friendly and intuitive, there are several strategies that can help users maximize their savings potential.
How can you get the most out of the Hip2Save app?
- Check the app regularly: With deals updating as frequently as every five minutes, making a habit of checking the app regularly can help you catch the best deals before they expire.
- Customize your preferences: Take advantage of the store-specific sorting feature to focus on deals from your favorite retailers.
- Utilize the Hiplist: Save interesting deals for later to avoid impulse purchases and ensure you don’t miss out on savings opportunities.
- Combine deals: Look for ways to stack coupons, promotions, and cashback offers to maximize your savings on a single purchase.
- Plan ahead: Use the app to plan your shopping trips, especially for major shopping events like Black Friday or back-to-school season.
- Engage with the community: Share deals you find and explore deals shared by other users to expand your savings opportunities.
- Integrate budgeting: Use the digital envelope feature to keep track of your spending and ensure your deal-hunting aligns with your financial goals.
The Future of Savings: Hip2Save’s Ongoing Evolution
As technology advances and consumer needs evolve, the Hip2Save app continues to adapt and improve. The app’s developers are committed to enhancing the user experience and expanding the platform’s capabilities to meet the changing landscape of retail and consumer behavior.
What future developments can users expect from Hip2Save?
While specific future updates are not detailed in the provided information, it’s reasonable to anticipate continued improvements in areas such as:
- Enhanced personalization algorithms to provide even more targeted deal recommendations
- Integration with emerging payment and cashback technologies
- Expanded partnerships with retailers to offer exclusive deals to Hip2Save users
- Advanced budgeting tools and financial education resources
- Improved community features to foster greater interaction among deal-hunters
As the app evolves, users can expect an increasingly seamless and comprehensive savings experience that adapts to the ever-changing retail landscape.
Hip2Save: More Than Just an App
While the Hip2Save app is a powerful tool for savings, it’s important to note that it’s part of a larger ecosystem dedicated to helping consumers save money and make informed purchasing decisions.
What other resources does Hip2Save offer?
In addition to the mobile app, Hip2Save maintains a website that serves as a comprehensive resource for deals, money-saving tips, and consumer advice. The platform also has a strong social media presence, allowing users to stay connected and informed across multiple channels.
This multi-platform approach ensures that users can access Hip2Save’s money-saving content in whatever format is most convenient for them, whether it’s through the app, website, or social media updates.
The Impact of Hip2Save on Consumer Behavior
The Hip2Save app and platform have had a significant impact on how many consumers approach shopping and budgeting. By providing easy access to deals and money-saving opportunities, Hip2Save has empowered users to become more conscious and strategic in their spending habits.
How has Hip2Save changed shopping habits?
Many users report that Hip2Save has transformed their approach to shopping, encouraging them to:
- Research deals before making purchases
- Plan their shopping trips around available promotions
- Be more aware of pricing trends and seasonal sales
- Explore new retailers and products they might not have considered otherwise
- Develop a more disciplined approach to budgeting and financial management
This shift in consumer behavior not only benefits individual users by helping them save money but also contributes to a more informed and savvy consumer base overall.
Hip2Save and the Changing Retail Landscape
In an era where online shopping and digital deals are becoming increasingly prevalent, platforms like Hip2Save play a crucial role in bridging the gap between traditional and digital retail experiences.
How does Hip2Save adapt to changing retail trends?
The app’s ability to aggregate deals from both online and brick-and-mortar stores helps users navigate the complex landscape of modern retail. By providing a unified platform for deals across various shopping channels, Hip2Save helps users make informed decisions about where and how to shop for the best value.
Furthermore, the app’s real-time updates and community-driven features align well with the fast-paced nature of today’s retail environment, where flash sales and limited-time offers have become commonplace.
The Role of Hip2Save in Financial Education
Beyond just providing deals and savings opportunities, Hip2Save serves as a valuable tool for financial education and empowerment. The app’s features, particularly its budgeting tools and deal-sharing community, help users develop better financial habits and a more comprehensive understanding of consumer economics.
How does Hip2Save contribute to financial literacy?
By using the Hip2Save app, users can:
- Learn to identify genuine savings opportunities
- Develop skills in comparison shopping and price analysis
- Gain insights into retail pricing strategies and sales cycles
- Practice budgeting and financial planning through the digital envelope system
- Engage with a community of like-minded savers, sharing knowledge and experiences
These experiences contribute to improved financial literacy, helping users make more informed decisions not just in their shopping habits, but in their overall financial lives.
Hip2Save: A Tool for All Seasons
While many users associate deal-hunting apps with major shopping events like Black Friday or holiday sales, Hip2Save proves its value year-round. The app’s diverse range of features and constantly updated content make it a useful tool for everyday savings as well as seasonal shopping.
How can Hip2Save be used throughout the year?
Users can leverage Hip2Save for various shopping needs throughout the year, including:
- Back-to-school shopping
- Birthday and anniversary gift purchases
- Seasonal wardrobe updates
- Home improvement projects
- Grocery shopping and meal planning
- Travel and vacation planning
- Everyday essentials and household items
By integrating Hip2Save into their regular shopping routines, users can achieve consistent savings across all aspects of their consumer lives.
The Future of Savings: Hip2Save and Beyond
As technology continues to evolve and consumer expectations shift, the landscape of savings and deal-hunting is likely to undergo significant changes. Hip2Save, with its innovative features and adaptable platform, is well-positioned to remain at the forefront of this evolution.
What might the future of savings look like?
While we can’t predict the future with certainty, some potential developments in the savings and deal-hunting space might include:
- Increased integration of artificial intelligence to provide personalized deal recommendations
- Virtual and augmented reality features for immersive shopping experiences
- Enhanced integration with smart home devices for automated savings
- Blockchain-based loyalty programs and rewards systems
- Advanced predictive analytics to forecast future deals and price drops
As these technologies emerge and evolve, platforms like Hip2Save will likely adapt and incorporate new features to continue providing value to their users.
Embracing a Savings-Focused Lifestyle with Hip2Save
The Hip2Save app is more than just a tool for finding deals; it’s a gateway to a more financially conscious lifestyle. By providing users with the resources and information they need to make smarter purchasing decisions, Hip2Save empowers individuals to take control of their spending and achieve their financial goals.
How can Hip2Save contribute to long-term financial well-being?
Regular use of the Hip2Save app can lead to:
- Improved budgeting skills and financial discipline
- A more strategic approach to shopping and spending
- Increased awareness of market trends and pricing strategies
- The development of a savings-oriented mindset
- Greater overall financial literacy and consumer savvy
By fostering these skills and habits, Hip2Save helps users not just save money in the short term, but also develop a foundation for long-term financial success.
Save On-The-Go with the Free Hip2Save App
Download our FREE Hip2Save app!
Apple App Store | Google Play Store
If you love to shop AND save money, we’ve got the app just for you! The free Hip2Save app is the perfect way to get all your favorite money-saving content right on your smartphone — especially when you’re out and about shopping! Get ready to make on-the-go saving easier and download our mobile app today.
Get the hottest deals in real-time.
We highlight all the latest mobile, printable, newspaper/store coupons, and offer easy digital ways to save, too! Check the app regularly as you’ll find new deals posted as often as every FIVE minutes! Yes, really!
Sort deals by stores you shop most.
Check the hottest deals for your favorite retailers by viewing posts specific to your desired stores.
Save your favorite deals, tips, and more with the Hiplist.
Love a post and want to reference it later? Simply save it to your Hiplist and access the post whenever it’s most convenient for you.
Dine out for less with Restaurant Deals.
Don’t make plans to fill your empty stomach without checking the Hip2Save app first to scroll through the latest Restaurant Deals.
Make a collection of your favorite recipes.
We have loads of yummy and affordable meals, snacks, sides, desserts, drinks, and more! Save the most tantalizing recipes in one spot by adding them to your Cookbook.
Share your own deals with the Hip2Save Community.
Snap a pic and upload the details to share deals with other Hip2Save readers using the Hip2Share feature.
Budget with us using digital envelopes on the app.
You shop with us, so why not budget with us, too? Taking note from the Envelope Budgeting method, you can create and save digital envelopes on the app and add your transactions as you spend.
Check out what other users have to say about the Hip2Save App:
Absolutely the best app! Collin and Crew are a part of my everyday life. Shopping becomes much less stressful thanks to Hip2Save. Very caring and friendly site. I cannot Christmas without this app! 5***** and A+!
This app is great. My daughter and I use it all the time. I have saved a bundle!! It really helps a single parent!!!
Best way to buy anything!! This is the best saver site!! I purchased all of my Christmas gifts last year through the advice of this site. I saved hundreds of dollars!! I have also used this site for birthday gifts, back to school shopping, & just because items. This site checks all of the sales & promo codes and displays ever.
Love Hip2Save!! The site and Collin have saved me so much money in the few years I have been following. It’s amazing.
