#Holistic approach to surgery

[scopeoffinancialaccountingin]

The Link between General Surgery and Gastroenterology A Holistic Approach

Introduction

In the realm of healthcare, the connection between general surgery and gastroenterology plays a pivotal role in addressing a wide range of digestive health issues. These two specialties often collaborate to provide comprehensive care, ensuring patients receive holistic treatment tailored to their needs. Understanding this link can empower patients to seek timely and effective medical interventions from specialists near them.

Understanding the Specialties

Gastroenterology is the branch of medicine that focuses on the diagnosis and treatment of diseases affecting the digestive system, including the esophagus, stomach, intestines, liver, and pancreas. Gastroenterologists are skilled in non-surgical techniques, such as endoscopy, to diagnose conditions like acid reflux, Crohn's disease, and irritable bowel syndrome (IBS).

General Surgery, on the other hand, involves surgical interventions to treat various conditions, including those related to the gastrointestinal tract. General surgeons are equipped to perform procedures such as appendectomies, gallbladder removals, and surgeries for digestive tract cancers. The interplay between these two fields is crucial for optimal patient care.

Why the Link Matters

Many digestive disorders require a multidisciplinary approach for effective management. Here are some scenarios where the collaboration between gastroenterologists and general surgeons becomes essential:

1. Complex Diagnoses

Some patients may present with symptoms that are not easily diagnosed through non-invasive procedures. A gastroenterologist may perform an endoscopy to visualize the digestive tract, but if a surgical intervention is needed, they will refer the patient to a general surgeon nearby who can provide the necessary treatment.

2. Surgical Management of Digestive Diseases

Conditions like colorectal cancer or severe inflammatory bowel disease may necessitate surgical intervention. In such cases, the gastroenterologist and general surgeon will work together to determine the best surgical approach and ensure coordinated care throughout the patient's treatment journey.

3. Post-Operative Care

Following surgery, patients often require ongoing management of their digestive health. Gastroenterologists can provide essential follow-up care, helping patients manage their recovery and address any new or recurring symptoms effectively.

Choosing the Right Specialists

When looking for care, it's essential to find qualified gastroenterologists and general surgeons near you. Check their credentials, reviews, and areas of expertise to ensure you receive comprehensive care. Many healthcare facilities offer integrated services, allowing for seamless collaboration between specialists for a holistic approach to patient care.

Tips for Patients

● Be Proactive: If you experience persistent digestive issues, don’t hesitate to consult a gastroenterologist. Early diagnosis can prevent complications that may require surgical intervention.

● Follow Medical Advice: If surgery is recommended, discuss the potential risks and benefits thoroughly with both your gastroenterologist and surgeon. Understanding the procedure can alleviate anxiety and help you make informed decisions.

● Post-Surgery Support: After any surgical procedure, be sure to attend all follow-up appointments with both your surgeon and gastroenterologist. This ensures proper recovery and monitoring for any potential complications.

Conclusion

The link between general surgery and gastroenterology is essential for providing comprehensive and effective care for digestive health issues. By understanding this relationship, patients can better navigate their healthcare journeys and seek the necessary treatments from specialists in their area. Whether you're facing a minor digestive issue or a more complex condition, a holistic approach involving both specialties can significantly enhance your health outcomes.

[balajihospital]

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[cure4pain]

If you are suffering from a slipped disc, you know how painful and debilitating it can be. You may have tried everything to get relief, including surgery. But if you haven't tried holistic treatment, you may be surprised at how effective it can be.

Holistic treatment focuses on treating the root cause of the problem, which is often inflammation and muscle weakness. This can include a variety of treatments, such as acupuncture, massage therapy, and herbal remedies. 

In addition to these treatments, it is also important to make some lifestyle changes to promote healing and prevent future episodes of slipped disc. These changes include maintaining a healthy weight, exercising regularly, using proper lifting techniques, and avoiding repetitive movements.

If you're suffering from a slipped disc, contact Dr. Chintan Dalal's - Cure4Pain today to learn more about our holistic approach to treatment. We offer a variety of non-surgical treatments that can help to relieve pain, improve function, and promote healing. Call us at +91 9619 14 71 11 or visit our website at cure4pain.in to schedule an appointment. We look forward to helping you get back to living a pain-free life.

We look forward to helping you get back to living a pain-free life.

#HolisticHealing #SlipDiscRelief #NonSurgicalTreatment #RootCauseResolution #PainFreeLiving #HolisticApproach #MuscleWellness #InflammationRelief #LifestyleHealing #Cure4Pain #DrChintanDalal #WellnessJourney #NaturalRemedies #HealthyChoices #PreventSlippedDisc #HealingWithoutSurgery #LivePainFree #EmpowerYourHealth #AcupunctureTherapy #MassageTherapy #HerbalRemedies #ProactiveWellness #AcupunctureTreatment #SlipDiscTreatmentWithoutSurgery

[spaceman---29]

Men's antagonism toward women's self defense strategies reflects their discomfort with female empowerment. When women take measures to protect themselves, such as carrying weapons or walking with dogs, some men attempt to undermine their efforts, which reveals a desire to maintain control over women by keeping them vulnerable. Radical feminist critiques of sex work focus on the broader systemic forces that push women into the industry, rather than simply protecting workers. They argue that by targeting the demand for sex work and providing resources to exit, feminists can dismantle the structures that exploit women. Radical feminists often criticize the liberal feminist approach to sex work for not addressing the root causes of exploitation. While criminalizing sex work without further support systems can harm workers, radical feminists argue for a broader restructuring of society to provide alternatives. By focusing on creating safe exits from the sex industry, they emphasize the importance of long-term solutions that protect women from exploitation while challenging the economic systems that perpetuate it. Many radical feminists express exhaustion with online activism, feeling that it lacks the power to effect real change. While digital spaces have provided a platform for feminist ideas, they can also become echo chambers where meaningful action is sidelined. The call to move from online discourse to real-world organizing reflects a desire for more tangible, collective action that can challenge oppressive systems and create lasting social change. The transactional nature of transgender healthcare raises ethical concerns. The ease with which some can access hormones or surgery, without deep psychological evaluation, reflects a healthcare system that often prioritizes efficiency over thoroughness. While access to healthcare is vital, the lack of comprehensive mental health screenings can leave individuals unprepared for the emotional and psychological challenges of transitioning, ultimately failing to offer truly holistic care. Lets tring through a scary room and see if we find any drippulous vaginas along the way.Nothing good ever comes from slop with drabbley Shadow. Why would you trip over a chicken like that in the middle of rat's squibulous burgers?

