UTI Prevention Through Hydration: Expert Advice from Urologists

In the arid climate of the UAE, maintaining proper hydration is crucial not just for overall health, but specifically for urinary tract health. At Burjeel, our team of expert urologists understands the vital role that adequate fluid intake plays in preventing Urinary Tract Infections (UTIs). This blog post shares invaluable insights on how hydration can be your first line of defense against UTIs.

Understanding UTIs and the Role of Hydration

Urinary Tract Infections occur when bacteria enter the urinary system, leading to infection. While several factors contribute to UTIs, proper hydration is a key preventive measure. Burjeel’s urology specialists explain why:

  1. Flushing Out Bacteria: Adequate water intake increases urine production, helping to flush out bacteria before they can cause an infection.
  2. Diluting Urine: Well-hydrated individuals have more diluted urine, which makes it harder for bacteria to grow and thrive in the urinary tract.
  3. Reducing Irritation: Concentrated urine can irritate the bladder, making it more susceptible to infection. Proper hydration helps maintain a healthy urinary environment.

Hydration Tips for UTI Prevention

Our Burjeel urologists recommend the following hydration strategies to help prevent UTIs:

  1. Drink Adequate Water: Aim for 2-3 liters of water daily, more if you’re active or in hot weather.
  2. Monitor Urine Color: Your urine should be light yellow to clear. Dark urine indicates a need for more fluids.
  3. Consistent Hydration: Spread your fluid intake throughout the day rather than consuming large amounts at once.
  4. Choose Water-Rich Foods: Incorporate fruits and vegetables with high water content into your diet.
  5. Limit Bladder Irritants: Reduce intake of caffeine, alcohol, and acidic beverages, which can irritate the bladder.
  6. Don’t Hold It: Urinate regularly and when you feel the urge. Holding urine can create an environment for bacteria to grow.

Special Considerations in the UAE Climate

Living in the UAE presents unique challenges for maintaining proper hydration. Our experts at Burjeel offer these additional tips:

  1. Increase Intake in Summer: During the hot months, increase your fluid intake to compensate for increased sweating.
  2. Hydrate Before, During, and After Exercise: The UAE’s climate makes it easy to become dehydrated during physical activity.

When to Seek Medical Advice

While proper hydration is crucial for UTI prevention, it’s important to recognize when you need medical attention. Consult a Burjeel urologist if you experience:

  • Frequent, urgent need to urinate
  • Burning sensation during urination
  • Cloudy or strong-smelling urine
  • Lower abdominal pain
  • Fever or chills

Conclusion

Proper hydration is a simple yet effective strategy for UTI prevention, especially in the UAE’s climate. By following these expert tips from Burjeel’s urologists, you can significantly reduce your risk of developing a UTI. Remember, your urinary health is an important part of your overall well-being.

Stay hydrated, stay healthy!

Beat the Heat: Comprehensive Guide to Staying Hydrated in the UAE

In the sun-drenched landscapes of the United Arab Emirates, staying hydrated is more than just a health tip—it’s a vital necessity. At Burjeel, our team of specialists across multiple disciplines understands the unique challenges posed by the UAE’s climate. We’re committed to sharing our expertise to help you maintain optimal hydration for your health and well-being.

Understanding Hydration in the UAE Climate

The UAE’s hot and arid climate presents specific challenges to maintaining proper hydration:

  • High Temperatures: Average summer temperatures often exceed 40°C (104°F), leading to increased perspiration and fluid loss.
  • Low Humidity: Despite proximity to the sea, inland areas often have very low humidity, accelerating water loss through respiration and sweating.
  • Sun Exposure: Intense sunlight can lead to rapid fluid loss, even when not actively exercising.

The Importance of Hydration: Insights from Burjeel’s Specialists

Nephrology Perspective

Burjeel’s nephrology team emphasizes the crucial role of hydration in kidney health. In the UAE’s climate, inadequate water intake can lead to an increased risk of kidney stones and urinary tract infections. Our nephrologists stress the importance of consistent hydration to maintain optimal kidney function.

Cardiology Insights

Burjeel’s cardiology experts note that dehydration can significantly strain the cardiovascular system. In hot weather, dehydration forces the heart to work harder to pump blood, potentially leading to increased stress on the heart. Our cardiologists recommend staying well-hydrated as a key component of heart health, especially in the UAE’s climate.

