Am I missing something?

Subscribe to my fun weekly newsletter (for free!): http://eepurl.com/iaYycn

To check out a previous newsletter, click here: https://mailchi.mp/a9909f90cac....a/why-are-you-having

For more Doc Schmidt content, check out my website: https://www.docschmidt.org/

Check out my children's book here: https://www.amazon.com/Night-Before-Med-School-Medical/dp/B0B193KWXT/ref=sr_1_1?keywords=doc+schmidt&qid=1653339841&sprefix=doc+sc%2Caps%2C202&sr=8-1

Logo and graphics designed by iamlindaayoade.com and loigraphics.com (LOI Graphics Inc.)

Want me to make you a personalized video for you or your friend? Check me out on Cameo!
https://v.cameo.com/DFKBSe2HSib

Want to connect with me and watch more content?
Find me on TikTok!
https://vm.tiktok.com/ZMRFmqKts/

And Instagram!
https://instagram.com/docschmidtig?r=nametag

All content is intended as medical education or entertainment and is NOT intended to be medical advice. If you have any symptoms concerning you, please schedule an appointment with your doctor.

Join my channel to get access to perks! Click link below:
https://www.youtube.com/channe....l/UCLbidg2ZT49dWrxDk

Are you considering cosmetic surgery but worried about finding the right clinic? Do you long for a more youthful, toned, and shapely figure? If so, then you'll want to tune in to our latest video.

In her testimony, Johanna shares her experience of undergoing a breast lift, breast reduction, tummy tuck, and Brazilian butt lift with the skilled team at RG Aesthetics.

Johanna chose RG Aesthetics based on the team’s excellence, safety, and patient satisfaction. Through her honest and transparent storytelling, Johanna takes you along on her journey, detailing her experience of each procedure, the professional and compassionate care she received from our team, and the amazing results she achieved.

Beyond the physical changes, Johanna also shares how the team helped her overcome her fears and anxieties, providing her with the support and guidance she needed to make informed decisions and feel comfortable throughout the entire process.

Whether you're considering a breast lift, breast reduction, tummy tuck, Brazilian butt lift, or any other cosmetic procedure, this video offers an honest and informative account of what to expect from start to finish.

Watch Johanna's story and see for yourself the transformative power of cosmetic surgery.

00:00 Introduction
00:23 How did you decide to get your surgery done from us?
01:12: How was your experience with us.
02:15 When you come to India, you mentioned that in U.S the prices are outrageous.
03:00 What was your thought process when you saw your results for the first time.
03:41 Any message to people who contemplate cosmetic surgeries, but very apprehensive.
04:42 Any message to our team?

Also, don't forget to subscribe to us for more such videos!
Leave your comment below.
____________________________________________

About Dr. Rajat Gupta and RG Aesthetics

At RG Aesthetics, India’s best plastic surgeon, Dr. Rajat Gupta is at your service! With 13 years of experience, brand certification, and international recognition, Dr. Gupta is the solution to all your contouring needs.

His expertise in liposuction techniques combined with the state-of-the-art technology available at RG Aesthetics ensures we continue providing the most reliable services with incredible, instantaneous results!

Our equipment allows for every kind of liposuction there is – especially the minimally invasive kinds. Dr. Gupta reflects RG Aesthetics’ belief of the patient’s comfort always being paramount. Procedures at RG Aesthetics, under Dr. Rajat Gupta, minimize trauma and speed up recovery time for the best results!

