#laparascopic

[measureformeasure]

The nightmare haverrrrrr

[ms-hells-bells]

how did marina go from feminist critiques and embracing her grey hair to face completely instagram yassified and new song cover being weirdly sexual in just a few years?

[drkarimsarhane]

Nanofiber Composite Carrier for IGF-1 Nanoparticle Delivery to Nerve and Muscle

Principal InvestigatorKarim Sarhane MD, Msc InstitutionJohns Hopkins University-School of Medicine Funding MechanismPilot Research Grant Focus AreaPeripheral Nerve, Tissue Engineering AbstractPeripheral nerve injury (PNI) remains a challenging problem. Despite best efforts at surgical reconstruction and postoperative rehabilitation, patients with PNI are often left with persistent,…

[millieindeed]

Look, I'm pretty sure Nanase and Ellen are their own separate thing, but Ellen would probably happy to broaden their relationship.

The core poly group is Grace Tedd & Sarah, and it is slowly but surely absorbing Elliot and Ashley. Sarah and Elliot finding themselves as paramours will be enjoyably confusing for them. Grace is putting in the legwork of expanding the group, but a lot of it comes from people continually forming crushes on Tedd. They already have crushes on Grace of course because it's Grace.

Justin's got his own thing going on with Luke, He is being a bit left out since too many of the crew are lady shaped most of the time.

Susan is definitely orbiting the main polycule, I think she has a standing invite but is working through her stuff, so just joins the occasional cuddle, and a lot of the emotional parts of the relationship. Being a little more removed she gets to be the emotional debrief person for many of the paramours (being poly gets complicated).

* “All 8”/“The 8” refers to Grace, Ellen, Elliot, Justin, Nanase, Sarah, Susan, and Tedd

* for the “Most of” options, it can be most of some subset of the population, e.g. “most of the high school students ” or “most of the 18-to-20-year-olds”

For any option that doesn’t specify exactly who is part of it, elaborate in comments/wherever

[russellsppttemplates]

Part-time driver, part-time nurse (Charles Leclerc)

Charles spends his off season nursing you back to health

Note: english is not my first language. This is the opportunity to showcase all of my Grey's Anatomy knowledge 😅 jokes aside, this really is knowledge that I have from medical shows and a little research, so the accuracy might not be on point! It was inspired by this blurb!

Thank you so much to everyone who likes and reblogs, your feedback is appreciated 🤍 and I'm taking requests so if you have any ideas or concepts you want to share, feel free to do so as I'll try to get to them the best I can!

my masterlist

Cw: reader has a surgery (cholecystectomy), hospitals, medications, mild mention of sex

Tag list: @myloverjk-blog

"It's really painful, Charles", you groaned, finding a position in bed where you'd be a little bit more comfortable. You had a good pain tolerance and hated hospitals, so when he heard you say those words, he knew well enough that your pain had to be through the roof.

"Let's put this on and then we go to the hospital, okay amour?", he suggested soflty, prepared to gently force you in case you resisted. This was not an okay situation and even though you didn't like the setting, they would be the ones able to help you

"I need your help", you admitted, allowing Charles to lift your torso and dress you with one of his zip up hoodies, "Good, that's good, amour", he cooed, supporting your body on his as you walked out of the flat and into the garage.

"Am I hurting you?", he asked as he lowered your body into the passenger seat, "no, it comes and goes in waves, but it's still at the same place, right here", you winced as you showed him, pointing to your upper abdomen and then your back.

Charles drove to the hospital, his hand holding yours so you could squeeze anytime you needed, "you can park there already, I can walk to the door", you mumbled, "are you sure?", he checked, "yes, handsome", you smiled faintly.

The hospital wasn't too busy since visiting hours had ended a while ago, so Charles parked fairly close to the door, "up, gently, good", he helped you out and locked the car, looking at your face when he heard you laugh.

"We were so busy that I didn't even notice I have my slippers on still", you showed him the fluffy beige footwear, "I think it's trendy, you are going to set a new fashion", he said as you walked to the door of the emergency room.

After being escorted to a bed, a doctor came up to meet you, "Hi, I'm Dr. Richard and I'll be your doctor this evening", he said, greeting you and Charles, "Ms. Y/L/N, it says here you have pain in your abdomen", he stated as waited for your clarification.

