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See inside the lungs!
See inside the lungs! samer kareem 17,360 Views • 2 years ago

Bronchoscopy Procedure - See inside the lungs!

Gen Z Hospital - SNL
Gen Z Hospital - SNL hooda 407 Views • 3 years ago

A friend group (Kate McKinnon, Mikey Day, Heidi Gardner, Ego Nwodim, Bowen Yang) tensely waits for updates on an injured patient.

MRI of Fetal Brain Development
MRI of Fetal Brain Development Alicia Berger 8,043 Views • 2 years ago

MRI of Fetal Brain Development

What Kind of a Person You Are
What Kind of a Person You Are samer kareem 1,781 Views • 2 years ago

Your Little Finger Reveals What Kind of a Person You Are

Femoral embolectomy
Femoral embolectomy samer kareem 7,590 Views • 2 years ago

Femoral Embolectomy. Back. All emboli of the lower extremity, including a proximal saddle embolus at the aortic bifurcation, can be removed through the common femoral artery using Fogarty catheters. By passing these through the embolus, and by inflating the small balloon, the clot can be withdrawn and the flow restored

Pediatric Surgery at Sutter Children's Center Sacramento
Pediatric Surgery at Sutter Children's Center Sacramento hooda 160 Views • 3 years ago

What to expect during the day of a pediatric surgery at Sutter Children's Center Sacramento.

Sex health education
Sex health education samer kareem 2,649 Views • 2 years ago

Although most women have had enough experience to know how to pleasure a man in the bedroom, but you can be sure that are several girls who would be virgins when you first take them to bed. Though most Indian men actually prefer to make love with a virgin. There are also numerous men who dislike the idea due to the pressure of making love to someone with no experience. So if you happen to be dating a virgin then there are a few important things that you should always keep in mind when you take her to bed. Though you have made love to different women before, you need to understand that this one being a virgin will know little or nothing about what is expected of her in bed. Because she will be anxious and nervous, you have to be all the more careful to ensure that she gets to enjoy her first time with you. Kiss her Whether you are doing it with a virgin or someone with a record that would put Pam Anderson to shame, you should take your time to make love to her just with your lips. Use your lips with passion, and kiss her parts that other guys tend to ignore. Kiss her lips, her hips, her shoulders, her hands, nuzzle her ears - parts which aren’t necessary sexual. Give your girl a hand Okay this one may look straight out of a B-grade south Indian movie, but starting off with a sensual full body massage is an excellent way of warming her up. So use some nice aromatic oils like lavender or Yang-Yang to massage her body. If you are more experienced, you would be aware the various erogenous zones of a woman’s body. Start with the nape of her neck and slowly work your way down to her back, gently knead her breasts and play with her nipples, gently flick at them and manipulate them to erection. Get her to lie on her stomach and massage her inner thighs. Lovingly caress her buttocks and move your hands close to her valley of pleasure. She might be too shy to tell you, but her ultimate pleasure point would be dying for your attention. Gently, stroke her outer lips or the labia. Whatever, apprehensions or fears she may have had about sex will all disappear once your finger start creating magic in her nether regions. Never criticise her Remember, she has never felt a man’s body before, which essentially means that when she tries to explore your body you may not necessarily enjoy it. So let her hold your penis and fondle it, let her lick and nibble you and tickle you body. You may not find her amateurish attentions very arousing but don’t make her feel like an amateur in bed. If she does something right let her know how much you are enjoying it. Guide her fingers to your pleasure points and tell her what you would like a girl to do in bed. Being the more experienced partner you should be like her loving mentor, and teach her the intricacies of pleasuring a man. Make her touch herself While she may or may not have masturbated before, by getting her to touch herself you would be able to make her feel the unknown. Tell her how badly you want to see her masturbate. The idea is open her to own sexuality. Its time to penetrate When you think that she is finally ready to be penetrated, enter her as gently as possible. Also make sure that she is producing enough lubrication to facilitate the act. Keep your strokes slow and shallow and avoid pushing too deep during your first few strokes. If you are able to make her feel comfortable and safe, any pain that she may experience in the beginning will soon disappear, and be replaced by moans of ecstasy. The first time can be nerve racking for most men. Just remember how nervous you were when you had sex for the first time. So when your take your virginal girlfriend to bed for first time makes the experience as pleasurable for her as possible.

The Sun Doesn't Cause Skin Cancer, But Sunscreen Does!
The Sun Doesn't Cause Skin Cancer, But Sunscreen Does! samer kareem 7,708 Views • 2 years ago

Lack of sunshine causes skin cancer, according to Andreas Moritz. In this video from 2009, he explains why being in the sun is actually good for you and your skin. Find out why your sunscreen is doing more harm than good. Also, you need vitamin D to prevent cancer, and sunscreen may interfere with your exposure to vitamin D from the sun.

