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Guys I’m supposed to be writing a paper about child development rn which seems very fitting
#let’s all talk about kids and how the internet has impacted their development#exhibit a#also I have not started which isn’t great#anyone wanna talk about piagets preoperational stage of cognitive development
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A corneal transplant, also known as keratoplasty, is a surgical procedure to replace part or all of a damaged or diseased cornea with healthy corneal tissue from a donor. Here's what happens during a typical corneal transplant:
#Corneal Transplant#Preoperative Preparation#Surgical Procedure#Postoperative Care#Potential Risks and Complications#Medical Tourism Consultant#Youtube
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Preparing for Gastrointestinal Surgery can be a daunting process, but with the right guidance and planning, you can set yourself up for a successful procedure and smooth recovery. At Healix Hospitals, we are committed to ensuring that our patients are well-prepared for their surgeries. This comprehensive guide will walk you through everything you need to know to prepare for gastrointestinal surgery effectively.
Do Read: https://www.healixhospitals.com/blogs/how-to-prepare-for-gastrointestinal-surgery:-tips-from-healix-hospitals
#Preparing for Gastrointestinal Surgery#Pre-surgery preparation for gastrointestinal surgery#Tips for GI surgery#Healix Hospitals surgery preparation guide#How to get ready for GI surgery#Preoperative steps for gastrointestinal surgery#Preparing for GI procedures at Healix Hospitals#Pre-surgery checklist for gastrointestinal operations#Gastrointestinal surgery readiness#Patient guide for GI surgery preparation#Steps to take before gastrointestinal surgery#Healix Hospitals GI surgery tips#Gastrointestinal surgery prep guide#How to prepare for surgery at Healix Hospitals#Preparing for a successful GI surgery#Gastrointestinal health tips before surgery
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Balaji Hospital | Nephrology Specialists for Kidney Diseases
Balaji Hospital's Nephrologist providing expert care for kidney health & diseases including diagnostic tests & advanced treatments like dialysis & transplantation
#Nephrologist and Nephrologist#Nephrologist#Guj.Factory rules#Work of H.I.R.A#Retainer ship of doctor to company(50-200 employees)#Emergency Empanelment of industry for hospitalization of workers#Preoperative physician#Anesthetist#Pulmonary disease#Chest Physician#Diseases related to hormones#Endocrinologist#Best treatment for ear#nose & throat diseases#ENT#Bariatric Surgery#Solid Organ Transplantation#Pediatric Surgery#Thoracic Surgery#Vascular Surgery#General Surgery#Community gynecology#Materno-fetal medicine#Gynecology and Obstetrics#Infectious diseases#Vadodara#Gujarat#India
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#postoperative nursing care#postoperative nursing care plan#preoperative and postoperative care#postoperative care of colostomy#postoperative care
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Unveiling the Importance of Preoperative Assessment for Your Health Journey
Embark on your healthcare journey with confidence through our meticulous Preoperative Assessment services. At [Your Medical Center], we recognize the significance of a thorough preoperative evaluation in ensuring your safety and well-being before surgery. Our team of dedicated healthcare professionals is committed to conducting comprehensive assessments tailored to your individual health needs. Through a series of in-depth evaluations, including medical history reviews, physical examinations, and diagnostic tests, we strive to uncover potential risks and optimize your overall health status prior to any surgical procedure.
By choosing our Preoperative Assessment services, you are partnering with a team dedicated to providing personalized care, minimizing complications, and enhancing the success of your surgical experience. We prioritize open communication and collaboration, ensuring you are well-informed and comfortable throughout the assessment process.
Trust PrecisionOS to guide you through a thorough preoperative assessment, setting the foundation for a safe and successful surgical outcome. Your health and peace of mind are our priorities as we work together to optimize your readiness for the next step in your healthcare journey.
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Cataract Surgery: A Comprehensive Guide to Preparation, Procedure, and Recovery
Cataract surgery is a transformative procedure that can significantly improve vision and quality of life for those suffering from cataracts. If you or a loved one are considering cataract surgery, it’s crucial to be well-informed about the entire process. From cataract surgery preparation to post-operative recovery, this comprehensive guide will walk you through every step, answering common questions and offering valuable insights.
Cataract Surgery Preparation: Setting the Stage for Success
Before embarking on your cataract surgery journey, thorough preparation is key. This phase involves a series of essential steps to ensure the surgery goes smoothly and maximizes the likelihood of a successful outcome.
