#Neurosurgeon Adelaide

[crazypeople153]

Is Cervical Spine Surgery the Right Option? Factors to Consider

The decision to undergo cervical spine surgery is a significant one, often accompanied by a mix of hope for pain relief and apprehension about the procedure. Cervical spine surgery can be a life-changing intervention for those suffering from debilitating neck pain, spinal cord compression, or neurological deficits. However, it's not a decision to be taken lightly. There are several critical factors to consider when determining if cervical spine surgery is the right option for you. In this comprehensive guide, we'll explore these factors to help you make an informed choice about your spinal health.

Understanding the Need for Surgery

Before delving into the factors that influence the decision for cervical spine surgery, it's essential to understand the conditions that may warrant surgical intervention. Cervical spine surgery is typically considered when conservative treatments have failed to alleviate symptoms or when there is a significant structural issue that requires correction. Common conditions that may necessitate cervical spine surgery include:

Herniated Discs: When cervical discs (the cushions between vertebrae) herniate and compress nearby nerves or the spinal cord, surgery may be required to remove the damaged disc material.

Spinal Stenosis: Spinal stenosis occurs when the spinal canal narrows, often due to aging. If the narrowing leads to nerve compression and severe symptoms, surgery may be necessary to create more space within the spinal canal.

Degenerative Disc Disease: Over time, cervical discs can degenerate, causing pain and reduced mobility. Surgery may be considered when conservative treatments are ineffective, and the pain is significantly affecting your quality of life.

Spondylolisthesis: This condition involves one vertebra slipping forward or backward relative to another. Surgery may be recommended if the slippage causes instability, pain, or nerve compression.

Traumatic Injuries: In cases of traumatic injuries to the cervical spine, surgery may be necessary to stabilize the spine, realign vertebrae, or decompress the spinal cord.

Now that we have a basic understanding of when cervical spine surgery might be considered, let's explore the factors that play a pivotal role in making this decision.

Factor 1: Symptom Severity and Duration

The severity and duration of your symptoms are fundamental factors in determining the need for surgery. Ask yourself:

Are your symptoms severe and debilitating? If pain, weakness, numbness, or tingling significantly impact your daily life, it may be an indicator that conservative treatments are not providing sufficient relief.

Have you tried conservative treatments without success? Treatments such as physical therapy, medication, and lifestyle modifications are often the first line of defense. If these approaches have not improved your condition over an extended period, surgery may be considered.

Factor 2: Diagnostic Findings

Diagnostic tests, including imaging studies like MRI or CT scans, can provide valuable insights into the nature and extent of your cervical spine condition. Consider the following:

Objective Evidence: Do diagnostic tests show clear evidence of structural issues, such as herniated discs, spinal stenosis, or nerve compression?

Progression of the Condition: Has your condition shown signs of worsening or progression despite conservative treatments?

Objective findings from diagnostic tests can help guide the decision-making process and provide a clearer understanding of the underlying problem.

Factor 3: Quality of Life Impact

Assess how your cervical spine condition impacts your daily life and overall well-being. Reflect on the following:

Physical Functionality: Is your condition limiting your ability to perform daily tasks, work, or engage in recreational activities that are important to you?

Emotional Well-being: Consider the emotional toll your condition takes. Chronic pain and physical limitations can affect your mental health and overall happiness.

Independence: Think about whether your condition is impeding your ability to live independently and enjoy a fulfilling life.

A diminished quality of life due to your cervical spine condition may weigh heavily in favor of surgery as a potential solution.

Factor 4: Risk Factors and Health Status

Your overall health and any associated risk factors play a crucial role in determining your candidacy for surgery. Consider the following:

General Health: Assess your overall health and whether you have any underlying medical conditions that could impact your ability to undergo surgery and recover successfully.

Smoking and Lifestyle Factors: Smoking and certain lifestyle factors can impede the healing process. Smoking cessation and adopting a healthier lifestyle may be necessary before surgery.

Surgical Risks: Discuss the potential risks and complications of surgery with your healthcare provider. Understanding these risks is essential in making an informed decision.

Factor 5: Surgical Options and Approaches

There are various surgical procedures and approaches to address cervical spine conditions. Understanding the available options and their implications is crucial:

Surgical Procedure: Discuss the specific surgical procedure recommended by your healthcare provider. For example, procedures such as discectomy, fusion, laminectomy, or artificial disc replacement may be considered.

Minimally Invasive vs. Open Surgery: Inquire about whether minimally invasive techniques are suitable for your condition. Minimally invasive surgery typically involves smaller incisions, less tissue disruption, and faster recovery times.

Factor 6: Second Opinion

Seeking a second opinion from another qualified spine specialist can provide valuable insights and help confirm the appropriateness of surgery. A second opinion can offer a fresh perspective and help you make a well-informed decision.

Factor 7: Long-Term Outlook and Rehabilitation

Consider the long-term outlook following surgery and the importance of post-operative rehabilitation:

Recovery Expectations: Discuss what to expect during the recovery period, including the timeline for returning to daily activities and work.

Physical Therapy: Understand the role of physical therapy and rehabilitation in your recovery process. Committing to post-operative rehabilitation exercises and follow-up appointments is often essential for optimizing surgical outcomes.

Factor 8: Surgeon Expertise and Experience

The skill and experience of your surgeon are paramount to the success of the procedure. Evaluate the following:

Surgeon Credentials: Ensure that your surgeon is board-certified in neurosurgery or orthopedic spine surgery. Board certification indicates that they have met rigorous standards of training and expertise.

Experience: Inquire about the surgeon's experience, specifically regarding the procedure you need. An experienced surgeon is more likely to provide safe and effective care.

In conclusion, the decision to undergo cervical spine surgery is multifaceted and should be made collaboratively with your healthcare provider. It involves a careful assessment of your symptoms, diagnostic findings, quality of life impact, overall health, and surgical options. Seeking a second opinion and thoroughly discussing the procedure with your surgeon are essential steps in the decision-making process. Remember that

In conclusion, the decision to undergo cervical spine surgery is multifaceted and should be made collaboratively with your healthcare provider. It involves a careful assessment of your symptoms, diagnostic findings, quality of life impact, overall health, and surgical options. Seeking a second opinion and thoroughly discussing the procedure with your surgeon are essential steps in the decision-making process related to cervical spine surgery.

