Must follow @justageneralsurgeon! Original surgery videos!
Not all surgeries are the same. This gallbladder surgery could have been a disaster. This patient had an unfortunate upper midline incision with right peri-umbilical extension from a perforated appendicitis surgery in the distant past. This scar was right where I usually place my Hasson and epigastic trocars. I didn’t want to risk cutting through any bowel that might be stuck the abdominal wall so I placed my Hasson trocar site lower than normal.
It’s a good thing because the first video shows loops of bowel stuck to the abdominal wall, just below my trocar. The previous infection from the perforated appendicitis caused the liver to have adhesions as well, indicating a pretty bad infection. This was actually helpful because it exposed the gallbladder better, even that was buried under a sea of adhesions.
This post is to help emphasize that there are no such thing as “routine surgeries” and that pre-op planning based on the individual patient is always mandatory. .
1. Video - initial view of the abdomen showing loops of small bowel adhesed to the abdominal wall.
2. Video - the liver adhesions and a gallbladder no where to be found (under a wall of adhesions)
3. The apron of adhesions of the small bowel to the abdominal wall
4. Liver adhesions
5. Looking back at the Hasson trocar site, showing it is clear from the adhesions and bowel
6. The liver bed after the gallbladder was removed .
The full surgery video will be put on my YouTube channel soon! .
At Whittier CoolSculpting, we work with women of all sizes and shapes. Our visual coordinators are able to set realistic goals and sculpt your shape to the ideal “S” shape. This form is the phenomena that occurs among voluptuous women, in which their body (from a profile view) reveals the curves of the letter S. By taking care of that extra bulge we are able to adjust form.Is coolsculpting right for you? Call us for a complimentary consultation!
A LEMON GRASS AFFAIR
I was very excited to find the lemongrass plant at a friend's home . If you know me. You know I love good food. 😋 For ME this is also goes under the title good "food". I drink it because i love it! It smells great when you pluck 😉 a fresh leave and smell. I don't always have access to the fresh ones but i can get the dry ones in some stores.
I drink it as tea #hot or #cold . Sweeten and not.
Alone or combined with other teas.
Oh yes! Can't forget I eat it in Thai food.🙋 Apparently it originated in Asia and then introduced elsewhere in the world. (Historians 🙏please do it justice and share)
Did you know?
The scientific name is Cymbopogon. Other names i know are Fever grass, citronella, grasstea. Please share if you know more.
Never really concerned myself with the benefits for years. Then i found there are so many. 😄
Isn't it great to already love something, and then find out it has "upgraded" you. 💃💃 Some:
Promotes Lowering of cholesterol
Help boost immune system.
Promotes healthy #digestive system.
It may act as a diuretic.
Promotes the relieve of PMS Promotes reduction in high systolic blood pressure.
Have you ever tried lemongrass tea?
What's in your upgrade? 😉
If you are a last-year medical resident or fellow with nine months left until graduation, there is plenty of time to due your due diligence on prospective employers now!
Break the barrier and use Google, LinkedIn, Doximity, and any other online platforms to look up doctors in your speciality and desired location(s) and contact them directly.
Introduce yourself and bring up your interest in working for their practice, whether its a small private practice or a large hospital group. Ask them what they think about the practice, from the working hours, to the patients, to how much they like working there, and even about the cafeteria food! Anything that you can think of. It sounds very unconventional, but this is the best way to know if this is the right work environment for you.
Physicians are in high demand nowadays, and you should certainly not be afraid to reach out! At the very worst, the physician you contact will refer you to another group or practice, but your efforts will certainly not go to waste. Physicians are needed.
Think back to your undergrad college touring days. Remember how you'd go and visit various campuses? Talk to students? Ask them about class schedules, course workload, clubs on campus, and again, cafeteria food? This is no different!
You need to be informed and know exactly what you are getting yourself into to make the best decisions when you sign your first contract - and no one is really going to do it for you in the next 9 months. So use this time wisely and gather as much information as you can! .
“This is me.” Such a profound statement.
I have the utmost respect for people who can unapologetically, lovingly, and proudly say “this is me.” I am grateful for the rare occasions when I come across a confident, kind, authentic individual who makes me want to be a better person simply because their lives exude the values and drive I hunger for myself.
I had a few conversations yesterday that gave me reason to pause and contemplate my own personal paradigms. Someone asked me, if you could have any realization about your life what would you want to know? My answer, I want to know what I don’t know that I don’t know. I want to see beyond my current scope of understanding. That’s truly the point of overcoming a paradigm, breaking out of ignorance to consider a possibility I never knew existed.
Over the last few years I’d like to think I've broken through many paradigms including recognizing my own self worth. I’ve seen myself transform and change into a completely different person as I’ve challenged my core beliefs, my biases, my fears, my insecurities. I’ve allowed myself to have new experiences, even in the face of unavoidable failure.
Naturally, knowing where I came from and how naive I was, I have to wonder where am I limiting myself now? I’m certainly not done growing and progressing. With that vulnerability comes different challenges. It’s easy to internalize negative comments from others as areas I need to work on. It’s a balance of choosing which voices to actually hear, between being introspective/learning and maintaining self confidence/respect. Most important, at the end of the day I love myself for who I am. A big part of me being me is learning and progressing in my own personal development within this balance.
As I sit back and contemplate who I am and where I’m at, I have to appreciate where I came from, and recognize I have so much more in life to learn and experience. Yes, this is me, but I’m more than who I was yesterday. That concept excites me, drives me, and makes me see every day is another wonderful new beginning to create a life I never thought was possible.
Welcome back to our Meet The Board Series!!
In this series, we would like to introduce you to the leaders of the national organization who work behind-the-scenes to keep the SNMA running!