Dermatology Advice

The dermatology specialists at Burjeel highlight the vital role of hydration in maintaining skin health. Proper fluid intake helps maintain skin elasticity and can even help prevent premature aging accelerated by the UAE’s sunny climate. Our dermatologists recommend hydration as a cornerstone of any skincare routine.

Signs of Dehydration to Watch For

  1. Thirst
  2. Dark-colored urine
  3. Fatigue
  4. Dizziness
  5. Dry mouth and lips
  6. Decreased urine output
  7. Headache
  8. Rapid heartbeat

If you experience these symptoms, especially in combination, seek shade and hydrate immediately. For severe symptoms, Burjeel’s emergency care teams are always ready to provide expert medical attention.

Hydration Strategies for UAE Residents and Visitors

  1. Proactive Hydration: Don’t wait until you feel thirsty. In the UAE climate, thirst is often a late indicator of dehydration.
  2. Optimal Water Intake: While individual needs vary, Burjeel’s nutrition experts recommend aiming for at least 3-4 liters of water daily in the UAE climate.
  3. Electrolyte Balance: In extreme heat, consider drinks that replenish electrolytes, especially if engaging in outdoor activities.
  4. Avoid Dehydrating Beverages: Limit caffeine and alcohol intake, as these can contribute to dehydration.
  5. Eat Water-Rich Foods: Incorporate fruits and vegetables with high water content into your diet, such as watermelon, cucumber, and tomatoes.
  6. Time Your Outdoor Activities: If possible, plan outdoor activities for cooler parts of the day, typically early morning or evening.
  7. Dress Appropriately: Wear loose, light-colored clothing to reflect sunlight and allow your skin to breathe.

Special Considerations

For Athletes and Outdoor Workers

Burjeel’s sports medicine specialists advise that athletes and those working outdoors should increase their fluid intake significantly. They recommend using oral rehydration solutions and taking frequent breaks in shaded areas to maintain hydration levels during intense physical activity.

For Children and the Elderly

Burjeel’s pediatrics and geriatrics departments stress the importance of vigilant hydration for these vulnerable groups. Children and older adults may not recognize thirst cues as readily and are at higher risk of rapid dehydration. Our specialists recommend creating hydration schedules and actively encouraging regular fluid intake for these groups.

Conclusion

Staying hydrated in the UAE’s climate is a continuous effort that pays dividends in terms of overall health and well-being. By following these guidelines and listening to your body, you can beat the heat and enjoy all that the UAE has to offer. At Burjeel, our multidisciplinary team of experts is dedicated to providing comprehensive care and education to keep you healthy in the unique UAE environment.

Remember, your health is our priority at Burjeel. If you have concerns about hydration or heat-related illnesses, don’t hesitate to consult with our specialists across our network of healthcare facilities.

Stay cool, stay hydrated, stay healthy!

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THD Surgery: Transanal Hemorrhoidal Dearterialization

THD surgery, particularly Transanal Hemorrhoidal Dearterialization (THD), is a minimally invasive procedure used to treat hemorrhoids. This technique focuses on reducing blood flow to hemorrhoidal tissue, thereby reducing swelling and discomfort.

Procedure:

  • Anesthesia: THD surgery is typically perform under local anesthesia with sedation or general anesthesia, depending on the patient’s preference and the surgeon’s recommendation.

Technique:

  1. Insertion of Proctoscope: A specialized proctoscope is inserted into the anus to access the hemorrhoids.
  2. Doppler Ultrasound: The proctoscope is equipped with a Doppler ultrasound probe to locate the hemorrhoidal arteries.
  3. Ligation of Arteries: Using Doppler ultrasound guidance, the surgeon identifies the arteries that supply blood to the hemorrhoidal cushions. These arteries are then ligated (tied off) using sutures or a special thread that also delivers a gentle electrical current to seal the artery.
  4. Shrinkage of Hemorrhoids: By reducing the blood flow to the hemorrhoidal cushions, the procedure aims to shrink and reduce the size of the hemorrhoids.