[neurosurgery-centre]

We at Adelaide Neurosurgery Center are proud to be recognized as a leading provider of neurosurgical treatment in the Calvary Adelaide neighborhood. We provide a wide variety of cutting-edge neurosurgical operations designed to address a variety of neurological problems, all under the direction of our committed and highly competent neurosurgeon. Every case is handled by our skilled neurosurgeon, who has a plethora of knowledge and experience. We place a strong emphasis on providing patient-centered care, which includes thorough assessments, individualized treatment programs, and steadfast support throughout your recovery process. Visit our website to find out more about the services we offer, our staff, and how we may help you or the people you care about.

Visit Our Website:Neurosurgeon Near Me

[thejoyofviolentmovement]

New Video: RVG Shares Snarling "Nothing Really Changes"

New Video: RVG Shares Snarling "Nothing Really Changes" @rvgband @firerecordings @ourgoldenfriend @pitchperfectpr @NTAV

Romy Vager is an Adelaide-born Melbourne-based singer/songwriter with a remarkable backstory: Vager was a teenaged goth kid runaway, who left Adelaide and headed east to Melbourne. Upon her arrival in Melbourne, she joined her first band Sooky La La, an act that specialized in material rooted in anger and discordance. Unsurprisingly, Sooky La La was largely misunderstood, routinely cleared out…

[mattmurdocksthighs]

MEET MY OCS (shows)

name: amelia avery thompson show: outerbanks love interest: rafe cameron faceclaim: fivel stewart

name: astraea collins - astraea simmons show: criminal minds love interests: darren wilson (oc), matt simmons occupation: military sniper, bau profiler faceclaim: elizabeth olsen

name: celia river rhodes show: julie and the phantoms love interest: reggie peters faceclaim: diana silvers

name: juliet carolyn shepherd show: grey's anatomy love interests: jackson avery, arizona robbins, carina deluca, alex karev occupation: neurosurgeon faceclaim: adelaide kane

name: lady dove show: merlin love interest: sir leon faceclaim: sarah gadon

name: astryn stark show: house of the dragon love interest: jacaerys velaryon faceclaim: rose williams

name: riley morris show: riverdale love interest: reggie mantle faceclaim: lucy hale

name: bianca stirling show: pretty little love interest: faceclaim:

name: bradley stirling show: pretty little liars love interest: faceclaim: nick robinson

name: marin quinn show: yellowjackets love interest: lottie matthews occupation: lawyer faceclaim: mila kunis

name: tara winchester (nee. scott) show: supernatural love interests: dean winchester, meg masters, sam winchester occupation: hunter faceclaim: jessica alba

name: stephanie 'steph' kane show: the 100 love interest: john murphy faceclaim: chloe bennet

name: nina grey show: shadowhunters love interests: victor aldertree, raphael santiago kind: nephilim parabatai: lucas callahan faceclaim: conor leslie

name: lucas callahan show: shadowhunters love interest: jace herondale kind: nephilim parabatai: nina grey faceclaim: brenton thwaites

name: celeste lucas show: the walking dead love interests: daryl dixon, eliza moore (oc) occupation (pre): bartender faceclaim: alycia debnam-carey

name: elizabeth 'eliza' moore show: the walking dead love interest: celeste lucas (oc) occupation (pre): detective faceclaim: cobie smulders

name: wyatt moore show: the walking dead love interest: occupation (pre): bodyguard faceclaim: stephen amell

name: olivia ann cohen show: the wilds love interest: toni shalifoe faceclaim: natalia dyer

name: mila carson show: the wilds love interest: kirin o'conner faceclaim: holland roden

name: rosalind 'rosa' lahey show: teen wolf love interest: lydia martin kind: werewolf faceclaim: madelyn cline

name: nathaniel wilkes show: teen wolf love interest: stiles stilinski kind: hellhound faceclaim: brenton thwaites

name: theodore 'theo' barnett show: peaky blinders love interest: michael gray occupation: boxer faceclaim: rudy pankow

name: leah calloway show: peaky blinders love interest: finn shelby faceclaim: rachel zegler

name: alexander madden show: peaky blinders love interest: john shelby occupation: distillery owner faceclaim: boyd holbrook

name: felicity allen | kid flash show: titans love interest: jason todd powers: superspeed faceclaim: katie douglas

[neurosurgerycentreadelaide]

The Role of Craniotomy in Treating Brain Tumors

A craniotomy is a surgical procedure that involves removing a portion of the skull to access the brain. This procedure is critical in treating various brain conditions, particularly brain tumors. When diagnosed with a brain tumor, one of the primary treatment options a neurosurgeon might recommend is a craniotomy. Understanding the role of this surgery can help patients and their families make informed decisions about their treatment.

What is a Craniotomy?

A craniotomy is performed under general anesthesia. The surgeon makes an incision in the scalp and removes a bone flap to expose the brain. Once the tumor is accessible, the surgeon carefully removes as much of it as possible. After the tumor removal, the bone flap is replaced, and the scalp is sutured. The procedure can last several hours, depending on the tumor's size, location, and complexity.

Indications for Craniotomy

Craniotomies are indicated for various brain conditions, but they are particularly essential for brain tumors. Tumors can be benign (non-cancerous) or malignant (cancerous), and their growth can exert pressure on brain structures, leading to symptoms like headaches, seizures, and neurological deficits. Surgical removal of the tumor can relieve these symptoms and improve the patient's quality of life.

Benefits of Craniotomy for Brain Tumors

Precise Tumor Removal: Craniotomy allows neurosurgeons to access and remove tumors with precision, minimizing damage to surrounding healthy brain tissue.

Immediate Symptom Relief: Removing the tumor can quickly alleviate symptoms caused by pressure on the brain.

Improved Survival Rates: In cases of malignant tumors, surgical removal can improve survival rates and make other treatments like chemotherapy and radiation more effective.

Pathological Analysis: The removed tumor tissue can be analyzed to determine its type and guide further treatment.

Risks and Considerations

As with any major surgery, craniotomy carries risks, including infection, bleeding, and reactions to anesthesia. There is also the potential for neurological complications, depending on the tumor's location. However, advancements in surgical techniques and technology have significantly improved the safety and efficacy of craniotomies.

