Tag Archives: third degree burns

Bomb survivors hope for abolition of nukes

Two survivors of the atomic bombing of Hiroshima shared their horrific experiences with a Dunedin audience yesterday in the hope it would spread a message of peace and ensure it never happens again.

Shigeko Niimoto Sasamori was aged 13 and Michimasa Hirata 9 years old when the United States dropped the atomic bomb from 31,000ft on Hiroshima on August 6, 1945.

on that morning, Ms Sasamori, along with other high-school pupils, was preparing to help clear escape routes in case of a fire bombing when she looked into a clear blue sky and saw an American plane.

she pointed it out to her classmate.

“I called her to look up at the plane.

“At the same time I pointed up to the sky … I saw the plane drop a white thing.

“At almost the same time there was very, very strong forces; I can’t explain how strong it was,” she told about 150 people at a public lecture at the University of Otago yesterday.

she was knocked out by the blast and left with third-degree burns to 25% of her body.

When she awoke, she followed a group of adults who were slowly walking away from ground zero, encountering many people dead or with horrific burns along the way.

“Everyone was hurt,” she said.

she made it to a school auditorium, where she spent five days before being taken home by her mother.

in 1955, she went to the United States, where she received extensive plastic surgery to repair the damage caused by the atomic bomb.

“She now lives in California.

Ms Sasamori pleaded with the Dunedin audience to help make sure there were “no more Hiroshima, no more Nagasaki; no more Hibakusha (the Japanese word for atomic-bomb survivors)”.

she said living in new Zealand did not mean you could “relax”, as nine countries still had nuclear weapons and many still had nuclear power.

Mr Hirata, who was with his family when the bomb fell, said more than 17,000 nuclear warheads were still in existence.

“You can imagine 17,000 nuclear weapons can easily extinguish the Earth,” he said.

Speaking to the Otago Daily Times, he said he became involved in the antinuclear movement when he was 55 after seeing a work colleague – who he had not known was also a survivor – taking part in a march for nuclear abolition.

Before that, like many Hibakusha, he had kept quiet about his experience for fear of encountering discrimination because of the effects radiation had on survivors.

Ms Sasamori and Mr Hirata will be guest speakers at a commemorative peace vigil at the International Peace Pole at the Otago Museum Reserve at noon tomorrow.

the pair’s visit to Dunedin is part of a nationwide tour to commemorate the 67th anniversary of the atomic bombing of Hiroshima and Nagasaki.

Atomic bomb

the development of the atomic bomb, known as the Manhattan Project and led by the United States, started in 1939.

Atomic bomb, known as “Little Boy”, was dropped on Hiroshima by the American B29 Enola Gay at 8.15am on August 6, 1945.

the bomb killed about 70,000 people immediately.

about 140,000 people estimated to have died by the end of 1945.

Three days after Hiroshima, an atomic bomb was dropped on Nagasaki, killing about 70,000.

on August 15, six days after the bombing of Nagasaki, Japan announced its surrender to the Allies, ending World War 2.

-vaughan.elder@odt.co.nz

Bomb survivors hope for abolition of nukes

Burn Surgery Before and After

May 15, 2012

Burn surgery is used to replace skin which is lost due to severe burn injury. Lots of people get burned due to accidents and even deliberately. some burns can be minor, with the skin turning red and tender for a couple of days (for example from touching a hot kettle). Third degree burns are very severe and can be very painful. They will remove skin and can also cost lives. these can happen in workplace accidents, lighting a cigarette whilst the gas is leaking or being asleep while the house is on fire.

Being burned is not a pleasant experience at all. It’s not like getting sunburn and using aloe vera to make it better. Sometimes patients can lose their skin altogether or lose limbs. Plastic surgery can help victims in several ways. If the skin needs replacing, this can be done using skin grafts, free flap or tissue expansion. Of course, the replaced tissue will never look the same as your old skin, but at least you will have this vital organ again. If the patient has lost a finger, ear, toe or even their lips then microsurgery may be used to sew it back in place.

Patient #1

This child Amy suffered numerous burns to the front of her body and required immediate attention. the surgeons at her local hospital recommended a new kind of treatment which is a spray-on skin treatment (skin cells spray to create a new layer of skin). the results are amazing and Amy now has wonderful new skin. the after photo was taken many months later.

