Tag Archive | Pain

60,000 Choice Thoughts

We think up about 60,000 thoughts in a day. How vital it is that we make choices about our thinking.
Sound a bit too clinical for LBB? 
 
Maybe think About this: 
How important it is that we not think up 60,000 negative thoughts, or even 59,000. It is imperative that we not harbor cynical and negative thoughts. our brain has approximately 100 billion cells, and each is connected to about 20,000 other cells.  What this means is our thinking has the possibilities of billions, maybe trillions of various thoughts.
We have the freedom of choice
 Maybe we could begin anew if our thoughts of late have run into the fields of negativity.
My thoughts seem to revolve around my emotional intelligence lately, and sometimes the painful lessons my intelligence runs a foul with in that field of life.
With infinite combinations of brain cells to choose from why not try a whole new combination today?

While taking a self inventory you might find that what brought you to be the person you are today are the many painful, heart-crushing moments in our life that leave you winded. It might be a knee jerk reaction to run from those painful moments as fast as you can; thinking its the safest route.
Life just smacked you a good one and to stay in that moment and feel it.. is… well.. .painful.  Yes.
Life is painful, it is not that we are bad people having bad things happen to us.
It is that L.I.F.E. has to have pain in order to honor the joy.
Yes,  the yin & the yang. The negative and the positive.
Looking back on our thinking; without explanation, without apologizing, we can own the painful moments created along our journeys.
Painful moments exist. Life can hurt. But, remember we have been here before, we felt this before. We know we survived it. (though maybe it felt all to consuming at the moment)
There is that space in time again; The moment.  A friend shared that his bitter moments are balanced with his sweet, I love his thinking.
Without the bitter than can not possibly be the sweet. The positive needs the negative for their to be a true & concise connection.
There must be some truth to the adage “No Pan No Gain”.
Maybe it is how we evolve.
Life can hurt. A lot sometimes.
– The bitter.
Thankfully those painful moments come with built-in lessons.
 -The sweet.
For me quite often it is not until later that I realize there is a lesson, a sweetness garnered from the bitter moment.
Finally I see it.  Finally I feel it.
Feeling painful moments are good reminders for me to breathe deeply, and slowly; Inhaling the moment that came with its pain smack right in the middle of my living to bring & teach me some necessary growth.

Growth can come from places never even realized. Growth can come from places that we thought were not available to us, places we thought were dead & barren. Places of great disappointments.
Growth happens when we realize that it is not what happens in our lives that long stays with us, but it is t how we happen choose to respond to the happenings.
This is why it is called happiness.
Freedom to choose to see the sweet, balanced by the bitter.  (Thank you Groovy)
 I know for certain that I make the choice to hang on to hope, that what has ‘happened’ has happened for good reason.
Life it seems is much like a beautiful piece of embroidered cloth. The first half the embroidery is worked from the “wrong side’ of the fabric, stitching out the branches that will hold the blossoms, that bring the fruit.
The second half of life is the ‘right side’ of the fabric with its rich texture of all those pain-taken stitches.
Life’s lessons, even the painful ones, are much like how certain people are brought into our lives for a certain reasons.
I have a wooden plaque that sits in a prominent place in my home given to me my bestie in 2010 that I cherish to this day. It is also a reminder for me about the lessons that come into our lives.
It says:
” Some people come into our lives and quickly go. Some people stay for awhile and leave footprints in our hearts, and we are never, ever the same.”    (thank you DCD) 
©tjtaylot2013
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A Most Inspiring (award) Moment – You Are My Hero!

Today in my reader I am gingerly responding to charming and lovely comments from my followers and those  follow. A typical Monday morning for the Baroness. Luxury comes in many forms, one of them is reading what others are feeling about what you write, while the mirrored version of this is also being gifted with being able to read their thoughts and feelings on a myriad of topics from their blogs.

And then I open a particular alert for a comment on my post titled The Spoon Theory. I was not ready to be set back in my chair, with tears springing forth so fast I could not stop them if I had tried.

The comment that I found so emotional held an award for myself. But I believe the real message has little to do with me, or an award for me. Only the woman gifting me this would not see this. She is far too humble. and so very generous.

I’d like to take this award, this gift, of the Very Inspiring Award I just received and use it differently. Instead of passing more awards on to you my readers and followers ,I would like instead introduce you to one of my most treasured heroes.