[videolari]

ISTANBUL OBESİTY CENTER (3)

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Weight Loss Surgery Turkey all İnclusive

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The all-inclusive nature of these packages ensures that you receive comprehensive support before, during, and after the surgery. From initial consultations to post-operative care, every step is designed to enhance your experience and maximize your weight loss results. This seamless integration of services simplifies the planning process and eliminates hidden costs, making it a budget-friendly solution for many.

Weight loss surgery Turkey all inclusive, especially through an all-inclusive package, offers a holistic approach to achieving your health goals. With dedicated staff guiding you throughout your journey and personalized care tailored to your needs, you can embark on this transformative experience with confidence and peace of mind.

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Choosing to undergo gastric sleeve surgery in Turkey provides an opportunity to reclaim your health and transform your life at an accessible price. With the combination of world-class medical facilities and affordable healthcare, Turkish clinics stand out as a premier choice for those seeking effective weight loss solutions.

The process is made even more appealing with packages that typically include accommodation, airport transfers, and post-operative care, making it a truly all-inclusive experience. Patients can enjoy peace of mind knowing they are supported throughout their journey every step of the way.

Turkey prides itself on having some of the best obesity clinics in the world, staffed by top bariatric surgeons equipped with the latest techniques and technologies. This ensures that your treatment not only meets international health standards but is also customized to suit your individual needs.

If you're ready to take the first step towards a healthier future, explore your options for affordable cheap gastric sleeve Turkey today. Your journey to health and vitality is just a consultation away!

Best Obesity Clinic in İstanbul

Choosing the right clinic for your weight loss journey is crucial, and the best obesity clinic in Istanbul stands out for its exceptional care and comprehensive services. At this clinic, you’ll find a team of highly skilled professionals, including top bariatric surgeons who specialize in various weight loss procedures such as the gastric sleeve. They are dedicated to providing personalized care tailored to each patient’s unique needs, ensuring a safe and effective surgical experience.

The best obesity clinic in Istanbul offers an all-inclusive package for weight loss surgery Turkey, which not only covers the surgical procedure but also includes pre-operative consultations, post-operative care, and accommodations. This helps to take the stress out of your journey, allowing you to focus solely on your recovery and transition into a healthier lifestyle.

In addition to the affordability of cheap gastric sleeve Turkey, this clinic prioritizes high-quality patient care. Their state-of-the-art facilities and commitment to patient safety comply with international standards, giving you peace of mind throughout your treatment process.

With numerous success stories and positive patient testimonials, the best obesity clinic in Istanbul has earned its reputation as a leader in the field. By choosing this clinic, you are setting yourself up for a successful weight loss journey with the support and excellence you deserve.

Top Bariatric Surgeon İstanbul

When it comes to undergoing weight loss surgery in Turkey, selecting the right surgeon is crucial to ensuring a safe and successful procedure. At the Istanbul Obesity Center, we pride ourselves on having some of the top bariatric surgeons Istanbul. Our surgeons not only have extensive training and credentials but also a proven track record of successful surgeries and happy patients.

Each of our surgeons specializes in various weight loss procedures, including the gastric sleeve, gastric bypass, and other innovative techniques. They utilize the latest technology and adhere to best practices in the field, ensuring that every patient receives personalized care tailored to their unique needs. Our commitment to excellence ensures that you are in capable hands throughout your weight loss journey.

Choosing our clinic means that you are opting for quality, safety, and outstanding care. We understand the importance of your decisions and strive to make every step of the process seamless, from the initial consultation to post-operative follow-ups. Our team of expert bariatric surgeons collaborates closely with each patient, providing comprehensive information, addressing concerns, and creating a supportive environment.

If you’re looking to transform your life with a safe and effective weight loss solution, connect with us at the Istanbul Obesity Center. Take the first step towards a healthier future by booking your consultation today with one of our top bariatric surgeons in Istanbul.

[doodle-pops]

Elrond With A Modern Medical!Reader in Valinor

Request: Not sure if this is fic or just headcanons but: Modern!reader in middle earth who was a neurosurgeon in her old life and is now in Valinor working with Elrond to translate medical concepts to elven language before she dies and help advance their medical practice. Some differences between elven and human biology are found out in the process, it’s all quite fascinating to them both. She assists in a few operations but I imagine they don’t have many surgical operations to do in times of peace because people just aren’t getting injured like they used to during the famed battles against Morgoth and Sauron in middle earth. She helps on occasion but them elves are graceful and not injury-prone. - Anon

A/N: I was having trouble turning this into a fic, and since you gave me the option, not minding if I did a headcanon, I went with the latter. I had fun writing this, I also made their relationship ambiguous. Enjoy!

When you happen to arrive in Valinor, dazed by its eternal beauty and tranquillity, Elrond, with all his calming presence and wise demeanour was the first to greet and help you settle down. He was kind to welcome you into his new home.

During your time there, you and Elrond spend countless hours in his extensive library, trying to translate complex medical texts and concepts into Quenya, while he marvels at the intricacies of human detail in neurosurgery. To him, the ability to heal the brain by getting so practical and up close was fascinating.

“You humans certainly love your precision and details,” he would say as he smiled while reading through a description of a delicate brain surgery. You on the other hand would laugh and tell him that not all humans are so meticulous, following up your comment by sharing more medical mishaps from your world.

It is when you discover the biological differences between elves and humans, that things in the work become all the more interesting. You discover that elves’ regenerative abilities allow for healing preparations to be cut down and rushed to the healing wing, unimportant. Just knowing this, leaves you speechless as he casually mentions recovering from an injury that would have left a human incapacitated.