Patient #2

Nicolas suffered third degree burns to his head from an accident at home. Luckily he got quick treatment at a nearby hospital where the surgeons performed almost immediate surgery. He was very luck the burns weren’t much worse. the after photo was taken many weeks later and Nickolas is now recovering well.

There are various burn surgeries out there and a burn patient has the opportunity to chose out of the few. Age and the severity of the burn injuries are the two main factors which affect the choice a doctor will recommend you. Surgery is either performed immediately after some is burned or further down the track during a patients rehabilitation.

Reconstruction and amputation

Sometimes there is no other choice than to amputate someones hand, arm, leg or foot in severe cases. the factors which play a major role here is the depth and extent of the burn injury as well as the bodies ability to respond to previous surgeries.

Plastic surgery (including w-plasty & z-plasty)

This is usually done when there is no other choice and is not an elective surgery for a patient. Scar treatment includes z-plasty and w-plasty.

Surgical skin planning & dermabrasion

Widely used all over the world and has a history of over 100 years in the medical field. Dermabrasion includes either a laser, diamond wheel or sterile wire brush to get rid of raised scars. Scars are hard if not impossible to completely get rid of especially burn scars but you can make them look better through surgery. Dermabrasion has been used successfully by dermatological surgeons to improve the look of scars. Cosmetic and plastic surgeons also practice dermatology but if you are insured you will be deferred to a special surgeon by your insurer.

Xenografts, skin substitutes and skin grafts

Permanent skin grafts are recommended for survivors of burns who have partial thickness deep burns or full thickness burns. these promote healing and minimize the risk of scarring. considering the extent of the injury a patient could require many skin grafts during a single hospital stay to achieve the desired results. these grafts use donor sites (skin from other parts of the persons body). If a donor site is used then that site will also require treatment to minimalize the risk of scarring. If a permanent skin graft is used the patient will need to undergo at least 5 days of immobilization, this is where blood vessels begin to grow back to the new tissue.

Temporary skin grafts give a patient a temporary cover for the burnt skin to provide pain relief, help protect skin from more damage and preserve sterility. They are sometimes combined with another procedure called xenografting. Xenografting is a medical product made of pig skin which is used to provide temporary cover.

Cleaning a wound & debridment

If a burn injury is serious, more times than not a burn victim will undergo a procedure named debridment before other surgeries. this involves removing infected or dead skin cells while cleaning the area.

Sadly most serious burn victims who need to undergo hospitalization are young children and because they will still grow during their lives they may require further surgeries to correct scars.

The day of the surgery – Depending on the dietary restrictions your doctors have placed you on you should follow these as best as you can, this may include not eating the day of the surgery as well as not drinking water (crazy right, but it’s got to be done for best results). ask a good friend or family member to help take you to the hospital on the day, make sure you wear very comfortable loose clothing. Avoid wearing all type of creams, makeup, piercing, rings or anything that may obstruct the surgeons from doing their job like jewelry. Your physician may ask you to apply an ointment to your skin prior to the surgery but do not do this unless he/she has asked you to do so. a doctor may tell you to clean your skin or area being treated with a scent free soap so that it’s ready for surgery.

The night before surgery – you will be asked to stop eating the night before surgery if you will be required to undergo some type of anesthesia, usually the time we are talking about here is half a day before surgery; again don’t go starving yourself the day before unless you are asked to do so by your surgeon. If general anesthesia won’t be used you may eat anything you wish as well as drinking anything.

The week before surgery – here you may be given some special instructions by your surgeon on how to best prepare your body for the operation. Generally the instructions include stopping taking blood thinning medication such as aspirin and ibuprofen, not drinking any alcohol at all and quitting smoking. not following these instructions will make your body heal a lot longer after the surgery if not inhibit it totally. you may also be prescribed a special ointment by your physician to help prepare the tissue for surgery.

