European Stars and Stripes (Newspaper) - June 18, 1991, Darmstadt, Hesse                                Anatomy of a scar when Healing backfires in Calm him a Quot t no of us to. In i was a by you re to truly Quot thinking i really l he fell ires a us san tic up a Rod re she talking Tes before she got there. In the Chapel she Quot kept asking god to let him live and let him grow  a. A  a Stiner. Said in retrospect that she would t have been Able to handle seeing her son lying there with a Rod a -.protruding. A   . A a weeks later the Sierra Vista City Council honoured  firefighters paramedics technicians and policemen for.? a helping save Justin. She recalls that going to the. A. Ceremony her son said Quot if id realized where that Rod was i would have really  a we.  .-?.?. L v Richemont said the. Work by the paramedics and other a emergency workers in the Early going helped assure . Justin s Success. A    using Wood and tape the emergency workers. A secured  to prevent harm by shaking or jarring a while the boy was being transported first to a Hospital in a Sierra Vista and then by helicopter 75 Miles to University y medical Center in Tucson. A   Richemont also credits  ail the conservative. A a y . A management Quot at the Hospital preparing for bypass a y surgery and presuming that  was piercing the heart even though everyone thought that it had not done so. A he heart surgeon or. Luis Rosado Lopez and or. A Michael Esser another trauma surgeon evaluated the. Injuries they first clamped and tied off the  next came the thymus finally the heart Richemont and Esser said the significantly lower blood a pressure on the right venous  the heart accounted largely for. The Lack of bleeding 1 but inside  All going. C Mon Man nothing no blood it s pretty Lucky Quot Richemont said. A u     a Quot . Quot. A another Factor was that  was threaded Quot the. Holes that it made were so clean and the heart actually. Was sealed around this thing Quot he added. By  a. A a.  we were All. Amazed that there was this Rod a through this heart that was pulsating in a Normal fashion. As if nothing was wrong with it a he  boy s tissue had clamped Down around  s threads a Justin was placed on heart bypass for about 11 minutes while the  . Through the heart with sutures like fishing wire in place ready to tighten and Seal each Hole As it was vacated. The. Procedure also  a minimized the bleeding that finally occurred. They flushed a ? and irrigated  with antibiotics administered Immunoglobulin to prevent tetanus and wired his Chest together. The operation took 2 hours 20 minutes. A. A a then they began worrying because Quot things were going almost too Well Quot Richemont , about a damage to the child s Abdomen they ran tests and aggressively looked for some sort of Blunt injury Quot a Quot then they waited. And marvelled. Quot. Richemont said Justin is alive because he did not go. A a into Shock. He also said it s possible  s a serendipitous path through Justin a body will have  by significant positive Impact on the child where Quot he s More introspective values his. Life starts  about what hels doing and the consequences of . Justin s Mother agrees that maybe the incident Quot Hasy a made him a Little Wiser. He  doing things now. Before he does  said before he was  Quot spontaneous.  tree climb i now hell be  and hell Slop and maybe think about what he s supposed to be doing and hell walk away i think a Quot common sense comes in and takes Over now?1  As or mom she said she agrees with mrs Howard whose roof Justin tumbled from who told her Quot god has great things in mind for. Justin because what happened v. Had to have been a Miracle  a. When the skin has been injured Ceils adjacent to the. Injury produce Collagen a fibrous connective tissue. Sometimes far More new tissue grows than is needed to heal a wound. Tumo like growths of excess tissue Are called keloid. A More common condition raised tissue within the confines of the original wound is called a hypertrophic scar. Hypertrophic scar Iri Normal tissue Collagen fibres Are in a regular formation like a picket Fence. In scar tissue strands of Collagen form disorganized mass. The More Collagen fibres the larger and sniffer the scar. When the scar forms under a Scab the scar can be.-, indented. Sources. Quot dermatology a medical artists inter station. Sari of a your skin Playboy Thomas a. Mustoe my. Not telltale scars can be More than just skin deep by Jane e. Brody the new York times i yen under the Best of circumstances injuries a and operations Are not readily forgotten. When they Tehve behind a scar that is disfiguring or that i limits mobility the legacy can be emotionally scarring As Welt a y. Of a. ? /   a ? a ? y in recent years  and dermatologists have devised promising preventives and treatments for these ugly and uncomfortable scars a y a. A   cases the remedy can be successfully applied even to scars that  old but most work Best when a scar is just forming so a tie  thei doctors about past scarring problems  a ? y ? living toss us of. All kinds form Sears which repro Seru new cells Laid Down to close a Gap in the skin who Hen a from a Kitchen knife or surgeon s Scalpel. A Burn or b  Ter a scrape. Or a chemical. Whether the wound is super Ficat ,--the process is basically the same. ,.�. ?  a after an injury whether accidental or. Deliberate the. A a body musters an , bringing Whit blood cells and antibodies to  to help destroy Ora expel intruders like infectious organisms and dead . As the inflammation subsides scar tissue begins to  form it includes tiny new blood vessels called capillaries to restore circulation. A    a y. Then Ceils in the adjacent skin called fibroblasts Start producing a fibrous connective tissue Collagen,.similar to the tissue inside the end of the nose . / a y Between the  to in strength Tiff the scar. The a More fibres the firmer and less flexible the scar y . Quot for unknown reasons,.in.some  scar tissue  Grows far beyond the amount needed to Boa-1 a wound forming a benign Lumo like a Fowler called a keloid that is. Uncomfortable and unsightly. A -.?. A for a person who forms keloid oar piercing can a cause a scar the size of a Golf Ball the tendency to form keloid. Is especially common among Blacks and asian s. Strongly a suggesting a genetic Factor people who foun keloid Are ? usually advised Toa voice cps noetic surgery a y-.. � a. A in. Another snore common Type of Abdnour Tui sic among. Called , the scar  but. Stays within the confines of . The incised to Tush May subside with one Tui Many of these scars a  an ugly prot Dern . E a i Ess or a  vat i Teddy ,enl3. /  t ii. A Gay look Fig  Quot a.  scars Thal can Civ Rio when r  a Bunc. Foai these scars can if Spedo  it especially Quot a. Y. Around a Jornt. A a y  a y Quot Quot  a ?   according to or Vii Sam a Monafo a pro lessor of a y surgery a Washington University Sci Dot of Medicine m St Louis   predictable nor.  Nosi often form to conf Drin adults  under 40.and  people, sounds or . Sci Sofis arc Well As Burns a. ?. &Quot.?.even people who do  scar abnormally often develop ,. A   . Continued on Pago w  18, 1991 the stars and stripes a Page 15