#laryngomalacia

[ikno-io]

Explore the different types of malacia, their causes, symptoms, and treatment options. This comprehensive guide aims to inform and aid in the effective management of this condition. read the full article: https://bit.ly/3CqR2I1 #malacia #osteomalacia #laryngomalacia #tracheomalacia #health read more: malacia

[chocolatedetectivehottub]

Laryngologia,

Laryngologia,

Laryngology is a specialized branch of otolaryngology (ear, nose, and throat medicine) that focuses on disorders of the larynx (voice box), including issues related to voice, airway, and swallowing. This field has gained significant importance due to the critical role the larynx plays in speech, breathing, and protecting the airway during swallowing.

Anatomy and Function of the Larynx The larynx is located in the throat and performs several vital functions:

Voice Production: The vocal cords within the larynx vibrate to produce sound, enabling speech. Airway Protection: During swallowing, the larynx closes to prevent food and liquid from entering the lungs. Breathing: The larynx controls airflow to the lungs, allowing for normal respiration. Understanding the intricate anatomy and functions of the larynx is essential for diagnosing and treating its disorders.

Common Laryngeal Disorders Laryngologists diagnose and treat a variety of conditions affecting the larynx:

Voice Disorders:

Laryngitis: Inflammation of the vocal cords, often due to infection or overuse, leading to hoarseness or loss of voice. Vocal Cord Nodules and Polyps: Benign growths on the vocal cords caused by vocal strain, resulting in hoarseness and breathiness. Vocal Cord Paralysis: Weakness or immobility of the vocal cords, which can lead to voice changes, swallowing difficulties, and breathing problems. Airway Disorders:

Subglottic Stenosis: Narrowing of the airway below the vocal cords, which can cause breathing difficulties. Laryngomalacia: A condition in infants where the soft, immature cartilage of the larynx collapses inward, leading to noisy breathing. Swallowing Disorders:

Dysphagia: Difficulty swallowing, which can result from structural abnormalities, neurological conditions, or muscle dysfunction. Laryngopharyngeal Reflux (LPR): A condition where stomach acid flows back into the throat, causing irritation and inflammation of the larynx. Diagnostic Techniques Accurate diagnosis of laryngeal disorders requires a combination of clinical evaluation and specialized diagnostic tools:

Laryngoscopy: A procedure using a laryngoscope to visualize the larynx and vocal cords directly. Stroboscopy: A technique that uses a strobe light to assess vocal cord vibration and function. Imaging Studies: MRI, CT scans, and X-rays can help identify structural abnormalities or lesions in the larynx. Treatment Approaches Treatment for laryngeal disorders varies depending on the condition and its severity:

Medical Management: Includes medications such as antibiotics, anti-inflammatory drugs, and proton pump inhibitors for conditions like laryngitis and LPR. Voice Therapy: Speech-language pathologists provide exercises and techniques to improve vocal function and reduce strain on the vocal cords. Surgical Interventions: Procedures such as microlaryngoscopy, vocal cord injections, and laryngeal framework surgery are performed to remove lesions, repair vocal cord damage, and improve airway patency. Advances in Laryngology Recent advancements in laryngology have led to improved diagnostic and therapeutic options:

Minimally Invasive Surgery: Techniques such as laser surgery and transoral robotic surgery offer precise treatment with reduced recovery times. Regenerative Medicine: Research into stem cell therapy and tissue engineering holds promise for repairing and regenerating damaged laryngeal tissues. Telemedicine: The use of telehealth platforms allows for remote diagnosis and management of laryngeal disorders, increasing access to specialized care. Conclusion Laryngology plays a crucial role in maintaining and restoring essential functions related to voice, breathing, and swallowing. Continued advancements in this field promise to improve the quality of life for individuals affected by laryngeal disorders. Through a combination of innovative diagnostic techniques, targeted therapies, and cutting-edge research, laryngologists are better equipped than ever to address the complex challenges of the larynx and its associated functions.

[drdushyantmandlik]

Pediatric Head and Neck Conditions: Understanding Treatment Approaches for Children

Pediatric head and neck conditions encompass a broad spectrum of disorders affecting children, ranging from congenital anomalies to acquired diseases. Understanding treatment approaches for these conditions requires a multidisciplinary approach involving paediatricians, otolaryngologists (ENT specialists), pediatric surgeons, radiologists, and other specialists. Here's an overview of some common pediatric head and neck conditions and their treatment approaches:

Cleft Lip and Palate: Cleft lip and palate are among the most common congenital anomalies affecting the head and neck region. Treatment typically involves surgical repair, which may be performed in stages starting in infancy and continuing into childhood.

