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All about fibroids and how to treat them

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What are fibroids?

A fibroid is a noncancerous lump of growth in the uterus. The size of a fibroid can range from as small as a pea to as large as a basketball size. They can grow anywhere in the uterus and are usually pinkish. Fibroids are seen among women between the age of 35 and 45 and women above 30 years and older have an almost 30% chance of developing it. Some women are more likely than others to develop fibroids such as women who have never been pregnant and women who have a family history of fibroids.

Although the cause of fibroid is unknown it is seen that the female hormone estrogen plays a role in stimulating its growth. 

Types

Fibroids are classified based on their location in the uterus.

Following are the three main types of fibroids:

  • Subserosal fibroids: these are the most common ones which develop outside of the uterus.
  • Intramural fibroids: they are seen to grow inside the muscular wall of the uterus.
  • Submucosal fibroids: They are seen to grow in the open space inside the uterus.

 Some women do not show symptoms therefore it is never established that they have fibroids. Some discover during routine gynecologic exams or during prenatal care. 

Following would be the symptoms when fibroid occurs: 

  • Pain and pressure in the pelvic area.
  • Heavy bleeding during menstruation.
  • Spotting in between menstrual cycle. 
  • Abnormal swellings
  • Frequent urination
  • Fatigue or low energy.
  • Heavy bleeding or excessive bleeding.
  • Lower back pain during intercourse.
  • Low back pain during menstrual period. 
  • If fibroids are blocking the fallopian tube would lead to infertility.
  • Repeated miscarriages.
  • Constipation.

Diagnosis

A woman does not realize that she has a fibroid until her gynecologist feels it during a pelvic exam. If it is suspected then several tests can confirm the diagnosis. 

  • Pelvic ultrasound — a wand-like instrument is moved in the lower abdomen or may be inserted into your vagina to view the pelvic region more closely. The instrument produces sound waves which help in producing images that are later inspected by a doctor. 
  •  Hysterosalpingogram — it is a kind of X-ray process; a dye is injected into the uterus and the fallopian tube so that they can spot any kind of irregularities. 
  • Hysteroscopy — is a process where a small telescope-like instrument is inserted through the vagina. It helps the doctor to check for any kind of abnormal growth inside the uterus.
  • Laparoscopy — in this process a laparoscope which is a thin tube-like instrument is inserted through an incision in the belly so that an expert can inspect the abdomen and check for abnormalities.

 

 

Treatment

Fibroids mostly do not show symptoms they shrink or disappear after menopause. But if it causes any discomfort various treatments can help. Doctors may suggest various treatments according to the severity of the symptom and location of the fibroid. You can check out with your gynecologist the average cost of fibroid removal and go for it if needed and suggested by him. 

Medication

The first line of treatment is managing the condition by medication. The different medicines which can be used for fibroids are as follows.

  • GnRH agonists

GnRH is a drug that when used produces less estrogen and progesterone. They can cause menopause-like symptoms which include hot flashes, vaginal dryness, and in some cases a higher risk of osteoporosis. The drug is for short-term use only and doctors may give this drug before surgery to shrink the fibroid.

  • Nonsteroidal anti-inflammatory drugs

A nonsteroidal anti-inflammatory drug such as ibuprofen can be used to reduce fibroid pain. 

  • Hormonal birth control

Oral contraceptives can also be prescribed as it is said to maintain the cycle and also reduce pain or bleeding during periods. 

Surgery

Severe fibroids may not respond to medications, in such cases surgery may be the best treatment option.

The following procedures can be done:

Hysterectomy

A hysterectomy is the removal of the partial or total of the uterus. Total hysterectomy can prevent the return of fibroids. Surgeons may also remove ovaries and fallopian tubes. This can show side effects such as early menopause and reduced libido. 

Myomectomy

This process removes fibroids from the muscular walls of the uterus. This is for people who still want to have a child.

Endometrial ablation

If fibroids are on the inner surface of the uterus removal of the uterine lining may help. It may be an effective alternative to a hysterectomy for some people with fibroids. 

Laser fibroid removal

This is less invasive where the laser is used to remove the fibroid. The laser fibroid removal cost may vary and you can enquire about it and discuss it with your gynecologist. 

Conclusion

A healthy lifestyle and maintaining a moderate weight, and regular exercise can help in maintaining estrogen levels thus reducing the chance of developing fibroids. 

