#this is also like a problem most of the surgeons can thankfully relate to

[thebrochtuarachs]

Something in the Rain - “Friday Lunch”

A/N: I’m sorry I posted this a week late but I had work to do over the weekend and couldn’t squeeze it in. But alas, here I am at 2:00AM posting this as inspiration struck and I wanted to share this new chapter with you all even with pending work waiting tomorrow morning. :) Thank you for reading and all your lovely comments on this little fic. <3 Again, this fic is me trying to get back into writing so some things might be off. I also noticed that I didn’t really set a particular location for this fic so I invented most of the areas where this is set but in essence, think of it in major CBD areas. I hope this update brings a little joy to you as we continue to stay home in this pandemic. As always, your comments and suggestions are always welcome. Lots of love, M.

AO3  / C1: A Day In June : C2: Definitely, Maybe : C3: So We Meet Again 

XXXX

Jamie scheduled to arrive 15 minutes early for their meeting to make sure that they were able to get a seat before the lunch rush. Nothing extraordinary was happening on this particular Friday with only some paperwork and quick calls taking his time so there was no rush to get back to the office. 

Just as he left his building, he spotted Claire at the crossing heading to the plaza. 

“Claire! Wait up!” Jamie called out as he tried to catch her but to his surprise, Claire ignored him and crossed the street nonetheless. Confused at first, Jamie let it go and went with the next group of people. 

When he arrived at the restaurant, Claire acknowledged him with a cheerful greeting. “Hi! I just arrived, thought I’d come a little early to save us a seat.” 

“I know.” Jamie replied casually but Claire’s questioned look prompted him to follow through quickly. “I saw you earlier just before you crossed the street. I called your name but maybe you didn’t hear me”

“Oh, I’m so sorry, I probably didn’t. I usually have my headphones on when walking and completely unaware of anything except well...walking.”

“No worries. It’s all good.” Jamie replied, thankful for the explanation but it was no big deal really because what’s more important to him was that she was there. “Did you order yet?” 

“No, not yet, was waiting for you. I’d probably get the soy chicken chops today. How about you? What are you ordering? How was your chicken yesterday?” 

“It was really good and tasty! Now, I know why you come here weekly.” he stood, ready to get in line. “I’ll probably have what you’ll be getting. Any drink preference?” 

“Maybe a large red iced tea” Claire said, taking out her wallet to get some cash.

“No need.” Jamie halted Claire as humbly as he could hoping that she saw the genuineness of his lunch offer. “It’s my treat today for introducing me to this meal.” 

Claire mused initially but accepted his kind gesture. “Thank you.” 

Jamie came back with their food and added french fries for a side dish. “This is for sharing, feel free to get some” He said, serving their food and giving the tray back to the counter. 

If Jamie thought there would be an awkwardness to their sudden acquaintanceship, he thought wrong. There was something about Claire that just puts him at ease. 

“You know, come to think of it, I should be treating you for sharing your umbrella the other day.” Claire said, beginning to eat and Jamie following suit. 

“Well, I’m currently and probably addicted to this chicken now so, call it even.” 

“Haha, sure.” 

“So, what are you specializing in?” Jamie asked, continuing the conversation. 

“I’m a pediatric neonatal surgeon at North Hope General Hospital. I’m finishing, or hoping to finish, my residency in a year. How about you?” 

“I’m an associate lawyer with Fraser Clan Law.” 

“Oh, that’s why your name was familiar. Your family’s company has been here in the city forever, almost like an institution!”

“Yeah, been here for around 50 years. My grandfather started it and now my father is heading it and I joined a few years back after I finished law school.” 

“Is it something you’d always planned? Joining the family business?”

“Kind off, yes. I have been going to the office since I was young so I grew up in that place. But I learned to love the profession as well, seeing my family do it, defending and fighting for justice… gives me a thrill.” 

“I can relate to that somehow. Whenever I’m in the O.R., saving a life, especially babies, seeing the look on the parents face when they see and hold their child for the first time. Nothing makes me happier than keeping families together, it’s just the best” 

The rest of the hour flew by fast as they exchanged interesting work stories. Thankfully, Claire wasn’t bored with the cases and Jamie wasn’t squirmish with blood. However, by the time they we’re opening a new topic, they had to get back to work. 

“Mind if I walk you back to the hospital?” Jamie asked as they exited the restaurant. 

“I wouldn’t mind. But, I’m actually heading to the same building you dropped me off last week.” Claire said as they made her way. 

It was a shorter walk then, Jamie thought, but glad she agreed. “Lead the way.” He pointed across the street. “Do you have a clinic there?” 

“Somewhat?” Claire began to answer as they crossed the street. “I help run a free extra-curriculars school for kids from nearby orphanages and shelters. We have art classes, dance classes, theater, books, etc. Whatever interest kids have, we might have it. Also from time to time, I do check-up the kids if they’re healthy too”

With Jamie’s silence, Claire looked to him and found him smiling. “What?” 

“I never would’ve guessed that was what you’re doing here.” He answered, Claire shyly shrugged. “What prompted this venture?”  

Before she was able to answer, a man called out to Claire ahead of her building. 

“Claire, are you heading up?” a slender man in a three-piece brown suit approached them, holding a cup of coffee on his right hand. “Oh, I’m sorry. I didn’t mean to interrupt.”

“No problem and yes, I am heading up. Would not want to miss the puppet show.” she replied. “Oh, Jamie Fraser, this is Frank Randall. Frank Randall, Jamie Fraser. Frank volunteers here as a history teacher to the kids.” 

“Fraser? Like the law family Frasers?” Frank asked, extending a hand.

“Erm, yes. Hi, I’m Jamie.” Jamie replied, taking the handshake. 

“Frank, nice to meet you.” 

“Well, I wouldn’t want you to be late for the puppet show so, I’ll let you be on your way.” Jamie gestured to Claire. “Thank you for lunch.” 

“No, thank you for lunch and the walk here.” Claire turned to Jamie in response. She could see there was something on his mind but the presence of Frank was holding him back and if her instincts were right, they were thinking of the same thing. 

“Well, I’ll get going. It was nice meeting you, Frank.” 

“Wait!” Claire called as Jamie turned to leave. “Same time next week?” she asked hoping it was obvious enough between them despite the short time they’ve known each other.

“I’ll be there.” Jamie smiled and nodded then turned to leave. 

Thankfully, Frank didn’t ask anymore questions about Jamie as they rode the elevator but a pang of regret hit her on their cut moment. There was more, she felt it but it never materialized with the interruption. She feared that the moment lost might turn to a chance gone before anything even happened.

Her mind was tossed until the kids dragged her from the elevator to watch the show with them. On that moment, Claire focused on the present and let everything about next week go until it was there. 

#outlander #outlander fanfic #outlander fanfiction #fanfic #fanfiction #something in the rain #SITR #chapter 4 #friday lunch #SITR Chapter 4 #jamie fraser #claire fraser #claire beauchamp #frank randall #mia writes #yaaay

[fourdaysofrain]

Self-Made Man

Summary: A Trans!Tony Stark AU. 

(Lengthy, personal author’s note below the cut, if you’re interested.)

Natasha Marie Stark was born twelve minutes before midnight on May 29th, 1970. She weighed a healthy seven pounds and two ounces when she arrived. She was the most beautiful thing that either of her parents had ever seen. And she was screaming loud enough to scare the pigeons from the trees outside.

Read on AO3

Well, hey everyone. It’s been a handful of months since I’ve been on here. I want to apologize for being gone, but that feels kind of phony. I don’t know. I missed this, though. I can tell you that much. I still checked my notifications every once in a while. It made me really glad to see people still commenting on my fics or passing my links around. Love y’all. 

I guess it’s about time that I tell you that I’m trans. I have been this whole time. To answer a few quick questions, I first knew sometime in late high school, but it was always kind of in the background my whole life, I just didn’t know how to isolate the feeling. I started socially transitioning (i.e. dressing male, coming out, going by he/him) after my high school graduation, and I started HRT (Horomone replacement therapy, that means I inject myself with testosterone weekly. .33mL subcutaneously into my tummy, if you’re curious) on Oct. 12, 2018. So it’s been almost two years since, and I’ve been completely passing as a man for quite a while. Ass-crack hair, sweat, and all. 

This is a pretty personal fic for me, given the nature of it. I’ve wanted to write it for a long time, and I’ve actually had words in the Google Doc since January. It took a lot of long nights to write. It helped that I was back home. I always have an easier time tapping into Trans Emotions when I’m in my home town, for better or for worse. All the memories and relationships I formed pre-transition follow me like ghosts. 

I’m leaving for college in two days, conversationally. 

I see a lot of trans!Peter Parker fics. I’m not dissing them, I love them to bits. But it makes me wonder why fandom is so quick to headcanon Peter as trans instead of one of the other characters. He’s petite, has a higher voice, and has softer features than the other male cast members. I feel like those attributes definitely play a role. It can be easy to see trans men as “uwu soft bois”, or as Men Lite, or as a more palatable version of “normal” (that is to say, cis) men. Those ideas are often flawed and based on transphobic foundations. The reality is, trans men (and by extension, all trans people) have the ability to be indiscernible from their cis counterparts. Everyone likes to think they can pick trans people out from a crowd, but you’d be surprised how quickly I started being read as male. Androcentrism for the win, I guess. 

I won’t be entirely pessimistic. I understand that people my age project onto Peter (I am by no means exempt from that), and that there’s a greater number of young trans people than old, due to a series of depressing reasons. But I still wanted to try a different take on a trans character. 