I am so thankful for this blessing!!
I am so thankful for this blessing!!Awesome! Best app hands down for saving money and getting coupons. I visit daily. Saved me lots on my Christmas shopping.
*HANDS DOWN, THE BEST* This is truly THE BEST site for amazing deals that also saves you $$. A MUST for your Christmas shopping!! They find the best deals on whatever you’re looking for. Can’t say enough!
Get more details on our Hip2Save app page.
Save Your Hips – Heal Hip Pain Naturally and Avoid Dangerous Orthopedic Surgery
Save Your Hips is a meticulously researched, shocking exposé of the orthopedics industry. If you or someone you care about has chronic hip pain, you need this book before seeing an orthopedic surgeon.
The book comes with a companion DVD of over sixty minutes with a complete program of posture, exercises and stretches that can reduce inflammation and heal chronic hip pain wi
Save Your Hips is a meticulously researched, shocking exposé of the orthopedics industry.
If you or someone you care about has chronic hip pain, you need this book before seeing an orthopedic surgeon.
The book comes with a companion DVD of over sixty minutes with a complete program of posture, exercises and stretches that can reduce inflammation and heal chronic hip pain without dangerous surgery.
Managing your relationship with the medical system requires knowledge, not just the information you get from your doctor. With 95 full color illustrations, Save Your Hips gives you a thorough understanding of
– the anatomy of the hip joint,
– the surgeries that are being performed,
– the imaging and other methods used to justify surgery,
– and the lack of scientific validation of these justifications that are so blatant that even the surgeons are starting to question their own ethics.
With this book & DVD you will
– understand the root cause of chronic hip pain,
– learn how dangerous to your long term health and mobility hip surgery really is,
– and learn how to manage your own chronic condition to create real healing for yourself.
Author Christine Kent, RN, is also the author of Saving the Whole Woman, Natural Alternatives to Surgery for Pelvic Organ Prolapse and Urinary Incontinence. Her breakthrough work on this most common of women’s health conditions has kept thousands of women out of the operating room, successfully managing their prolapse and living full, active lives.
She has produced seven DVDs and teaches classes to women on prolapse and chronic hip pain management at the Whole Woman Center in Albuquerque, NM USA. She has also trained and certified Whole Woman Practitioners in the US, UK, Canada and Australia.
Peggy Adams Animal Rescue League
Peggy Adams Animal Rescue League will be celebrating National Pit Bull Awareness Day by offering free* adoptions for those who adopt a square-headed dog. The “It’s Hip to be Square” adoption promotion is available from Friday, October 25th through Sunday, October 27th from 11:00 a.m. to 6:00 p.m. The event is sponsored by Dolly’s Dream. *A Rabies tag fee applies to Palm Beach County residents.
The Dolly’s Dream Project was created in 2015 to help dispel the myths of bully breed dogs. Sadly, American Staffordshire terriers, American bulldogs, bull terriers, and mixes of these breeds are prevalent in shelters across the country.
“Dolly” was a “square head” who opened the heart of the man who adopted her and taught him how loving, sweet and gentle these dogs can be. These loving animals are no different than any other type of dog. Today, in her honor, Dolly’s Dream is dedicated to give dogs like her a second chance at life and a forever home which every dog deserves.
“We are proud to sponsor this special adoption event at Peggy Adams Animal Rescue League,” said Daniella Jordan, from Dolly’s Dream. “Dolly’s Dream partners with local animal rescues that are committed to finding homes for these innocent and loving animals. We hope that those looking to adopt a new pet, stops by Peggy Adams to see all of the amazing dogs looking for their forever home.”
At Peggy Adams, as with many other larger animal shelters in Florida and around the nation, there are many mixed breeds looking for their forever family.
“At first glance, some would call a dog with a “square head” a “pit bull” or a “bully breed” – that’s simply not the case. They are just mixed breed dogs that are now one of the most popular types of dogs in in America,” said Rich Anderson, Executive Director/CEO of Peggy Adams Animal Rescue League. “We are grateful to continue our partnership with Dolly’s Dream and are continually inspired by their mission,” he added.
All dogs are spay/neutered, vaccinated, and micro-chipped. On average, the cost of care of an animal at Peggy Adams is approximately $400. The goal of Peggy Adams is to adopt these dogs into wonderful, loving homes. For more information about this adoption special and to learn how to adopt, please visit PeggyAdams.org or call 561.686.3663. Peggy Adams Animal Rescue League is located at 3200 N. Military Trail in West Palm Beach and the adoption center is open daily from 11am-6pm.
https://www.peggyadams.org/adopt-a-dog
Saving on Computers — Hip vs.
Functional
By Gail Osten
June 2012 View more Finance
I don’t have enough fingers to count how many friends have purchased iPads or tablet PC models in the last two years. My six-year-old desktop took six excruciating minutes to fully boot up today and the fan in the desktop tower continually kicks into overdrive. Maybe it’s time to upgrade, but at what cost and with what functionality?
With technology fast advancing, great deals on desktops abound these days. My dearest friend recently bought a refurbished Dell desktop for $380, complete with great software.
Many reports suggest that if you own a desktop now, your next purchase will take a different form. If you require more portability than a desktop offers, several options exist.
Tablets vs. Laptops:
First, ask yourself if a tablet model, with touch screen, is appropriate for your needs, or is a laptop a better fit? They are both portable, feature similar functions, and can use the same programs, but there are differences, including cost.
A laptop may present the best choice if you typically write longer documents, prefer a real keypad under your fingertips and don’t mind re-juicing the battery at possibly inconvenient times. The lighter-weight touch screen tablet may fit your on-the-go lifestyle if you dash off emails, love pointing, clicking and dragging on the net, and want a longer uptime before recharging.
Depending on the models you choose, the laptop typically offers the cheaper alternative than the tablet and may better serve as your go-to computer in lieu of a desktop. According to an eHow.com article ,“Tablet PC vs. Laptop”, expect to pay at least $150 more for the tablet than for a laptop with similar specifications. Because I’d need a real keyboard with a tablet, I searched for accessories. Tack on another $50 to $100 if you want to prop up your tablet for more comfortable viewing and want a traditional keyboard.
Cashing-in on discounts:
Whatever your choice – and if you have patience and do your homework—you also can cash in on substantial discounts from reputable suppliers by opting for older models, dented or scratched models or refurbished computers.
First, learn why your chosen computer is being discounted. When a customer returns a computer, it can’t be sold as “new,” but basically, it is. If the computer doesn’t work, it is refurbished and re-tested by the manufacturer and resold at a discount. Floor models, though few and far between, are also discounted. Similarly, physically marred computers go on sale, work just fine, and again, are discounted. Many refurbished computers come with full warranties, so ensure you know those guarantees up front and retain written warranties.
Apple-certified refurbished products guarantee that computers perform and look like new products, are delivered in new packaging with all manuals and accessories, and have a one-year warranty—just like new Apples. I found deals that ranged from 10–24% off at www.store.apple.com/us/browse/home/specialdeals. At www.dell.com/outlet and other manufacturers, you’ll find equally as interesting deals starting at lower prices than Apple.
No matter how low the price, carefully assess the risks of buying a used computer from a private seller versus one that is refurbished.
The laptop that feels like a steal could instead yield a depleted memory or a battery that requires replacement, both expensive propositions.
If you’re unsure what computer you really want, I’d recommend www.computershopper.com, which gives unbiased reviews and easy-to-locate pricing for desktops, tablets and laptops. The site breaks down reviews based on user requirements such as big screens, good for gaming, light-weight—which I found handy.
One final word—If you have a college student, explore computer and software student discounts through colleges. Also see “Computer Discounts for College Students” at www.collegetips.com/college-money/best-laptop-computer.php.
Texas A&M Large Animal Surgeons Save Camel With Dislocated Hip
Story by Megan Myers, CVMBS Communications
When Sybil the camel arrived at the Texas A&M Large Animal Hospital with a serious hip injury, very few believed that a successful surgery would be possible.
Luckily, thanks to the faith of her owners and skill of her surgical team, Sybil has become one of the first camels to fully recover from a dislocated hip.
The Texas A&M Veterinary Medical Teaching Hospital’s (VMTH) Large Animal Hospital (LAH) may mostly treat horses and farm animals, but other species are also seen surprisingly often, including a large number of camels that live as pets on Texas ranches.
When Sybil, a 7-year-old dromedary (one-humped) camel, arrived at the LAH, she could barely walk on her left hind leg. Radiographs quickly revealed the problem—the camel’s hip joint was dislocated out of its socket and her femur had moved far away from her pelvis.
“This coxofemoral luxation diagnosis was heartbreaking because the options for treatment are limited and prognosis is poor for adult large animals with this condition,” said Dr. Kati Glass, a clinical assistant professor in large animal surgery. “Basically, the bigger the animal, the harder it is to get the hip back in its socket and the harder it is to keep it there.