Preoperative Instructions for Cataract Surgery
Following your eye doctor’s preoperative instructions is paramount. These instructions often include guidelines on medication, fasting, and other specific preparations needed before the surgery. Adhering to these guidelines helps reduce potential complications during and after the surgery.
Steps Before Cataract Surgery
The steps leading up to cataract surgery involve various assessments and evaluations. These may encompass an overall health evaluation, detailed eye examinations, and measurements to determine the correct lens implant for your eye. Additionally, your eye surgeon will discuss any potential risks and benefits associated with the procedure.
Eye Health Assessment for Surgery
A comprehensive eye health assessment is a critical aspect of cataract surgery preparation. Your ophthalmologist will evaluate the overall health of your eyes, assess any underlying conditions, and determine the appropriate surgical approach. This assessment contributes to tailoring the surgery to your unique needs.
Preparing for Cataract Operation: Mental and Emotional Readiness
Preparing mentally for cataract surgery is as important as physical preparation. Feelings of anxiety and uncertainty are natural, but understanding the procedure and discussing any concerns with your surgeon can alleviate these emotions. Having a positive mindset can contribute to a smoother surgical experience.
What to Do Before Cataract Surgery
In the days leading up to your surgery, it’s crucial to follow the preoperative instructions closely. Make arrangements for transportation to and from the surgical center, arrange for post-operative care, and ensure your living space is conducive to recovery. Having a clear plan in place minimizes stress on the day of the procedure.
Cataract Surgery Readiness: Knowledge is Power
Understanding the ins and outs of cataract surgery is empowering. Educate yourself about the surgical process, anesthesia options, and what to expect during the recovery period. Armed with knowledge, you’ll approach the procedure with confidence and a sense of control.
Patient Guide for Cataract Surgery: Navigating the Journey
Being well-informed is crucial for patients undergoing cataract surgery. This patient guide provides comprehensive information about the entire process, addressing concerns, offering insights, and ensuring you have the information needed to make informed decisions.
Getting Ready for Cataract Surgery: Physical and Mental Preparation
Preparing Mentally for Cataract Surgery: Facing Apprehensions
Cataract surgery might be a routine procedure, but it’s natural to feel apprehensive. Acknowledge your concerns and discuss them with your surgeon. Engage in relaxation techniques, meditation, or deep breathing exercises to help ease anxiety.
Physical Preparation for Cataract Surgery: The Importance of Health
Prior to surgery, prioritize your overall health. Follow a balanced diet, engage in light exercise, and maintain good hydration. These simple steps can positively impact your body’s ability to heal and recover after the surgery.
Medications Before Cataract Operation: Follow Medical Guidance
Your eye doctor will provide instructions regarding medications before the surgery. This might involve discontinuing certain medications that could interfere with the procedure or recovery. Always adhere to your doctor’s recommendations.
Clearing Doubts About Cataract Surgery: Ask Questions
It is normal to have queries and worries regarding cataract surgery. Don’t hesitate to ask your surgeon about the procedure, potential risks, and expected outcomes. Clearing these doubts can provide you with peace of mind.
Eye Examination Before Surgery: Precision and Planning
An extensive eye examination before surgery is crucial. Measurements of your eye’s dimensions and corneal curvature help determine the correct lens implant.This individualized method guarantees the best possible eyesight correction.
The Surgical Procedure for Cataracts: A Precise and Transformative Process
Cataract surgery involves the removal of the cloudy natural lens and replacing it with an artificial lens implant. This outpatient procedure is relatively quick, and advancements in surgical techniques have made it safer and more effective than ever before.
Anesthesia Options for Cataract Surgery: Ensuring Comfort
Cataract surgery can be performed under local anesthesia or sedation.The best alternative for you will be discussed by your surgeon. Local anesthesia numbs the eye, while sedation keeps you relaxed and comfortable throughout the procedure.
Surgical Procedure for Cataracts: A Closer Look
An incision in the eye is made during the procedure.The cloudy lens is gently broken apart and removed using ultrasound technology. An intraocular lens (IOL) is then inserted, restoring clear vision. The incision is typically self-sealing and doesn’t require stitches.
Recovery After Cataract Operation: What to Expect
After the surgery, you’ll rest briefly in the recovery area before being allowed to go home. It’s common to experience mild discomfort, itchiness, and sensitivity to light.
Risks and Benefits of Cataract Surgery: Weighing the Options
Like any medical procedure, cataract surgery comes with its share of risks and benefits. While the risks are rare, they include infection, bleeding, and retinal detachment. The benefits, however, far outweigh the risks for most patients, leading to improved vision and quality of life.
