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This is done by inserting a catheter small tube through an artery in the leg or arm and advancing it up into the heart. Through this catheter, a harmless dye is injected, and pictures of the arteries of the heart are taken with x-ray equipment. The cardiologist can then study the coronary arteries to determine if there are blockages that require treatment. The valves are evaluated for disease such as leaking or calcification hardening.
If problems are found, possible treatments include medication, angioplasty or open-heart surgery. If you are scheduled for a cardiac catheterization, you can plan to be in the cath lab for 45 to 60 minutes. It takes 10 to 15 minutes to prepare you for the procedure, and the cardiac catheterization takes about 10 minutes to perform.
The rest is recovery time, about 20 to 30 minutes. You will be kept comfortable with warm blankets, and given medication to help you relax.
Recovery includes removing the catheter and applying pressure to seal the entry point. After recovery, you will be transported back to your room, where strict bed rest is typically maintained for 4 to 6 hours, after which you will be allowed to get up and walk.
After the procedure, your cardiologist will discuss the results and treatment options with you and your family. Occasionally, after the cardiac catheterization, the cardiologist may determine that there is a significantly blocked artery that is treatable with angioplasty. If you have consented to angioplasty during prior discussions with your doctor, an angioplasty will be performed. Coronary angioplasty is a treatment option performed for serious blockages in the coronary arteries.
It is started in the same way as the cardiac catheterization, and indeed, can be performed at the same time as the catheterization. A windrow is an elongated pile of material, which is periodically turned and aerated.
Using this method it takes about months to make finished compost. The site employs a large tub grinder, single pass windrow turner, two loaders, and high capacity trommel screen. Compost is monitored for moisture, temperature, and maturity. It is screened before entering the market. This means the Authority's compost has been tested by third party laboratories to ensure that it meets all state and federal environmental requirements.
The composting program is an exciting opportunity for area residents because it represents a "full circle" process within our two-county solid waste management system. The compost is made from area residents' yard waste and now can be returned in a useful form to their gardens and lawns.
Apply 1 - 2 inches of compost to the new lawn area. Incorporate into the soil to a depth of 5 — 8 inches. Rake soil surface smooth prior to applying seed. Apply seed as required. Lightly water the newly seeded area. Reseed if needed and lightly water. Apply about 2 inches of compost to the garden.