2013 from Tersia

I want to honor the person who gifted this award to me. Tersia from her beautiful heart-broken blog TersiaBurger@ http://tersiaburger.com/

I thought at first this award I was going to accept in honor of her beloved daughter Vic, who lost her long battle with life this past winter.  Although it is true this is about her beautiful baby girl who blessed with her so much,  most of all her two fine grandsons who carry her daughters torch along with Tersia.

However  this feeling of being so overwhelmingly humbled by this award has so much to do with how Tersia is surviving. Yes, she is surviving and from her blog writing its obvious that she is working really hard to allow herself the gift to grieve for her precious daughter in her own way. As is right. As is just. ( Don’t let anyone else tell you how its done Tersia)

I want to celebrate Vic;s life here indeed,  I also want to honor her mothers generous soul. I can honestly say without exaggerating that I know not another like Tersia, who is a genuine & authentic woman whose soul is one I am easily able to relate to.  Both her heart and her soul.

I had the gracious gift of meeting Tersia & her beautiful Vic this last year through her writing on her blog. Chronic pain was the initial connection but it grew so quickly into something different.  I  was stunned by her raw honesty in how the most life altering of events of our world was unfolding in front of Tersia’s eyes and she has the goodness & unselfish thoughts to share with us. I know too it was also the cathartic process that she was writing firstly for.

In all honesty there was a time during Vic’s last days I had to stop reading Tersia’s blog. I was not being supportive as I would have liked to seen myself, but again Tersia knew this is part of that life cycle. She still accepted my friendship how it came. I love her for this.  I had long since stopped clicking “like” on her posts even though I love everything she wrote. I just could not click  “like” to a post that described the fact that her adult child was breaking vertebrae in her back from such violent vomiting. I just could not even think about clicking like although I might comment. I thought as a chronic pain patient myself I knew about chronic pain… I knew nothing. I mentioned both to Tersia because though I really am no one in the scheme of her life I still could not bear the thought she would feel someone had anyone had left her side during this time. She was losing her daughter, wasn’t that already too much?

Tersia as my hero for so many reasons. The tears are filling my eyes as today before I write this I read again Tersia’s posts about Vic’s last moments with her mum.

The fact is that in my country and my culture death is still seen as something to hide away from. I am not sure what your culture is like in this respect. I want you all to know neither Tersia and more importantly Vic did not hide Vic’s dying away from anyone. This is the most unselfish act I have ever witnessed. And that my friends is the gift of a lifetime. We share so much with one another about living life, yet when the most significant time in our lives is upon us we have no clue. No one shares because it is so painful. I get it. Yet when it is shared so openly as Tersia and Vic had done it’s a gift to be treasure and one day I will rely upon this gift for guidance.

But painful as it naturally it still is Tersia shares, and she does so with no regard to the possible negatives it can have on her own life because there are people who believe this is still a very private time. And I am not saying it’s not private, only that its nothing to hide. And Tersia proudly knows this.

There was never any loss of respect and dignity for Vic in Tersia’s sharing, instead just the opposite I believe from my distant stance.  Vic’s life being celebrated while she was alive, the things people felt about Vic were being shared lovingly with her and with her family. This feels like such a treasured time I can only imagine. I wish we had known this when my mother was dying.

There are so many reasons even as merely a blogging acquaintance I realize the cost this has taken on Tersia, yet its her convicted belief this was the right thing to do. So in case any of you are wondering….Yes! Tersia had Vic’s blessings to write whatever she needed. Vic knew of her mum’s blog, often Tersia would share comments with her but maybe not  the actual posts.

Tersia is my hero. I am in awe of her and humbled by her. I am also so completely enriched by all that she has taught me about loving, living, and dying. These gifts she brings and gives unknowingly what she is doing. She takes a life altering heart-break and turns into something that by her actions is filled such goodness I am still blown away by her generous honesty today.

So today with this award let me accept in honor of Tersia’s & her Beloved Vic.

Let me share with you these two most remarkable women’s struggles with living, and with dying.

Today let this award post be about honoring this very special daughter & mother I am so blessed to have the privilege of being part of my blogging world.

Today let Tersia Burger be my hero.

{ Dearest Tersia;  Simply now…Thank you for this award. The treasured moments & people you have taught me to be aware of are held fast and tight in this baroness’s heart.   You are truly one of them.