Preparing for a Successful Post-Operative Recovery
Necessities for Post-Op Recovery: Creating a Comfortable Space
Prepare your living space for a smooth recovery. Have comfortable seating, proper lighting, and essential supplies within reach. Following surgery, you’ll need to avoid strenuous activities and protect your eyes from bright sunlight.
Follow-Up After Cataract Surgery: Monitoring Progress
Your surgeon will schedule follow-up appointments to monitor your healing progress and ensure your vision is improving as expected. These appointments are vital for addressing any concerns and making adjustments if necessary.
Minimizing Complications in Surgery: Expertise Matters
Choosing an experienced surgeon is instrumental in minimizing complications. A skilled surgeon with a track record of successful cataract surgeries can significantly reduce the risk of post-operative issues.
Lifestyle Adjustments Post-Surgery: Embracing a New Vision
Lifestyle Adjustments Post-Surgery: Embracing a New Vision
After cataract surgery, you’ll likely experience improved vision. Embrace this opportunity to enjoy activities you may have been missing out on. Whether it’s reading, gardening, or exploring the outdoors, your new vision opens up
Tatum Eyecare is North Phoenix’s premier family eye care center. We’ve spared no expense to create the most pleasant, comfortable patient experience… including the finest furnishings, the best selection of prescription eyeglass frames, the most cutting-edge technology, and the most outstanding team of industry professionals. Come see why the choice for family eye care in the Valley has never been clearer
#Cataract surgery preparation#Preoperative instructions for cataract surgery#Steps before cataract surgery#Eye health assessment for surgery#Preparing for cataract operation#What to do before cataract surgery#Cataract surgery readiness#Patient guide for cataract surgery#Getting ready for cataract surgery#Preparing mentally for cataract surgery#Physical preparation for cataract surgery#Medications before cataract operation
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"In an unprecedented move, Anthem Blue Cross Blue Shield plans representing Connecticut, New York and Missouri have unilaterally declared it will no longer pay for anesthesia care if the surgery or procedure goes beyond an arbitrary time limit, regardless of how long the surgical procedure takes. The American Society of Anesthesiologists calls on Anthem to reverse this proposal immediately.
Anesthesiologists provide individualized care to every patient, carefully assessing the patient’s health prior to the surgery, looking at existing diseases and medical conditions to determine the resources and medical expertise needed, attending to the patient during the entire procedure, resolving unexpected complications that may arise and/or extend the duration of the surgery, and working to ensure that the patient is comfortable during recovery.
Payment for anesthesia services is based on several factors, including the exact amount of time for anesthesiologists to deliver care preoperatively, during the operation, and when transitioning the patient to the recovery unit afterwards. With this new policy, Anthem will arbitrarily pre-determine the time allowed for anesthesia care during a surgery or procedure. If an anesthesiologist submits a bill where the actual time of care is longer than Anthem's limit, Anthem will deny payment for the anesthesiologist’s care. With this new policy, Anthem will not pay anesthesiologists for delivering safe and effective anesthesia care to patients who may need extra attention because their surgery is difficult, unusual or because a complication arises.
“This is just the latest in a long line of appalling behavior by commercial health insurers looking to drive their profits up at the expense of patients and physicians providing essential care,” said Donald E. Arnold, M.D., FACHE, FASA. “It’s a cynical money grab by Anthem, designed to take advantage of the commitment anesthesiologists make thousands of times each day to provide their patients with expert, complete and safe anesthesia care. This egregious policy breaks the trust between Anthem and its policyholders who expect their health insurer to pay physicians for the entirety of the care they need.”
ASA urges people concerned about Anthem’s proposal to contact their state insurance commissioner or their state legislator.
In June 2024, Elevance Health, the corporate name for Anthem, reported a 24.12% increase in its year-over-year net income to $2.3 billion and a 24.29% increase in its year-over-year net profit margin."