”
Glass consulted with other veterinary surgeons to discuss Sybil’s predicament, but their recommendations were disheartening. The consensus was that there was very little chance for surgery to be successful, meaning that Sybil would likely live a life of discomfort because of the injury and, therefore, should be put down.
Sybil’s owner, Dr. Ron McMurry, however, insisted that Glass and her team do whatever they could to try to save Sybil’s life.
“It felt like I was in Las Vegas and I had bet my last hundred dollars,” McMurry said, “but I felt the need to try something.”
McMurry may have felt nervous going into surgery, but he was also very optimistic that Glass and her team would be able to fix Sybil’s hip.
“Dr. McMurry gave us the chance to go to surgery and to move forward if things went well, but also to be mindful of her care and comfort in that if we weren’t successful, then we knew that we had tried,” Glass said. “That put us in a position to give it our all because without the surgery, we knew Sybil didn’t have a good chance at a comfortable life; so, really, we didn’t have much to lose.
”
Joined by large animal surgery residents Drs. Lauren Richardson and Alyssa Doering, fourth-year veterinary students Shanna Keshvari and Amanda Armendariz, and a team of anesthesia specialists—including Drs. Mauricio Lepiz and Courtney Baetge, with anesthesia resident Dr. Sarah Jarosinski—Glass began the surgery to fix the camel’s dislocated hip.
Finally, just as the team was becoming fearful that their efforts may not be successful, the joint fell back into place with a loud pop.
“It was this huge, celebratory moment,” Glass said. “Then, the even more difficult part started for us as surgeons, because then I knew I had to do something to try to keep it there.”
She secured the joint in place with screws and a stainless-steel cable, but radiographs taken two days after surgery showed that the implants had broken. Thankfully, despite the failure of the cable, Sybil’s hip was still in place.
Glass and her team were thrilled with this success.
Also thrilling was the fact that Sybil was bright, eating, and recovering smoothly.
They also had one other reason to celebrate—Sybil was expecting a baby.
“We knew at the time of surgery that she had been recently bred, but we were focused on saving Sybil’s life at that time,” Glass said. “After surgery, as we saw Sybil recovering, we confirmed that she was still pregnant!”
For now, Sybil is continuing her rest and rehabilitation at the LAH.
Glass said Sybil has been the perfect patient, especially since she is trained to lay down, stand up, and move around on command. During her time at the LAH, Sybil used her charm on everyone she met, even influencing veterinary students to throw her a camel-themed baby shower.
For Glass, the McMurry family’s commitment was the critical component that allowed the chance to save Sybil’s life and to learn valuable information about treating other camels with hip dislocations.
“Every time we have the opportunity to take a chance on a procedure like this, we learn something,” Glass said.
“What I’ve learned throughout Sybil’s care will help me even more in the next case.”
Glass is hopeful that when a similar case comes to her or another veterinarian in the future, they can provide the owner with more options and be more optimistic about the potential outcome.
“Sybil’s success gives us that opportunity to say it can work and we should try,” she said.
Sybil will soon return to her ranch in Jasper, Texas, to finishing recovering and have her baby at home.
While it’s common for hips to reluxate (or come back out of socket) in large animals after surgery, Glass said that with each day that passes, she is more optimistic about the joint staying in place for the rest of Sybil’s life.
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For more information about the Texas A&M College of Veterinary Medicine & Biomedical Sciences, please visit our website at vetmed.tamu.edu or join us on Facebook, Instagram, and Twitter.
Contact Information: Jennifer Gauntt, Interim Director of CVM Communications, Texas A&M College of Veterinary Medicine & Biomedical Science; [email protected]; 979-862-4216
Want to save your medical device as a souvenir? It’s easier than you might think
[Total hip replacement image courtesy of NIH]
Keeping a medical device that was inside you — or even a removed body part — is actually easier than it might seem, according to a recent story in the Chicago Tribune.
Just ask Barbara Brotman. Brotman is a senior assistant director of development communications for University of Chicago Medicine and Biological Sciences and a former Tribune columnist. She smashed her pelvis during a Grand Canyon hike when she was 17, but a partial hip replacement kept her active for decades. When it was time to get a full hip replacement, she found the surgeons unfazed when she asked if she could keep the metal cap from the old partial hip.
After signing some releases, she was able to take the shiny, newly sterilized cap home.
There’s also Ron Brown, who over the decades has kept his Medtronic pacemakers. He also sends the company an annual Christmas letter that’s read to employees. (KARE 11, the Minneapolis-St. Paul NBC news station, profiled Brown.)
The Tribune has some pointers for people wanting to follow Brotman’s example:
- It should be pretty simple for a doctor to contact a hospital pathology department and make a request. Patients or family members with power of attorney can legally request the return of organs or devices such as pacemakers or hip implants, according to Dr. Jon Lomasney, associate professor of pathology at Northwestern Medicine, who spoke with the Tribune.
- Hospitals won’t turn over radioactive material or items from areas of the body infected with hard-to-kill pathogens.
- Electrical devices such as pacemakers and defibrillators need to be permanently shut off. At Northwestern Memorial Hospital, the policy is to send FDA-regulated medical devices back to the manufacturer for evaluation — after which the patient or family member can receive the device back safe, clean and “in a Tiffany-style box,” Lomasney said.
At Northwestern Memorial Hospital, the policy is to send FDA-regulated medical devices back to the manufacturer for evaluation — after which the patient or family member can receive the device back safe, clean and “in a Tiffany-style box,” Lomasney said.
Hip fracture saves woman’s life after surgeon finds cancerous tumor
Deborah Bunner had no plans for a hip replacement. Believing she suffered from arthritis, she endured significant pain in her hip over the past four years. “It was excruciating. I know now that I was foolish for not going to a specialist sooner.”
Deborah Bunner and her three four-legged friends.
Bunner lives in West Knoxville with her husband and three French bulldogs. Last autumn, the retired kindergarten teacher consulted her physician about her persistent hip pain, and she had an MRI. She received a phone call that same afternoon. The MRI had
revealed a large mass in her uterus. I would recognize Bunner underwent a hysterectomy, or removal of the uterus and ovaries, in December 2019.
The surgery included removal of the tumor and she healed nicely. She thought that perhaps it was the mass in her uterus that had caused her hip pain, and now it would cease. She was wrong.
Divine Intervention
A short three months later, the hip pain had progressed. Bunner walked with two canes because her pain was so debilitating. While she was hanging clothes in her closet, one of the canes slipped
and she took a tumble onto the hardwood floor, causing her left hip to fracture on impact. An ambulance brought her to Parkwest Medical Center.
D. Hunter Hamilton, MD
“That is when I met Dr. Hamilton — he was the surgeon on call that day,” remembers Bunner. “He looked at my scans and told me we had an issue.” The fracture revealed a sarcoma tumor in her hip. “Had I not fallen and fractured my hip, we would not have found it.” She recalls, amazed, “The tumor in my hip was not visible in scans before because it was inside, sitting there like an egg.”
D. Hunter Hamilton, MD, is an orthopedic surgeon at Parkwest Medical Center who is fellowship-trained in hip and knee replacement. “When you get mechanical joint pain, or pain
with daily activity, it often means you have degenerative changes within the joint, like arthritis,” says Dr. Hamilton. “In this case, it was the tumor, which had spread from the uterus to the inside of the hip and was eroding the bone, making the bone weak and causing pain.”
Bunner says she gets chills thinking back on the divine intervention that occurred that day. “I am just so thankful and blessed.”
Hip Reconstruction
Bunner says she communed with God for the hours leading up to surgery. “I had no fear; I knew everything was going to be fine.”
“On top of that,” she says, “I had this endearing, comforting man as my doctor. He went above and beyond for me. When I told him about my faith, he offered to pray with me. He was confident he would get me back on my treadmill. Now I’m on it every day.”
Dr. Hamilton is accustomed to performing both hip and knee replacements In Bunner’s case, he performed a cemented left hip hemiarthroplasty (“hemi” meaning half and “arthroplasty” meaning joint replacement). Dr. Hamilton removed the part of the tumor he could see and any weakened bone surrounding it. He reconstructed her hip with a cemented partial replacement. He chose a cemented implant over an implant that is “wedged” into place that requires bone to ingrow for stability because the cement will provide implant stability in case she requires future radiation to the hip that could prevent bony ingrowth resulting in a loose stem. He chose a partial hip replacement instead of a total hip replacement in the hope of preventing spread of the tumor to the pelvic side of the hip joint.
He reports, “She had a leiomyosarcoma, a tumor that was identical to the one removed from her uterus. It has spread to her hip.” Dr. Hamilton notes that had the tumor not been removed, there was a risk for soft tissue and muscle tissue cells to metastasize to other places in the body, including spreading to the lungs.