“So you’re telling me that you can heal from a stab wound in a matter of days?” you ask, incredulously with jealousy lingering. Elrond would simply nod along with a serene smile as he continued to translate the prewritten text on the paper you provided. “I wish I had that. Would have saved me all those trips to the ER.”

Assisting in medical practices in Valinor is rare but rewarding. Elrond’s precise, yet holistic approach to medicine complements your surgical expertise perfectly. Together, you manage to save a few elves who came in with nasty injuries, mostly from hunting trips gone bad.

As time passes, you are further blown away when Elrond teaches you their famous art of healing through song and rare herbs, enchanting your understanding of medicine. You do find the elves’ ability to enter healing trances particularly fascinating.

“So you just…sing them better? Like kumbaya and poof! Healed?!” you asked one day as you attempted to wrap your head around the concept, prompting Elrond to chuckle. “In a manner of speaking, yes.”

As time passes, your collaboration deepens both your understanding and respect for each other’s knowledge and expertise. Elrond is continually impressed but your surgical and modern techniques, while you are captivated by the elves’ natural form of advanced healing practices. This welcomed late nights in the library often turning into philosophical discussions as Elrond is thrilled by your stories of modern technology, and you are equally captivated by his tales of Middle-Earth.

You even meet a few of his family members during your stay as words of another human dwelling in Valinor. “Wait, you all fought a literal Balrog? Those fiery beasts?” you asked one evening as you sat around a table chatting with those who encountered the creature. “If you all were in my world, you could have used a fire extinguisher to put the flames out, or just douse water on them.” You leave most of them in laughter and confusion.

Due to meeting other elves beside him, you get the opportunity to practice your healing methods on them, though, they rarely allow you to since they usually appear fine even when injured. “So you couldn’t have hit your head a little harder for me to have something to examine instead of magically healing?” you disappointedly asked one of Elrond’s family members.

That has been the relationship for most of the encounters when an elf decides to come in sporting an ‘injury’. “You said you cracked your skull four days ago while hunting but I’m not seeing any injury. Do you mind if I hit you so I can have an actual injury to work with?”

Like you, even Elrond has his moments of being light-hearted, despite his dry sense of humour, when things don’t go according to plan. If the technique is too complex, he’ll jokingly say, “Of course, if all else fails, we just use magic.” Of course, you blink at him wondering if he was being serious or joking.

The partnership between you and Elrond as your work in Valinor developed certain areas of elven magical was tedious but also worthwhile. Even the relationship between you brought each other comfort and upliftment. “I suppose I’ll be remembered as the strange human who brought surgical scalpels to the Blessed Realm and threatened to beat people in their heads,” you joked.

Elrond usual response is filled with a sense of gratitude as he makes a toast in your honour. “You will be remembered as a pioneer and someone we are grateful to have encountered. I am glad you were brought here,” he fondly cheered.

Even as your time in Valinor progresses, you and Elrond continue to explore new ways to incorporate your medical practices into their elven healing. Each time an elf stops by for healing, you sometimes have to threaten them to come in with noticeable head injuries or you’d give them, while other times, you are lucky to have something to deal with. At least, during your years there, you managed to get a lot done.

Masterlist

Taglist: @lilmelily @ranhanabi777 @rain-on-my-umbrella @mysticmoomin @asianbutnotjapanese @batsyforyou @aconstructofamind @mcwentfandomtraveling @involuntaryspasms @stormchaser819 @addaigio @lamemaster @elficially-done-with-life

[synchodai]

Let's talk adaptation theory, because I've been seeing a lot of accusations that criticism of HotD is just "wanting it to be exactly like the books" and "book purists" not knowing what an adaptation is. So okay, let's talk about what an adaptation is, then.

I'll mostly be quoting from Linda Hutcheon's A Theory of Adaptation, because this is the first book most everyone reads when going into adaptation studies. Let's look at several ways we can approach and critique adaptation.

ADAPTATION AS INTERPRETATION

The adapted text, therefore, is not something to be reproduced, but something to be interpreted and recreated [...]

No one expects HotD to be a 1:1 reproduction of F&B. Hutcheon often compares adaptation to the process of linguistic translation, in that there will always be an inevitable loss of fidelity when translating from one language to another. However, the translator is still expected to provide an accurate representation of the source text — hence, adaptation as interpretation and recreation. Some may call this approach "fidelity criticism," an evaluation of quality based on how much the adaptation aligns with the source text.

("Fidelity criticism" is not what GRRM did. He didn't criticize the show simply because it differed from the books, and often even praises changes from the source material if it "strengthens" the impact of the work. His priority was never fidelity.)

This approach has its detractors, but there is merit to pointing out that HotD and its audience will have a difficult time interpreting and conveying F&B's message (story) if the showrunners actively take out key words (characters) and terminology (plot events). If we view adaptation as translation (from one medium to another), then the role of the adapter is to convey the intention and meaning of the source text as accurately as possible. And people do have a right to criticize "accuracy" of meaning if we see adaptation as a process of translation and remediation — which you are free not to, but some people DO come from this angle and are often dismissed as "book purists."

If you see adaptation as interpretation, are you a book purist? Perhaps, depending on what the definition of "book purist" is, but to make it clear, the people who are coming from this viewpoint clearly do not expect a blow-by-blow reproduction, and to argue that they do is dismissing a whole school of thought when it comes to adaptation.

ADAPTATION AS SUBSTITUTION

Another way to look at adaptation is through a "process of substitution." Pretty simple to understand, right? Prose that says "red dress" is substituted for an image of a white gown but with ruby embellishments, two characters are merged into one for the show, and Aemond and Aegon working together in Rook's Rest is substituted for the former betraying the latter. Your mileage may vary on whether you find these acceptable substitutions.

I believe this is the camp GRRM falls into. He brings up fidelity only insofar that he's concerned a lack of it will lead to poor and unacceptable substitutions.