Post-Surgery Recovery

Recovery from a craniotomy varies depending on the individual's health, the tumor's characteristics, and the surgery's complexity. Patients typically stay in the hospital for several days to a week, followed by a period of rehabilitation. Follow-up care is crucial to monitor for any signs of tumor recurrence and to manage any post-surgical symptoms.

Conclusion

Craniotomy remains a cornerstone in the surgical treatment of brain tumors, offering hope and improved outcomes for many patients. With ongoing advancements in neurosurgical techniques, the procedure continues to evolve, providing safer and more effective options for those facing brain tumors.

For those in Adelaide seeking expert care, it is essential to consult with a specialized neurosurgeon to understand the best treatment options available. If you or a loved one are diagnosed with a brain tumor, discussing the possibility of a Craniotomy Adelaide with your healthcare provider can be a crucial step towards effective treatment and recovery.

[dangerousfoxfest]

Collide Chapter 6-Resolution.

Hi all, Happy 2019. As promised the 2nd chapter of today. Enjoy hope the answers have been worth the wait. 

Summary: This storyline takes place after Tariq was not found and the MC name was never cleared. Liam has received news that Madeline who is Queen, has been involved in a car accident in America.

Its a long one 3310 words. 

“Pregnant?” Liam asks “How far along?

“Judging by in her blood results, first trimester possibly 8 weeks” the doctor replied

Liam nodded and began to leave the room. He wondered if she knew, was this the reason for the sudden interest in starting a family-an heir to the throne, Liam shakes his head as he continues to the waiting room. He had to speak with Adelaide, there was so much to sort out.

On return to the waiting room, Liam noticed that Kimmy and Carol had left. Fear hit him “where are they?” Liam asked Drake. “Maxwell took Kimberly for ice cream” Drake replies “she likes dancing almost as much as him, they’ve hit it off somewhat”

“Riley’s mum was okay with Maxwell taking her?” Liam asked shocked.

“Well I think that you being king swayed the whole can the group be trusted thing” drake replied

“She knows I’m a king?” Liam asks

“She does now…Maxwell told her” Drake answered.

“Where is she now?” Asks Liam

“Visiting Riley” Replies Drake.

“Why bring a child to the hospital?” Liam asks shaking his head

“Childminder running late so she was to be collecting here….. Maxwell cancelled it” Drake Replies.

Liam nods and sighs sitting down. She should have told me Drake; how could Olivia keep something as important as that from me?

“I don’t know Liam but she kept it from us all…..but she must have had her reasons Liam….you know Liv…she would never ever….”

“Save it Drake” Liam snaps “I’ll never forgive her for keeping my child from me”

“Liam just speak with her.” Drake concedes “she’ll have her reasons…..besides your angry at the wrong person….Riley never told you either!”

 Liam stands up as he says “I’m going to see where Riley is” Drake nods. After asking at the front desk for Riley’s room, Liam knocks in the door which is answered by Carol. Liam walks into the sterile looking room, Doctor Evans was present with a nurse who was priming the pumps administering the drugs to Riley. Riley lay in the bed her head covered with a carefully placed bandage. Her mouth was invaded by an ET tube connected to a ventilator. Her gown was lowered at the shoulder to reveal a central line connecting the IVs to the numerous beeping machines. Tears fell from Liam’s face, walking over to Riley he leans over to lightly kiss the available space at her mouth, as he does he whispers “why didn’t you tell me we have a little girl…. she’s so beautiful….just like her mother…”

 Liam rests his head on hers for a second before standing straight. “Dr Evans, I think it can be safe now to provide me information on Riley’s status” Dr Evans looks at Riley’s mother who nods. “Yes, your majesty” Dr Evans nods “Miss Holligan was in the back of the car, she was not wearing a seatbelt and suffered extensive injuries. She was brought into the hospital, she went into full cardiac arrest on route to the hospital, however we managed to get her back. There was a significant bleeding on the brain which our neurosurgeon managed to stop in theatre, however it will take some time for the swelling to subside and also to know if there is any long-term damage” “long term damage…” Liam asks “you mean brain damage” Dr Evans nods in agreement.  “Just now” Dr Evans continues we have placed her in a medically induced coma give her body and brain time to heal…… In addition to the head injury we’ve had to remove Miss Holligan’s spleen, and she has liver lacerations…. I won’t lie to you….her injuries as you can see are very extensive and the next 48 are crucial.”

 Liam holds Riley’s hand even tighter squeezing it before bringing it to his lips and kissing the back of her hand. “If you have any questions you can call me, here is my number” says Dr Evans as he holds out his card. Liam takes the card and places it in his pocket as Dr Evans leaves the room.

 “So” Carol says as Dr Evans leaves “how exactly does my daughter know you? And why haven’t you been involved in my grand daughters’ life”

 “I don’t know where to start” Liam replies “but I hope you can answer some things for me too.”

 “Let’s start with the google headlines….shall we” Replies carol holding her phone up showing pictures of Liam and Riley, placed in a headline next to a picture of Riley and Tariq, with the words “Cheat: Future King Humiliated” Carol eyeing Liam said in a stern voice “I’ll have you know my daughter would never cheat…..your a fool to believe this rubbish”

 “I didn’t” he responded “it’s a long story, I’m not sure Riley would want her mother knowing…”

 “Liam she’s my daughter, she may still di..” Carol says breaking herself off Liam bristles at that sentence “if you want to be a part of my daughter and grand-daughters life, you’ll tell me…. what in the hell has been happening with my daughter”

 “Your right there’s been enough secrets” he sighs

 Liam discussed how he met Riley, social season, the scandal, the break up, The wedding to Madeline, no contact for three years then the accident.  “……I never knew about Kimberly, I don’t know why she never told me….. I would have gave up everything for them if I had known…” Liam continues “maybe that’s why” Carol reasons “ do you think Riley would let you give up everything????”

“I would have gained far more than I would have lost” Liam replies. “Can I ask do you know Olivia Nervakis?” He continues

“yes, I do” Carol replies. “She’s a friend of Riley’s and Kimmy’s god-mother”

“What” Liam asked shocked “her god-mother? ....you mean Olivia has been to New York to see Kimberly?”