My experience as a trans man is vastly different than the one I write about here. If anything, I’m closer to fandom’s idea of trans!Peter. My parents were accepting, I had the financial and social means to transition relatively early, and I can fly under the radar easily. The most important difference is the time period. 

I don’t know a lot about the trans experience of the 80s and 90s, which is what Tony would have gone through. I know of one single trans man who began his transition back then, one of the gender studies professors at my university. Even then, he’s from Canada, which I’m assuming has an entirely different culture around trans lives. There aren’t many older trans men. It’s depressing. There’s a lot of reasons for this. I don’t want to get too deep into them, because it only makes me feel sad. The final scene in this fic is extremely self-indulgent with regards to this. I wrote what I needed to hear. 

That’s not to say I don’t relate at all to what I wrote. There are themes that are almost universal for the trans experience. I hope you can parse those out here.

I also wanted to talk about how I showed the change from “Natasha” to Tony. In the early stages of this fic’s development, I wasn’t sure if I wanted to openly say Tony’s deadname (the name trans people are given at birth, and often, but not 100% of the time, change as a part of their transition), but I soon realized that it would make the story much clearer with the inclusion of it. If you’re wondering, I got the name from Earth-3490, where Tony is born a woman (and marries Steve, lol). I chose to show the change between the two with the use of past tense for the first half of the fic, and switching to present for Tony’s life. Often times, it feels like that when you transition. You start living in present tense. 

I also want to make it clear that transitioning isn’t as simple as shown here. From the beginning of mapping out this fic, I was stressed about “Oh, how will he be able to graduate as Tony if he doesn’t start transitioning until after he gets to college,” and “How will Howard react to him coming out?” and “How will he have a playboy persona if he isn’t able to have sex with someone without them knowing?” and a zillion other ideas. It was very freeing for me to let go of some of these obstacles and leave it up to the reader to decide. I alluded to some of the solutions that I came up with, but for the most part, I glossed over the paperwork and bureaucracy aspect to transitioning. But in real life, there are countless red tapes you have to cut for even the simplest of actions. I went to the state court to change my name and sex in March of 2019, and I still have cards in my wallet with my deadname. I had a consult with a plastic surgeon for top surgery (the colloquial name for the double mastectomy that trans men often go through to masculinize their chests. If you’re wondering, genital reconstruction surgery is normally called bottom surgery to mirror this) last December, and I still don’t have a date set. It took me a few months to start T, and I only got it so easily because I went through my unviersity, which does informed consent. Some places have to have proof of 6 months of social transitioning and a letter from a therapist. There is a lot of medical gate keeping in the trans community. I don’t know what I would have done had my parents not been accepting enough to help me through the processes. I am extremely thankful for their support. 

But it’s a lot easier to write about transition happening smoothly. Money helps, which I don’t touch on a lot in this fic, but oh my God, does money help. I’m lucky enough to be able to afford my ~$20 a month T prescription (which I will be taking until the end of my days, likely), and I’m in the process of saving for top surgery. Thankfully with Tony, I can just presto most of the problems away because he’s canonically a billionaire. Eat the rich, folks.

There’s also the intersection with race that is very impactful for trans people, as it is for everyone. Both Tony and I are white, which gives us societal privileges that trans people of color don’t have access to. As well as the fact that transitioning from female to male is a much different experience than transitioning from male to female. We don’t experience trans misogyny, which is a special kind of misogyny specifically related to trans women. (Think of old sitcoms where the joke is that it’s a man dressed in women’s clothing, and that’s what makes it funny. That’s a fairly tame example of trans misogyny. It gets ugly fast.) 

I’m veering dangerously off-topic, but it’s important to talk about. It’s easy for white trans people (and LGBT people as a whole, I suppose) to distance themselves from talking about white privilege or male privilege because they aren’t straight and/or cis. But it’s important to recognize that while we may face unique oppression, we also still benefit from historical white supremacist and patriarchal structures present today in society. 

Sorry, not sorry for getting political. And if I haven’t said it on here, Black lives matter. Of course. 

If you end up having trans-related questions, I want to be a resource for you. Seriously, I’m narcissistic and love talking about myself I don’t mind helping you understand the trans experience. I can’t promise that I know everything, but I also have my own group of trans friends who might know what I don’t, and we can learn together. 

Again, love y’all. Thank you for the continued support you give me. I can’t promise that I’ll go back to my normal level of activity on here, but I might dip my feet back in the pool. <3

#irondad #iron dad #spider-man #iron man #trans #ftm #art speaks #art writes #read under the cut if you want to know my Emotions and Feelings

[owl-eyed-woman]

Pacific Rim Uprising: A Comparative Review

A miracle has occurred. Pacific Rim, the brainchild of Guillermo del Toro that bombed in the US but soared internationally for a total box office gross of $400 million, has, against all odds, managed to get a sequel. Am I dreaming? Pacific Rim: the movie (and now franchise) that could.

But though the existence of a follow-up to this underdog of a movie (if a Hollywood blockbuster can be called that) is certainly miraculous, we must ask ourselves if a greater miracle has occurred: Is Pacific Rim Uprising actually good?

The answer is no… and yes. Wait, let me be clearer. This is a bad movie… and I dug it. OK, this is still confusing. I guess ‘patchy’ is the most accurate word here. The patches mostly consist of giant gaping holes of badness, but there are patches of (relative) goodness.

Let’s get this out of the way: Uprising is, in most ways, not the Pacific Rim we know and love. Set 10 years after the first, sporting a new director along with an almost entirely new cast, it is unmistakably a departure from the first one. Yes, it still has giant robots and giant monsters and they do indeed punch each other, but it is a fundamentally different movie in so many ways that it isn’t really surprising to find that something essential has been lost in the sequel.

I almost feel bad comparing Pacific Rim Uprising to its predecessor. As special as Pacific Rim was, I do typically believe that movies should be judged on their own merits… but it is a sequel and such comparisons are inevitable, so screw it, I’m doing it anyway.

Before we can unpack what Pacific Rim Uprising lacks, we first need to understand what made Pacific Rim so beloved.

Pacific Rim was special from the start. Guillermo del Toro, a man who has made a career out of penning revisionist love letters to cherished nerd genres, somehow managed to get 200 million dollars to make a big budget ode to monster movies and mecha anime. This once-in-a-millennia, stars-aligning act of providence made Pacific Rim, from its inception, something to behold and treasure.

But to suggest that the improbability of Pacific Rim’s existence is what makes it so special, is to do a disservice to Guillermo Del Toro and the film he created.

On a purely surface level, Pacific Rim has some of the most striking visuals of an action movie in recent years. Pacific rim could have just skated by on the novel prospect of trashy anime and B-movie visuals paired with the polish of a Hollywood blockbuster. Instead, Guillermo del Toro paired this already enticing spectacle with what can only be described as an explosion of saturated rainbow. In a time when The Dark Knight-inspired grey was the norm, Pacific Rim was a sweet, candy-coloured treat for sore eyes. I would even argue that the neon wonder of Guardians of the Galaxy and Thor: Ragnarok have the bravery of Pacific Rim’s psychedelic colour palette to thank.

But the uniqueness of Pacific Rim goes much deeper than its admittedly stunning surface. What makes Pacific Rim stand, maybe not above, but most definitely apart from the crowd, is tone and theme.

At its heart, Pacific Rim is a silly movie. Its premise is ridiculous, its spectacle is over the top, it’s big budget, b-movie, anime trash. In the hands of a lesser director *cough Steven S. Deknight cough* this kind of movie would most likely be couched in a form of defensive snark and detached irony, as if embarrassed by its own frivolousness; the implication being that a movie like Pacific Rim is an indulgence we can partake in, but only if we feel guilty about.

This is what makes Pacific Rim so refreshing; it isn’t ashamed of itself. Every ridiculous line, every overwrought emotion, every heroic sacrifice and every earnest declaration, contains not one ounce of shame or cynicism. Instead, Pacific Rim oozes self-love, pride and, perhaps most unexpectedly, gravity.

There is always an urge to dismiss the often-simplistic conflicts and relationships we see in movies like Pacific Rim as mindless fluff, but Pacific Rim just won’t let you. Every part of this movie is delivered with a feeling of weight and import. An elbow rocket may at first seem like a throw-away sight-gag, but honestly, Pacific Rim takes Jaegers, and, by extension, their elbow rockets, seriously and you should too. They are trying to cancel the apocalypse and you need to get on board.

In this way, Pacific Rim doesn’t just make sure you get invested in the movie’s characters, robots, monsters and endlessly goofy dialogue; it makes sure you respect it.

And honestly, as much as I’ve been playing up the more outlandish parts of Pacific Rim’s premise, it’s hard not to respect the truly weighty and revolutionary ideas that Pacific Rim contends with. Its central conceit shows every nation banding together to save the world in a utopian vision of internationalism and global co-operation. Its puppy dog-like characters love each other with all their heart seemingly from the second they meet, truly trusting each other with theirs lives and innermost self. Its Jaegers are literally powered by emotional understanding and compassion between human beings. Every part of Pacific Rim expounds a far too rare faith in humanity’s potential for positivity, idealism and empathy.

In a movie ostensibly about revelling in the apocalypse, Pacific Rim was, in actual fact, creating a utopia by showing us how humanity’s fundamental goodness could save the world. So needless to say, it is deeply disappointing to find that these things that made Pacific Rim so memorable and, dare I say, important, have been abandoned by the sequel.

The most obvious change is, unsurprisingly, the visual style, as the rainbow extravaganza of Pacific Rim is traded in for the grim, muted greys of reality. To be fair, Pacific Rim Uprising is not entirely devoid of colour, but it isn’t soaking in it like the first film.

