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As a friend said to me, Dude, you have been screwed :-)
Day 1, Surgery
Day 2, Standing on my feet with a little help..
Day 3, Walking short walks with a walking chair..
Day 4, Walking all by my self again..
www.medilaw.tv - This movie illustrates the technique for performing a lumbar spinal cord stimulation using a paddle electrode. This movie shows patient positioning, skin preparation and incision, surgical approach, the laminotomy, paddle electrode insertion, test stimulation, extension lead tunneling, pulse generator connection and insertion over the buttock, and wound dressing.
Special pain nerves carry pain messages from the body through the spinal cord, to the brain. When the messages reach the brain, we become aware of the pain. If the adjacent non-pain nerves in the spinal cord are activated, it can decrease the transmission of the pain nerve's pain messages to the brain and hence decrease our awareness of the pain.
Spinal cord stimulation is used to decrease the sensation of pain from a particular area of the body by activating the adjacent non-pain nerves. The first spinal cord stimulation system was implanted in 1967. A strip of electrodes on a lead is placed in the epidural space next to the spinal cord in the spinal canal. The lead is either connected by cable to a low voltage battery-powered impulse generator that is implanted under the skin, often in the lower abdomen or upper buttock, or to a receiver under the skin which receives power and instructions from a radio-frequency transmitter worn against the skin. The implantable impulse generator and the receiver/transmitter units are not seen through clothing or heard when operating. They can be programmed to send varying patterns of electrical current to the spinal lead, which masks the painful messages being transmitted to the brain by producing a tingling or numb sensation in the area of the original pain.
The conventional batteries in an implantable generators last two to five years, whereas the rechargeable batteries last five to ten plus years. However the rechargeable batteries take twenty minutes to two hours to recharge. Both batteries eventually need to be replaced by a minor surgical procedure. The conventional generators are best for simple pain patterns and low to moderate pain levels as they are less programmable and they produce lower power output. They can be turned on and off with an external magnet or hand-held programmer. More complex pain patterns requiring higher power output ideally would have a rechargeable impulse generator.
The radio-frequency transmitter-receiver systems have the power and control systems outside the body. The transmitter is worn on a waist belt, and its antenna is taped to the skin. The antenna transmits to the receiver just under the skin. They are better for complex pain patterns, as they can deliver more energy and can be programmed to produce complicated electrical patterns. Programming can be done using the external power transmitter. A flat battery in the external transmitter is easily replaced, and does not require a surgical procedure. However radio-frequency systems require daily maintenance, and the transmitter needs to be worn against the skin whenever pain relief is required, which can cause skin irritation.
A trial stimulation is usually undertaken for a few days to assess pain relief during daily activities. You will be asked to keep a diary of the electrical patterns used and their resulting pain relief during different activities. Trial stimulation is not essential, but allows assessment of pain relief, daily function and sleep improvement, and narcotic medication reduction before permanently implanting the generator or receiver. The trial electrode-containing lead is placed percutaneously through the skin by a needle requiring only local anesthesia and some IV sedation. The percutaneous procedures are usually done as an outpatient, that is, in and out of the hospital on the same day. The trial lead is often left in place for one week, then removed. If the trial is successful, the implantable generator or the receiver and new leads are inserted two weeks later, using light sedation or general anesthesia. Larger paddle electrodes require the removal of some bone from a vertebra under a general anesthetic to make room to slide them into the epidural space. In this case, you will need to stay overnight in the hospital. When the leads are implanted, your doctor will position the lead and program the electrical stimulation pattern and ask for your feedback to determine the best pain relief set-up. You will be able to modify the electrical stimulation during daily activities within limits set by your doctor, by using the external programming unit. lawyer multimedia
Rick Hansen Institute
ABOUT
Who are we? The Rick Hansen Institute is a collaboration of people with spinal cord injuries, researchers and service providers committed to addressing priority needs and generating solutions for people with SCI.
Where have we come from – what is our history? Since his Man In Motion World Tour more than 20 years ago, Rick Hansen has nurtured a dream of true collaboration across the SCI community. Six years ago, his dream began to be realized when the SCI Network was established with funding from the federal government (Western Economic Development) invested through the Rick Hansen Foundation. Three initiatives evolved — the SCI Solutions Alliance, the Rick Hansen SCI Registry, and the SCI Translational Research Network, which was funded by a $30 million investment from Health Canada. In April 2008, a decision was made to combine these three entities into a single organization, which is more effectively and efficiently addressing priority needs and generating solutions for people with SCI. This merger represents an integrated approach that strives for synergy and best use of the approximately $70 million that has been invested in our work.