“Yes, she has every few months or so….at least until she had Thomas…. why who is Olivia to you” Carol asks Liam

“Just a friend…. or I thought she was” huffs Liam

“Well she has always made sure Kimberly has the best, health care, clothes, she was even talking about Kimmy learning to horse ride….and oddly the art of war….. I mean really” Carol laughs.

Liam could feel himself getting annoyed at how much Olivia had kept from him.

 Knock knock…Carol got up to answer the door, breaking Liam from his thoughts. Drake was on the other side asking if he could visit. Carol nodded allowing Drake to enter, as he does Drake informs Liam, Bastien is looking for him. Drake makes his way over to sit on the seat Liam just vacated. Drake holding Riley’s hand asks Carol about her condition. As Liam leaves, he hears Carol relay that same doctor information he heard earlier.

 “Bastien any news” asks Liam “Adelaide and Regina have discussed the press statement to be released, it requires you to look over it for any changes.” Liam nods “Bastien can you have the guard prepare the precision route for the funeral. We’ll fly Madeline home when doctors release her body…however in the meantime we’ll have to have the staff organise her funeral….Adelaide can have a free reign in this….let her give her daughter the send off she wants…..Regina can monitor the plans….just in case Adelaide goes on the attack”

“Very good, Sir” Replies Bastien. “One more thing, Lady Riley’s friend is downstairs wishing to see Her. We’ve stopped him at present from coming up”

“What friend?” asks Liam

“Daniel, Sir” Bastien Replies.

“Daniel” Liam lights up” Carol said earlier he was working with Lady Riley before the accident, he can maybe give some answers to this whole situation”

“Very good, Sir. Bastien turns to leave and meet Daniel.

 Sitting back in the waiting area Maxwell has returned with Kimmy. Liam and Kimmy spent some time getting to know one another drawing with some paper and crayons Maxwell had bought her at the gift shop. Maxwell and Drake had already left and were escorting Adelaide to their hotel which Bastien had arranged. Bastien entered the waiting room. “Your Majesty…. we have to act now!”

“Bastien what’s wrong?”

“Sir, Tariq was the driver of the car. He’s here in the hospital

“What!” Liam exclaims!

 The night of the accident

It was a busy night in the restaurant. Riley and Daniel were rushed off their feet. The restaurant was one of the best in NYC, seating 100 people, often reservations had to be done weeks even months at a time. It was certainly a million miles from the dive bar they worked in three years ago. As Riley and Daniel busied themselves at the restaurant, they missed her entering through the door. Riley was clearing a table and looked up “that bitch” Riley mouthed in shock raising her body, did that mean he was here….. Liam was he here. Her stomach flipped….the panic what if questions were asked….questions….scenarios all rushed into Riley’s thoughts….just as ready to walk away….otherwise known as hiding….she saw him….walking towards where Madeline was sitting. Tariq.

Anger coursed through Riley she was going to kill him…the hell he put her through…Daniel followed Riley’s gaze….he had known about Madeline….Tariq…all of it. Riley had confided in him when she needed his help to find a job. He rushed over to her before she did anything silly…. he didn’t want her losing her job. “Think about this Riley” Daniel warned “be savvy”

“I’m going to kill him, and bitch slap her about this restaurant” Riley responds

“Riley you’ve found him…after all these years, if you blow this chance, you’ll never get it again…. think of Kimmy” Daniel pleads.

Then Riley realised Daniel was right “what’s Madeline doing with him? Here?” No one was suppose to have seen Tariq in years. She would have known if Tariq was back at court Olivia would have told her. “She’s known all this time where he’s been” Riley says in a low voice to herself…”she knew!”

“How long do you think she’s known?” Daniel asks

“I don’t know but I am going to find out” Riley replies. “But first payback”

Riley takes out her phone and takes a picture of Madeline and Tariq, sitting relaxed at the table, smiling. Then jackpot, Madeline leans over to kiss Tariq. *snap* Riley takes a picture and immediately hides around the corner, so Madeline and Tariq would not see her and see where the flash came from. “What are you going to do with them “Daniel asks

“I’m going to send them to someone who owes me…big time” Riley replies “please let me still have her email address”

“Whose email?” Daniel asks

“Ah got it” Riley says gleefully

“You owe me this one! Do what you will with the pictures, however you all did not spare me such grace” Riley sent off the email.

 Present day

“Where is he?” Liam asks

Liam and Bastien phone pinged “the statement must be released, but I haven’t looked over”

Liam looks at his phone wide eyed “king Liam betrayed again” with a picture of Madeline and Tariq kissing “lothario noble scores again with kings love” the picture of Madeline feeding Tariq from her fork. There was no doubt in the pictures Madeline and Tariq were involved. It left no doubt now who the father was of Madeline’s baby. “This is a mess…..We better see Tariq….where is he?” Liam asks. “3rd floor” Bastien replied.

Both Liam and Bastien made their way to see Tariq. “Oh nurse, how is he?” Liam asks as he point to Tariq through the glass. “He’s doing well…came through surgery very well” the nurse replied.

“Can you get the doctor to see me please?” Liam asks

“Certainly” the nurse responds.  

Liam enters the room to see Tariq, lying there with some IVs connected to him. He certainly did not resemble the condition Riley found herself in. Tariq turned his head as he did his eyes opened and he startled. “Liam?” Tariq questioned

“Tariq” Liam answers in a very stoic tone “what the hell has been going on with my wife?”

 Night of the accident

“I have to get answers” Riley informs Daniel

“How?” Daniel responds

“He must be staying nearby if I find where he’s staying, I can speak to him alone” Riley responds “even shake him up with those pictures.

“But Riley” Daniel prompts “you already emailed those pictures. They aren’t leverage anymore”

“Yes he doesn’t know that….not yet anyway” Riley answers.

Riley thinks for a moment. “I’m going to find his car and hide in it, the valet must have parked for him…. yeah  I’ll find it and hide see where he’s staying.” She continues

“Riley…” Daniel reasons but by then Riley had already gone.

Present day

“We were in love” Tariq Replies

“Love…” Liam scoffs “that woman wouldn’t know the meaning of the word”

“You don’t know her like I do” Tariq responds

“You got that right, I certainly never fucked her” Liam bitterly said “But as she was pregnant it would appear you did!”