In the scheme of things, it’s not a devastating loss, but it is indicative of Pacific Rim Uprising’s biggest problem: its decision to trade in the flavour and uniqueness of Pacific Rim for the bland, the generic and the safe.

Thematically, the internationalism of the first movie is still present implicitly in the diversity of its cast, but the unique positivity and unabashed idealism of the first film has been abandoned. Ideas of empathy and interpersonal relationships are inextricably woven into the premise of Pacific Rim, but these elements never really congeal into any coherent message or ideology; it has lost the unique voice and lofty ambitions of Pacific Rim, so it never feels like Pacific Rim Uprising is trying to say anything other than ‘friendship is good’ and ‘let’s save the world’.

Tonally, the child-like sincerity and self-respect of Pacific Rim has been replaced by generic snark and detached “edgy” humour. Mostly, this tonal shift is just boring and predictable – scenes play out emotionally like you’d expect, characters react with defensive sarcasm and contempt, the humour is crude and forgettable. It plays like a typical, middle of the road blockbuster, content in its mediocrity.

To be fair, it doesn’t not work, it mostly just exists, but it also leads to some bewilderingly bad choices when it comes to humour, especially when it involves the younger members of the cast. A joke about a cadet’s plastic surgeon father goes on for far too long and somehow, in 2018, the triumphant blast off for battle is accompanied by, of all things, the Trololol song.  

That’s not to say all the sincerity or joy has been lost – a scene where the team bands together to rebuild their Jaegers hits the right blend of cheesy and awesome, and Jake and Amara’s bond is, at times, quite sweet but in the context of such a snide movie, these glimpses of sincerity seem awkward and unnatural.

Let me put it this way. In Uprising, a Jaeger, the awe-inspiring feat of human ingenuity and mechanical embodiment of empathy and co-operation, flips a kaiju the bird.  This is the what Pacific Rim is now.

It’s appropriate that Pacific Rim Uprising shifts the focus to a younger generation of cadets, because Uprising kind of reminds me of being a teenager. It wants so badly to be detached and cool, but it’s far too desperate and unsure of itself to ever truly be considered ‘hip’; it embodies that awkward teenage posturing we all thankfully escape in adulthood. Contrastingly, Pacific Rim exudes the confidence of an adult, secure in their interests and themselves, and in that, effortlessly achieves the coolness Pacific Rim Uprising so desperately seeks.

By now, I think I’ve made it clear that Pacific Rim Uprising is pretty bad, but the thing is, I actually do think there’s some good in here!

But before I get into that, we need to once again, return to the original Pacific Rim, because I haven’t been entirely honest in my assessment. Though my glowing praise at the beginning of this review may suggest an intense, fangirl-ish love of Pacific Rim, in all honesty, I actually don’t like it that much. I appreciate it, I respect it, and I do enjoy parts of it, but there are fundamental flaws that prevent me from truly loving it, specifically, character and plot.

When it comes to Pacific Rim’s characters, the word patchy once again comes to mind. There is some genuinely strong character work in this movie - Mako Mori was rightfully praised at the time for being a well-rounded and interesting female character with a character arc separate from the men around her – and then there is some bafflingly incompetent character work, namely, Raleigh, the protagonist of the film, is fundamentally uninteresting.

Part of this can be attributed to the dearth of charisma that is Charlie Hunnam who seems unable to imbue Raleigh with any emotional depth, but even setting this bland performance aside, Raleigh just feels like countless other mediocre male leads. He’s got a tragic backstory related to a dead family member that he still hasn’t gotten over and he needs to learn to let someone else into his heart before he can save the world; I’ve seen this plot in most uninspired video games.  

But to be fair, just because this setup is cliché doesn’t mean it couldn’t have been interesting; Pacific Rim is, in many aspects, an example of this, elevating classic genre tropes through thoughtful execution and smart, progressive additions.

This only makes it more perplexing that Raleigh remains so conventional, with no real twist or update. Even the most interesting part of his character arc, that is, the difficulty of reconnecting emotionally with others after a loss, falls flat since Raleigh never seems to struggle with this. Once he agrees to re-join the Jaeger program and meets Mako, he instantly accepts her as his co-pilot and his arc is resolved.

This emotional hollowness also impacts Pacific Rim’s greater plot issues. Pacific Rim’s plot is mostly passable, with a straightforward story propped up by the novelty of the premise and world. However, Guillermo del Toro seems to be aware that to make Pacific Rim great, he can’t just rely on the inherent coolness of giant robots and monsters fighting. To this end, he has intentionally foregrounded human relationships in the very premise of the film with the idea of an intense, emotional connection required for Jaeger co-pilots to control their mech – its ingenious really! But that only makes it more disappointing and bizarre that Raleigh’s arc is so devoid of emotional depth. This setup for emotional conflict never really pays off past the halfway point of the film, with next to no internal conflict between Mako and Raleigh after they drift together. They face external threats of course, like Kaiju, Stacker and an angry Australian, but there is no conflict between our main characters.

That’s not to say there is no emotional conflict in this movie; Mako struggles to reconcile her respect for her adopted father with her need to define her own destiny and avenge her family’s death. But as amazing as Mako is, she isn’t the main character. We’re stuck with Raleigh, a bland, white man who is the hero despite the fact that his female co-star is so much more compelling and, well, heroic.

The other threads in the film are similarly hit or miss. Idris Elba kills it as Stacker Pentecost but the Australian Jaeger pilots are mostly annoying and the resolution to Yancy’s arc is perfunctory and unearned. I honestly loved Newton and Hermann but many people found them grating, and the other secondary characters, while memorable, remain fairly flat, sketched out in broad strokes rather than elaborated upon with depth or nuance.

I still think Pacific Rim is a great, nay, important movie, but I also think we must acknowledge where great movies go wrong and, conversely, where terrible movie go (somewhat) right, or perhaps more accurately, go wrong again but in a slightly different direction.

?) Thus, we once more return to Pacific Rim Uprising. In regards to the film’s protagonist, Raleigh has been cast aside and traded in for a newer model in the form of John Boyega as Jake Pentecost, which, unsurprisingly, is a good decision. As a character, Jake isn’t anything we haven’t seen before, but there are a few things that elevate him above his archetypal beginnings.  John Boyega’s performance makes a huge difference. Unlike Charlie Hunnam, he has genuine screen presence and acting skills to boot, imbuing what could be a flat, cliché role with character and vivacity - he is a speck of salt in an otherwise bland and flavourless movie.  

But to give props where its due, Jake’s arc is just better constructed than Raleigh. Thematically, Jake has more going on than Raleigh; he starts off as a party boy avoiding responsibility to both his family and the world and learns how to move past his father and sister’s death and become the leader the world needs. Already, it’s a stronger base for a character than Raleigh’s, but what really makes Jake work is how he genuinely struggles with what path he should take; he tries and fails, he makes mistakes, he grows, and because of this, when he finally gets his heroic moment as both a leader and a surrogate brother to Amara, it feels earned and makes the earlier struggles actually mean something.

Did I just praise Pacific Rim Uprising? Well, don’t get used to it, because, like its predecessor, Pacific Rim Uprising can’t seem to get a handle on its ensemble. This leads me to the worst part of the movie: the cadets.

The cadet plot line didn’t have to be bad. On a meta-textual level, it makes sense – just as the cadets are aspiring to take over from an older generation of Jaeger pilots, so too is Uprising is taking on the mantle of the original Pacific Rim. On a more basic level, who doesn’t like stories with training montages and burgeoning camaraderie?

But even the most basic elements of character development are absent from Uprising. The cadets have screen time, they appear in scenes and they say things, yet it is all done with no greater purpose or pay-off. For Generic Teens, 1 through 6 (i can’t remember their names and I refuse to look them up), they remain half-baked, under-developed and pointless.

The cadet storyline needed not just re-writing, but some actual writing, because if the filmmakers don’t care about the cadets, why should I? In the end, the only real function the cadets have is to be an attentive audience for John Boyega when he delivers his Pentecost brand inspirational speech.

But as angry as the mishandling of the cadets makes me, I am only saddened by the film’s mistreatment of their female characters.  

Pacific Rim was a feminist film with some caveats: while Mako became a minor feminist icon because of the (sadly) uncommon amount of respect and care given to her arc, she was still the only female character in an otherwise a male-dominated film.

One might think then, that Pacific Rim Uprising, with its noticeable increase in female characters, could challenge the first movie on the feminist front, but apart from Amara (who is fine), every female character is under-served and disrespected.

The most cursory and useless of them all is the ‘character’ Jules. I’ve put quotation marks around ‘character’ because her only character trait is ‘happens to be into Nate’. You see, the filmmakers wanted some sexual tension, along with some bro-conflict between the two male leads but they didn’t want to go to the bother of writing an actual character for these bros to lust after. So they didn’t. You could edit her out of the movie and lose nothing. It is unacceptable to so callously write a woman like this.  

They do better with Shao, the imperious and imposing head of Shao Industries. She works well as a fake out villain, but when she takes a more active role in the third act, she is denied the development and screen time needed to make me truly invested in her. Yes, it’s a cool moment when she pilots Scrapper and saves our heroes, but her appearance is more of a convenience than any culmination for her character.

But what of Mako aka the best character in the whole franchise? Mako returns for a bit as Jake’s older sister and shines as the new boss of the PPDC, before being killed off in the first act. Mako, a character who was never defined by the men around her, has been reduced to fodder for male character development. Need I say more?