#drrajatgupta #rgaesthetics #plasticsurgeon #plasticsurgeondelhi #cosmeticsurgery #plasticsugeryexperience #cosmeticsurgeryexperience #breastlift #breastreductionsurgery #tummytuck #brazilianbuttlift

Review of heart sounds

Background: The number of patients demanding endoscopic neck surgery is rising. The access trauma of the axillary, breast and chest approaches is bigger than in open or video assisted surgery. We tested the feasibility of he sublingual transoral access which is in our opinion the only real minimally...-invasive extracollar endoscopic access to the thyroid gland Methods: We performed an experimental investigation in a porcine model. In 10 pigs we made 10 endoscopic transoral thyroidectomys with a modified axilloscope with the help of ultrasonic scissors and a neuro-monitoring system for identification of the recurrent laryngeal nerve. Results: The average operation time from the introduction to the removal of the obturator just above the larynx was 57 seconds. The mean operation time was 43 minutes. With the help of the neuro-monitoring system we proved in all cases the function of the recurrent laryngeal nerve on both sides. The pigs were observed for another two hours after operation. During and after the operation no complications appeared. Conclusions: We could show that the endoscopic transoral thyroid resection in pigs is possible and save. Our results might be useful for using this access for endoscopic thyroid resection in humans.

This 38 year old woman has increasingly intractable RUQ pain after cholecystectomy done one year prior. LFTs and pancreatic enzymes have been normal, and ducts are non-dilated, thus she is a Type III possible SOD patient. Initial goal is to define course of pancreatic duct for manometry. 5-4-3 Co...ntour catheter (Boston Scientific) is used to perform the pancreatogram which shows a small straight distal duct. The aspirating triple lumen manometry catheter (Wilson Cook) is used to cannulate the pancreatic duct, with continuous aspiration of fluid once the duct is entered. Careful stationed pullthrough manometry shows markedly abnormal basal pressures in both leads in the pancreatic sphincter. Plan is dual pancreatic and biliary sphincterotomy. Biliary manometry will not now change our plan therefore is omitted. Our first goal is to access the pancreatic duct so we can guarantee wire access for placement of a small caliber pancreatic stent which is critical for safety. Contrast is injected as the 0.018in Roadrunner wire (Wilson Cook) is advanced in order to outline the course of main duct. A separate biliary orifice is clearly seen, unusual in SOD patients. A soft 4Fr 3cm single inner flange pancreatic stent (Hobbs Medical) is placed. We did not want to use our typical 9cm long unflanged stent as even a 3 or 4 French stent might be traumatic to the tiny caliber of this duct out in the body of the gland. Next the bile duct is cannulated with a papillotome (Autotome 39, Boston Scientific), showing a small perhaps 6mm bile duct. Biliary sphincterotomy is performed in very careful stepwise fashion as landmarks are unclear and perforation is higher risk in small duct SOD patients. On the other hand, inadequate sphincterotomies offer limited chance of symptom relief. You can see here a patulous sphincterotomy. Next a pancreatic sphincterotomy is performed with the needle knife (Boston Scientific) over the pancreatic stent. Again this is performed cautiously due to the small size of the pancreatic duct. We are reaching along the stent and cutting the fibers deeply. This is a limited pancreatic sphincterotomy due to small pancreatic duct size, and concern for scarring of the pancreatic duct. It is important to document passage of the stent by xray or remove it endoscopically with two weeks or so. We and many other specialized centers perform dual sphincterotomies at the first ERCP in all SOD patients with abnormal pancreatic manometry and frequent or intractable symptoms based on the belief that response rates are better than for biliary sphincterotomy alone.

A video showing how to draw blood for sampling

Cornea Transplant

Una revision unica de fertilizacion, desarrollo embrionario y de los procedimientos llevados acabo durante un ciclo de fertilizacion invitro. Tome un tour virtual exclusivo de unos de los laboratorios de fertilizacion invitro mas avanzados del mundo y con tecnologia de punta en reproduccion asistida para que conozca con mas detalle como RMA de NY realiza estos procedimientos bajo control estricto de calidad.
Este video proporciona documentacion acerca de la aspiracion de ovulos, inseminacion de ovulos, desarrollo embrionario desde etapa de clivaje (2-3 dias) hasta etapa de blastocisto (5-6 dias), inyeccion intracitplasmatica de esperma (ICSI)), eclosion asistida, transferencia embrionaria y congelacion de embriones.

