INDICATIONS Administration of agents into the central vasculature Central circulation and intracardiac access Maintenance of venous access Hemodialysis and plasmapheresis

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Watch that video of an Ingrown hair turned into 140-pound tumor in man’s stomach

I filmed my lasik eye surgery because it looks neat

See the full video here: https://youtu.be/wY_D5pMbEf0

Subscribe to my main channel: https://www.youtube.com/channe....l/UC1VLQPn9cYSqx8plb

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Targeting a new way of life.

Posterior dislocations with associated fractures, also known as complex posterior dislocations, often require open reduction and fixation (ORIF). These dislocations are often associated with significant ligamentous injury. In some cases, complex posterior elbow dislocations may be managed with closed reduction. Posterior elbow dislocations that are neglected, as is not uncommon in developing countries, can often be effectively treated with open reduction. [9] Delayed vascular compromise is an important complication after reduction. All patients should be observed for a period of approximately 2-3 hours after reduction. If no evidence of vascular compromise arises, patients can be sent home with appropriate follow-up and instructions to watch for further problems.

A voice prosthesis (plural prostheses) is an artificial device, usually made of silicone that is used to help laryngectomized patients to speak. During a total laryngectomy, the entire voice box (larynx) is removed and the windpipe (trachea) and food pipe (esophagus) are separated from each other.

An esophageal stent is a flexible mesh tube, approximately 2cm (3/4 inch) wide, and is placed through the constricted area of your esophagus (food tube) to allow food and beverages to pass from your mouth to your stomach for digestion and absorption of nutrients.

Minimally Invasive treatment of Ureteral stones after failed Extracorporeal Shockwave Lithotripsy

Anatomy of The Lower Limb Joints

http://www.paruresistreatment.norisk101.com Having trouble urinating in the presence of others? Is a friend or family member struggling with this problem? The following article offers some insight into this social anxiety disorder.
What is Shy Bladder Syndrome?
shy or bashful bladder syndrome, is properly titled Paruresis.It is a phobia that involves fear and avoidance of using public toilets. It should be mentioned that this form of urinary retention is not the result of a physical blockage in the body. People who suffer from paruresis have trouble urinating in the presence of others or put another way paruresis is the fear of not being able to urinate unless one is in absolute privacy.The symptoms can vary in severity . This social anxiety disorder can affect a person's quality of life in many ways. Paruretics are confronted with problems at work with a prime example being when they have to submit a urine sample for drug testing, traveling on long journeys via airplane or train to every day social situations that the rest of us take for granted.
What causes paruresis?
The cause of paruresis is hotly debated and not easily determined in some cases. It could start as a toddler in preschool, in adolescence, or even in adulthood. While not all paruretics can point to an event in their life that could have lit the fuse to their shy bladder syndrome, some look to a traumatic incident in their past including embarrassment by a parent, teasing by schoolmates or freinds and siblings, harassment in public bathrooms or even sexual abuse as the catalyst.
How common is Shy Bladder?
While definitive numbers are hard to find with regard to how many people suffer from shy bladder surveys performed over the last few decades show that the numbers could range from less than one percent to more than 25 percent of Americans. There was a study done in 1994 called the National Comorbidity Surveywhich showed that 6.6 percent (17 million people) of the populationare fearful of using the toilet away from home, although it is uncertain how many of these fears were related to the difficulties initiating urinating in public bathrooms.
Paruresis symptoms?
A common scenario for how shy bladder syndrome evolves in a person's life is as follows: After an initial unpleasant experience, the person anticipates difficulty urinating whenever entering a bathroom. After trying to make themselves overcome this fear and failing, the associated anxiety with performance reduces the individual's chances even further of the possibility of urinating in a public restroom. The sufferer then adjusts to the condition by urinating as much as possible while at home, restricting how much they drink and avoiding social events that will keep them away from home for too long.

How is Shy Bladder Syndrome treated?
It is recommended that a sufferer of paruresis should first visit a urologist to make sure there is nothing physically wrong with them.
The urologist will:
A) make sure there are no underlying physical problems.
B)Let the patient know they are not alone and that any other people suffer with the same problem
C) Offer guidance as to approaches for coping with the condition such as scheduling urination, and, for men making use of an enclosed cubicle as opposed to the urinal.
4) Discuss the possibility of self-catheterization if the patient feels that would work for them. It is a way to offer an instant way to improve their quality of life through being able to be more social.
5) Referring them out to a specialist dealing with anxiety disorders for cognitive and graduated exposure therapy.