I can’t help but imagine what could have been if Mako hadn’t been fridged, and she’d been the one to pilot Scrapper and save her brother and Amara’s life in the climax – what a moment that would have been! Or, if not this, imagine if they had truly fleshed out Shao as a character with an arc. Or, why not simply have two Asian female leads treated with respect they deserve? But maybe I’m being unrealistic (if it’s not clear, this angry sarcasm).

But despite these numerous flaws, I still really enjoy this movie, if only because, unlike the first movie, I was never bored by the story.

Pacific Rim had a great world and premise, but its plot was too straightforward and predictable. Pacific Rim Uprising, by comparison, has a sense of mystery and several reveals that genuinely surprised me. As much as I bemoaned Uprising’s generic tone, for most of the film, I really had no idea where it was going, and that’s not something to be dismissed.

Admittedly, Uprising’s success in this realm is indebted to the original Pacific Rim and the skill with which Guillermo del Toro built its world. It’s because of this strong foundation that Uprising is able to take this franchise into new and bold places, expanding on the world of Pacific Rim in exciting ways, like all good sequels should! We get to see how the Jaeger program proceeds after the threat has seemingly disappeared, as well as new drone tech looking to supersede a human workforce, the repercussions of human-kaiju drifting and kaiju-jaeger hybrids! This is all fascinating stuff and I’m actually getting excited just thinking about it. It reminds me of why I was so desperate for a sequel in the first place.  

Yes, most of it is handled clumsily and it’s still plagued by character and tone issues, but the core ideas and worldbuilding are strong enough that it still made the film worth watching. And sometimes, you even get glimpses of a good movie in there; seeing the effect of kaiju-drifting on Newton, the reveal of Alice and how his and Hermann’s relationship had changed, was so satisfying and well-done it shocked me (I’ll stop here before I start fangirling about Newmann).

This is all supported by some stellar action scenes. Earlier, I bemoaned the loss of Pacific Rim’s rainbow colour scheme, but to the film’s credit, what it sacrifices in visual innovation, it makes up for in clarity and thrills. The fights are faster, the monsters are bigger and every Jaeger has a sword. Like all good action sequels, Uprising ups the scale, the spectacle and the challenge, and lives up to the inherent coolness of watching two giant things fight each other.

There’s a scene in Pacific Rim Uprising, just before the final battle, where the Jaeger pilots and cadets combine broken parts of various mechs in order to build a working Jaeger to fight with. In the film, it’s a triumphant moment, but it’s also the perfect metaphor for Pacific Rim Uprising: it’s a mess of a movie made with broken and disparate parts, that may function, but not as a cohesive whole. Many choices are bad. Some choices are different. Some choices are good. It is the definition of a mixed bag.

But honestly, at the end of the day, I’m still left with a smile on my face, and an eager, grabby hand reaching back into that mixed bag for more.

I hope they make a sequel

(but Uprising bombed at the box office so...) 

#pacific rim #pacific rim uprising #guillermo del toro #movie reviews #movie criticism #review #reviews #criticism #mako mori #mako #raleigh #raleigh becket #newton geiszler #hermann gottlieb #jaeger #kaiju #jake pentecost #pacific rim 2

[yatharth-hospital]

Finding the Best in Expert Health Care in Noida

The world has seen a shift in communication ever since the coronavirus pandemic took it by storm. Now, we’ve primarily moved to work-from-home and flexible working methods, online classes and other activities that depend on a network of digital servers to make it possible for us to stay connected. With increased use of digital devices, our health suffers even as we don’t realize it. Our eyes are made to go through immense strain, and most of that time is spent with bad posture. Having dry eyes, neck pain and constant backaches are the result of this dependence.

In the “new normal”, we will always need our smartphones or laptops for some or the other activity, making digital usage unavoidable. In that case, consistently keeping a check on your eye care as well as having a spine doctor or surgeon in Noida in your contacts are important. Whether it is an eye-related or a spine-related problem, the symptoms of both can exacerbate your overall health situation, putting yourself in grave discomfort and pain. If not treated by an eye-care specialist or a spine surgeon in Noida immediately, a seemingly small problem might become critical, and in some cases life-threatening.

Our central nervous system is one of the most sensitive areas of our body, consisting primarily of our brain and the spinal cord. It directs and influences activity across the rest of our body based on the information it has received. Its function is interconnected to the function of our eyes as well, as they together play a significant role for the rest of our body. It is essential in this case, to assist and protect their functioning by taking adequate care for our eyes and our spinal cord. Neurosurgeons and eye care specialists at Yatharth Hospitals in Noida are highly trained to address any symptoms of eye problems or issues of the spinal cord through their years of expertise in the department. Apart from just digital influence, uncorrected vision impairment that causes you to squint and cause excess strain to your eyes also needs to be diagnosed immediately to prevent any further harm from occurring to your nervous system.

Chronic neck pain and eye vision are also connected, as traumatic injuries such as herniated disc or whiplash has been found to also lead to vision problems, as a result of diminished ocular blood flow. One should first get the injury treated through a consultancy with a spine surgeon at Yatharth Super Specialty Hospitals in Noida, and then meet with an eye care specialist who can ensure that your vision has not been affected in the process. While one should practice home remedies to ease the discomfort caused by symptoms like strain in the eyes and neck pain, at the end of the day, a consultancy for eye care or meeting with a spine surgeon at Yatharth Hospitals in Noida will help in diagnosing the long-term treatment for the problem at hand.

Two issues in particular need to be mentioned with regards to the digitally influenced lifestyle we live these days. Firstly, is “computer vision syndrome” also known as Digital Eye Strain caused as a result of increased digital use. The appearance of symptoms such as redness, watery eyes, difficulty in inducing sleep and headache, etc. if left undiagnosed, can lead to more severe vision-related problems. If you’re unable to treat these eye symptoms with self-care remedies, one must make sure to at least consult with an eye care specialist in Noida such as those at Yatharth Hospitals who can suggest the appropriate treatment methods to relieve you of the pain and discomfort caused by it.

Secondly, another spine-related problem is “text neck syndrome”, induced as a result of excessive digital use, and can lead to severe spinal issues that will have to be looked at by a spine surgeon in Noida. Thankfully, Yatharth Hospitals possess the latest medical technology to conduct a spine surgery in Noida with due diligence and safety. Also known as Anterior Head Syndrome, it is strain put on the neck because of long hours of texting or watching with the head bent over a hand-held device. If you have experienced symptoms such as neck pain, stiffness, and soreness, it is important to visit the best spine surgeons at Yatharth Hospitals in Noida, so it’s not left untreated.

With top-of-the-line medical technology and years of expertise as a health care provider, Yatharth Super Specialty Hospitals in Noida are equipped to treat any eye-care or spine-related issue through best-in-class surgeons and doctors. It is important to prevent the negative influence of eye and spine-related syndromes as soon as possible, to avoid incurring more pain and discomfort upon your body, with a consultation with specialists and surgeons at Yatharth Super Specialty Hospitals in Noida. While digital use is unavoidable, optimum health conditions can still be preserved with the right health care providers who can provide you with comfort and relief.

#eyecare #healthcare #spinesurgeon

[wordsofcleo]

Health Anxiety

I am currently writing this blog entry at 1AM Tuesday morning of March 30th. Hey, thank goodness March is almost over. I like to call it “March Madness” with a side joke, “Ides of March” simply due to the bad things that tend to happen to me in March. Every year. The month of March. I’ll admit, though, that this March has been more delicate with me. THANK YOU GOD AND UNIVERSE!!! Truly, thank you! It could also be the fact that I’ve become more reclused lately. And in this post, I will get into that. I typically avoid March all together because of the bad happenings. So, this month I’ve played it more sage. Thankfully March is almost over and I can feel free to get on with my life. Yes, a month can have that much impact on me. Yes, anything can have that much impact on a life. It’s a pattern of bad events that continually fall on very specific times that make a person become “superstitious”. Oh, the irony. Or maybe March genuinely has it out for me. Who knows.

My fiancé’s gallbladder went kaput recently, although I can’t even recall if that was the end of February or beginning of March. I want to say March. Nevertheless, he hasn’t had surgery yet because the surgeon’s will not pick up their phones or call back. Yay! Not. Anywho, it was really scary. He wasn’t eating for approximately two weeks straight. He could barely hold down liquids. His urine (TMI?) was dark brown. The dehydration was real and I was so sure I would lose him. When I rushed him to the ER one night, it was confirmed his blood was clean, but his gallbladder was not. After a while of nursing him back to health and waiting for next steps from doc (which we still wait on impatiently...), he started to be able to eat again. I was fully prepared for the lifeless fiancé to continue being lifeless until his gallbladder was removed, but I was proven wrong. He got better. Obviously the thing still needs to come out. Anyway, the huge health scare triggered me in a way I didn’t think I could be. I stopped being able to eat as much due to stress. Guys, I was not sleeping while he was so sickly. I would lay nearby in the loft we have and watch his every move. I’d start to fall asleep, he would twitch or move, and I’d jolt awake. I was so afraid. When he randomly and suddenly became better, and I could see that my lover was back to life, I didn’t know how to feel or what to think. I was so ready in my mind for the absolute worse. Perhaps that’s my problem... Something bad happens and i go into full self defense mode. Full. And yes, I have PTSD, mostly from loss, and I do get occasional flares. This definitely flared it big. I did not want to lose someone I love so dearly...again. I’ve had so much of that in my life in my 20s. I can’t take the heartbreak! So the events of my fiancé’s sickness triggered a PTSD flare. With that came the heightened anxiety. With my heightened anxiety, I tend to get these massive episodes of health anxiety. Yep, good ole hypochondria... PS making jokes about “hypochondriacs” over silly shit is awful and hurtful. It’s a real problem for some, including me, and it effects people’s lives. Not only that, but we get a bad wrap - made out for everything we say to be “overreacting”. That’s not it at all. Our minds tell us we’re dying, we truly believe it. The pain in our chest tells us our heart is failing, we truly believe it. Stomach pain? God forbid! We are having an intestinal blockage. Yep, it’s real and it destroys. So please be gentle.