Our next feature of this series is Shihyun Kim, who serves as an Academic Affairs National Committee Co-Chairperson for the 2018-2019 administrative year!
Shihyun Kim is a third-year at the Howard University College of Medicine. He also obtained his B.S. in Biology from Howard University as a member of the 6-year accelerated B.S./M.D. program. Shihyun was born in Ulsan, Republic of Korea and lived in India, Russia, and Ukraine before moving to America to pursue higher education. He is keeping an open mind heading into third year and hopes to utilize his unique background to reach patients from various populations. Shihyun currently serves as Vice-President of the Howard University College of Medicine Student Council, where he applies the valuable leadership skills he picked up as a National Future Leadership Project Fellow from the previous year. He served as a YSEP co-coordinator on a chapter level and as a Senator for the College of Medicine at the Howard University Student Association. Shihyun loves to cook and play basketball despite not having any vertical to show off. •
Be sure to stay tuned for the next feature of this series! And remember, make sure to join us by following the link in our bio if you haven't already! 😄
Thanks for trusting us with your smile Jaipreet! 😁
Here at The Hills Smile Lab we care about our patients and how they see themselves. It’s always a great feeling knowing you’re helping someone achieve the best version of themselves! 😌
If you’d like a consultation about possible orthodontic treatment for yourself or loved one, give us a call at 714-998-4700 📞
I told my girlfriend that I was heading back to the apartment to change out of my professional clothes. I wanted to throw on something comfy and go back to PCOM to hermit it up in the library. She came outside and snapped this action shot of me with the only book I ever read nowadays 😂. She’s honestly the best! We had clinical case conferences today on the topics of deep vein thrombosis, limb compartment syndrome, and necrotizing fasciitis.
Exam time in 3 days. That means it’s crunch time again. Hope everyone has a nice Friday night and relaxing weekend. If you’re working on achieving a small goal by this weekend, join me! Let’s work and get it done 😎.
1 year follow-up from 🐶 bite to the right cheek. Yes I have the cutest patients ever 😍😍⠀
This little one suffered an unprovoked bite that caused a complex laceration. I repaired this in the OR meticulously realigning the skin and facial musculature. It has healed beautifully with no injury to her facial nerve 🏅😇⠀
When she's older she may benefit from a scar revision or a small amount of fat grafting to restore some lost volume to the cheek but I think her smile is perfect ☺🙏⠀
Swipe for pics of the initial injury 😢, some moments during her recovery and us goofing around at her last visit 🤓👀⠀
#drlaliberte#radianceplasticsurgery#plasticsurgery#instakids # #cute#kidsofinstagram#ig_kids#doctor#medicine#scrublife#physician#medstudent#hospitallife#medlife#md#surgeon#surgeonlife
Daniel I. Shapiro, MD, FACS is a plastic surgeon who is board-certified by the American Board of Plastic Surgery and has been practicing cosmetic surgery in the Scottsdale/Paradise Valley, Arizona area for over 26 years. Visit our website for HUNDREDS of before and after photos of his meticulously performed surgical procedures.
👨🏽💻Time for the second part of the X-Ray test! The rules are the same as previously, this time access the test via the Instagram story - go to the main account and tap the ‘X2’ story highlight
❓HOW DOES THIS WORK
You are the radiologist on call and are working through a pile of Emergency Department X-Rays. Swipe left and take a look at these 9 films - mark them either:
2️⃣ Abnormal - If abnormal what is the abnormality?
🔻...then put your answers for the 9 films below in the comments
eg. 1 Normal 2 Abnormal (fracture tibia) 3 Normal etc
❓WHAT COUNTS AS ABNORMAL
Anything that necessitates treatment or admission from the Emergency Department, for example:
▪️Acute fracture or dislocation
▪️Pneumonia, lung collapse, significant pleural effusion or acute heart failure
▪️Incidental worrying mass/cancer
▪️Acute abdominal pathology
❓WHAT DOES NOT COUNT AS ABNORMAL
Anything that appears long standing and would not require urgent treatment or follow up, eg.
▪️Chronic conditions such as emphysema
Mark films with only these findings as NORMAL
❓WHAT ELSE DO I NEED TO KNOW
▪️If abnormal, there will usually be one abnormality
▪️Unlike real life you may only get one view!
▪️Also unlike real life you do not get any clinical information!
❓CAN YOU GET ALL 9 RIGHT
🔻LET ME KNOW WHAT YOU THINK OF THE TEST IN THE COMMENTS BELOW!
❤️❤️DOUBLE TAP IF YOU FOUND THE TEST USEFUL
Spoke at the Women Physicians in Christ - WPC conference last night - Lauren and I are enjoying our time together at this beautiful location interacting with these wonderful women in medicine who love Christ
Often you hear about people who have a slipped disc, herniated disc, or bulging disc. These are all one in the same: a disc in the spine has ruptured.
Discs occupy the space between the vertebrae, cushioning the bones from knocking into each other and keeping the spacing between the vertebrae so that the spine can bend and twist naturally. The disc is made up of a semi-rigid material on the outside like a ring and a soft nucleus that resembles crab meat. If the semi-rigid ring cracks or ruptures, the soft nucleus may leak out and protrude into any one of the numerous nerves that emanate from the spinal cord. When this happens, I may recommend discectomy to remove the protruding disc material so that it doesn't compress the nerve and cause pain. Link to full video in bio.
Disclaimer: Not everyone is a candidate for Artificial Disc Replacement surgery. Only an experienced healthcare professional can assess whether you are an appropriate candidate for this procedure. Please call our office at 310-385-7766 or email
email@example.com to schedule a consultation.