Tag : cord

Spinal Cord Shock # #spinal #cord #injuries, #spinal #shock, #spinal #cord #shock


Spinal Cord Shock
When a spinal cord injury is caused due to trauma, the body goes into a state known as spinal shock. While spinal shock begins within a few minutes of the injury, it make take several hours before the full effects occur. During spinal shock the nervous system is unable to transmit signals, some of which may return once spinal shock has subsided, the time spinal shock lasts for is approximately 4-6 weeks following the injury. In some rare cases spinal cord shock can last for several more months. The loss of these signals will effect the persons movement, sensation and how well the body�s systems function. Often the persons loss of movement and sensation below the level of the spinal cord injury may appear complete soon after the injury. This may mask the real extent of the damage. Usually, over the first few weeks the some of body systems adjust to the effects of the injury and their function improves. Therefore, during this time and the early stage of ANY new injury it is unlikely that an accurate prediction of any recovery or permanent paralysis can be made.

Treatment begins with the emergency medical personnel who make an initial evaluation and immobilise the patient for transport. Immediate medical care within the first 8 hours following injury is critical to the patient’s recovery. Nowadays there is much greater knowledge about the moving and handling of spinal injury patients. Incorrect techniques used at this stage could worsen the injuries considerably.

When injury occurs and for a period of time thereafter, the spinal cord responds by swelling. Treatment starts with steroid drugs, these can be administered at the scene by an air ambulance Doctor or trained paramedic. These drugs reduce inflammation in the injured area and help to prevent further damage to cellular membranes that can cause nerve death. Sparing nerves from further damage and death is crucial.

Each patient’s injury is unique. Some patients require surgery to stabilise the spine, correct a gross misalignment, or to remove tissue causing cord or nerve compression. Spinal stabilisation often helps to prevent further damage. Some patients may be placed in traction and the spine allowed to heal naturally. Every injury is unique as is the course of post injury treatment that follows.

How Much Does Cord Blood Banking Cost? Maze Cord Blood #cord #blood


Cord Blood Pricing

Maze s one-time payment includes all of the following at no extra charge, and no hidden or annual fees:

  • Maze Cord Blood Tissue Collection Kit (standard shipping included)
  • Collection and Processing
  • Hospital Bedside Pick-Up by Medical Courier
  • Free Storage for 20 Years (an additional 5 years available for $425)
  • $50,000 Quality Guarantee
  • Physician’s fees (if applicable, up to $200)

Compare Banking Prices See how Maze measures up against the competition!

Interest-Free Payment Plan

Pay $199 per Month for 12 Months

Maze Cord Blood is pleased to offer a 12-month, interest-free payment plan via CareCredit. After submitting a $100 deposit during registration, this payment plan allows customers who are approved for a CareCredit plan to pay a steady monthly amount, interest-free, over 12 months. This payment plan may not be combined with any other discounts or coupons.

Signing up for CareCredit is quick and easy. Visit www.CareCredit.com to apply.

“I have to say I am very satisfied with my experience with Maze. The difference was we could afford Maze, and we couldn’t afford any of the other companies. The process was extremely easy … I do nothing but recommend Maze to all my pregnant friends.”

— Diana | Easton, PA

*A non-refundable deposit of $100 is due at time of registration via credit card.

We do our best to keep this page current but, because information in this industry changes frequently, some details may have changed since our last update.

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Getting started is easy. Simply click here and we’ll guide you through each step along the way. We’re here to help.

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We make cord blood banking affordable because we want the life-saving potential of cord blood stem cells available to as many people as possible.

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Answers to the most common questions about cord blood collection and storage, and specifics about the Maze way.

Diagnosing And Treating A Tethered Spinal Cord #umbilical #cord #compression


Tethered Spinal Cord

Key Points

  • Bones are lifted up ( Laminoplasty ) rather than removed ( Laminectomy ) to perform most tethered cord surgery
  • Nerves to the legs and bladder are always monitored and protected during surgery
  • Laser is used to remove Lipomas. (see a video of the procedure )

What is Tethered Cord?

