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By D. Sanuyem. Oklahoma Christian University. 2018.

In this case I would direct an infusion of Sassafras with a small portion of Podophyllum purchase pilex 60 caps mastercard mens health yoga workout, ℥ss. It may be associated with the vapor bath, spirit-vapor bath, or sulphur bath in stubborn cases. I would like to test a tincture of the fresh herb, and if any of our readers are so located as to grow it, and prepare such tincture, we will be obliged if they will report. In minute doses it relieves difficult respiration, checks cough, and aids expectoration. For some purposes the infusion would be preferable, but is so nauseous that most persons object to it, The dose of the tincture as above will vary from gtt. The Leptandra exerts a gentle stimulant influence upon the entire intestinal tract, and its associate viscera, and in medicinal doses strengthens functional activity. Its action in this direction is so persistent that it might be called a gastro-intestinal tonic. But it exerts a marked influence in those diseases in which there is enfeebled portal circulation, and tendency to stasis of blood. Thus in some cases of typhoid fever occurring in malarial localities the Leptandra has proven a very valuable medicine. We do not believe there is any remedy that acts upon the liver, according to the old idea of medicine. It has been conclusively proven that preparations of mercury do not, and that podophyllin does not; and it is probable that we will have to give up the idea of cholagogues entirely. There is no doubt in my mind, however, that Leptandra does influence the function of the liver; not always to increase secretion of bile, but rather to bring the organ back to normal functional activity, whatever may have been the deviation. Associated with the milder bitter tonics, the Leptandra improves the digestive function, and stimulates normal excretory action from the bowels. This latter influence sometimes makes it a valuable adjunct to those remedies called alterative. It has been employed in the treatment of intermittent fever with excellent results. Rolph writes that “for many years my fathers family employed it exclusively, and though living in a malarial region, they were entirely exempt from ague. The best Leptandrin of the market is a dried alcoholic extract; the strongest is obtained by adding a portion of Podophyllum before tincturing. The dried extract proves a very good remedy in many cases, and may be used for the same purposes as named for the tincture or infusion. Hence it has been added to various alterative combinations, and by some practitioners is very highly esteemed. It acts more directly upon the urinary apparatus, and probably upon the reproductive apparatus of both male and female. I judge, however, from some reports of Southern physicians, that the recent bark contains valuable medicinal properties, as does the fresh exudation. For experiment I would suggest the preparation of a tincture from the fresh bark, using alcohol of 76 per cent. Its influence is probably most marked on mucous membranes, and probably it influences innervation from the pneumogastric and from the spinal cord. The great abundance and wide distribution of these trees, the ease with which it may be obtained and prepared, and the really valuable character of the remedy, should bring it into general use. It is stimulant and tonic to the digestive apparatus, improving digestion and blood-making. It also exerts an influence upon the nervous system, strengthening innervation and relieving those symptoms called nervous. The common use of Lobelia as an emetic is so well known that little need be said about it. In the form of the Compound Powder of Lobelia, or the Acetous Emetic Tincture of the Dispensatory, it gives us our most valued emetic when properly used. To obtain the curative effects of a Lobelia emetic, the remedy should be given in small quantities frequently repeated, as it can be absorbed from the stomach, so that emesis, when it does occur, shall be from the general influence of the remedy in the blood, and not from its local irritant influence upon the stomach. Many physicians fail to obtain the benefit they have reason to expect because of its improper administration; it is not absorbed, but simply irritates the stomach. Lobelia as prepared above is one of the most powerful vital stimulants in the materia medica. It strengthens the circulation, improves innervation, and by its influence upon the sympathetic nervous system gives increased activity of all the vegetative functions.