"Yes, especially around here", you pointed to the upper right section, "at first it was just here, but then it spread to my back. I wouldn't have come in if it wasn't really impossible to go about my day with it", you sighed as the doctor typed away on his tablet.

"I'm going to do an ultrasound on you", he said as he pulled the kart with the machine closer to the bed, the nurse adjusting the drip he put in your arm with pain medication, "you seem to have cholecystitis, which is when your gallbladder is very inflamed and it causes pain. This ultrasound should let us know quickly if this is the case", he said as you lifted your top, wincing at the cold gel as the doctor moved the wand around.

"See this right here?", Dr. Richard pointed to the screen, "it's your gallbladder, and it is definitely inflamed. The course of treatment is surgically removing it", he explained, grabbing a towell to clean off the excess product from your skin.

"Surgery?", Charles questioned, worry sketched in his eyes, "yes, we do it laparascopically, just a few small incisions on your abdomen. It's very simple, you'll be able to go home tomorrow afternoon if we do the surgery in the morning", he said

"Okay, then. Sounds good", you spoke, "anything to take this pain away", you said, holding Charles' hand in your own.

"This is Dr. Pavard, she's one of my surgical interns", he said as a young woman approached your bed, greeting you, "she'll be the one to take you up to your room, she'll take some samples to make sure everything else is good for surgery and we'll do it tomorrow morning", he smiled, excusing himself as he was being paged to another case.

"Can I go with her?", Charles wondered, as the intern looked a little uneasy on her answer, "I'll have to talk to my superiors about it, but you can go up to the room until I figure it out. How does that sound?", she stated and you both nodded, your boyfriend grabbing your bag and walking behind her as she wheeled you along the corridor into the elevator, not missing the double checks some patients and hospital staff gave him.

After drawing the samples she needed, the intern left you and Charles in the room, "how are you feeling, amour?", he asked, holding your hand between his and kissing your fingertips, "I'm fine, the pain meds are working wonders", you sighed, "not my plans for the next few days to have surgery, but it's for the best", you reasoned.

"Do you think they'll let me stay with you?", Charles wondered, "I'm not sure, Charles. They have very strict rules. Joris said one of his cousins couldn't have anyone with her when she was admitted", you shrugged, "it would be nice having you here, but let's not get our hopes up", you attempted.

After telling you all your labs checked out and you'd be having surgery in the morning, Dr. Richard excused himself and spoke to the nurses outside of the room, "I'm going to the bathroom, and I don't need help", you looked at your boyfriend who looked like a puppy you had kicked out in the street.

When you came out, Charles was closing the door behind him, a smile on his lips as he looked at you, "where did you go? I didn't even take that long in there", you quirked an eyebrow at him, "Oh, they told you you have to leave?".

"I spoke to Dr. Richard", he said with a smirk on his lips, "I'm staying!".

"Charles!", you sterned, "you know you shouldn't pull the card at these things!", you reasoned despite feeling a little bit more at ease that you'd have him with you the whole time.

"I didn't pull any card or any strings!", Charles defended himself, "I went up to him and asked if there was a chance, because I'd be here first thing in the morning anyway, and he said he had already asked one of the nurses to get me a pillow and a blanket for that sofa, that apparently turns into a bed if I want it to", he shrugged his shoulders, "I wasn't going to say no".

Despite shaking your head at him, you were grateful that he also wanted to stay with you, "sometimes I forget that I'm dating the principality's pride child", you teased him, making room for him in your bed so he could envelop you in your arms, "thank you, though", you kissed his jaw.

"They also assured me that everyone that saw us wouldn't mention this to anyone, so you're safe", he mumbled, kissing your forehead, "now rest, amour, you'll need it before your surgery".

Early in the morning, the surgical team came to the room to take you, not before Charles kissed your lips, "I love you so much, Charles, I'll see you in a bit", you smiled, nodding to the interns who would be wheeling you to the operating room.

About halfway through the procedure, one of the interns came into the room to assure Charles everything was going as it was supposed to, "thank you for letting me know", he said, watching him leave before his phone rang, Pierre's contact name showing on the screen.

"Hey, man! How are you? Me and Francisca are in Monaco for a few days, do you and Y/N want to plan something?", the French man asked over the phone.