”Beyond Thrilled”
“When Dr. Hamilton informed me there was a cancerous tumor inside my hip, I felt relief. I thought, ‘Thank goodness, now we know what’s wrong!’
“A few hours after surgery, a nurse helped me stand. I was beyond thrilled because the pain was just… gone. That horrible pain I had endured for years had vanished. I was beyond thrilled.”
Following surgery, Bunner’s CT scan and PET scan were clear, indicating no sign of cancer.
“It’s a privilege and it’s gratifying,” says Dr. Hamilton. “As orthopedic surgeons, to restore function, often quite rapidly, we get to see how much life has improved for a patient, and how differently people carry themselves.”
Dr. Hamilton encourages people to not be afraid of surgery because Parkwest has specialists in so many areas. “Overall, I’d say if joint pain is affecting your quality of life and keeping you from being able to do what you enjoy doing, we have excellent solutions for that.”
At Parkwest
Besides excellent medical care, Bunner describes her treatment at Parkwest as “fabulous.” “I can’t say enough good things about Parkwest. I have just had the most heartwarming experiences, from my medical care to each person who treated me.”
To anyone who has a nagging pain but is hesitant to get it checked out, Bunner says, “go.” She encourages adults to consult their regular physician and if needed, ask for a referral to an
orthopedic doctor. “Don’t stop asking questions,” she urges. Bunner describes her journey as receiving a new life. “I feel as though I have been given a ticket to keep riding this train, to see how far I can go. I feel great.”
Contact the Parkwest Joint Replacement Center today to be connected with the joint center coordinator or to be referred to a physician who performs joint replacement surgeries at Parkwest. For more
in- formation about the pro- gram, call 865-374-PARK or visit TreatedWell.com
What is Hip Replacement Surgery?
Hip replacement (total hip arthroplasty) is surgery to replace a worn out or damaged hip joint. The surgeon replaces the old joint with an artificial joint (prosthesis). This surgery may be a choice after a hip fracture or for severe pain because of arthritis.
Various types of arthritis may affect the hip joint:
- Osteoarthritis. This is a degenerative joint disease that affects mostly middle- aged and older adults. It may cause the breakdown of joint cartilage and adjacent bone in the hips.
- Rheumatoid arthritis. This type of arthritis causes inflammation of the synovial lining of the joint. It causes extra synovial fluid and may lead to severe pain and stiffness.
- Traumatic arthritis. This arthritis is caused by an injury. It may also damage the hip cartilage.
The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged. It also helps relieve hip pain that can’t be controlled by other treatments.
A traditional hip replacement involves an incision several inches long over the hip joint. A newer approach uses one or two smaller incisions to do the surgery. This is called minimally invasive hip
replacement. The minimally invasive procedure is not suited for all people who need hip replacement. Your healthcare provider will recommend the best procedure for you.
What is Recovery Like?
For a typical hip replacement, patients start physical therapy immediately and continue for six to 10 weeks. They are instructed post-operation to bear weight as much as they can tolerate. Patients generally use a walker for one to two weeks, followed by walking with a cane, and report overall pain relief to be significant.
What is Soft Tissue Sarcoma?
Sarcoma is a type of cancer that starts in the body’s connective tissues. These are tissues that support or protect other parts of the body. Soft tissue sarcomas can start in muscles, tendons,
blood vessels, fat, nerves, and deep skin tissues. These cancers can start in almost any part of the body. (Although body parts such as the lungs, kidneys, and liver are soft, they have specific
functions. Because they do very specific jobs, they aren’t considered soft tissues. Most cancers that start in these organs are not soft tissue sarcomas.)
What are the types of soft tissue sarcomas? These are dozens of different types of soft tissue sarcomas. But many of these are rare.
Here are some of the more common types of soft tissue sarcomas:
- Angiosarcomas. These cancers start in blood or lymph vessels.
- Fibrosarcomas. These cancers start in fibrous tissues, usually in the arms, legs, chest, or back.
- Gastrointestinal stromal tumors (GISTs). These cancers can occur anywhere along the digestive tract. They are treated differ- ently from most other types of sarcomas. This is because they often respond to treatment with targeted therapy medicines.
- Leiomyosarcomas. The cells in these cancers are related to smooth muscle cells. These cancers are often found in the abdo- men or uterus. But they can also start in other parts of the body. These include the leg or arm muscles.
- Liposarcomas. These cancers start in fat cells. Although they can be found anywhere in the body, they often start in the abdomen or thighs.
- Malignant peripheral nerve sheath tumors. These cancers include neurofibrosarcomas and malignant schwannomas. They are cancers of the cells that wrap around nerves. These tumors are rare. They may be seen in people with some inherited syndromes, such as neurofibromatosis.
- Synovial sarcomas. These are cancers of the synovial tissues that surround joints. These cancers most often occur in the hip, knee, ankle, or shoulder
- Undifferentiated pleomorphic sarcomas. These cancers used to be called malignant fibrous histiocytomas. They are most com- mon in the arms or legs. But they can also start in other parts of your body.
90,000 Interview: Treatment of a hip fracture
DIALOGUE WITH THE HEAD OF THE DEPARTMENT OF TRAUMATOLOGY AND ORTHOPEDICS NWSMU NAMED AFTER I.I. VALENTIN ALEXANDROVICH NEVEROV.
– Valentin Alexandrovich, how can modern medicine help patients with a hip fracture?
– Modern medicine has every opportunity to help a patient with a hip fracture. But the problem here is not only medical, but also social.Suppose a person comes to us: “My mother has a hip fracture. Lies at home. What to do?” We say: “Bring”, examine and decide what to do the operation – to implant an endoprosthesis or a structure. And then there are organizational problems. First, it is necessary to draw up a package of documents for obtaining a quota for high-tech medical care. This takes 2-3 weeks, and the patient may die from complications without waiting for this quota. The second problem is purchasing a prosthesis or construction at our own expense, and we carry out the operation at the expense of compulsory medical insurance.People with disabilities can take advantage of compensation – buy a prosthesis for their own money, and then receive compensation from the social insurance fund. But in the fund, under various pretexts, only part of the money spent is returned or payment is delayed for six months or a year. And then these products are not cheap, and not everyone, especially the elderly, has the means to buy it. That is why the salvation of patients with a hip fracture depends not only on doctors. Technique, modern designs allow you to raise a person in a week after the operation.He gets up – even with crutches, on a walker, but he can move, can serve himself. It is integrated into society. That is, both social and medical problems are being solved.
– Why does the femoral neck break down most often?
– This is due to physiology. Nature has foreseen that after 40-45 years, an involutive, that is, the opposite, process begins. The type of metabolism changes, including in the bones. Did you know that a person is completely renewed in 7 years? These changes are happening very gradually, but they are happening.There are two types of cells in bones: osteoblasts, which “build” bones, and osteoclasts, which “dissolve” them. After 45 years, the activity of osteoblasts slows down, while osteoclasts, on the contrary, begin to act more actively. The points where bone resorption is more intensive are the femoral neck, radius, surgical neck of the shoulder and the spine. In these areas, the bone becomes thinner and a fracture occurs from minimal mechanical trauma. Women are more likely to suffer from fractures, since the lack of estrogen during menopause greatly affects mineral metabolism.
– What are the symptoms of a hip fracture?
– First of all, it is pain. And second, a person loses support, he falls through, he cannot lift his heel off the ground – a symptom of a “stuck heel”.
– What is the operation for a hip fracture? And what results does it give?
– In case of a hip fracture, you can perform endoprosthetics – replacement of the hip joint, or you can try to heal the fracture with the help of osteosynthesis – implantation of a special design.In blocking osteosynthesis, a structure is used that transfers the load – body weight – from the head of the femur to the diaphysis – the middle part of the tubular bone. This rigid system allows the limb to be loaded within a week after surgery. In endoprosthetics, a broken head is replaced with a prosthesis, and the patient leaves the hospital on his own legs after 2 weeks.
– Is the endoprosthesis or construction rejected by the body? And does a person feel that he has a foreign body inside?
– Endoprostheses and structures for osteosynthesis are mainly made of titanium-based alloys.Titanium is the most bio-inert metal. Typically, a fibrous capsule forms between any metal and bone. Titanium is the only material that “fuses” with bone without forming a fibrous film. For example, a screw screwed into a bone, after 5-6 years, “grows together” with the bone so much that it can no longer be unscrewed. I have not heard feedback from patients that they feel a construction in their body.
– But surely not everyone can do the operation? What should be done in this case?
– Indeed, there are somatic contraindications to surgical treatment, for example, hypertension, a previous heart attack or stroke, mental illness, uncompensated diabetes mellitus, etc.e. Such people may not tolerate surgery, and they are operated on only for health reasons. Operation for a fracture of the femoral neck is not one of those.