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In all cases you can stop it from progressing further by cleaning up dentalware purchase pilex 60caps visa prostate massager walmart, the environment and diet. Our tests showed her brain was full of scandium (tooth metal alloy) and fluoride (toothpaste). She had several bacteria growing in her jaw bone: Strep G (sore throat bacteria), Staphylococcus aureus (this was raising her pulse to over 100), Clostridium tetani (causes great stiffness), and Shigella (produces nerve toxins). She was put on the parasite program plus thioctic acid (2 a day) and histidine (500 mg, one a day to keep nickel levels down)and advised to cook and eat with non metal. A half year later she was walking and working normally, doing liver cleanses and keeping up her vigilance against parasites and pollutants. She went to a chelating doctor and this cleared up her temporary ischemic attacks (T. But she had lost her balance, eyesight was getting worse, her feet and hands stung. These are dental alloys, al- though barium could come from bus exhaust (she wore no lip- stick). She stated she was afraid to stop her new health program, though, and this was good policy. She had intestinal flukes and stages, human liver flukes and Trichinella in the brain. She also had propane and asbestos in her brain from leaky pipes and a worn washing machine belt. They eagerly removed the platform, found the oil on the water surface, cleaned everything up carefully, until no benzene could be found which put her on the road to recovery. Norma Luellen, a young mother, had tingling, numbness and weakness on the entire left side of her body. She had intestinal flukes and their stages, not in the intestine or liver or thymus, but in her brain! In spite of staying on the parasite program she got reinfected with sheep liver fluke, probably from eating hamburgers. She was not able to stop her carbonated beverage habit and frequently showed xylene, acetone, methylene chloride in addition to pentane in her white blood cells. She had intestinal flukes in the brain (cerebrum and cerebellum) but none in the intestine! She also had bismuth (cosmetics), palladium, copper, samarium, and tellurium (tooth alloys) in her brain. She began to improve enough to be off Prednisone by her 10th day of the parasite program. She was on Prednisone but her balance was getting so bad she had to be in a wheelchair. Her brain was full of gasoline; she used to work at a gas station and now was getting it from the attached garage. She had human liver flukes, sheep liver fluke and Trichinellas and dog tapeworm stages in her cerebellum (motor control center). After killing parasites and starting to take thioctic acid (4 a day) and cleaning up her environment she improved enough to drive a car again, walk without a cane in her home. He was full of kerosene and benzene possibly from fuel oil that he pumped for a living. He also had mer- cury and thallium in his immune system which came from tooth fillings. And they were giving him the classical symptoms: numbness of hands and feet and gradual destruction of his nervous system. The fact that one child was beginning to show similar symptoms strengthened their belief in the gene theory. Ten days later his inappropriate laughter stopped; he could get his right hand to his face, he walked twice as fast and had very little tremor remaining. Strong chelating treatments obtained at a Mexican clinic had drawn much of the mercury and thallium out of his brain.

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Tree isolates from Beijing had the ##Farm number was named as capital letters (abbreviation of the pulsotype (E4) diferent from Sichuan and Jiangsu isolates province/region)—serial number buy pilex 60 caps line mens health meal plan. However, some pulsotypes were more frequently isolated and exhibited a wide distribution over herds compared to others. For instance, 13 isolates from diferent farms in Henan, Jiangsu, and Shandong provinces obtained for patterns C1, C2, and D. Discussion It is worth noting that the tet genes are ofen carried by Tn916-like conjugative transposon and erythromycin resis- 4. And tetracycline-resistance has been considered to ferred by Tn916-Tn1545-like transposons [38, 39]. In this study, 85 of the 96 tetM and ermB in this study, and therefore, elements other isolates were resistant to tetracycline, 37 of which were than the Tn916 family might be associated with coexistence coresistant to macrolides and lincosamides antibiotics. And the similar results were family of elements [40], were harbored by 22 of 36 isolates also observed by other researchers [6, 10, 33]. In contrast, most of tet isolates from diseased pigs in backyard without feed additives are necessary to monitor the spread of these elements in S. Tetracyclines resistance in streptococci is mediated by ribosomal protection proteins or efux proteins, encoded 4. Neither tetK nor tetL was the molecular features of the isolates from the diseased detected in this study, which was consistent with other recent pigs and healthy sows, six virulence-associated genes were analyses [10]. Te gdh gene was not detected in any isolates, r ribosomal protection protein, were widespread in tet S. Tus, virulence diference between the isolates from survey concerning the distribution of the mefA gene in S. However, since 30 of 62 isolates from clinical most extensively studied conjugative transposons in gram- carrier sows were also genotyped mrp+/epf+/sly+ in this