How does one know if a substitution is "acceptable?" Well, I'd like to use the analogy Hutcheon brings up about surgery:

Usually adaptations, especially from long novels, mean that the adapter's job is one of subtraction or contraction; this is called "surgical art."

Good adaptations are like good surgeries: the body remains holistically intact and ideally functions better with the replacements and removals. Bad adaptations are like bad surgeries — hence the oft lobbied critique of an adaptation "butchering" the source material. The body of the adapted text cannot function on its own, being maimed or crippled by the adaptation process.

For example, the adaptational change of making Rhaenyra and Alicent the "heart" of the story has been discussed a lot by fans and critics. It was praised in the first season because it gave the story an intimate and personal "face." But it was lambasted in the second season because it actively deterred the plot progression, "crippling" the pace and stakes of the show.

In GRRM's case, his argument was that while Maelor was an unimportant part by himself, his presence was necessary for the continued function of other more vital organs. He goes on to suggest possible replacements and reprecussions upon the text as a whole. While he expresses disapproval that Maelor was removed in the first place and mentions other potentially "toxic" changes, there's also the (albeit wary) admission that Condal and his team could very still find acceptable substitutes that may stave off the damage he foresees being done to the body.

Again, this is valid criticism and a legitimate approach to HotD as an adaptation.

ADAPTATION AS AUTONOMOUS

Perhaps one way to think about unsuccessful adaptations is not in terms of infidelity to a prior text, but in terms of lack of creativity and skill to make the text one's own and autonomous.

Basically, this approach to adaptation asks, "Is the show still good by itself? Or does it fall apart without its source text and paratext (interviews, podcasts, press releases, etc.)?" This mode argues that adaptations cannot be simply sequels, prequels, or any sort of expansion of the source text. They must be separate retellings that actively evolve and mutate into a species that can survive on its own — mainly, that it adapts to a new context and audience so to speak.

A critique lobbied at the season two HotD finale was that its impact relied solely on the legacy of the prior show and the A Song of Ice and Fire mystery of who truly is The Prince That Was Promised. If the audience had no connection to Daenerys, no investment in the question of who truly was TPTWP, and never watched Game of Thrones, would Daemon's decision to finally devote himself to Rhaenyra make sense? Or does its emotional resonance rely solely on the audience's investment to another story that is not this one? Is it an adaptation of F&B or a prequel to GoT?

There's nothing wrong with it being a prequel, but if it was billed as an adaptation, then the audience has the right to feel misled because both conventional wisdom and esoteric theory agree that prequels are not adaptations. I think this is the school of thought most people subscribe to when they say HotD feels like "fanfiction" — because while fanfics CAN be written as adaptation (like modern AUs, video game novelizations, etc.), a vast majority of them are not. Most fanfics are grafted on expansions reliant on the source text for context.

This is all to say that a lot of criticism levied against the show, including GRRM's, can't be chalked up to "people not knowing what an adaptation is." There are several different ways to approach adaptation — the question is does HotD succeed in any of them?

[mistytarot0919]

✧—⊹ ˖🥟⊹ ˖—✧Health meanings in tarot Minor Arcana edition - Suit of Wands✧—⊹ ˖🥟⊹ ˖—✧

©mistytarot0919 - all rights reserved. do not copy, translate, alter, or repost my work.

Please REBLOG if you find this information useful! ༄˖°🪐.ೃ࿔*

The wands get their health meanings from their astrological connection to Aries, Leo, and Sagittarius.

Aries rules the head, the cerebrum, eyes, face, upper jaw, carotid arteries, and the front of the body.

Leo rules the heart, vena cava, back, spine, spinal cord, back, thymus gland.

Sagittarius rules the hips, thighs, ilium, femur, sacrum, coccyx, ischium, blood vessels, sciatic nerves, and pituitary.

🔥Ace of wands ~ A new approach to health. Getting your energy back. Exercise. Approach your body holistically.

🔥Two of wands ~ A tendency to sunstroke, inflammation of the brain, brain fever and delirium, shooting pains in the head, insomnia, and wounds in the head.

🔥Three of wands ~ Three of wands in a health reading can also mean acne, hair loss, strokes, eye problems. Take care of your blood pressure.

🔥Four of wands ~ Four of wands in a health reading can indicate that stress in the home is getting in the way of a healthy lifestyle.

🔥Five of wands ~ Five of wands in a health reading can indicate chronic fatigue, unhealthy weight loss, and anxiety.

🔥Six of wands ~ Six of wands in a health reading can mean the seeker must use their common sense in health matters.

🔥Seven of wands ~ Seven of wands in a health reading can indicate the Seeker needs to look after their heart health.

🔥Eight of wands ~ Eight of wands in a health reading can mean injuries from exercise, arm, legs, shoulders, hips and thigh injuries.

🔥Nine of wands ~ Nine of wands in a tarot reading can also mean the Seeker feels under attack, emotionally and physically.

🔥Ten of wands ~ Ten of wands in a health reading can also mean osteoporosis, teeth problems, and joint pain.

🔥Page of wands ~ Issues with the heart, back and ribs. Exhaustion, incontinence, and fevers.

🔥Knight of wands ~ Overindulgence in sugars, alcohol, and fatty food.

🔥Queen of wands ~ Disfigurements, pimples, rashes, facial inflammation, eye problems. Watch out for poor outcome from plastic surgery, tattoos and piercings.

🔥King of wands ~ Watch out for head injuries and issues with head aches, strokes, and encephalitis. Men worrying about going bald.

ʕ•ᴥ•ʔﾉ♡ ʕ•ᴥ•ʔﾉ♡oopsie you already reached the end ʕ•ᴥ•ʔﾉ♡ʕ•ᴥ•ʔﾉ♡

[darkmaga-returns]

The medical establishment has been influenced by the drug industry and focuses on solving problems with drugs, surgery, or radiotherapy, rather than acknowledging the importance of stress, diet and preventive medicine.