There is a mystery that no one can explain. A person in old age, but completely independent, with a clear head – he lives alone, serves himself, goes to the store, follows the news in politics, in public life, etc. – breaks his hip neck. They bring him to us. On the 3-4th day, mental changes begin in him: he does not recognize those close to him, does not understand where he is.This happens quite often. We cannot explain how the hip fracture is related to the head. When the psyche is upset, the operated patient is inadequate, does not follow commands, begins to tear off the bandage, injure the operating wound, where an infection can get. Therefore, it is also contraindicated to carry out operations on a person with an altered psyche.
Patients who cannot undergo surgery are discharged home from the hospital, and a derotation plaster boot is often applied.We call this an “anchor to the next world”, because this fixator binds a person to the bed – he can neither get up, nor sit down, nor lower his legs. A bedsore is often formed under the cast on the heel. A person does not die from a hip fracture, he dies from the complications that this fracture entails. There is a decubitus sore on the heel, a decubitus sore on the sacrum, and a decubitus sore on the shoulder blades. What is a bedsore? This is a large wound surface with tissue decay. The products of tissue breakdown cause intoxication, which, in turn, leads to multiple organ failure – damage to internal organs and systems.As a result of problems with hygiene procedures, an ascending urological infection appears. Due to the inactivity of the muscles in the lying patient, cardiovascular pathology occurs, since the entire load of pumping blood falls on the heart. Congestive pneumonia begins. As a result, the patient dies. According to various sources, mortality from complications of hip fractures is up to 35%. The rehabilitation of such a patient should not be dealt with by relatives, but by professionals in specialized institutions.He cannot be discharged home. The patient must go to a rehabilitation hospital, where specialists will competently treat him: they will put him on his feet, teach him how to walk. And they will be discharged when he is able to serve himself.
Only movement can save the patient. The person must be activated from the second day after the fracture. He needs to be planted with his feet out of bed. He needs to get a walker and put it near the bed so that he tries to get up. The person must be motivated to eat at the same table with family members, to get to the toilet on his own, etc.In this case, the fracture will not heal, a false joint will form in its place, the leg will become 4-5 cm shorter. But the person will live and even walk in orthopedic shoes.
Rescue of a drowning man – Regional State Treasury Institution “Rescuer”
First aid in rescuing a drowning person
The basic rule when rescuing a drowning person is to act deliberately, calmly and carefully. First of all, when you see a drowning person, you should quickly understand the situation.
In all cases it is necessary to try to inform the drowning person that his position has been noticed and help is being provided to him. This encourages and empowers the victim.
If possible, you need to give a drowning person or a person who is tired during swimming with a pole or the end of his clothes, with the help of which he can be pulled to the shore, a boat, or throw him an available floating rescue object or special rescue equipment. Throw a rescue object so as not to hit the drowning person. If these items are not available or their use does not ensure the salvation of a drowning or tired person, it is necessary to swim to his aid.
The person providing assistance must not only swim well, but also know the methods of transporting the victim, be able to free himself from his grasping, do artificial respiration and external heart massage.
In case of mass accidents, you need to try to help each drowning person individually. It is impossible to save several people by swimming at the same time.
If necessary, immediately jump into the water to help a drowning person, take off your clothes and shoes. Jumping from the shore in places where the ground and depth are not known should be feet forward.The place to jump into the water should be chosen so as to use the force of the current.
If you fall into the water while wearing clothes at a great distance from the shore, you should try to take off as much clothes and shoes as possible.
Cramps in the calf, thigh or finger muscles may occur at low water temperatures or from overwork. In case of cramps in the calves, it is recommended, while swimming on your back, to take the leg out of the water, which the cramp has brought together, and pull your fingers towards you. With a spasm of the thigh muscles, strong bending of the leg at the knee helps, and you should press the foot with your hands against the back of the thigh.In case of muscle cramps in the fingers of the hand, you need to clench your hand into a fist, and, pulling it out of the water, shake it strongly.
Help for a person who is tired while swimming can be provided in the following way: the person providing assistance must put his shoulders under the outstretched hands of the tired person and transport him, swimming in the breaststroke style. It is good if a tired person can row his feet in time with the movements of the helper. It is necessary to ensure that the tired hands do not slip off the shoulders of the caregiver.
If it is not possible to swim up to the drowning from behind, you should dive a few meters away from him and, swim up to the side, push his knee with one hand, and grab his leg with the other, jerk for this leg to turn him with his back to you and tow him to the shore.
If the victim lies on the bottom of the reservoir face up, the carer should dive and swim up to him from the side of his head; if he lies face down, swim up to him from the side of the legs. In both cases, the assisting person must take the victim under his arms, lift, then push off the ground strongly with his feet, float to the surface with him and tow him to the shore.
Help for a drowning person must be provided from behind, protecting from his capture. There are several tricks to freeing yourself from grips:
1.If the drowning man has grasped the person providing assistance by the torso or neck in front, you need to hold him by the lower back with one hand, rest against the drowning man’s chin with the palm of the other hand, pinch his nose with your fingers and push strongly against the chin. In extreme cases, the person providing assistance needs to rest his knee on the lower abdomen of the drowning person and forcefully push off from him;
2. If the drowning man grabbed the person providing help by the neck from behind, you need to grab the hand of the drowning person with one hand and push the elbow of the same hand with the other.Then the person providing assistance must abruptly throw the hand of the drowning person over his head and, without freeing his hands, turn the drowning person with his back to him and tow him to the shore;
3. If the drowning man grabbed the person providing help by the hands, you need to clench them into fists and make a strong jerk outward, at the same time, pulling your legs to your stomach, rest against the drowning man’s chest and push off from him;
4. If the drowning man grabbed the person providing assistance by the legs, then for release, you need to press his head to yourself with one hand, and grab his chin with the other and turn away from you.
There are several ways to tow a drowning person:
1. “Behind the head” method. For this, the assisting person must transfer the drowning person to a position on his back; supporting him in this position, clasp his face with your palms – with your thumbs on the cheeks, and with your little fingers – under the lower jaw, covering your ears and keeping your face above the water. You need to swim on your back.
2. Towing a drowning man by the hands
“under the arms” method. To do this, the person providing assistance must swim up to the drowning person from behind, quickly slip his right (left) hand under his right (left) hand and take the drowning person by the other hand above the elbow.Then you should press the drowning person to you and swim to the shore on your side.
3. To tow an unconscious victim, the helper should swim on his side and pull the victim by the hair or collar of clothing.
All methods of towing a drowning person require that his nose and mouth are above the surface of the water.
When rescuing a drowning person from a boat, it should be brought to him stern or bow, but not sideways. You should always take a drowning person into the boat from the stern or bow, as the boat may tip over when dragged over the side.
It is not always necessary to take a drowning person into a boat if a second person assisting can restrain him from the stern. If there is only one person in the boat, it is best not to jump into the water, as an uncontrollable boat can easily be carried away. Going on a boat to rescue a drowning person without special rescue equipment, you should take with you a pole, stick, etc. to give to the drowning person, if he has not lost consciousness.
Help should be provided to the victim immediately after being taken out of the water.If the victim is unconscious (pale, pulse is barely palpable or absent, breathing is absent or very weak), you should immediately begin to revive him and at the same time send for a doctor.
After pulling ashore, inspect the victim: mouth and nose may be clogged with mud or sand, they must be cleaned immediately. Then turn the victim onto his stomach, so that the head is below the level of his pelvis (the child can be placed with his stomach on his thigh) and, sharply press on the root of the tongue to provoke a gag reflex and stimulate breathing.
If there is no gagging or coughing, put the victim on his back and proceed to resuscitation:
1. Kneel down to the left, tilt the head of the drowned man as much as possible (this is very important!) And, moving the jaw down, open his mouth;
2. Take a deep breath, put your lips to the victim’s lips and inhale the air with force, while holding the victim’s nostrils with your hand;
3. If the victim does not have a beating heart, artificial respiration should be combined with chest compressions.To do this, place your palm across the lower part of the sternum (but not the ribs!), The other palm on top of the first crosswise. Press on the sternum with your wrists so that it bends 3-5 cm and release. Do 4-5 rhythmic pressure with each blow;
4. If signs of life appear, turn the victim face down and remove any water from the lungs and stomach;
5. If two people are assisting, then one gives artificial respiration, the other – heart massage. Do not stop resuscitation measures until an ambulance arrives;
6.Do not leave the victim alone and do not transport him on your own, call an ambulance.
Hip amputation – sparing partial amputation operations at the Innovative Vascular Center
Hip amputation is a forced operation to remove a larger leg in order to save life in case of severe damage or death of soft tissues and bones, when no medical measures can save this part of the limb. Amputation of the lower limb should be performed only when all means of limb preservation have been exhausted and should be carried out at the lowest possible level.