positive bacteria. Te integrase intTn gene is responsible for study and similar result from healthy pigs was obtained by transposition, and the excisase xis gene may increase the other researchers [15], it is necessary to perform further frequency of excision but is not required [37]. In this present studies to specify the virulence of serotype 2 mrp+/epf+/sly+ study, it is interesting that the intTn gene was detected only in isolates. Xu, “Streptococcus suis infec- healthy sows from 9 provinces in diferent years (Table 5), tions in humans: the Chinese experience and the situation in indicating their widespread distribution in Chinese swine North America,” Animal Health Research Reviews,vol. Valentin-Weigand, “Epidemiology and patho- demiologically unrelated herds, suggesting the existence of a genicity of zoonotic streptococci,” Current Topics in Microbiology prevalent clone. Mevius, “Quantitative susceptibility of Streptococcus Firstly, afer a long-term adaption to the healthy sows, S. Gao, of causing disease under specifc circumstances cannot be “In vitro antimicrobial susceptibility ofStreptococcus suis strains ruled out [5], suggesting a close linkage of S. Quessy, “Cloning and purif- indicate that -lactams are still the primary drugs to treat cation of the Streptococcus suis serotype 2 glyceraldehyde-3- the infection of swine S. Smith, “Contribution of fbronectin-binding protein our data also support the contention that extensive use of to pathogenesis of Streptococcus suis serotype 2,” Infection and tetracycline and horizontal acquiring of genetic element, Immunity,vol. Whatmore, “Distribution and genetic diversity of suilysin BioMed Research International 9 in Streptococcus suis isolated from diferent diseases of pigs [29]S. Okwumabua, “Diferentiation of highly virulent crobial Agents and Chemotherapy,vol. Smits, “Mutants of Streptococcus suis for typing of Escherichia coli O157:H7 and other gram-negative types 1 and 2 impaired in expression of muramidase-released organisms in 1 day,” Journal of Clinical Microbiology,vol. Gottschalk, “Genetic Streptococcus suis serotype 7 isolates from diseased pigs in diversity of Streptococcus suis serotypes 2 and 1/2 isolates Denmark,” Veterinary Microbiology,vol. Rice, “Tn916 family conjugative transposons and dissemi- a multilocus sequence typing scheme for the pig pathogen nation of antimicrobial resistance determinants,” Antimicrobial Streptococcus suis: identifcation of virulent clones and potential Agents and Chemotherapy,vol. Giovanetti, “Genetic elements carrying erm(B) in Streptococcus pyogenes and association with tet(M) tetracycline [25] F. Witte,¨ dards for Antimicrobial Disk and Dilution Susceptibility Tests for “Occurrence and spread of antibiotic resistances in Enterococcus Bacteria Isolated from Animals,vol. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Prescribing and monitoring were the most frequently studied phases of medication management (Table A) 60caps pilex amex prostate oncology specialists nj, with hospital and ambulatory care settings well-represented to the near exclusion of long-term care, home, and community (Table B). Though dealing with prescriptions and medications, pharmacists were poorly represented in studies, most focused on physicians (Table C). The evidence is strongest specifically during the prescribing and monitoring phases. Those that did often did not show statistically significant improvements in clinical outcomes. Survey studies of satisfaction and use reflect similar findings of acceptance and satisfaction, although most indicated room for improvement. Distribution in the number of studies across the five phases, plus reconciliation and education, was not equal. Prescribing was studied in 174 studies, order communication in 16 studies, dispensing in 9 studies, administering in 19 studies, and monitoring in 47 studies. The prescribing phase is well studied (174 studies), especially in hospital (61 percent of studies) and ambulatory care settings (39 percent). Long-term care centers (one study) and community and home settings (no studies) are not well studied. Many of the studies of health care providers who were not physicians were purely descriptive of the people involved with them, and the systems themselves. Both systems, either alone or, more often, integrated, are well studied (multiple studies with strong methods). Errors related to prescribing and ordering were reduced in hospital-based studies (68 percent, 15 of 22 studies), but prescribing errors were not studied as often in ambulatory settings (two of two studies were positive). Reductions in time were related to the time taken to order or prescribe or the speed of the prescribing-to-administering processes. Most reductions in time were not seen as often in hospital-based studies (four of seven studies positive), but were positive more often in ambulatory settings (four of five studies). Workflow was not evaluated in these studies of changes in process, although issues of workflow are addressed in qualitative studies in other sections of this report. Order communication, like dispensing, is one of the two medication management phases with the least number of studies—only 16 were identified. The changes in process were also varied (two studies of errors, two of prescribing changes, five on time considerations, and three on workflow). Most studies were done using quantitative observational methods and all showed positive results. All process changes that were evaluated were found to be