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Callejeando, almost without realizing it, I've run into the sea and I decided to put my feet and refresh awhile. I say goodbye few weeks, waiting for the saltwater exercise the desired effect and soon return to the fray with this stubborn idea of \u200b\u200bbecoming the best doctor possible.

Happy August.

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ecoguiada injection into the joint Semper

Interesting article Journal of Ultrasound, 2003 (nearly a century) that talks about the feasibility of infiltration of corticosteroids + local anesthetic into the sacroiliac joint . The study, conducted on 60 patients , includes patients after treatment with A INES and continue with physiotherapy symptoms.

highlights the fact that we reveal sincere authors: the success rate in the first 30 ultrasound-guided injections (ie, reaching the intraarticular space) is 76% ; of the last 30 , the 93.5%. Experience is a degree that they say.

The article argues this technique to the CT and fluoroscopy by radiation, and MRI , by its inaccessibility. Among the disadvantages , appointing the difficulty of identifying joint space and therefore to guide the needle . But as we said at the beginning, the article is from 2003 and, from that, and have poured many MHzs

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STAR SQUARE BOXES BOX

Here I give you a box in a star ke to save some chocolates I enjoy it haha \u200b\u200b

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aka another hexagonal box model can say is a variation

ke

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good after a new tiemppo ak I took some photos to share as this beautiful box with a pink hexganol the likes centro.espero

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sacroiliac adaptabilis

Indeed ASSISTED, in our little piece of knowledge, a time changes. Some more obvious, one only glimpses.

The development of new technologies and constant increase what is known makes our brains are forced to pursue its center of gravity. Provided, for those who want, a dynamic challenging and demanding.

Given the changes, some concepts become obsolete and new ones emerge . However, do not think we overwhelmed by it, recalling with a sense of responsibility, as medical , retrain comes with the job and, on the other hand, remains tendon tendon and nerve , nerve . anisotropy, acoustic shadow ... are just words that come to enrich our semantic field .

Says a friend of mine, to be always adapt. And, hell, why has it!

Photo: Dr. Hans Selye (1907-1982). He described the General Adaptation Syndrome.