The spinal cord includes the bundle of nerves that controls leg movement and sensation as well as bladder function. The spinal cord typically divides into small nerve roots at the L2 vertebral body. During development of the spinal cord, tissue and fat, or other body elements that do not belong near the spinal cord can become attached to the spinal cord. Sometimes the tissue prevents the normal development of the spinal cord so that there are problems with urination and leg weakness. In most cases, there are no problems at birth. As the body grows, however, the spinal cord then becomes stretched and damaged by the abdominal attachment. This condition is called a tethered spinal cord. If left untreated, your child may suffer nerve damage as he or she grows. The condition can be treated with surgery to prevent future nerve damage.

Signs and symptoms of a tethered cord can include the following:

  1. A crooked toe. (Photo 1)
  2. A dimple above the gluteal crease (the crease in the buttocks) (Photo 2)
  3. Long hair (longer than 1 inch) growing on the back over the spine. (Photo 3)
  4. A crooked crease between the buttocks. (Photo 4)
  5. A lump of the lower back. (Photo 5)
  6. Stumbling or changes in gait or walking.
  7. Pain or tingling the legs or back
  8. Curvature of the spine
  9. Trouble with bowel or bladder control, such as difficulty in toilet training in a toddler, keeping a dry diaper with a baby, loosing control in a toilet trained child or no being able to hold urine until getting to the bathroom.

The diagnosis of a tethered spinal cord is made by obtaining a Magnetic Resonance Imaging or MRI of the spine.

Surgery for Tethered Cord

Surgery involves the following steps:

  1. Needles are inserted into the lower body to monitor nerve function even as the child is asleep.
  2. An incision is made in the skin over the lower back
  3. Lifting up of the bone over the tethered area of the spinal cord ( Laminoplasty )
  4. Making a small opening in the covering of the spinal cord, called the dura
  5. Releasing the tethering lesion; can be simple or highly complex requiring many hours or dissection under the microscope. At times we use a laser to sharply dissect tissue from the nerves. The images below show the lesion before it is cut (left), the lesion after it is cut (center), and the lesion released (right).

  • Closing the dura or available tissue over the spinal fluid.
  • Replacing and securing the bone (laminoplasty movie coming soon)
  • Closing the muscle and skin
  • Applying a bandage
  • Surgery for a tethered spinal cord can prevent future irreversible nerve damage which can severely affect a child s bladder and leg function and quality of life.

    Re-Operation for Tethered Cord

    A follow-up MRI is usually performed sometime after surgery. On rare occasions, years after the original surgery, a re-tether may develop for certain types of tethered cords causing radiating leg pain, persistent back pain or bladder problems. This situation may require additional surgery.

    San Jose Personal Injury Lawyers #san #jose #personal #injury #lawyer, #the #law


    the law offices of Fernando V. Hernandez Over 40 years Experience as a Trial Lawyer

    San Jose Personal Injury Lawyers

    Anyone injured in an accident caused by negligence or a wrongful act deserves compensation for all expenses related to injury or loss. But many injury victims do not realize the full definition of injury under California law. San Jose personal injury lawyers can help with all types of situations, including the following examples:

    • Vehicle accidents resulting in property damage, physical injury, and emotional trauma
    • Injury caused by slipping and falling when premises are poorly maintained
    • Injuries or death caused by a wrongful or even criminal act
    • Financial losses associated with being wrongfully terminated from a job
    • Financial and emotional effects of sexual harassment at work
    • Emotional and financial devastation resulting from victimization in a sexual crime

    Personal injury attorney Fernando V. Hernandez is a tireless advocate for clients in the San Jose, CA area who have been injured in situations caused by negligent or wrongful acts of others.

    Areas of practice

    The Law Offices of Fernando V. Hernandez provides a range of legal services for individuals and businesses located throughout the San Jose area of California. In addition to a variety of real estate and business law matters, San Jose accident lawyer injury lawyer Fernando V. Hernandez provides full personal injury and accident support to clients injured by negligence or wrongful acts, including the following:

    • Insurance
    • Construction site accidents
    • Wrongful termination and sexual harassment at work
    • Assault
    • Slip and fall and premises liability

    San Jose accident attorneys must have extensive experience in the thorough investigation of the circumstances behind every accident. Mr. Hernandez has over four decades of experience handling the details behind each personal injury case for victims in San Jose. He has a record of successful results working within the state and federal court system for his clients.