With that said, I began having a huge health anxiety flare. Days passed and it slowly came on. So slowly that I didn’t even realize what was happening. Until... any random sensation in my body began to startle me. I noticed everything immediately; things I typically wouldn’t. A strange feeling or movement in my guts? Pain in my chest? What side of my chest? Is it my left? Oh not now, my heart! What’s strange is these sensations circled around my digestive and heart areas. Nowhere else. Those are pretty important organs, though. Due to this panic that wouldn’t go away, I went to my doctor and got blood work. Everything looked great and healthy on my blood work except for my high triglycerides (that had actually come down as well as my cholesterol, but were still “high”). High triglycerides run in my family. So I start researching what to do for it. Fish oil is a top recommendation. Got the fish oil at 1200mg a pop. Soon enough, hell started to break loose. Gastric attacks daily; whether small or large attacks. Small attacks could be... a pressure or bloat in my upper stomach. Big attacks could be... I can’t breathe because of gas trapped in my upper stomach that moves around my rib cage and stabs inside like a rusty knife. The bloat and dull discomfort was the most frequent symptom. Days and weeks passed and I couldn’t take it any longer. I stopped the fish oil immediately after reading online that it can cause awful indigestion. I wasn’t having the stomach problems like that until the fish oil. I did at times, but nothing compared to when I started taking them. All of these things combined - the gas pain and attacks, plus the random tingles in my chest was enough to convince me that I’ve been dying. It’s been bad. Real bad. I’m currently about a week post-end of taking the fish oil. My stomach feels like a hard rock sometimes, but it’s not as bad as it was. I’ve only now noticed that...the stomach pain comes when I feel anxious. I returned to my doctor more recently to discuss this with her. “Nexium twice a day instead of one” she instructed me. I was taking it once already with no real improvement. And no, the twice a day didn’t seem to do any good. So now I’m here. Thankfully, the pains have gotten better. I’m more calm...but only when I’m alone and isolated. The stomach pains come rushing back when I’m around people or in an uncomfortable setting in public. I went from believing I’m seriously dying to understanding that 1) it was the fish oil’s fault 2) now it’s merely anxiety... and maybe residual from the fish oil. The anxiety level that I’m at now is no longer as much health related as it is understanding that there have been so, so many stressful situations around me that have bothered me too much. My body and mind are running, screaming in circles. I never have time for myself. I’m a private person who gets no privacy. I’m a concerned human that loves the few people I do have, and when they get deathly ill, it takes a toll on me. A huge toll. And I’m coming to terms with the fact that my anxiety has been off the CHARTS lately. I’m noticing how much health and anxiety can be linked and connected. With all of these realizations, it is helping me to ground. With grounding, the symptoms are slowly residing. When you do a little digging and put two and two together, some anxiety issues can become more clear. You can begin to understand yourself better. I know I can now, and I’m thankful. So this is what’s been going on with me. My doctor still wants me to get heart tests JUST to be sure that everything is okay, and potentially a scan of my abdomen to check my intestines. Considering things are better now, I’m not sure that it’s necessary. Although that may just... calm my anxiety further. I have no health insurance, so I have to take medical things slowly and at my pocket’s pace. So in time... We will see how healthy I really am.

Thanks for reading about my health scare, fish oil reaction, and generally caring enough to make it this far in my entry. Love to all, and peace. Blessed be.

[clinicalsurgery]

The Partnership between Surgeons and Anesthesiologists in Open Access Journal of Medical and Clinical Surgery

Abstract

Teamwork is now recognized as essential to healthy, high-quality perioperative treatment. The partnership in-surgeon – anesthesiologist dyad is perhaps the most important aspect of the overall team success. Well-functioning collaborations are conducive to secure, successful treatment. An unhealthy relationship can foster unhealthy conditions and lead to a negative outcome. And there is no study on this interaction, about what fits well or not well, and what can be done to improve it. This essay discusses the practical and unhealthy facets of the relationship, describes certain common perceptions of each occupation and calls for study to further identify and appreciate how to strengthen working relationships.

Teamwork is one of the most important factors of perioperative patient care for the members of the operating room team. However, the largest uncertainty of the impact of team success on results and protection can be correlated with one dyad in the unit: the relationship between the surgeon and the anesthesiologist. If it is accurate that leadership dyads are a crucial factor in the protection, consistency and/or efficacy of the operating room staff, then the dyad of the surgeon and anesthesiologist is the dyad we should strive to learn and maximize. The triad partnership between the surgeon and the anesthesiologist and others is also crucial to maintaining safety, efficiency and consistency. The relationship between the two physicians who often share, give or fight for leadership has the ability to allow or hinder performance that may exceed that of the other dyads or multiple, parallel interactions.

What do we know about the Relationship between a Surgeon and Anesthesiologist?

In this sense, "relationship" is about how well two people get along, how well they support and trust each other and their views, how much they depend on each other for input, how willing they are to keep each other aware of the acts that involve their dyadic partner. There is evidence that refers to certain scientific facets of the interaction between a physician and anesthesiologist. Coordination and dispute have been studied and recommendations have been made to resolve them. Conflict in the operating room between individuals — mostly between anesthesiologists and surgeons — is a big problem and has been encountered or observed by virtually everyone involved in the operating room. Although conflict linked to clinical choices is normal and safe if properly handled, personal disagreement is not safe and is seldom in the best interests of the patient [1-3].

Conflicts can occur due to the vagaries of work and human beings, particularly though there is a relatively healthy relationship between the parties. It may also be a noticeable and potentially harmful representation of a suboptimal or toxic relationship. Whether the disagreement is troublesome depends on how it occurs and how the individual handles it. Too much, this isn't done properly. The length of a surgeon – anesthesiologist partnership is variable - sometimes people have only just met; others have worked together for a long time.

Familiarity often offers mutual trust that tends to defuse conflict; at other times, it creates an ingrained unhealthy partnership and mistrust. A variety of facets of conversation, function expectations, various mental styles, and the tone required activating speech, and related issues have been discussed in multiple research. There is no focus on any of these papers on understanding the origins or how to enhance the reliability and instability of the surgeon – anesthesiologist dyad. Unfortunately, little is written about successful relationships in health care, particularly examples of good working relationships that are more likely to be more prevalent in some environments than in others. There is justification to conclude that they make a substantial contribution to productivity, protection and performance.

Personal Remarks & Observations

Over my experience of patient safety and efficiency, I have been drawn to this subject by personal insights and interactions with anesthesiologists and surgeons. The word "tribe" should be used to identify the various occupations in the operating room, e.g. physician, nurse, anesthesiologist, surgical assistant, for insight into how tribal instincts and actions can be detrimental between tribes and culture [4-7].

a. Observation 1: While the dyad is fully efficient, it is of immense benefit to the patient; one will support and "rescue" the other. And a healthy working relationship (for all) provides a far more friendly working atmosphere.

b. Observation 2: While the dyad is broken, it can — and does — often contribute to damage and sometimes produces an uncomfortable and often dangerous working atmosphere.

c. Observation 3: Each side of the dyad has some impressions of the other side which are damaging. If I had to ask each other what they think of the other profession in general, the first reaction would contain certain comments that are complementary. (Corollary: both will share similar perceptions with other medical tribes when working together)

d. Observation 4: At times, each side of the dyad applies motives to the other that are not purely in the best interests of patients.

Poor Impressions of Surgeons for Anesthesiologists

Such negative views of anesthesiologists include: lack of understanding of "anesthesia-related" (as opposed to surgical) issues; lack of comprehension or appreciation of the degree of blood loss; persistent underestimation of surgical time; Failing to warn patients and caregivers about the chances of success and the extent of the difficulties of rehabilitation following surgery; failing to give proper attention to patient health needs and patient desires; and avoiding people to chat about safety issues.

Poor Views of Anesthesiologists by Surgeons

Several of the negative views of anesthesiologists by surgeons include: more concern with completing their day on time than meeting the needs of their patients; unreasonably eagerness to postpone a operation based on unjustified concerns; lack of respect for the need to follow a schedule; undue turnover times; Distraction and inattention during surgery; inability to explain major improvements in vital signs to the whole team; failure to keep the team aware of the need for vasopressor support; lack of awareness of the interaction between the patient and the surgeon; and reluctance to adjust the anesthetic strategy of the need for the surgeon of maximize surgical technological requirements.

Related Principles

Surgeons and anesthesiologists have different roles that can lead to varying beliefs and reasons for what they think best for the patient. The group in which everyone was educated has established a collection of principles and ideals that are consistent with what has traditionally sustained its performance over the years. Haidt examines extensively how beliefs are formed in our cultures and how they influence our view of the "other." As all tribes, the collective performance of the group can contribute to negative views of other groups. As a consequence, some discord between two people from separate tribes is expected. Hope for enhancing the dyad efficiency for the good of the patient derives from the awareness and appreciation of discrepancies and attempts to overcome or satisfy them.

What does a Perfect Relationship Look Like?

