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Out of no where, a guy cuts me off and nearly causes an accident and finally stopping at Fascino Pharmacy to unveil the truth about availability and cost Ozempic and othe weight loss medicines in Thailand. #pattaya #weightloss #thailand Please Like & hit the Subscribe Button. Please consider buying me a cup of coffee or beer. https://www.buymeacoffee.com/margaritas2 I opened my Members Only area. You can find out more information about it here how to access it & enjoy the special perks: https://www.youtube.com/channel/UCUD7vCGNJEJP3Z_LWkusOLw/join You can now support me directly here on Paypal. Thank you in advance for any and all generosity. https://paypal.me/crownesttraders Some things are meant to be private. Please feel free to Send me a message directly at [email protected] Pattaya Thailand is located at https://maps.app.goo.gl/P3fg8ApYHgAAW7Jc7 Check out the Grab App here https://www.grab.com/th/en/download/ Here’s a link for Bolt App for all your taxi needs. 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Here's my other YouTube channel Treasure in the Sand https://youtube.com/@TreasureInTheSand I'm a retired US Air Force Veteran & a Master Mason. -------------------------------------------------------------------------- Follow me here: - Facebook - https://www.facebook.com/margaritasinparadise?mibextid=ZbWKwL - Instagram - https://instagram.com/margaritasinparadise?igshid=ZDc4ODBmNjlmNQ== - TikTok - https://www.tiktok.com/@tomc32574 Now enjoy life, have some fun and check out my videos. ------------------------------------------------------------------------------------------------------------------ Music by Audionautix.com --------------------------------------------------------------------------------------------------------------------Elly Clarkson Stuns With Weight Loss But Fans Call Out Shocking Detail In Tight Tophttp://www.NoseSinus.com/ https://www.google.com.sg/maps/place/Dr+Kevin+Soh,+Ear+Nose+Throat+Sinus+Head+%26+Neck+Clinic/@1.3049229,103.8331258,17z/data=!4m5!1m2!2m1!1skevin+soh+review!3m1!1s0x31da1992e3f9ff57:0x61af1e7fa8129600 3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510 Dr Kevin Soh describes how a neck mass or lymph node excision is performed. He uses interesting graphics, animation and video to demonstrate the operation. If you have any comments, PLEASE do not be afraid to ask. Please SUBSCRIBE, SHARE, and COMMENT on this video. If you prefer to read, rather than watch the video, here’s the transcript. 0:09 – Case Presentation: A 40 year old lady has a mass on the left side of her neck, measuring 3 cm in size. The mass lies close to the external jugular vein. I can hide her scar by making my incision on the lower skin crease. 0:35 –Surgery video demo: I inject lignocaine (to reduce post-operative pain) and adrenaline (to induce vasoconstriction and reduce bleeding during surgery). I stretch the skin tight in order to facilitate neat skin incision. Because of the adrenaline, the incision is dry and bloodless. 1:11 – I have just cut through the epidermis and dermis. Next, I have to go through the platysma muscle, and search for the mass in the subcutaneous fat. The mass lies in the subcutaneous fat. 1:34 – Surgery is like painting. I use fine gentle strokes. Now I am identifying the platysma muscle. I cut through the platysma muscle. 2:18 – There are important structures in the neck that I need to look out for. Spinal accessory nerve supply motor fibers to the sternomastoid and trapezius muscles. Greater auricular nerve receives sensation from the skin below the ears. 2:44 – I dissect the subcutaneous fat to remove the mass. The mass has to be separated from all its attachments before it can be delivered. 4:41 – I close the wound in layers. I start by suturing the platysma muscle. I suture the platysma muscle in such a way that the knot is buried deep in the wound. 5:33 – Next, I suture the dermis. The needle must bite just the right amount of dermis in order to obtain perfect skin apposition. It is very important to bury the knot. The sutures used for platysma and dermis closure are absorbable sutures. They do not need to be removed. They are absorbed through the process of inflammation. 6:17 – Finally I close the epidermis. Instead of interrupted sutures, I use a continuous subcuticular suturing technique. The epidermis closes when I pull both ends of the suture. For the epidermis, I use non-absorbable sutures that need to be removed 7 days later. Non-absorbable sutures cause less inflammation and scarring. The end result is a very nice cosmetic aesthetic concealed invisible scar. 7:17 – All suture knots (especially absorbable sutures) have to be buried. Unburied absorbable suture knots will result in suture abscess, pain and redness. I also avoid interrupted sutures for the epidermis, because they cause ugly rail-road track or caterpillar marks. Steristrips are applied to provide strength to the wound. 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Always seek the guidance of your doctor with any questions you may have regarding your health or medical condition. 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