True holistic medicine combines orthodox and alternative medicine to treat the patient as a whole but this approach is rarely practised in hospitals or by healthcare professionals.  The medical establishment is unlikely to provide holistic medicine due to the dominance of the pharmaceutical industry.

To receive holistic treatment, Dr. Vernon Coleman advises, patients must take control of their health for themselves.

[insane-control-room]

catalyst

Transformation can be a wonderful thing. It can be a terrible thing. There must, however, be a basis.

ink demonth - exhibit

Base Game - during chapter 4 Rated: T Warnings: Non-consensual body modification, non consensual surgery AO3 Link: https://archiveofourown.org/works/58527871 Length: 1500

To be transformed is, generally, a mixed bag. Some individuals yearn for change, for shifting into something new, to match who they are within their soul. Others fear such a shift, a holistic destroying of what was before, never to rise again. And then, there are those who seek to enhance others, to cause that anatomical rebirth, forging something anew from the old.

There is an innate bond between the creator and the creation.

A vulnerability, the whispering knowledge that there is one that will forever know you better than yourself. The animator knew that well, the discomfort of his craft assuaged by the fact, or what should have been the fact, that their creation would never live in a way to be aware of its miniscule place in the world; of its sheer pointlessness - a cartoon.

No, it would never be aware, sentient of the futility to carve out for itself a new meaning.

That was how it was supposed to be, at least.

However, regardless if the creature was truly a doodle come to life, there were... other people irreversibly changed in this gaping abyss. The obsession with change and perfection made Henry uncomfortable, certainly, though as long as he was left alone, he was content. As content as a man in a personal Hell could be.

The prophet - seeking to change himself for the Demon, for his Lord. Eviscerated by his own ambition, comprehending his own desires too late.

The angel - seeking to change herself for herself, to become Perfection and thus destroy everything. Already thrice dead from her relentless pursuit of her own reincarnation, she continued with tools of iron and bleeding ink.

And the park maker...

The architect...

The octopus....

There was an unnerving, disquieting aspect to that silent ride as Henry entered the room.

Silent and overbearing.

The obvious trap was almost humorous what with how transparent it was, like a thin sheet of paper illuminated by a light table. Yet there was no way but forward, onward into oblivion. With a soft breath, a whispering wind in and out, Henry approached the slumbering giant. His hand reached for the audio player on the table (such a clear, unmistakable snare) and waited.

No, he felt no serious desire to actually touch it. On second thought, why bother? There was no need - he had his ax, the blade honed and sharpened to cut through metal. With ease, he could simply break through the door sealing him in this tomb. Resolved, Henry turned his back to the still sleeping hulk of metal and made his way towards the exit.

A nigh silent creak behind him had Henry gradually turn back toward the ride. There was not a single sign of any motion, however, not even a puff of dust. Apprehensive, Henry continued to edge his way to the door.

Faster than a viper, a leg of the mechanism shot forwards, whipping Henry in the back. It was sheer luck alone which kept him from slicing off his own hand. Breathless, and knocked to the floor, the old man was incapacitated swiftly, ax flung out of his grip. It embedded itself in a cart across the room, and Henry grimaced as he prepared to retrieve it. Now that the fight was inevitable, he had to defend himself or die.

Ended up being a pipe dream- or even, a dream for a pipe with which to fend off the arms that assailed him. Instantaneously, he was swarmed, an uncomfortable grip that lifted him clear off the ground. Eventually, he found himself tumbling into one of the seats, nauseated and off kilter. The brass bar kept him in place as he was dizzyingly pitched forward to the front of the ride.

The doors hiding that waterlogged face swung forward to greet him, Henry lurching back as it felt as though they were eager to crack open his skull.

"If it isn't Henry!" the hulking mass cried, the bloated head staring at him unblinkingly. "I'm so very glad to see you, old friend. Dear me, you look worse for wear!"

Henry did not reply, only stared silently back at Bertrum. The bodiless man's smile, that of an electrocuted man, did not fade.

"It's been some time since I've worked on an upgrade," the rideman mused, bringing Henry closer for inspection. "I doubt that I've gotten rusty, though. Let's give it a shot, eh?"

The arm holding Henry spun around rapidly, then twisted to the side- all the way upside down. It deposited him atop Bertrum's tape player as he tumbled out, knocking the device to the ground as he tried to scramble away and escape. To prevent that, the bars on two carts cinched tight over his wrists, nearly cutting off the circulation. A quiet grunt of pain escaped him, converted into a huff of air as he was slammed back onto the table. A screeching, creaking groan followed the table being dragged across the room towards Bertrum. The man smiled down at him, with that empty, blown-eyed gaze.

"My, time has been kind to you, hasn't it?" Bertrum murmured, a sort of delighted lilt to his tone. Henry kicked and tried to use his legs as leverage to escape, but the bars pressed tighter, pain lancing up the center of his wrist, skyrocketing up his arm to the nerves in his elbow. A half-choked whimper of pain, and he went limp (yet uncomfortable) in the pinching grip. "Your muscle structure appears to be in remarkable shape, and your stamina is rather unyielding from what I've seen. Yes, you would make a fine basis for a roboticized specimen."

Henry decided that he very much did not like what Bertrum was suggesting.

With a renewed effort, he attempted to break free vigorously, only to gasp with the sharp pain of one of his wrists fracturing under the pressure of metal winches. Horrified, his head swiveled to face the limb, seeing red oozing into his flesh- the burst vein seeping through his body. The nausea from before resurfaced violently, swallowing down the need to retch. 

“It’s been quite some time since I’ve done this,” Bertrum hummed, raising another limb- and to Henry’s rapidly increasing horror, he saw the ax tucked between two carts. Without thinking, Henry desperately tried to escape once more. A cart pressed on his chest, pushing him back down, gradually winding him as it crushed his lungs. He gasped, feeling his ribs creaking under the force of pressure. “If you would stop squirming, Henry, it would be much easier for the both of us, you know.” 

He tried to reply, but the cart pressed down once more and winded him. Then, he held his breath unwittingly as the ax pressed to his sternum, directly above his solar plexus. Oh, hell no. If there was one thing worse than a non consensual surgery without anesthetics, it was non consensual surgery without anesthetics by a man turned octopus ride with an extremely limited range of motion and practically no precision at all. 

