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How does tying your tubes work: Tubal ligation – Mayo Clinic

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Tubal ligation | tubes tied | female sterilisation

What is a tubal ligation (sterilisation)?

Tubal ligation is a minor surgical procedure which blocks the two fallopian tubes with small clips. Fallopian tubes are the pathway for the egg to enter the uterus. This method of contraception is sometimes also called sterilisation or “having your tubes tied”.

Illustration of tubal ligation

General anaesthetic: a medicine used to make you unconscious. This is usually applied during surgery so you are not aware and unable to feel the pain.  

What happens when I have a tubal ligation?

A small incision (cut) is made in the skin around the belly button or lower abdomen and keyhole surgery (known as laparoscopy) is used to place clips on the fallopian tubes or remove the fallopian tubes. Your gynaecologist will discuss keyhole surgery with you.

You will need a general anaesthetic. You can usually go home the same day, but sometimes have to stay in hospital over night.

How effective is tubal ligation?

Tubal ligation is over 99% effective at preventing pregnancy. It is considered to last forever (permanent).

How does a tubal ligation work?

For pregnancy to occur, sperm must fertilise a mature egg. During each menstrual cycle a mature egg is released from one of the ovaries, this is called ovulation. The released egg is funnelled into the fallopian tube and towards the uterus. Tubal ligation blocks the fallopian tubes, stopping the egg from moving through the fallopian tube to the uterus. This prevents pregnancy by stopping sperm from meeting the egg.

When does it start to be effective?

Tubal ligation is effective immediately, however pain, discomfort and bleeding following the procedure may mean you do not feel like sex.

Where can I get a tubal ligation?

You can get a tubal ligation done by a gynaecologist in a hospital or day surgery. You will need a referral from your doctor.

What stops a tubal ligation from working?

It is very uncommon for a tubal ligation to stop working.

What is good about a tubal ligation?

  • Very effective.
  • Can be performed at a public hospital at no cost, although waiting times can be long.
  • Permanent (lasts forever).
  • Does not change how often you have your menstrual period.
  • Provides a choice for those who do not want to use hormonal contraception.
  • Does not affect your ability to enjoy sex or reach orgasm.
  • It may allow your partner to stop using other types of contraception if they want to prevent pregnancy.
  • It can reduce your risk of ovarian cancer.

Are there any side effects from having a tubal ligation?

  • You may have scarring, bruising or infection at the wound site.
  • There can be pain in your abdomen and shoulder for a few days after the procedure.

Can a tubal ligation cause any serious health problems?

There can be damage to blood vessels, bladder or bowel through surgery, but this is rare.

Reasons why a tubal ligation might not be a good option for you:

  • Think you might want children later.

You are more likely to want a tubal ligation reversed if you:

  • are young (particularly aged under 30 years)
  • do not have any children
  • are having trouble with a current relationship
  • have a tubal ligation at the same time as an abortion or caesarean delivery.

What happens if I get pregnant after a tubal ligation?

Although unlikely, if you get pregnant after a tubal ligation, you have an increased risk of ectopic pregnancy. This is a pregnancy that develops outside the uterus, usually in one of the fallopian tubes. An ectopic pregnancy can be an emergency. If you think you are pregnant you should seek medical care as soon as possible.

Can I have a tubal ligation after I have had a baby?

You can have a tubal ligation at the time of giving birth or shortly after. Speak to your doctor or nurse for more information.

What if I have had a tubal ligation and I want to become pregnant?

You can reverse a tubal ligation, but it can be expensive. You have around a 50% chance of getting pregnant after reversal.

What else should I know about a tubal ligation?

  • Tubal ligation does not protect you from sexually transmissible infections (STIs).
  • Tubal ligation is one of many types of contraception. See other contraceptive options

You might be interested in watching:

Where to get more information and support

  • Sexual Health Victoria
  • A doctor or nurse
  • An obstetrician or gynaecologist
  • Your local community health service
  • 1800 My Options phone line 1800 696 784 or website
  • Better Health Channel
  • Equinox – for transgender services
  • Jean Hailes
  • Marie Stopes Australia
  • Multicultural Centre for Women’s Health
  • The Women’s (The Royal Women’s Hospita)

If you are using the internet for information, only use reliable and reputable websites, such as the ones provided above.