What outcomes or results are we looking for? Together, we strive to:
-minimize disability and maximize the quality of life of people with SCI
-enhance health, social and economic outcomes through seamless coordination among the many organizations that provide services to people with SCI.
What do we do? How do we achieve our desired outcomes? The Rick Hansen Institute:
-identifies and translates SCI research breakthroughs into innovations, validated solutions and best practices
-work with our community partners across Canada to identify, fund and facilitate solutions that address priority needs of Canadians with SCI
-moves knowledge into action, promoting adoption of best practices at all points on the continuum of treatment, care and support for people with SCI.
The Rick Hansen Institute became incorporated in March, 2009. We received charitable status from Canada Revenue Agency (CRA) in January, 2010 and now operate as an independent organization.
Paralyzed Veterans of America hosts its third annual Summit + EXPO, bringing together top researchers and health professionals to share best practices and learn about the latest research, treatments and therapies in spinal cord injury/disease and multiple sclerosis (MS) health care. To learn more about Summit 2013, please visit www.pva.org/summit2013.
Advertising Agency: Marketforce, Perth, Australia
Executive Creative Director: Andrew Tinning
Art Directors: Steve Lorimer, Andrew Tinning
Copywriters: Steve Lorimer, Tom Wilson
Retoucher: Madeleine de Pierres
Account Service: Erin Baker, Carrick Robinson, Sharyn Boer
Account Coordinator: Lauren Humphries
A $350,000 investment by the Province will help the International Collaboration on Repair Discoveries (ICORD) research centre expand programming and create new rehabilitation strategies to benefit those with spinal cord injuries.
Learn more: www.newsroom.gov.bc.ca/2014/07/spinal-cord-research-gets-...
Part of a self portrait project, I wanted to photograph something "darker" than what I would usually.
"Spinal sediment", a piece of cast aluminium by WeatherGrrrl. She used grasses, hair, and various other materials to generate the fine texture.
One of the friends is able-bodied; polio, spinal muscular atrophy, osteogenesis imperfecta, blindness.
Hassan was a farmer in Syria. He suffered a spinal injury when he was struck by shrapnel from a bomb explosion near his home, and then fell from a first floor balcony to the ground in Syria in August 2014. He was evacuated to Jordan and now lives with his daughter, but his wife is still in Syria.
© Abbie Trayler-Smith/Panos for DFID
“When Handicap International came to see me, I didn’t feel like a patient anymore. I just felt like a person again”, he says.
He’s also been receiving physio and occupational therapy sessions from Handicap International’s mobile teams. Like most Syrian refugees, he’s desperate to go back to Syria.
The Upper Crust
28 Rugg Road
Allston, MA, 02134
cwriggs@gmail.com
Website: theuppercrust.org
Contact: crustmail@gmail.com
www.myspace.com/benjamingrotto
Members
Lord Bendover (Nat Freedberg) (guitar, vocals) (1995–present)
Count Basie (Chris Cote) (bass, vocals) (1996–present)
The Duc D'istortion (Dave Fredette) (guitar, vocals) (1995–present)
Jackie Kickassis (Jim Janota) (drums) (1995–present)
From the official Bio
The Upper Crust played their first show in the back room of a Cambridge, Massachusetts bar one Monday night in 1994.
Not for a moment did they or anyone else imagine that-more than a decade later-they would be comfortably enshrined in
the pantheon of rock stardom, polishing their platform shoes to kick it up a notch with their newly remixed, remastered
collection of stellar hits “Cream of the Crust.”
The original band concept was simple and loaded with comic potential: Young fellows singing about the joys and sorrows
of the only life they knew, like numberless youths since the dawn of rock and roll… only these lads are filthy rich and
theirs is a life of appalling self-indulgence, entitlement and privilege. The result was seen in instant classics like “Let
Them Eat Rock,” “Little Lord Fauntleroy,” and “We're Finished With Finishing School.” Like any other concept band, the
odds against longevity seemed loaded. No one has been more surprised then they themselves to find that the public's
appetite and affection for the Upper Crust, far from diminishing, has grown more insatiable with every passing year.
