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http://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. They also cover the wound and prevent contamination.
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The ketogenic diet has taken the world by storm in recent years, with many people turning to this low-carb, high-fat diet as a way to lose weight and improve their health. One product that has gained a lot of attention in the keto community is Keto Slim. This supplement claims to help boost ketosis, burn fat, and increase energy levels, making it easier for people to reach their weight loss goals.
The Journey of Keto Slim on Shark Tank
Keto Slim first gained national attention when it appeared on the popular television show Shark Tank. The founders of Keto Slim were able to pitch their product to the sharks, who were impressed by the science behind the supplement and the results that users were seeing. Several of the sharks were eager to invest in Keto Slim, ultimately leading to a successful deal that helped propel the product into the mainstream.
Since its appearance on Shark Tank, Keto Slim has continued to grow in popularity, with many users reporting significant weight loss and other health benefits. The supplement is now widely available online and in stores, making it easier than ever for people to try it for themselves.
What sets Keto Slim apart from other weight loss supplements is its focus on ketosis. Ketosis is a metabolic state in which the body burns fat for fuel instead of carbs, leading to rapid weight loss. By helping to kickstart and maintain ketosis, Keto Slim is able to help users burn fat more efficiently and reach their weight loss goals faster.
The Science Behind Keto Slim
Keto Slim contains a unique blend of ingredients that are designed to help support ketosis and promote fat burning. One key ingredient in Keto Slim is beta-hydroxybutyrate (BHB), a ketone that the body produces during ketosis. By consuming BHB in supplement form, users can help increase their blood ketone levels and stay in ketosis longer, leading to faster weight loss.
In addition to BHB, Keto Slim also contains other natural ingredients such as green tea extract and MCT oil. Green tea extract is known for its metabolism-boosting properties, while MCT oil is a type of fat that is quickly converted into energy by the body. These ingredients work together to help support weight loss and increase energy levels, making it easier for users to stick to their keto diet and exercise routine.
Another benefit of Keto Slim is its ability to help reduce cravings and improve mental focus. Many people struggle with food cravings and low energy levels when starting a keto diet, but Keto Slim can help mitigate these side effects by providing a steady source of energy and promoting satiety. This can make it easier for users to stick to their diet and see results more quickly.
Frequently Asked Questions About Keto Slim
1. Is Keto Slim safe to use?
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Yes, Keto Slim is made with natural ingredients and is generally considered safe for most people. However, as with any supplement, it’s always a good idea to consult with a healthcare provider before starting a new regimen, especially if you have any underlying health conditions or are taking medications.
2. How quickly can I expect to see results with Keto Slim?
Results with Keto Slim can vary from person to person, but many users report seeing noticeable changes within a few weeks of starting the supplement. For best results, it’s important to combine Keto Slim with a healthy diet and regular exercise routine.
3. Can I use Keto Slim if I’m not following a keto diet?
While Keto Slim is designed to support ketosis, it can still be beneficial for people who are not following a strict keto diet. The supplement can help boost energy levels, increase metabolism, and reduce cravings, making it easier to lose weight regardless of your dietary preferences.
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