Advantages:

  • Minimally Invasive: The surgery is perform through the anal canal, avoiding the need for external incisions.
  • Reduced Pain: Patients typically experience less pain compared to traditional hemorrhoidectomy.
  • Shorter Recovery: Recovery time is generally quicker, with most patients able to resume normal activities within a few days.
  • Low Risk of Complications: There is a lower risk of complications such as anal stenosis (narrowing of the anal canal), which can occur with more invasive procedures.

Effectiveness:

  • THD surgery is effective for treating grades 2 and 3 hemorrhoids (those that protrude through the anus during bowel movements).
  • Long-term success rates are generally good, with many patients experiencing relief from symptoms.
  • Studies and clinical use have shown that THD surgery effectively manages hemorrhoidal symptoms and reduces the recurrence rate, making it a reliable option for long-term relief.

Versatility:

  • THD can be use to treat various grades of hemorrhoids, from less severe internal hemorrhoids to more advanced cases that might traditionally require more invasive surgery.

Conclusion:

THD surgery offers a less invasive alternative to traditional hemorrhoidectomy for treating symptomatic hemorrhoids. It is important to consult with a colorectal surgeon to determine if THD surgery is appropriate for your specific condition and to discuss the potential risks and benefits.

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A Complex Case: Surgical Management of a Massive Retroperitoneal Tumor 

Mr. S, a 63-year-old male, presented with a history of progressive abdominal distension spanning 8 years, intensifying notably over the past 6 months. His symptoms included severe discomfort, disrupted sleep patterns, and recent bilateral pedal edema extending up to the knee joints. Additionally, he reported experiencing severe back pain that significantly impeded his daily activities. 

Clinical examination revealed bilateral pedal edema and a massively distended and tense abdomen. A large mass measuring 50x50x40 cm occupied all quadrants of the abdomen, causing vertical stretching of the umbilicus. Lower abdominal wall edema was also observed. Despite the massive tumor burden, bilateral scrotal gonads were normal, and no palpable left supraclavicular nodes were detected. 

Diagnostic imaging, including a Contrast-Enhanced Computed Tomography (CECT) of the abdomen, depicted a large heterogeneous mass with fatty, solid, and calcified components. The tumor displaced bowel loops superiorly and compressed the aorta and inferior vena cava (IVC). The urinary bladder was displaced laterally due to the mass’s size and location within the retroperitoneal space. Subsequent PET CT confirmed the absence of distant metastases. 

Laboratory investigations, including tumor markers such as AFP, Beta HCG, LDH, CEA, and CA 19-9, were within normal limits, indicating no evidence of metastatic spread. 

A multidisciplinary tumor board, comprising oncologists, surgeons, radiologists, and nuclear medicine specialists, recommended surgical intervention due to the tumor’s size and associated symptoms. On June 4th, 2024, Mr. S underwent a complex laparotomy for excision of the retroperitoneal tumor following bilateral ureteric catheterization. The intricate procedure lasted 5 hours and involved a surgical team led by Dr. Mohammed Basheeruddin Inamdar, Consultant Surgical Oncologist, supported by Dr. Omar Hnaidi, Consultant Urology, and Dr. Mohammed Eid Ali, Consultant Anesthesia. The surgery addressed challenges such as severe compression on major vessels (IVC, Aorta) caused by the massive tumor. 

Postoperatively, Mr. S experienced minimal blood loss and a smooth recovery, leading to discharge on the 6th day after surgery. The procedure significantly alleviated his symptoms and improved his quality of life. 

This case highlights the critical role of multidisciplinary collaboration in managing rare and complex tumors like retroperitoneal liposarcomas. It underscores the importance of early diagnosis and timely surgical intervention to optimize patient outcomes and restore functional health. 

Guard Your Kidneys: Key Strategies for Men to Prevent Stone Formation

Kidney stones are a prevalent health issue, particularly among men. These painful deposits can significantly affect quality of life, but fortunately, there are effective strategies to prevent their formation. This article offers practical tips for men to incorporate into their daily routines to reduce the risk of developing kidney stones.

Understanding Kidney Stones

Kidney stones are hard deposits made of minerals and salts that form inside the kidneys or urinary tract. They can vary greatly in size and may cause severe pain when passing through the urinary system. The most common types of kidney stones are calcium oxalate, uric acid, and struvite stones. Key contributing factors include dehydration, diet, and certain health conditions.

