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Total proctocolectomy with ileostomy

first_imgDefinitionTotal proctocolectomy with ileostomy is surgery to remove all of the colon (large intestine)and rectum.DescriptionYou will receive general anesthesia right before your surgery. This will make you be asleep and unable to feel pain.For your proctocolectomy:Your surgeon will make surgical cut about 6 inches long in your lower belly.Then your surgeon will remove your large intestine and rectum.Your surgeon may also look at your lymph nodes and may remove some of them, if needed.Next your surgeon will create an ileostomy:Your surgeon will make a small surgical cut in your belly. Usually this is made in the lower right part of your belly.The last part of your small intestine (ileum) is pulled through this surgical cut, and sewn onto your belly.This opening in your belly formed by your ileum is called the stoma. Stool will come out of this opening and collect in a drainage bag that will be attached to you.Why the Procedure Is PerformedTotal proctocolectomy with ileostomy surgery is done when other medical treatment does not help problems with your large intestine.It is most commonly done in people who have inflammatory bowel disease, which includes ulcerative colitis or Crohns disease.This surgery may also be done if you have:Colon or rectum cancerFamilial polyposisBleeding in your intestineBirth defects that have damaged your intestinesIntestinal damage from an accident or injuryRisksTotal proctocolectomy with ileostomy is usually safe. Your risk will depend on your general overall health. Ask your doctor about these possible complications:advertisementRisks for any surgery are:Wound infectionsBlood clots in the legs that may travel to the lungsBreathing problemsHeart attack or strokeRisks for this surgery are:Bleeding inside your bellyDamage to nearby organs in the body and to the nerves in the pelvisInfection, including in the lungs, urinary tract, and bellyScar tissue may form in your belly and causes blockage of your intestinesYour wound may break open or heal poorlyPoor absorption of nutrients from foodPhantom rectum, a feeling that your rectum is still there (similar to people who have amputation of a limb)Before the ProcedureAlways tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription. Ask your doctor which drugs you should still take on the day of your surgery.Talk with your doctor or nurse about these things before you have surgery:Intimacy and sexualitySportsWorkPregnancyDuring the 2 weeks before your surgery:You may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), and others.If you smoke, try to stop. Ask your doctor for help.Always tell your doctor if you have a cold, flu, fever, herpes breakout, or other illnesses before your surgery.Eat high fiber foods and drink 6 to 8 glasses of water every day.The day before your surgery:Eat a light breakfast and lunch.You may be asked to drink only clear liquids, such as broth, clear juice, and water, after noontime.Do NOT drink anything after midnight, including water. Sometimes you will not be able to drink anything for up to 12 hours before surgery.Your doctor or nurse may ask you to use enemas or laxatives to clear out your intestines. They will give you instructions for this.On the day of your surgery:Take your drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureYou will be in the hospital for 3 to 7 days. You may have to stay longer if you had this surgery because of an emergency.You may be given ice chips to ease your thirst on the same day as your surgery. By the next day, you will probably be allowed to drink clear liquids. Your doctor or nurse will slowly add thicker fluids and then soft foods as your bowels begin to work again. You may be eating a soft diet 2 days after your surgery.While you are in the hospital, your nurse and doctor will teach you how to care for your ileostomy.You will have an ileostomy pouch that is fitted for you. Drainage into your pouch will be constant. You will need to wear the pouch at all times.Outlook (Prognosis)Most people who have total proctocolectomy with ileostomy are able to do most activities they were doing before their surgery. This includes most sports, travel, gardening, hiking, and other outdoor activities, and most types of work.advertisementIf you have a chronic condition, such as Crohns disease or ulcerative colitis, you may need ongoing medical treatment.ReferencesCima RR, Pemberton JH. Ileostomy, colostomy, and pouches. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtrans Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 113.Cunningham D, Atkin W, Lenz HJ, et al. Colorectal cancer. Lancet. 2010 Mar 20;375(9719):1030-47.Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 52.Review Date:12/10/2012Reviewed By:Robert A. Cowles, MD, Associate Professor of Surgery, Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.last_img read more