Lymphadenopathy: Enlarged lymph nodes in the head and neck region can result from infections, inflammatory conditions, or malignancies. Treatment depends on the underlying cause, which may include antibiotics for infections or further evaluation and management for malignancies.

Thyroid Disorders: Thyroid Cancer Treatment, along with conditions like congenital hypothyroidism and thyroid nodules, can impact children. Treatment may entail hormone replacement therapy to manage hypothyroidism or surgical intervention to remove cancerous nodules when necessary.

Otitis Media: Middle ear infections are common in children and may require antibiotic treatment. In some cases, particularly if infections are recurrent or severe, ENT evaluation for possible placement of tympanostomy tubes may be necessary.

Sinusitis: Sinus infections can occur in children, often as a complication of upper respiratory tract infections. Treatment may involve antibiotics, nasal saline irrigation, and supportive care to alleviate symptoms.

Pediatric Neck Masses: Neck masses in children may be due to a variety of causes, including benign or malignant tumours, cysts, or inflammatory conditions. Treatment depends on the underlying aetiology and may involve observation, surgical excision, or other interventions.

Hearing Loss: Various causes of hearing loss in children exist, including congenital anomalies, infections, and acquired conditions. Treatment may involve hearing aids, cochlear implants, speech therapy, or surgical correction depending on the cause and severity of hearing loss.

Airway Disorders: Conditions such as laryngomalacia, tracheomalacia, or subglottic stenosis can affect the pediatric airway. Treatment may involve observation, medical management, or surgical interventions such as airway reconstruction.

Dental and Oral Health: Dental caries, malocclusion, and other oral health issues are common in children and may require interventions ranging from preventive measures such as fluoride treatments and sealants to orthodontic treatment or surgical correction.

Trauma: Head and neck trauma in children may result from accidents, falls, or non-accidental injuries. Treatment varies depending on the nature and severity of the injury but may involve stabilization, surgical intervention, and rehabilitation.

When managing pediatric head and neck conditions, particularly concerning Head and Neck Cancer Treatment in Ahmedabad, it's imperative to recognize the distinctive anatomical and physiological variances in children compared to adults. Children's smaller airways, developing immune systems, and the potential impact of treatment on growth and development necessitate tailored approaches.

[dentistvishalmishrablogs]

Stridor

Stridor is a high-pitched, noisy breathing sound caused by turbulent airflow through a narrowed or partially blocked airway. It is often heard during inhalation and can be a sign of an obstruction in the respiratory tract. Stridor may result from various conditions, such as infections, foreign body aspiration, or structural abnormalities like laryngomalacia or tracheal stenosis. It is important…

[malmed-pedspearls]

Stridor

Intrathoracic (trachea)- expiratory stridor

Extrathoracic (larynx, pharynx, oropharynx, above the clavicle)- inspiratory stridor

Acute- aspiration/acute ingestion

Subacute- croup

Chronic- GERD, William's syndrome, masses/lumps/webs, foreign body, vocal cord dysfunction (often misdiagnosed as asthma)

Congenital- laryngomalacia (goes away after 12-18 mo, breathing improves when prone, MOST COMMON CAUSE OF STRIDOR AT BIRTH, usually needs surgical intervention), tracheomalacia (appear 2-6 weeks, goes away 6-12 mo, rarely needs intervention), vascular ring, recurrent laryngeal nerve injury, any congenital cause of hypotonia (listen for hoarse cry/babbling), bronchial webs, Plummer Vinson (webs in oropharynx),

[iheartguts]

Another fascinating fact? The hormone testosterone elongates the vocal cords, which leads to a deeper — and sometimes squeaky — voice during puberty.

[doctorpark]

Why You’re Always Tired: What The Experts Won’t Tell You

Why You’re Always Tired: What The Experts Won’t Tell You

Download Transcript Have you tried all the tips and hacks on Youtube to get rid of your chronic fatigue, with only some results? Are you too tired to focus on your work or to be present for your family members?  In this video, I’ll reveal one condition that almost no one on this platform talks about, not even the experts. Stick to the end, and I’ll give you 5 simple tips to finally have the…

[earnoseandthroatdoctors]

Pediatric Laryngomalacia - Coastal Ear Nose & Throat

Laryngomalacia is the most common cause of raspy, noisy breathing in infancy. It happens when the structure of the larynx is floppy and malformed. This causes the tissues to fall over the airway, partially blocking it and creating noise when breathing.