The most common cause of amputation in the middle third of the thigh in our country is gangrene of the foot or toes, however, with the modern approach to treatment, we manage to save the leg in most patients with gangrene, or to perform a low amputation of the leg or foot. The level of amputation depends on the blood supply to the segment in which the amputation is performed. With poor blood supply, amputation at this level loses all meaning, since the wound will not heal. In our clinic, to reduce the level of amputation, operations are used to improve blood circulation – according to relative indications, we do not perform amputations.
Preparation for limb amputation
In most cases, the operation is carried out urgently and preoperative preparation is limited in time. It is always necessary to assess blood circulation in the limb as a whole and at the estimated level of thigh truncation. For this, ultrasound scanning of the arteries is performed, and, if necessary, angiography.
The main goal of preoperative preparation is to diagnose the exact criteria for the need for amputation, to study the indicators of vital body functions (laboratory parameters of blood and urine, the state of heart and lung function, the presence of risks of thrombosis and bleeding).
Preparation of the patient consists in cleansing the intestines, catheterization of the urinary bladder, installation of an epidural catheter for anesthetizing the operation and the postoperative period, shaving the operating field. In order to relieve emotional stress, the patient is sedated with sedatives.
Pain relief during amputation
In our clinic, hip amputation is most often performed under epidural anesthesia. A thin catheter is inserted into the back through which an anesthetic drug is injected.Epidural anesthesia will not only relieve the surgery well, but will also help to provide adequate postoperative pain relief so that the patient does not have severe pain syndrome.
Under general anesthesia, the operation is performed in very rare cases when the general condition or peculiarities of the spine do not allow for spinal or epidural anesthesia.
Monitoring of vital body functions during surgery and postoperative period is mandatory.For this, a tracking equipment is connected to the patient, a urinary catheter is installed.
Technique of hip amputation operation
For amputation, the patient is placed on the operating table on his back, after which the surgical field is treated with an antiseptic solution and the operation area is closed with sterile sheets. The surgeon marks the incision area with a marker for the subsequent formation of the stump without tension. For Gritti osteoplastic amputation, the anterior flap is formed longer, capturing the patella, and the flap on the posterior surface is formed as a semicircle in the lower third of the thigh.The level of amputation can be in the lower, middle third and complete separation of the limb – disarticulation in the hip joint, the length of skin flaps depends on the degree of blood supply. Secondary amputation is performed to form the femoral stump after an emergency intervention (lower leg exarticulation).
After anesthesia, an incision is made along the marked line. During the incision, the blood supply of the amputation level is finally assessed for bleeding. After dissection of the soft tissues, the knee joint is opened and the dead shin is removed.The lower femur is resected proximally. A groove is sawn into the bone, and a protrusion is sawn out in the patella. A hole is drilled in this protrusion and in the femur, the patella is driven into the groove on the femur and through the sawn hole is fastened to the femur with a special wire. Proper processing of bone, periosteum, neurovascular bundles, cutaneous nerves is necessary. The sciatic nerve is processed with careful stitching of the perineural sheath with atraumatic sutures.This will avoid late complications after amputation. Drainage is installed in the stump area and the wound is sutured with the formation of a wound along the back of the thigh. After surgery, a bandage with an antiseptic solution is applied to the thigh. The Gritti technique is the best type of hip amputation, featuring maximum functionality.
Possible complications after hip amputation
Given that the operation is performed in life-threatening conditions, its outcome is difficult to predict in advance.Mortality in hip amputation reaches 40%.
Most often, hip amputation is complicated by the development of cardiovascular failure, due to concomitant pathology and the initial serious condition of the patient.
Pulmonary embolism develops after amputation in 5% of patients, it can cause sudden death in the postoperative period.
Suppuration of the postoperative stump develops if the operation is performed on tissues with insufficient blood supply or with a rough operation technique leaving cavities, pockets or loose tissues.Correct preoperative assessment and high-quality surgical technique avoid such complications.
Necrosis of the femoral stump – develops if blood circulation is not restored in the stump, or secondary thrombosis of the feeding vessels has developed. In the late postoperative period, complications include phantom pain in the stump, purulent fistulas, and burning pains (causalgia).
Prognosis after amputation of the thigh
Although amputation at the level of the middle third of the thigh is a life-saving operation, many patients die shortly after this operation, so it is necessary to take all measures to prevent or reduce the rate of amputation.In our clinic, the number of such operations is decreasing from year to year.
Postoperative mortality after the intervention is at least 10%, most of the patients die from cardiovascular complications or pulmonary embolism. During the first year, at least 30% of patients undergoing hip amputation die for various reasons.
About 25% of patients use a prosthesis and lead an active life, the rest are confined to a wheelchair or to bed, for various reasons, but more often due to improper rehabilitation measures.The rehabilitation program allows the majority of patients to return to normal life. According to statistics, only patients with functional rehabilitation and good physical activity have a normal life expectancy.
Observation and early prosthetics
Our clinic actively prepares patients for prosthetics after amputation in our rehabilitation department. The main goal of rehabilitation measures is early activation of patients, getting up on a walker and crutches, the fastest possible prosthetics and learning to walk on a prosthesis.
In the postoperative period, even before the sutures are removed, we send the patient for a consultation with a prosthetist, who gives recommendations on the preparation of the stump and discusses the situation with possible early temporary prosthetics. After receiving the prosthesis, we teach the patient to walk on it and monitor the reaction of the stump to the prosthesis.
Advantages of our clinic
The Innovative Vascular Center performs unique operations to restore blood circulation in the limb with gangrene, so we rarely perform large amputations at the level of the upper third of the thigh.A decision on amputation is made only by a council of doctors after a detailed study of the situation with blood circulation and the viability of the limb segment. If the limb segment is no longer preserved, we perform blood flow restoration and amputations at the lowest possible level.
In our clinic, the preferred method of surgery is the Gritti thigh amputation while preserving the patella. Such amputations allow the patient to use lightweight prostheses and have a better quality of life.According to Gritti, the support stump is good in that the skin of the stump is not injured by bone sawdust, bedsores and trophic ulcers never occur. The skin over the patella is the strongest and tightest. The patient can lean on the stump according to Gritti without the risk of damaging it. The quality of this stump allows for maximum rehabilitation and patient mobility. In other clinics, such amputation is used very rarely due to the unwillingness to complicate the operation itself, or due to the lack of experience in reconstructive plastic surgery.
Indications and contraindications for the method of treatment
Save dad. Ulyanovsk’s daughter with an incurable disease intends to sue doctors
The struggle of 58-year-old Andrei Starostin with an unknown ailment lasts almost a year and a half. With varying degrees of success, the disease “devouring” his legs, then recedes, then returns with renewed vigor.
Recall that in November 2019, in the Central Clinical Hospital of Ulyanovsk, Andrei Alekseevich had the hip joint of his left leg replaced.A month later, the man began to suffer from pain in his leg, and then ulcers appeared on it, which began to grow. Inspections and visits to doctors began, but in vain. No one could make an accurate diagnosis. In August last year, Moscow doctors got down to business. They made out on the X-ray a defect in the installation of a prosthesis in Ulyanovsk. It was assumed that during the operation, Staphylococcus aureus was brought in, which provoked the appearance of painful ulcers on both legs. Then the prescribed treatment helped: Andrei Alekseevich began to walk with the help of crutches, the ulcers began to heal.They started talking about replacing the joint, but after the New Year holidays, the sores began to grow again. The doctors shrugged their shoulders. They canceled the previous diagnosis, having found fungi in the leg.
Finally, in February, Andrey Starostin returned to Ulyanovsk. After visiting a dermatologist, he was hospitalized in a dermatovenous dispensary. But after 10 days of treatment, it did not get better.
“Antibiotics are contraindicated for my father, the course of treatment did not help. I was only glad that the ulcer on one leg healed, but the left thigh festered – where, in fact, the hip joint was changed, – said ulpravda.ru daughter of Andrey Alekseevich Vera Serde. “He goes to the doctors, they cleanse his wound, they say that everything is fine.”
The chief rheumatologist of the Ulyanovsk region assured Andrey Starostin at a recent appointment that it is possible to save the leg by replacing the ill-fated prosthesis. But you need to get a quota for the operation.
“Only the hospital in Nizhny Novgorod has licenses for joint replacement. Then we began to collect documents, conduct surveys. And then the vascular surgeon discovered blood clots, which means that the operation cannot be performed and should be postponed for at least six months.A vicious circle again, ”Vera Serde laments.
Andrey Alekseevich himself does not give up. Despite the pain and weakness, he walks on his own, albeit with the support of crutches, takes medications prescribed for the wound, treats the wounds with ointment – this is how he keeps the ailment in check.
Now the Starostin family is preparing to go to court with a claim against the doctors who allowed the deterioration of their health. Relatives are sure: they would have replaced the hip joint in November 2019 according to all the rules and regulations, there would be no trace of this depressing situation.