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A day in the life of a nurse: what to expect when working in this field

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Nurses invest significant time and effort in tending to patients and their families’ needs. While these professionals train to obtain the relevant competency required for medical practice, most aspiring nurses are entirely oblivious to what the field offers daily.

Having a conversation with a nurse can give aspiring professionals valuable knowledge about the world of nursing, enabling them to understand the expectations and challenges inherent in this profession. Obtaining such insights is particularly beneficial as it allows individuals to derive immense satisfaction from their work as a nurse, even on the most challenging days.

General nurse duties

Nurses have earned a reputation as one of the most trusted groups of professionals in the US, according to the American Nurses Association’s yearly survey. This status results from their unwavering commitment to patient care.

Nurses are essential members of the medical staff. They undergo extensive training and obtain the necessary licenses to ensure that they are well-equipped with the knowledge and skills required to assist patients through various medical procedures. They are also responsible for devising effective treatment plans and providing guidance to patients regarding outpatient care.

Nurses can provide a wide range of care, which demonstrates their diverse capabilities. On a typical day, nurses will perform numerous tasks and duties. These can vary depending on the setting in which the nurse works. Some of the general nurse duties include the following.

Conducting a physical examination

  • Listening to patients and analyzing their physical, medical and emotional needs.
  • Providing counseling and healthcare education to patients.
  • Coordinating care with other healthcare providers and specialists.
  • Staying up to date with advances in healthcare options, medications and treatment plans.
  • Checking a patient’s vitals and performing other health-related testing.

However, while these are well-known responsibilities, nursing is highly dynamic and constantly evolving. In truth, no day is the same in nursing as nurses strive to provide patient-centered care in a fast-paced environment. Every day brings new challenges and opportunities, and nurses must be prepared to adapt to changing circumstances quickly. One way to achieve this is by understanding what the field entails and what to expect daily.

What is it like to be a nurse?

The nursing field is dynamic and changes rapidly, especially with advancements in technology evolving the nurse’s role. Nurses experience different responsibilities daily, and their routines are unlikely to be repetitive. Here are some elements of nursing to expect when working in the field.

Nurses employ different skills daily

As nurses work on the frontline of patient care, they interact with individuals who are often in stressful situations. This requires them to possess excellent communication skills and empathize with their patients. Nurses also work well under pressure, are responsible for making quick decisions, and ensure that patients receive timely and appropriate care.

Nurses provide comfort through treatment, but some scenarios require nurses to show emotional support, understanding and cultural competency. The daily responsibilities of a nurse demand a high level of adaptability, resilience and emotional intelligence. Therefore, nurses must be highly skilled and capable professionals who can navigate the responsibilities of working in a dynamic environment. 

Various specializations to choose from

Although the fundamental essence of nursing revolves around providing care to patients, the nature of this care may vary among nurses depending on their respective fields of specialization. Various registered nurses opt to focus their expertise in a particular area of practice, which may entail catering to diverse client requirements and adhering to facility requirements daily.

Every nursing specialty presents a distinct range of demands, obstacles and responsibilities. Therefore, aspiring nurses can expect to work with a specific patient population, depending on their specialty. The educational path for these specializations also varies, with some necessitating rigorous training, extensive experience and specific certifications. Ultimately, selecting a nursing specialty can significantly impact a nurse’s daily responsibilities, professional success and personal fulfillment.

Responsibilities can change daily

Professionals in different industries crave more responsibilities for several reasons. Firstly, responsibilities often come with more significant challenges and provide individuals with opportunities for growth and development. Additional responsibilities also give individuals a sense of purpose and fulfillment.

This element is highly relevant in nursing, with nursing professionals engaging in new responsibilities daily. The approach for completing each task also differs based on factors such as the patient’s circumstances, the level of severity, or the number of patients requiring care.

Nursing offers individuals additional responsibilities and helps to develop their ability to adjust and think quickly on their feet in response to the ever-changing demand of the role. By enrolling in an accelerated Bachelor of Science in Nursing program, such as the one offered by Baylor University, professionals with a non-nursing background can learn the necessary skills in order to successfully transition into becoming a second career nurse.

Settings impact a nurse’s daily routine

Aside from specialization, a nurse’s daily obligations and responsibilities are contingent upon the nature of the healthcare environment in which they are employed. Factors such as the type of patients under their care, the nature of the healthcare facility, and working hours can significantly impact a nurse’s daily routine.