https://www.asahq.org/about-asa/newsroom/news-releases/2024/11/anthem-blue-cross-blue-shield-will-not-pay-complete-duration-of-anesthesia-for-surgical-procedures
#anthem#health insurance#capitalist dystopia#anesthesia#surgery#insurance coverage#blue cross blue shield#anthem blue cross blue shield#capitalism
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#animorphs#sorry i got a little carried away#i dont begrudge anyone who doesnt feel like reading all of that#btw i know i talked very little about the human host and in truth its because i dont know what sort of effect this would have on them#im not a psychologist whatsoever. im just an alleged fanfiction writer#ik its not possible to not have a personality normally but what if ones early years were monopolized by an alien brain slug?#i cant imagine theyll be able to function properly without their yeerk but i cant imagine theyll be particularly enthused either#at best the human is only themself a few hours every few days so idk if that would make them developmentally stunted or what#also i have no idea like.... WHY anyone would do this lmfao. edriss wanted a HUMAN family.#idk what yeerk would want a human baby but then give that baby a yeerk but then go to great lengths to make the yeerk think theyre a human
No, that makes a ton of sense, if the effect only lasts as long as the yeerk and the human kid are both too young to have real awareness of other people being different. Like, I don't know if anyone has done this kind of research, but I'd be fascinated to know the oldest and youngest ages kids regularly figure out Santa Claus despite adults actively working to persuade them otherwise. That age — 6? 7? — might be the upper boundary of a kid figuring out they're a different species than their friends, assuming (a massive assumption) yeerks develop at the same rate as humans.
what if a yeerk didn't know/realize it was a yeerk? What if it thought it was a human kid?
I'm trying to figure out how this would happen, and imagination is failing me. There is some evidence we've successfully convinced nonhumans that they're humans — Nim Chimpsky would sort photos of himself among photos of humans, putting photos of chimps in a different pile. But Nim was a chimpanzee, sharing 99% of humans' genes. And he was taken from his mother when he was 10 days old to be raised exclusively by humans: sleeping in a bed, wearing clothes, eating with utensils, peeing in a toilet. He'd never met another chimp at the time of that study.
By our best guess, dogs don't think they're human, nor do most pets. Dogs easily learn to prefer humans (or sheep, cows, etc.) over other dogs, but the way they act around fellow dogs is completely different from how they act around other mammals of similar size/shape. This is both because dogs mostly spend their first weeks among their parents and siblings (if not they tend to die, so even shitty breeders rarely take bottle babies), and because dogs have obvious physical differences from humans. Being dogs, they probably care less that we lack fur or use language than that we smell like omnivores who rub themselves with soap, and that we move very differently from quadrupeds. Cats are harder to pin down, but they famously don't meow at each other, only at the dumb apes whose affection or tuna sandwiches they want to demand. I don't think anyone's investigated hamsters or goldfish, but I'm guessing the odds are against one mistaking a giant hand that comes from the sky to dispense pellets for being one's sibling.
So the issue with this hypothetical yeerk is threefold: 1) yeerks don't resemble humans, 2) yeerks need to see each other to feed, and 3) yeerks can't interact with humans without using a human host. Let's suppose that the yeerk is taken into a human home immediately after spawning, that the yeerk shows infantile amnesia (who knows), and that the yeerk grows up only feeding from a private pool that contains no other yeerks. Let's even suppose that we give the yeerk a Stephenie Meyer—style human host who is completely brain dead. Even under those circumstances, would the yeerk think "I'm human"? or would the yeerk think "all so-called humans are greenish slugs operating ape bodies like mech suits; we just don't mention this fact out loud"? And is that the same thing as thinking oneself human?
For that matter, did Nim Chimpsky really think he was human, or do his two piles of pictures simply mean "apes who wear clothes" and "apes who don't"? If he assumed all apes have a life stage of being hairy and good at climbing before metamorphosing into a hairless form good at running, is that the same thing as thinking himself human? Was there a different categorization in his head, and if so was it comparable to the boundaries that humans draw around the concept "human" — e.g. "like-mes" and "beasts"? He never actually learned a human language, because evidence would suggests apes cannot, so we'll never know his exact thought process.
#development#yeerks#identity horror#okay now i'm down a rabbit hole wrt the sociology of santa claus#people have A LOT of opinions about whether or not santa is a god#also some fascinating stuff on the nature of belief and how moving from preoperational to concrete operational leads to sussing it out
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#patientwalkingwithdifficultypreoperative#walking#preoperative#drgauravkhera#doctor#patient#youtube#trend#Youtube
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ISTANBUL OBESİTY CENTER (4)

Are you struggling with weight management and searching for effective solutions? Look no further than the Istanbul Obesity Center, your trusted partner in weight loss surgery in Turkey. With a reputation for excellence and a commitment to patient care, our center specializes in advanced weight loss procedures, including the innovative gastric balloon technique. This minimally invasive procedure helps individuals achieve their weight loss goals safely and effectively, making it an excellent choice for many.