“Immediately after the operation, the installed joint was unstable, although the doctor who operated on assured that everything was in order. In March last year, doctors from Nizhny Novgorod came and, having studied my father’s pictures, recommended an urgent replacement of the joint. But then a pandemic began, and the trip to Nizhny Novgorod fell through. We treated dad as best we could – both in Moscow and in Ulyanovsk, – says the girl. – Now we are powerless against the disease. But the doctors themselves allowed this terrible situation. ”
90,000 The great-granddaughters of the doctor Pushkin decided to save the poet with antibiotics
An unusual project by the artists Maria and Natalia Arendt, great-great-great-granddaughters of the imperial physician Nikolai Arendt, is presented at the Literary Museum.It was he who was with the poet in the last hours of his life.
The first exhibit is the 1937 sculpture by Meer Eisenstadt “Pushkin”, made in honor of the poet’s 100th anniversary. An anonymous letter, which Pushkin received, is also presented, which was the reason for the duel. In it, Alexander Sergeevich was called a “cuckold”, he challenged Dantes to a duel, and on January 27, 1837, on the Black River, the poet was mortally wounded. The bullet broke through the neck of the thigh and penetrated into the stomach. The Emperor’s personal doctor Nikolai Arendt, who had arrived on an urgent call, was powerless, Pushkin died not from blood loss – from infection.
The Arendt sisters are the great-great-great-granddaughters of the doctor who was with the poet in the last hours of his life, and they decided to give Alexander Sergeevich a chance. The author of the exhibition idea, Maria Arendt, said: “The message of our exhibition is this: the Arendt sisters – me and my sister Natalya – are sending a valuable parcel to their ancestor, Dr. Arendt.”
Antibiotics, which were not yet available at the beginning of the 19th century, could have helped save the poet, but, as you know, the subjunctive mood does not exist in history.But not in this story! “We allowed ourselves to fantasize a little about the fact that Pushkin survived, but he changed and in his thoughts, in his consciousness, subconsciousness, in his fantasies he turned to his ancestors, namely, to his African roots. Therefore, the exhibition contains an image – Hannibal with their muses, with their possible wives, “explains Maria Arendt.
Last year, the exhibition was already seen in London, where the elder sister Natalya lives, and now it has been brought to Moscow, to the Literary Museum.The curator of the exhibition Natalia Rebrova noted: “Here is the famous line from“ Eugene Onegin ”-“ A quick hare crossed her path between the fields. ”She was very significant in Pushkin’s fate: it was the hare who crossed the road that stopped him on his way to the Decembrist uprising, and then this hare saved the poet for us. Pushkin very much believed in omens. You know how he was predicted death by a white man exactly at the age at which he died. ”
If he survived, he would continue to devote poetry to beautiful ladies and replenish his “Don Juan” list.“Hearts would break like these fragile plates,” jokes Maria Arendt. “Fortunately, of course. We have an optimistic ending, but in fact, the way it was remains behind the scenes. That is, Pushkin survived here, and that’s it. they are glad of this, of course – the nanny, beloved Arina Rodionovna, Pushkin himself is already a little with African features, Natalya Nikolaevna with a tear, apparently frozen with happiness. “As the inspirer and author of the exhibition says, this is not an attempt to rewrite history – just fantasy, hooliganism in the spirit of Pushkin.
90,000 What if the child chokes?
What to do if the baby chokes? Everyone needs to know this. And if something like that happened – it is dangerous to waste time, here every second counts. But let’s start with what you don’t need to do.
Useful and useless measures
Potential danger for the baby is often formed by his mom and dad. Teeth are being cut, and the baby strives to chew on all the objects that it can reach.What is the point of giving gnawing foreign objects – it is much more logical to give the baby something edible, useful. For example, a slice of banana, apple, or cucumber. This is the point of view of some parents. A child under supervision – what can threaten him? But trouble can happen overnight.
If at least the top of a milk tooth has hatched in a baby, he will certainly bite off at least a small crumb from the fruit. He was delighted, frightened, inhaled sharply – and now the foolish man choked on food.
Slightly older babies can be harmed by small pieces of toys because they need to taste everything. Yes, and during a normal meal, a child can form and give a voice, laugh, whimper – and choke. A typical situation is when ordinary candy becomes the cause of such an incident.
– In other words, in any case, do not neglect the age restrictions indicated on the toys;
– the baby should not touch things from which a small part or detail can be separated;
– wean him as early as possible to give voice during a meal;
– do not let your baby play or fall asleep with candy in his mouth.
Despite any preventive measures, one should never relax and one should be constantly vigilant. If the baby choked and it became difficult for him to breathe, it is impossible to hesitate, we begin a complex of urgent measures.
Procedure if a baby under one year old choked:
– you should raise the handles up – thereby the airways will slightly expand, it will become easier for the child to inhale and exhale;
– if breathing has not been restored, we put the baby with his face in the palm, lifting his ass slightly above the head.Patting lightly on the back, sequentially directing these claps from the pelvic region to the back of the head. Then the child needs to be turned over, with the priest still above the level of his head, and lightly press on the sternum 4-6 times, trying to displace fluid from the lungs. You should repeat these techniques until the full return of free breathing.
– if the reason that the baby choked is food, you should gently lift it up by holding the legs or stimulate the child to vomit by pressing your finger on the root of his uvula.
If a foreign object is caught in the respiratory tract, preventing the child from crying and making a voice, if he waves his arms and pulls in his tummy, call the emergency medical service immediately, before she arrives, you need to do this:
– When the cause is fluid, the baby has a cough and shortness of breath, take the baby back to you, hugging and pressing on the tummy near the stomach, tilting the baby, pat him on the back.
– If this does not work, place the baby on the back with his head lower than the body.Place the middle and index fingers under the baby’s sternum, press down five times. Make sure that your chest expands after each press.
– If the cause of the accident was a small solid object (bead, part from the designer), lay the child with his tummy over your hand, placing his head below the body. With the palm of your other hand, lightly tap the back. You can also lift the baby’s legs to pat the back as well.
– Combine the above techniques, checking if the foreign object comes out.If you did everything correctly and this object appeared in your mouth, carefully remove it from there.
– If these techniques did not give the desired result, you should start doing artificial respiration. For babies up to 8 months of age, it is done immediately in the nose and mouth. Here you do not need to throw your head back, it is enough to slightly raise the child’s chin.
Exhale 3-5 times and check if the baby’s ribcage is expanding. If this happens, then the baby can breathe.Take a few more breaths to help the baby return to a normal breathing rhythm.
All movements must be done not abruptly, without effort. Overdoing it, you can injure your baby and harm him even more.
What to do under no circumstances when the baby has choked
If this happens, then the most important thing is not to lose your composure and determine whether it is necessary to call emergency medical care. Mom’s commotion will scare the child much more.
For example, choking, the baby retains the ability to breathe in and out. He cries, screams. In this case, you do not need to tap him on the back: let him clear his throat, after that the child needs to be reassured.
If a foreign object is caught in the airway, it is strictly forbidden to pat the child on the back when he is in an upright position. In this case, he can be harmed by involuntarily pushing the foreign object much deeper.In such a situation, it is imperative to tilt the baby’s head and body.
Remember the strict requirement: in no case try to remove the stuck object on your own! You can make the child much worse, and his breathing can be completely blocked. In this case, you need to call the ambulance.
Measures to help children over one year of age
You need to start with one thing: no panic! One-year-old children and older are already well aware of and perceive the emotions of their parents.And with your unrestrained panic, you can alarm the child too much.
In fact, immediate interventions for babies in this age group are roughly the same as those for nursing infants. If a foreign object or food crumbs gets into the larynx, lift the baby, grasping the legs securely, or stimulate his gag reflex. However, in most cases, the child succeeds in clearing his throat without outside help.
But if the situation turned out to be more complicated and the above measures did not give the desired result, then the procedure is as follows.It is necessary to put the child upside down on the crib. Press under the ribs into the upper abdomen, pushing slightly upward, repeat several times. These movements stimulate the movement of a foreign object back into the oral cavity.
Another method is often used. The child is in front of you, with his back to you. Place your palm on his ribcage so that the baby rests on your hand. His body should be slightly tilted forward. With the other hand, tap 4-5 times on the back between the shoulder blades.
In the event that a foreign object has become the cause of the accident, it is also recommended to use the method of providing direct relief from suffocation, developed by the American surgeon Henry Heimlich. This technique includes two different ways of helping, depending on whether the patient is conscious or not.
First method
Standing behind, squeeze your right hand into a fist, from above – your left. Press vigorously with the fist of your right hand on the area under the ribs above the navel, directing the movement from the bottom up, towards the sternum, while the arms bend at the elbows.Continue until then. Until the object exits and breathing is restored. This method is suitable for babies from one year of age.
