#trachestomy

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[thatconfusedanon]

[The room that seems to be an ICU is in the back of the clinic, and even if it was cleaned up from TPM's stay with sheets replaced and everything wiped down, there's still a few signs of the past resident. Sterile suction kits piled to a side, G-tube feeding supplies and a stand for it, the oxygen machine set up to connect to a trachestomy instead of any other form of oxygen... a deck of children's Go Fish cards.]

[All sorts of clinic goodies can be found in the cabinets and in nearby closets. There's an autoclave in a side room closer to the front of the clinic for anything that needs to be formally sterilized.]

[How was the ventilator set up? Was this full intubation?]

*One look around and Oakly already felt at home. Similar to what they're used to working with. First thing was first. They set Coffee down in a chair to better clean everything up and get it set for the next patient. Once everything was cleaned up they'd lay Coffee down, gently resting his head. They raised the bed slight enough so he wasn't entirely on his back at least slightly angled. Next came the monitor, they pulled it over and attached the leads on his chest in just the right spot and booted it up. Next came the ventilator, a full intubation would have to be required and with that comes a procedure. They planned for it, getting tools nessecary for it, making sure they were sterlized...*

*They checked out the ventilator, this would work out just fine for Coffee...*

[leechangjoons]

Name: Jinhee Shifter Form: Regigigas Appearance: A tan, lean man with a dark stare, Jinhee's face, framed by a set of comfortable half-rimmed spectacles, never seems to hold any other expression outside contempt. He leans on a set of loop crutches, and a trachestomy tube is visible on his neck, something he rarely hides - even then, his Tidal Bell rests on a second chain around his neck that is prominently displayed in front of him. He's often dressed in a simple white office shirt and light green pants, showcasing the runic symbols of his patron on his arms, and just like the other golems, he has small scars on top and below his eyes and three evenly-spaced scars down his nosebridge that open into pupilless gemlike "eyes" while he uses his abilities. Personality: Reserved, otherwise stoic and intelligent, Jinhee's life is racked with pain and misery and is something he actively takes out on others. A self-absorbed but also brilliant man with his craft honed down to an art, Jinhee has little tolerance for failure even to himself, and is otherwise an intensely focused man whose vengeance and eventual fall from grace is often lamented. Even now, picking the pieces up from his vengeful obsession, his anger has subsided significantly as he channels his intensity to other causes, as if the strong power that courses through his very form has mellowed. History: Once an ambitious assemblyman whose family specialised in pottery and archaelogical restoration, Jinhee's fall from grace would've been catalysed by his colleague, Sungha, someone he would've otherwise called a friend. An accident travelling to a snowy temple close to the North would see Jinhee become partially paralysed, no longer able to pursue the craft he grew up with and missing his window for a hotly contested running for presidency, and Sungha and his wife Yoonah would become the subject for Jinhee's drawn-out revenge, bitter that he'd been robbed of everything and betrayed by Sungha's inaction.

In this, however, Jinhee would inherit the power of Regigigas, the architect and master of the golems, and would use this power to contest Yoonah's presidential term throughout - he neither bent to her threats nor cared for any benefit she could offer him, his singleminded obsession with ensuring both she and Sungha would receive the same social assassination he had eclipsing the reason he once held. Even manipulating the golems that served under him, sentient individuals, did not deter his advance.

Eventually, however, this would backfire severely as all the golems overcharged and fell inert - he would have blood on his hands killing four otherwise innocent individuals and severely wounding another, and when the survivor, Okbin, would find him again, the defeated Jinhee yielded his Tidal Bell, the brunt of his vengeance finally allowing him some clarity in what he'd just committed.

There was still a silver lining in matters as he'd been brought back to custody - therapy that would perhaps alleviate his pain even slightly, as long as he'd agreed to restorative effects for the destruction he'd wrought. With no room to deny it, and being disallowed to die, Jinhee reluctantly agreed and was transferred to Stellaris Energy, where he would serve the rest of his term applying his knowledge to less dangerous efforts.

With physiotherapy, Jinhee once again got to his feet and that was when Regigigas found him again. He accepts immortality a second time, this time with renewed purpose, and now runs Titan Antiques, a quiet shophouse that deals in collector's relics. Powers: Like his counterpart, Jinhee is able to withstand extreme temperatures and has inhuman strength allowing him to move even large swathes of land - being an architect by trade also allows him to use his abilities to shape any element of his choice and transmute them into structures or even semi-sentient beings. He is functionally immune to the material he is transmuting, so even poisons or lava have no effect on him if he is shaping them with his hands.