This music is because I know there are times you just need to be alone …… maybe this music might strike a chord and bring you some sense of peacefulness, even if just for a brief moment.

Please give yourself a little of Tersia’s gifts.. you’ll never be the same. http://tersiaburger.com/

Signature 2013

I Get By With A Little Help From My Friends

What would you do if I sang out of tune,

Would you stand up and walk out on me.

Lend me your ears and I’ll sing you a song,

And I’ll try not to sing out of key.

Oh I get by with a little help from my friends,

Mmm,I get high with a little help from my friends,

Mmm, I’m gonna try with a little help from my friends.

Do you need anybody?

I need somebody to love.

Could it be anybody?

I want somebody to love.

By The Beatles

Note To Readers: Yeah, I struck through the word “high” in the lyrics. It is not so much of a moral statement as it is more of a way for me to note with seriouss and with great respect for anesthesia while appreciating the aspects of being given good drugs and have them monitored safely by a credible doctor or registered nurse when  appropriate.

Yesterday while having the nerves in my neck, C3,4, C 4, 5, “Fried” I was never more grateful for the great gains in anesthesiology than I was during the RAF Ablation I had done yesterday. Help for both:  help with the light sedation that I found was necessary in more ways than I just assumed by what  my own need would be necessary during the procedure, and help with pain reliever which had actually never occurred to me that would be needed dduring the process. But it was. The general local I was given was never going to be enough. Despite the fact that Dr Swift had never had the procedure done himself it became obvious in a number of ways that he was concerned with his patients comfort. This is unusual in my experience. Typically the surgeon has no clue, wants none beyond the logistics of his or her role on the procedure, which I can appreciate. I am grateful that for the assurance that the process no matter what it is they are able to compartmentalize what is happening in front of them. That being said though there is a big difference between the doctors who are also able to be compassionate. I consider it a blessing to have a doctor who can do both.

For the sedation they used Versaid. [sic] The usual medicine used for surgery. It helps us relax, even in terms of receiving a General Anesthesia where the patient is put completely asleep it’s used to help the not remember a thing should they become aware of anything that was going on. It is the medicine most adults over 50 are familiar with, is used for colonoscopy’s.

The registered Nurse who was administering the meds intravenous was extremely conscientious with every step of the way. She was the only one who had told me about the fact that being burned on the skin from the radio-frequency at the procedure sight was a possibility. And that I being fair-skinned especially had a good chance. Its like being sunburned, which I get easily. The trick was going to be to ice it, ice and more ice.

Another aspect of the nurse whose name is Rene is that she was really good about explaining the procedure. I was wondering at the start of her explaining why Dr Swift or someone had not explained before arriving for the procedure. There are some elements that may have freaked me out, I may have gave in knowning about this, and then talked myself out of doing it. Once there and in her hands I felt safe. She explained to me that once the actual burning started that Dr Swift is excellent about staying in touch with the patient and asking how she is feeling. Rene said at any time I needed more of any of the medicines or the numbing agent to say something. DR Swift she said was really good about stopping, waiting for more meds to be administered. That I should not for any reasons hesitate. This information was platinum!

The pain medicine used, which I frankly had not though about needing except for post the procedure is another typical pain medicine used to keep a patient comfortable during a painful procedure if being conscious is the mandate. For an ablation it is necessary the patient be awake so that the doctor may talk with her during the process. I recognized that post the Ablation there may be points where stronger pain medicines might be valuable, the nerves are dying off after all and that cannot feel too good until they are in fact dead. And I have been warned that it can get worse before it does get better because of the nerves dying.

Without the help from these two medications I would never have been able to get through the procedure. Maybe not even the very first instruction given to me. Unlike the two test injections prior to this actual; Ablation they had me lie on my right side. The injections going in the left side of my neck as it is the left side that is being affected. The acual Ablation though required me to lie on my stomach, the actual Burning would need to go through the back of my neck. For anyone who has neck (cervical) issues, who has cervical surgery, and like me who  also has had a cervical fusion where I have a Titanium Plate graphed to my spine lying on my stomach is almost impossible. The positioning of my spine now I suppose because of the plate makes it impossible to bend my neck the small fractions it takes to move it into some sense of comfort. It helped that there was a massage pillow on the gurney table where I was able to put my nose, mouth, and chin. I could not though have been able to hold that pose for no 30 minutes without the pain medications and the sedative which helped relax my muscles.