It was not long before the band's image resolved into sharper focus, as they adopted the dress and personae of members of
the 18th century European aristocracy in powdered wigs and knee breeches, and the identities Jackie Kickassis (drums),
Lord Bendover (guitar, vocals) the Duc d'Istortion (guitars, vocals). Original members Lord Rockingham and the Marquis
du Rocque left to pursue other careers and were replaced by the vastly talented Count Bassie (bass, vocals).
The Crust appeared on Conan O'Brien, played with Aerosmith, earned accolades in national press (Vogue, GQ, etc.). They
released three studio CDs and one live CD on various independent labels. They won the love and devotion of an ever-
growing legion of fans, among them many music and show-business celebrities like Joan Jett, Steven Tyler and daughter
Liv, Steve Jones (Sex Pistols), Tenacious D, etc.; people who could appreciate the nuances of their art with its peculiar
blend of head-banging hard-rock, comedy, and theater.
Preferring the lavish comforts of their stately homes and disliking the hardships of the road, for several years they played
mainly East Coast shows and spot tours, where they would fly to England, New Orleans or Los Angeles for one or two
shows. In this way they succeeded in avoiding the demands of celebrity while enjoying its perquisites.
But now the time has come for them to claim their due, and with the aid of famed producers Sean Slade and Paul Q.
Kolderie, they've remixed and remastered a compilation of 18 of their greatest hits. Cream of the Crust is released in
collaboration with Redeye Distribution.
The band has been feverishly active since September, hitting such diverse markets as Raleigh, N.C., Milwaukee, Chicago,
Cleveland, Boston, Providence, R.I., New York, Philadelphia and Baltimore. Next, they contemplate a full West Coast
tour and a more detailed Southern itinerary, and are entertaining offers from European promoters.
A live Upper Crust DVD entitled “Horse & Buggery” will be issued by Reptilian Records of Baltimore in November
to celebrate the label's 17th anniversary.
An animated appearance on the Comedy Channel's “Code Name: Kids Next Door” is scheduled for this winter (date
to be determined).
Press activity is already swelling, with forthcoming spreads in several national publications.
The band will be doing extensive radio and press promotion is available for interviews, in-store appearances and all other
publicity.
From Wikipedia, the free encyclopedia
The Upper Crust is an American hard rock band from Boston, Massachusetts. The members adopt the personas of 18th century aristocratic fops and sing songs from that perspective. They use titles of nobility, wear powdered wigs and period costumes, and maintain a snobbish attitude while performing live and on their albums. The members say that their guiding philosophy is "If not great and excellent, then debauched."
Their major music influence is Bon Scott-era AC/DC, alongside glam rock band Kiss and fictional heavy metal band Spinal Tap. Rolling Stone has stated that "Dismiss Boston's Upper Crust as a joke rock band if you must, but give them this much: They're actually funny, and there's as much rock as mock to their singular brand of "roque"" and that "there's plenty of worthy riffs and double-entendre wit to go around". The group originated from a Boston surf rock band called 'The Clamdiggers'. Other related bands were The Bags, The Titanics, The Satanics, The Flies, The Oysters and Seks Bomba.
Website: theuppercrust.org
Contact: crustmail@gmail.com
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"Spinal sediment", a piece of cast aluminium by WeatherGrrrl. She used grasses, hair, and various other materials to generate the fine texture.
The kit and its assembly:
This rather rigorous conversion had been on my project list for many years, and with the “Gunships” group build at whatifmodellers.com in late 2021 I eventually gathered my mojo to tackle it. The ingredients had already been procured long ago, but there are ideas that make you think twice before you take action…
This build was somewhat inspired by a CG rendition of a modified Su-25 that I came across while doing online search for potential ideas, running under the moniker “Su-125”, apparently created by someone called “Bispro” and published at DeviantArt in 2010; check this: (www.deviantart.com/bispro/art/Sukhoi-Su-125-Foghorn-15043...). The rendition shows a Su-25 with its engines re-located to the rear fuselage in separate nacelles, much like an A-10, plus a T-tail. However, as many photoshopped aircraft, the shown concept had IMHO some flaws. Where would a landing gear go, as the Su-125 still had shoulder wings? The engines’ position and size also looked fishy to me, quite small/narrow and very far high and back – I had doubts concerning the center of gravity. Nevertheless, I liked the idea, and the idea of an “A-10-esque remix” of the classic Frogfoot was born.