He is also able to restore divine artifacts as well as imbue artifacts with divinity (with the corresponding god's consent), which makes him the only Chosen able to reverse the "death" of another Chosen through destroying their artifact.

He is also able to remotely seize control of his patron's "creations" (Bumsoo, Okbin, Hyunwook, Jihoon and Yikang) and telepathically communicate with them, even to the point where he can impose his will on them if he desires. Immortal/Semi-Immortal?: Immortal Alignment: Neutral Evil Other: Stinkyyyy

[talesofpersephone]

[..] One of my early memories after being awaken from pharmacological induced coma was feeling of lethargy. Like everything came in slowmotion. I dont know who I was or what happened even I noticed several changes in my body. In one minute md of anesthesiology check up on me in Intensive care supervising room, in 2nd I was on treatment room feeling familiar coldness of steel bed. Saw my surgeon prepare to perform trachestomy. Sharp scalpel cutted an 3centimeter hole along my neck,above collar bones, I didnt feel pain, only pressure. Doctor Starościak pat my forehead, as I shed some tears. Then I floated again, slowly diving into unknown as my conscious shut down.

[researchonglobalmarkets-blog]

What registration process does the Medical Devices Market in India follow?

Earlier Indian manufacturers could sell medical devices without any jurisdiction. Post 2016, medical devices being manufactured in India and entering India must be in compliance with the Indian Medical Device Regulations set forth by the CDSCO. The CDSCO lays down the standards for drugs, approval and regulation of new drugs and control over the quality of imported drugs.

According to research by a leading market research company the medical devices market in India was valued at INR 338.62 Bn in 2017, and is expected to reach INR 794.29 Bn by the end of 2023, expanding at a compound annual growth rate (CAGR) of ~15.27% during the 2018-2023 period.

Below are the steps the medical devices market in India need to follow to get registered:

1. Determine if the product needs to be registered: Medical devices that require registration in India include syringes, spinal needles, cochlear implants, dental implants, annuloplasty rings, trachestomy tubes, surgical sealants, cardiac stents, endotracheal tubes and catheters. These devices need to be registered with the CDSCO and the process takes anywhere between 4 to 12 weeks.

2. Appoint an authorised Indian agent: Foreign manufactures need an Indian representative who will act as appoint of contact, assist in the registration process and event reporting.

3. Submission of documents: The list of documents required to start the registration process are • Form 40 • TR6 challan • Power of Attorney • Schedule D(1) • ISO 13485 Certificate • Declaration of Conformity • Free Sale Certificate • Other regulatory approvals

4. Obtain registration certificate in form 41: The CDSCO will get back to the Indian Agent after the document submissions with the first query letter. After receiving the answers, license is granted and the registration certificate is valid for 3 years.

5. Marketing in India: The product is ready to enter the Indian market once the registration certificate and license is issued.

Download the free sample reports: https://www.researchonglobalmarkets.com/free-reports

[itunesbooks]

Handbook of ENT - Dr. K. K. Sharan

Handbook of ENT Dr. K. K. Sharan Genre: Medical Price: $2.99 Publish Date: May 14, 2018 Publisher: Notion Press Seller: Notion Press Media Private Limited The Handbook of ENT, authored by Dr. K. K. Sharan is a very comprehensive book that covers important topics regarding the diseases of ear, nose and throat regions quite elaborately. Throughout the book, he has discussed the intricacies of otorhinolaryngology with great sophistication yet simple presentation and lucid design. The author has described the diseases of the region and started with the scheme and manner of examination, diagnosis and treatment. His discussion of Otorhinolaryngology is scholarly and will help ENT practitioners in examination, diagnosis and treatment of diseases of ear with greater competence and insight. On rhinology, he has outlined many ailments of nose like mid-line granuloma, diseases of paranasal and frontal sinuses, nasal polyp etc. and its management. His exercise on rhinology will definitely add to the field of knowledge on the subject. On oropharynx, laryngopharynx and larynx, the book deals with ailments like acute follicular tonsillitis, chronic tonsillitis, carcinoma of tonsils, stridor, hoarseness of voice, etc. and will be very useful for undergraduate as well as post-graduate students and quite an addition for ENT surgeons dealing with complicacies and ailments of laryngeal region. His discussion on salivary and pituitary glands is masterly. Surgical procedures like Septoplasty, Trachestomy and Mastoidectomy have been discussed in detail. http://bit.ly/2LJtzXS

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Hello Winter!

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Don't worry, be happy!

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...enjoying the moment...

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