Mexico City
Dr. Benjamin Sandler
Reproductive Medicine Associates International
http://www.rmany.com/mexicointernatio...
Prolongacion Paseo de la Reforma 1232, Oficina 1213
Colonia Lomas de Bezares
Delegacion Miguel Hidalgo
Mexico, Distrito Federal 11910
Tel: 011-52-55-2167-2515
Fax: 011-52-55-2167-6434

A video showing an Exaggerated Knee Reflex

Brain Worm Infection

M.Torabi Nami MD, PhDc Department of Neuroscience Institute for Cognitive Science Studies (ICSS), Tehran 15948 Iran Torabi_m@iricss.org Abstract Sleepiness, tiredness and fatigue are complaints which must be thoroughly analyzed to eliminate blur and ambiguity. Physiological sleepiness (“sleep pressure”) increases while being awake and additionally underlies the circadian rhythm with a lower threshold to fall asleep during night time. Excessive daytime sleepiness (EDS) is considered normal only after sleep deprivation. Clinically, EDS manifests by frequents daytime napping and/or reduced alertness with automatic behavior or - in its extreme form - in recurrent attacks of sudden, uncontrollable compulsion to sleep also in inappropriate situations (= “sleep attacks”). EDS is “objectively” addressed by measuring the mean sleep latency to four to five nap opportunities throughout the day using the multiple sleep latency test (MSLT) or the maintenance of wakefulness test (MWT). EDS denotes both, a ready entrance into sleep as well as difficulty in staying awake during daytime or accordingly in inappropriate situations. These two partially independent aspects of EDS are separately assessed by the “passive” MSLT and the “active” MWT respectively. For that reason the MSLT and MWT only weakly correlate with each other when tested over a broad range of patients with EDS. It is important to keep in mind, that these tests are importantly influenced by a great variety of factors such as mood, anxiety, and motivation. “Vigilance” comprises wakefulness, alertness and attention and therefore is more than just the reciprocal to sleepiness. Cognitive performance tasks such as Steer Clear Reaction Time Test (SCRTT) or driving simulators require the complete integrity of vigilance to achieve normal results. Hypersomnia is usually broadly defined as the combination of abnormally prolonged night-time sleep (regularly >10 h) with EDS during ≥1 months. On the other hand, the term hypersomnia has also been used in a narrower scene for the isolated abnormality of a prolonged night-time sleep need (>10 h). “Tiredness”, also in colloquial language often used for sleepiness, in a broader sense also describes the feeling of lack of energy, motivation and initiative. These patients seek rest rather than sleep. They often cannot fall asleep when given the opportunity in spite of feeling tired, and hence, in an MSLT, do not show an abnormally short sleep latency. Furthermore, tiredness (and fatigue) as opposed to sleepiness has a mental (“central”) and physiological (bodily or “peripheral”) component, which the patients can readily distinguish. Patients with insomnia, mild sleep apnea syndrome, or depression rather suffer from mental tiredness than sleepiness during the day. The simple subjective self-assessment using the Epworth Sleepiness Scale (ESS) quite reliably differentiates between sleepiness and mental tiredness (without sleepiness), which makes it a widely used test. The term “fatigue” is also heterogeneously used. In physiology the “fatigue” implied a “time on task performance decrement” to describe decreasing muscle force during a sustained physical effort. In clinical medicine one distinguishes physical (“peripheral”) from mental (“central”) fatigue and the term usually denotes a chronic and more abnormal situation than tiredness. In a broad sense “fatigue” implies a deficiency in coping satisfactorily with mental and physical work load. The chronic fatigue syndrome entails both mental as well as a physical fatigue (so called “leaden paralysis” of limbs). Depressive states are often associated with insomnia and fatigue, but there are also cases with hypersomnia rather than insomnia ( non organic hypersomnia , “atypical depression” or “hypersom