positive: four on modifications of the drugs that the pharmacists dispensed, three on errors, two on workflow, and one on adherence to good practice. Many articles dealing with administering medications were not included in this report because they were descriptive and did not include comparative data. Error-reduction goals were common in the studies and almost always found to be improved (8 of 13 studies of errors). Errors were mixed, as some related to transcription and some to timing of administration, while some identified more serious errors. Four studies showed no improvement in errors while one study showed increases in errors, mostly related to 12 timing of administration. Four of five studies showed reductions in time from ordering to administering medication. In our analysis, 70 percent (33 of 47 studies) of the included studies were associated with a 50 percent improvement in half or more process measures. Studies that involved laboratory-based medication monitoring were most likely (76 percent of the time) to be associated with a greater than 50 percent improvement in a process outcome(s) than sign- or symptom-based medication monitoring. The most successful types of studies focused on changing prescriber behavior, improving response time to generated alerts, and improving the diagnosis and management of chronic diseases. Reconciliation is the matching of medication lists over time, from different health care systems or from different prescribers. The evidence on reconciliation of medication lists is sparse, especially for systems that are fully integrated and capable of providing electronic comparisons of historical and current medications for individual patients at hospital discharge or on transfer to other facilities. All four studies showed improvements in agreement among lists of medications and two extended the evaluation to show 13 14 improved prescribing and reduced errors. Training in the use of systems was often mentioned in articles but was not evaluated. More information on health care professional and patient education is included in the sections of this report dealing with intermediate outcomes.

Patient- approaches to managing chronic order pilex 60 caps with amex prostate 5lx amazon, nonmalignant controlled analgesia can be successful to treat pain. Unfortunately, many pain centers that postoperative pain in patients who are opioid provide these treatments hesitate to accept addicted, although the increments used patients taking opioid treatment medications. A pain Patients should be seen at shorter intervals management expert and an addiction specialist for refills, and prescriptions should specify a should coordinate treatment of patients in fixed schedule rather than ìas needed. Drug testing can be ìrescueî doses) of opioid analgesics to manage useful in evaluating the degree to which such breakthrough pain may be indicated as part of patients are complying with treatment regimens a comprehensive approach. If so, the amount although it is not foolproof; urine drug tests, of rescue medication should be calculated for example, identify only the presence or prospectively based on a patientís history absence of substances, not the amount taken (Savage 1999). A primary care physician or a pain spe- Adjustm ent of M ethadone cialist can prescribe rescue medication. If a Schedule patient needs frequent rescue medication, then his or her substance abuse treatment medica- The methadone-dosing schedule to treat pain is tion probably should be increased in lieu of three or four times daily or every 6 to 8 hours. For example, a patient on dialysis lead to a sharp reduction in serum methadone might require repeated shunt revisions, a levels. The hospital team modify their lifestyles, and participate in the should be informed of the patientís methadone medical followup needed to manage common dosage, the date on which methadone was chronic illnesses. In general, their medical care last administered, and the patientís medical, co- for other conditions should be identical to that occurring, or social problems. In some that adequate pain relief might require the cases, medications for these medical conditions patient to receive a normal methadone dose might need adjustment because of interactions (or its equivalent) plus additional medication, with opioid addiction treatment medications as described earlier in this chapter. Age- and risk- advised to institute appropriate controls to pre- appropriate medical screening, such as mam- vent a patient from obtaining and using illicit mograms, sigmoidoscopy, prostate checks, or substances or abusing prescription drugs while exercise stress tests, should be discussed with in the hospital. Such controls include limiting material or videotapes to present this informa- visitors, preventing a patientís wandering tion. Some programs have developed health- through the hospital, and conducting regular related educational videotapes that are played drug tests. Patterns of use range from occasional low doses to regular high doses that meet dependence criteria. Treatment providers should treat patients for their concurrent substance abuse aggressively or refer them appropriately. Providers should try to understand and address the underlying causes of concurrent substance use. In Although not shown in Exhibit 11-1, rates of 2001, 93,064 nonfatal admissions mentioned cigarette smoking in this population reportedly heroin use. Patients with 90 percent of heroin-related deaths may co-occurring disorders