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http://www.NoseSinus.com/ https://www.google.com.sg/maps/place/Dr+Kevin+Soh,+Ear+Nose+Throat+Sinus+Head+%26+Neck+Clinic/@1.3049229,103.8331258,17z/data=!4m5!1m2!2m1!1skevin+soh+review!3m1!1s0x31da1992e3f9ff57:0x61af1e7fa8129600 3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510 Dr Kevin Soh describes how a neck mass or lymph node excision is performed. He uses interesting graphics, animation and video to demonstrate the operation. If you have any comments, PLEASE do not be afraid to ask. Please SUBSCRIBE, SHARE, and COMMENT on this video. If you prefer to read, rather than watch the video, here’s the transcript. 0:09 – Case Presentation: A 40 year old lady has a mass on the left side of her neck, measuring 3 cm in size. The mass lies close to the external jugular vein. I can hide her scar by making my incision on the lower skin crease. 0:35 –Surgery video demo: I inject lignocaine (to reduce post-operative pain) and adrenaline (to induce vasoconstriction and reduce bleeding during surgery). I stretch the skin tight in order to facilitate neat skin incision. Because of the adrenaline, the incision is dry and bloodless. 1:11 – I have just cut through the epidermis and dermis. Next, I have to go through the platysma muscle, and search for the mass in the subcutaneous fat. The mass lies in the subcutaneous fat. 1:34 – Surgery is like painting. I use fine gentle strokes. Now I am identifying the platysma muscle. I cut through the platysma muscle. 2:18 – There are important structures in the neck that I need to look out for. Spinal accessory nerve supply motor fibers to the sternomastoid and trapezius muscles. Greater auricular nerve receives sensation from the skin below the ears. 2:44 – I dissect the subcutaneous fat to remove the mass. The mass has to be separated from all its attachments before it can be delivered. 4:41 – I close the wound in layers. I start by suturing the platysma muscle. I suture the platysma muscle in such a way that the knot is buried deep in the wound. 5:33 – Next, I suture the dermis. The needle must bite just the right amount of dermis in order to obtain perfect skin apposition. It is very important to bury the knot. The sutures used for platysma and dermis closure are absorbable sutures. They do not need to be removed. They are absorbed through the process of inflammation. 6:17 – Finally I close the epidermis. Instead of interrupted sutures, I use a continuous subcuticular suturing technique. The epidermis closes when I pull both ends of the suture. For the epidermis, I use non-absorbable sutures that need to be removed 7 days later. Non-absorbable sutures cause less inflammation and scarring. The end result is a very nice cosmetic aesthetic concealed invisible scar. 7:17 – All suture knots (especially absorbable sutures) have to be buried. Unburied absorbable suture knots will result in suture abscess, pain and redness. I also avoid interrupted sutures for the epidermis, because they cause ugly rail-road track or caterpillar marks. Steristrips are applied to provide strength to the wound. They also cover the wound and prevent contamination.
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Learning Objectives: 1. Discuss the clinical effects of glucagon-like-peptide-1 receptor agonists. 2. Describe the latest evidence for use in chronic kidney disease and new research studies in the field. Dr. Kevin Yau received his medical degree from the University of Toronto in 2016 and completed Internal Medicine training at Western University. He subsequently completed general nephrology fellowship and a Cardiovascular, Renal, Endocrinology and Metabolic Diseases Fellowship and a Master’s in Clinical Epidemiology at the University of Toronto. He is currently a Glomerulonephritis Fellow and will be joining the Division of Nephrology at the University Health Network as a Clinician Scientist. His research has focused on use of glucagon-like peptide-1 receptor agonists in CKD, clinical trials and glomerulonephritis.
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What revolutionary developments are emerging in the world of obesity medications? Eli Lilly's Chief Scientific Officer, Dan Skovronsky, emphasizes the need for obesity medicines to offer more than just weight loss.,Lilly is focusing on developing both pills and more potent drugs to stay competitive in the obesity drug market.,Skovronsky is excited about potential treatments for various health conditions using GLP-1s and incretin medicines beyond weight loss.,With Zepbound, Lilly has made significant strides in obesity treatment, leading to developments for a convenient daily pill.,Lilly is exploring how incretin medicines can also aid in treating conditions like sleep apnea, addiction, and heart disease.,Lilly’s competitive edge lies in creating drugs that not only provide substantial weight loss but also tackle other health issues.,The drug landscape is shifting; the focus now includes ease of use and effectiveness for broader health-management purposes. #WeightLoss, EliLilly, #IncretinDrugs, #HealthInnovation
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Bloomberg health reporter Madison Muller and Dr. Nate Wood break down the latest on how Ozempic and other weight loss drugs are transforming America. Subscribe to ABC News on YouTube: https://abcnews.visitlink.me/59aJ1G ABC News Digital is your daily source of breaking national and world news, exclusive interviews and 24/7 live streaming coverage. Download the ABC News app for the latest headlines and alerts: https://abcnews.go.com/devices Watch 24/7 coverage of breaking news and live events on ABC News Live: https://www.youtube.com/watch?v=gN0PZCe-kwQ&ab_channel=ABCNews Watch full episodes of World News Tonight with David Muir here: https://youtube.com/playlist?list=PLQOa26lW-uI8ixlVw1NWu_l4Eh8iZW_qN&feature=shared Read ABC News reports online: http://abcnews.go.com ABC News is the home to the #1 evening newscast “World News Tonight” with David Muir, “Good Morning America,” “20/20,” “Nightline,” “This Week” with George Stephanopoulos, “ABC News Live Prime” with Linsey Davis, plus the daily news podcast “Start Here.” Connect with ABC News on social media: Facebook: https://www.facebook.com/ABCNews Instagram: https://www.instagram.com/abcnews TikTok: https://www.tiktok.com/@abcnews X: https://twitter.com/ABC Threads: https://www.threads.net/@abcnews LinkedIn: https://www.linkedin.com/company/abcnews
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They say we need lifestyle changes on glp1 medication, especially if you plan on coming off (which I personally don’t) but those lifestyle changes don’t necessarily need to be this big grand overwhelming gestures…sometimes the modification is simply allowing the medication to do its job. The meds end up working WITH us, not for us, naturally most of the time #glp #glp1 #glpone #glponecommunity #glp1medication #glp1journey #glp1forweightloss #healthandwellness
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