This idea was fueled even further when I found out that the Hobbycraft kit lends itself to such a conversion. The kit itself is not a brilliant Su-25 rendition, there are certainly better models of the aircraft in 1:72. However, what spoke for the kit as whiffing fodder was/is the fact that it is quite cheap (righteously so!) and AFAIK the only offering that comes with separate engine nacelles. These are attached to a completely independent central fuselage, and this avoids massive bodywork that would be necessary (if possible at all) with more conventional kits of this aircraft.
Another beneficial design feature is that the wing roots are an integral part of the original engine nacelles, forming their top side up to the fuselage spine. Through this, the original wingspan could be retained even without the nacelles, no wing extension would be necessary to retain the original proportions.
Work started with the central fuselage and the cockpit tub, which received a different (better) armored ejection seat and a pilot figure; the canopy remained unmodified and closed, because representing the model with an open cockpit would have required additional major body work on the spinal area behind the canopy. Inside, a new dashboard (from an Italeri BAe Hawk) was added, too – the original instrument panel is just a flat front bulkhead, there’s no space for the pilot to place the legs underneath the dashboard!
In parallel, the fin underwent major surgery. I initially considered an A-10-ish twin tail, but the Su-25’s high “tail stinger” prevented its implementation: the jet efflux would come very close to the tail surfaces. So, I went for something similar to the “Su-125” layout.
Mounting the OOB stabilizers to the fin was challenging, though. The fin lost its di-electric tip fairing, and it was cut into two sections, so that the tip would become long enough to match the stabilizers. A lucky find in the scrap box was a leftover tail tip from a Matchbox Blackburn Buccaneer, already shortened from a former, stillborn project: it had now the perfect length to take the Su-25 stabilizers! To make it fit on the fin, an 8mm deep section was inserted, in the form of a simple 1.5mm styrene sheet strip. Once dry, the surface was re-built with several PSR layers. Since it would sit further back on the new aircraft’s tail, the stinger with a RHAWS sensor was shortened.
On the fuselage, the attachment points for the wings and the engine nacelles were PSRed away and the front section filled with lots of lead beads, hoping that it would be enough to keep the model’s nose down.
Even though the wings had a proper span for a re-location into a low position, they still needed some attention: at the roots, there’s a ~1cm wide section without sweep (the area which would normally cover the original engine nacelles’ tops). This was mended through triangular 1.5 mm styrene wedges that extended the leading-edge sweep, roughly cut into shape once attached and later PSRed into the wings’ surfaces
The next construction site were the new landing gear attachment points. This had caused some serious headaches – where do you place and stow it? With new, low wings settled, the wings were the only logical place. But the wings were too thin to suitably take the retracted wheels, and, following the idea of a retrofitted existing design, I decided to adopt the A-10’s solution of nacelles into which the landing gear retracts forward, with the wheels still partly showing. This layout option appears quite plausible, since it would be a “graft-on” solution, and it also has the benefit of leaving lots of space for underwing stores, since the hardpoints’ position had to be modified now, too.
I was lucky to have a pair of A-10 landing gear nacelles at hand, left over from a wrecked Matchbox model from childhood time (the parts are probably 35 years old!). They were simply cut out, glued to the Su-25 wings and PSRed into shape. The result looked really good!
At this point I had to decide the model’s overall layout – where to place the wings, the tail and the new engine nacelles. The latter were not 1:72 A-10 transplants. I had some spare engine pods from the aforementioned Matchbox wreck, but these looked too rough and toylike for my taste. They were furthermore too bulky for the Su-25, which is markedly smaller than an A-10, so I had to look elsewhere. As a neat alternative for this project, I had already procured many moons ago a set of 1:144 resin PS-90A engines from a Russian company called “A.M.U.R. Reaver”, originally intended for a Tu-204 airliner or an Il-76 transport aircraft. These turbofan nacelles not only look very much like A-10 nacelles, just a bit smaller and more elegant, they are among the best resin aftermarket parts I have ever encountered: almost no flash, crisp molding, no bubbles, and perfect fit of the parts – WOW!
With these three elements at hand I was able to define the wings’ position, based on the tail, and from that the nacelles’ location, relative to the wings and the fin.
