It was a beautiful spring day and our Log Cabin staff was having fun outside. We have the best staff I have ever had in my life. We have so much fun together, helping people and pets do live a better and happier life.

Dr. Gal

Terry, our recepcionist is introducing our hospital, especially the lobby area.

When people visit us at Log Cabin Animal Hospital, they are suprised about many things, one of the suprises that we have many pictures of roosters.

I like roosters since I was a child. Although I grew up in a very large city, Budapest (Hungary) I spent all of my summer vacations at my grandparents farm. The black-and-white picture was taken at the back yard of my grandparents farm in 1967 when I was 10 years.

Tom Britt (www.atgeist.com) has recently purchased a new digital video camera. He stopped by at Log Cabin to show off his new toy! (I loved it, I need one too, so we can take video images of patients and procedures.) Tom made this funny video, I hope that you enjoy it!

Video by Tom Britt

"I stopped by the Log Cabin Animal Hospital and caught Dr. Gal napping in the lobby! After I awoke him, I talked him into giving us a tour of his veterinary hospital. Watch this funny video as Dr. Gal tries to stay awake during our tour."

We just received the Estimate Guidelines from Purdue University Small Animal Hospital for 2007. This is a list of the more routine procedures performed at Purdue University Small Animal Hospital. This is not a complete list as each case may require special diagnostics and treatment. These are to be used as guideline but not a guarantee of the final cost of any work-up or procedure without direct examination of the pet at the PUSAH. These estimates can vary depending on the status of the animal and barring any complications that may arise with a patient care. Any animal admitted to the hospital on an emergency basis during the day or after hours will have be charged an emergency fee.

Dr. Sandor Gal has organized an international veterinary conference in Budapest, Hungary between September 28-October 18, 2006. This was the 3rd annual conference Dr. Gal has organized for the Hungarian veterinarians through his veterinary educational website called HUNGAROVET (www.hungarovet.com) which has almost two thousands veterinarian and veterinary student members. Dr. Martin Langhofer, -owner of a small animal & specialty horse dentistry clinic in South Bend, Indiana- was one of the visiting lecturers in this year's veterinary conference.

LETTER FROM DR. LANGHOFER TO THE DEAN OF THE HUNGARIAN VETERINARY SCHOOL

Dear Professor Fodor:

I want to write to thank you for the hospitality that you and your staff showed me, while visiting Hungary and participating in the veterinary conference. I have reported your kindness to Dr. Aseem, the interim Dean of the Purdue Veterinary School. Dr. Aseem completed some of his veterinary training at Budapest. I also spoke with Dr. Nour, the University Director of International Affairs at Purdue University about my visit to Hungary.Both Dr. Nour and Dr. Aseem seemed pleased with my report. Dr. Nour and I spoke about future collaborations between the faculty of Istvan and Purdue.

Today I meet with Dr. Lynett Freeman at Purdue University. Dr. Freeman is the Laparoscopic Surgeon for small animals. She shows an interest in the possibility to come to Hungary next year for the Hungarovet Symposium. Dr. Nour and I are wondering if we could organize a program (seminar/workshop) for Dr. Freeman in your faculty to further the collaboration between the School of Veterinary Medicine at Purdue and San Istvan University. Dr. Freeman can share ideas and experiences in laparoscopic surgery with your academic staff and students. Dr. Freeeman is well known as a experienced laparoscopic surgeon. She pioneered a book in the late 90's on laparoscopic surgery. Dr. Freeman also was instrumental in the design of several disposable laparoscopic instruments.

Dr. Steve Adams, a Internationally known Equine Surgeon from Purdue University gave indications that he too may like to come and present a program at St. Istvan. Dr. Adams and Dr. Freeman, if invited, would be coming as representatives of Purdue. Their work with CVM (Christian Veterinary Missions, http://www.cvmusa.org/NETCOMMUNITY/Page.aspx?&pid=226&srcid=183) would be outside of the University Program. Dr. Nour and I have worked together and separately with different programs in Eastern Europe. Neither Dr. Nour or I want to impose ourselves on you or your university.