As with any type of surgery complication can occur with the worst one being death but this is rare. each individual heals differently and a surgeries outcome is never exactly predictable. General risks include infection, allergy to anesthesia, excessive bleeding, would healing difficulties and bruising. It’s important to be realistic of the outcome of any surgery and you should discuss this with your treating surgeon. If you are a smoker you are considered to be at higher risk because the healing process will be delayed and it may cause further complications. If you have a connective tissue disease, have areas of damages skin from radiation therapy or decreased circulation to the surgical site you will also be at a higher risk. Generally the most complications can arise when reconstructive burn surgery is performed. you should work toward improving your nutrition and circulation prior to surgery, ask your doctor on how you can improve these.

Depending on the extent of your surgery it’s safe to assume the average recovery time for burn surgery is several weeks not including scars. Scars can take months to heal and will take many years to fully heal.

After burn surgery have someone drive you home once you have been discharged from the hospital as you should not do this by yourself because of the medication you have been given and also because you will be feeling giddy and exhausted so it’s best left up to someone else. Depending on the extent of your surgery you will be given set times or a timetable of when the bandages should come off, when to stop taking antibiotic medication and other prescriptions, when to come in for a check up, when you can shower and bathe or when to stop taking sponge baths. If an infection comes up you should see a doctor as soon as possible about it so they can treat it or you run the risk of an amputation or severe scarring. you will be exhausted when you get home and the best thing for you to do would be to get some rest. Lay down or sleep for long periods during the first few weeks but be sure you will be able to still sleep at night time. If you can go for regular (at least 30 minutes to an hour a day) walks to improve your blood circulation and promote healing. do not pick at your scars or scabs as this can make the scar permanent and you don’t want that. Take ibuprofen if pain persists and be sure to see a doctor about organizing more pain medication if you run out, they will be more than happy to help you out. also be sure to drink plenty of clean water to assist the healing process.

The cost of burn surgery is generally covered by insurance. If you are not covered by insurance then depending on the extent of your injuries and burns you may be liable to pay into the tens of thousand of dollars. It would be good to go see a surgeon at your local hospital to get a quote as soon as possible so at least you have an idea at what you’re up against.

I suffered second degree burns to my hand when working for KFC (Kentucky Fried Chicken) when I was younger. although I didn’t require surgery (I’m glad I didn’t) it did look disgusting and took a long time to heal. My hand fully recovered and you can’t even notice that I was burnt. I dropped the chicken in the pressure cooker and the oil was bubbling really high and I hesitated for a few seconds, then my manager told me to close it and when I did the oil pissed all over my arm. I took a few weeks off work and was paid for it. I was just looking up some other burn photos of victims and realized my encounter with burns is a joke. It’s good to see people recovering well though. It’s amazing how well the doctors can treat such conditions. All I needed was some cream and to leave the wound alone for a few weeks while it was wrapped in gauze. If you’re a burn victim stay strong guys and gals. the worst things happen to the best of us.

Submitted by Ryan on May 15, 2012

This YouTube video is a featurette by the Florida Department of Health and is about burn surgery to the hand and foot. It is intended for the use of educational purposes only and is funded by the department. In the burn center they show in the operating room how the procedure is performed. this video is made for adults only as there is some raw flesh and blood exposed that is not suitable for minors. Unfortunately there is no after photo or picture of the results the surgeons had but you know they are in good hands and the patient is recovering well.

Patient #3

Lauren suffered major third and second degree burns to her back at an accident at school. She was taken to a hospital immediately and was treated by surgeons. the surgeons did the best they could and she is now recovery well. the after photo was taken many months later.

 

Patient #4

Maribelle suffered a horrendous accident at work where acid was spilled on her face and lower body. She went into a coma for a week and woke up after treatment. the operation required reconstructive surgery. Her surgeons did a great job as you can see in the after photo which was taken over a year later. Maribelle is happy and thankful to her treating doctors and is recovering well at home.

 

Patient #5

Martha had an accident at work where catalyst was spilled on her hand and she didn’t wipe it off quickly enough. the surgery was a success with the after photo being taken several months after treatment.

  • Dermabrasion
  • Scar removal
  • Sun damage
  • Sagging skin
  • Skin tightening

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Burn Surgery Before and After

Woman’s Face Set on Fire During Simple Surgery

CLEVELAND — a beautiful young woman underwent what was supposed to be a simple surgery at an outpatient center, but ended up horribly scarred.