As patient, someone, expects his surgeon and anesthesiologist to operate in full peace, setting aside their personal concerns for my wellbeing and well-being. Surgeons and anesthesiologists should develop a better understanding of the expectations and limitations of each other's professional interests of patients in general as well as for any particular patient. This will have risen long enough in advance to value the time taken to resolve these questions. (Ideally a day or so in advance, or even a significant "huddle" before getting the patient to the operating room. Immediate pre-surgery time might be necessary for certain prosaic needs.) Should be open to and willing to hear the views and viewpoints of the other, even though they appear to conflict with their own field of expertise. It will only work by inspiring to ask questions. Each of them will often begin with an extension of the "simple presumption" (from simulation-based debriefing) to the other: "I assume you are educated, knowledgeable, working your utmost to do your best and striving to change, and behaving in the best interests of this patient and the institution." Where there is a genuine dispute as to what choice to take, the discussion will rely on what is best for the case, not who is best. Examples of missed factors that may lead to an optimum partnership include interdisciplinary morbidity and mortality or case analysis and an efficient huddle.

Over the years, we have studied and survey unidisciplinary and interdisciplinary quality improvement boards in hospitals. They do have benefits and drawbacks. Overall, it appears to be extremely beneficial to discuss / debrief difficult cases or adverse effects as a team. There are obstacles to doing this, such as various job schedules, or the need to be secure outside one's own community to say something that may be important. Thankfully, those interprofessional debriefings appear to be growing such that we can assume that this will have a positive effect on the overall work.

What kind of Analysis will lead to Deeper Understanding?

Investigations into ties between members of the perioperative team did not answer any of the concerns I asked at the outset. Surveys, focus group discussions, observational experiments, crucial event or comprehensive ethnography may all be used to shed light on the problems that render the surgeon-anesthesiologist dyad highly efficient or totally dysfunctional. Case studies of examples of both stable and unhealthy relationships, and in particular more complex facets of partnerships that can relate to under-optimal treatment, will help increase awareness about how habits and actions can lead to the best about treatment or the worst of care and everything in between. Replicating that with a focus on the relationship between a surgeon and anesthesiologist, both parties might shed light on the issues.

Another field of research and understanding that can be beneficial is that of emotional intelligence. Emotional intelligence is increasingly seen as essential for good relationship management.

Discussion

What can be done in the meantime, until we have further proof?

If you are an anesthesiologist or surgeon and think that what I am recommending is worth pursuing in order to enhance the perception of your patients and your pleasure and sense in your clinical practice, what can you do in the absence of scientific evidence?

Some ways to resolve the issue

Asking a colleague of the other tribe regarding his or her impressions of the members of your tribe.

Have a conversation about the origins of these experiences.

It's usually better to do this on a relaxed meal or cocktail rather than on an "other phone" scenario.

Organize a concentration or dialogue group, with a few members of each tribe.

The effectiveness of such activities will be improved by a competent facilitator.

One subject for a focus group may be the specific recognition how leadership can be communicated or identified in various contexts.

Any time a circumstance happens that makes you realize like a relative from the other team is doing something that appears to be more in their own best interest than in the patient's interest, interested and metacognitive. Think what other theories there may have been. If you can do it in a non-threatening, non-accusatory manner, you can ask the person; however, it is not easy to be able to pull it off with genuine sensitivity and complexity. This is an ability that needs preparation and practice. If you are good enough to work in a hospital that has a simulation curriculum and a full operations team experience, make advantage of it or build a chance to join.

If the concerns mentioned here appeal with sufficient intensity to a large number of surgeons and anesthesiologists, there is definitely a role that the national association of Surgeons and the National Society of Anesthesiologists will play in addressing the issues and moving towards a more desirable state of affairs. In view of the geographical constraints, I have not addressed all facets of this subject that are important to the comprehension and enhancement of the surgeon – anesthesiologist dyad results, e.g. operating in set versus shifting teams; relationships with other team members; output pressure; job conditions (independent or staff); Academic versus private practice. This may be part of a wider discussion and discovery phase.

You may be a surgeon or anesthesiologist for whom none of this is important and who is lucky to have a close friendship with a surgeon-anesthesiologist. However, we have ample reasons to conclude that the shoe works for everyone, and that even the best people and best partners have a tough time. Certainly, most of us know of many cases where issues in a surgeon-anesthesiologist relationship have become dangerous to patients. At the end of the day, no matter our own relationship concerns, we will all accept that keeping patients safe should be a matter of utmost concern.

Regarding our Journal: https://oajclinicalsurgery.com/ Know more about this article https://oajclinicalsurgery.com/oajcs.ms.id.10002/ https://oajclinicalsurgery.com/pdf/OAJCS.MS.ID.10002.pdf

#Surgeons #Anesthesiologists #OAJCS #Open Access Journal of Medical and Clinical Surgery #Evangelia Michail Michailidou #Surgery

[loopy777]

I have to agree with the fact that Sanderson is so much better when writing an overarching story. I very much regard stormlight archive as his best work ever. That said, some of the problems you mention about warbreaker is still present for way of kings. The storyline is essentially broken into 3 main characters. Kaladin, Dalinar, and Shallan. Dalinar's story is good, but not exactly amazing. It's very, very predictable, but it's executed well enough, at least up until the climax.

Shallan's storyline is far and away the worst of the 3. Like no contest. Like, there is a lot of promise in the idea, with the whole section being focused on a couple of scholars, rather than warriors and slaves carrying siege equipment. Brandon would revisit the concept of scholars in book 4, to much greater effect, but here it's not particularly interesting. The big problem is shallan.

Shallan In book one is not particularly interesting, and the narrative is way too afraid to let her witty comments stand on its own, instead feeling the need to have characters who comment on how clever her dialogue is. Which it generally isn't. Which is bizarre, because there is a lot of genuinely witty characters in the book, shallan just isn't one of them. To make matters worse, her book one climax is completely removed from the books actual climax.

Which is kinda problem, because the climax of Dalinar and Kaladin's storylines is the big, emotional climax of the book, which just makes shallan's storyline feel even less compelling and interesting by comparison than it actually is. Shallan thankfully is much, much better in book 2 and onwards, after some character development.

The heart and soul of stormlight archive though, and way of kings more than any other, is Kaladin Storm blessed and his crew. The tale of the surgeon turned soldier, turned slave is easily the best storyline of the entire book, and it is the overarching story of the series. Kaladin's tale basically the story of the underdog personified, which by its very nature makes his story very compelling.

Kaladin is basically a superhero, in that his most defining trait is his chronic need to protect people, whether it be random innocents, his men, or others. However, Sanderson makes his story incredibly compelling by taking advantage of this. How do you prect your men when your men's job is to essentially soak up arrows for the real troop? How do you protect your men when you have no resources? How do you take what little resources you have to achieve your goals?

Add this in with the fact that unlike Shallan, Kaladin is generally challenged(Especially in book 2, and to a lesser degree in book 1) on his beliefs. Kaladin a very flawed human being. He wants to save and help people. Above pretty much anything else, but he's also incredibly flawed, and people aren't afraid to challenge him on it. People question him, he makes the wrong assumptions, he makes TERRIBLE mistakes due to lack of understanding certain things.

And every single time Kaladin makes big mistakes, they have big, massive consequences that have an immediately negative impact. I don't wanna spoil it, but one of my favorite moments in book 1 is when Kaladin thinks he's finally found a solution, but he fails to take into account how it affects literarily everything outside of his own actions, and is very quickly punished for making this mistake.

However, like any good shonen protagonist, Kaladin keep rising up every time he's struck down, which makes for a very compelling storyline. Especially in book 1, where his exploration of his part of the planet's magic system is very limited. To put it bluntly, this book is where the technical aspects of the magic of stormlight works the absolute best, because Kaladin is very limited in what he can do, so he has to actually use the limited powers he has to his advantage.

All of this culminates in book 1's climax, which is really the best part of the book. It's where Dalinar's storyline reaches its climax, and it's well executed, but it's how it relates to the far more interesting Kaladin storyline that makes it glorious, as it's his storyline that reaches its climax, and fuck me is it amazing. It's where everything that has been built up and developed over the course of the war part of the book finally reaches the point where it all comes together into one.

If there is one bad thing I can say about Kaladin's storyline, it's that book 1 doesn't really do a good enough job of making you realise that Kaladin's depression isn't something that is exclusively tied to his shitty, shitty situation. The bouts of self-loathing and bouts of clinical depression the eternally snarky paladin has isn't going to be magically fixed. It's an ongoing problem he has to deal with long after his life actually gets better. It's extremely realistic is what I'm saying.

And the books deals with that very well over the course of the books, but doesn't really make it clear enough in book one that this is going to be a permanent fixture of Kaladin's life.

And now that I'm fully awake, I realise I probably didn't link the problems with word of kings to the problems at warbreaker. The connection is basically, that Shallan in Wok is an incredibly reactive character, who generally never actually does things. She almost always just reacts to character around her doing things. That gets better in words of radience, but it is very much the case with way of kings.

Hm. I’m not sure if I agree exactly with your diagnosis of Shallan, but I don’t entirely disagree, either. Her storyline is definitely the weakest in the first book, and while I don’t think she’s entirely reactive (Jannah is essentially her antagonist, and the interplay between them is most of what that subplot is about), what driving actions she takes are obscured by all the mystery surrounding her. And that, I think, is where the problem overlaps with Warbreaker. Siri and Vivenna might, according to Sanderson’s outline, drive the plot of the story, but because we’re stuck in their POV and there’s so much mystery, it’s not apparent to the audience what they’re really doing.

At least with Shallan, I don’t think her subplot in ‘Way of Kings’ is meant to climax with the same power as that of Kaladin and Dalinar. They get a proper climax, but Shallan’s subplot in the first book essentially ends with the reveal that she’s not the person we think she is as she comes into new power. I think it’s supposed to be an ominous note, a cliffhanger, as opposed to an ending.