[nikkilatosh]

3rd Surgery

It’s been 13 months and 10 days and I’m back at Children’s with Drew. Today’s a big day - surgery with 6 different procedures taking place.  My emotions for the past week have been all over the place.  One minute I’m nervous and scared because this is the third time of undergoing anesthesia.  That’s more than me in 36 years.  The next minute or so I’m so excited because I know that all these procedures are going to help him grow to be a big and strong boy.  His therapists are excited because they believe that this is just what he needs to boost his skills.  So, I can’t help but be excited. But let me tell you how my own emotions were tested, watching this mom walk from the back as her child is screaming was just so heartbreaking. She can barely walk, pushing an empty stroller.  But she has the father it seems with her.  They must have had some extenuating circumstances because I asked repeatedly about Derron being with us.  “Only one healthy parent” I was told. I must be strong because there is no time to say, “woe is me and my baby.” And after 3 and a half hours I get a text to say surgery is complete. As I walk into the recovery wing, I hear Drew screaming.  The nurse says he just woke up.  My poor baby his eyes red from the stitches, an IV in his left hand, and then she takes off his diaper to show me that change.  If I was him, I would be screaming too because I bet everything hurts right now, from his head to his third leg.  A positive note from the surgery was that he no longer would be labeled difficult airway.  His ENT doctors believe that his airway was working properly and healing just fine.  He did believe that it would be another year or two before the laryngomalacia was completely healed but nevertheless there was improvement, progress.  Thanks be to God!

[littlelegsltd]

It's World Airway Disorders day! #laryngomalacia #laryngomalaciababy #worldairwaydisordersday (at Little Legs Ltd) https://www.instagram.com/p/CCd1BnCFeBZ/?igshid=1xp8z2lodzkyd

[laringomalacia]

#TBT Há muito tempo, numa galáxia (não) muito distante… . 2017. Grupo de apoio da Laringomalácia no whats. Falavamos sobre engasgos... Lord Vader foi voluntário para uma demonstração com muito bom humor mas sem nenhuma didática (não tentem isso em casa). O grupo ainda era pequeno mas o amor e o entusiasmo já eram enormes . Que momento! Obrigada @jaqregis pela recordação 💜 . Que a força esteja com vocês 😊 . Você não está sozinho 👭 . 💛 http://www.laringomalacia.org . 📷 http://www.instagram.com/vivendocomlm . 👍 http://www.facebook.com/Laringomalacia . #juntossomosmaisfortes #vocenaoestasozinho #laringomalacia #traqueomalacia #broncomalacia #vivendocomlm #vivendocomlaringomalacia #laryngomalacia #laryngomalaciababy #Starwars #DarthVader (em Vivendo com Laringomalácia) https://www.instagram.com/p/BvSzvAfAAQm/?utm_source=ig_tumblr_share&igshid=e0a1z5pnb7v6

[anerdinallherglory]

Approaching Sun (32)

Author’s Note: Dear readers, I am terribly sorry for how delayed this chapter has been. If you follow me on social media or have read my other Tumblr posts, I have explained my situation briefly, but will explain again here. My baby was born with Laryngomalacia and my life has become a crazy rollercoaster ride of doctor’s visits and sleepless nights. I couldn’t return to my job because of his health issue and had to give up the only job I’ve ever wanted. The last two years of my life has been dedicated to getting my Masters for this job, and just like that, it’s no longer mine. This has been a hard season for me, but I am thankful for my sweet baby and the time I get to be with him. In short, I will be a stay at home Mom until his health issue has resolved, so I am hoping to get an opportunity to write more. However, he is a pretty high-maintenance baby who only sleeps for 10 minutes at a time, so finding the extra time has been difficult. This chapter took an entire month worth of naps, even though it is shorter than my other chapters (sorry, but I have to submit as much as I can get done, and I’m sure you all want something instead of waiting longer). In addition, I am also hoping to use some of this time writing my own book, BTHG, which I hope to publish one day. Again, I want to thank you all so much for your dedication to this story and for continuing to support it through all seasons of these last several years. Let me know your thoughts about this chapter! Stay happy, stay healthy readers. Until next time.  

Pairing: SasuSaku

Previous Chapters: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31

Chapter 32: An Approaching Sun

In the moment that Sakura had asked him directly in the desert: “Is it enough for you?” Sasuke had known his answer in his heart. And when she turned away from him in the presence of Kankuro after their return hours earlier, the sight of her angry back made Sasuke realize it was the first time that he had ever seen it. Sasuke had practically begged for that confession, pleading for her to tell him how they could be together so he could justify the choice he had already made some time ago, justify choosing this despite all his many worries. Those words sung to his heart and caressed his concerns lovingly. He still gave her an out, asking “Is all of that true?” and when she said “yes,” it was Sasuke’s final unraveling. Th be at “yes” was the final reassurance that his stubbornness needed before he took hold of her chin.