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Volunteer Grants Program

first_imgFunding of $16 million is available to eligible not-for-profit community organisations to assist their volunteers and encourage volunteering.Volunteer Grants 2011 provides funding of between $1,000 and $5,000 to not-for-profit organisations to:Purchase portable, tangible, small equipment items to help volunteers;Contribute to the reimbursement of fuel costs for their volunteers who use their own car to transport others to activities, deliver food and assist people in need;Contribute to the reimbursement of transport costs incurred by volunteers with disability who are unable to drive;Contribute to the costs of training courses and/or undertake background screening checks for volunteers.For more information, please visit the FaHCSIA website:http://fahcsia.gov.au/sa/volunteers/funding/Pages/volunteer_grants2011.aspxlast_img read more

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12 hours agoBarcelona players blanked Spanish media after Champions League win

first_imgBarcelona players blanked Spanish media after Champions League winby Carlos Volcano12 hours agoSend to a friendShare the loveBarcelona players blanked the Spanish media after their Champions League win over Slavia Prague.Sport says despite picking up a victory, no-one wanted to speak with the media following the contest. It was left to Sergio Busquets, who had been substituted and was in the dressing room, who came back out to fulfil the media requirements pitchside. Goalkeeper Marc-Andre Ter Stegen, after returning to the dressing room, also gave an interview to ‘Movistar’. He was one of a handful of squad members who spoke to outlets. No-one stopped in the ‘mixed zone’ to speak with the assembled radio stations who were waiting for a brief interview. About the authorCarlos VolcanoShare the loveHave your saylast_img read more

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Video: Michigan State’s Breslin Center Is Packed, Welcoming Spartans Back After Final 4 Berth

first_imgMichigan State fans pack Breslin Center to welcome Spartans after Final Four berth.They’re throwing quite a celebration party at the Breslin Center tonight. Michigan State’s men’s basketball team, which clinched a berth into the Final Four earlier this afternoon with a victory against Louisville in the Elite Eight in Syracuse, is back in East Lansing. Tom Izzo’s squad was welcomed home by thousands of roaring fans at their arena.   Michigan State is set to face Duke in the Final Four in Indianapolis on Saturday.last_img

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Ron Rodgers awarded Brokerage Services for old Condill lots

first_imgFORT ST. JOHN, B.C. – Real estate services were awarded to Ron Rodgers with NorthEast BC Realty Ltd as the proponent with the highest scoring submission to help sell the Condil Hotel lots.The City released the RFP for the properties at 10115, 10119 and 10135 100 avenue in February and received two responses.One response was from Brenna Burns (Century 21 Energy Realty) and the other Ron Rodgers (NorthEast BC Realty Ltd.).  The submissions were evaluated with a team of staff from Strategic Services and Corporate Services. The evaluation included scoring for marketing services, qualifications, submission, proven performance and references, availability and innovation.Through this evaluation, City staff awarded the contract to Ron Rodgers with NorthEast B.C. Realty Ltd.last_img

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Japans new Emperor Naruhito ascends the Chrysanthemum Throne

