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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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Lowest Budget Muscle Building Diet plan for Students, Maintain healthy diet while living in hostel or PG, Full day of eating Indian bodybuilding diet for students living in hostel and PG. A low budget bodybuilding diet plan for students living in hostel or PG. In this video, I am going to share a muscle building diet plan for students who are living in hostel or PG. Now, I have been living away from my home for over 11 years now. And in these 11 years, I have lived in various hostels and PGs. So I assure that all the meals that we are going to discuss today are very much practical in hostel or PG life. Moreover, I completely understand that in student life, we do not have a lot of money to spend on diet. Taking this into consideration, this diet plan is very low in budget yet it is perfect for muscle building. I have shared with you the cost breakup of each meal and at the end of this video, I have shared the monthly budget. MEAL 1 - BREAKFAST When I was in hostel for breakfast we used to get aloo puri, bhature chhole, paranthas, dosas and all that oily stuff. I would suggest you to avoid it. Along with this I am quite sure that you would be getting one glass of milk. So, we will be using this milk to make a well balanced and a tasty oatmeal. MEAL 2 - MID MORNING SNACK This is that point of the time, when you are busy attending classes and you would want to have something which is very easy to carry. So, I would suggest you to have 50 grams of bhuna chana along with one handful of unsalted roasted peanuts. These are two things which are very easily available in the Indian market. Together, they form a great combination of complex carbohydrates, protein and healthy fats. MEAL 3 - LUNCH Whenever we go to the hostel mess, the table is set in such a way that there is rice, chapati, dal, curry, curd and salad. Eating in a hostel mess is all about making the smart choices. MEAL 4 - PRE WORKOUT MEAL For pre workout meal we need a lot of carbohydrates so that we stay energised throughout the workout. And also, a little bit of protein. So, I will give you three options. You take your pick. MEAL 5 - POST WORKOUT MEAL Post workout meal is one of the most important meals of the day. I would suggest you to have 6 egg whites along with two bananas. Egg whites because it is a fast digesting lean source of protein. And bananas help replenish the glycogen and prevent muscle soreness. MEAL 6 - DINNER For dinner, when we go to the mess, we see that the food options on the table are similar to the way they were in lunch. Again, the trick is to choose the best and leave the rest. MEAL 7 - BEFORE BED MEAL Before bed meal is very important specially living in hostels because we don’t have this habit of sleeping early. So friends, I hope you found this video helpful. Well, if you did, do LIKE | SHARE | COMMENT & SUBSCRIBE https://www.youtube.com/channel/UCYC6Vcczj8v-Y5OgpEJTFBw Thanks for visiting. I wish you good health. Fit Tuber
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What Supplements Prevent Hair Loss On Keto? Are you concerned about hair loss while following a ketogenic diet? In this informative video, we’ll discuss effective strategies to support your hair health as you enjoy the benefits of a low-carb lifestyle. We’ll cover the importance of specific nutrients and how they play a role in hair growth, especially for those on keto.
You’ll learn about key supplements that can help prevent hair loss, including Biotin, MSM, Collagen, Zinc, and Iron. We’ll explain how each of these supplements contributes to maintaining healthy hair and the importance of a well-rounded diet. Additionally, we will share practical tips on protein intake and the types of foods that can nourish your hair from within.
Whether you’re new to keto or have been following the diet for some time, understanding how to support your hair health is essential. Join us for this informative discussion, and don’t forget to subscribe to our channel for more helpful tips on living a successful ketogenic lifestyle.
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About Us: Welcome to Keto Kitchen HQ, your go-to channel for everything related to the keto diet. Whether you're a beginner looking to understand Keto Diet Basics or an experienced practitioner refining your approach, we cover a range of topics including Low-Carb Meal Planning, Ketosis Explained, and Keto-Friendly Foods. Our engaging videos will help guide you on your journey with insights into Intermittent Fasting, Keto for Weight Loss, and delicious Ketogenic Recipes.
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