宜宾全脸脂肪填充(宜宾双眼皮哪儿做的好) (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

Kiley Winkelhake has been living with anxiety since she can remember."I would go to daycare, and they would have to rip me off my mom because of my separation anxiety. I would cry every day; I was in hysterics," Winkelhake recalls.At the age of 7, she started seeing a psychiatrist and was put on her first medication. By the time she was 12, she was diagnosed with depression and tried just about every legal medication for kids. "I got super depressed and really hopeless," Winkelhake says. "I didn't think I was going to make it to graduate at all. I was so sad, and I was pushing everyone away. I was really not healthy... at all."She felt like she was drowning. She says the voices around her were muffled, and mundane tasks like getting out of bed were suddenly very scary. Winkelhake had become suicidal. "I just felt like I was a burden to everyone, and I think a lot of the time when you're depressed and when you die by suicide, you're thinking you will make the people that love you be in less pain, and so when I was suicidal, I just was like 'Well, I think it will make my parent's life easier, and my friend's life easier if I just... died,'" she says. Through the help of friends, she connected with therapy, and with art as her outlet, Winkelhake made it to graduation. She says she's feeling much better today."I'm 20 now, and I never really thought I would be 20," she says. But I'm alive, and it's kind of amazing, I guess."She knows anxiety and depression will forever be a part of her, and learning how to live with it is her current mission."It's not about getting rid of the pain or the illness. It's about learning how to control it, and not let it control you anymore," Winkelhake says.We often hear about those who have taken their life, but health professionals say a majority of people struggling with mental health issues are able to find happiness again."If there's any way that what I can say can impact someone and keep them alive, or help them get help, then I want to be able to do that," Winkelhake says."What we know is that suicide is preventable. If people get access to resources, the crises in their life that are leading them to be suicidal, often pass," Julie Cerel, with American Association of Suicidology, said says.National organizations like American Association of Suicidology and Sources of Strength say it's important to pay attention to people like Kiley because she's living proof that there is a light at the end of the tunnel. "We can wrestle with mental illness. We can wrestle with really difficult things in our lives and get through that, and still really live a healthy life," Sources of Strength Executive Director Scott LoMurray says.Sources of Strength is a program aimed at empowering teenagers and young adults to seek connections and healthy behavior. The organization offers support for young people dealing with depression and anxiety. But what makes it unique from other organizations is its upstream approach to prevent students from feeling suicidal in the first place."We spend a lot more of our time actually focusing on strength, focusing on resiliency, focusing on recovery, focusing on health and help and what those things look like," LoMurray says.One strategy is teaching students about coping mechanisms. Sources of strength calls it "protective" factors, which includes family support, positive friends, mentors, healthy activities, generosity, spirituality, medical access, and mental health."That might be listening to music, that might be talking to a friend, that might be a mindfulness practice or a gratitude practice where every night you write down three things you're grateful for. Those things actually have really profound impacts on our brain," LoMurray explains.LoMurray says volunteering and healthy exercise can also put somebody in a better head space, giving them a sense of purpose and worth. But in the end, there isn't one answer to solving mental health. It's a complicated issue, which is why both LoMurray and Kiley are thankful for -- what they say has been -- a recent culture change around the topic."I've definitely seen a shift in people talking about mental health more, and embracing taking care of yourself and not being as judgmental on taking medication," Winkelhake says."The reality is, being very clear and direct with someone and saying, 'I'm really worried about you... that you might be thinking about suicide,' is actually a relief for people who are thinking about suicide. If someone is that desperate, it's likely suicide is already on their mind," Cerel says.Winkelhake says she appreciates the conversation because she knows she's not alone. "I think it's cool to see people that are alive living with this illness because we talk so much about the people that pass away from the illness, but we don't talk about the people that are living with it and learning how to live with it," she said.She says it's helpful to know everyone is more accepting of the illness. Winkelhake now lives her life using art as her solace and finding a reason to be happy one day at a time."I just hope that I can live in an honest way that brings happiness to me and the people around me," Winkelhake says. If you or someone you know is suffering, please call the National Suicide Prevention Lifeline at 1-800-273-8255.****************To contact the journalist for this story, email Elizabeth Ruiz at elizabeth.ruiz@scripps.comTo learn how communities can help people struggling with mental health, watch the second video above, featuring Shannon Breitzman with Health Management Associates. 5609

Laurie Sylvia, the fourth person in Massachusetts infected with Eastern equine encephalitis (EEE) since the beginning of August, has died.Sylvia was being treated at Tufts Medical Center in Boston after contracting the dangerous mosquito-borne virus that causes brain swelling in humans, said Jeremy Lechan, Tufts' senior media relations specialist.The other cases of infection this month are those of two men over 60 and another man between 19 and 30.This is the first time EEE cases have been reported in Massachusetts since 2013.State epidemiologist Catherine Brown told CNN in a statement that warmer temperatures and above-average rainfall in July sped up virus replication in mosquitoes, which could explain the uptick in EEE activity.Migratory birds might have even spread a new strain of the virus, though lab tests that could prove that have yet to be completed, she said.In Florida and Delaware, the virus has been detected in sentinel chickens, though neither state has seen any cases reported in humans.EEE kills one-third of those infectedEEE is rare but potentially fatal. Anywhere from 5 to 10 human cases are reported every year, but about 30% of all cases are fatal, according to the 1213

Immigration and Customs Enforcement is pressing forward to arrest and deport families with court-ordered removals in 10 cities beginning Sunday, according to a senior immigration official, after President Donald Trump's 231

It's a feeling of extreme work stress that's long been embedded in the cultural lexicon, and now it might be codified in your medical records as well.Burnout is now a legitimate medical diagnosis, according to the 226

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