Disclaimer
This website and any related materials are for general information purposes only and should not be relied on as (or in substitution for) medical or other professional advice. You should seek specific medical or professional advice for your individual circumstances.

Copyright ©
The copyright for material on this website is owned by Sexual Health Victoria (or, in some cases, by third parties) and is subject to the Copyright Act 1968. We permit you to reproduce or communicate our copyright material if you are a not-for-profit educational organisation, for the purpose of providing the information to your students provided that you include any disclaimers associated with that material. Any other reproduction or communication of our material requires our prior consent, via our consent form which you can complete and submit.

Last updated:
24 June 2021

Pros and Cons of Getting Your Tubes Tied

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Pros and Cons of Getting Your Tubes Tied

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Pros and Cons of Getting Your Tubes Tied

If you are done having children or have made the decision not to have children, then you may want to consider a permanent form of birth control. Every woman has a different reason for choosing a permanent procedure like female sterilization as a form of birth control. Some women may have health risks associated with becoming pregnant, and others may not want to pass down a genetic disorder that they or their partner carry. Tubal ligation, commonly known as getting your tubes tied, can be a great option if you are done having children.

As with any procedure, they are pros and cons you will have to weigh before deciding that getting your tubes tied is the best solution for your body. There are advantages to getting tubal ligation that are not possible with other forms of birth control. Tubal ligation is recommended for adult women who have had time to weigh the benefits and risks carefully. After reading this, give Dr. Lodge a call at Cool Springs OBGYN located near Nashville.

What is Tubal Ligation?

Tubal ligation is the formal term for “getting your tubes tied.” This procedure is a surgery involving your fallopian tubes. Fallopian tubes connect your uterus and ovaries and offer a small passageway for the egg to pass through once released. These tubes are cut completely or closed off in a tubal ligation. With no route to the uterus to be fertilized by sperm, the released eggs will be reabsorbed one released. Some women will choose this as their method of birth control.

Reasons people may choose to get their tubes tied:

  • They are done having children or have decided they do not want any.
  • Health issues that could come with a dangerous pregnancy.
  • Fear of passing down genetic conditions.

The Pros of Tubal Litigation

There are various advantages to consider that are different than what other forms of birth control offer.

  • If you are looking for a permanent form of birth control, this is it. There are no pills, shots, prophylactics, vaginal ring, or other types of birth control that you have to remember. Once your tubes are cut, the egg can no longer be fertilized.
  • Getting your tubes tied is effective. After the procedure, the odds of getting pregnant again are 1 in 200. The odds of pregnancy are less than 1% and are lower than other forms of birth control. Getting your tubes tied does not 100% prevent pregnancy because, over time, tubes may grow back naturally in some women.
  • Your hormones are left intact. By leaving the ovaries in place, your hormones won’t be affected. Other forms of birth control can cause mood swings, weight gain, headaches, and menstrual issues. Unlike a hysterectomy, a careful tubal ligation leaves the ovary intact and able to continue making necessary feminine hormones.
  • Did we mention no weight gain? Since your ovaries are left intact, hormones that control your weight and appetite are not affected. This means you won’t gain weight from a tubal ligation procedure.
  • Your risk of developing ovarian cancer lessens. Even though ovarian cancer is uncommon, it is still the fifth leading cause of cancer deaths in women. One reason for the decreased occurrence is that many times, this cancer develops in the fallopian tubes. If the tubes are tied off, cancer has a more difficult time traveling to the ovary.