Tariq eyes fell to his hands ”yes, she was going to tell you…she wanted us to be together”

Liam laughs “you actually believe that don’t you”

“Yes, why wouldn’t I” Tariq answers

“yes well I suppose she would have to tell me eventually….as her attempts for us to start a family have failed” Liam answers “ she couldn’t hide it forever.”

“Start a family” Tariq asked confused “no she didn’t want that she told me…she wanted me”

Liam laughs “oh wake up Tariq, she was using you….keeping you….the affair their must have been some advantage to her”

Then it dawns on Liam “oh…I see”

“See what?” Tariq asks

“How long ago did you and Madeline start?” Liam asks

“You mean fall in love” Tariq corrected. Liam sat stone faced at the naivety of Tariq

“We began to fall in love 2 years ago, but we met up again before she left for Cordonia’s homecoming ball” Tariq continued.

“But that would mean before Madeline and I married?” Liam responded “after the wedding shower” Liam rose from his seat anger filling him “she knew where you were???......All this time she knew”

 “Yes, I suppose” replied Tariq “Madeline turned up at my apartment, she said found me though some shoes I had bought from a designer shop here”

“So, you continued to hide like a coward…. To keep ruining Lady Riley’s reputation?” Liam shoots back

“It wasn’t like that…. Madeline…said you had sent her, telling me to keep quiet” Tariq responds

“You believed that?” Liam asks

“Yes…I did…she was born to be queen why wouldn’t I? She made me realise the damage a commoner could do to the monarchy and by me hiding away…Riley couldn’t be an embarrassment to you or the monarchy if you choose to end the relationship…..Madeline said you wanted to end it…but didn’t know how… I was giving you the perfect get out clause” Tariq continues

“Tariq you are an idiot! She played you! And you were happy to be played. Had I not been forced into that situation I would have married Lady Riley. Madeline knew that and seen her opportunity with you.

“I should let you know.” Liam continues “The press are aware of your affair with each other….so this is what you’re going to do…..you’re going to release a statement revealing the truth of Appleyard three years ago….After that you’re on your own I don’t care what else is said…..or revealed you both deserved each other.” Liam walked away from Tariq closing the door behind him.

“Organise a press statement from him” Liam orders Bastien

“Sir it’s not the best….” Bastien counters

“ENOUGH” shouts Liam “I’ve had enough of people controlling what I do….. get it done” and with that Liam walks away

Over the day the press were informed of Madeline’s death, so far the press shocked but were sympathetic to the King, so badly betrayed by his Queen who unfortunately paid the ultimate price with her life during an illicit encounter. There were still questions why Lady Riley was in the car from them. But for Liam it was clear she had hidden in the car, in order to confront Tariq at his home. However, it wasn’t yet clear why the was tragic accident happened.

 The night of the accident 

Riley was hiding in the foot well of the car. She was lucky it was dark She could easily be hidden under a rug in the back seat. Eventually Tariq and Madeline entered the car. Madeline was gushing over Tariq, it was enough to make Riley want to vomit. During the journey Riley could hear Madeline and Tariq discuss the baby. Riley couldn’t believe her ears. She had so much leverage now. But needed proof. She set her phone to record the audio. Then an overconfident Madeline began to laugh, “what’s so funny?” Tariq asks.

“That stupid American and her child” she scoffs

“What?” Tariq asks

“Lady Olivia got a call from her credit card company regarding the NY Presbyterian hospital” Madeline laughs

“When…what are you talking about” Tariq asked confused

“When…three years ago…do keep up…” Madeline huffs

“How did you know this? Why is it even important?” Tariq asks

“Because…..I heard Oliva’s PA tell her the credit card company wanted to verify the hospital charges” Madeline continues….”Olivia didn’t look sick….so I took a visit to the hospital…..it took a while…..had to pretend to be that awful woman”

“Pretend to be who” Tariq asks his confusion escalating

“Who….lady Olivia…..Lady Olivia..lady…”Madeline laughs “found her didn’t I”

“Found who…lady Olivia? Tariq asks

“NO!!!! Lady Riley……” Madeline shouts “lying there asleep in bed, in a nice small room on the OB ward…..she didn’t see me….but I seen her……little wretch….thought she could steal my crown…. I knew she would try and tell him….. but ha ha…. I stopped that…..so predictable…..turning up to his room, there she stood so shocked when I answered…all I had to do was to arrive at Liam’s room early enough to have breakfast…. Make it look like I’d spent the evening…. the meeting was a great rouse to do that…..and simply wait for her to turn up…..block her…..

 Riley sat in the back of the car…. Anger pulsating…..

 “The fact Liam left for a shower and I was able to strip to my underwear without him knowing what was going on…..was icing on the cake….perfect….I couldn’t have planned it any better….well I did….you know what I mean….” Madeline gushed.

 “Madeline…you mean to tell me Liam has a child…somewhere and you knew” Tariq asks

 “Oh who knows” Madeline answers no clearly no longer boasting of Her exploits….a little worried she revealed too much.

 “Madeline” Tariq reasoned “you can’t…”

 Tariq and Madeline began arguing over what Madeline had done. The shouting continued over several miles. The noise was explosive, suddenly Riley feels the car skid, her body jolts shaking violently. She is thrown to the roof of the car back to the footwell and then again and again as the car rolls and rolls. The car stops and as Riley turns her head…. she sees the lorry…..as if in slow motion she sees it coming towards her…….*smash* Riley’s world goes dark.

Present day

Liam sat by Riley’s bedside for hours holding Riley’s hand praying that she would wake up. Riley’s mum had taken Kimberly off home to bed, Liam promised to call her if Riley woke up. Maxwell promised to babysit first thing in the morning allowing Carol to return to the hospital. Carol had been playing some of Riley’s favourite songs from her phone in the room, wasn’t difficult to do using Riley’s thumb print to unlock the phone. The doctor said to them voices and familiar sounds might help her, there is a chance Riley could sit hear.