first_imgTokyo: Japan’s new Emperor Naruhito formally ascended the Chrysanthemum Throne on Wednesday, a day after his father abdicated from the world’s oldest monarchy and ushered in a new imperial era. Naruhito officially became emperor at the stroke of midnight but the process was formalised with a 10-minute ritual on Wednesday morning that was off-limits to female royals — even his wife Masako. It took place on the first day of the new imperial era of Reiwa, meaning “beautiful harmony”, which will last throughout Naruhito’s reign. Also Read – Saudi Crown Prince Salman ‘snubbed’ Pak PM Imran, recalled his private jet from US: ReportAt a solemn ceremony in the Imperial Palace’s Room of Pine, the 59-year-old was presented with the items his father Akihito relinquished a day earlier: sacred imperial treasures of a sword and a jewel, as well as the seal of state and his personal imperial seal. The sole woman allowed to attend was the only female member of Prime Minister Shinzo Abe’s cabinet. Shortly afterwards, joined by Masako and other royals, Naruhito was to address the nation for the first time as its 126th emperor. Also Read – Iraq military admits ‘excessive force’ used in deadly protestsHe will also make a public appearance on Saturday when he will again speak to the people of Japan. But the pomp and ceremony will wait until October 22 when he and Masako will appear in elaborate traditional robes for a ceremony in the palace before parading through the streets of the capital to be congratulated by a host of world leaders and royals. Naruhito will greet his first foreign head of state as emperor later this month, when US President Donald Trump visits Japan to meet the new monarch. The Oxford-educated Naruhito faces the delicate balancing act of continuing his father’s legacy of bringing the monarchy closer to the people while upholding the centuries-old traditions of the Chrysanthemum Throne. Like his popular father Akihito, he has warned of the need to remember World War II “correctly,” without downplaying Japan’s early 20th-century militarism. He has also spoken of the need to modernise the royal family, and vowed when he married Masako — who left behind a promising diplomatic career — to protect her “at any cost”. She has struggled however to adjust to palace life, including being subjected to enormous pressure to produce a male heir, and has suffered stress-induced “adjustment disorder” for much of their marriage. The couple have one child, a 17-year-old daughter called Aiko, who cannot inherit the throne because she is female. In a statement released on her birthday in December, Masako pledged to do her best despite feeling “insecure” about becoming empress. In the candid statement, she said she was recovering and could “perform more duties than before”, crediting the “powerful support” of the public. Naruhito is ascending the throne in a very different Japan to the one his father took over when he became emperor in 1989. Then, Japan ruled the world economically, its technology was the envy of every industrialised nation, and its stock market was at highs unlikely to be matched again. At the height of the bubble, Japanese investors were snapping up paintings like Van Gogh’s “Sunflowers” and US landmarks including the Rockefeller Center in Manhattan as “money was dripping off trees” — in the words of one former banker. But following a “lost decade” after the bubble burst, Japan is still locked in a battle against deflation and sluggish growth while its population ages rapidly and many rural areas suffer from depopulation as young people move to cities. Akihito’s abdication, the first in 200 years, has resulted in an unprecedented 10-day public holiday for the famously hard-working Japanese, with many taking advantage of the break to travel. But despite the holiday exodus, and steady driving rain on Tuesday night, crowds still gathered at Tokyo’s famous Shibuya crossing at the clock struck midnight to welcome the Reiwa era. “The emperor was a good person… He was the symbol of Japan,” said Rika Yamamoto, a 24-year-old company employee sheltering under an umbrella on the crossing. “I hope the new emperor will carry on the kindness the old emperor had.” Political parties across the spectrum also welcomed the new emperor — including the Communist Party, whose official platform considers the monarchy incompatible with democracy.last_img read more

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Minnesota Duluth ends Ohio State womens ice hockeys season in WHCA tournament

Senior defenseman Becky Allis attempts to chase down the puck during a game against the Toronto Aeros Sept. 28 at the OSU Ice Rink. OSU lost, 2-1.Credit: Chelsea Spears / Multimedia editorA streaky season came to a close for the Ohio State women’s hockey team this weekend.The Buckeyes (15-17-5, 10-16-5) fell to Minnesota Duluth (15-14-6, 13-12-6), 5-1, on the road Sunday in the decisive third game of the team’s Western Collegiate Hockey Association Tournament first-round series.Junior forward Zoe Hickel gave the host Bulldogs their third 1-0 lead of the weekend 9:24 into Sunday’s game, but seven minutes later junior forward Kayla Sullivan tied the game for the Buckeyes.Then, 7:06 into the second, Duluth scored what would prove to be the series-clinching goal. After OSU freshman defenseman Alexa Ranahan was called for interference, the Bulldogs capitalized on the power play with a goal from freshman defenseman Sidney Morin.Despite 16 combined shots in the second and third period, the Buckeyes couldn’t find the tying goal, and a couple of Duluth empty net goals punctuated the clinching victory.OSU coach Nate Handrahan said the 5-1 score line was slightly misleading, but ultimately the game came down to missed opportunities.“I thought we played our best game of the series and really had a lot of opportunities to capitalize, but we didn’t,” Handrahan said. “That kind of allowed them to hang around, and they capitalized when we didn’t.”On Saturday night the Buckeyes had to ride 32 saves from OSU senior goalie Lisa Steffes to come from behind twice and extend the series with a 3-2 win.Tied 1-1 heading into the third, the two teams shared three goals in a 2:20 span. Duluth took their second lead of the night early in the period, but senior forward Ally Tarr scored her 11th of the year to tie things at two. Tarr picked up an assist on the winning goal two minutes later, as she and junior defenseman Sara Schmitt set up Sara’s twin sister, junior defender Kari Schmitt, to score the game-winning power play goal.Game one on Friday saw both net minders stymie the opposition. Steffes and Duluth sophomore goalie Kayla Black combined for 50 saves, but it was the one shot Steffes didn’t save that mattered. Duluth’s leading goal scorer, senior forward Jamie Kenyon gave her team the lead 5:26 into the second, and things remained that way the rest of the night.The close margins of each playoff game were representative of an OSU team that reinvented itself after the winter holidays, only losing four of its final 16 regular season games.Over the course of the season, the Buckeyes fought through a nine-game winless streak, while also putting together separate three and four-game winning streaks. read more