Renal transplantation is the treatment of choice for a minority of patients with end-stage renal disease (ESRD). Most adult patients with ESRD are never referred for evaluation for transplantation, and have a 70% 5-year mortality on dialysis. Marked improvements in early graft survival and long-term graft function have made kidney transplantation a more cost-effective alternative to dialysis. In the United States, over 375,000 kidney transplants have been performed, and in 2012, 191,400 patients were alive and with a functioning transplanted kidney; currently, more than 101,000 patients are waiting for kidney transplants.[1, 2] Before the advent of immunosuppression, renal transplantation was limited to identical twins and was not applicable to the vast majority of patients with ESRD. The introduction of combined azathioprine-steroid therapy in 1963 produced encouraging results and became the mainstay of immunosuppression. Although this therapy improved the results of transplantation, acute rejection and complications associated with steroid therapy persisted. The introduction of cyclosporine in 1983 significantly improved the outcomes of all solid-organ transplants by reducing the risk of rejection. Further innovations, including anti–T cell antibodies (both monoclonal and polyclonal preparations), as well as other maintenance immunosuppressants (eg, tacrolimus, mycophenolate, sirolimus), have made a significant impact on both patient and graft survival. Currently, 1-year patient and graft survival rates exceed 90% in most transplant centers. For patient education information, see Kidney Transplant and the Mayo Clinic's kidney transplant information Web page.

What is polycystic kidney disease? Polycystic kidney disease (also called PKD) causes numerous cysts to grow in the kidneys. These cysts are filled with fluid. If too many cysts grow or if they get too big, the kidneys can become damaged. PKD cysts can slowly replace much of the kidneys, reducing kidney function and leading to kidney failure. How common is PKD? In the United States about 600,000 people have PKD. It is the fourth leading cause of kidney failure. It is found in all races and occurs equally in men and women. It causes about 5% of all kidney failure. What other organs besides the kidney are affected by PKD? PKD can affect other organs besides the kidney. People with PKD may have cysts in their liver, pancreas, spleen, ovaries, and large bowel. Cysts in these organs usually do not cause serious problems, but can in some people. PKD can also affect the brain or heart. If PKD affects the brain, it can cause an aneurysm. An aneurysm is a bulging blood vessel that can burst, resulting in a stroke or even death. If PKD affects the heart, the valves can become floppy, resulting in a heart murmur in some patients. What are the clues that someone has PKD? Most people do not develop symptoms until they are 30 to 40 years old. The first noticeable signs and symptoms may include: Back or side pain An increase in the size of the abdomen Blood in the urine Frequent bladder or kidney infections High blood pressure High blood pressure is the most common sign of PKD. Occasionally, patients may develop headaches related to high blood pressure or their doctors may detect high blood pressure during a routine physical exam. Because high blood pressure can cause kidney damage, it is very important to treat it. In fact, treatment of high blood pressure can help slow or even prevent kidney failure. Fluttering or pounding in the chest About 25% of PKD patients have a so-called floppy valve in the heart, and may experience a fluttering or pounding in the chest as well as chest pain. These symptoms almost always disappear on their own but may be the first hint that someone has PKD. How is PKD diagnosed? Ultrasound is the most reliable, inexpensive and non-invasive way to diagnose PKD. If someone at risk for PKD is older than 40 years and has a normal ultrasound of the kidneys, he or she probably does not have PKD. Occasionally, a CT scan (computed tomography scan) and MRI (magnetic resonance imaging) may detect smaller cysts that cannot be found by an ultrasound. MRI is used to measure and monitor volume and growth of kidneys and cysts. In some situations, genetic testing might also be done. This involves a blood test that checks for abnormal genes that cause the disease. Genetic testing is not recommended for everyone. The test is costly, and it also fails to detect PKD in about 15% of people who have it. However, genetic testing can be useful when a person: has an uncertain diagnosis based on imaging tests has a family history of PKD and wants to donate a kidney is younger than 30-years old with a family history of PKD and a negative ultrasound, and is planning to start a family