As Liam sat there the song ended and he waited for the next one…suddenly there was a familiar voice rebounded around the room…. Madeline talking about her baby….. so, she did know about it Liam thought…she was trying to trick him…. pretending the baby would be his, the heir to the throne……The sound of Madeline’s voice continued to vibrate around the room laughing “That stupid American and her child” Madeline scoffs “What?” Tariq’s voice was next…. the conversation continued “Lady Olivia got a call from her credit card company regarding the NY Presbyterian hospital” Madeline laughs “When” Tariq asked confused…. Liam sat there in shock….hearing the whole conversation….the argument afterwards and then suddenly the accident….screams from the phone filled the room….tears fell from Liam’s eyes. He began to sob uncontrollably. Liam felt a gentle hand on his shoulder, as he turned, he saw Olivia, standing there tears in her eyes. She too had heard it all.

Tag List: @fluffy-marshmallow-heart heart @blackcatkita @flowerpowell @furiousherringoperatortoad @blznbaby @lodberg @innerpostmentality @princess-geek @choices-addict @ao719 @carabeth @thequeenofcronuts @blackcoffee85 @jovialyouthmusic @perfectprofessorherokid​ @annekebbphotography @fluffy-marshmallow-heart​ @hopefulmoonobject​ @stopforamoment​ @leelee10898​ @bobasheebaby​ @indiacater​ @furiousherringoperatortoad​ @editboutique​ @gibbles82​ @choiceslife​

[doctor-to-you]

Best Neurosurgeon in Port Adelaide Enfield

Best Neurosurgeon in Port Adelaide Enfield

If you find yourself to be in a situation where finding the best Albury-Wodonga Neurosurgeon gets difficult, then we are here to help you out with this. Below is a list of the top and leading Albury-Wodonga neurosurgeons. To help you find the best neurosurgeon in Albury-Wodonga located near to you, we put together our own list based on patient reviews. This article is updated every 1-2 months. ⇒…

[neurosurgerycentre]

As a leading brain surgeon in Adelaide, Dr Marguerite Harding's expertise as a neurosurgeon allows her to take on complex brain surgeries. Learn more about craniotomies.

[gcssiphq]

              meet lena baris - aka the fashionista of the upper east side.

basics -

name : lena baris age : 25 birthdate : august 12th, 1996 zodiac : leo current profession : fashion designer gender identity & sexuality : UP TO PLAYER. known online as : l or the fashionista based on kati farkas.

the small details -

&& aesthetics : UP TO PLAYER. && habits :  - UP TO PLAYER. - UP TO PLAYER. - UP TO PLAYER.

                         the unofficial biography -

Lena baris was never anyone special, even at home. the youngest of five girls, her sisters had all grown and gone on to do incredible things by the time lena even enterted high school - surrounded by people, perhaps, but somehow feeling isolated and alone even in the busiest of crowds. the only ones who ever really made her feel seen were the activist and the casanova - right by her side, spreading rumors and gossip around because it was all they seemed to know how to do.

getting rejected from not one, not two, but four of her top choices - including princeton, where her best friend was heading - was her biggest shame, and a tightly kept secret. fortunately, she’d gotten into her safety school of rutgers, and while new jersey wasn’t exactly where she saw herself, she could still find a path, make a name for herself. so what if her eldest sister was becoming the youngest neurosurgeon in all of new york history? so what if one of the others was filming an award winning documentary in south america? if another was taking over the family business, something lena had never had any interest in? she was going to make her own way, a name for herself, the rest of them be damned.  fashion had always been an outlet - shopping an extracurricular, really - but designing wasn’t something she’d ever truly considered. she wanted to wear the designers, not be them - not until she took an art elective, sketching gowns and pieces that her professor said could be done by a professional. suddenly, the world opened up and made sense - she could do this, and she could do it well.  the next two years were spent interning with various designers, learning the ins and outs of running a business - she traveled to london, milan, paris, attending as many fashion week shows as she could. and when she ran into the casanova again, sitting next to her in the third row of a prada show in new york, it felt like destiny.  lena had never been one for plans, but now she has one set in stone. a brand, a business, and her man - together, she and the casanova can take over new york and it can, rightfully, become their own playground. just like it was always supposed to be. 

                keep your friends close, and your enemies closer -

grayson king - wanting what everyone else had was something lena was uncomfortably used to by the time their teen years hit. she wanted her sister’s ugg boots, or her mother’s fendi bag. she wanted josephine’s brain, or ophelia’s ability to overcome any scandal. but what she really wanted more than anything was adelaide’s boyfriend - grayson.  the two were friendly enough - they had to be, to be in adelaide’s inner circle - but she was sure he had no idea the flush that crawled on her cheeks when he guided her by the small of her back or smiled at her with those dimples. it was a nightmare waiting to happen - she had to keep her crush a secret, or face the wrath of a girl who could make her life a living hell. though those feelings have since left, she was always left with a ‘what if’ - what if she’d made herself an option, would he have taken her up on it?  bennett fitzwilliam - designing an entire fashion line is hard, at least without some inspiration. fortunately, the imps were perfectly formed for her - men’s fashion seemed easier to tackle, and bennett has been her willing model and gotten her in touch with the rest of the band to help her take off.  the two have a strange friendship; he eats tofu hot dogs and she dines on wagyu filet mignon, but they work well together. despite her name just starting in the fashion industry, he’s agreed to wear her pieces on stage and at various events he’s forced to go to - helping give her publicity and authenticity all in one.  other quick connections : josephine barclay ( best friend ), theodore cunningham ( fiancee ), hayden brooks ( former neighbors ), damon carmichael ( former fling ). more listed here.

      follow lena baris.                 ( suggested faceclaims :hande erçel, melisa aslı pamuk, aslıhan malbora, and ayça ayşin turan. must be a turkish faceclaim.  )

[estelehq]

welcome to cap estele REIYA, ADELAIDE and ROME ! has anyone ever told you that you look like MADISON BEER, PARK JIWON & MIN YOONGI ? sorry that was unethical of me. you have 6 hours to settle in before our next event.