Hence my above note regarding the lyrics I Get By With A Little Help From My Friends.

My Personal  Sidenote: Cause I just happen to think its so cool.

Speaking of friends and small towns (well somewhere we were) I have to share a sweet piece of private trivia. My nurse Rene was mentioning that she was keeping an eye on the 10 day local forecast. I wondered why and asked,. She said she was getting married in 10 days and it was an outside wedding. I was not surprised, June weddings and all.  I had no real personal interest over her wedding but wished her well and promised to do the sunshine dance for nice weather. My husband had been sitting quietly beside us,  I assumed pretty bored at three women (our daughter #2 was there as well) discussing wedding plans.  Oh Ho Hum….But he perked up and asked her is she would not by any chance be marrying Dr S. My husband D sees Dr S at the same clinic that I see Dr Swift at, and the surgical center I was having the procedure at is connected to. Swift. So, Dr Swift, Dr S and the nurse that stayed with me the entire time all work for the same clinic. And the nurse Rene and Dr S are getting married. What a small world it is. As soon as she knew D is a patient of Dr S it was like we were family. In fact when Rene walked me out tp our car pin being released she hugged me! So cool that we live in such a small town, and sometimes I complain about being small and the medical community being so tied together. I am so happy tp see the good side of that. And I am seeing it more and more if I am jsut patient and wait.

The procedure went really well.We listened to Journey, Steve Perry doing the lead vocals. One of my absolute fave of a bands os all time. But it has to be Steve Perry doing the leads. I was kind of touched that someone in that OR room had remembered a conversation about music we had during one of my test injections. Small town, you gotta love it.I ended up having to have more of the sedation medicine and the numbing agent Lidocaine.administered fairly soon after the first catheter was put in place. I could feel it. True to the word the process stopped as soon as I said something. None of thise, “oh we’re almost there, if you vcan just hand on a lttle longer.” The meds received, the procedure went on. I was good again not neding more meds until the thrd burn. I could feel even the heat of the tip which I now cannot rmember how many degrees he told us. The things we block .The action once again stopped at my rewiest fpr what  dd not know. I did know it hurt and I was not able to handle it. They answer of course was more pain medicine. I am so glad they have done a few times ir so.

I was doing so well after they let me leaving earlier than the norm. The particulars now that are important are taking it easy for a couple of days, icing the area for both interanl inflammation but also for a possible topical burn from the radio-frequency.I am burned a bit not what I expected because I am fair and the site is on the back of my neck under my haor when the light rarely sees.  This is something I would have not known about had my nurse (Rene  who prepped me and stayed with me the entire procedure. All the way to the car as I expained.

I’ll see Dr Swift again in 6 weeks.

I’m feeling really sore, my neck is sensitve. But even though its a different kind f pain its doable with light pain meds. What is really interesting to me is that I feel sun stroked. Its the only thing I can relate it to. The surgical center as habit phones the patient the day after their procedure to check on them. When I was phoned I told her everything different I was feeling, I do have the all the typical reactions, nothing out of the norm although the feeling  have of beng sunstroked. I am hot from the inside out. I know hot. I have an issue already with not being able to control my body temerature that is not hot flashes of typical hormone related. It has to do wuth the Hypo-Thymus. gland she had only heard of it in a patient who also has MS. I do have Fibromyalgia, Connective Tissue Disease, and Giant Cell Response, and wondered if either of those could make the matter, Apparently the Fobro was the tcket. Because its thought (now) to be a central nervous system disorder they suspect that because I am hyper sensitive to such things. I am not surprised, I am hyper sensitive to a lot of things, things that Id never think of and then it pops up. For instance I cannot wear anything with nylon in it. And that tends to be a problem. 100% Cotton is the all over answer. This reaction then is not a surprise and not anything I need to be concerned with. Just hand out in all air condtined room.

I feel like I am doing really well. Sleeping alot which is really cool since I have svere insomnia. I am taking advantage of the sleep I seem to be craving, and listening to my body. It is nice that already I am feeling some improvement in my left shoulder and arm pain wise. And this is just the beginning. I have faith in this procedure for me, that it is going to be my ticket back to normalcy.

I so cannot wait.

Goals in my life…. look out…… Here I come!