Preventive Measures for Men

  1. Stay Hydrated: Drinking at least 8-10 glasses of water daily helps keep the urine diluted and prevents the minerals in your urine from crystallizing into kidney stones.
  2. Watch Your Diet: Avoid high-oxalate and high-purine foods which contribute to stone formation. Foods to limit include spinach, nuts, red meat, and shellfish. Emphasize a balanced diet rich in fruits, vegetables, and whole grains.
  3. Maintain a Healthy Weight: Being overweight increases your risk of kidney stones. Engage in regular physical activity and follow a nutritious diet to manage your weight effectively.
  4. Monitor Sodium Intake: High sodium levels can increase calcium excretion, leading to stone formation. Reduce intake of processed foods and choose fresh, low-sodium alternatives.
  5. Limit Alcohol and Caffeine: Both can dehydrate your body. Moderate your consumption of these beverages and ensure you balance them with plenty of water.
  6. Increase Citrus Consumption: Citrus fruits like lemons and oranges contain citrate, which can help prevent stone formation by binding with calcium in the urine.

Conclusion

Preventing kidney stones doesn’t just spare you from significant pain; it also contributes to your overall well-being. By staying hydrated, managing your diet, maintaining a healthy weight, and monitoring your intake of sodium, alcohol, and caffeine, you can significantly reduce your risk of kidney stones. Embrace these strategies to safeguard your kidneys and enjoy a healthier, more comfortable life.

The Importance of the Support Dosage of the Measles Vaccine

At Burjeel Royal Asharej, our pediatric experts emphasize the critical role of the measles vaccine in preventing the disease. Particularly important is the support dosage, which is essential for reinforcing immunity in children. This post delves into the importance of this dosage, explaining how it helps secure long-term protection against measles.

What is Measles?

Measles is a highly contagious viral infection transmitted through respiratory droplets. It starts with symptoms akin to a cold, such as fever, cough, and runny nose, progressing to a red rash that spreads from the face to the rest of the body. Measles can lead to severe complications like pneumonia, encephalitis, and hearing loss.

The Importance of the Measles Vaccine

The measles vaccine, administered in two initial doses at ages 12 to 15 months and then at 4 to 6 years, is the most effective method to prevent measles. The support dosage at 4-6 years strengthens the child’s immune response and ensures enduring protection.

Why is the Support Dosage Important?

  • Boosting Immunity: The support dosage bolsters the immune system’s response to the virus.
  • Community Protection: It aids in establishing herd immunity, thus safeguarding the community, including those who cannot be vaccinated.
  • Preventing Complications: It ensures robust protection against serious measles complications.

Tips from Pediatric Doctors at Burjeel

Our pediatricians at Burjeel Al Ain recommend:

  • Check Vaccination Records: Ensure your children have received all their measles vaccine doses on schedule.
  • Consult Your Doctor: If you have any concerns about the vaccine or its support dosage, consult your pediatrician.
  • Community Awareness: Share the importance of the support dosage with others to enhance community protection.

Conclusion

The support dosage of the measles vaccine plays a vital role in protecting our children and ensuring their healthy future. By adhering to vaccination schedules and spreading awareness, we can prevent measles outbreaks and protect our community. For more information, visit Burjeel Royal Asharej and speak with our pediatric team.

Stay connected for more health tips and information on the vital importance of vaccinations for your children’s health and safety.

Hypoparathyroidism: An Uncommon but Manageable Endocrine Disorder

As an endocrinologist, I often see patients grappling with a variety of endocrine disorders, including hypoparathyroidism. Despite its rarity, this disorder can significantly affect an individual’s life. This blog post will explore the causes, symptoms, and treatment options for managing hypoparathyroidism effectively.

What is Hypoparathyroidism?

Hypoparathyroidism is a rare endocrine disorder characterized by inadequate production of parathyroid hormone (PTH) by the parathyroid glands. These glands are vital for regulating calcium and phosphorus levels in the body. Insufficient PTH leads to decreased calcium levels in the blood, which can cause various symptoms.

Causes of Hypoparathyroidism

  • Acquired Hypoparathyroidism: Often results from damage to the parathyroid glands during thyroid surgery, autoimmune disorders, or other medical treatments.
  • Congenital Hypoparathyroidism: Present at birth, this form can be due to genetic factors or developmental abnormalities.