The ax cut surprisingly straight for those facts, tearing through fabric, skin, bone, and flesh with ease- just as Henry knew it could. Blood welled up in the cavity, spilling out over his side. It was both hot and cold at the same instant, the chills of blood loss shock hitting him- especially with his broken hand; and the lava-like warmth of his ichor. Henry ceased any and all attempts at escaping, understanding now that it was futile. 

Bertrum used a corner of one of the carts to spread open the wound left, the bulky mass pressing now directly on Henry’s lung. It was electrified ice along his exposed veins. 

A giant hydraulic made itself visible, gripped to the point of cracking between another pair of carts. Henry stared at it, unable to even muster any horror as the cloudy shock took over. The hydraulic was carefully placed at the space made in Henry’s chest, not quite a cavity- yet. The pressure of the metal entering his body was unbearable, forcing a space for a huge, heavy cylinder that did not belong in his flesh. 

Bertrum, losing patience, slammed the cart onto the hydraulic. Henry’s vision went black as it jammed fully within his corpus. The ringing in his ears only slightly faded as the ax pressed against his arm. Henry was far too delirious in pain to fight as Bertrum slowly tore into each of his limbs, replacing the bones with those massive hydraulics. Blood splattered along the ground, pooling around the table. Henry could only hear the crack of his bones, the dripping of blood, his own heartbeat in his ears, his groans of pain, and Bertrum’s quiet humming. 

Cut, open, hydraulic. Cut, open, hydraulic. 

Eventually, each and every bone in Henry’s body was replaced. Against his will, he stood. 

“Behold!” Bertrum announced to the void. “The animating automaton!”

The husk of Henry stood, without paper nor pen to draw with, a silent and unmoving exhibit forevermore.

[balajihospital]

Balaji Hospital | Expert Anesthetists Ensuring Safe Surgical

Balaji Hospital's Anesthetist showcases their skilled team who ensure safe surgical experiences by working closely with surgeons to customize anesthesia plan

[maheshnadgir]

Expert Care for Hand, Wrist, and Elbow Pain at Sai Hospital in Dombivli

Comprehensive Hand, Wrist, and Elbow Care at Sai Hospital, Dombivli

Ensuring the health and functionality of your hand, wrist, and elbow is crucial for maintaining your daily activities. Sai Hospital, celebrated as the Best Hospital in Dombivli,, provides a wide range of advanced treatments for conditions affecting these vital joints. Whether you are dealing with an injury, chronic discomfort, or a degenerative issue, our team of highly skilled orthopedic specialists is dedicated to delivering exceptional care.

Why Choose Sai Hospital for Hand, Wrist, and Elbow Care?

Sai Hospital is recognized as the Top Hospital in Dombivli, offering state-of-the-art medical technology with a patient-centric approach. Our orthopedic department specializes in addressing upper limb conditions through customized treatment plans tailored to each individual’s needs.

Specialized Services for Hand, Wrist, and Elbow Conditions

1. Hand & Wrist Fracture Treatment

Expert care for fractures caused by sports injuries or accidents.

Advanced techniques, such as minimally invasive surgery, ensure faster healing, less pain, and improved mobility.

2. Elbow Arthroscopy

Accurate diagnosis and effective treatment for elbow pain caused by injuries, arthritis, or stiffness.

Minimally invasive keyhole procedures promote faster recovery with minimal scarring.

3. Physiotherapy and Rehabilitation

Comprehensive rehabilitation programs to help patients regain strength, flexibility, and function.

Individualized exercise plans designed by experienced physiotherapists for a speedy recovery.

4. Pain Management and Non-Surgical Solutions

Focused on non-invasive approaches like medication therapy, ultrasound-guided injections, and customized splints to manage pain and restore joint functionality.

5. Solutions for Carpal Tunnel and Nerve Compression

Expertise in treating nerve-related conditions like Carpal Tunnel and Cubital Tunnel Syndromes.

Both conservative and surgical options are available to relieve nerve compression and improve hand functionality.

Advanced Treatments for Wrist Conditions

The wrist plays a crucial role in supporting hand movements. When injured or affected by arthritis, it can limit your mobility. As the Best Orthopedic Hospital in Dombivli, Sai Hospital offers advanced treatment options, including:

Wrist Arthroscopy: Minimally invasive diagnostic and treatment techniques for ligament tears and cartilage damage.

Ganglion Cyst Removal: Safe, effective removal of painful or bothersome cysts.

Wrist Fracture Management: Comprehensive care, including surgical and non-surgical options, for quick recovery.

Comprehensive Care for Elbow Disorders

Elbow conditions can result from overuse, trauma, or age-related degeneration. Sai Hospital’s orthopedic team, led by the Best Orthopedic Doctor in Dombivli, treats a variety of elbow conditions such as:

Tennis Elbow: Treatment options include physiotherapy, medications, and surgery when necessary.

Elbow Arthritis: Personalized care plans featuring joint injections and surgical repair for degenerative conditions.

Cubital Tunnel Syndrome: Skilled nerve release surgeries to relieve tingling, weakness, and discomfort.

State-of-the-Art Facilities at Sai Hospital

Sai Hospital is dedicated to offering a holistic approach to orthopedic care, making us the Top Hospital in Dombivli. Our facilities include:

Modern Operating Theatres: Equipped with cutting-edge technology for precision surgeries.

In-house Diagnostic Services: Rapid and accurate diagnostics with X-rays, MRIs, and ultrasounds.

Rehabilitation Center: Comprehensive physiotherapy programs tailored to speed up recovery and restore mobility.

Personalized Care from Leading Orthopedic Specialists

Sai Hospital is home to some of the Best Orthopedic Doctor in Dombivli, known for their expertise and patient-focused approach. Each patient undergoes a thorough evaluation to receive a treatment plan tailored to their unique condition.

