成都下肢静脉血栓的治疗多少钱(成都{静脉炎}怎么治疗比较好) (今日更新中)

It’s hard to regard Ellie as a menace.When Greg Manteufel is frustrated or feeling down, she sits by him. At night, she sleeps under his covers. At dinner, she’s there next to him, knowing he’ll throw something her way. She belies the stereotype of the vicious pit bull.“We love her like she’s our daughter,” he said of the dog.And yet, Ellie may be the reason Manteufel nearly died.Gravely ill, he lost parts of his arms and legs, as well as the skin of his nose and part of his upper lip. The cause was capnocytophaga (cap-noh-seye-TOE’-fah-gah), a germ from Ellie’s mouth or from another dog he encountered.Capnocytophaga is commonly found in the saliva of cats and dogs and almost never leads to people getting sick, unless the person has a compromised immune system. But Manteufel was perfectly healthy. In fact, he doesn’t think he’d ever used his health insurance before he fell ill.The case is extremely rare and doctors at his hospital, Froedtert & the Medical College of Wisconsin, had no explanation for why he got so sick. But over the last 10 years there have been at least five other healthy people who have had severe reactions to the germ. A team of researchers connected with Harvard Medical School has developed a theory on why — a gene change in all the victims.And their finding means doctors can’t rule out the capnocytophaga bacteria could strike Manteufel and other victims again.___Greg Manteufel thought he was getting the flu in June of 2018. He had a fever, vomiting and diarrhea. But when he started getting confused, his family took him to the hospital.Doctors did blood cultures and found capnocytophaga, which caused sepsis, a severe blood infection that led to his blood pressure dropping and many of his organs shutting down.“Do what you have to,” he told the doctors.He had so much to live for — foremost, his wife of 16 years, Dawn, and 26-year-old son, Mike. He was just starting to get really good at his day job, painting houses. He cherished his Harley Davidson Electric Glide. He was in the middle of fixing up his ’66 El Camino. And of course there was Ellie, the pup.And so he persisted, through more than 20 surgeries, including amputations of his left and right arms just below the elbow, and legs through the middle of the knee.His wife and son stayed optimistic, because he was.“Greg said he didn’t come this far to lay down and let this beat him,” Dawn Manteufel said.He was out of the in-patient rehab unit in about two weeks, learning to move from his wheelchair to the bed, toilet and car. The usual stay is three to four weeks, said Dr. David Del Toro, medical director for the inpatient rehab unit at Froedtert.Manteufel made similar quick advances using his arm prosthetics and leg prosthetics.“He does not seem like any other patient I’ve met before,” Del Toro said. “He’s just, you know, full speed ahead.”Meanwhile, researchers at Brigham and Women’s Hospital in Boston, connected to Harvard Medical School, as well as Dana-Farber Cancer Institute and Beth Israel Deaconess Medical Center had been investigating cases like his.The team has done genetic testing on five otherwise healthy people who suffered capnocytophaga infections to see if they could find anything in common. They discovered all had a gene connected to the immune system that was working differently — a genetic variant.“It was a really thrilling moment,” said Elizabeth Fieg, a genetic counselor at Brigham and Women’s Hospital. “The stakes are so high with these cases and the patients have gone through so much.”They believe it makes those people more susceptible to developing severe medical problems from capnocytophaga. But they are also trying to determine if there are other risk factors.Of the five in the study, three survived with amputations and two did not. Fieg hopes their research can determine why some did not survive.She also hopes if their theory is confirmed, it will help diagnose cases faster, and perhaps save lives and limbs.That’s why Greg Manteufel jumped at the chance to take part when he was approached in August.Researchers need to gather more evidence, but hope to publish their study in the next year to 18 months.___Manteufel’s life now includes frequent occupational therapy appointments to perfect his use of arm prosthetics — the kind with metal moveable hooks at the end. He’s using a fork regularly and he’s now working on picking up the TV remote, opening doorknobs, cutting vegetables and doing the dishes.He’s using shortened leg prosthetics, called stubbies, to get his body conditioned to eventually use to full-sized ones. Those are expected to arrive any day.Plastic surgeons plan another surgery to perfect his nose. They’ve already moved skin from his forehead there. It looks oversized now, but it will eventually fit in with the rest of his face.He plans to get his car revamped so he can drive with prosthetics. He wants to get a special pole so he can go fishing again. He is even considering going back to work painting.He’s also become less quiet and a lot more outgoing. “Now everybody I see wants to hear something or talk to me. I tell them a 15-minute story about what happened. They probably want me to leave, you know,” he said, chuckling.Ellie’s often by his side.“She loves kids. She loves puppies. Other dogs,” Manteufel said.As harmless as she seems, she may have capnocytophaga germ.The results of Manteufel’s genetic tests are expected in three to four months. Fieg said people with the gene variant are at increased risk for recurrent capnocytophaga or other infections in the future.While Manteufel doesn’t like the sound of that, he said Ellie’s accidentally scratched him since he’s been home and even licked his mouth. He’s been fine.And even if he does have the gene variant, he said, it changes nothing.“We didn’t even bother testing her,” said Manteufel. “We weren’t going to get rid of her if it was her that caused it anyway.”“We just love her to death.” 5972