had higher rates of sub- involve concurrent use of other substances stance co-dependence than patients without (Substance Abuse and Mental Health Services co-occurring disorders. Another common regimens that vary throughout the day, for reason is the need to self-medicate withdrawal example, using stimulants in the morning, anxi- symptoms or uncomfortable affects (e. Patientsí initial sub- Effects of Other stance use experiences and continued attrac- Substance Use tion to drugs may indicate enhancementñ avoidance reactions. Overdose or adolescentsí substance use before sex to deaths can occur when alcohol is used alone in avoid accepting responsibility for their high doses or in lower doses with opioid treat- actions). Exhibit 11-3 Drug Com binations and Com m on Reasons for Use Combination Reasons Heroin plus alcohol Enhance a high; create euphoria or sedation Heroin followed by alcohol Medicate opioid withdrawal; medicate cocaine overstimulation (e. Other interventions have are a major cause of death among patients in met with limited success. Eighty percent of these patients com- tal disorders, greater criminality, and poorer plied with treatment requirements and com- social and family functioning and peer relations pleted treatment (Kipnis et al. High- alcohol problems in the previous 6 months dose benzodiazepines can cause serious prob- (Appel et al. These risks ation between inadequate methadone doses and are potentiated when high doses of benzodi- increased cravings for both heroin and alcohol. Regular benzodiazepine use respiratory effects (perforation of nasal septum, for 3 months or more may be associated with bronchial irritation) if inhaled or smoked, or physiologic dependence, even when benzodi- mental effects (anxiety, depression, anger, azepines are taken in prescribed doses. The combi- glutethimide are more likely than benzodi- nation of alcohol and cocaine is popular azepines to produce lethal overdose because because it can create a more intense high and people who abuse them develop tolerance for less intense feelings of inebriation than either their sedative and euphoric effects but not for substance alone.

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This leads me to believe it is their waste products cheap pilex 60caps with amex prostate cancer journal, namely ammonia, that really causes insomnia. Your elderly person will have more energy throughout the day and a better mood if sleep was good. Limit bedtime supplements to magnesium, ornithine, valerian (6 capsules) taken with hot milk. Healthful Habits If your loved one had his or her way, they would drive the car forever, wear the same cosmetics forever, smoke or chew tobacco forever and eat their favorite dessert forever. You also know that gentle persuasion is useless; it merely erodes your relationship. Ask your loved one to ask their doctor (clinical doctor or trusted medical advisor) the following question: “Would it be better for my lungs to stop smoking? Let your family and other caretakers know you are no longer supplying these items (the car keys, the wine bottle, the codeine-containing pain pills). If you have managed to free your loved one from having to take pills or from certain disabilities that would soon require pills, you can give yourself great credit. Perhaps you, too, will find the needed natural help when you are aged and have lost your authority and your way mentally. The steer, too, has its feed provided, its water provided, its shelter for the night provided, seemingly the best time it ever had. Bacteria from the liver or your own intestines find these strained tissues immediately and intensify the pain. Kill the bacteria with a zapper, cleanse the liver, and start the Bowel Program if this has already happened to you. Surely it is keeping all your cells healthy so they can coordinate the constant tasks of nourishing themselves, removing their wastes, plus whatever job that cell was meant to do. Since your cells divide and therefore start again at age zero, even though you are 90, why do you age at all? So how could evolutionary forces have “learned” to establish death to prevent overpopulation? Unable to feed, to run, to call for help brings pain, fear, loneliness and finally, death. They may not have requested this, out of a sense of guilt or masochism, or plain dementia. But it is the most primitive of needs, the same as having a loved one nearby during childbirth. The good news is that it need not be you who attends your loved one every minute of the last week. No matter how much your loved one admonishes you to go about your business, you will know when you share the final minute that your presence helped. Give yourself the reward of knowing you shared the pain, fear and silent cry for help. Another Fluke Disease Cancer is so easily cured because it is a parasite-caused dis- ease. If the cancer damaged your ovaries or prostate, you still must heal these or- gans. It takes only 7 minutes to zap all the parasite adults and their stages which cause your cells to multiply. The responsible parasite is Fasciolopsis buskii, the human intestinal fluke, a flatworm. If the fluke eggs and other stages go through their develop- ment in your breast it can become breast cancer. Each different kind of cancer means the developmental stages of the intestinal fluke are present there. Only one more thing is needed to bring about an avalanche of reproduction, so that hundreds of little larvae turn into hundreds more in a short time: a growth factor.

In the modern model of breast cancer buy cheap pilex 60 caps line man health about inguinal hernia men, patients with clinically and pathologically neg- ative nodes in fact already could have metastatic disease at the time of presentation. Early detection can increase the number of breast cancers identified and treated at a truly early stage, before potentially lethal micrometastases have occurred. Women die from breast cancer because of metastatic disease, not from the effects of local or regional tumor. Nonproliferative Proliferative w/o atypia Atypical hyperplasia Cysts Moderate or florid hyperplasia Atypical ductal hyperplasia Mild hyperplasia Intraductal papilloma Atypical lobular hyperplasia Papillary apocrine changes Sclerosing adenosis Lobular carcinoma in situ 342 T. Lumpectomy with radiation is equivalent to mastectomy with regard to patient survival (Table 19. The objectives of local control are to eliminate a tumor from the breast and chest wall that ultimately may become sympto- matic by eroding, fungating, or bleeding and to remove a tumor that potentially may metastasize. Similarly, the method chosen to achieve regional control (axillary lymph node dissection, radiation therapy) does not affect survival. The method of regional control should be chosen to maximize the amount of staging information obtained while minimizing patient risk and inconvenience. Systemic therapy should be considered in all women whose breast cancers are at significant risk of disseminating. The roles of clinical staging and analysis of prognostic factors are to iden- tify which tumors are and which tumors are not at significant risk for having associated micrometastases. This patient may achieve local control of her tumor with either lumpectomy and radiation or mastectomy. There are several factors rel- evant to the choice of breast conservation versus mastectomy for the initial treatment of early breast cancer (Table 19. Patient preference for breast conservation, tumor size, and tumor location favorable for a good aesthetic result are important factors. The patient should have a single tumor and should not have a contraindication to radiation (pregnancy, previous radiation to the area, certain collagen vascular diseases). Antici- pated difficulty with future mammography due to suspicious areas is a relative contraindication to conservation. Patient preference should be a major factor in choosing local treatment or mastectomy because, in most instances, the options are therapeutically equivalent. Radia- tion therapy usually is given after lumpectomy because it reduces the in-breast recurrence rate (and therefore improves the ultimate success rate with breast conservation) approximately fourfold. Breast reconstruction is an appropriate option for most women undergoing mastectomy and should be discussed with all women in whom mastectomy is considered. Delayed reconstruction may be best for those women who are not certain of their preference for reconstruction and for those in whom the need for postmastectomy radiation therapy is likely. Prosthetic reconstruction with an implant generally is less physiologi- cally stressful and less technically demanding. Autogenous recon- struction generally is more complex but usually has better final aesthetic results. Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the treatment of breast cancer. Factors favoring breast conservation Factors favoring mastectomy Small tumor Large tumor in small breast Unifocal tumor Multicentric disease Negative margins Positive margin Able to have radiation Unable to have radiation Patient preference Patient preference Difficulty with follow-up anticipated At the time of lumpectomy or mastectomy, axillary nodes tradition- ally are removed from the lower levels of the axilla. When performed at the time of lumpectomy, a separate incision is made in the axilla. When combined with mastectomy, the procedure is termed a modified radical mastectomy; the pectoral muscle is not removed as in the Halsted radical mastectomy. The axillary dissection itself does not directly change survival, but it is instead a staging technique that allows for the rational selection of adjuvant systemic therapy. The evolving technique of sentinel lymph node mapping and biopsy has the potential to eliminate the need for modern axillary dissection if current prospective trials validate the technique’s appar- ent initial safety and effectiveness. In this technique, a tracer [blue dye or technetium 99 (Tc-99)-labeled sulfur colloid] is injected into the breast. The tracer travels to the first draining axillary lymph node and is detected visually or with a hand-held gamma probe.