"Hey! Y/N's is actually having surgery right now - her gallbladder was giving her trouble so they're taking it out", Charles explained, "we should be going home this afternoon, hopefully, so if you guys don't mind hanging out at our place, it's fine".

"Oh, I hope everything goes well", Pierre said, saying something to who Charles assumed was his girlfriend, "let us know how it goes and we'll go from there, okay? We don't want to bother you even more".

After wishing everything would go well and requesting that Charles let's him know when you were awake, Pierre ended the call and your boyfriend took the opportunity to update your families.

"She's out of the operating room and she's starting to wake up, they will bring her up soon", one of the nurses smiled as Charles nodded, taking a sip from his coffee as he waited for you.

When they wheeled you back into the room, your eyes looked tired but you smiled when you saw him, "everything went as planned, there were no complications, so it should be a smooth recovery. They'll bring your breakfast in a bit and if you can tolerate that and walk just fine, we'll be able to discharge you when your labs come back good!", your surgeon said before excusing himself.

"Hey, bébé", he smiled, kissing your forehead, "how are you feeling?", he asked.

"I'm good, loopy from the meds, but I'm also quite hungry", you giggled, "I'm sorry I caused you to worry", you began.

"It's part of it", he shrugged his shoulders, kissing your hands, "all that matters is that it went well and you're feeling good. My mother says she dropped by our flat and arranged the place a little bit - it wasn't too messy, don't worry - and she also left a pasta bake; your parents are very happy and relieved it went well. Pierre and Kika are in town as well and I told them that if you weren't too tired, they could spend tomorrow with us, but only of you feel up to it!", he was quick to mention.

"That sounds nice!", you nodded, "I haven't seen them in a while", you recalled.

After eating breakfast and walking along the corridor a few times during the day, the doctors discharged you, prescribing the medications you would need and listing the signs you should look out for.

"Here, amour, careful", Charles said as he helped you up the small step to get into your flat, guiding you to the living room where the sofa was packed with blankets and pillows, "Careful, you don't want to hurt your tummy", he ushered as you sat down, kissing the top of your head.

"Charles, love, the incisions are very small, I have to be careful, yes, but if they said that I could come home, it's because I can move still", you giggled, appreciating his attention even though he was being a little over the top, not letting you get up to grab snacks from the kitchen.

"I have grapes for you", he smiled, coming back with a plate for you, "they're full of the good things you have to eat, so your body heals nicely and you feel better", he said, sitting next to you carefully as you took some to eat.

Later, when you wanted to get up, his hand carefully stopped you, "my love, I need to pee, and I'm not even going to let you think of a way to help. I'm just going to the bathroom and I'll be right back", you added.

"I carry you to the bathroom sometimes after we have sex and you can't do it on your own, I can do it now!", he suggested, almost getting up when you threateningly pointed your finger at him, "I'll be quick, Charles!", you smiled.

When you opened the door to get out, Charles was there, "did you wait outside for me?", you quirked your eyebrow, "I did! I didn't want something to happen to you!", he reasoned, "now you have to drink some water to make sure everything is functioning well, and your meds, too!".

Shaking your head at his worry and dedication, you couldn't help but smile, "I love you, Charles, and as much as I'm a little annoyed at the fact that you're my shadow, I must admit I love having you here with me everyday", you smiled, kissing his cheek and then his lips, "I love you, amour, I just want you to be well".

When the next morning came around, Charles guided you to the living room again, making breakfast for you as you sent a few work e-mails explaining what was happening and why you had to take a few days off when a text from Francisca popped up in your phone, saying they were at the door.

Texting her the code to enter the building, you got up to open the door, figuring you would take the same amount of time until they knocked.

"Hi! Quick, quick, quick, before Charles sees I'm up from the sofa", you ushered them to the living room right as Charles was coming out of the kitchen with your breakfast.

"I saw you, Y/N", he sterned as he shook his head, "you cannot stay still, can you, woman?", he teased, setting the tray on the coffee table and chasing you as you hid beside Pierre, "we've been friends for nearly as long a time as I've been Charles' friend, Gasly, don't gang up on me now!", you attempted as Charles picked you up gently, "hey!".

"You had surgery, Y/N", Pierre began, "if he didn't do it, I would do it myself", he snickered as you showed him the middle finger.

"How are you feeling, though?", Francisca asked once you were all sat on the big sofa, "comparing to the pain I had, I'm great, I swear I never felt pain like it", you answered, taking a sip from your tea and cutting the toast Charles made for you.

"You have a full on breakfast here", Pierre pointed out, "of course we have! Y/N needs to replenish and eat so she can heal", Charles stated.

"Anyone who hears him thinks I've had a whole things done to me and what I had it's pretty common", you giggled, "still, I don't mind the attention", you said as you kissed his cheek while Pierre pretend to barf on the side of your sofa.

[tethered-heartstrings]

probably not Exactly what u were talking about, (but jsyk if you do ever have major abdominal surgery): you CAN ask your surgeon for a recording. they will take a video of it if you ask them to. my friend had major spinal surgery as a teenager and they gave her a DVD of the recording! :)

I didn't get a video, but my surgeon did print out some photos (from a laparascopic procedure) of my guts on nice paper! I plan on framing them at some point and hanging them up :)

[drsonilsrivastava]

Dr. Sonil Srivastava | Female Fertility Clinic In Bhopal

The Female Fertility Clinic in Bhopal, led by Dr. Sonil Srivastava, offers expert IVF care for couples struggling with infertility. Their scientific approach and compassionate support create a reliable path to pregnancy. Take the first step towards becoming a parent, ​​consult Dr. Sonil Srivastava at her trusted fertility clinic in Bhopal today!

[tchaikovskym]

Tonight I dreamt that I had to have a laparascopic surgery (as shown in pic below)

And then i was at the hospital and nurse inserted all the instruments and then she told me to go to the neuro department to get my surgery taken (even though the instruments were in my stomach)

And then it was one of those hospitals that is spanned across a large area with different buildings and I walked around it looking for the neuro department and there was this neurosurgeon who thought it was weird that I came in with the instruments in my stomach but he took my in anyway

And then I remember seeing my own insides on the screen (one of the instruments is a camera that shows what's up while the other two are like graspers or scissors or whatever). It also did not look how insides are supposed to look. It was disgusting, but it had bright yellow fat deposits here and there like mold in a skin cave

And I was like "wait, I shouldn't see this, this is disgusting" and tried to sleep during the surgery

And then I didn't wake up for a whole day and had missed my girls hangout and they were all mad at me for ghosting them

[ardentguilt]

Im a trans man and I had a complete hysterectomy last year.

You can essentially have 3 levels that entail removal of different things ranging from just the uterus to the uterus, ovaries and tubes and finally the uterus, ovaries, tubes and cervix (What had done).

The processed can be done as an open surgery OR laparascopically (aka keyhole) and often what one of these is best determined by other factors like whether you’ve had prior abdominal surgery.

As someone who hasn’t had previous abdominal surgery the best bet for me was keyhole.

This entailed 4 small incisions (approx 1cm long each.) one toward the left side of my lower abdomen, one toward the right side of my lower abdomen, one right in the middle toward the top of the pubic region (basically just below the hairline of your pubes) and one vertical incision inside the bellybutton.

The main thing to know about a hysterectomy is that it’s a proceedure that does tend to make you feel VERY tired right after so it’s not uncommon to feel exhausted and do a lot of sleeping during the first 24-48 hours post op.

The proceedure does require catheterisation which can be uncomfortable and in some cases it may not be draining properly which you’ll know because you’ll start feeling discomfort in your bladder area. Just buzz for the nurses and they can sort things out, you may need it repositioned or even just have your bed tilted slightly to get some help from gravity.

Hospital stays are as little as overnight to longer and seems to be dependent on whether you are able to fully empty your bladder without the catheter. If you can do that as there’s no other issues you’re good to go.

While I’m not a cis woman and have been on T for ~8 years now I haven’t noticed any negative side effects of having the proceedure at all, if anything it’s improved my health physically and mentally.

If you want it done go for it and on the chance you might want bio kids in the future but you want your reproductive system gone they CAN harvest and freeze your eggs beforehand.

Now don’t take my word for it when it comes to how painful it is or how long it takes to recover because I’m a medical mystery and generally don’t feel physical pain so I never actually had any pain or discomfort with the proceedure or recovery and healed completely in ~3 weeks 4 days.