Hospitals are the most common medical setting, with nurses working shifts to provide 24-hour care to patients suffering from severe and acute conditions. Nurses in a hospital setting begin and end each shift with a handover to the next team. However, emergencies can result in irregular hours.

Nurses can also work in different settings such as emergency transport, residential homes, walk-in and surgical clinics, military bases, corporate offices, schools, legal consultancies and correctional facilities, to mention a few. These different settings feature distinct responsibilities that nurses must undertake daily.

Conclusion

As a nurse, you care directly for patients in hospitals, clinics or other healthcare settings. However, the level of responsibility depends on a professional’s level of experience and educational qualifications. For instance, entry-level nurses can expect to perform basic tasks, such as patient assessments, stocking supplies, patient checkups and recording patients’ vitals. With a higher qualification and competence comes more responsibility and autonomy.

Nonetheless, nursing is a highly fulfilling profession for individuals seeking to make a meaningful difference in the lives of their patients. Nurses can also expect to explore various opportunities for personal and professional growth and to have a secure and financially stable career.

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Protecting Your Practice: The Role of a San Diego Dental Attorney

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As a dental professional, you have invested countless hours and resources in building your practice. You provide exceptional patient care, but do you have the legal protections to safeguard your business? In today’s litigious society, having a trusted legal advisor who can guide you through the complexities of healthcare law and protect your practice from potential legal challenges is critical. That’s where a San Diego dental attorney can help. This article will discuss the importance of dental attorneys and how they can help you safeguard your business. To learn more about the importance of legal protections for your dental practice, visit this page.

Why You Need a San Diego Dental Attorney

As a dentist in San Diego, you must follow many laws and regulations. A dental attorney can help you navigate the legal landscape and ensure your method complies with all applicable laws. If you do not have a dental attorney, you could be putting your practice at risk.

You should choose a San Diego dental attorney for various reasons. To start, a dental attorney in San Diego can assist you in making sense of the many rules and regulations that affect your practice. Second, a dental attorney can help you develop compliance policies and procedures for your practice. Third, a dental attorney can represent you in legal proceedings if necessary. Fourth, a dental attorney can provide valuable advice on how to protect your practice from liability.

 Having a San Diego dental attorney is essential to protecting your practice. If you do not have a dental attorney, you could be putting your practice at risk.

What Types of Legal Services Can a San Diego Dental Attorney Provide?

A San Diego Dental Attorney can provide many types of legal services. They can help form your dental practice, review and negotiate contracts, and advise you on compliance with state and federal laws. They can also represent you in court if a patient or employee sues you.

How to Find and Hire a Qualified San Diego Dental Attorney

We have provided the following guidelines to help you find a qualified dental malpractice attorney in San Diego. First, finding an attorney specializing in dental law is essential. Many attorneys practice healthcare law, but not all have the specific knowledge and experience to represent dentists effectively. Second, finding an attorney with experience representing dentists in the San Diego area is essential. An attorney familiar with the local laws and regulations will be better able to protect your interests. Finally, finding an attorney you feel comfortable working with is necessary. This means finding someone you can trust to give honest advice and representation.

If you keep these things in mind, you should be able to find a qualified San Diego dental attorney who can help you protect your practice.

Tips for Working With Your San Diego Dental Attorney

Some tips for working with your San Diego dental attorney are provided below. First, be sure to communicate clearly and often. This will help ensure that your lawyer understands your needs and can provide the best possible advice.

Second, be prepared to discuss fees upfront. Your lawyer should be able to give you an estimate of the costs associated with your case. This way, you can budget accordingly and avoid any surprises down the road.

Finally, remember that your lawyer is on your side. He or she will work tirelessly to protect your interests and ensure you receive the compensation you deserve. With these tips in mind, you can rest assured that you are in good hands.

Conclusion

As a dental professional, it’s essential to make sure your practice is protected. A San Diego Dental Attorney can help you navigate the complexities of dental law and provide advice that will keep you in compliance with all regulations while also helping you protect yourself from liability issues. By taking the time to research and choose an experienced attorney well-versed in dental law, you’ll ensure that your practice is secure and properly managed.

 

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Kirill Yurovskiy: what part of beef is the tastiest and softest

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Once and for all, let’s find out what part of beef makes the best steaks, what goes for mince and what goes for kebab. Beginner housewives take notes, experienced cooks check and add to them.