©tjhelser2012

{ edited for spelling corrections.}

Still Waiting…..and Waiting….On The Man

For those of you who also follow me on other blog FullCircledMe @ fullcircledme.wordpress.com/ please know that I will be reblogging this same post there. (so if you an alerted twice know it is the same post) I want, and even maybe need to share this on both blogs. Only you followers of both blogs will have the benefit to the post I have initially posted about this at FullCircledMe. I just realized that could be a bit of an issue.  We’ll see, I am always up for an experiment.

I am so not the patient person that I wish sometimes I was. Like today

I am waiting and have been waiting for ALL of my life for a phone call. Okay, not all of my life, but certainly the past say… er… 5 to 6 weeks. And definitely the last 3 weeks I have been waiting. And the call I am waiting for involves a pretty important man in my life right now.

But still I am waiting….and isn’t there a song?

The phone call I am waiting for and that is making me a bit wicked because of its failure to ring is from a surgeon. A neurosurgeon to be exact.

After much hullabaloo to get into see this physician I then went through a two-part series of injections into the cervical nerves affecting my ability to function, and my pain levels that I deal with daily. The two-part test injections were performed, I was given the okay to go ahead by the doctor who agreed to the procedure, and my insurance company. Last week I was told by his medical assistant that my pre-auth had come through, I was just had to wait for his surgical scheduler to phone me. Cool.

If I seem like I am little  too excited to have this procedure done,… you’ve got good instincts. I am impatient and I need to have this done. My life feels like it is limbo right now. But I waited for the Elusive Scheduler to phone.

I am still waiting…

I am waiting to have a Radio-frequency Ablation (RAF) done.

Some of you may be asking yourself what is an RAF and why would she be waiting to have one done.” The what it is in some detail is inserted for your convenience if you are interested towards the bottom of the page. The why I will briefly explain only as I have been living with unacceptable pain again from my spine in the neck for  the last two years. It has also in the past nine months started to affect my range of motion, and ability to function. I have been in Physical & Occupational Therapy for pretty close to a continued time of over one year. The pain is affecting my life to the point where I am unable to find any position to be comfortable in except the pile of different pillows on my bed that allows me to lay against them, and they surround me like a nest. The pillows offer the soft support I need.ave even purchased two pillows from www. My Pillow.com that are the best pillows I have ever had. I purchased one and within one week knew I had to have two. They should be a medical write off but I am not sure yet.

I also have Connective Tissue Disease and Fibromyalgia which creates a hyper sensitivity to almost anything touching skin and my muscles. There days when even the spray of a shower hurts I know that my pain levels and inflammation levels are sky rocketing. I have a lovely shower head that D bought just because it can be adjusted to even almost just a dribble. The setting I that I like is just like a gentle rain which is why he bought it for me, but there are days when even that is just too much.  Like the past week. Our poor cat, Truman has no clue that while he is walking across my body with his sweet little white booted paws he is hurting me with each lingering step. It’s all I can do on some days not to help him along just a little bit. 

Because the pain levels have built to a point where I am needing stronger pain medication, I am not sleeping, unable to do a lot of physical activities because right now it is excruciating painful to have my left arm hanging at my side, and that I also am unable to raise it above my head, are the reasons why I am waiting to have this procedure done. 

In the late 1990’s I had these same symptoms, which led ultimately in 2000 to having a Cervical Fusion Arthoplasty. This that is creating the symptoms that I am dealing with now 12 years later are not from my fusion. I am told it still looks “great”; that the hardware which is made of Titanium is intact and in good shape. For me who had jaw implants that failed in the late 80’s this was extremely reassuring. But I did not expect anything different as this implanted material was researched ad nauseam before the surgery was even agreed upon. By myself.  I was told that my neck is “wearing out” above and below my fusion. This is the least invasive technique that may give me some relief available.

The history behind what got me to where I am at today is on my other blog if you’d like to know more: www.fullcircledme.wordpress.com/

So as the spine in my neck is “wearing out”, “the arthritis is spreading into the thoracic regions; and the thinning inside the bones of the spine which is “cervical stenosis”: are all happily doing their things.

And I am still waiting for HIS phone call.

One phone call. It has been a week since last I heard that “someone will be calling you to schedule a date and time for this procedure.”  Did not happen! No phone call yesterday. Okay I thought it is a holiday.

So at 9:01 AM this morning I was on the phone. I left another message, feeling now that I almost  am having to beg to have this procedure done. Begging while praying all the time that Dr Swift’s support staff in his office start doing some supporting. I have a hard time with patience and tolerance when it comes to a job not being done with some sense of professionalism and with organized consistency. I am not the most patient person right now. I admit it. And usually this is not a big problem with me. I was surprised really when about just an hour and half later my phone call was returned.

Finally!

Another person’s whose name I never have heard before calls. Ellie tells me that they just received the pre-auth this morning.   Really?  was feeling just a bit cheeky now after all this absurdest nonsense just to get an appointment. I responded to her that I find it interesting that apparently one hand is not talking to the other in her office – because I was told the same thing a whole week earlier. She was quiet.  I was ticked.

I would much rather have someone tell me a mistake had been made than to act like I, or they, do not know what ANYONE is talking about. Pretending to be dumb when something goes awry must be being taught to the people in business school these days. While I was calling her out she started to back pedal, finally discovering that to tell me that the pre-auth just showed on her desk sounded plausible she stuck with that.

Yeah, that was the ticket. and in the mean time I tell her that…

I am still here waiting….

I agree with her that is likely what happened, and let the petty argument go. I, after all need these people to at leat not hate me, to not be annoyed with me when I come in for the RAF. I kind of would like the surgeon and his staff to have a favorable attitude towards me. I am thinking this would be a good idea. I can find a way to let  those who are in the know at said clinic  be aware of the circumstances that surrounded this fiasco on another date. For now I need to keep peace. After I have a brief and gentle blow out on Ellie’s dime I hear her tell me that she is going to give The Scheduler, another Elusive Scheduler, a note on her desk to expedite the scheduling process and to get me scheduled as soon as possible. I pray this is so.   I asked her what this meant for me?  This week?  Next week? Another three weeks?

I know….. I know…, rather cheeky. Maybe it was not necessary. I’ll never know.  I explained as best as I could ( without storming out loud to her  all that I was thinking to myself) that it had been an unbearable & unreasonable three weeks out the last two years that the pain and other symptoms like numbing hands and fingers had been going on. That my life is at a standstill it seems because there is so much I am unable to do. I tried as hard as I could to stay assertive and not become tearful. I told her just how frustrated I have been, and trying to get even further along with what I need to share, that if having to wait for another week I will then be at a breaking point and the clinic’s credibility with me is going down hill fast!

All the while….I am still waiting..

I believe Dr Swift has a right to know what has gone on in his office. Such like the issues I had when trying to get my first appointment. How can what they don’t know about get fixed?  I wonder though if this might be a sampling of why Dr Swift is picking up his lily pad and moving to another pond. I’ve heard from everyone I speak to about him that HE IS THE MAN! He is the man worth waiting for. So I am praying for more patience, ..ahem…. maybe I should be saying praying for patience.. any patience would do at this point….

While I am still obviously still waiting!

~

If you are interested in knowing  more:    

Main article: Radio frequency nerve lesioning      [ Resource: Wikipedia.org ]

RFA, or rhizotomy, is sometimes used to treat severe chronic pain in the lower (lumbar) back, cervical, (neck) and upper back, where radio frequency waves are used to produce heat on specifically identified nerves surrounding the facet joints on either side of the lumbar spine. By generating heat around the nerve, its ability to transmit pain signals to the brain is destroyed, thus ablating the nerve. The nerves to be ablated are identified through injections of local anesthesia (such as lidocaine) prior to the RFA procedure. If the local anesthesia injections provide temporary pain relief, then RFA is performed on the nerve(s) that responded well to the injections. RFA is a minimally invasive procedure which can usually be done in day-surgery clinics, where the patient is sent home shortly after completion of the procedure. The patient is awake during the procedure, so risks associated with general anesthesia are avoided. An intravenous line may be inserted so that mild sedatives can be administered. The major drawback for this procedure is that nerves regenerate over time, so the pain relief achieved lasts for only a short duration (6–24 months[12]) in most patients.

Still more information and details can also be found at:

http://en.wikipedia.org/wiki/Radihttp://en.wikipedia.org/wiki/Radiofrequency_ablationofrequency_ablation

Resource:

http://en.wikipedia.org/wiki/Radiofrequency_ablation

©tjhelser 2012