Symptoms of Hypoparathyroidism

Patients with low calcium levels due to hypoparathyroidism may experience:

  • Muscle cramps and spasms
  • Tingling or numbness in the extremities or face
  • Fatigue and weakness
  • Mood changes or anxiety
  • Dry hair and skin
  • Dental issues like brittle teeth

Treatment Options for Hypoparathyroidism

The primary treatment goal is to normalize calcium levels in the blood. Treatment strategies include:

  • Calcium Supplements: To raise blood calcium levels.
  • Vitamin D Supplements: To enhance calcium absorption from the diet.
  • PTH Replacement Therapy: Synthetic PTH can be used to mimic natural hormone functions and regulate calcium levels.

Consultation with an Endocrinologist

If you suspect you have hypoparathyroidism or are experiencing symptoms related to low calcium levels, consult with an endocrinologist. At Burjeel Royal Hospital, Asharej, our team, is committed to providing comprehensive care for endocrine disorders. Schedule a consultation today to discuss your symptoms and treatment options.

The Impact of Obesity on Heart Health: What You Need to Know

Obesity, a major risk factor for heart disease, affects millions globally. This post explores how obesity contributes to heart problems and steps you can take to protect your heart.

How Does Obesity Affect the Heart?

  • Increased Blood Pressure: Obesity often results in hypertension, putting extra strain on the heart.
  • Elevated Cholesterol Levels: Higher levels of “bad” LDL cholesterol and lower “good” HDL cholesterol are common in obesity, increasing the risk of arterial plaque buildup.
  • Increased Risk of Diabetes: As a significant risk factor for type 2 diabetes, obesity heightens the risk of heart disease due to vascular and nerve damage.
  • Inflammation: Excess fat, especially abdominal fat, produces inflammatory substances that promote atherosclerosis.

The Connection Between Obesity and Heart Disease

  • Metabolic Syndrome: A cluster of conditions that doubles the risk of heart disease, with obesity as a central factor.
  • Heart Failure: The strain from obesity can lead to heart failure, exacerbated by related conditions like hypertension and diabetes.
  • Coronary Artery Disease: Plaque buildup from high cholesterol in obese individuals can narrow coronary arteries, causing angina or heart attacks.

Steps to Reduce Heart Disease Risk

  • Adopt a Healthy Diet: Emphasize fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit sugary foods and trans fats.
  • Increase Physical Activity: Aim for 150 minutes of moderate or 75 minutes of vigorous aerobic activity weekly, plus muscle-strengthening exercises.
  • Monitor Your Weight: Regular weight checks and maintaining a normal BMI can dramatically improve heart health.
  • Manage Stress: Utilize stress reduction techniques like mindfulness, meditation, or yoga.
  • Regular Check-Ups: Ensure regular monitoring of heart health metrics like blood pressure, cholesterol, and diabetes screening.

Conclusion

Obesity is a major contributor to heart disease, yet it’s largely preventable. Through proper diet, exercise, and regular health checks, you can significantly reduce your risk and protect your heart. For personalized advice and heart health management, don’t hesitate to contact our clinic.

Why Getting a Second Opinion Before Surgery is Crucial | Burjeel Hospital

Considering surgery? Millions of people undergo surgical procedures each year. However, before committing to surgery, have you thought about getting a second opinion? Whether dealing with musculoskeletal pain or other chronic conditions, it’s crucial to ensure that the proposed surgery is the best possible solution to restore your lifestyle.

Why a Second Opinion Makes Sense

  • Peace of Mind: Knowing you’ve explored all your options can significantly reduce anxiety and increase confidence in your treatment plan.
  • More Information: A second doctor may provide a different perspective or highlight aspects not emphasized during your initial consultation.
  • Treatment Options: Discover alternative procedures or approaches that you might not have been initially presented with.
  • Better Doctor-Patient Fit: A second consultation helps assess the surgeon’s communication style and bedside manner, ensuring you feel comfortable with your surgical decision.

When is a Second Opinion Particularly Important?