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Maradona denies his criticism against Lionel Messi

first_imgAfter his explosive criticism against Lionel Messi, Diego Maradona claims that the interview was doctored and he never attacked the Barcelona star.A few weeks back from his comfortable job as the Sinaloa Dorados manager, Diego Maradona made some incendiary comments about Lionel Messi’s lack of commitment in the Argentine National Team.The statement was very clear and it didn’t look doctored at all, he basically conveyed the same message that millions of Argentineans have been saying about the Barcelona star.Since he began playing for his country, Messi hasn’t won a single trophy with the first squad and he has always struggled to win the heart of many of his compatriots.When the Mexican press asked Maradona about Messi’s role in the squad, Diego’s response was very aggressive and it made a huge echo around the world.This was not the first time that the idol came after Messi for not being able to win trophies for Argentina, he has already stated that Leo has no leadership and basically dissed him several times in front of the press before.But during this new interview for Marca Claro, Maradona’s first response was to deny anything he said and insinuate that the video from that interview was doctored by Fox Sports Mexico.Maradona: “Me hubiese encantado una oportunidad en el Real Madrid. Me sobran espaldas para ello. Pero bueno, las cosas se dieron así. Hoy estoy en Dorados y soy feliz” https://t.co/3yIrBfhDR0— MARCA (@marca) November 14, 2018“It’s all lies. Leo is my friend and I would never attack one of my friends. In any case, I would tell him what I think right to his face. I would never tell him anything like that through an interview,” said Maradona on Marca.“All I’ve ever said about Leo is that he is a football phenomenon and that’s it. I also said that 20 Argentina players went to the bathroom instead of playing a crucial match, but I wasn’t referring to Messi.”“On the contrary, what Leo wanted during the 2010 World Cup was to change clothes quickly so he could step on the pitch and ask for the ball, which is something that many players didn’t want to do.”“A lot of those players wanted to hide from the ball. I am… not tired, but I do want to tell all those people that what Leo and I have is unconditional. I frankly don’t know why they have that obsession with him and I.”David Villa, FC BarcelonaTop 10 players who played for both Barcelona and Valencia Boro Tanchev – September 14, 2019 Time to talk about the best players who represented both Barcelona and Valencia, prior to their La Liga encounter at Camp Nou this evening.“People could’ve compared Leo with Ronaldinho for example, ‘Dinho’ really made it “rain” in Barcelona and nobody wants to remember him. Barcelona has that characteristic. They tend to forget their idols pretty quickly.”“You can ask for Rivaldo there, after that goal he scored against Atletico Madrid, or ask about the bicycle kick goal he scored against Valencia.”“Nobody will remember him. You already know what all the papers from Barcelona are like, they will always want me and Leo to get in a fight. But I will go on a barbecue with Leo, we play foot-tennis and we are happy.”“Maybe the people think that we will need to meet with our wives and wearing suits but no, quite the opposite actually. We could easily meet wearing shorts, with no shoes and wearing a casual shirt. No problem man,” he concluded.Messi cada vez que le dicen que Maradona habla de él pic.twitter.com/hILIReDzzJ— ivar arnaldo suarez (@arnaldosuarezlo) November 14, 2018Maradona somehow believes that making these statements will make Lionel Messi forget everything he has already said, but the reality is that Diego has already lost all his credibility with contradictory statements like this.Since the first statements that Maradona made about Lionel Messi a few weeks back, there still hasn’t been any response from the player’s camp and it’s very likely that they will remain quiet about the whole ordeal.This latest Maradona attempt to extend an olive branch is just a feeble attempt to cover up a terrible mistake that may have messed with their friendship and there may not be a way back anymore.🗣 Maradona: “There are players that go to the bathroom 20 times but I never referred to Messi. What I wanted from him at the 2010 World Cup was to change, go on the pitch, look for the ball. I want to say that what I have with Leo is unconditional.”— FC Barcelona Fl 🏆 (@FCBarcelonaFl) November 14, 2018What do you think about Diego Maradona’s contradictory statements about Lionel Messi? Please share your opinion in the comment section down below.last_img read more