    Contact an experienced personal injury attorney in San Jose

    San Jose personal injury attorney Fernando V. Hernandez is dedicated to providing the highest quality legal services to each client. Contact us today to find out how the firm can assist in your situation. Most initial consultations are without obligation. Se habla espa ol.

    The use of the umbilical cord blood stem cells – Institute of





    The use of the umbilical cord blood stem cells

    The use of the umbilical cord blood stem cells

    ХХth century was marked in the history of medicine by the stormy development of the pharmaceutical industry. Buying an antibiotic or analgetic remedy in the chemists, we do not ever think that the banal penicillin was discovered only in 1928 (till that time the lung inflammation took millions of life, saying nothing of purulent wounds and military injuries), only in 1943 Zalman Vaxman discovered the first antituberculous drug streptomycin, for which he was awarded the Nobel Prize, the first antitumor drug was registered only in 1946, and in 1952 the first neuroleptic was created, giving the right for the quality of life for the earlier doomed people with mental disieases

    But the capabilities of the pharmaceutical drugs are not infinite, and in the struggle with diabetes mellitus, cerebral palsy, the consequences of insult, myocardial infarction, AIDS and most of the oncologic diseases the scientists are forced to look for new, more effective remedies.

    Today the hopes of scientists for the victory above incurable diseases are connected with the huge regenerative potential of the stem cells. That is why in the ХХIst century one may challengingly say that the period of cell medicine came.

    Stem cells – are the undifferentiated (immature) cells, capable to selfrenewal, producing both new stem cells and differentiation into the specialized cells of different tissues and organs.

    Actually the stem cells are used both in commonly acepted protocol schemes of treatment of such diseases as leukemias, some solid tumors, aplastic anaemias, inborn alterations of the metabolism and in the clinical trials for the treatment of cardiovascular, neurologic and autoimmune diseases, in traumatology and orthopedics, reproductology and reconstructive surgery.

    In 2010 the sensational message flew around the world that the German scientists with the help of stem cells cured the patients from AIDS. And in 2012 the scientists Sinja Jamanaka (Japan) and John Gerdon (Great Britain ) were awarded the Nobel Prize for the studies in the field of stem cells.

    The scientists explain the mechanism of the regenerative action of stem cells both by their capability to transform into the cells of blood, liver, myocardium, bones, cartilages or nervous tissue and to regulate the functional activity of the other cells (by so called paracrine type) in the way of the production of different growth factors.

    The umbilical cord blood, placenta, umbilical cord tissue, amniotic fluid, adipose tissue, milk teeth pulp are supposed to be the richest sources of stem cells.

    The bone marrow has been used in cell therapy for the longest period of time. The first publication on the bone marrow transplantation is dated 1957 and till 2010 this method saved thousands of patients, suffering from leukemias. Almost in all countries of the world the specialised centres of the hematopoietic stem cells transplantation were created. But despite that many forms of leukemias may be successfully cured by the bone marrow transplantation, the majority of patients, first of all in the developing countries, continue to die. This is because of the impossibility to find the immunologically matching bone marrow donor, especially if the patient is indicated an urgent hematopoietic stem cells transplantation.

    That is why during the last 20 years the umbilical cord blood is more and more frequently used as the bone marrow alternative, sometimes more effective. In 2006 the European Association for Bone Marrow Transplantation (EBMT) announced the umbilical cord blood to be equal the bone marrow.