But this is a bit deflating, because this mystery creates a disconnect between Shallan and the audience. We thought we knew her, but it turns out we don’t. And full clarity about her doesn’t even come until the third book in the series. I understand why Sanderson did that (parallels with Dalinar and his arc in the third book, IMO), but it means that Shallan remains at a distance for a long time. With Stormlight Archives, though, it’s more tolerable. It’s a series, so we can wait for ultimate payoff on Shallan and cool our heels for three books until we fully understand her. Plus, as you note, we have really powerful subplots for Dalinar and Kaladin that give each novel a proper solidness.

But with Warbreaker, it’s just one book (I’ve since found out that a sequel is apparently planned, but it’s going to be a long wait), and the book as it stands doesn’t come together fully and seems to be focused on characters who wind up not being the protagonists of the story. Even the villain suffers for being wrapped up in mystery, so that by the time we learn what’s really going on, the reaction becomes, “WOW WHAT A TWIST!!! ...but eh, cool motive, not really interesting.”

That said, I don’t mean to be so down on Warbreaker. It’s fine. I’ve read far worse, and I enjoyed it. It just has some flaws I would not have expected from Sanderson, but perhaps are indicative of weaknesses that his penchant for multi-books epics mitigates.

#thekingofwinterblog

[capminds-blog]

Blockchain, Machine Learning, Artificial Intelligence, 3D Printing, Natural Language Processing- all of these things are going to decide the healthcare trends for 2020. In fact, we suspect that there would be more factors that will affect the world of healthcare deeply. Healthcare is a dynamic industry and the only way to save more lives is to find better ways of treatment. The demand for innovation is always there as it will lead to more positive outcomes, faster disbursal of treatment, higher recovery rates, lower costs, and so on.

Here are some healthcare trends for 2020:

1. Data Sharing:

There is a lot of real-world information that is floating around on social media networks willingly shared by people these days. It would have been preposterous to believe a few decades ago that people would be open to sharing sensitive information about themselves. This is good for health care. Why? Because the more information you have about patients, the better equipped you are to handle their case. Not only that, but companies that have millions of data points will also be in a position to use data to predict when people will get sick. Researchers have found out that based on the spending patterns of people in an area, it could be possible to track the effects of an outbreak.

In fact, there are a lot of organizations that are using people’s health-related information to predict illnesses and medical conditions. A few researchers in the UK have used digital receipts of grocery bills to predict geographical areas that have more people with diseases like high blood sugar, cholesterol, and blood pressure.

2.Prices of prescription drugs:

There has been a lot of discussions between pharma companies and governments as to who should bear the skyrocketing prices of prescription drugs. If the government offers to pay, then it will lead to affordable drug prices for the people. In 2020, it is expected that a solution for this would come about.

3.Care model of innovation:

Patients don’t want to be just treated for their ailments anymore. They are also demanding a transparent infrastructure where they have access to more personalized services and conveniences. This year, you can expect more medical organizations to take this into account. Offering virtual care via video calls and reducing physical footprint will be essential for starters. With the proliferation of a pandemic like COVID-19, people would be wary of getting infected even through a stray interaction. Hospitals can also offer segmented customer experience and invest in core analytics to streamline the operations as much as possible.

4.Usage of the cloud for collaboration:

Medical organizations are notorious for working in silos and their mantra is not sharing information as patient details are sensitive. But adopting cloud-based solutions breaks down the information barrier. For eg, having a digital copy of a medical document saves time-saving than carrying it around to different places. Doctors who are in different places can also access each other’s knowledge without having to travel. When you have the information of a patient readily available on the cloud, it takes a few seconds for medical professionals to go through it. In fact, the same can be shared for different professionals all at once. This will help the hospital make informed medical decisions.

5.Simplifying healthcare data for patients:

Patients these days are not just satisfied to know if they have been treated and cured completely of their diseases. They are also curious to know about what affected them and how they can stay away from similar problems in the future. They would like detailed access to what ailed them and even want to understand the complex reports. Thankfully, there are technologies that are being developed to help them interpret complex medical terms.

6.Home-based healthcare:

The need for home-based healthcare will be on the rise as more patients want to be treated at home, especially since the percentage of older people are increasing in most countries. Transporting the patient is actually a big hassle and if there is a way to decentralize the treatment given to patients at their homes itself, it will reduce the heavy load of hospitals. With IoT devices, pacemakers, blood pressure devices, glucometers, and other smart devices, home-based healthcare is getting more acceptance these days.

7.AR/MR/VR in Healthcare:

The arrival of augmented and virtual reality have made dramatic changes in healthcare. From helping students learn to plan complex surgeries, simulated environments can lead to a lot of new perspectives being unearthed without having to test with a live patient. Patients who have dementia and other cognitive impairments can go through simulated environments where they can unlock memories and improve they’re well being.

By being able to render 3D information in real-world, it allows surgeons to get familiar with procedures while having access to other types of data through different kinds of technologies.

8.Chatbots:

Routine questions asked by patients can be solved by using AI-backed chatbots which will help address such questions. It will save a lot of costs for the hospital as they don’t have to get the help of customer service agents for answering repetitive questions. Instead, your customer service team can work on more productive tasks that will smoothen the operations. They wouldn’t have to worry about taking care of mundane questions while more challenging questions can be addressed by them with the utmost attention given to them.

Conclusion:

With healthcare at the cusp of all of these trends in the year 2020, hospitals should have a clear-cut objective of what they aim to achieve. Technology is going to be a major enabler in making that happen. Medical organizations need to open themselves to the possibility of newer technologies that can radically shape the way they function. It is only going to result in reduced expenses, better interoperability, and a streamlined operation process. What are your goals in improving your incumbent operations?

#CapMinds #HealthCare Trends #COVID19 #Medical Billing Software #Medical Billing Services #Medical Billing Service in Healthcare

[rhinoplasty-hyd]

rhinoplasty | nose surgery what is rhinoplasty how does nose surgery done

Nose Surgery - An Overview of Average Cost of Rhinoplasty in hyderabad

Nose Surgery mainly referred as Rhinoplasty by medical practitioners in the healthcare industry, is one of the options to cure nose related disorders (breathing problem) in humans. However, nose surgery is not confined to curing the nose disorders anymore. It has become a medium to reshape the nose and improve it for sheer aesthetics. Once considered a luxury, majorly as a legacy of the upper-classes in the society, especially of the celebrities, nose surgery has been increasingly becoming affordable to many nowadays. The improved socio-economic status of people has been one of the key contributors in making this costlier affair affordable to the masses.

If you are looking for information related to the cost of nose surgery in hyderabad, then keep reading the post. After reading this, you will get a fair idea about the average cost one would be required to incur for a nose surgery in hyderabad. It would be further interesting you to know that nose surgery is the 3rd most famous cosmetic surgery choice, after laser liposuction and breast augmentation. Both the cosmetic surgeries (laser liposuction and breast enhancement) have been widely preferred for getting the desired outcomes.

Unlike its metropolitan counterparts, hyderabad doesn't have a high-cost lifestyle. Hence, one can get nose surgery at a cost way lesser than cities like Delhi, Mumbai, Kolkata, and Chennai. In these cities, where one may have to shell out as much as INR 5 lakh to INR 12 lakh on an average, the cost of nose surgery in hyderabad would barely cost in between INR 2.5 lakh to INR 7 lakh. The cost range briefly covers the entire cost of treatment, including the pre-treatment expenditure and post-surgery medicines and medical follow-ups. If the cost of this surgery in the other nations is to be considered, then Indian healthcare sector has proven its mettle as it provides world-class service, but at a lower cost.

Apart from the lifestyle, other factors contributing to the affordability of the nose surgery here in hyderabad are state's lesser population, the absence of pomp & show, resource access and to name a few. These resources here may not be as abundant as they are in metro cities, but they are sufficient and effective enough to comply with the medical standards.

It clearly indicates that one may get several additional benefits while getting nose surgery treatment in metros, which contribute to skyrocketing treatment costs. But in hyderabad, one will get sufficiently comfortable yet effective treatment for nose correction through surgery. The competent and certified medical professionals of hyderabad will provide worthy nose correction solutions within a common man's budget.

How Much Does Nose Surgery Treatment Cost?

The nose area is a very critical facet of your face, and it is established and noticeably visible, which neither any glasses, make-up nor, hairstyle can cover up, compared with the other face features. Asymmetries of the nose area can be a great importance, having a negative impact on your overall countenance. You may also become quite self-conscious about the overall look of your nose area. Thankfully, that now snout asymmetries can be easily fixed via surgical treatment for the snout area. This is provided at select surgical treatment centers in the US by reputable physicians.

Factors That Influence the Expense of Rhinoplasty

Rhinoplasty or nose surgery can be done for decreasing the dimension nose, for solving a deviated septum, solving complications related to respiration, changing an irregular snout, solving a bulbous or connected tip, decreasing the dimension the nose, solving a damaged snout and much more. The price of snout surgical procedures is reasonable and medical center stay is not needed. There may be a difference in the price from individual to individual because it relies on the level of surgery. Basic factors that affect the price include:

Charges of the surgeon

The popularity, experience and expertise of choices are some factors that are essential when identifying the price. A knowledgeable physician would charge a higher fee than one who is not very knowledgeable.