However, if there is a possibility of collaboration, we are interested in speaking more with you about this possibility. Today, I have invited several of your students to come to the United State for a Summer Externship. This externship is provided by veterinarians and interested people that are associated with Christian Veterinary Missions. Since 1999, we have hosted close to 40 students and veterinary doctors, including provost, deans, professors, and students to the US to develop understandings in differences in culture and medicine. Funding includes air-fare, room and board, as well as $500.00 per month for miscellaneous spending money for each student. Each students is matched up with a Christian Veterinary family, in the US. We also coordinate efforts with Purdue University so the students can see a US. teaching institute and observe institutionalized training. We have hosted students from Romania, Africa ( Sudan), Jordan, Germany, Korea, Taiwan, Moldova, Columbia, Japan, Belgium, and many students from the US with this program.

Veterinarians from universities, private practices, and veterinary technicians have paid their own ways to many countries outside of the US to assist with veterinary procedures, disaster relief for animals and people, veterinary training in animal and human hygiene, as well as collaborations with other veterinary colleges through out the world. Medical equipment, books, and knowledge has been sent to aid veterinarians and universities that are in countries of great need. Different students from veterinary universities have also participated in invitations to other veterinary schools outside of the US to nurture further cultural understandings and the sharing of new techniques. CVM participants, to other countries, have been allowed to meet with students to give encouragement and to distribute Bibles to those that desire them.

Two veterinary students from Hungary have been invited for a summer externship program to the United States. We hope that they can participate in this program next summer.

Two weeks ago, when I was in Hungary, we (CVM) sent a team of veterinarians to Cluj, Romania. Two of them were from veterinary universities in the US. and one was a veterinary anesthetists. Their job was to assemble a new large animal gas anesthetic machine in Cluj ( which was donated by a veterinary school in the US) and to give instructions on the use of gas anesthesia. An evening program was developed at a local restaurant for interested students to discuss Christain Principles and to be an encouragement to students in their Christian faith. Over 100 Bibles were given to students that were interested. Two of the doctors then left for Moldova to give training seminars on Equine/Bovine Reproduction and Anesthesia to the students and professors at Chisineau.

On Tuesday of this week, a veterinarian from Wisconsin is traveling to Moldova to participate in swine fertility clinics. Several hundred doses of swine semen has been donated from US swine producers to Moldova to help improve the swine genetics. At the end of this week another previous Christian Veterinary Missions team member is going to Moldova to teach on Swine Management and Work/Team leadership at the university in Chisineau. Various teams have gone to Romania in the last eight years as well as other countries developing relationships with people and educational opportunities.
Of all the Eastern European countries that I have traveled, Hungary is in a much better economical postition. As well, they appear to have more professional knowledge, education, and greater business opportunities than any other countries that I have experienced. I do not know if the educational seminars that I gave were of a professional nature contributing to the success of the conference. I hope that some new ideas were passed on. I do hope that I might be able to visit again, participate in future educational programs, and also introduce Christian Veterinary Missions to the country of Hungary. I have had several partitioners from Hungary invite me back to explain more about Christian Veterinary Missions and it involvement in various countries. There are many highly trained veterinarians that participate in this program.

I am open to any suggestions, sir. Thanks again for your kindness. I really like the Istvan Veterinary School Tie and the book about your University.

Sincerely,
Martin ( Marty) Langhofer DVM

Western Veterinary Clinic
25190 St. Rd. #2
South Bend, In 46619 USA
001-574-234-6581 (office)

LETTER FROM THE DEAN OF THE HUNGARIAN VETERINARY SCHOOL TO DR. LANGHOFER

Dear Dr. Langhofer,

Thank you very much for your recent e-mail, I feel terribly sorry that I can reply it with some delay. It was a pleasure for me to meet you, I was really impressed by the world wide activity of the Christian Veterinary Mission.

I was pleased to read that you were in contact with Dr. Aseem who graduated a few years after me and with Dr. Nour, who is a very nice man as well.

