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Credit - Thomas DeLauer Podcast With Dr Mike Israetel
we are not associated with mike israetel or any youtuber, we post clips cut from their podcast in the hope for it to reach more people
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This is a storyboard of how a student in a graduate course on process improvement lost weight by making ecological/environmental changes without making diet changes. More information can be found at improvement.gmu.edu
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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.
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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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When it comes to weight loss, finding an effective solution can often feel like an uphill battle. With so many different diets, supplements, and exercise routines to choose from, it can be challenging to know which option will work best for you. One promising new weight loss medication that has been generating a lot of buzz is Semaglutide 6-Week Belly Ozempic. This injectable medication has been shown to help people lose weight and improve their overall health. In this article, we will explore the success stories of individuals who have used Semaglutide 6-Week Belly Ozempic for weight loss before and after. We will delve into the science behind this medication, share real-life testimonials, and provide tips for anyone considering trying Semaglutide 6-Week Belly Ozempic for themselves.
Science Behind Semaglutide 6-Week Belly Ozempic
Semaglutide is a medication that works by mimicking a hormone called GLP-1 that is naturally produced in the body. GLP-1 helps regulate insulin levels, control appetite, and slow down gastric emptying. By taking Semaglutide, individuals can experience a decrease in hunger and an increase in feelings of fullness, which can help them consume fewer calories and lose weight. Studies have shown that Semaglutide can lead to significant weight loss in individuals with obesity, making it a promising option for those looking to shed excess pounds.
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One of the best ways to gauge the effectiveness of a weight loss medication is to hear from individuals who have actually used it. Many people have shared their success stories with Semaglutide 6-Week Belly Ozempic, citing significant weight loss and improvements in their overall health. Individuals have reported feeling more energetic, confident, and happy after losing weight with Semaglutide. These real-life testimonials serve as powerful motivators for anyone considering trying Semaglutide for themselves.
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Tips for Success
If you are considering trying Semaglutide 6-Week Belly Ozempic for weight loss, there are a few tips that can help you maximize your results. Firstly, it’s essential to follow your healthcare provider’s instructions closely and take the medication as prescribed. Semaglutide works best when used in conjunction with a healthy diet and regular exercise, so be sure to prioritize these lifestyle changes while taking the medication.
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Conclusion
In conclusion, Semaglutide 6-Week Belly Ozempic shows promising results for individuals looking to lose weight and improve their overall health. The science behind Semaglutide is compelling, with studies showing that it can lead to significant weight loss and metabolic improvements. Real-life success stories further demonstrate the effectiveness of Semaglutide, with many individuals experiencing life-changing results after using the medication. By following tips for success and staying committed to your weight loss journey, you can increase your chances of achieving success with Semaglutide 6-Week Belly Ozempic.
Overall, Semaglutide offers a unique and effective option for individuals struggling with obesity and looking to make positive changes in their lives. If you are considering trying Semaglutide for weight loss, be sure to consult with your healthcare provider to see if it is the right option for you. With dedication, support, and the right mindset, you can achieve success with Semaglutide and embark on a healthier, happier future.
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