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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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In this insightful episode of Khan Clinics, Dr. Amir Khan welcomes Dr. Matthew Bernstein, a leading expert in metabolic psychiatry. Together, they explore the profound connection between metabolism and mental health, shedding light on how nutrition, lifestyle choices, and metabolic interventions can transform psychiatric treatment. As mental health care moves beyond symptom management, this discussion uncovers how a science-driven, holistic approach is revolutionizing the way we understand and treat psychiatric disorders. Dr. Bernstein discusses the role of chronic inflammation, mitochondrial dysfunction, and insulin resistance in conditions like depression and anxiety. He highlights the power of ketogenic diets, intermittent fasting, and GLP-1 receptor agonists in mental health care, emphasizing the importance of personalized treatment plans. By focusing on metabolic health, patients may not only improve their mental well-being but also reduce dependence on conventional medications, opening new doors for long-term recovery. Tune in to learn how cutting-edge research is reshaping the future of psychiatry by integrating holistic, science-backed strategies beyond traditional medications. -------------------------------------------- 00:00: Introduction: A New Era in Mental Health 03:25: who is Dr. Matthew Burnstien 05:11: How Metabolism Affects Mental Health 07:45: Personalized Psychiatry: Treating the Whole Patient 12:35: Ketogenic Diet & Brain Function 17:25: The Power of Intermittent Fasting in Mental Health 21:30: The Weight Gain Problem: Psychiatric Medications & Metabolic Interventions 24:54: Maintaining healthy weight with antipsychotic drugs 27:30: The GLP-1 Drug Debate: Risks & Benefits 31:36 The Future of Psychiatry: Where Are We Headed? And Closing remarks -------------------------------------------- Subscribe Our YouTube Channel: https://www.youtube.com/@KhanKlinics-DrAmirKhanMD?sub_confirmation=1 -------------------------------------------- WHAT TO WATCH NEXT: Overprescribed & Overused – Are Antibiotics Doing More Harm Than Good? https://youtu.be/3CnlFEZcDVk Is Your Memory Fading? Warning Signs You Shouldn’t Ignore! https://youtu.be/J27OstWIQjI Use your body fat, to super charge yourself – Power of Ketosis https://youtu.be/fvJgiijrqh0 Breaking Down Diet Myths and Health Trends https://youtu.be/Ejb3aoZu4yQ?si=eL6UyzFKGTJSYrXe Fix back Pain with AI & Robots https://youtu.be/-G3ZV6Rl3Vg?si=mKtubhYyvMdpvjKb -------------------------------------------- Khan Klinics, Health Podcast: https://www.youtube.com/playlist?list=PL49_prnehB7FhtfhSIzDDo-4VbEdsrf1c ------------------------------------------- FOLLOW OUR AUDIO PODCASTS: Khan Klinics: https://www.youtube.com/playlist?list=PL49_prnehB7G0dCUDfsmIB0zyMiAfvovU ------------------------------------------- #mentalhealth #psychiatry #metabolism #brainhealth #nutrition #ketogenic #fasting #inflammation #mitochondria #insulinresistance #depression #anxiety #wellness #healing #holistic #science #neuroscience #mindbody #psychology #lifestyle #exercise #glp1 #ozempic #weightloss #dementia #alzheimers #cognition #resilience #wellbeing #selfcare #therapy #research #innovation #treatment #medical #doctor #podcast #health #recoverytime #Energy #Focus #Mindfulness #Neuroplasticity #GutHealth #Ketosis #Balance #hormones #clarity #strength #vitality #longevity #transformation #brainpower #optimization #régénération #breakthrough