Unlike the kiss of his dream in the desert, Sasuke was careful—so careful when placing his mouth on hers. His fingers held her chin firmly while he took time to unite their mouths. As he did so, he braced himself despite his nerves and deepened the kiss. Sakura responded carefully as well, and Sasuke lifted his hand to touch her cheek in reassurance. To say, I want this. I’ve wanted this. But his fingers brushed wetness and Sasuke instantly broke away, startled at the tears he found running down Sakura’s face.

He searched her eyes with worry, immediately apologizing. “Sorry—”

“No,” she smiled, grabbing hold of his receding face with her fingertips, and whispering, “—just happy.” Sasuke wanted to sigh in relief because those tears had always been a sign that he had hurt her, but this time she was happy. She brought his mouth back to hers, not wanting it to be over, and Sasuke let her lead for just a moment. He forced himself to pull back despite the fire rising in his stomach.  

“Maybe we should discuss—” he began, anxiety creeping into his heart about what she was thinking, but Sakura’s brightly lit face, that growing smile that spread to her eyes, stopped him.

The laugh that came from Sakura sounded so sweet that Sasuke couldn’t help but blushing. “You want to talk?” And she was right, Sasuke was a terrible talker. But when it came to this choice, he wanted to make sure they were on the same page—would be on the same page always. Sasuke and Sakura both knew Sakura would be making a lot of sacrifices by accepting this relationship between them. The least he could do was attempt to communicate his concerns, clarify their steps, ask questions and more. He couldn’t afford to be reckless, not with her.

“Sasuke,” Sakura whispered, leaning forward into him. He stiffened instinctually at her nearness but softened when her arms wound softly around his neck in a tearful hug. He accepted the embrace. “Thank you,” she whispered again, “for giving us a chance. I promise I’ll do everything to make you happy.”

He buried his face into her shoulder, his heart simultaneously full and broken by those familiar words. And for a moment, Sasuke forgot all his previous reasons and wondered why he had waited all of this time. If he had only held her sooner. “Thank you,” he repeated, as she pulled back to look at him “for everything.”

Sasuke decided not to waste any more time or words. They would find time to talk about this later. And for a second time, they came together hesitantly, each finding one another’s lips with their own in the growing darkness of a moonless night. Sasuke didn’t retreat again when she whispered his name against his own mouth. Just as much as he wanted to convince Sakura that he meant this, he also wanted to convince himself that this wasn’t a reckless mistake he was making. Brazenly, even foolishly, he wanted to commit to it.

And then a knock came at the door. And they both practically flew away from each other to opposite sides of the room.

A smooth and uncomfortably familiar voice had both ninja blushing. “Just letting the two of you know that me…and Naruto… will arrive first thing in the morning. The Kazekage requested a meeting a couple days ago and we were supposed to be there tonight, but as always, I will most likely be late. Thought it would be proper to give you two a heads up.”

There was an audible poof as the clone of their former sensei evaporated just beyond the door.

Sakura raised her hand to cover her mouth, touch her lips, and gasp. Sasuke blushed and turned his back to her, contorting all emotions back into his controlled mask, embarrassed not only to be caught in such an act, but to have allowed them to be snuck up on by that old pervert of a ninja. And another thing, Kakashi hadn’t even made the slightest effort in disguising his intentional warning. Even Sakura knew it. How did Kakashi guess that such a thing might be occurring between them if Sasuke, himself, hadn’t planned for it to happen until just moments ago?

“How is he late,” Sakura started to grin sheepishly, “if his clone made it here at the designated time?”

Sasuke quickly glanced around at their location, noting the clothes on the floor, the shared room, themselvesacting appropriately guilty. Sasuke didn’t state the obvious: The Sixth Hokage was stalling for them so they could do some rearranging. To keep Naruto in the dark for now.

Sasuke walked quickly to the door, opened it, and scanned down the deserted hallway. There was nobody there. The Uchiha contemplated his next move. Should he leave? Go into Kaguya’s dimensions and wait until tomorrow? Perhaps he should meet the Hokage and Naruto halfway, that way he and Sakura weren’t seen together. Or should he toss all concern to the wind and just tell Naruto the truth? His former teammate had as much said they should be together, right? He had wished Sasuke that happiness verbally several weeks ago. Then why was this such a big deal?

Two soft hands rested on the top of Sasuke’s shoulders. “You’re overthinking this, aren’t you?” Sakura asked, leading Sasuke back away from the door and towards his bed. “We are what we have always been, Sasuke. Friends on a mission together.”

Sasuke scoffed at her lack of worry about Naruto—and through Naruto—the whole Leaf Village finding out about this.

He sat as she pressed down the front of his shoulders, gesturing for him to relax. “You’re not going anywhere tonight, so there’s no use in worrying. Focus on resting and regaining your strength.”

“Sakura—”

“Rest,” she shook her head. “Doctor’s orders.”

She retreated to her own sleeping spot without another word, settling down to rest. But Sasuke was certain she spent the rest of her night thinking about them, about the kissing and confessions, just as he did.

. . . . . . . . . . . . . . . .

Sakura had indeed spent the majority of the night in typical giddy fashion, replaying every second that she had only ever held in her desperate dreams. It had finally happened: them. Sasuke had chosen them. Sakura wasn’t foolish enough to allow her fantasies to run away with the images of a home that they shared, a family that they raised, the friends that surrounded them as they grew old together. Sakura knew exactly what would come as a result of their choice: a lonely and longing road. And Sakura was okay with that road because it was Sasuke and the world needed him. With her back to the Uchiha across the room, she touched her lips once more and felt the smile beneath her fingers. Eventually, she focused her chakra on her heart rate and induced her own slumber.

A few hours before sunrise, Sakura’s internal clock awakened her. She was far too conditioned by the relentless routine of the hospital back in Konoha to trick her body into sleeping longer, even after it still bore the extra lethargy of yesterday’s events. Her left hand was still stiff and sore from the damage to her tissue, and she instinctively channeled her chakra to it, keeping a consistent stream traveling to the limb until it healed completely. Sakura was relieved that she had this healing ability because the type of destruction done to her skin would be irreversible for others.  As she readied herself, wrapping the hand delicately in thick bandage, she snuck a shy glimpse over in the sleeping Uchiha’s direction.

Sasuke slept soundly, a possibility that she thought would not likely happen due to his constant tossing and turning of wakefulness. At least one of them was now getting some decent sleep. It was still too early to wake him, but Sakura had been reprimanded more than once now for taking advantage of his sleep to pursue other matters. Retrieving a small blank scroll from one of the many shelves in the room, Sakura wrote the sign for “hospital” on the inner flap. She placed it visibly on her bed before quietly slipping from the room. He needed rest, and she wasn’t going to wake him.

When she arrived at the hospital, all of her overnight patients were still fast asleep. A blurry eyed medic greeted her warmly, expressing thankfulness for Sakura’s safety as well as her shock about Hisa and Mako. Sakura exchanged pleasantries, not too keen to talk about the topic of either of those two traitors. Her mind wandered to someone else, a child she desperately wanted to see.

When Sakura reached Isao’s mental health ward, she gently peeked through the crack. To her surprise, Isao was wide awake, sitting cross-legged in the dark of his room. “Miss Haruno?!” he whispered loudly, immediately recognizing her.

“Isao,” Sakura questioned as she stepped through the door, “Did your night terrors keep you from sleeping again? Did you not take your medicine?”

But the child didn’t answer her. Instead, he bolted off the bed and grabbed her around the waist. He cried into her stomach, sobs shaking his injured body. “I thought you might be dead!” he whimpered, “I thought you were gone…like her, like my mom.”

Sakura fell to her knees and embraced the child carefully, cursing herself for not checking in on him sooner despite Kankuro’s assurances. With her trained medical eye, Sakura immediately noticed the thick bandages that encompassed his ribs. She didn’t realize that Sasuke was the only one she needed to reassure about her position in the world. “You don’t have to worry about me, Isao. Nothing can take me away from this life. I’m not going anywhere.”

“You promise?” he wailed, his voice muffled in the space between Sakura’s shoulder and neck.  

“Yes,” she assured, holding him out at arm’s length to assess him more carefully. Besides a wound to his arm and a broken rib or two, it seemed he was going to be all right. “You should be proud of yourself,” Sakura lifted his chin. “You fought by my side. You made it back. You did it with injuries, too. I think you have what it takes to be a great ninja.”

“Really?” he asked, wiping the streams of liquid from his eyes.

“Yes,” she assured him. “And I have great news.”

He smiled up at her in excited anticipation. “What news?”

“My friends are on their way. They’ll escort you back to the Leaf Village.”

. . . . . . . . . . . . . . . . . . . . . . .

After Sakura rewrote the two letters addressed to the Kazekage and Hokage that Mako had confiscated after drugging her, Sakura made her way towards the Kazekage’s central tower. The sun began to rise in the east, mixing with the night to create that beautiful ombre sunrise of orange-blue-pink that belonged to this desert. In her current state of high spirits, Sakura thought that maybe the sun had gotten closer, warming the day and her skin like the sunrays after a long and laborious winter. But she knew it wasn’t really the sun approaching closer and closer every day, but instead, it was a person who had finally reached the season of spring in his life and opened his heart to a summer. Sakura beamed and took a moment to appreciate this monumental sunrise.

