Recently a member of my family fell off their horse while riding. The hard impact with the ground caused rib, artery and blood flow damage in her arm that required vascular surgery later that week. Otherwise her arm may have required amputation. They would also have to remove one rib during this procedure.
Keep in mind that this person has been a diet health expert and yoga instructor for over twenty years. And in the past fifteen years, she has never even needed to see a doctor for anything.
When she met with the doctor four days before the surgery he did not instruct her on any special. http://www.rdmonsalve.com/