Graves disease is an autoimmune disorder that leads to an overactive thyroid gland (hyperthyroidism). An autoimmune disorder is a condition that occurs when the immune system mistakenly attacks healthy tissue. Causes The thyroid gland is an important organ of the endocrine system. The gland is located at the front of the neck above where the collarbones meet. This gland releases the hormones thyroxine (T4) and triiodothyronine (T3), which control body metabolism. Controlling metabolism is important for regulating mood, weight, and mental and physical energy levels. When the body makes too much thyroid hormone, the condition is called hyperthyroidism. (An underactive thyroid leads to hypothyroidism.) Graves disease is the most common cause of hyperthyroidism. It is due to an abnormal immune system response that causes the thyroid gland to produce too much thyroid hormone. Graves disease is most common in women over age 20. But the disorder can occur at any age and can affect men as well. Symptoms Younger people may have these symptoms: Anxiety or nervousness, as well as problems sleeping Breast enlargement in men (possible) Problems concentrating Fatigue Frequent bowel movements Hair loss Heat intolerance and increased sweating Increased appetite, despite having weight loss Irregular menstrual periods in women Muscle weakness of the hips and shoulders Moodiness, including irritability and anger Rapid or irregular heartbeat Shortness of breath with activity Tremor Many people with Graves disease have problems with their eyes: The eyeballs may seem to be bulging out and may be painful. Eyes can feel irritated and be tearing. Double vision may be present. Older people may have these symptoms: Rapid or irregular heartbeat Chest pain Memory loss Weakness and fatigue

EART (Health Education and Rescue Training) Wilderness First Aid is an intensive course that covers patient examination and evaluation, body systems and anatomy, wound care, splinting, environmental emergencies, and backcountry medicine. Hands-on simulations provide first-hand training in treating patients. This is an excellent course taught by experienced Wilderness First Responders and Emergency Medical Technicians and is highly recommended to all wilderness travelers. People who pass the courses will receive a Wilderness First Aid certification from the Emergency Care and Safety Institute (ECSI) which is good for 2 years. Participants who successfully pass CPR and HEART Wilderness First Aid will have met the First Aid requirements for OA Leader Training.

New CPR Guidelines For Adults

Vertigo is a sensation of spinning. If you have these dizzy spells, you might feel like you are spinning or that the world around you is spinning. Causes of Vertigo Vertigo is often caused by an inner ear problem. Some of the most common causes include: BPPV. These initials stand for benign paroxysmal positional vertigo. BPPV occurs when tiny calcium particles (canaliths) clump up in canals of the inner ear. The inner ear sends signals to the brain about head and body movements relative to gravity. It helps you keep your balance. BPPV can occur for no known reason and may be associated with age. Meniere's disease. This is an inner ear disorder thought to be caused by a buildup of fluid and changing pressure in the ear. It can cause episodes of vertigo along with ringing in the ears (tinnitus) and hearing loss. Vestibular neuritis or labyrinthitis. This is an inner ear problem usually related to infection (usually viral). The infection causes inflammation in the inner ear around nerves that are important for helping the body sense balance

The increased risk of thrombosis in patients with active cancer has multiple causes. Acute thrombosis of the aorta is an exceedingly rare but potentially devastating complication in patients with cancer receiving cisplatin-based chemotherapy. Prompt diagnosis and definitive treatment are imperative to decrease morbidity and mortality. Early diagnosis is difficult because initial presentation is often nonspecific, requiring a high degree of clinical suspicion. We report 4 cases of acute thrombosis of the abdominal aorta in patients with cancer receiving cisplatin-based chemotherapy. We review the clinical aspects, recommended investigation, and treatment of this potentially fatal complication.