Trusted Weight Loss Surgery Turkey
When it comes to effective and reliable solutions for weight loss, Turkey has emerged as a leading destination for trusted weight loss surgery Turkey. With world-class healthcare facilities, experienced surgeons, and a commitment to patient care, Turkey offers a unique blend of quality and affordability.
One of the most popular options is the gastric balloon, a non-invasive procedure designed to assist individuals in shedding unwanted pounds. By placing a balloon in the stomach, patients experience a sense of fullness that significantly reduces their food intake, making it an ideal choice for those who struggle with traditional dieting methods.
Considering how much a gastric balloon costs, Turkey is often considered a cost-effective option compared to other countries, without compromising on quality. Comprehensive packages often include both surgery and aftercare, ensuring that patients receive all the support they need throughout their weight loss journey.
Gastric Balloon Weight Loss
The gastric balloon offers an innovative solution for individuals struggling with excessive weight. This minimally invasive procedure helps patients achieve significant weight loss by placing a silicone balloon in the stomach, creating a sense of fullness, which reduces food intake. In addition to aiding weight loss, it can also improve related health conditions, including high blood pressure and diabetes.
One of the key benefits of the gastric balloon is its non-surgical nature. Unlike more invasive weight loss surgery, the procedure can typically be completed in less than an hour, making it a convenient choice for many. Furthermore, the balloon generally remains in place for six months to a year, giving you ample time to develop healthier eating habits that support lasting results.
Many patients report enhanced motivation and confidence as they see visible results over time. This opens the door to healthier lifestyle choices, making weight maintenance easier post-procedure. It's important to note that gastric balloon weight loss should be complemented by a structured diet and exercise plan, enhancing its effectiveness.
For those considering a budget-friendly option, the cost of the gastric balloon weight loss compared to other countries. With trusted weight loss surgery Turkey increasingly becoming a popular destination for medical tourists, countless individuals are reaping the benefits of this transformative procedure.
How Much is Gastric Balloon
When considering gastric balloon weight loss, one of the first questions that comes to mind is, How much is gastric balloon treatment? Understanding the costs associated with this procedure is crucial for making an informed decision. In Turkey, where trusted weight loss surgery is gaining popularity, the prices for gastric balloon procedures are typically more affordable than in many Western countries.
The average cost of the gastric balloon procedure in Turkey can range significantly based on the clinic and the expertise of the medical professionals involved. Generally, you might expect to pay considerably less than $5,000, which often includes comprehensive packages covering costs such as preoperative assessments, post-operative care, and accommodation.
Invest in your health and well-being by opting for gastric balloon weight loss in a reputable Turkish facility, where expert care meets affordability. Schedule a consultation today to get an accurate quote tailored to your specific needs and start your journey towards a healthier lifestyle.
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How to Prepare for Gastrointestinal Surgery: Tips from Healix Hospitals
Preparing for Gastrointestinal Surgery can be a daunting process, but with the right guidance and planning, you can set yourself up for a successful procedure and smooth recovery. At Healix Hospitals, we are committed to ensuring that our patients are well-prepared for their surgeries. This comprehensive guide will walk you through everything you need to know to prepare for gastrointestinal surgery effectively.
The Importance of Preparing for Gastrointestinal Surgery
Preparing for Gastrointestinal Surgery is crucial for reducing anxiety, minimizing risks, and promoting faster recovery. Following the right steps helps ensure your body is in the best possible condition for surgery and healing.
Initial Consultation and Pre-Surgery Advice
Consultation with Your Surgeon
The first step to prepare for gastrointestinal surgery is a thorough consultation with your surgeon at Healix Hospitals. This meeting is vital to discuss the details of your procedure, address any concerns, and plan your pre-operative care for GI surgery.
Medical History and Physical Examination
Your surgeon will review your medical history and conduct a physical examination to assess your overall health. This step is crucial for identifying any conditions that might affect your surgery or recovery.
Preoperative Tests
Depending on your health and the type of surgery, you may need to undergo various tests, such as blood tests, imaging studies, or an EKG. These tests help ensure you are ready for surgery and identify any potential risks.
Gastrointestinal Surgery Preparation Tips
Creating a GI surgery checklist can help ensure you complete all necessary steps before your surgery. Here are some essential gastrointestinal surgery preparation tips to follow:
1. Medication Management
Managing your medications is a critical part of preparing for gastrointestinal surgery:
Review Your Medications: Inform your surgeon about all medications and supplements you are taking. Some medications, particularly blood thinners, may need to be adjusted or stopped before surgery.