Lauren Wargo was a vibrant, 20-year-old college student home for Christmas break when the terrible burn happened.

The surgery was to remove irregular moles from her eyebrow and back, but when she awoke from anesthesia, she heard the nurses telling her parents, “There had been an accident.”

“I remember my dad just crying,” said Lauren, “His reaction to how I looked was terrible.”

The accident was a surgical fire.

For more information on surgical fire prevention and safety, click here or visit SurgicalFire.Org.

After it happened, Lauren’s parents were told she suffered the equivalent of a bad sunburn and her doctor sent her home.

Lauren was in such excruciating pain, her parents removed the bandages and discovered first, second and third degree burns over more than half of her face.

“I asked if my eyebrow was still there and she said that was gonna be the least of my problems,” said Lauren.

With both eyes swollen shut and blisters hanging from her face, the Wargos rushed Lauren to MetroHealth Medical Center’s burn unit where she endured a painful scraping and cleansing procedure.

The treatment was necessary three times a day for several weeks to promote healing.

“They had to remove the dead tissue. I had charred skin on my face,” said Lauren. ”The burn center recommended that I didn’t look at my face right away. my parents covered up all of the mirrors in our house.”

Lauren had always been an outgoing and athletic young girl.

Heavily medicated and suffering tremendous pain, she now worried that she wouldn’t have the same life.

“Of course I cried,” said Lauren, “I was pretty beat up.”

According to the FDA, surgical fires occur an estimated 550 to 650 times each year.

Injuries can range from minor burns to disfigurement and even death.

“They can be caused by a number of things,” said Dr. Wael Barsoun, chairman of surgical operations at the Cleveland Clinic.

Although Lauren’s injuries did not occur at a Cleveland Clinic facility, Dr. Barsoun said, “It is really heartbreaking when we see an incident. I mean we went into medicine to make patients better.”

Dr. Barsoun said there are three consistent elements in what’s called the fire triangle.

They are oxygen, alcohol and an ignition source like a cautery device, which is an electronic tool used to stop bleeding which can spark.

“It’s a good environment for a fire because you have high levels of oxygen and many folks use alcohol as a disinfectant for the skin to sterilize that’s high in alcohol,” said Dr. Barsoun.

Alcohol can pool on the body or saturate hair and surgical drapery.

Dr. Barsoun said taking a time out can help.

“one of the keys if you are using high alcohol based solutions is to wait at least 3 minutes so that all of the alcohol is evaporated,” he explained.

After nine fires occurred over an 18 month time period at the Cleveland Clinic, the Clinic took a proactive approach and increased training for all surgical personal, and they also stopped using alcohol preps altogether.

“We decreased our fires by 80-percent,” said Dr. Barsoun. “And again when I say fire, it is not always a flame. It can be a spark or smoke from an electrical outlet.”

The Clinic is open and transparent about their fires, although in Ohio they don’t have to report anything by law.

Some states track fires but Ohio does not.

In fact, neither the Ohio Dept. of Health nor the Ohio Hospital Association would even talk about the issue on camera with Fox 8 News Reporter Suzanne Stratford.

“We didn’t find out what happened in my case until it went to trial,” said Lauren.

Lauren sued plastic surgeon Dr. Bryan Michelow, who was operating independently at a local outpatient clinic in Beachwood.

She won a large verdict, but the  decision was overturned by the Court of Appeals,  and Dr. Michelow was granted a new trial.

Attorney Doug Leak represented Dr. Michelow during the appeal.

When asked to comment for this story he said, “Since the case is still pending, while Dr. Michelow is awaiting a new trial, he is not at liberty to discuss the facts of the case at this time.”

But Lauren is extremely vocal about her situation.

She has begun working for the non-profit group SurgicalFire.Org, trying making surgical rooms safer.

In October 2011 the FDA released a safety communication to all health care professionals with detailed information on preventing surgical fires, including something as simple as a taking a time out so that the alcohol can dissipate.

Lauren wants the FDA recommendations implemented at all hospitals.