Thank you for your suggestions, we will be happy to see Dr. Lynett Freeman and Dr. Steve Adams. I think it would be practical if they could come in connection with the Hungarovet Conference. After giving a lecture at the conference a closer seminar could be organised within the faculty, I am sure that my colleagues at the clinical departments and the clinics would be pleased to attend it. Such kind of a seminar would be extremely useful for PhD students at the clinical field. Even some student swould be interested as well.

I like your Summer Externship Program, I think it is very useful for students to learn the everyday practice of a profession in an other country, meet people and widen their horizon. Your financial help to the students is very important since in the present budgetary situation of the higher education the school is not in the position to help students financially in study or having summer externship abroad.

Dear Dr. Langhofer, I hope that we will remain in contact personally or through Dr. Gal. I do hope that our recent meeting was a startpoint of a longer cooperation of your Mission and our school.

Kindest regards,

Laszlo

L. Fodor
Dean
Szent Istvan University,
Faculty of Veterinary Science Budapest
H-1400 Budapest P.O.Box 2
Phone: +36-1-478.4103
Fax: +36-1-478.4105
E-mail: Fodor.Laszlo@aotk.szie.hu

Geist Community & Visitors' Center is a local community center for the Geist area residents, business owners and visitors. Tom Britt, owner of www.atGeist.com (a local community website and newsletter for Geist area residents and businesses) and Dr. Sandor Gal, (owner of Log Cabin Animal Hospital) have recognized the need for a Local Geist Community & Visitors' Center. To read more about, click on the link below.

Dr. Sandor Gal

Some of Log Cabin Staff (Dr. Betsy Hutchens, Meghann, Stephanie and Renee) have participated in the "RunLikeHell" running event in Indianapolis, organized by Indy's Men's Magazine. Very funny pictures, indeed!

Dr. Gal

We had our 2nd annual Halloween Pet Costume Party at LCAH on October 28th, 2006. Although the weather was windy and cold we had many participants and lots of fun at this event again!

Pet Halloween Party Blows Residents Away
By Tom Britt (www.atgeist.com)

"Our Halloween Pet Party Saturday at the Log Cabin raised the roof, literally. With wind gusts over 40 mph, the outdoor tent on the south side of the building had its roof blown off at about halfway through the afternoon party. That didn’t stop us from having a good time during the annual parade of pets." Entire article on atGeist.com: http://atgeist.com/viewpost.php?post_id=5710

PET COSTUME CONTEST PICTURES
http://logcabinvet.com/mb/viewimg.php?pr=ufp_&postID=274

PET OWNERS COSTUME CONTEST PICTURES
http://logcabinvet.com/mb/viewimg.php?pr=ufp_&postID=275

PUMPKIN CARVING AND PAINTING PICTURES
http://logcabinvet.com/mb/viewimg.php?pr=ufp_&postID=276

GENERAL PARTY PICTURES
http://logcabinvet.com/mb/viewimg.php?pr=ufp_&postID=277

PING-PONG PICTURES
http://logcabinvet.com/mb/viewimg.php?pr=ufp_&postID=278

PET ADOPTION PICTURES
http://logcabinvet.com/mb/viewimg.php?pr=ufp_&postID=279

Dr. Sandor Gal

See some selective pictures below...for more pictures please click on the links above.

Halloween PET COSTUME PARTY for Kids and Pets at Log Cabin Animal Hospital

Date: October 28th, 2006
Time: 1pm-5pm
Where: Log Cabin Animal Hospital (www.logcabinvet.com)
More info: 317-570-8035 or www.logcabinvet.com
What is it?: An atGeist.com Community event which includes:

1.) Free food: hot dogs, hamburger and drinks
2.) Pumpkin Carving Contest: please bring your own carving tools, we provide the pumpkins!
3.) Pet Halloween Costume Contest: it will be judged by Tom Britt of www.atGeist.com
4.) Pet Pottery Coloring Contest: sponsored by Carrie Klein: www.artamour.com
5.) Pet Adoption Event: sponsored by Pam Wagner of www.wagsstrays.org
6.) Pampered Pet Event: sponsored by Pampered Pet Boutique
http://www.logcabinvet.com/mb/ufp-242.post
7.) Tour at the Geist Museum: exhibition at Log Cabin Animal Hospital
8.) Meet our doctors and staff and their families
9.) Ping-pong contest
10.)Chess contest
11.) Opening the Secret Rubic's Box: if you can open this wooden box within 10 minutes, you get a $40 Certicificate present! http://www.logcabinvet.com/mb/imb-35.post

Come join atGeist.com and the Log Cabin Animal Hospital on Saturday, October 28th from 1pm-5pm for an afternoon of free food, pumpkin carving and decorating, candy, pet costume party, and games for the kids. Winners of the pet costume party, pumpkin decorating contest, and coloring contest will be published in the November issue of the “atGeist Community Newsletter”. Come by and have some fun!

Click on the pictures below to see the 2005 Log Cabin Pet Costume Halloween party!

Recently I was in Budapest and I purchased a Secret Box invented by Ernö Rubic (inventor of the famous Rubic's Cube). Few people know, that Mr. Rubic is Hungarian and he is still residing in Budapest, Hungary. http://inventors.about.com/od/rstartinventions/a/Rubik_Cube.htm

While you are visiting us at Log Cabin Animal Hospital you can try to open this magic box. There is a key in the box hidden somewhere which opens the box. IF you can open the magic box (without force!) within 10 minutes then we give you a $40 Certificate (a credit toward purchases at Log Cabin Animal Hospital).

Dr. Sandor Gal

OUR SERVICES AT LOG CABIN ANIMAL HOSPITAL FOR DOGS, CATS AND ALL OTHER PETS

Alternative Medicine
Allergy Testing and Hyposensitization Treatment
Anesthesia Services
Behavioral Services
Cardiology Services
Dental Services
Dermatology Services
Electrocardiography (ECG)
Emergency Services
Nutritional Counseling
Geriatric Care
Laboratory-full inhouse laboratory
Magnetotherapeutic Treatments
Microchipping Services
Oncology (Diagnosis and Treatment of Cancer)
Online Pet Medical Records
Ophtalmology
Parasitology
Pet Supplies
Pharmacy-inhouse pharmacy
Pharmacy-online pharmacy (6000+ products)
Prescription Diet Food
Surgeries- routine and special surgeries
Surgeries-orthopedic surgeries
Radiology with digital pictures
Ultrasound Services
Vaccinations
Wellness Care

Alternative Medicine
Herbal Medicine
Homeopathy
Immunotherapy
Magnetotherapy

Allergy Testing and Hyposensitization Treatment
Allergy Testing

Anesthesia
Safest Anesthesia
At Log Cabin Animal Hospital we are proud to offer the safest surgical and anesthesia methods.

Behavioral Services
Behavior problems can not only cause stress for you and your pet, but also, if unchecked, can lead to major medical problems and a shorter life for your pet. Some of our behavior services include: Behavioral counseling and treatment (barking, anxiety, aggressiveness, depression, etc.), Puppy Kindergarten/socialization training, Housebreaking and basic obedience training

Complete Physical Exam
A thorough and Complete Physical Exam is one of the most important part of any veterinary services.

Dental Services
Oral and dental examinations, Dental cleaning, polishing and flouride treatments, Extractions,
Fracture repair

Diagnostic Procedures
Electrocardiogram (ECG)
Laboratory (fully equipped in-house)
Radiology (digital X-ray pictures)
Ultrasound

Emergency Services
During our regular business hours, we immediately suspend our routine daily activities if a serious emergency occurs. A phone call in advance can be a major help in preparing for the situation. After hours, however, we recommend the Aiport Animal Emergency Center (317-248-0832)or 849-4925.

Laboratory Services
Our state-of the art in-house laboratory allow us to quickly and thoroughly evaluate your pet's health , even in critical cases where time is of the essence. Our laboratory includes: digital microscope, equipment to perform full blood chemistries, complete blood cell count, urinalysis, cytology of the ear canals, vaginal and fecal and tissue cytology. We also have access to a large veterinary laboratory and we send laboratory samples in every 3 hours. All laboratory results are available online.

Nutritional Counseling
Weight management

Pet Supplies
See our product list

Pharmacy
See our product list

Preventative Health Care
Preventative health care is essential to ensure that your dog or cat has a full, healthy life. Our Wellness Care services include: Comprehensive Physical Examinations, Puppy and Kitten Vaccination Series, Adult Dog and Cat Vaccination, Nutrition Counseling, Senior Pet Health Care and Diagnostics, Laboratory and Diagnostic Dental Services

Surgical Services
The most up to date anesthesia and surgical equipment allows us to perform many routine and non-routine surgical services while ensuring that your pet's safety and comfort. Dr. Gal has been working for more than 18 years as a trauma surgeon and critical care veterinarian at the Aiport Animal Emergency Center in Indianapolis. Dr. Gal has been routinly performing the most difficult surgeries. Dr. Betsy Huthens is also a very experienced surgeon who routinly performs the most difficult soft tissue and orthopedic surgeries.

Routine surgeries: spay and neuter, declawing, lacerations and abscesses repair, gastropexy surgery for bloat prevention, tail docking, Cesarian-sections

Abdominal surgeries: Gastric torsion (bloat), splenic torsion, gall bladder surgery, tumor removal, intestinal anastomosis, thyroidectomy

Orthopedic surgeries: cruciate ligament rupture repair, fracture repair
Ear surgeries: ear crop, ear hematoma, ear canal ablation

enucleation of the eye, entropion and ectropion surgeries.

Reproductive surgery Cesarian section

Oral and periodontal surgery extractions and advanced gingival care

Vaccinations
We do not believe in the “one size fits all” approach. With the interactive cooperation of the owner, we individually design a vaccine protocol for our patients. We carefully take into consideration the current scientific database, epidemiological situation, and the lifestyle of each pet before vaccinating.

Radiosurgery :

Many studies have shown that radiowave surgery is comparable or superior to lasers for incision, biopsy, and lateral tissue damage. Less tissue damage means faster healing, and less scarring and discomfort. Radiowave surgery offers advantages over scalpel incision, including a combined cutting and coagulation, and an increased tactile ability and a pressureless incision. When scalpels are used on thin tissue such as the eyelid, there is a tendency to drag, whereas the fine radiowave electrode glides with minimal contact in a nearly laser-like manner. Finally, the energized radiowave electrode is self-sterilizing.

If you are interested in this subject, then please read the following scientific presentation by Dr. Elkins, DVM, MS; DACVS board certified veterinary surgeon who works at the Veterinary Specialty Center in Indianapolis.


Radiosurgery: An Alternative to Laser in Veterinary Medicine
Western Veterinary Conference 2004
A.D. Elkins, DVM, MS; DACVS
Veterinary Specialty Center, LLC
Indianapolis, IN, USA

Introduction

Over the last few years, a great interest has emerged in the use of lasers in veterinary surgery. Various types of lasers are being actively marketed to veterinarians. They are proposed to cause less pain and shortened healing time, while controlling hemorrhage intraoperatively. The purpose of this article is to compare laser surgery with radiosurgery as to tissue damage, healing time, postoperative pain and cost.

Electrosurgery is not a new technology. Early electrosurgery units were essentially soldering irons that heated an electrode and seared the tissue. Advances in the early 1900's allowed electrodessication and fulguration by using a spark gap to destroy tissue and cauterize bleeding. The problem with these types of units is the degree of lateral tissue damage which delays healing. Advances in the 1920's and 1930's created the bipolar systems which are the basis for human hospital units used today. The units transfer energy to an electrode through the patient to a grounding electrode. The units will both cut and coagulate, but still cause the electrode to generate heat with lateral tissue damage.

Radiosurgery is a more advanced concept from electrocautery in that no heat is produced at the electrode. The ideal radiosurgery unit operates at a frequency of approximately 4.0 MHz. At this frequency wave, minimal lateral heat destruction occurs. Many older units operate at a lower frequency and produce more tissue damage.

A recent university study compared the CO2, Nd:YAG and KTP-532 lasers, electrocautery and radiofrequency instruments to access the degree of tissue damage in human oviducts. Transmission electron microscopy revealed that the 3.8-4.0 radiofrequency instrument produced the least damage to surrounding healthy tissue.

Both lasers and radiosurgery produce less damage than cold steel. Today in many human surgical specialties, the trend is away from lasers to ultra-high frequency radiosurgical devices.

New patented high frequency (4MHz) devices that are now available give the surgeon treatment options and increases safety to the patient. With the recent interest in laser surgery, many veterinarians have forgotten about the range of uses and benefits of radiosurgery.

There is a ten to forty-fold difference in purchase price of laser equipment compared to radiosurgery units. Safety factors and cost of operation and maintenance are other considerations. It takes a large number of procedures to justify the financial outlay for a laser. The learning curve is relatively steep with lasers. To me as a surgeon, there are not enough advantages of lasers over newer ultra-high frequency radiosurgical units to justify the cost.

Many veterinarians have some type of electrocautery/electrosurgical unit in their hospital. A complete review of radiosurgery can be found in other publications. These traditional, low frequency devices may not be used frequently due to the poor results and/or lack of versatility. Ultra-high frequency technology and its clinical results must not be confused with diathermy, electric cauterization, spark gap producers or even traditional radiofrequency generators. These units are adequate for electrocoagulation, but not for skin incisions or tissue dissection.

The main problem with older electrocoagulation units is the generation of a large amount of lateral heat through tissues adjacent to the area that is being incised or coagulated. Lateral heat is what damages tissue and must be minimized to avoid delays in healing and dehiscence. The following factors play a role in the production of lateral heat:

The power setting on the machine determines the amount of energy that is transferred to the tissue. This setting should be high enough to prevent drag of the electrode through the tissue but not high enough to create sparking. The power setting will need to be adjusted according to other electrical appliances in the operating room. Once set, it should require adjusting only as the waveform changes.

The waveform chosen determines the amount of cutting vs. coagulation. Generally, the more coagulation, the more lateral heat generated.

The smaller the electrode tip, the less lateral heat produced. A fine-wire electrode should be used for incisions, and a ball electrode should be used for hemostasis or coagulation.

The less time the electrode is in contact with the tissue, the less lateral heat generated when making an incision. A smooth, quick stroke is required to minimize tissue damage.

Laser vs. Radiosurgery

The wavelength of the laser medium (i.e.; CO2 or Nd:YAG) dictates the tissue effect achieved due to specific absorption coefficients. In the case of radiosurgery, the frequency and waveform determines the resultant effect.

Pulsed carbon dioxide (CO2) lasers target water molecules. The laser incises the epidermis by vaporizing intracellular water and coagulating intracellular protein. However, most of the dermis contains collagen with much of its water content in the extracellular matrix. Full-thickness skin incisions require pulse stacking, with successively increasing lateral thermal injury to the reticular dermis. The CO2 laser develops virtually bloodless skin incisions.

The CO2 gas laser has a long wavelength of 10,600 nanometers with an absorption coefficient of water. Due to the high water content of tissue, cellular absorption of the CO2 produces superficial tissue effects. Cutting with minimal hemorrhage is the primary application of the CO2 laser. The Nd:YAG lasers operate a 1064nm and can penetrate water (cells) multiple millimeters. The absorption distance is variable and can be problematic to avoid interaction with healthy tissues.

The term "radiosurgery" is used when radiowaves are utilized to produce simultaneous cutting and hemostatic effects. A frequency range between 350kHz and 4MHz may be considered "radiofrequency." Histologic evaluation has determined frequencies at 3.8 to 4MHz to produce optimal surgical results. Heat is produced by the tissue resistance to the passage of high frequency radio waves. It is the heat generated that causes the intracellular water to boil. Cellular volatilization occurs when the cell explodes form the expanding internal pressure and is the mechanism of action that produces precise tissue effects similar to that seen by surgical lasers.

Many studies have shown that radiowave surgery is comparable or superior to lasers for incision, biopsy, and lateral tissue damage. Less tissue damage means faster healing, and less scarring and discomfort. Radiowave surgery offers advantages over scalpel incision, including a combined cutting and coagulation, and an increased tactile ability and a pressureless incision. When scalpels are used on thin tissue such as the eyelid, there is a tendency to drag, whereas the fine radiowave electrode glides with minimal contact in a nearly laser-like manner. Finally, the energized radiowave electrode is self-sterilizing.

A comparison study of cone biopsies using the surgical blade, CO2 laser, YAG lasers and the radiofrequency unit indicated that in many instances the blade and radiosurgery had similar surgical margins with lack of thermal damage. Also, compared with the two lasers, radiosurgery showed 10 to 14 times less thermal damage.

A recent study in human blepharoplasty found that disruption of the cellular architecture at the mid-incised depth was less in tissue incised with ultra-high frequency radio waves compared to the CO2 laser.

Clinically, tissues incised using radiosurgery have no visible thermal artifact when compared to incision from the CO2 laser. The thermal effect of radiosurgical incisions closes small-to-medium dermal vessels in the cutting mode. Ultrahigh-frequency radiosurgery will minimize lateral heat dispersion only if the time of application is brief. Vessels not coagulated during quick brush-stroke movements can be selectively coagulated with a longer duration of tissue contact. Minimizing lateral thermal damage to incision edges should allow more rapid wound maturation and minimize scarring. Both ultrahigh-frequency radio waves and the CO2 laser interact with water molecules. The laser vaporizes the epidermis with little collateral thermal damage.

Conclusions

Radiosurgery has been shown to rival laser and cold steel methods for healing and precision and should be in the armamentarium of all surgeons. Only radiosurgery units that can produce a waveform that is fully filtered and fully rectified should be used for making skin incisions. Other waveforms produce too much lateral heat, which can delay wound healing.

Recommendations for Use of Radiosurgery

Electrode Selection

The smallest wire electrode possible should be used for making incisions.

Eight seconds should be allowed between cutting strokes to allow heat to dissipate.

Incision Techniques

Unlike with a scalpel blade, no pressure is required.

The stroke should be smooth and rapid (minimum rate of 7 mm/sec).

The electrode should be kept perpendicular to the tissue surface.

Buildup of charred, coagulated tissue on the electrode tip should be periodically removed.

Power to the electrode should not be engaged until the tip is in contact with the tissue when making an incision.

Power Level

The power level is relative to every procedure and may need to be adjusted.

Slowly increase the power setting until no drag on the electrode is noticed.

The power setting is too high if sparking occurs between the electrode and the tissue.

A higher power setting may be required for coagulation. The field must be dry to get complete coagulation, except when using bipolar forceps. The use of a ball electrode is recommended for coagulation. The ball electrode should be in contact with the tissue prior to engaging the foot or finger switch.

Comparison of Lasers to Radiosurgery

Disadvantages of Lasers

Requires protective eyewear for all persons within the surgical environment. Eyewear is typically uncomfortable and fogs which inhibits visualization.

Capital expenditure, high utilization is required to justify purchase.

Dedicated laser operator is required to position the laser in "Ready" or "Standby" modes as well as to manage parameter adjustments.

Fragile fiber optic or articulating arms can be a hindrance to the movement in and around the surgical field, not to mention present hazards to the operating personnel.

Ten to forty-fold price differential over radiosurgery instruments.

Benefits of Ultra High-Frequency Radiosurgery

Perform more delicate surgery with a larger margin of safety for the patient.

No specially coated instruments to prevent reflection.

Equipment less likely to breakdown or need adjustment.

Much wider array of applications is possible compared to the laser.

High voltage outlets are required to operate most surgical lasers.

No protective eyewear is required.

High tech, optimal results, affordable costs.

It is amazing how many people visit our website! Yesterday was a record breaking day, because we had 57,305 hits on ONE day! (The visitors have visited 39,512 pages). So far, in August of 2006 we had 414,629 hits within one month period.

Thank you,

Dr. Sandor Gal

This is a very old but very interesting article about Germantown (now under Geist reservoir). One of the residents of Germantown said in 1957 that "Geist Reservoir should have been named the Germantown Reservoir". Click on the picture below please.

AtGeist.com -the local community website and newsletter for Geist area residents and businesses- has recently announced that Log Cabin Animal Hospital at Geist, LLC serves as "atGeist Visitors' Center". The address of the Geist Visitor Center: 11060 Fall Creek Rd, Indianapolis, IN 46256. Click here for map... Please click on the picture below to read the entire announcement by Tom Britt, owner of atGeist.com.

FUNCTIONS OF THE atGEIST VISITOR CENTER

1. Place of Geist Museum
Many artifacts circa the beginning of Geist Reservoir area on display, including antique maps of the area and photos from the 1800's. Geist Reservoir is interesting for many reasons. For one, it is Indiana 's largest manmade lake, and second largest body of water, after Lake Wawasee . The Geist area is noteworthy for its wealthy and famous residents, especially the reservoir's shoreline inhabitants who include renowned professional sports figures, politicians, local media personalities, and businesspeople. The history of the reservoir is no less interesting; Clarence Geist, a former owner of the Indianapolis Water Company forsaw a deficit in Indianapolis's water supply, and envisioned "Geist Reservoir" to preemptively address the problem - but not without a casualty. Yes, there was an unmitigated casualty in the creation of the recreational and luxurious living locality known as Geist Reservoir. It was a tiny hamlet called Germantown , whose parcels were systematically bought up by Clarence Geist in the 1930's, then put to their death in 1943 when Fall Creek was dammed to create the reservoir. More about it...

2. Place of atGeist.com headquarter (office)
Tom Britt (owner of atGeist.com) is opening his office at the second floor of the building.(see picture below).

3. Place for childrens' field trips
AtGeist Visitor Center and Log Cabin Animal Hospital is striving to fulfill an educational role for the Geist area community residents and any other visitors. We hope that you will find our efforts valuable. We had several organized visits from schools at the Geist area before and we loved having those children and their teachers. The following is a short list of the many visitors we had: St. Simon the Apostle Catholic Church Kindergarten Class, the Amy Beverland Elementary Cub Scout, Pack 444, the Lantern Road Elementary, Den 3, Pack 108, the Tiger Cubs from Geist Elementary School. Our next visitors on August the 16th, 2006 are children from the St. Richards School.More about it...

4. Place for "atGeist Community Newsletters" pickup
Tom Britt has launched atGeist.com on July 4, 2003. AtGeist.com was designed as a local information portal for Geist Reservoir residents. Tom Britt expanded the website to include a monthly print newsletter called the "atGeist Community Newsletter" in April of 2004. Today, atGeist.com serves over 15,000 unique visitors a month through the website and 10,000 Geist residents receive the "atGeist Community Newsletter. Keep informed of local Geist Reservoir events by subscribing to the free atGeist E-mail Newsletter. Over 30 subdivisions utilize atGeist for their own neighborhoods' e-mail newsletter list. To receive the free Geist Newsletter, click here...

5. Place for "2005 and 2006 Geist Directory"
Is your local Geist business currently on our "atGeist Community Newsletter" mailing list? Are you within 3 miles of Geist Reservoir? Then you are eligible for a free listing in our "2006-2007 Geist Directory". Local businesses will be listed in our annual publication which is customized for over 7,000 homeowners associations around Geist Reservoir.The "2006-2007 Geist Directory?65533;? will feature some enhancements to last year's annual directory: convenient size, community pages, calendar and more copies. More about it...

6. Place for the "Geist Maps" pick-ups
This month, the long-awaited "Geist Map" will also debut at the Geist Visitor Center, featu