    Today more than 30 000 umbilical cord blood transplantations were perfomed in the world and the cord blood banks became the inherent part of the health service of the many world countries. In most countries two types of the cord blood banks are operated: autologous banks (own stem cells) and public (donor). The parents at the birth of a child have a choice: to preserve the baby’s cord blood in the autologous bank, at that the baby will be provided for 100% with own margin of stem cells or to donate it to the state to the public (donor) bank, in which in the case of necessity the donor material may be selected. The cost of the umbilical cord blood sample from the public bank (about 18 000 euro) in the developed countries of the world is covered by the insuring companies as most of the upgrown patients do not have the margin of the own umbilical cord blood stem cells. In Ukraine the situation is different – there are no public banks. The parents may preserve the umbilical cord blood of their baby in the autologous bank or in the case of necessity to search for the donor material abroad.

    Apart from the treatment of oncologic and aplastic diseases of blood, the American Food and Drug Administration (FDA), which accurately checks

    the safety of the innovational medicinal products and procedures, approved the clinical studies with the use of the umbilical cord blood for the treatment of:

    • Diabetes mellitus type 1;
    • Cerebral palsy;
    • Autism;
    • Traumatic brain injury.

    There is also data about the effectiveness of the umbilical cord blood in the treatment of:

    • Bronchopulmonal dysplasia in newborns,
    • Insult consequences,
    • Parkinson’s disease,
    • Alzheimer’s disease,
    • Heart diseases (myocardial infarction, cardiomyopathy),
    • Lower limbs ischemia,
    • Liver cirhosis,
    • Rheumatoid arthritis,
    • Deafness,
    • Spinal cord injuries,
    • For the stimulation of wound healing and intergrowth of the bone fractures.

    Considering the high capability of the umbilical cord blood stem cells to multiplication and directed differentiation, the umbilical cord blood rightly is supposed to be an ideal biological material for the purposes of the tissue engineering – the creation of the bioimplants of vessels, heart valves, bone-cartilaginous plastics.

    The Institute of Cell therapy in Ukraine also accumulated the significant experience of the successful application of the umbilical cord blood in the treatment of pancreonecrosis, lower limbs ischemia, diabetes mellitus. The active studies on the cultivation of the umbilical cord blood and placenta stem cells are also conducted as well as on their transformation into the functional cells of the various tissues and organs.

    In 2012 the Ministry of Health of Ukraine approved the methods of pancreonecrosis and critical lower limbs ischemia treatment by the stem cells based drugs Pancrostem ® and Angiostem ®, created by the biotechnological laboratory of the Institute of Cell Therapy.

    The high therapeutic efficacy of the stem cells and active development of the biotechnologies give foundation to make a prognosis that cell medicine, which today is considered to be a highlyscientific and extracomplicated therapeutical approach in future will become the routine treatment of choice. And it is quite possible that in 20-30 years, the endocrinologist, having diagnosed diabetes mellitus will administer the patient not insulin but the implantation of the culture of own stem cells, transformed into the beta-cells of the pancreas; and cardiologist, having evaluated the coronary heart disease, will direct his patient not to the operation of aortocoronary bypass but will administer the infusion of the active endotheliocytes, capable to give growth to the new heart vessels.

    It depends from your decision whether the umbilical cord blood and placenta will be exposed to utilization in the delivery-room or your child will receive a unique “biological insurance” for his long and healthy life.

    CT Medical Malpractice Law Firm #malpractice #lawyers #in #ct,medical #malpractice #lawyers #in


    Medical Malpractice

    Medical Malpractice Case Study

    Our Connecticut medical malpractice lawyers represent patients and families throughout the state who have suffered serious personal injury or wrongful death from a medical error. We have an experienced physician on staff who is deeply involved in the investigation of our cases.

    In what was the highest medical malpractice verdict in Connecticut history at that time. Richard A. Silver and Angelo A. Ziotas presented expert testimony that an emergency C-section should take only five minutes and that Dr. Corrine de Cholnoky responded too slowly. Silver Golub Teitell LLP recovered $38.5 million for the client.

    In two of the firm s other notable cases, the families of two women who fell into irreversible comas during childbirth two years apart agreed to settle their medical malpractice claims for $13.2 million and a substantial confidential settlement. Please see our Cases Results page for some of our other medical malpractice cases.