There is new hope for sufferers of shy bladder syndrome with the "Paruresis Treatment System" which is helping people lead different and better lives.
To learn more visit:-
https://www.youtube.com/watch?v=j6TpU_0-ufw
~N

Thyroid Exam Physical Exam

Anatomy of The Shoulder and Arm Muscles

http://www.rhinoplastyspecialist.com
This is my rhinoplasty before and after video

Watch my experience from initial consult to final result as I have an ethnic rhinoplasty procedure performed by Dr. Paul S. Nassif of Spalding Drive Cosmetic Surgery & Dermatology located in Beverly Hills.

The results are incredible! It's like a dream come true. I am so happy that I chose Dr. Nassif as my surgeon. He is truly a gifted and wonderful surgeon.

There where many procedures performed to get the incredible results I received including:
Deep Temporalis Fascia Harvesting
Septoplasty
Turbinoplasty
Open Rhinoplasty
Nasal Smas Excicion
Vestibular Tissue Release
Tip Cartilage Contouring / Cephalic Trim
Columella Strut Placement
Shield Graft
Ear (conchal) Cartilage Harvest
Rim Graft
Osteotomies
Narrowing of Nasal Dorsum
Build up of Radix & Dorsum (cartilage and fascia grafts)
Alar Base Reduction

Rhinoplasty in Los Angeles also specializes in ethnic rhinoplasty for African American, Hispanic and Asian patients. As part of his information campaign on cosmetic surgery in Beverly Hills, those who are interested in rhinoplasty and plastic surgery can get loads of up-to-date information straight from Dr. Nassif through his websites Media Page. This web page contains articles written by Dr. Nassif that have been published in famous plastic surgery journals and books.

The Media Page also contains actual rhinoplasty and revision rhinoplasty surgery captured on video. These videos were aired in Discovery Channel, ET, and other shows. Patients who want to know more about Dr. Paul Nassif can check out his curriculum vitae. Whether you decide to attempt this procedure or not, rhinoplastyspecialist.com can give you an accurate and detailed perspective.

AFRICAN AMERICAN NASAL ANATOMY:
1. Skin: Thick, Abundant Fibrofatty tissue
2. Radix: Deep, Inferiorly-Set & Low
3. Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
5. Base: Wide, Thick, Horizontal & Flaring Nostrils
6. Nasolabial Junction: Retracted, Under-Developed Nasal Spine
7. Maxilla: Usually Retrusive & Hypoplastic

HISPANIC NASAL ANATOMY:
1. Skin: Thick, Abundant Sebaceous Glands
2. Radix: Low to Normal
3. Nasal Bridge: Wide
4. Dorsum: Convex (Nasal Hump)
5. Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
6. Columella: Short to Normal
7. Base: Wide, Thick, Horizontal & Flaring Nostrils
8. Maxilla: Within Normal Limits

ASIAN NASAL ANATOMY:
1. Skin: Heavy, Thick & Sebaceous
2. Radix: Deep & Flat
3. Nasal Bridge & Dorsum: Low, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
5. Columella: Short, Minimal Show (Retracted)
6. Base: Wide, Thick, Oblique & Flaring Nostrils
7. Maxilla: Usually Retrusive

DESIRED RHINOPLASTY GOALS:
1. Bridge: Moderately Thinner
2. Dorsum: Higher (Augmented)
3. Tip: Refined, Increased Projection, Increased Rotation
4. Base: Vertical-Oblique Nostrils & Triangular Nasal Base
5. Columella: Increased Columellar Show & Length
6. Maxilla: Less Retrusive
7. Skin-Soft Tissue Envelope: Moderate Thickness that Provides Good Tip Definition African American Rhinoplasty
~NWLN

Parasitic twins: boy carrying dead twin inside him, giant tumor removed - tumors compilation

A Fistulotomy is the surgical opening or removal of a fistulous tract. They can be performed by excision of the tract and surrounding tissue, simple division of the tract, or gradual division and assisted drainage of the tract by means of a seton; a cord passed through the tract in a loop which is slowly tightened over a period of days or weeks.

Fistulas can occur in various areas of the human body, and the location of the fistula influences the necessity of the procedure. Some, such as ano-vaginal and perianal fistulas are chronic conditions, and will never heal without surgical intervention.

Closure of a loop ileostomy is a relatively simple procedure although many studies have demonstrated high morbidity rates following it. Methods to reduce the number of complications, such as timing of closure or different surgical closure techniques, are investigated. The aim of this study was to evaluate the experience of the Abdominal Surgery Center at Vilnius University Hospital (VUH) ‘Santariskiu klinikos’ to review the complications after closure of loop ileostomy and to identify potential risk factors for postoperative complications.