Non-Surgical and Surgical Expertise

Non-Surgical Care

Physical Therapy: Strengthens muscles and improves joint flexibility.

Medication Management: Effective use of anti-inflammatory drugs and pain relievers.

Orthotic Devices: Customized braces and splints to support recovery.

Surgical Solutions

When surgery is necessary, our skilled surgeons use the latest techniques to minimize downtime:

Fracture Repairs: Realigning bones with plates, screws, or pins.

Elbow Arthroscopy: Treating arthritis, joint stiffness, or loose bodies with minimally invasive procedures.

Tendon Repair Surgery: Advanced care for severe injuries unresponsive to conservative treatments.

Book Your Appointment Today

If you are experiencing pain or discomfort in your hand, wrist, or elbow, don’t delay seeking care. Visit Sai Hospital, the Best Hospital in Dombivli, for expert orthopedic treatment.

Contact us today to schedule an appointment with the Best Orthopedic Doctor in Dombivli. Your journey to pain-free living starts here at Sai Hospital!

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FAQ Section (Frequently Asked Questions)

What makes Sai Hospital the best hospital in Dombivli for hand, wrist, and elbow care?

Sai Hospital offers advanced orthopedic treatments, cutting-edge technology, and personalized care by experienced doctors, making it the Best Hospital in Dombivli for hand, wrist, and elbow conditions.

Who is the best orthopedic doctor in Dombivli for hand and wrist pain?

Sai Hospital is home to the Best Orthopedic Doctor in Dombivli, specializing in treating hand, wrist, and elbow disorders with both surgical and non-surgical options.

What conditions can be treated at Sai Hospital’s orthopedic department?

We treat a variety of conditions, including carpal tunnel syndrome, tennis elbow, trigger finger, fractures, arthritis, and more, using both conservative and advanced surgical methods.

What are the non-surgical treatment options for elbow pain at Sai Hospital?

Sai Hospital offers non-surgical treatments like physiotherapy, pain management, and customized splints to help alleviate elbow pain without surgery.

Do I need surgery for carpal tunnel syndrome, or can it be managed conservatively?

Our specialists at Sai Hospital first explore non-surgical treatments like splinting, medications, and therapy. Surgery is recommended only if these options are not effective.

What is the recovery time after wrist arthroscopy surgery?

Recovery time can vary, but patients typically return to their normal activities within a few weeks with proper physiotherapy and care at Sai Hospital.

How can I book an appointment with the best orthopedic doctor in Dombivli?

You can easily schedule an appointment with our specialists at Sai Hospital by visiting our website or calling our helpline. We ensure quick and efficient patient care.

[damnmmmmmmmmmm]

one thing I can't stand about AW is this very toxic natural, holistic approach on life she's trying to impart on her followers. surely she knows that the majority of her followers are young girls following her because of who she's dating. what's the point in trying to be an influencer, and tell people they need to detox their body? she's literally made of botox and plastic surgeries, and there is nothing wrong with it, but just stop trying to sell us the story that you look the way you look because of your natural, spiritual, healthy approach on life... you are the way you look because you are rich and can afford to spend thousands on your beauty. it's cringe, she's meant to be an actress but all she does is acting like an influencer?

[scamornoreviews]

Bye Bye Belly Fat Reviews - Is Bye Bye Belly Fat System Legit?

Discover the Bye Bye Belly Fat System, a simple and effective method to shed belly fat fast. Say goodbye to fad diets and hello to real results!

Struggling with stubborn belly fat? The Bye Bye Belly Fat System offers a natural, no-fuss approach to losing weight and achieving a healthier body.

Introduction

Losing weight, especially belly fat, can feel like an uphill battle. With so many diets and fitness programs out there, it’s tough to know what really works. That’s where the Bye Bye Belly Fat System comes in. Designed to help people shed fat naturally without extreme diets or grueling workouts, this system provides a step-by-step approach to achieving a slimmer waistline. But does it really work? Let’s take a closer look!

What Is the Bye Bye Belly Fat System?

The Bye Bye Belly Fat System is a comprehensive weight loss guide that combines nutrition, exercise, and motivation to help people burn belly fat efficiently. Unlike crash diets that leave people starving or workout plans that demand hours in the gym, this system focuses on practical, sustainable methods.

What Makes This System Different?

✔ No Starvation Diets – Enjoy tasty, fat-burning meals without giving up your favorite foods. ✔ Quick & Effective Workouts – Only 15-minute routines designed to fit into any schedule. ✔ Proven Strategies – Science-backed techniques to boost metabolism and burn fat faster. ✔ Easy-to-Follow Plan – A step-by-step guide to keep users on track.

What’s Inside the Bye Bye Belly Fat System?

This system is packed with resources to help users achieve their weight loss goals. Here’s what’s included:

Step-by-Step Meal Plans – Delicious and easy-to-make recipes that promote fat loss.

Fat-Burning Workout Guide – Simple exercises that target stubborn belly fat in just 15 minutes a day.

Motivation & Accountability Tips – Techniques to stay committed and avoid common weight loss pitfalls.

Bonus: 101 Natural Weight Loss Tips (MP3 Audio) – Convenient audio guidance to stay motivated on the go.

How Does the Bye Bye Belly Fat System Work?

The system follows a holistic approach, combining diet, exercise, and mindset shifts to help users get long-lasting results. Here’s how it works:

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1. Mastering Nutrition

Instead of cutting out entire food groups, this system teaches users how to balance good and bad fats, choose nutrient-dense meals, and avoid metabolism-slowing foods like processed sugars and artificial additives.

2. Simple but Effective Workouts

With just 15 minutes a day, these quick workouts help boost metabolism and target belly fat without requiring a gym membership.

3. Staying Motivated

Long-term success is all about consistency. This system provides practical motivation strategies to keep users focused and prevent setbacks.

The Benefits of the Bye Bye Belly Fat System

✔ Burn Belly Fat Naturally – No need for pills or risky weight loss surgery. ✔ Easy to Follow – Step-by-step guidance makes weight loss manageable. ✔ Works for Busy Lifestyles – Short workouts and simple meal plans make it convenient for anyone. ✔ Sustainable Results – No more yo-yo dieting or temporary fixes.

