What is a radical neck dissection? when is it done?

What is a radical neck dissection? The surgeon removes a block of tissue from the collarbone to the jaw and from the front to the back of the neck. The large muscle on the side of the neck that is used for rotating, flexing or extending the neck is also taken out, along with the major vein on the side of the neck. Sometimes, a less drastic operation, called a supraomohyoid neck dissection is done. This takes out only the lymph nodes, the tissue surrounding the nodes and a muscle at the front of the neck. Another technique, called a functional neck dissection, saves the muscles of the neck, taking out only the lymph nodes and tissues surrounding them.
What kind of incision is made with a radical neck dissection? The incision depends upon what the surgery is for. It can run from below the ear to the collarbone. Everything in the front of the neck on one side or on both sides may be removed. This may include the lymph nodes, blood vessels, nerves, and the salivary gland under the jawbone.

What happens when you go into a diabetic coma?

What is diabetic coma?

What diabetic coma means is that your blood sugar is high it may be well over 1,000. You have diabetic ketoacidosis. Your sodium bicarbonate and carbon dioxide level is low. You are dehydrated. Oddly enough, you don't have to be unconscious to be in diabetic coma. Only 15 percent are.

To define it more bluntly, diabetic coma is what out ofcontrol diabetics die of. In 1970, 37,800 American diabetics died of diabetic coma, even though death from diabetic coma has been totally preventable since the discovery of insulin in 1922.

To avoid ever getting yourself into this dangerous state:
1. Do your best to always keep your diabetes in control.
2. Never neglect testing your urine or blood sugar. If it's high, test for ketones, too. If there are ketones, call your doctor.
3. If insulin dependent, never neglect taking your injection.
4. Whenever you are ill, check with your doctor to see if you need to take more insulin.


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