The next challenge: how to attach the new engines to the fuselage? The PS-90A engines came without pylons, so I had to improvise. I eventually found suitable pylons in the form of parts from F-14A underwing missile pylons, left over from an Italeri kit. Some major tailoring was necessary to find a proper position on the nacelles and on the fuselage, and PSRing these parts turned out to be quite difficult because of the tight and labyrinthine space.
When the engines were in place, work shifted towards the model’s underside. The landing gear was fully replaced. I initially wanted to retain the front wheel leg and the main wheels but found that the low wings would not allow a good ground clearance for underwing stores and re-arming the aircraft, a slightly taller solution was necessary. I eventually found a complete landing gear set in the scrap box, even though I am not certain to which aircraft it once belonged? I guess that the front wheel came from a Hasegawa RA-5C Vigilante, while the main gear and the wheels once belonged to an Italeri F-14A, alle struts were slightly shortened. The resulting stance is still a bit stalky, but an A-10 is also quite tall – this is just not so obvious because of the aircraft’s sheer size.
Due to the low wings and the landing gear pods, the Su-25’s hardpoints had to be re-arranged, and this eventually led to a layout very similar to the A-10. I gave the aircraft a pair of pylons inside of the pods, plus three hardpoints under the fuselage, even though all of these would only be used when slim ordnance was carried. I just fitted the outer pair. Outside of the landing gear fairings there would have been enough space for the Frogfoot’s original four outer for pylons, but I found this to be a little too much. So I gave it “just” three, with more space between them.
The respective ordnance is a mix for a CAS mission with dedicated and occasional targets. It consists of:
- Drop tanks under the inner wings (left over from a Bilek Su-17/22 kit)
- A pair of B-8M1 FFAR pods under the fuselage (from a vintage Mastercraft USSR weapon set)
- Two MERs with four 200 kg bombs each, mounted on the pylons outside of the landing gear (the odd MERs came from a Special Hobby IDF SMB-2 Super Mystère kit, the bombs are actually 1:100 USAF 750 lb bombs from a Tamiya F-105 Thunderchief in that scale)
- Four CBU-100 Rockeye Mk. II cluster bombs on the outer stations (from two Italeri USA/NATO weapon sets, each only offers a pair of these)
Yes, it’s a mix of Russian and NATO ordnance – but, like the real Georgian Su-25KM “Scorpion” upgrade, the TAM-1 would certainly be able to carry the same or even a wider mix, thanks to modified bomb racks and wirings. Esp. “dumb” weapons, which do not call for special targeting and guidance avionics, are qualified.
The gun under the nose was replaced with a piece from a hollow steel needle.
Ed Fletcher is an award-winning Spinal Injury Lawyer and paraplegic wheelchair user who has committed his working life to assisting other with spinal injuries. For more visit his blog at: www.edfletcher.com
Photographer: Jan Sturmann
May 6, 2011 - Private eLEGS event demonstration
Pictured: Amanda Boxtel and engineer, Tim Swift, PhD
Quote from Amanda; "While my spinal cord injury took away my ability to walk, it didn't take away my ability to dream. Bionic technology is helping turn my dreams into my reality".
Paralyzed Veterans of America hosts its third annual Summit + EXPO, bringing together top researchers and health professionals to share best practices and learn about the latest research, treatments and therapies in spinal cord injury/disease and multiple sclerosis (MS) health care. To learn more about Summit 2013, please visit www.pva.org/summit2013.
This is a top down picture of the effects of aging on the spine. The top picture is a normal spinal canal. The bottom picture shows hypertrophy (enlargement) of the facets in the rear of the canal and bulging of the disc in the front which conspire to narrow the spinal canal.
Dr. Donald Corenman is a Back Doctor in Colorado. He has written countless articles and documents on spine and back pain. He is also the author of books relating to the spine and back.
"Spinal sediment", a piece of cast aluminium by WeatherGrrrl. She used grasses, hair, and various other materials to generate the fine texture.
The Spinal Injuries Association (SIA) is the leading national user-led charity for spinal cord injured (SCI) people. Being user led, we are well placed to understand the everyday needs of living with spinal cord injury. We campaign for change ensuring each person can lead a full and active life. We are here to support spinal cord injured people from the moment their spinal cord injury happens, and for the rest of their life.