What is inside A Cyst?
What is inside A Cyst? samer kareem 2,361 Views • 2 years ago

What is inside A Cyst? Watch it now

Totally US Guided PCNL in Flank Position
Totally US Guided PCNL in Flank Position Alicia Berger 1,335 Views • 2 years ago

Totally US Guided PCNL in Flank Position

Freeze breast cancer.
Freeze breast cancer. samer kareem 1,642 Views • 2 years ago

In a small but promising Phase II clinical trial of breast cancer treatment, cryoablation killed 25 early-stage tumors in 13 women. The tumors ranged in size from .5 cm (very small) to 5.8 cm (very large), with an average size of 1.7cm. Patients were first given a local anesthesia with mild sedation before physicians used ultrasound with or without computed tomography (CT) imaging to guide needle-like probes to deliver very low temperature gas to the tumor site. The ultra-cold gas forms a ball of ice around the probe tip, then expands and destroys surrounding tumor cells. A harmless saline solution was first injected into the chest wall and skin of the breast to protect the tissue surrounding the tumor from the freezing effects. Patients experienced very little pain and most healed completely within six months with no complications and with little or no scarring. The cryotherapy margins of each participant were biopsied immediately after the procedures, and all were negative, with no evidence of cancerous tissue. All 13 patients were without recurrence at an average of 18 months and up to five years following the procedure. These results are promising, but larger studies with lengthier follow-up are needed to determine whether cryotherapy as effective as lumpectomy. A study involving cryoablation of mouse tumors at the University of Michigan Comprehensive Cancer Center found that the freezing procedure also works like a vaccine, boosting the immune system to reduce the likelihood of recurrence. Just how quickly the tumor was frozen made a difference: a 30-second freeze killed tumors and also boosted the immune system, inhibiting metastases to the lungs. A slower freezing lasting several minutes destroyed tumors just as effectively, but actually suppressed the immune system, resulting in greater metastases to the lungs.

Ganglion Cyst Surgical Removal
Ganglion Cyst Surgical Removal samer kareem 17,050 Views • 2 years ago

Ganglion Cyst Surgical Removal

Taking Dental Impressions: Correction Impression
Taking Dental Impressions: Correction Impression samer kareem 1,393 Views • 2 years ago

A short introduction on how to take a correction impression. The shown materials are recommended by Orthorobot and have proven to be fully compatible with the Orthorobot lab procedure.

A herniated disc - What is it and what surgical treatments are available?
A herniated disc - What is it and what surgical treatments are available? samer kareem 1,608 Views • 2 years ago

Endoscopic Removal of a Maxillary Sinus Cholesterol Cyst
Endoscopic Removal of a Maxillary Sinus Cholesterol Cyst DrHouse 21,858 Views • 2 years ago

The endoscopic removal of a large intramaxillary sinus cyst which contained serous like fluid and many shiny falt white cholesterol crystals.

Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction
Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction Mohamed 17,532 Views • 2 years ago

This 38 year old woman has increasingly intractable RUQ pain after cholecystectomy done one year prior. LFTs and pancreatic enzymes have been normal, and ducts are non-dilated, thus she is a Type III possible SOD patient. Initial goal is to define course of pancreatic duct for manometry. 5-4-3 Co...ntour catheter (Boston Scientific) is used to perform the pancreatogram which shows a small straight distal duct. The aspirating triple lumen manometry catheter (Wilson Cook) is used to cannulate the pancreatic duct, with continuous aspiration of fluid once the duct is entered. Careful stationed pullthrough manometry shows markedly abnormal basal pressures in both leads in the pancreatic sphincter. Plan is dual pancreatic and biliary sphincterotomy. Biliary manometry will not now change our plan therefore is omitted. Our first goal is to access the pancreatic duct so we can guarantee wire access for placement of a small caliber pancreatic stent which is critical for safety. Contrast is injected as the 0.018in Roadrunner wire (Wilson Cook) is advanced in order to outline the course of main duct. A separate biliary orifice is clearly seen, unusual in SOD patients. A soft 4Fr 3cm single inner flange pancreatic stent (Hobbs Medical) is placed. We did not want to use our typical 9cm long unflanged stent as even a 3 or 4 French stent might be traumatic to the tiny caliber of this duct out in the body of the gland. Next the bile duct is cannulated with a papillotome (Autotome 39, Boston Scientific), showing a small perhaps 6mm bile duct. Biliary sphincterotomy is performed in very careful stepwise fashion as landmarks are unclear and perforation is higher risk in small duct SOD patients. On the other hand, inadequate sphincterotomies offer limited chance of symptom relief. You can see here a patulous sphincterotomy. Next a pancreatic sphincterotomy is performed with the needle knife (Boston Scientific) over the pancreatic stent. Again this is performed cautiously due to the small size of the pancreatic duct. We are reaching along the stent and cutting the fibers deeply. This is a limited pancreatic sphincterotomy due to small pancreatic duct size, and concern for scarring of the pancreatic duct. It is important to document passage of the stent by xray or remove it endoscopically with two weeks or so. We and many other specialized centers perform dual sphincterotomies at the first ERCP in all SOD patients with abnormal pancreatic manometry and frequent or intractable symptoms based on the belief that response rates are better than for biliary sphincterotomy alone.

Blood Transfusion and Intravenous Infusion
Blood Transfusion and Intravenous Infusion samer kareem 2,207 Views • 2 years ago

Intestinal Lymphangiectasia
Intestinal Lymphangiectasia samer kareem 3,989 Views • 2 years ago

Idiopathic Hypoproteinemia or Intestinal Lymphangiectasia is a malabsorption disease due to abnormalities of the lymph vessels.

Prostate
Prostate RAJESH PATEL 21,028 Views • 2 years ago

Prostate anatomy

New Treatment for sinusitis. Yamik procedure
New Treatment for sinusitis. Yamik procedure Aleksandr Senin 2,885 Views • 2 years ago

New Treatment for sinusitis. Yamik procedure

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