The Cons of Tubal Ligation

  • There is an increased risk of an ectopic pregnancy. Ectopic pregnancy is where the egg is fertilized and implants inside the fallopian tubes instead of the uterus. This type of pregnancy can not reach full term, and you will need to speak to your ob-gyn to determine an emergency contraception option.
  • Tubal ligation is permanent female sterilization, so you must be very sure that you no longer want the option of pregnancy. Tubal ligation reversal is a possible surgical option to reopen the fallopian tubes. Still, its success will depend on your age, the type of surgery you had, and your reproductive health.
  • While this prevents pregnancy, it does not prevent STDs. Protective measures will need to take place to ensure you do not contract transmittable diseases from a partner. A female condom is one way to take control of your reproductive health.
  • Like any surgery, there are risks with more invasive procedures. You risk damage to your bladder, bowel, and blood vessels. Incisions can also become infected, leave scars, or lingering abdominal pain.

Getting Your Tubes Tied During C-Section

Women who are done having children and do not wish to get pregnant again may choose to get their tubes tied during a c-section. A c-section (or cesarean section) is the delivery of a baby by making an incision through a pregnant woman’s abdominal and uterine walls.

Women who choose c-section and sterilization may do so out of convenience since c-sections are often scheduled. In order to get your tubes tied, your surgeon will need to open the abdomen, known as laparotomy, and this part will already be done with a c-section. Doing these procedures at the same time shouldn’t increase complications during delivery as it only takes a few minutes.

What is the Recommended Age to Get Your Tubes Tied?

Federally, there is no legal age requirement to get your tubes tied. However, the legal age varies between states, but you must be between 18 and 21 to undergo this procedure. It is reported that 25% of women under 30 years of age who choose tubal ligation experience regret. We all change as we grow and mature, and many times our life goals change with time or even with a partner. It is recommended to wait until your 30s to choose to get your tubes tied.

If getting your tubes tied isn’t the form of pregnancy prevention that works for you, there are many other options. Some low-maintenance options that are 99% effective include IUD and a birth control implant.

  • IUD: This is a tiny device that is inserted into the uterus to prevent pregnancy. Different FDA-approved brands may use copper or hormones to prevent sperm from getting to the egg. While it is long-term, it is also reversible. The IUD lasts 3 – 12 years and is 99% effective. This method can cost $0 – $1,300.
  • Birth Control Implant: This implant, also known as Nexplanon, is a small thin rod that is inserted into your arm. It releases hormones into the body that prevent pregnancy. This method is reversible and can last up to 5 years. It is 99% effective and costs $0 – $1,300.

 

Requirements for Getting Your Tubes Tied

  • Find out the age laws for your state and of your medical coverage provider. This may disqualify you from having the procedure paid for by your insurance provider.
  • If seeking payment through a federally-funded medical plan like Medicaid, you must be found “mentally competent.”
  • With a federally-funded plan, you must wait 30 days have you have given “voluntarily given informed consent” around the process.

Cost of Tubal Ligation

The cost of tubal ligation can vary widely. The final price will depend on what kind you get and whether or not your health insurance company will cover some of the procedure or even the full cost. Tubal ligation costs range from $0 to $6,000. To find out what you might be paying, schedule an appointment with Dr. Lodge.

Schedule a Consultation for Tubal Ligation

If you would like more information about the advantages of female sterilization or would like to know if this option of pregnancy prevention is right for you, please schedule an appointment with an experienced gynecologist. Dr. Jefrey Lodge is a compassionate and experienced women’s health doctor who can assess your current health status and give you the best options that will work for you.

 

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Pulsed X-ray tubes of cold action (cold cathode).

Fedorov
Professional

  • #1

Pulsed X-ray cold tubes (cold cathode).

There are several myths in the field of radiography, such as the scavenging of free radicals by means of liquids containing alcohol and the drop in emission from X-ray tubes.
We will not debunk the first myth, since we all like it, but let’s discuss the second one.

So, what is a drop in emissions?

From various sources We know that electron emission is the phenomenon of electron emission from solids or liquids.

There are different types of emissions, such as thermionic, electrostatic, photoelectronic, secondary, ion-electronic, explosive and cryogenic.

We are interested in three, namely thermionic, electrostatic (autoelectronic) and explosive.