If you’ve NEVER had surgery before and are nervous about what it feels like to have surgery it’s literally like taking the best nap of your life. One moment you’re awake and the next you’re coming to in recovery as if no time has passed at all, you’ll probably fall asleep again and next thing you know you’ll be in one of the wards with no memory of how you got there.

For Aussies in the Hunter Valley/Newcastle region one surgeon I highly reccomend is Dr Angela Dunford who works out of Newcastle Fertility Clinic and performs the procedure out of Lingard Private Hospital (actually a really great hospital with great food and attentive caring staff).

She’s a really nice woman who has experience working with both cis women and gender diverse people, is very respectful of the decision to have the proceedure and won’t try to talk you out of it if you’re younger etc.

She also doesn’t believe in charging trans men an insane amount for the surgery because she essentially told me that as far as she’s concerned it’s not an elective procedure but an essential one in the context of a trans patient wanting it done. I mentioned I had limited income and she legit didn’t charge me a cent for the procedure. Sometimes the anaesthetist will charge a fee but I got lucky and mine waived the fee so all I had to pay was whatever fees the hospital charged which generally here is no more that $750 so that’s all I paid for the proceedure then earlier this year the hospital refunded me that cost (not sure why but I wonder whether it was down to my only needing an overnight stay and not requesting any resources like pain relief post op etc???)

As for whether having all this taken out will affect your HRT (ie with it gone will you need a smaller T dose because all that stuff won’t be producing hormones anymore) I did test this with my endocrinologist after having my proceedure and there was no effect on the levels of T in my system and no need to adjust my dose/extend the timeframe between doses.

If anyone has questions about any of this feel free to hit me up and I’m happy to answer and/or give you a link to a Google doc I put together with some info about the surgery (and other FtM transgender stuff like HRT and top surgery)

if you're looking for a sign to get the hysterectomy, get it. if you are wondering if you will feel freer, less burdened, more optimistic, lighter without your uterus, you will. if you simply want to never get periods again, get the hysterectomy. if you want to have sex with a different person every day forever and never worry about getting pregnant, get the hysterectomy. if you don't know whether or not you want to stay on hormones, get the hysterectomy anyway. if you're afraid you're too young, and that people will judge you, get it anyway. you don't have to live in a hostile body. you are the one who gets to decide what it will and will not do.

[drkarimsarhane]

Device and method for a nanofiber wrap to minimize inflammation and scarring

Device and method for a nanofiber wrap to minimize inflammation and scarring Karim Sarhane

Karim Sarhane, MD ABSTRACT The present invention is directed to a device and method for a nanofiber wrap to minimize inflation and scarring of nerve tissue and maximize the nutrient transport. More particularly, the present invention is directed to a novel semi-permeable nanofiber construct prepared from biocompatible materials. The nanofiber construct is applied around a nerve repair site…

[drsrivatsangurumurthy]

Achalasia: Everything You Should Know About This Rare Esophageal Disorder

Achalasia is a relatively rare esophageal motility disorder that affects the way food and liquids pass through the esophagus into the stomach. It is characterized by the inability of the lower esophageal sphincter (LES) to relax properly during swallowing, leading to difficulty in moving food down into the stomach. Dr. Srivatsan Gurumurthy (Robotic surgeon) treats Achalasia cases frequently and understands the importance of raising awareness about this condition. In this blog, He provides a comprehensive overview of Achalasia, its symptoms, causes, diagnosis, treatment options, and outcomes. If You or anyone who is suffering from these diseases or has problems swallowing foods and liquids then you can consult Dr. Srivtasan Gurumurthy at GEM Hospital, Chennai. Let’s Dive in

What is Achalasia?

Achalasia is a disorder that affects the esophagus, the muscular tube that connects the mouth to the stomach. Normally, the LES, a ring-like muscle at the lower end of the esophagus, relaxes to allow food and liquids to enter the stomach. However, in individuals with Achalasia, the LES fails to relax properly, leading to difficulty in swallowing (dysphagia)

What are the symptoms of Achalasia-Cardia?

The most common sign of achalasia is difficulty swallowing. Also, the Patient can experience Other symptoms that may include:

Difficulty in swallowing food or even water

The sensation of food stuck up in the chest.