FAQs About the Bye Bye Belly Fat System

1. Is the Bye Bye Belly Fat System suitable for beginners?

Absolutely! This system is designed for all fitness levels and provides simple instructions for easy implementation.

2. Do I need a gym membership to follow the workouts?

Not at all! The workouts are designed to be done at home with minimal equipment.

3. Will I have to follow a strict diet?

Nope! The meal plans focus on balance and smart food choices rather than strict restrictions.

4. How soon can I see results?

Results vary, but many users notice a difference within a few weeks of following the program consistently.

5. Is the Bye Bye Belly Fat System a one-time purchase?

Yes, it’s a one-time purchase with no hidden fees or subscriptions...

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[religion-is-a-mental-illness]

Published: Mar 12, 2024

The decision comes after an independent review of services for children under 18 and a sharp rise in referrals to the Gender Identity Development Service run by the Tavistock and Portman NHS Foundation Trust, which is closing at the end of March.

Children will no longer be prescribed puberty blockers at gender identity clinics, NHS England has confirmed.

Puberty blockers, which pause the physical changes of puberty such as breast development or facial hair, will now only be available to children as part of clinical research trials.

The government said it welcomed the "landmark decision", adding it would help ensure care is based on evidence and is in the "best interests of the child".

It follows a public consultation on the issue and an interim policy, and comes after NHS England commissioned an independent review of gender identity services for children under 18 in 2020.

The review followed a sharp rise in referrals to the Gender Identity Development Service (GIDS) - a specialised service for young people who experience difficulties in the development of their gender identity - run by the Tavistock and Portman NHS Foundation Trust, which is closing at the end of March following repeated scrutiny.

In 2021/22, there were more than 5,000 referrals to GIDS, compared to just under 250 a decade earlier.

Dr Hilary Cass, who led the review, published an interim report in February 2022 saying there was a need to move away from one unit and recommended regional options be available to better support children.

She also said there was a lack of long-term evidence on what happens to young people prescribed blockers - adding that GIDS had not gathered routine and consistent data, meaning it was "not possible to accurately track the outcomes and pathways that children and young people take through the service".

After Tavistock closes, two new NHS services will open in early April, situated in Great Ormond Street Hospital, London, and Alder Hey Children's Hospital in Liverpool.

The NHS said children attending these clinics will be supported by experts in neurodiversity, paediatrics and mental health, "resulting in a holistic approach to care".

Around 5,000 children and young people are currently on the waiting list for referral into the new clinics, with 250 patients expected to be transferred to them when they are open.

Currently there are fewer than 100 children on puberty blockers, who will continue their treatment at Leeds and University College London Hospital.

Puberty blockers can be used to delay the development of physical characteristics which can make someone look male or female, allowing transgender young people to explore their gender identity and weigh up medically transitioning.

Taking them early in puberty may mean less treatment or surgery in the future. However, critics have raised concerns over issues including consent, mental health risks and bone density development.

Health Minister Maria Caulfield said: "We have always been clear that children's safety and wellbeing is paramount, so we welcome this landmark decision by the NHS.

"Ending the routine prescription of puberty blockers will help ensure that care is based on evidence, expert clinical opinion and is in the best interests of the child."

The consultation on the future of such services received more than 4,000 responses. Around a quarter were from members of the public, while 22% were from patients, 21% from parents, 10% from trans adults and 5% from clinicians.

John Stewart, NHS England's national director of specialised commissioning, said the responses were "polarised" in line with the debate around puberty blockers.

Mr Stewart said: "Many people said the policy didn't go far enough in terms of still allowing potential access [to puberty blockers] through research, and others saying clearly they disagreed fundamentally and that these should be routinely available to everyone who believes they need it."

Transgender youth charity Mermaids described the announcement as "deeply disappointing" and accused the NHS of "failing trans youth".

A spokesperson added: "Those currently prescribed puberty blockers won't see any changes to their treatment, and this is a pause on prescribing - not a ban.

"It's also important to note that puberty blockers can be just one possible part of a young person's gender journey. However, this news still comes as a blow and will deeply affect our communities."

Former prime minister Liz Truss "welcomed" NHS England's decision ahead of her Health and Equality Acts (Amendment) Bill, which is up for its second reading on Friday.

The bill includes a ban on the prescription of body-altering hormones to children questioning their sex, both privately and on the NHS.

The most commonly used puberty blockers suppress the production of hormones, including testosterone and oestrogen.

NHS England hopes to have a study into their use in place by December - with the eligibility criteria yet to be decided.

--

In January 2020, a Policy Working Group (PWG) was established by NHS England to undertake a review of the published evidence. As part of this process, the National Institute for Health and Care Excellence (NICE) was commissioned to review the published evidence on Gonadotrophin Releasing Hormone Analogues (GnRHa). Nine observational studies were included in the evidence review (NICE 2020). Overall, there was no statistically significant difference in gender dysphoria, mental health, body image and psychosocial functioning in children and adolescents treated with GnRHa (2020). The quality of evidence for all these outcomes was assessed as very low certainty using modified GRADE. There remains limited short-term and long-term safety data for GnRHa.

[...]

The primary intervention focuses on psychosocial and psychological support; for some individuals, the use of PSH [puberty suppressing hormones] in adolescence to suppress puberty has previously been a treatment option though no NHS clinical commissioning policy has been in place; this may be followed later with gender-affirming hormones of the desired sex (NHS England, 2013). If individuals fulfil additional criteria, they may have various types of gender affirming surgery from the age of 18 years through adult Gender Dysphoria Clinics (NHS England, 2013).

What we have decided

NHS England has carefully considered the evidence review conducted by NICE (2020) and has identified and reviewed any further published evidence available to date. We have concluded that there is not enough evidence to support the safety or clinical effectiveness of PSH to make the treatment routinely available at this time.

--

==

Gender thalidomide will no longer be doled out by the NHS.

Happy Detrans Awareness Day!