Thermionic emission is the release of electrons from the surface of a metal as a result of its heating under the action of an electric current.
The majority of gas-discharge lamps (diodes, triodes, pentodes, kinescopes, etc.) work on the basis of thermionic emission.
Many probably remember that in the old days, color CRT TVs lost completely or partially one or another color, while the master said that the CRT had lost emission and it either needs to be changed or “shoot through”, but “shoot through” is a tape measure.
From those times, the myth about the loss of emission from gas discharge devices began, and for some reason the emission fell only in color kinescopes, in other gas discharge devices – this effect was not observed.
I myself was a radio mechanic, TV technician, etc. and I can tell you what happened to the cathode of the kinescope and how it was treated, even special devices were produced to check color kinescopes and “shoot through” them to black and white kinescopes – for some reason this did not apply …

So let’s get back to the Edison effect, Oh, A! Well, yes!
Why is it called that – because in any incandescent lamp with a spiral, we observe thermionic emission!
Even I did not see the fall of this emission in light bulbs, maybe I looked badly?
So, I think We have figured out that it is almost impossible to lose emission during the thermionic effect, well, theoretically it is present, but our life, and even more so the life of the spiral, is not enough to at least register this fall, especially since We have a bunch of side factors on which it depends this is the thermionic emission, namely, the stability of the anode voltage, the cathode current, the capacitance of the gas discharge device, the screen, etc.

In short, Ohm’s law does not apply to vacuum devices!

I wrote a lot about nothing.

The Edison effect is not applicable in pulsed x-ray tubes!!!!!

Well, here you can write for a long time, I think it will not be interesting, because we will talk about the transition of thermionic emission to autoelectronic, all sorts of Schottky effects turning into a tunnel effect.

And so we approached, that is, ran up to our explosive emission. What is it and how to eat it?

In field emission, the cathode is not heated, electrons are emitted by an external electric field – a tunnel effect, but a barrier is needed.
This is what they used to do with x-ray tubes, and they were huge compared to modern ones.

Explosive electron emission is used in modern X-ray tubes.

Wow, I’ll scare you now!

Explosive electron emission – electron emission from the surface of a metal during its transition from a solid phase to a gaseous (plasma) as a result of local explosions of microscopic areas.

That is, our, often tungsten, anode, under the influence of plasma microexplosions, quietly evaporates.

We are all told about the target, etc., but there is no target in the cold cathode impulse tubes.
And how does it work?
Let’s describe it very roughly.
We have a power source that feeds the pulse generator that is fed through a pulse transformer to the multiplier.
After the multiplier, the pulses are fed to the arrester, which prevents the multiplier from pumping them over the required voltage (for Arina-02, this is 10kV), then a bank of capacitors, a coil and a sharpener, which creates plasma in the X-ray tube.

About the work of the spark gap of the sharpener, it is necessary to stop in more detail, but later.

The tube has a cold cathode (in different tubes it is made differently, either it is a glass with multilayer sections, or with blades or combs, etc.) in the form of a glass, an anode of a conical shape, usually made of tungsten, is inserted inside the glass.
Between the anode and the cathode, not without the help of a spark gap, a plasma explosion and explosive electron emission occur.
Electrons under the influence of all sorts of cunning forces (who are interested, I can describe them in more detail) rush to the tip of the anode, which has a slight rounding (usually the size of the anode is 3-7 mm in diameter, the cone is 10-30 gr., the radius of the tip is 0.5-1, 5 mm) since the electrons rush along the surface of the conductor, they meet a rounding at the tip and…..
Naturally, the anode must be hollow in this case, and the main parameter of the x-ray tube, namely the focal spot, depends on the quality of drilling in the anode.
The tube still has all sorts of screens for condensing anode and cathode metal vapors, but that’s a completely different story..

And what conclusion can be drawn?
I conclude this – there can be no drop in emissions, it either exists or it does not.
If there was a decrease in the intensity of X-ray radiation, then the matter is not in the tube, but something before it. The handset either works or it doesn’t…..

PS. Who would help with the installation of lectures, I can tell you this …..
ZY2. I wrote on my knee for an hour, so there may be some shortcomings, then I will correct ….