  • Complex or Risky Procedures: If the proposed surgery is complex or carries significant risks, a second opinion is crucial.
  • Uncertainty About Diagnosis: If you have doubts about your diagnosis or lingering questions, seeking another expert’s perspective is essential.
  • Doctor Doesn’t Address Concerns: If your concerns are not being adequately addressed, a second opinion can provide the clarity and reassurance you need.

Finding a Second Opinion Provider

  • Ask Your Primary Doctor: They can often refer you to other qualified surgeons within your network.
  • Research Online: Look for board-certified surgeons with experience in treating your specific condition. Patient reviews can also provide valuable insights.
  • Talk to Friends and Family: Personal recommendations are a reliable source for finding a reputable doctor.

Preparing for Your Second Opinion

  • Gather Medical Records: Ensure you have all relevant medical documents like X-rays and MRIs to share with the second doctor.
  • Write Down Questions: Prepare a list of detailed questions regarding diagnosis, treatment options, risks, and recovery.
  • Be Open and Honest: Fully disclose your medical history, current symptoms, and expectations to get the most out of the consultation.

Common Myths and Facts About Second Opinions

  • Myth #1: “My doctor will be offended if I get a second opinion.”
    • Fact: Most reputable doctors encourage second opinions and understand it as a normal part of the decision-making process.
  • Myth #2: “A second opinion means I don’t trust my first doctor.”
    • Fact: It’s about gathering more information and exploring all options, not a reflection of your trust in their expertise.
  • Myth #3: “Second opinions are too expensive.”
    • Fact: Many insurance plans cover second opinions. Always check with your provider for specifics about your coverage.
  • Myth #4: “Second opinions take too much time.”
    • Fact: While it might add some time to your decision-making process, it’s a worthwhile investment in your health.
  • Myth #5: “Second opinions always lead to different diagnoses.”
    • Fact: Often, they confirm the initial diagnosis but may also provide additional insights or alternative treatment options.

Conclusion

Getting a second opinion is not a sign of mistrust but an empowerment to make well-informed decisions about your health. By seeking additional insights, you can approach your surgery with greater confidence and a clearer path to recovery. If you’re considering surgery in Abu Dhabi, remember that Burjeel Hospital is here to support you every step of the way with expert advice and care options.

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From Crisis to Recovery: The Story of Fulminant Myocarditis Management 

Fulminant Myocarditis

In a compelling case of medical urgency, the story of a 31-year-old woman with fulminant myocarditis showcases the critical importance of rapid diagnosis and a coordinated, multidisciplinary approach to care. This case was expertly managed by Dr. Mohammed M. Sulieman, a Consultant Interventional Cardiologist, and his dedicated team. 

The patient, who had a history of controlled hypertension, arrived at the emergency department in a severe condition. She was experiencing extreme shortness of breath, was in shock, and had suffered a cardiac arrest. Despite the initial non-specific results from her ECG, the medical team quickly suspected serious conditions such as pulmonary embolism or cardiac issues. Given the critical nature of her condition, swift action was paramount. 

An echocardiogram was performed, revealing severe dysfunction of her heart. To rule out other potential causes, a coronary angiogram was conducted, and it confirmed that her coronary arteries were normal. With these findings, the medical team diagnosed the patient with fulminant myocarditis, likely of viral origin. 

To stabilize her condition, the patient was placed on mechanical ventilation and an intra-aortic balloon pump, which helped improve her blood circulation. These interventions were crucial in providing the necessary support for her heart and lungs during this critical period. 

In the Intensive Care Unit (ICU), the multidisciplinary care approach played a vital role in addressing her multi-organ failure. The comprehensive care provided by specialists from various fields ensured that all aspects of her complex condition were managed effectively. Although there was consideration for an extracorporeal membrane oxygenation (ECMO) referral, the patient’s condition began to show improvement with the existing support measures. 

Thanks to the prompt and coordinated efforts of Dr. Sulieman and the multidisciplinary team, the patient gradually recovered. This case highlights the indispensable value of rapid diagnosis and the efficacy of a well-coordinated, multidisciplinary care approach in managing life-threatening conditions such as fulminant myocarditis. 

As this case demonstrates, the combination of prompt medical intervention and comprehensive, team-based care can significantly influence patient outcomes in critical conditions. The dedication and expertise of Dr. Sulieman and his team were pivotal in the patient’s recovery, offering a powerful reminder of the impact of collaborative healthcare.