What part of beef is the most delicious and soft

Choosing meat by degree of softness, you need to understand the basic principles of anatomy: the less muscle involved in movement, the softer it is. Accordingly, the softest and most expensive parts are considered sirloin, thick and thin edge. However, the softest part of the loin is the diaphragm, which is not involved in the movement at all. It only supports the internal organs of the animal.

What part of beef is used to make a steak? Anyway, if you don’t want to chew, buy Machete steak meat (aka Schert) – that’s the diaphragm. Slightly richer beef flavor has tender parts called “Ribeye” (the thick edge of beef from 3 to 12 ribs) and loin cut, girdled with a thick layer of fat, aka “Stripline”. They also make perfect steaks.

Read also: Why is organic food so expensive and better – Kirill Yurovskiy.

Parts of beef carcass for different purposes

The simplest table with tips on which cut of beef to buy depending on what you want to cook.

Method or name of dish Suitable part of beef carcass
Baking Thick edge
Stew Scaple, brisket
Fried Sirloin
Cooking (soup) Spatula
Steak Sirloin
Shish kebab Sirloin, thick and thin edge
Beef Stroganoff Okovolok with roasted meat
Burger (minced meat) Scapula, neck

A visual guide to the types of beef

Sirloin

The boneless part of beef. The sirloin. What part of beef is best for goulash? The sirloin is the best. The soft and tender part is good for medallions, roast beef, chops and kebabs.

Thick edge

The flesh is good for chops, baking and stuffing for cutlets. And the ribs make a clear broth.

Rump

This part of the carcass has little collagen and plenty of fat – the meat is soft and good for frying. What can I make with beef hips? It makes a good rump steak, goulash, or stir-fry.

Brisket

Meat with a decent amount of fat and film. Which part of beef is the softest for braising? The brisket, of course. It’s boiled, stewed with vegetables, and made into borscht.

Shovel

What part of beef is better to take for mince? The shoulder blade. It is a versatile meat: ideal for broth (transparent and rich in collagen), soup, cutlets. It can be baked whole or separated from the bone to make a roll, making it juicy.

Neck

There is a decent amount of fat in the cut, which makes the meat tender. A very decent option for stuffing, kebabs. If you’re going to braise, boil, or bake, set aside more cooking time than you would for filet.

Sirloin

Boiled broth, soup and cholodecake are the “profile” dishes of sirloin. However, gourmets suggest cooking ossobuco – minced shank with a marrow bone, stewed in wine for a couple of hours.

3 rules on how to choose good meat

  1. The color of the fat. Good quality beef has white or soft yellow fat. If you rub it between your fingers, it does not melt but crumbles. Dark yellow fat indicates a venerable age of the animal. Such meat will have to be stewed for a long time to make it soft.
  2. Color of meat. A bright red color indicates that the slaughter was not correct – such a product should not be taken. Red indicates that the steer was slaughtered recently, and the meat did not have time to “mature”. Red burgundy red is the optimal version of “mature” meat. Bleeding, bruising, bluish or greenish color are signs of a spoiled product.
  3. Sound. You can check the quality of a frozen piece of meat by tapping it on the table. If the sound is loud, then it is good. If it sounds muffled, then the meat was probably frozen twice and there is no quality to speak of.

How to make beef soft when cooked

Here’s a proven way to make a tough cut edible.

  1. Cut the meat into cubes three to four centimeters apart.
  2. Fry in hot oil until golden brown.
  3. Put it into a saucepan with a thick bottom, pour one liter of boiling water and add two tablespoons of table vinegar. The heat should be reduced to a minimum and stew for an hour, depending on the hardness of the meat.
  4. Then add diced onion, bay leaf, add boiling water if necessary, and leave to stew for another 20 minutes.
  5. Salt, season with your favorite spices and add tomato paste if desired. Braise for another 5-7 minutes.

The secret to juicy and soft beef in this recipe, firstly, in the pre-frying (the juice remains “sealed” inside the cubes of meat), secondly, in the use of boiling water (no sudden change in temperature), and thirdly, in the vinegar (acid softens the fibers).

In general, there are two main keys to success: slow cooking and low temperature. Passionate cooks practice even cooking for 10 or more hours at 55-60 degrees. Of course, for this you need a special technique like slow cooker or sous vide, but the result surpasses expectations. The meat really turns out as soft as chocolate.

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