Last edit:

Madmax81
Experienced

  • #2

Well, you write that there is a gradual destruction of the anode and cathode. As a result, the cathode-anode distance increases, and with it, at the same voltage, the magnitude of the electric field decreases. And with a smaller field, fewer electrons escape from the cathode, they forgot to add the pulse duration. And the blades become dull, which also affects the maximum electric field strength near the cathode, which also does not benefit the number of emitted electrons…
Regarding the emission in lamps: cathodes are different and oxide ones very much lose their emission with the operating time of the lamps. By emission I mean the cathode current, all other things being equal. There was even a life hack in the days of tube TVs in Soviet times: if it is not possible to change lamps in an old TV set, you can wind 3-4-5 turns on a power transformer and add it to the filament winding. The filament voltage rose by a volt and a half and in this mode the bulbs served for some time …

Madmax81
Experienced

  • #3

And yes, you were going to answer the question “why does March need a constantly working glow?” Interesting, yes.

Fedorov
Professional

  • #4

About March – this should be a different topic, just like about the cathode current. There is no cathode current in pulsed devices. About hot cathodes – a big topic, everything is clear there, it is solved either by raising the current, or by “shooting through” – by sintering the cathode.

Regarding anode and cathode evaporation in pulsed x-ray tubes. There is a rather complicated process, namely:
Let’s consider a simple example of a tube – blade type tungsten cathode, tungsten anode, no insulator.

During operation, the cathode surface is bombarded with ions of residual gases, which are formed in the cathode-anode gap and are accelerated towards the cathode under the action of an electric field. In this case, the structure of the cathode changes at a depth of 1-2 nm, the degradation of the cathode occurs insignificantly, therefore it is often made in the form of foil washers.
When the anode metal evaporates, most of it, under the action of an electric field, is deposited back, while increasing the roughness, but! The anode has a very low heat transfer and its surface gradually degrades (I emphasize it does not become thinner, but degrades).
When the anode is degraded, the roughness increases, and this greatly affects the power of the tube. This is indicated by an increase in the voltage of the pulse.

I have tubes from the 90s and they work successfully in Arina and Pion, and they work a lot and for a long time . … On Pion, it’s really time to increase the pulse voltage, the power dipped, or maybe just a leak appeared on the emitter on one arm of the transistors.

At the moment, tubes with tantalum anodes, anodes with copper radiators and the apogee of development – an anode made of tungsten-graphite have been developed.

Mikhail Nikitin
Flaw Detector

  • #5

Fedorov wrote:

Pulsed X-ray tubes of cold action (cold cathode).

There are several myths in the field of radiography, such as the scavenging of free radicals by means of alcohol-containing liquids and the fall in the emission of X-ray tubes.
We will not debunk the first myth, since we all like it, but let’s discuss the second one.

So, what is a drop in emissions?

From various sources We know that electron emission is the phenomenon of electron emission from solids or liquids.

There are different types of emissions, such as thermionic, electrostatic, photoelectronic, secondary, ion-electronic, explosive and cryogenic.

We are interested in three, namely thermionic, electrostatic (autoelectronic) and explosive.

Thermionic emission is the release of electrons from the surface of a metal as a result of its heating under the action of an electric current.
The majority of gas-discharge lamps (diodes, triodes, pentodes, kinescopes, etc.) work on the basis of thermionic emission.
Many probably remember that in the old days, color CRT TVs lost completely or partially one or another color, while the master said that the CRT had lost emission and it either needs to be changed or “shoot through”, but “shoot through” is a tape measure.
From those times, the myth about the loss of emission from gas discharge devices began, and for some reason the emission fell only in color kinescopes, in other gas discharge devices – this effect was not observed.
I myself was a radio mechanic, TV technician, etc. and I can tell you what happened to the cathode of the kinescope and how it was treated, even special devices were produced to check color kinescopes and “shoot through” them to black and white kinescopes – for some reason this did not apply …

So let’s get back to the Edison effect, Oh, A! Well, yes!
Why is it called that – because in any incandescent lamp with a spiral, we observe thermionic emission!
Even I did not see the fall of this emission in light bulbs, maybe I looked badly?
So, I think We have figured out that it is almost impossible to lose emission during the thermionic effect, well, theoretically it is present, but our life, and even more so the life of the spiral, is not enough to at least register this fall, especially since We have a bunch of side factors on which it depends this is the thermionic emission, namely, the stability of the anode voltage, the cathode current, the capacitance of the gas discharge device, the screen, etc.