Maybe you're just really eager to get pregnant, or maybe you hope that your baby will be born at a certain time of year. Here are five ways to boost your chances of conceiving quickly – along with tips for a healthy pregnancy and guidelines on when to be concerned about a fertility problem. Tip #1: See your healthcare provider You can lay the groundwork for a healthy pregnancy even before you get pregnant. You're more likely to have a successful pregnancy when your body is up to the task. Schedule a preconception checkup with a doctor or midwife to find out whether you're in your best baby-making shape – and to learn what changes may help. You may not be able to get an appointment right away or resolve any health issues immediately, but taking these steps as soon as possible can help you conceive more easily in the long run. Tip #2: Plan for a healthy pregnancy When you're trying to conceive, eat nutritious foods, maintain a healthy weight, get regular exercise, and try to kick any bad habits (like drinking, smoking, or using drugs). Limit your caffeine intake to less than 200 milligrams a day (about 12 ounces of coffee). Any more than that may contribute to fertility problems. At your preconception appointment, discuss any medications you're taking and find out if they'll be safe to use during pregnancy. You can dramatically reduce the risk of certain birth defects if you begin taking folic acid at least one month before you start trying to conceive. Find out what else you can do ahead of time to give your baby a healthy start. Tip #3: Figure out when you ovulate The biggest secret to getting pregnant quickly is knowing when you ovulate (release an egg from your ovary). You ovulate only once each menstrual cycle, and there are just a few days during that time when it's possible to conceive. Knowing when you ovulate means that you and your partner can time intercourse to have the best chance of getting pregnant that cycle. You can use a few different methods to figure out when you ovulate. Our article on predicting ovulation walks you through them. This ovulation calculator also does the math for you by determining when you're most likely to be fertile. (If you have irregular periods, pinpointing ovulation could be difficult. Ask your provider for advice.) Tip #4: Have sex at the right time Once you know the timeframe your egg is likely to be released from your ovary, you can plan to have sex during your most fertile days, which is usually about three days before ovulation through the day you ovulate. You have a range of days for baby-making sex because sperm can survive for three to six days in your body. (Your egg survives for only about a day.) That means if you have sex on Monday, sperm can survive in your fallopian tubes until Thursday – or even as late as Sunday. If you're not sure when your fertile period will be, just have sex every other day. This means you'll have healthy sperm in your fallopian tubes whenever your egg gets released. (If you want to have sex more often than every other day, that's fine. It won't improve your chances any more, but it won't hurt, either.) Another tip: If you and your partner are waiting to have sex until your most fertile time, make sure you haven't gone through too long of a dry spell beforehand. Your partner should ejaculate at least once in the days just before your most fertile period. Otherwise there could be a buildup of dead sperm in his semen. (Ed. note: Vaginal lubricants including saliva, olive oil, and most water-based lubricants can slow down sperm. Ask your provider to recommend one that's safe to use when trying to conceive. Canola oil can be a good alternative.) Tip #5: Give sperm a boost Sperm have the best shot of fertilizing an egg when they're healthy, strong, and plentiful. Your partner can do several things to help: Cut back on alcohol. Studies show that drinking daily can lower testosterone levels and sperm counts, increasing the number of abnormal sperm. Skip tobacco and recreational drugs. These can cause poor sperm function. Try to maintain a healthy weight. Obesity can lower sperm count and slow down sperm. Get enough of certain key nutrients – like zinc, folic acid, calcium, and vitamins C and D – that help create strong and plentiful sperm. Don't use hot tubs and saunas or take hot baths because heat kills sperm. (Testicles function best at 94 to 96 degrees Fahrenheit, a couple of degrees cooler than normal body temperature.) The sooner your partner can make these changes, the better: Sperm take a while to mature, so any improvements now will yield better sperm specimens about three months from now. How long to try before getting help If you're going to get pregnant naturally, it's very likely to happen within the first six months. About 8 out of 10 couples have conceived by then. After that, how long you should keep trying before you seek help from a fertility specialist depends in large part on your age. Fertility declines as you get older, so if you're age 40 or older, get help from an expert right away. If you're 35 to 40, talk to a specialist after you've tried for six months with no luck. And if you're younger than 35, it's probably fine to keep trying for a year before seeking assistance. Of course, if you know of a reason you or your partner are more likely to have a fertility problem, make an appointment right away. There's no reason to wait in that case.