Dr. Barsoun agrees that health care professionals must start talking about prevention.

“The reality is it’s a complicated problem and it is a high risk environment and we really have to help each other to ensure that these types of problems don’t jeopardize our patients,” Barsoun said.

Lauren is now 25-years-old and still healing from the fire.

Her lovely face is permanently scarred, her left eye doesn’t close all of the way and is prone to infection.

She did graduate from college but admits every day is still a struggle.

“everybody still wonders am I ever gonna get over this, am I ever gonna be normal again. I guess the answer is no but I’ve come so far since then I’m definitely lucky,” Lauren said.

Although Ohio doesn’t require doctors or hospitals to report surgical fires, patients and other medical personnel can report them to the FDA.

For more information on surgical fire prevention and safety, click here or visit SurgicalFire.Org.

Woman’s Face Set on Fire During Simple Surgery

2012 Health Care Heroes: Rajiv Sood, M.D., FACS

WINNER: Physician

Rajiv Sood, M.D., FACS

Medical Director, Richard M. Fairbanks Burn Center, Wishard Health Services; Professor of Plastic Surgery, Indiana University School of Medicine

it was practically a given that Rajiv Sood, M.D., would become a doctor. His mother, a pediatrician, had her office in the family’s house, and from age six the concept of helping and healing others was second nature to him. but it was his focused intensity, drive and high expectations that set Sood on course to become one of the world’s leading experts in burn treatments.

(IBJ Photo/ Perry Reichanadter)

Sood and his team treat the most horrific cases from Indiana and neighboring states. At Wishard, no patient is turned away because of an inability to pay. Some patients, by all rights, shouldn’t have survived. Mark Doucey suffered third-degree burns over 75 percent of his body in a mid-air plane collision. He spent three-and-a-half months at the Richard M. Fairbanks Burn Center and underwent 27 surgeries in two-and-a-half years. “the expertise of Dr. Rajiv Sood and his entire team were amazing, and I owe much of my recovery to their great care,” Doucey said. “the burn patients who are saved are given opportunities to lead productive lives through tremendous advancements in surgical procedures and physical and emotional therapy.” the number of patients treated at the burn centers has risen steadily since 1993. Sood, 52, treats more than 3,350 patients each year—330 inpatient; 3,000 outpatient. Caring for burn patients is intense and demanding, and patients are followed for a year or two after release from the hospital. “It’s not one operation and then you’re done,” Sood said. “No burn patient is ever the same. You have to learn how to take care of each patient all the way through.” Burns weren’t always Sood’s focus. He attended Albany Medical College of Union University and followed it with a residency in general surgery at Temple University Hospital in Philadelphia. He served a plastic surgery residency at the Cleveland Clinic Foundation and was awarded a hand and micro-surgery fellowship. He came to Wishard in 1992 and became medical director of the burn center soon afterward. That’s when he became hooked. He equates what he does with being an “old-time family doctor.” “Burns allow me to incorporate all parts of my training,” he said. “Most of all it allows me to be a physician and to work with a multi-disciplinary team. That’s what I’ve enjoyed most about it—building the center and this team.” it was thanks to Sood’s efforts that Wishard built a new burn center nine years ago. Now Riley Hospital for Children is opening one, and the Wishard center will be enhanced when it opens in the new Eskenazi Hospital, which will replace Wishard. “Dr. Sood worked with the Richard M. Fairbanks Foundation and other philanthropic entities to generate support and funding to build a new, state-of-the art, burn center that is envied and emulated around the country,” said Adam C. Cohen, M.D., assistant clinical professor of surgery, Indiana University School of Medicine. Sood helped build, design and raise funds for a pediatric burn center in El Salvador which opened last year, the only such center in Central America, and is working with Panama to help build a burn center in that country. He sits on the certifying committee of the American Burn Association, which evaluates other burn units around the country. Sood builds programs as well. He started a burn fellowship program for established plastic surgeons/burn surgeons. And he was instrumental in the founding of three burn programs to help burn patients cope with emotional and practical issues: an informal Burn Survivor Support Group; Survivors Offering Assistance in Recovery (S.O.a.R.), which helps prepare patients for the transition from the hospital to the outside world; and Image Enhancement, a spa that teaches patients how to camouflage scars. “the S.O.a.R. program, coupled with the Burn Survivor Support Group, provides vital benefits to the burn survivor community, giving us a place to feel safe talking about our challenges, and hope that even the most traumatic events can be overcome,” said former patient Jeremy Warriner. “these programs wouldn’t be in place without Dr. Sood’s support, and I truly believe that without his skill as a physician, I would not be here to be part of them.” Sood is well known for his research on skin and skin substitutes and for establishing the standards for how to use commercially available and grown skin. He is the lead investigator for spray-on-skin, in which a postage-stamp size piece of skin from the patient is liquefied and sprayed on the wound in the operating room. “it will revolutionize both acute and chronic wound management once it comes into being,” Sood said. His extensive study of the cultured epithelial autograft technique, a first step toward an off-the-shelf skin substitute to treat large burns, is acknowledged to be the most extensive study of the topic. Sood is also working, in conjunction with other researchers at Indiana University, on another version of off-the-shelf skin substitute that involves infusing fat cells into skin products. in 2010 his paper on the use of skin substitutes in burns and non-healing wounds received the top award from the American Society of Plastic Surgeons. “I couldn’t do this all by myself,” Sood said. “it really is a team effort, but we are also blessed to have great support for both IU Health and Wishard.”

2012 Health Care Heroes: Rajiv Sood, M.D., FACS

Stuff You Should Know

While many people may think plastic surgery is for those people that want to look younger, you should know that many procedures are for reconstructive purposes that may help to save a life or greatly improve one. Check out these interesting facts about Denver plastic surgery.

You may have heard of those children born with a cleft lip and palate. Indeed, this can be severely disfiguring and cause many health issues with digestion and malnutrition. because of the advancements made in this area of surgical practice, many of these children can lead normal lives. Hundreds of kids with this condition are helped tremendously with reconstructive surgery.

Survivors of fire disasters can indeed suffer horrible pain due to burns. Third degree burns can indeed cause severe disfigurement. this kind of scarring is intense and can destroy a person emotionally due to the stares and ridicule they may receive from others. However, many surgeons specialize in the reconstructive repairs for burn victims. The results would amaze you and helps to take away the emotional pain these victims may be suffering.

Dogs can cause serious and devastating damage through biting. this is especially true for children. One single bite on the face of a child can cause severe disfiguring scars. Some bites tear skin apart that is impossible to stitch together. these are bites that require reconstructive surgical procedures. without this type of surgical intervention, dog bite victims would have to endure a life time of scarring and skin damage that could be a serious blow to self-esteem.

Breast cancer has gained much attention in the past few decades. Thanks to more public education about this type of cancer, a lot of money has been funded for research and for techniques related to breast implants for those women that have complete mastectomies. Mastectomies can alter a woman’s self-esteem and confidence for the rest of her life and the option to have breast implants afterwards is a great one.

Liposuction and tummy tucks can be done to help those overweight people that are struggling to lose those pounds due to health issues. Diet and exercise may not be enough to get rid of the fat fast enough to literally save their life. Undergoing these procedures should be done to not only look great, but to become healthier as well.

Making the choice to visit a Denver plastic surgery clinic means you thinking about those reasons you most want to go. if you want to just look better, you should sit down and consult with a surgeon about every details involved. You should consider the reality of how you will look after any type of surgical intervention and not have unrealistic expectations. this is a topic you should also discuss with your doctor.

Learn about the methods and techniques used to provide you with the results you want when you get Denver Plastic Surgery. You can get all of the details and information about the process when you visit http://www.murphyplasticsurgery.com/denver-plastic-surgery-procedures/ today.

Health

Stuff You Should Know

Valley News ~ Full Story

Published 2/24/2011 part of a medical team from Dartmouth working in Haiti, Dr. Jim Geiling, left, and Dr. Joe Rosen, right, examine Odne Francois, center right, who had suffered a head injury in a motor vehicle accident several weeks earlier. X-rays revealed a skull fracture that would heal on its own, and Rosen determined no reconstructive surgery was necessary. Francois was held by his brother Frantzy Francois. (Valley News