In short, Ohm’s law does not apply to vacuum devices!

I wrote a lot about nothing.

The Edison effect is not applicable in pulsed x-ray tubes!!!!!

Well, here you can write for a long time, I think it will not be interesting, because we will talk about the transition of thermionic emission to autoelectronic, all sorts of Schottky effects turning into a tunnel effect.

And so we approached, that is, ran up to our explosive emission. What is it and how to eat it?

In field emission, the cathode is not heated, electrons are emitted by an external electric field – a tunnel effect, but a barrier is needed.
This is what they used to do with x-ray tubes, and they were huge compared to modern ones.

Explosive electron emission is used in modern X-ray tubes.

Wow, I’ll scare you now!

Explosive electron emission – electron emission from the surface of a metal during its transition from a solid phase to a gaseous (plasma) as a result of local explosions of microscopic areas.

That is, our, often tungsten, anode, under the influence of plasma microexplosions, quietly evaporates.

We are all told about the target, etc., but there is no target in the cold cathode impulse tubes.
And how does it work?
Let’s describe it very roughly.
We have a power source that feeds the pulse generator that is fed through a pulse transformer to the multiplier.
After the multiplier, the pulses are fed to the arrester, which prevents the multiplier from pumping them over the required voltage (for Arina-02, this is 10kV), then a bank of capacitors, a coil and a sharpener, which creates plasma in the X-ray tube.

About the work of the spark gap of the sharpener, it is necessary to stop in more detail, but later.

The tube has a cold cathode (in different tubes it is made differently, either it is a glass with multilayer sections, or with blades or combs, etc.) in the form of a glass, an anode of a conical shape, usually made of tungsten, is inserted inside the glass.
Between the anode and the cathode, not without the help of a spark gap, a plasma explosion and explosive electron emission occur.
Electrons under the influence of all sorts of cunning forces (who are interested, I can describe them in more detail) rush to the tip of the anode, which has a slight rounding (usually the size of the anode is 3-7 mm in diameter, the cone is 10-30 gr., the radius of the tip is 0.5-1, 5 mm) since the electrons rush along the surface of the conductor, they meet a rounding at the tip and…..
Naturally, the anode must be hollow in this case, and the main parameter of the x-ray tube, namely the focal spot, depends on the quality of drilling in the anode.
The tube still has all sorts of screens for condensing anode and cathode metal vapors, but that’s a completely different story..

And what conclusion can be drawn?
I conclude this – there can be no drop in emissions, it either exists or it does not.
If there was a decrease in the intensity of X-ray radiation, then the matter is not in the tube, but something before it. The handset either works or it doesn’t…..

PS. Who would help with the installation of lectures, I can tell you this …..
ZY2. I wrote on my knee for an hour, so there may be some shortcomings, then I will correct ….

Click to expand…

There is an old anecdote:
Each time Petka tears off the beetle’s leg and each time says “Beetle, crawl” – the beetle is crawling. When he tears off his last leg and says “Beetle crawl” – the Beetle does not crawl. He asks, Vasily Ivanovich, what happened to Zhuk ???
Write Petka, the beetle is deaf.
So you, dear, on the one hand, write that
“during operation, the anode and cathode of the impulse tube are destroyed”, on the other hand, you conclude that
“If there was a decrease in the intensity of X-ray radiation, then the problem is not in the tube.”
Beetle deaf :rofl:

Last edit:

Fedorov
Professional

  • #6

Do not confuse warm with soft. X-ray intensity and emission are completely different things!
In tubes of this type, either there is emission or not, but the intensity of X-ray radiation may decrease.
For example, we have a generator with two transistors and one transistor is knocked out, the pulse period will be half as long (or so), the device works, but the intensity of the tube drops by almost half (the clearance time increases), but the emission is there! And the tube has nothing to do with it!
Read it again and more carefully, otherwise, like any customer, he reads the conclusion is good / bad.
I’ll finish writing for tubes 1.2 BOD 21-200 they put this unfinished ahem ahem – where it doesn’t get ….