    Many more people are seriously and permanently injured as a result of medical malpractice or surgical malpractice. At Silver Golub Teitell LLP, we are proud that our top medical malpractice attorneys and their cases have caused Connecticut hospitals to implement many changes in their procedures that are now preventing unnecessary injuries and deaths.

    If you or a family member have suffered serious personal injury or wrongful death from a medical error, please contact us today at o aw or call any one of our offices across Connecticut:

    • Stamford (203) 325-4491
    • Bridgeport (203) 386-9844
    • Danbury (203) 816-8476
    • Greenwich (203) 489-2952
    • Hartford (860) 785-6585
    • New Haven (203) 916-5796
    • New London (860) 785-6581
    • Waterbury (203) 916-5785
    • Westport (203) 349-8154

    Dedicated Connecticut medical MALPRACTICE lawyers

    Our medical malpractice lawyers represent patients and families in Connecticut and other states who have suffered catastrophic injuries or wrongful death due to medical errors and negligence, including the following:

      • Failure to diagnose cancer or other serious diseases
      • Misreading mammograms and X-rays
      • Surgical errors, such as operating on the wrong side of the body, or accidentally removing healthy tissue and body parts
      • Birth injuries, such as cerebral palsy or brain damage
      • Medication and prescription drug errors
      • Anesthesia errors, such as failure to respond promptly to changes in a patient s condition during surgery
      • Misdiagnosis
      • Medical negligence
      • Failure to identify the signs of a heart attack or stroke
      • Failure to treat
      • Failure to monitor
      • Spinal cord injuries caused during surgery
      • Nursing home abuse and neglect

    Committed to seeking justice

    Our Connecticut lawyers focus on helping the people who have suffered the most severe injuries due to medical malpractice. These cases are difficult and expensive to pursue and require the best experience and resources that only a Connecticut law firm like ours can provide, such as an experienced physician on staff.

    Our attorneys only bring a medical malpractice case when they have determined that a defendant s negligence is clear. Many times, patients suffer unfortunate outcomes that are no one s fault. If, after a thorough investigation, we find this to be the case, we help our clients understand what happened. We will never bring a medical malpractice case based solely on a bad outcome.

    When negligence by a doctor or a hospital is found, our attorneys focus their efforts first on finding out what went wrong and then on developing the clearest way to explain it to a judge and jury.

    We spare no expense in pursuing our clients claims. Our medical malpractice lawyers retain and consult with our carefully selected network of the best, most knowledgeable and independent expert witnesses from throughout the United States. We also use focus groups and jury consultants to help us at trial.

    maintaining THE HIGHEST Standards of the Legal profession

    The attorneys at Silver Golub Teitell are fully committed to maintaining the highest standards of the legal profession. Our three name partners have taught trial practice at Yale Law School in New Haven, CT, and Quinnipiac University Law School in North Haven, CT. The firm also sponsors an annual lecture series at the Quinnipiac University Law School and a law school scholarship has been established in the firm’s name. Silver Golub Teitell is included in the Martindale-Hubbell ® Bar Register of Preeminent Lawyers™. Several of our attorneys have achieved a Martindale-Hubbell AV ® Preeminent™ rating the highest peer review available. In addition, many of our attorneys have the distinction of being named Connecticut Super Lawyers* by Connecticut Magazine. The firm is honored to have seven lawyers again selected for inclusion in The Best Lawyers in America®* (2017) and to be named to the 2016 U.S. News Best Lawyers® list of Best Law Firms. *

    * Disclaimer: Any references to Super Lawyers, the Super Lawyers “Top 50, The Best Lawyers in America and The Best Lawyers in America “Lawyer of the Year” contained in this website are not intended to suggest that our attorneys are superior to other attorneys practicing in Connecticut. The link for Super Lawyers magazine’s Connecticut selection information can be found here. The Super Lawyers “Top 50″ list selection information can be found here. Click here for more information on the Super Lawyers selection process.The link to Connecticut selection information for The Best Lawyers in America can be found here. The Best Lawyers in America “Lawyer of the Year” selection information can be found here .