Preoperative Medication: Follow your surgeon's instructions regarding any preoperative medications you need to take.
2. Dietary Adjustments
Your diet plays a significant role in your body's ability to recover from surgery. Here are some dietary tips:
Balanced Diet: Eat a balanced diet rich in fruits, vegetables, lean proteins, and whole grains to boost your immune system and overall health.
Hydration: Stay well-hydrated in the days leading up to your surgery. Adequate hydration is essential for optimal bodily functions.
Fasting: Follow the fasting instructions provided by your surgeon. Typically, you will need to stop eating and drinking at least 8 hours before the surgery.
Continue Reading: https://www.healixhospitals.com/blogs/how-to-prepare-for-gastrointestinal-surgery:-tips-from-healix-hospitals
#Preparing for Gastrointestinal Surgery#Pre-surgery preparation for gastrointestinal surgery#Tips for GI surgery#Healix Hospitals surgery preparation guide#How to get ready for GI surgery#Preoperative steps for gastrointestinal surgery#Preparing for GI procedures at Healix Hospitals#Pre-surgery checklist for gastrointestinal operations#Gastrointestinal surgery readiness#Patient guide for GI surgery preparation#Steps to take before gastrointestinal surgery#Healix Hospitals GI surgery tips#Gastrointestinal surgery prep guide#How to prepare for surgery at Healix Hospitals#Preparing for a successful GI surgery#Gastrointestinal health tips before surgery
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Balaji Hospital | Gastroenterology for Digestive Health Issues
Balaji Hospital's Gastroenterology showcases a team of gastroenterologists specializing in diagnosing & treating digestive health issues to enhance quality of life
#Gestrology and Gestrology#Dietitian#Guj.Factory rules#Work of H.I.R.A#Retainer ship of doctor to company(50-200 employees)#Emergency Empanelment of industry for hospitalization of workers#Preoperative physician#Anesthetist#Pulmonary disease#Chest Physician#Diseases related to hormones#Endocrinologist#Best treatment for ear#nose & throat diseases#ENT#Bariatric Surgery#Solid Organ Transplantation#Pediatric Surgery#Thoracic Surgery#Vascular Surgery#General Surgery#Community gynecology#Materno-fetal medicine#Gynecology and Obstetrics#Infectious diseases#Vadodara#Gujarat#India
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I totally understand and can empathize with fat activists when it comes to medical fatphobia. But I do think its important to provide nuance to this topic.
A lot of doctors mention weight loss, particularly for elective surgeries, because it makes the recovery process easier (Particularly with keeping sutures in place) and anesthetic safer.
I feel like its still important to mention those things when advocating for fat folks. Safety is important.
What you're talking about is actually a different topic altogether - the previous ask was not about preparing for surgery, it was about dieting being the only treatment option for anon's chronic pain, which was exacerbating their ed symptoms. Diets have been proven over and over again to be unsustainable (and are the leading predictor of eating disorders). So yeah, I felt that it was an inappropriate prescription informed more by bias than actual data.
(And side note: This study on chronic pain and obesity concluded that weight change was not associated with changes of pain intensity.)
If you want to discuss the risk factor for surgery, sure, I think that's an important thing to know - however, most fat people already know this and are informed by their doctors and surgeons of what the risks are beforehand, so I'm not really concerned about people being uninformed about it.
I'm a fat liberation activist, and what I'm concerned about is bias. I'm concerned that there are so many BMI cutoffs in essential surgeries for fat patients, when weight loss is hardly feasible, that creates a barrier to care that disproportionately affects marginalized people with intersecting identities.
It's also important to know that we have very little data around the outcomes of surgery for fat folks that isn't bariatric weight loss surgery.
A new systematic review by researchers in Sydney, Australia, published in the journal Clinical Obesity, suggests that weight loss diets before elective surgery are ineffective in reducing postoperative complications.
CADTH Health Technology Review Body Mass Index as a Measure of Obesity and Cut-Off for Surgical Eligibility made a similar conclusion:
Most studies either found discrepancies between BMI and other measurements or concluded that there was insufficient evidence to support BMI cut-offs for surgical eligibility. The sources explicitly reporting ethical issues related to the use of BMI as a measure of obesity or cut-off for surgical eligibility described concerns around stigma, bias (particularly for racialized peoples), and the potential to create or exacerbate disparities in health care access.
Nicholas Giori MD, PhD Professor of Orthopedic Surgery at Stanford University, a respected leader in TKA and THA shared his thoughts in Elective Surgery in Adult Patients with Excess Weight: Can Preoperative Dietary Interventions Improve Surgical Outcomes? A Systematic Review:
“Obesity is not reversible for most patients. Outpatient weight reduction programs average only 8% body weight loss [1, 10, 29]. Eight percent of patients denied surgery for high BMI eventually reach the BMI cutoff and have total joint arthroplasty [28]. Without a reliable pathway for weight loss, we shouldn’t categorically withhold an operation that improves pain and function for patients in all BMI classes [3, 14, 16] to avoid a risk that is comparable to other risks we routinely accept.
It is not clear that weight reduction prior to surgery reduces risk. Most studies on this topic involve dramatic weight loss from bariatric surgery and have had mixed results [13, 19, 21, 22, 24, 27]. Moderate non-surgical weight loss has thus-far not been shown to affect risk [12]. Though hard BMI cutoffs are well-intended, currently-used BMI cutoffs nearly have the effect of arbitrarily rationing care without medical justification. This is because BMI does not strongly predict complications. It is troubling that the effects are actually not arbitrary, but disproportionately affect minorities, women and patients in low socioeconomic classes. I believe that the decision to proceed with surgery should be based on traditional shared-decision making between the patient and surgeon. Different patients and different surgeons have different tolerances to risk and reward. Giving patients and surgeons freedom to determine the balance that is right for them is, in my opinion, the right way to proceed.”
I agree with Dr. Giori on this. And I absolutely do not judge anyone who chooses to lose weight prior to a surgery. It's upsetting that it is the only option right now for things like safe anesthesia. Unfortunately, patients with a history of disordered eating (which is a significant percentage of fat people!) are left out of the conversation. There is certainly risk involved in either option and it sucks. I am always open to nuanced discussion, and the one thing I remain firm in is that weight loss is not the answer long-term. We should be looking for other solutions in treating fat patients and studying how to make surgery safer. A lot of this could be solved with more comprehensive training and new medical developments instead of continuously trying to make fat people less fat.
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For those who are wondering. Do giant hearts exist? And the answer is yes. And do women get them? Yes, yes they do. And can a woman have aneurysms of her great blood vessels? Yes, yes they can. And in fact, here are some perfectly great examples of the.








Cardiomegaly and Aneurysms of the great blood vessels.
https://www.researchgate.net/figure/Idiopathic-dilated-cardiomyopathy-in-a-28-year-old-woman-with-shortness-of-breath-a_fig2_221781930
https://www.researchgate.net/figure/Fig-1-Extremely-enlarged-heart-a-Chest-X-ray-film-shows-marked-cardiomegaly-b_fig1_46168679
https://www.researchgate.net/figure/Chest-X-Ray-shows-ascending-aortic-aneurysm-and-cardiomegaly_fig1_304779128
https://www.researchgate.net/figure/Chest-x-ray-for-patient-2-a-30-year-old-woman-showing-a-globular-heart-with-oligemic_fig2_233888689
https://www.researchgate.net/figure/Aortic-enlargement-of-sac-formation-in-a-patient-with-TBAD-A-A-60-year-old-woman-with_fig3_320966026
https://www.researchgate.net/figure/Dilated-cardiomyopathy-Echocardiographic-and-cardiac-magnetic-resonance-images-from-a_fig3_271533595
https://www.researchgate.net/figure/Imaging-exams-displaying-the-pulmonary-aneurysm-and-associated-features-A-Chest_fig1_51740514
https://www.researchgate.net/figure/Three-patterns-of-aortic-dilation-in-patient-with-BAV-A-Dilated-tubular-ascending_fig1_319422738
https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-021-01600-0
https://www.sciencedirect.com/science/article/pii/S1930043316303739
https://www.researchgate.net/figure/Illustrations-of-type-II-thoracoabdominal-aortic-aneurysm-repair-with-adjuncts-A_fig2_223526560
https://www.researchgate.net/figure/Preoperative-CT-scan-showing-a-type-III-thoracoabdominal-aortic-aneurysm-that_fig1_24440788/amp
https://www.researchgate.net/figure/The-photographs-showing-Large-Globular-shaped-heart-in-case-of-Dilated-Cardiomyopathy_fig1_354563009
https://www.wikidoc.org/index.php/Cardiomyopathy_pathophysiology
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142248/
https://pubmed.ncbi.nlm.nih.gov/3155900/
https://www.ajconline.org/article/S0002-9149(19)31189-0/fulltext
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4805784/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574292/
https://www.heartlungcirc.org/article/S1443-9506%2823%2904225-7/fulltext
https://www.researchgate.net/figure/Reconstructed-CT-image-showing-a-hugely-dilated-left-atrium-extending-to-the-right-of_fig9_319309937
Peripartum cardiomyopathy
https://www.sciencedirect.com/science/article/pii/S2210261216303662
Now for a poll to all the big breasted women out there. Do you have these? And explain why?
#heart ripped out#heart removal#female cardiophile#big breasted women#dark cardiophilia#giant breasted woman's enlarged heart ripped out#female heart removal#heart rip#woman's heart ripped out#female heart ripped out#woman's heart removal#mother's heart removal#superior vena cava aneurysm#cardiophilia#thoracoabdominal aortic aneurysm#thoracic aortic aneurysm#pulmonary artery aneurysm#pulmonary artery#aorta#cardiomegaly#cardiomyopathy#Aortopathies
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The prisoner screamed in their cell, as First Aid watched through the window. Their servo, previously their pride of trade, had been cut off right where the nerve endings started; it looked fairly painful, and judging by the screaming, it was.
First Aid made a note of it, typing on his keypad.
“Hey doc. Fancy seeing you here,” Vortex purred from First Aid’s left, standing obtrusively in the doorway. First Aid spared him a glance, then return to the prisoner.
“Standard response of sudden amputation. Patient underwent a below-the-wrist amputation following extensive ischemic damage and necrosis of the servo due to unintended infection…” First Aid looked up again at the ‘prisoner’, before returning to his notes, continuing to speak aloud as he typed. “Preoperative imaging revealed critical tissue loss, with no viable circulation distal to the wrist. Procedure was uncomplicated and patient is expected to make a full recovery.”
Vortex made an interested noise, deciding to lean into First Aid’s personal space. “Sounds like you had some fun without me.”
First Aid set the tablet down with a small noise of dissatisfaction. Then, he spoke into a microphone, directed to the diminutive medical drones, currently puttering around the operating room. “Physician consent obtained for patient termination.”
As one, the drones all jolted to life. The prisoner strapped to the operating table barely had time to scream before the drones began to gouge him apart. First Aid shook his head, and made yet another mental note to recalibrate the drones. Always so messy. Never enough time to fix it, though. Especially not with…
Well, Vortex. Vortex, who was currently staring in disbelief. “Yknow, I was joking when I said you should lighten up. Isn’t this a little extreme? I mean, Primus, Aid, aren’t you supposed to be a medic-”
“What is it you want, Vortex?” First Aid sighed. He shouldn’t be even indulging this. “I wouldn’t have to kill so many patients if you left me alone.”
“Me? What did I do!” Vortex looks wounded, and maybe it’s an act. “You’re the one who chopped off his wrist, then, well… the rest of him too. Say, doesn’t he look a lot like your old coworker?” Vortex flashes a deep grin, unobstructed by any mask.
First Aid ignores him. Looks back to his notes. “Attending physician visual disturbance noted. Accompanied by auditory disturbances as well. Patient log closed for the day.”
“Hallucination?” Vortex makes to snatch away the data pad, but his clawed servo goes through it. “Wh- hey! First Aid, what did you-”
“You’re DEAD, Vortex!” First Aid finally snaps. “We have this conversation every other day! You’re- not real, and I shouldn’t even be talking to you…” Inhale, exhale. “I’ve been awake too long. This always happens, and I keep telling myself not to let it happen, and it always happens…”
Muttering to himself, First Aid stands up and leaves the room. Vortex, or what thinks it’s Vortex, stands over the data pad. Watches the text scroll automatically until it reaches today’s date.
Fifty thousand years after the end of the War. After Vortex’s last, hazy memory of… something, and then nothing at all. The room dims; the room goes black.
Nothing but a pair of red optics, staring out of the dark.
#first aid#transformers#vortex#Texaid#transformers idw#idk what this AU is it’s some kind of#ghost au I guess but in reverse!!#the intended reading is that first aid thinks he’s hallucinating#but the reality is it’s actually vortex and he’s a ghost#but he has bad ghost memory plus operates on tinkerbell logic#also of course first aid went CRAAAAZy with grief after everyone died#but not actually crazy more just. taking him to the extreme of his character#he’s determined and hopeful and willing to take risks for patients?#ok what if he was all that but in a bad way#determined to get the people he cares about back at any cost
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