┌ MADISON BEER. SHE*HER. NINETEEN. ┘  ┅ hey, isn’t that REIYA HUNTER  stepping out of their brand new ROLLS–ROYCE SWEPTAIL?! for a child of a succesful PLASTIC SURGEON they can do much better. i wonder what brings them here. i read on the net that they’re here because THEY ARE HIDING FROM A TERRIBLE FAMILY, but i take it with a grain of salt considering they’re a huge BELIEVER in ghosts. they brought A USB DRIVE WITH DOWNLOADED ASMR COMPILATIONS from back home which is a little strange if you ask me, but makes sense once you find out they’re an AQUARIUS. hope their RECALCITRANT and MACHIAVELLIAN side won’t get in the way of having a nice stay. ( VEE. 18–. SHE*HER. )

┌ PARK JIWON, SHE&HER, TWENTY ┘  ┅ hey, isn’t that ADELAIDE MOON stepping out of their brand new TESLA MODEL X ?! for a child of a succesful NEUROSURGEON they can do much better. i wonder what brings them here. i read on the net that they’re here because they WANTED A GETAWAY, but i take it with a grain of salt considering they’re a huge BELIEVER in ghosts. they brought A VERSACE ROBE from back home which is a little strange if you ask me, but makes sense once you find out they’re a TAURUS. hope their DEMORALIZED and DISDAINFUL sidewon’t get in the way of having a nice stay. (m, 17, she&her)

┌ MIN YOONGI, he/him, 24 ┘  ┅ hey, isn’t that CHOI, ROME stepping out of their brand new AUDI R8 ?! for a child of a succesful ARCHITECT they can do much better. i wonder what brings them here. i read on the net that they’re here because they DIDN’T WANT TO ADMIT THEY GOT KICKED OUT OF COLLEGE TO THEIR PARENTS, but i take it with a grain of salt considering they’re a huge BELIEVER in ghosts. they brought A DREAM JOURNAL from back home which is a little strange if you ask me, but makes sense once you find out they’re a LIBRA. hope their SENSITIVE and GULLIBLE sidewon’t get in the way of having a nice stay. (n, 18-, she/her)

[neurosurgery-centre]

Neurosurgeon Near Me

Discover the finest neurosurgeons near you at the Adelaide Neurosurgery Centre. Our dedicated team of experts offers advanced neurosurgical services, ranging from brain surgery to spinal procedures. With state-of-the-art facilities and a patient-centered approach, we provide the highest level of care in the heart of Adelaide. Your neurological well-being is our priority, and we're here to help you take the first step toward improved health. Contact us today to experience the difference in neurosurgical excellence.

Visit Our Website:Neurosurgeon Near Me

[thejoyofviolentmovement]

New Video: Aussie Indie Rockers RVG Releases a Dream-like Visual for "Perfect Day"

New Video: Aussie Indie Rockers RVG Releases a Dream-like Visual for "Perfect Day" @rvgband @firerecordings @ourgoldenfriend

Over the past seven months or so, I’ve managed to spill quite a bit of virtual ink covering the rapidly rising Adelaide, Australia-born Melbourne, Australia-based singer/songwriter Romy Vager and her band RVG.  Vager has a remarkable backstory: She was a teenaged goth kid runaway, who left Adelaide and headed east to Melbourne.…

[celebritylive]

Hamilton actor Miguel Cervantes and his wife Kelly are quietly preparing to say goodbye to their 3-year-old daughter, who has entered hospice care after suffering from a neurodegenerative disorder for much of her short life.

Adelaide, whose fourth birthday is next week, experienced her first seizure when she was 7 months old after missing some traditional milestones for children her age.

Doctors would quickly determine that the seizure was a result of epilepsy. At 9 months old, Adelaide was diagnosed with Infantile Spasms (IS.) And coincidentally, at the very same time, Miguel would land the role of a lifetime as Alexander Hamilton in Chicago production of Hamilton.

“Oh, she was feisty as hell,” Kelly, 37, tells PEOPLE of her daughter, who entered hospice care last week after nearly a lifetime of battling seizures no one can still quite explain. “She is a warrior. I have never met someone stronger in my life. She shared her opinions in her own way.”

For a moment, Kelly’s stoic nature and the strength that she has worn like a shield over the past three years begins to crumble.

“She came into the world and she had a mission and a story,” Kelly says, her tears falling.

And then, her strength returns.

“I’m so proud that no one will ever forget her story,” she says.

Indeed, Adelaide’s story has captivated millions. Not only does her father Miguel, 42, play the lead role in the Chicago production of Hamilton, but her mother Kelly has shared the incredible story of Adelaide’s short life via her popular blog Inchstones and through her work with the Citizens United for Research in Epilepsy (CURE), which raises funds for research into a cure for the devastating illness.

First chronicled in PEOPLE back in November of 2018, Adelaide’s grueling story began at the beginning of her short life.

RELATED ARTICLE: How Does Someone — Like Cameron Boyce — Die from Epilepsy? A Neurosurgeon Explains

“When we first found out that something was wrong, we started Googling around about infantile spasms, and it was just terrifying,” Miguel says. “It was then that we also started to notice a loss of ability. Adelaide had always been a thumb sucker. When that stopped, the doctors told us that it wasn’t a sign of the seizures per se. This was a regression within the brain. And we began to realize that this was something that could be terminal.”

Over the next few years, the family did their best to stay positive, providing Adelaide with the very best in medical care. But the end of her story started to become much clearer with each passing day.

“Her brain was actually getting smaller,” explains Miguel, who continues to perform, on average, seven shows a week. “When you spend years watching your child suffer…” his voice trails off.

“We didn’t realize her life would be this short,” adds Kelly. “We have been flailing around for so long. There is only so much we can do for Adelaide. We are grateful for every single day we have had with her.”

Indeed, through it all, Miguel and Kelly have continued clinging to one another while in the midst of a swirling hurricane of doctor visits and test results.

“When you need something and you don’t know what to do, you need to be able to lean on the person you are with,” Miguel says.

“Throughout this whole journey, we constantly have had to check in with each other,” adds Kelly. “We have been making tough decisions her whole life.”

She pauses. “The next phase of our marriage is going to be as hard as f—, but we will get through it,” she says.

And in addition to the countless people supporting the family through it all, there is one other person that is providing the much-needed light within this dark journey — their son Jackson, 7.

RELATED ARTICLE: Reporter’s Son Wanders into Her Segment on Live TV: ‘Excuse Me, My Kids Are Here’

“He is what keeps me strong,” says Kelly. “He understands what is going on with Adelaide more than I ever thought he would. But at his core, he’s still just a 7-year-old. He’s a goofball. He runs around this house and brings an energy that we need. And he needs us. We might be going through the worst thing ever, but he is the one that gets us up when we are just fighting emotionally to get out of bed.”