“SAKURA-CHAN!”

It was also special because it was the sunrise that would accompany the rest of Team 7’s arrival.

Sakura turned to see the orange and black-clad figure of that heartwarming voice barreling towards her, a grin that occupied half of his face, and a hand that waved back and forth. He ran and ran until he was just before her, leaning forward over his knees. Sakura had developed a habit of hugging her blond friend recently, and she didn’t hesitate to do so again this time, squeezing him so tightly that her blond shinobi’s face turned blue from her super-human strength of a hug.

“I’m—so glad—to see that—you’re safe! Can’t—breathe, Sakura…” Naruto choked out.

Sakura couldn’t help herself. Pinpricks of tears accompanied her smile. She had loved her time traveling with Sasuke, but apart from Sasuke, Naruto was one of the only people in this world that made her feel like home away from home, and she had missed him. And then Kakashi was there, raising his own familiar “yo” hand sign, dragging along an equally disinterested Shikamaru, whose attitude was the complete opposite than it was when Tamari usually led him through the adobe buildings of Suna.

After releasing Naruto, Kakashi was there placing a compassionate hand on her shoulder, a gesture that he used to do regularly when she was a Genin. “I’m proud of you.”

And those words meant the entire world.

“Gaara!” Naruto yelled to the person who had come up behind her. “Long time no see!”

And the warm expression that the Kazekage returned to his friend from another village, revealed to Sakura that Naruto was that person for others, too.

. . . . . . . . . . . . . . . .

Kakashi had had a rather amusing night, devising a plan to keep both Shikamaru and Naruto delayed in their journey. All it took was a stall in the form of a competition, which was really simple to do actually. Kakashi had jokingly remarked that out of the three of them, he could outsleep both lazy ninja because he, of course, was the Hokage and the laziest among the three. The rules were simple: During their hour break of rest, Kakashi would summon a clone to supervise them while they rested, monitoring who would naturally wake up first. Naruto yelled “you’re on!” and ran 10 miles at his highest speed to tire himself out enough that he would sleep soundly through the hour. Whether or not Shikamaru was smart enough to see through Kakashi’s plan, he didn’t argue, lounging backward in the sand on the border of the Country of Wind, and crossing an arm lazily over his eyes. If Kakashi had a large sum of money, he would make a bet here and now that Shikamaru would win this.

After his two counterparts were open mouthed, and drool bubbling, Kakashi sent away his clone with a head nod. It disappeared into the setting sun toward the Sand Village. Then Kakashi waited, enjoying a night of stars while reading his beloved Icha Icha Paradise by firelight. This was more like it, he thought to himself, glad to be unburdened by the demanding lifestyle of the Hokage.

When Gaara had requested a meeting via carrier bird, Kakashi’s brow had furrowed at first to learn about Sakura’s situation, along with the enemy she and Sasuke had encountered on their journey. The Kazekage requested that he or someone close to him report to Sunagakure. And then Kakashi had pinched his chin in careful thought as he admired the surmounting pile of paperwork on his desk.

“Want to go on a trip?” he had asked Shikamaru, who nodded off at his position.

“Not really,” Shikamaru responded disinterestedly.

Kakashi baited, “I guess I could take Naruto with me to meet with the Kazekage, instead.”

“The Kazekage?” he probed, “A trip to Sunagakure?”

“Yes,” he stretched, unfurling the scroll he received from Gaara, so that Shikamaru could take a better look from afar. “It seems there are some foreign shinobi causing problems for Sakura.”

“Hmmm…” Shikamaru pondered, coming to read the offered scroll over Kakashi’s shoulder. “It’ll be a drag, but I guess I can go. Don’t want anything to happen to Sakura.”

Mhm, Kakashi thought to himself. Because of Sakura. That wasn’t the kunoichi on Shikamaru’s mind. Kakashi realized suddenly that he was too involved in all the lives of this young generation. How did he always find himself knowing too much?

“Then it’s settled,” Kakashi nodded, snapping the scroll back into it’s rolled-up position.

And then the door of his office was practically kicked through. “I’m still going,” Naruto announced, startling both Kakashi and Shikamaru as he announced his obvious eavesdropping.

“If Sakura is in danger, then I’d better be there.”

And that’s how Kakashi ended up with two knuckleheads on a week vacation to the Sand Village. And then Kakashi’s logical next thought had been of the other two members of Team 7. He had been ecstatic when he learned that Sakura had temporarily accompanied the Uchiha on his life-long mission and that Sasuke had let her. Years of reading Makeout Tactics informed Kakashi of what was to become between the pair, a natural progression of suppressed feelings over the course of many years. Most of the time, there was only one outcome if a male and female shinobi embarked on a long journey together. Sending the clone was a precaution, just in case his suspicions were correct, and their unexpected drop-in might cause a stir.

But Kakashi had never expected to walk in on that…When the clone disappeared and the events that his clone just witnessed dropped into his memory, Kakashi laughed quietly to himself under the stars. He grinned up at those same luminaries for a moment, grateful that both of his ninja pupils had finally navigated their way to one another through the murk of life and had decided to take on that life together. Sasuke had finally, finally let her in, and the knowledge felt like the Uchiha had come home again.

Well done, Sakura. Naruto may have brought him home, but what you have done, is shown him a path to his own special happiness.

The Sixth Hokage had lounged back into the grass, placing his open book over his eyes. He didn’t wake Shikamaru and Naruto, when the hour expired, after all. And to his surprise, when the other two ninja woke him the next morning, Kakashi had won the competition.

. . . . . . . . . . . . . . . . . . . . . . .

Sasuke stepped out of his portal just in front of the Kazekage’s building, anticipating the cringey reception he would receive from Kakashi and Naruto once he reached Gaara’s office. He took his time climbing the steps. When he entered the room, the Uchiha quietly leaned back against the far wall to avoid interrupting the conversation that was already occurring.

“Essentially, we are asking for the Leaf’s cooperation with us as we search Tanigakure for the enemy’s whereabouts,” The Kazekage announced from behind his desk. “It is a territory between our villages, and it would be best if both village personnel were present during searches, so it seems more diplomatic to the citizens of Tanigakure.”

The white-haired ninja nodded, Naruto voicing his sensei’s unspoken response. “Of course, The Leaf will work with you Gaara. Isn’t that right Kakashi-sensei?!”

Kakashi pinched the bridge of his nose with a sigh. “Can’t you at least call me ‘Lord Hokage’ when we are on official business?”

Naruto ignored him and announced. “If they’re going after Sakura, then of course we will help. I’ll go find them myself!”

Sasuke shook his head in withdrawn amusement at his teammate’s old habits of needing to be the center of attention in literally every setting. Sasuke’s eyes also found Sakura, who stood at the front of the party, tapping her foot impatiently. She clutched two letters to her chest and Sasuke sensed that she was waiting for an opportunity to interject, little to no concern about this topic. Sasuke smirked. She couldn’t care less about some target on her back by shinobi that belonged to the same group she had already gone head-to-head with.  

“If they can’t be found,” a spikey ponytailed ninja remarked, and Sasuke quickly identified his childhood classmate, Shikamaru. “Then wouldn’t it be better to draw them out? They are after Sakura after all. We could just wait for them to strike again.”

Sasuke frowned. He didn’t like that idea. Shikamaru had never been one of Sasuke’s favorites, and the Uchiha liked him considerably less whenever he made suggestions about using his friends as bait. Genius he may be, but Sasuke didn’t have to like him or his ideas.

“I’m sure we can think of something…” Kakashi thought out loud, drawing the eyes of the room in his direction.

“While you’re thinking about it,” Sakura finally spoke, handing both Kakashi and Gaara each one of the letters she held. “I would like to request both of your considerations regarding a matter concerning a young boy here in Sunagakure. He’s been through a lot, and he expresses interest toward starting anew in the Leaf Village.”

Kakashi and Gaara both surveyed the letters in their hands, and Sasuke could see even from where he stood that the reports were extensively detailed. Once again, Sasuke found himself admiring his teammate’s professional persona who seemed like a different person altogether.

“He has expressed the desire to train as a shinobi, but I also want him to continue treatment at the Children’s health clinic in Konoha. I am requesting that he be released by Sunagakure into Konoha’s care until the child decides he’s ready to return.”

“I’ll talk with my council, but I approve as long as the Leaf is willing,” Gaara agreed, glancing over at Kakashi to assess his reaction.

“Of course, that’s okay,” said Kakashi, beaming over at Sakura. “However, some people in the Leaf might harbor negative sentiments toward the youth for various, equally ridiculous reasons. He might be accused of things like being a spy, might be shunned, and more. Can he handle situations like this?”

Sasuke watched Sakura carefully weigh Kakashi’s words. There was a shadow of worry that crossed her face for just a second and then Naruto was elbowing her. “I’ll keep an eye on him!”

“How can you be in Tanigakure looking for Sakura’s aggressors and be in Konoha to…” Shikamaru began but then trailed off as he held everyone’s dumbfounded gazes, “…never mind. I’m not on my game today. I’m obviously overworked.” They all let out a laugh because everyone knew exactly how Naruto would do it with his infamous shadow clone jutsu.

“I’m certain Isao will be okay, but any time you can spare him, would be great, Naruto. Being around you would do him some good,” Sakura said and everyone around the room nodded in agreement. Even Sasuke agreed silently to himself in the back. Being around Naruto had changed each and every person in this room, including himself.

“He can travel back with us when we leave,” Kakashi announced, and Sakura grinned in success.

Gaara quickly changed the topic back to the most pressing matter at hand. “We have Sakura’s assailants in custody. I’d like all your personal evaluations of them as shinobi.”

Everyone in the room nodded, and the Kazekage turned to Kankuro. “Take them to the prison. Sakura, if you don’t mind, I’d like to discuss something with you in more detail.” Sasuke’s ears pricked at the mention of her staying behind. But his rational self reasoned that it was likely just to talk about the events of yesterday.

“Uchiha can further explain who they are while Sakura and I finish up, right Sasuke?” Gaara asked toward Sasuke’s direction without even looking up from the paperwork on his desk, both revealing Sasuke’s presence to his fellow Leaf-shinobi and volunteering him to work. Annoying sand guy.

Of course, they all spun at the mention of his name, locating him against the far wall. He didn’t wave or smile, but just crossed his arms in typical Uchiha fashion.

While Naruto was practically leaping toward him, shouting “There you are Sasuke!” Sasuke couldn’t help but catch Sakura’s eye and the Uchiha stiffened at the obvious embarrassment that flashed across her face for the briefest of seconds before she shyly looked away. And even when his loser of a best friend was wrapping his arm around Sasuke’s neck in an annoying way of showing affection, Sasuke didn’t miss the fact that Kakashi also noticed Sakura’s display, and Sasuke caught his sensei’s knowing expression as the Hokage looked back and forth between the two with one smiling eye. Sasuke sighed. They were screwed.

.

.

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[countrymomsplace-blog]

Laryngomalacia: the World of Unknown, to a World of Much Known

Laryngomalacia: the World of Unknown, to a World of Much Known

If you are reading this post, you are probably experiencing the same things we experienced when we first heard the word Laryngomalacia. What is this? When should we trust our instincts? Where should we turn to? and How do we cope with all of this? Yes, its an emotional roller coaster, so read this post to learn how we went from a world of unknown to a world of much known!

(more…)

[dfwnews]

'Tripledemic' impacts Texas hospitals amid ongoing staffing crisis

‘Tripledemic’ impacts Texas hospitals amid ongoing staffing crisis

AUSTIN (Nexstar) — Statewide cases of influenza (flu), COVID-19 and RSV are not only affecting families but hospitals too as they deal with the ongoing staffing crisis.  Kirstine Openshaw’s four-year-old son has a congenital heart defect and her nine-month-old son is a preemie with laryngomalacia. Both got sick.  “It was pretty miserable, it was pretty bad,” said Openshaw. “We had quite a few…

[crimson-rehabilitation]

Rare Case Primary Report: Xia Gibb’s Syndrome_Crimson Publishers

Abstract

Xia-Gibbs syndrome (Mental retardation, autosomal dominant 25; MRD25) (MIM 615829), first described in 2014, is a rare autosomal dominant disease characterized by mental retardation, developmental delay, speech delay, structural brain anomalies, hypotonicity, protuberant eyes, visual problems, laryngomalacia and low sleep quality. It occurs due to heterozygous mutations in the AT-hook DNA binding motif containing 1 (AHDC1) gene on chromosome 1p36. Research reports published in 2020 by Ping et al. [1], states that about 100 patients worldwide have been identified, all of them in the pediatric age or adulthood. To date, no fetal XGS has been reported [1-4]. Xia-Gibbs syndrome (XGS) is a recently described neurodevelopmental disorder due to heterozygous loss-of-function AHDC1 mutations. XGS is characterized by global developmental delay, intellectual disability, hypotonia, and sleep abnormalities. We are here to report our primary observations and findings of a diagnosed case of Xia Gibb’s Syndrome referred for Physiotherapy with signs of development delay, atonia, joint laxity and related features.

Read more about this article: https://crimsonpublishers.com/epmr/fulltext/EPMR.000562.php

Read more Crimson Publishers Google Scholar  Articles:  https://scholar.google.com/citations?view_op=view_citation&hl=en&user=MAr8S6kAAAAJ&citation_for_view=MAr8S6kAAAAJ:M3ejUd6NZC8C