In a press conference with reporters Monday, the Department of Defense said that 37 people in the department had contracted COVID-19 and that it is suspending most domestic travel.According to Jonathan Rath Hoffman, the Assistant to the Secretary of Defense for Public Affiars, the 37 cases include 18 military members, 13 dependents, three civilians and three contractors. Officials say 495 people as of yesterday morning in the Department of Defense had been tested for the virus.The Department of Defense's new travel policy cuts out all domestic travels, except for mission-dependent travel and travel for humanitarian aid.Hoffman also said that Pentagon officials are also ensuring that Secretary of Defense Mike Esper and his deputy, David Norquist, and their staff will remain separated so as to prevent the spread of COVID-19. 846

LANSING, Mich. — Secretary of State Jocelyn Benson's office is working to add a third gender option on Michigan licenses.The possibility to add a non-binary option might be complete by 2021, according to 216

It’s really cold this morning in @CityOfLasVegas. If using a space heater to get ready for work/school, make sure to unplug it before you leave & make sure nothing is around it. Make sure the stove is OFF on the way out too. Dress warmly, it’s freezing in some neighborhoods. pic.twitter.com/LQpvX4TQhI— Las Vegas FireRescue (@LasVegasFD) February 20, 2019 372

In Fort Collins, Colorado, there’s a place where athletes train seven days a week. The gym, run by Ryan Schultz, is called Trials Mixed Martial Arts and it’s not an ordinary gym.“This gym isn’t for your average person,” Schultz says “You’re going to be pushed here. You’re going to be tested. Overall, I think this place is for everybody. I think you just have to have the right mind set.” This gym is opened to athletes, and Schultz said that includes everyone. “If you’re an adaptive athlete, for example someone who had their leg removed, we have stuff for you as well here,” Schultz says. “But our mentality here is that there’s no laying down in life. Life doesn’t wait for anybody. I think that when people get a disease, or some sort of diagnosis it’s overwhelming for them and they tend to shut down. That’s more of the time to keep moving forward.” Schultz has multiple programs running through his gym. One of the programs was started by him and his friend Glenn Beach.“I was diagnosed with Parkinson’s disease five years ago,” Beach says. “And I’ve been training with Ryan to help treat it.” “Glenn brought to me the Rock Steady Program,” Schultz says. “I like Rock Steady, because they have research that proves this type of program works.”Rock Steady uses boxing to help those fighting Parkinson’s. Beach says this program changed his life. “I’ve had, I would say, a 100 percent improvement,” Beach says. “I had no control over my left hand. Now, I only have a subtle tremor every once in a while. It’s so much more manageable now, and a lot of it has to do with the training I got through Rock Steady.” The course is offered three times a week, and the workouts take about one hour. Beach says that the class does progress assessments every six to 12 months. According to the Parkinson’s Disease Foundation, it's estimated 1 million people in the United States are diagnosed with Parkinson’s disease. The foundation reports more than 60,000 people are diagnosed each year. 1999

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