And no matter what happens in the days to come, Miguel and Kelly will continue that fight to live, not only for Jackson and themselves and the countless number people whose lives changed as a result of their daughter’s story, but they will always fight for Adelaide and the legacy she will forever leave behind.

“I’m never going to ask why these things happen and oh, I’d give away all that I have to have Adelaide here,” he says quietly. “But without her condition, we would have never met the strong and amazing people we are surrounded by right now. We have been giving this platform to talk about Infantile Spasms and epilepsy. And we have been given this platform to tell people about Adelaide. And that’s exactly what we intend to do.”

from PEOPLE.com https://ift.tt/32bYYWs

[neurosurgerycentreadelaide]

Innovations in Spinal Care: How Spine Specialists Are Advancing Treatment

In recent years, advancements in spinal care have revolutionized the way spine specialists approach the diagnosis and treatment of various spinal conditions. From innovative surgical techniques to cutting-edge non-invasive therapies, the field of spine care has seen remarkable progress. This article delves into the latest innovations in spinal care and explores how spine specialists, particularly in Adelaide, are at the forefront of advancing treatment modalities.

Understanding Spinal Care: The spine, a complex structure of bones, nerves, and tissues, plays a crucial role in providing support, flexibility, and protection to the spinal cord. However, injuries, degenerative diseases, and other conditions can disrupt its function, leading to debilitating pain and reduced mobility. Spine specialists, also known as orthopedic surgeons or neurosurgeons specializing in spine care, are dedicated to diagnosing and treating disorders affecting the spine.

Innovations in Surgical Techniques: Traditionally, spinal surgery often involved extensive incisions, prolonged hospital stays, and significant recovery periods. However, advancements in surgical techniques have led to minimally invasive procedures that offer several benefits, including smaller incisions, reduced tissue damage, and faster recovery times. Spine specialists in Adelaide are embracing these innovations, such as endoscopic spine surgery and robotic-assisted procedures, to provide patients with safer and more effective treatment options.

Endoscopic spine surgery involves using a small camera and specialized instruments to access the spine through tiny incisions, allowing surgeons to visualize and treat spinal conditions with precision. This minimally invasive approach reduces the risk of complications and accelerates postoperative recovery, enabling patients to return to their daily activities sooner.

Robotic-assisted spine surgery utilizes advanced robotic systems to enhance the accuracy and efficiency of surgical procedures. These systems provide spine specialists with real-time imaging and navigation capabilities, enabling them to perform complex maneuvers with unmatched precision. By harnessing the power of robotics, spine surgeons in Adelaide can achieve optimal outcomes while minimizing the risk of complications.

Non-Invasive Treatment Modalities: In addition to surgical innovations, spine specialists are also expanding their repertoire of non-invasive treatment modalities to address a wide range of spinal conditions. These may include:

Interventional pain management techniques, such as epidural steroid injections and nerve blocks, to alleviate chronic back pain and improve quality of life.

Regenerative medicine therapies, such as platelet-rich plasma (PRP) injections and stem cell therapy, to promote tissue repair and regeneration in damaged spinal discs and joints.

Physiotherapy and rehabilitation programs tailored to each patient's specific needs, focusing on strengthening muscles, improving flexibility, and enhancing overall spinal health.

By offering a comprehensive range of non-invasive treatments, spine specialists in Adelaide can effectively manage spinal conditions and help patients avoid the need for surgery whenever possible.

Collaborative Approach to Care: One of the hallmarks of modern spinal care is the emphasis on a multidisciplinary approach, where spine specialists collaborate with other healthcare professionals, including physiotherapists, pain management specialists, and rehabilitation therapists. This team-based approach ensures that patients receive personalized care tailored to their unique needs and preferences.

Moreover, spine specialists in Adelaide are actively involved in clinical research and academic endeavors to further enhance their understanding of spinal conditions and explore novel treatment strategies. By staying abreast of the latest developments in the field, they can offer their patients access to cutting-edge therapies and participate in clinical trials to advance the field of spinal care.

Conclusion: Innovations in spinal care have transformed the treatment landscape for individuals suffering from spinal conditions, offering them new hope for improved outcomes and quality of life. Spine specialists Adelaide are at the forefront of these advancements, leveraging state-of-the-art technologies and adopting a patient-centered approach to care. Whether through minimally invasive surgery, non-invasive therapies, or collaborative treatment strategies, these specialists are dedicated to providing comprehensive and compassionate care to their patients, ensuring that each individual receives the best possible treatment for their spinal condition.

[leanpick]

Brave Milli to inspire Dockers at Optus Stadium

Brave Milli to inspire Dockers at Optus Stadium

The young girl whose bravery in the face of cancer has won over WA will today be embraced by her sporting heroes when she tosses the coin before Fremantle’s clash with Port Adelaide at Optus Stadium.

Milli Lucas, who has returned home to Perth after a risky operation in Sydney performed by renowned neurosurgeon Charlie Teo, was invited to perform the pre-game ritual after first meeting the…

[route63rp]

WE’RE YOUR PEOPLE

okay, so this request is for three very vital people in adelaide's life, her best friend and twisted sister (the lovely sandra oh) and for her two sisters (caterina scorsone and kelly mccreary). they are her rocks in life and they all intersect through their work because they're all surgeons. adelaide and her best friend went through medical school together & their residencies and they've also worked at beacon medical center for all their careers. they're like sisters and they talk and find themselves drawn together all the time, even if she is her best friend's boss, addie is her friend first and always. when comparing adelaide to her sisters, she's not the typical older sibling. she's serious at times, but isn't always the most social of the band and tends to bottle her feelings up. the middle sibling is quite eccentric and very wild, and the youngest is the most serious of the bunch. outside of her children, these three women are the most important people in her life and they are her emotional rock, her loves, and they push her to be better than she currently is. i'm willing to work on the face claims and the age ranges some, but the faces i've picked for this ad are like my diehard ships that i truly want, like legit.

ADELAIDE DOE - 47 - NEUROSURGEON - PLAYED BY DEAA

VALERIE RHODES - 46 - PEDIATRIC SURGEON - PLAYED BY LIZA

FIRST LAST - 43-45 - CATERINA SCORSONE - OPEN

FIRST DEXTER - 39-41 - CHYLER LEIGH - OPEN

check out the request right here!