Mikhail Nikitin
Flaw Detector

  • #7

Fedorov wrote:

Do not confuse warm with soft. X-ray intensity and emission are completely different things!
In tubes of this type, either there is emission or not, but the intensity of X-ray radiation may decrease.
For example, we have a generator with two transistors and one transistor is knocked out, the pulse period will be half as long (or so), the device works, but the intensity of the tube drops by almost half (the clearance time increases), but the emission is there! And the tube has nothing to do with it!
Read it again and more carefully, otherwise, like any customer, he reads the conclusion is good / bad.
I’ll finish writing for tubes 1.2 BOD 21-200 stick this unfinished ahem ahem – where it doesn’t get ….

Click to expand …

Colleague, my dear, nothing personal, I just quoted you with deep respect without distortion. Only and exactly your words.
Now you begin to criticize yourself, and just as confidently prove that the intensity of X-ray radiation can fall.
So you yourself will decide to the end whether the X-ray intensity in the impulse tube will fall when the cathode and anode are destroyed or not ????
That’s when there will definitely be willing assemblers for your lectures, while you sit in an uncomfortable position in an uncomfortable place and sculpt great scientific masterpieces. :rofl::rofl::rofl:

Fedorov
Professional

  • #8

I can’t understand where you got the idea that I was talking about the eternity of x-ray tubes? If it’s not difficult, quote the address, and not all in a bunch …
Otherwise, it looks like a banal trolling.

Mikhail Nikitin
Flaw Detection Master

  • #9

Fedorov wrote:

I can’t understand where you got the idea that I was talking about the eternity of x-ray tubes? If it’s not difficult, quote the address, and not all in a bunch . ..
Otherwise, it looks like a banal trolling.

Click to expand…

“I can’t understand where you got the idea that I was talking about the eternity of x-ray tubes?”
That’s where you got this phrase from and attributed it to me.
THIS IS TOTAL BULLSHIT.
Quoted

First watch. Resuscitation

When you talk to patients who have undergone heart surgery in early childhood, you find that they usually do not remember anything. They didn’t get hurt. Older children usually remember the moment they wake up in the intensive care unit.

But now the waiting hours have passed, the operation is over. The surgeon came out to you and told you in detail how everything went, what to expect in the near future. You really want to go to the intensive care unit to look at the child at least “with one eye”. Usually they can’t let you in for reasons of sterility. But, if, nevertheless, it is possible, as in some modern clinics, then go through, but do not interfere. Now is a very important and responsible period, and doctors and intensive care nurses are doing their job.

The reaction of parents during this period is quite standard. Some are horrified by the number of tubes, tubules and wires that, like a cobweb, connect a lying small body with droppers and devices, from luminous screens and the constant rhythmic squeak of heart monitors, from apparent fuss. But this fuss is only apparent. Everything is in its place. This is just a necessary, difficult, responsible job. The nurses do not have time to explain everything to you – they usually work with two or three patients at the same time. And, if you stay in the department for a while, you will gradually understand what and why they are doing. No need to constantly ask questions, no need to do useless things, like straighten the sheet. You can’t help your child right now. He sleeps peacefully and does not remember any of this. After a moment of initial horror, there is a period of deeper familiarity with the environment, and this is where people can behave differently. Some require unceasing attention to their child, forgetting about the patients nearby, asking meaningless questions, sometimes becoming aggressive, making comments and even giving advice. We understand that it is hard for you, that you are stressed, but please calm down. Now there is not only a child being treated, but also an assessment of what was done in the operating room, removing him from anesthesia, supporting the vital functions of his body, and normalizing them.

So either watch everything calmly, or go away and stay outside the door. The attending resuscitator will definitely come to you and explain everything in detail.

But there is one request to you: never listen to anyone but this doctor. Not the parents of other operated children sitting nearby, not passing by, not even sisters and nurses you know. They may tell you something that is completely irrelevant to your child, and you, being in your current state, will begin to worry about non-existent – in your case – problems.