Regurgitation of undigested food from mouth and nose

Non-cardiac chest pain

Gradual weight loss.

Some may face pneumonia and

You can also face vomiting.

Causes of Achalasia:

The exact cause of Achalasia is not fully understood. It is believed to be a result of nerve damage in the esophagus, leading to the malfunctioning of the LES. Some theories suggest that viral infections or autoimmune reactions may trigger this nerve damage.

Diagnosing Achalasia:

Diagnosing Achalasia requires a series of tests, including:

Esophageal manometry: Measures the pressure inside the esophagus and LES during swallowing.

Barium swallow: X-ray imaging of the esophagus after drinking a liquid containing barium to observe its shape and function.

Endoscopy: A thin, flexible tube with a camera is inserted into the esophagus to examine its lining and rule out other conditions.

Achalasia Treatment Options:

While there is no cure for Achalasia, several treatment options are available to manage its symptoms and improve the patient’s quality of life. These include:

Pneumatic dilation: A balloon is inserted by endoscopy into the center of the esophageal sphincter and inflated to enlarge the opening. This outpatient procedure may need to be repeated if the esophageal sphincter doesn’t stay open. Nearly one-third of people treated with balloon dilation need repeat treatment within five years. This procedure requires sedation.

Heller myotomy: A surgical procedure where the LES muscle is cut to allow better food passage. Dr. Srivatsan Gurumurthy can be done noninvasively (laparoscopic Heller myotomy). Some people who have a Heller myotomy may later develop gastroesophageal reflux disease (GERD). To avoid future problems with GERD, a procedure known as fundoplication might be performed at the same time as a Heller myotomy. In fundoplication, he wraps the top of your stomach around the lower esophagus to create an anti-reflux valve, preventing acid from coming back (GERD) into the esophagus. Fundoplication is usually done with a minimally invasive (laparoscopic) procedure.

Peroral endoscopic myotomy (POEM): A less invasive endoscopic surgery where the LES is cut from inside the esophagus. Peroral endoscopic myotomy (POEM) is a minimally invasive alternative to laparascopic Heller myotomy. In this procedure, muscles on the side of the esophagus, the LES and the upper part of the stomach are cut with a knife. The cuts in these areas loosen the muscles, allowing the esophagus to empty like it normally should, passing food down into your stomach.

Botox injection: This muscle relaxant can be injected directly into the esophageal sphincter with an endoscopic needle. The injections may need to be repeated, and repeat injections may make it more difficult to perform surgery later if needed.

If you or your loved one suffer the problem of Swallowing Foods and liquids may be the reason for Achalasia Cardia Disease, Don’t Ignore it. Visit Dr. Srivatsan Gurumurthy at GEM Hospital, Chennai for better treatment. To book an appointment call us on 099625 33472 or you can book an appointment online

[hannibal-against-guro]

Got restricted on Discord due to pseudo-manic episode, and this is what I posted the moment it timed out:

"[...] v therapeutic. most laparascopic use of moderation in the 21st century, and in technology in general since the invention of robotic surgery. could've save[d] the soviet union from its own incompetence"

[genovianxprince]

If you want ZERO chance of pregnancy, not just "so tiny it might as well be zero but there's always a small chance", I STRONGLY suggest a bilateral salpingectomy instead of a tubal ligation. My insurance covered all of it (other than $400 for the anesthesiologist, typical American insurance!) the same as they would have for a ligation. It's also a laparascopic surgery just like a ligation, similar recovery time (I was back at work after a week and then it was two weeks of getting to sit down + not lift more than 20lbs). If you can get your doctor & insurance to perform/cover the bisalp instead, please do!

Just a reminder to my US peeps that have a uterus:

Stop using period tracking apps. Delete the data. Delete the app. Learn how to manually track and stock up on plan B (has a shelf life of 4 years if stored properly)

[drsonilsrivastava]

Dr. Sonil Srivastava | Best Hysterectomy Surgeon In Bhopal

Trust in Health, with Expertise When it comes to women's surgery, Dr Sonil Srivastava is a trusted choice in Bhopal. She treats patients with understanding and sensitivity, leading to faster recovery and better outcomes.