    Medical Malpractice Attorneys

    Cord Blood Banking – American Pregnancy Association #cord #blood #collection #procedure


    Cord Blood Banking

    Cord Blood Banking

    Cord blood is the blood that remains in the umbilical cord and placenta following birth. This blood is usually discarded. However, cord blood banking utilizes facilities to store and preserve a baby’s cord blood. If you are considering storing your baby s cord blood, make sure to use a cord blood bank accredited by the American Association of Blood Banks (AABB), like Viacord.

    For information about cord blood banking you may call Viacord toll-free at 1-866-384-0476 .

    Why would I store my baby’s blood in a cord blood bank?

    The cord blood of your baby is an abundant source of stem cells that are genetically related to your baby and your family. Stem cells are dominant cells in the way they contribute to the development of all tissues, organs, and systems in the body.

    Stem cells are able to transform into other types of cells in the body to create new growth and development. They are also the building blocks of the immune system. The transformation of these cells provides doctors with a way to treat leukemia and some inherited health disorders.

    The stem cells from your baby’s cord blood may also be effective in treating certain diseases or conditions of a parent or sibling. Cord blood stem cells have similar ability to treat disease as bone marrow but with significantly less rejection.

    Banking a baby’s blood and stem cells in a cord blood bank is a type of insurance. Ideally, you would not need to access your baby’s stem cells in order to address a medical concern. However, using a cord blood bank can provide peace of mind in knowing that you have a valuable resource if you need it.

    How is cord blood collected?

    The cord blood collection process is simple, safe, and painless. The process usually takes no longer than five minutes. Cord blood collection does not interfere with delivery and is possible with both vaginal and cesarean deliveries.

    Your health care provider will use either the syringe method or bag method for collecting the blood:

    • Syringe method. a syringe is used to draw blood from the umbilical cord shortly after the umbilical cord has been cut. The process is similar to drawing blood for a regular blood test .
    • Bag method. the umbilical cord is elevated to drain the blood into a bag.

    The syringe or bag should be pre-labeled with a unique number that identifies your baby. Cord blood may only be collected during the first 15 minutes following the birth and should be processed by the laboratory within 48 hours of collection.

    What happens to the cord blood once it has been collected?

    The baby’s cord blood will be processed and stored in a laboratory facility, often referred to as a blood bank. The cord blood should be processed and stored in a facility that is accredited by the American Association of Blood Banks (AABB) for the purpose of handling stem cells.

    What are the health risks to the mother or to the baby?

    There are no health risks related to cord blood collection. Cord blood is retrieved from the umbilical cord after it has been cut, thus preventing any pain, discomfort, or harm. This process is completely safe.

    How much does cord blood banking cost?

    There are usually two fees involved in cord blood banking. The first is the initial fee that covers enrollment, collection, and storage for at least the first year. The second is an annual storage fee. Some facilities vary the initial fee based upon the length of a predetermined period of storage.

    Depending on the predetermined period of storage, the initial fee can range from $900 to $2100. Annual storage fees after the initial storage fee are approximately $100. It is common for storage facilities to offer prepaid plans at a discount and payment plans to help make the initial storage a more attractive option for you and your family.

    What if I do not want to store the cord blood?

    Your baby’s cord blood could be a valuable resource for another family. From foundations to non-profit blood banks and medical facilities, there are numerous locations that will collect, process, and use the stem cells from your baby’s cord blood to treat other people.

    Just like other blood donations, there is no cost to the donor of cord blood. If you do not choose to store your baby’s blood, please consider donating it. Your donation could make a difference in someone else’s life.

    Click here to find a public cord blood donation site in your area.

    Where can I learn more about cord blood banking and arrange for cord blood banking services?

    There are several cord blood banks that are accredited by the American Association of Blood Banks. Most offer information on cord blood banking and provide private cord blood banking services. With a little research, you should be able to locate a credible cord blood bank online.

    Viacord is accredited by the AABB, and they are available to provide immediate answers to your questions. They can be reached toll-free at 1-866-384-0476 .

    Last updated: September 2, 2016 at 3:01 am

    Compiled using information from the following sources: