Even with excellent medical care and consistent physical therapy, a fractured heel can sometimes leave you with permanent loss of function in your foot. This can make it difficult for you to walk, especially on uneven surfaces or up steep slopes. Talk to your doctor or physical therapist about using devices to help improve your gait and keep your foot more comfortable. Simple modifications to your shoe may be helpful in some cases. For example, you might need to wear heel pads, lifts, or heel cups in your shoes. Your doctor or physical therapist may also recommend special custom shoes or a foot brace. In some cases, you may experience pain or discomfort in your foot even after the fracture itself has completely healed. Let your doctor know if you continue to feel pain after treatment and rehabilitation. They can perform tests and exams to determine the cause of your pain and find ways to treat or manage it. Common causes of chronic pain after a heel fracture include damage to the soft tissue around the bone and failure of the bone to heal properly (e.g., if the fragments are still not aligned properly after treatment). Depending on what's causing your pain, your doctor may recommend treatments such as an orthotic device (e.g., a shoe insert or foot brace), physical therapy, medications, or surgery. If you get surgery to repair your fracture, there's a risk of damage to the nerves in your foot. If you experience nerve pain after surgery or as a result of damage from the injury, talk to your doctor about possible treatments. A few common options for managing nerve pain include: Steroid injections to reduce inflammation around the nerves. A nerve block, which involves injecting an anesthetic into the nerve to numb the pain. Medications to relieve nerve pain, such as amitriptyline, gabapentin, or carbamazepine. Physical therapy to promote faster healing. You may need additional surgery if your bone heals improperly or if you develop further complications, such as arthritis of the heel. Work closely with your doctor to monitor your healing progress, and discuss whether more surgery might be helpful for you. In some cases, it's necessary to fuse your heel bone to the talus (the bone that forms the lower part of your ankle joint). This surgery prevents movement between the bones that can aggravate your injuries.

Summary: Discuss wearing an orthotic device for gait problems. Work with your doctor to manage chronic pain. Ask about treatment options if you have nerve pain after surgery. Talk to your doctor about whether you need further surgery.

Towards death, from a few days to a few hours, you will notice that the dog's breathing will become shallow, with very long intervals in between breaths. The normal resting breathing rate of 22 breaths/minute may drop to only 10 breaths/minute. Immediately before dying, the dog will exhale deeply. You may be able to feel your dog deflate as her lungs collapse. The dog's heart rate will drop from the normal 100 to 130 beats per minute to as low as 60 to 80 beats per minute, with a very weak pulse. In the final hours, you will observe that your dog breathes shallowly, and will not move anymore. Most of the time, your dog will only lie in a dark or hidden corner of your house. If your dog is dying, he/she will show a very clear loss of appetite. There will be virtually no interest in eating and drinking water. As death nears, the organs like the liver and kidneys are slowly shutting down, making your dog lose digestive functions. A dry and sticky mouth, due to dehydration, can be observed. You may also notice vomiting. The vomit usually will contain no food, only frothy or sometimes yellowish to greenish colored acid, due to bile. This also comes as a result of loss of appetite. Twitching or involuntary spasms of muscles can be observed as your dog weakens due to loss of glucose. There will also be a loss of response to pain, and loss of other reflex actions will be observed. When your dog tries to stand or walk, you will notice a lack of coordination and staggered walking. Possibly, your dog will not be able to walk at all. Your dog may lose consciousness or go into a coma immediately before death. Dogs that are nearing death and have suffered a chronic or prolonged illness may have a very skinny, emaciated look. Your dog may lose muscle mass, and the muscles may become very small and atrophied. Another sign is an uncontrollable bladder and anal sphincter control. Towards death your dog will urinate and defecate without control. Even the most disciplined or well-trained dog is likely to experience these symptoms. Urination will be uncontrollable and with little volume. Nearing death, the dog will pass liquid diarrhea that is sometimes foul smelling, and sometimes blood tinged. After dying, your dog will urinate and defecate for the last time because of total loss of muscle control. Skin will be dry and will not return quickly to its original shape when pinched. This is due to dehydration. Mucous membranes like gums and lips will be pale. When pressed, they will not return to their original pinkish color even after a long time (1 second is the normal return time for gums to return to the original color).

Summary: Observe respiratory symptoms. Recognize the digestive signs. Notice how his muscles work. Pay attention to their bathroom habits. Assess the condition of your dog's skin.

Until the water clears, change up to 20 percent of it on a daily basis. Remove some of the dirty water and immediately replace it with fresh water. Do not change more than 20 percent of the water in one day. Changing more can shock you fish and cause them to become ill or die. Changing out some of the water removes at least some of the waste. The bacteria thriving in your water then begin to starve, thereby creating cleaner water. After the water clears, you only need to change water once every two weeks or so. If your fish do not regularly eat all of the food you put in the tank, reduce the amount of food by 5 to 10 percent. When fish food breaks down, its particles can make the water dirty. The decayed food can also breed bacteria. Check on the aquarium 10 minutes or so after you feed your fish. If the fish have stopped eating at that point, use a net to remove any uneaten food. Too many chemicals can hurt your fish, but regular doses of aquarium salt, water conditioner, or quick cure can help clear your water. These chemicals are formulated to clear debris and correct bacteria levels. Follow the dosage on your box of aquarium salt and apply the salt once. Follow the dosage on the bottle of conditioner and apply it each day until te water clears. Use half a dose of quick cure each day until the water clears. Only use one of these chemicals at a time. Mixing chemicals can hurt the ecosystem of your aquarium. Sprinkle a handful of gravel from an established aquarium into your tank. Wait roughly 24 to 48 hours and note the results. Established gravel has beneficial bacteria on it. Unlike the harmful bacteria living in your tank, this bacteria can digest waste and balance out its harmful cousins. Beneficial bacteria also helps to establish a bacteria colony in your filter. When a colony grows in your filter, it attracts and draws bacteria out of the tank itself, clearing up the water. The gravel must come from an established tank with health fish. You can usually purchase some from a store that sells fish if you do not know anyone who can give you some for free. The aquarium must have a power filter, and that filter must be clean and working properly. Feel the outside of the filter. If it seems abnormally warm, it might be clogged or damaged. Check the instructions for your particular filter model to determine the proper way to clean it.

Summary: Change some of the water. Reduce the amount of food. Add aquarium chemicals. Mix in some gravel. Check the filter.

Safety pin it to be the shape the pillow was. Then, insert the pole behind the pillow and there should be a bump sticking out of the top of the pillow; this is now the neck. Set up the mannequin onto a wall or corner and its ready to use!
Summary: Put the pillowcase onto the pillow. Safety pin the bottom to keep the pole from falling out. Finished.