Second way
Place the baby face up and place the arms in the same way as in the first example. With vigorous movements, push up towards the diaphragm until the victim resumes spontaneous inhalation and exhalation. If these efforts are unsuccessful, artificial respiration and chest compressions will be needed.
These exercises should be done until the foreign object returns to the oral cavity.This method does not apply to babies under 1 year old.
The kid choked and does not breathe: your actions
When the child chokes, it is likely that breathing will stop due to spasms in the larynx. The most common cause of them is a stressful situation for the child.
The order of urgent action in such a situation is as follows:
– you need to lay the child sideways on the table;
– tilt your head back slightly;
– Raise your head slightly by the chin.
If breathing is not restored, start artificial ventilation immediately:
– put the baby on the table in the same way;
– take the head back and open your mouth;
– make sure that there are no foreign objects in the oral cavity;
– give the child a long exhale into the mouth;
– repeat 3-4 times. If the chest expands, then you have achieved the desired result, the air enters the child’s lungs.If your baby’s chest is motionless, then take urgent measures to remove obstacles to breathing;
– after this, we place one palm on top of the other on the child’s chest and press sharply – the chest should be straightened every time;
– we alternate this massage and exhalation into the mouth at least 16 times.
What to do when the baby choked
This can happen in various circumstances: swimming in the bathtub, splashing in a summer inflatable pool or pond, falling into a pond, or accidentally inhaling a liquid while drinking.Measures to rescue a choked baby must also be taken as quickly as possible:
– Place the baby on your thigh, prone, with his head lower than the body, and press on his back. This will help eliminate water from his respiratory tract.
– Make sure there are no foreign objects or vomit in the baby’s mouth.
– Following this, it is necessary to take measures according to the basic requirements:
– Achieve patency of the respiratory system.The baby lies prone, his neck is not bent, the lower jaw is extended, the tip of the tongue is pulled out. We massage the heart, do artificial respiration.
If we do everything as expected, then we observe the rhythmic movement of the breathing baby’s breast. If these regular movements are absent, but the abdomen swells, then breathing does not occur.
For every couple of exhalations, press the chest 15 times. Babies up to one year of age should do these movements with two fingers, and only from one year old can the palm be used.Pressing forces should be applied on the sternum in the area between the nipples.
Having brought the baby to consciousness, in no case should you refuse to be examined in a medical institution. Such an incident may have further undesirable consequences – for example, pulmonary edema within 3 days after the water has entered the airways.
When your baby accidentally chokes or chokes, you will not have the opportunity to study the advice of professional pediatricians on the Internet for your situation.There will not be a second to waste. Not only health, but often the life of the child will depend on the speed and effectiveness of your measures. And the best thing you can do for your child right now is to learn the most important first aid skills in advance so that you don’t panic when faced with an unexpected incident.
90,000 THROMBOEXTRACTION – WHAT IS IT?
The head of the Regional Vascular Center of the KKB, Professor Alexey Protopopov answers the questions about the most promising method of treating vascular catastrophes
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Professor Protopopov after another successful operation
– What happens in the brain at the time of a stroke? What do the consequences of the “strike” depend on? Hemorrhagic and ischemic stroke – what’s the difference?
– Cerebral stroke is a vascular catastrophe, sometimes accompanied by irreversible changes in the structure and function of the brain.It is customary to distinguish ischemic stroke – a violation of the blood supply to the brain substance due to blockage of the vessels carrying blood to the brain and hemorrhagic stroke associated with hemorrhage due to rupture of the cerebral vessels.
Whether or not a patient will survive after a stroke depends on the level of vascular occlusion (if the stroke is ischemic) and the amount of blood that has been poured out (if the stroke is hemorrhagic). Also of great importance is the area of the brain where the catastrophe occurs.
– How quickly should the patient be delivered to the hospital? What if doctors don’t know the exact time of a stroke?
– There is an important provision that determines the whole essence of what happens with a stroke.This rule sounds: “Time is the Brain”.
It has been established that in 1 second of the development of a cerebral stroke, 32 thousand neurons (brain cells), 230 million synapses (connections between brain cells) are irreversibly destroyed, and a person ages by 7-8 hours.
In 1 minute of a stroke, almost 2 million brain cells, 14 billion cellular intracerebral connections die in a person, during this period a person prematurely ages by 3 weeks.
In an hour of development of a stroke, a sick person already loses 120 million cells, 830 billion neural connections and prematurely ages by 3.5 years.
Over the entire period of the disease, the patient irrevocably loses 1.2 billion neurons (brain cells), 8.3 billion synapses (cellular connections) and prematurely ages 36 years.
Now you can imagine what irreparable harm to human life and health is caused by a stroke. Therefore, it is extremely important to deliver a patient with a developing stroke to the hospital as early as possible in order to prevent such catastrophic consequences of the disease. But, even if the exact time of the onset of stroke symptoms is not known, it is still critically important to take the patient to the hospital, where computed tomography will be performed and the subsequent algorithm of the doctors’ actions will be determined.
– What are the main methods of dealing with stroke? What is thromboextraction? When is this treatment indicated and when not?
– If little time has passed since the stroke (about 4-5 hours), then there is an opportunity to apply such treatment, as a result of which the sick person will fully recover. For this, after the computed tomography, the patient can be prescribed the so-called tormbolytic therapy – a drug will be administered that dissolves blood clots (blockages) of the cerebral vessels.The method is effective and helps patients to recover without the functional deficit that occurs when the brain is damaged.
Recent scientific research has established that there is an even more effective method of getting rid of blood clots in the vessels of the brain – the so-called thromboextraction, i.e. mechanical removal of blood clots from blood vessels.
The thromboextraction method differs from thrombolytic therapy in that it can be used over a wider time period and with fewer complications.Thromboextraction is performed in a specialized operating room equipped with an apparatus for X-ray examination of blood vessels, and it can only be performed by very experienced and specialized doctors who know the details of the anatomy of the cerebral vessels.
– How does the extraction of a thrombus take place? Sick under anesthesia? Do many of your doctors already know how to do this?
– After doctors decide to perform thromboectraction in a patient with a developing stroke, every minute counts.The speed of delivery of the patient to the operating room, the readiness of the operating team and the very institution of the instruments into the vessels of the brain – everything is of great importance. After the doctor determines the location of the thrombus, it is necessary to bring special catheters and the instrument itself for capturing and removing the thrombus to its location. Next, the doctor, using very precise movements, opens the mesh basket, and the blood clot is inside it. After that, it is important to quickly and safely remove the blood clot with the basket outside. After that, it remains to assess the general picture of the vascular bed and the degree of restoration of blood flow in the vessels.The patient is usually under anesthesia, but it is also possible to perform the intervention exclusively under local anesthesia if the patient follows the doctor’s instructions.
This year, thanks to funding allocated from the regional budget, thromboextraction technology trained medical teams from three large hospitals in Krasnoyarsk. Considering that the work on training doctors has been carried out by us over the past two years, now we can confidently assert that the thromboextraction technology has been widely mastered in all the main hospitals of the city.The scope of these life-saving interventions is constantly increasing, allowing more and more patients to return to normal active life after a devastating illness.
– What is the efficacy of thromboextraction? Can you sum up some results for the year in our hospital?
– If we nevertheless compare the quantitative level of thromboextraction performance in European countries and Krasnoyarsk, then we can confidently state a significant increase in these most effective interventions.According to preliminary data, about 170 thromboextractions will be performed in three Krasnoyarsk hospitals over the course of a year, including about 80 interventions in the regional clinical hospital, i.e. half of all completed in the city. The current European level of thromboextraction performance is considered to be 100 interventions per 1 million population. Thus, a simple calculation shows that in our city this indicator was confidently surpassed in 2018! We can only hope that next year the doctors will be able to stay on the achieved lines and save even more lives of Krasnoyarsk residents.
– Recurrent stroke. Can you avoid it?
– Re-stroke is, without a doubt, a very unfavorable disease that makes a person practically incurable with a disability. To prevent this from happening, preventive measures are very important, which must be carried out without fail. And here a very important role is played by the patient’s desire and attitude to achieve positive results. Quitting smoking, engaging in physical (strictly according to indications) activity, taking medications that allow you to control the level of blood pressure, cholesterol and a number of other unfavorable factors is not an easy task, but the life and degree of disability of the patient after a stroke depend on this.The most important place is occupied by the support of family members and the immediate environment of a person who has suffered a stroke.
In any case, modern medicine has made tremendous progress in the treatment and prevention of many seemingly incurable diseases. Highly effective technological treatment methods and interventions come to the aid of patients. Cerebral stroke is no longer perceived as a sentence that draws the line between normal life and disability. Many patients who are admitted to hospitals within the time frame when it is possible for them to perform modern medical technologies understand what a miracle happened to them.Doctors are able to save more and more patients who until recently were considered incurable.