Charges of the anesthesiologist

General sedation may be more costly than local sedation Service or working space fee The working space costs are decided by elements such as drugs, cleanliness, working space staff and equipment. If the process is conducted in a medical center, then the working space price is more than for a process, which is done on an outpatient basis. Regional location The price of aesthetic snout surgery differs according to place. This process would be quite costly in big places as compared to suburban areas. Kind of nose surgery that is worked The price is affected by the nose surgery that is conducted and the complexness of the process. This would be identified by whether the process is a shut one or start one. In a start surgery, the cut would be made along the fleshy remove between the noses. Comprehensive work is involved in start nose reshaping and therefore it is more costly than shut surgery. In shut surgery, the cuts are created inside the nose and little work is needed.

Modification or main surgery

In several cases, individuals are not pleased with the results, and they, therefore, opt for revision nose reshaping. Modification snout reshaping may be needed for solving both function and form of the nose and hence, it is considered quite extensive. Modification surgery may be more costly than main nose reshaping

Useful Nose Surgery Guide

The nose job surgery is used for correcting any kind of imperfections related to the nose particularly in patients who are dissatisfied with the aesthetic appearance of their nose. It can be used in combination with other similar techniques as well, in order to achieve even better results. Septoplasty is just one of the interventions that can be used in combination with nose surgery. This is one of the interventions that are frequently performed in offices, but it is often regarded as one of the most difficult cosmetic surgery procedures.

There are two main options when it comes to achieving favorable results for this procedure. Incisions are closed when placed in an endonasal area and are almost invisible. Postoperative edema is reduced by the most advanced techniques, but the visibility is much lower for the surgeon in complicated cases. Open nose surgery involves a very small incision that is almost unnoticeable. Postoperative edema will, however, delay the recovery period significantly. The decision related to what techniques should be used should be commonly established after a discussion with the surgeon. During a medical consultation scheduled before the intervention, the doctor will discuss all the advantages and possibilities of the intervention.

With the use of this surgery, the doctor is able to reshape the nose by operating on the cartilage, bones and soft tissue constituting the nose. The nose can be shortened, thinned, turned in or out. Most scars left are endo nasal and are unnoticeable. The thickness of the skin covering these structures is very important when it comes to obtaining the final result, so thick skin covers are usually associated with more defects. Thin skin, on the other hand, will highlight any defects resulting from surgery. The duration of the nose surgery intervention is approximately 1-2 hours and most patients choose general anesthesia for reasons related to their comfort.

The most common changes made during the surgery are modifications of nose cartilage, excisions and suturing of nasal pyramid. Cartilage can also be added in order to support the intervention. The back hump of the nose is removed with a chisel. If the nose is too wide nasal, bone fractures may appear and need to be dealt with. The angle between the upper lip and the nose is changed by excision of the nasal septum. Nose surgery is often used to restore the natural shape of nose by post traumatic repairs or for correction of aesthetic imperfections. This operation will improve the appearance of the face dramatically. It addresses patients who have passed puberty, so changes to the nose are complete and will harmonize perfectly with a mature facial physiognomy. nose reshaping cost in hyderabad

Finally, patients should always remember that the final results cannot be completely predictable because there are big differences between people in terms of healing ability. Preoperative recommendations are standard, but you should follow them with care. For example, you should not eat or drink anything after 10 pm the night before the intervention. In addition to this, women need to schedule the intervention outside the menstrual period in order to avoid complications. Make sure you also call your doctor if you encounter any kind of complication and inform him in detail about any disease that might affect the quality of the intervention, such as heart problems, pulmonary ones and other serious conditions.

Rhinoplasty- Its All About The Nose Rhinoplasty Surgery For Reshaping And Correction of Nose

To reshape the nose and to make it proportionate with other facial parts it is possible to have a cosmetic surgery. Some people might have bigger noses that make them feel odd and some people have comparatively smaller noses that look like sticking to faces. There are some other issues related to specific parts of noses such as enlarged nostrils, tips of noses facing too upward or too downward. Cosmetic surgeons design and execute rhinoplasty surgery depending on the specific requirement of reshaping the nose of a particular patient. Patients need to have comprehensive consulting with experienced surgeons explaining their difficulties. Surgeons determine the exact procedure by taking photos of nose and some other methods so that properly derive an effective procedure to reduce, enlarge or correct the shape and proportionate size of patient's nose. Usually this surgery is performed administering local anesthesia, sedation or general anesthesia. It depends on the understanding between the patient and the surgeon and diagnosis that may require a specific procedure. According the desired result surgeons can take incisions inside the nostrils which is known as closed rhinoplasty, or between the nostrils which is known as open rhinoplasty. If it is required to adjust and reshape the tip of the nose, surgeons can remove bone and cartilage through incisions inside the nostrils. Though the freedom of the surgeons to have a clear view of underlying cartilage would be limited in this procedure, the incisions would be sufficient for making the desired task. At the same time, scars would be minimal and even patients would get less swelling and reduced recovery time when closed rhinoplasty would be performed. However if it is required to add implants to enlarge the shape of nose and work on some other irregularities, surgeons prefer open rhinoplasty as it provides them clear view of the nasal structure and allows them to place implants wherever necessary quite easily. Nose surgeon cost mainly depends on his experience and expertise, location of his clinic and type of procedure adapted for the surgery in South Delhi, India,Mumbai, Chennai, Punjab, UK, Australia, UAE, Newzealand, Sudan, Ethiopia.

5 Questions To Ask Before Your Nose Piercing

If we're were all being really honest with each other, we'd all be able to admit that we wish we were cooler than we are right now. While there are variations in how said coolness might be achieved, one of the most interesting ways that presents itself here and there is a nose piercing. Depending on your experience with these piercings, you might imagine the extent of the jewelry being quite extravagant or pretty tame, but either way, it makes a statement. The thing is, though, that not everyone can pull it off.

Or can they?

The real question might more about what exactly the piercing might entail versus whether or not you could actually look cool with it. If you live in a hip enough city, you've probably seen your fair share of them, and on average, they tend to look pretty OK. Some are certain a little more garish than others, and still others are pretty subdued. The most interesting nose piercings tend to be on individuals who you'd never think would actually rock one. In the interest of full disclosure, my mother is a septuagenarian and has a little diamond stud on her right nostril. She's kind of my spirit animal.

There are a lot of people out there who would like to know more about these, and other, piercings but aren't quite sure how, or who, to ask for that matter. If this sounds like you, you're not alone. Recently, some of the nation's leading tattoo and piercing studios surveyed clients about their nose piercings, hoping to get some insight into the most common questions they had about nose piercings before they went through with the procedure.

Here were the most common responses:

What kind of cost is involved? Usually these types of piercings are relatively inexpensive, which makes them popular to folks testing the waters of piercings beyond the ears.

What's the after care like? It's pretty basic, but it requires patience and dedication. You can't skimp on things, and there are no off days.

Does it hurt? If so, how much? It all really depends on the person as some people have a pretty high pain tolerance. If you wanted an honest answer, yes, it will hurt, and in some cases, it can hurt pretty bad depending on where on the nose the piercing is.

How visible will it be to others? It's a piercing on your nose. Unless your interactions with people are at a distance, people will notice.

Are there any long-term effects? There is available literature about some issues that may arise due to nose piercings that can go awry, the most common thing to look out for is infection, which can have serious consequences.

A nose piercing, as with any type of body art or modification, shouldn't be entered into lightly. Consult your local piercing studios and ask questions so that you feel comfortable enough to make an educated decision. Body art & modification are all about expression, and sometimes that can mean deciding it might not be your thing.

Facts About 15 Minute Nose Job

The 15 Minute nose works refers to a method in which a doctor injects smooth tissue filler, into the nose to fix a defect or develop the shape of your nose. Liners are a different treatment, and surgeons have been utilizing them to reshape the nose for many years. Patients are regularly interested in the ease and non-invasive nature of the method.

The Pros and cons

It is not shocking that there are a lot of people excited in non-surgical rhinoplasty. They believe it is quick, nearly painless, and the outcomes are instant. While it may need a bit more than 5 minutes for a skilled treatment of facial fillers, it is more about the idea that the real timeframe of the operation. Unlike a long surgery and recovery, patients can be in and out of the office and return to their daily lives without time-wasting thus the practice is economical.

However, it is not all great news for the non-surgical rhinoplasty. The method is not permanent, and the outcomes typically persist about a year. Because of this, the treatment can become more expensive than traditional rhinoplasty over time, as the cost of fillers mounts.

The 15-minute nose job restricts in the kinds of difficulties it can fix. Noses cannot be made shorter, breathing problems discussed, and complex aesthetic issues are typically impossible to address with fillers.

Nose jobs are today faster and manageable than they once were. The new 15-minute nose job without surgery provides patients with a contoured, shapely nose, enhancing their overall appearance and increasing their self-confidence.

During the surgery, a surgeon will introduce the facial filler into the required areas of the nose to assist hide abnormalities. Though any patients may be concerned about how the nose will look larger after treatment, the treatment only smoothes out the nose, so it appears as one straight line.

The operation can either temporary or permanent, but it does on your Choice. Most cosmetic fillers are temporary. The injections take anywhere from three months to two years, depending on the type you choose, before slowly dissolving. Do people scoff at the procedure's fleetingness-why even do it if you're going to have to go back over and over again? Rivkin will begin with a patient off with a temporary filler before moving on to a permanent addictive. While you can correct your nose using Volume in one 15-minute session, Bellafill takes three spaced-out gatherings to help achieve the final result that will last years.

The Recovery Is Easy

If we were to formulate an injectable pain scale, Botox would be at the bottom you can barely feel it, and cheek injections positioned near the top. Lip injections would fall around in the middle. All accounts suppose it is nearly painless. It is a real lunchtime procedure. People can move right back to work, and as well you can be a little wounded for a week, but we possess lasers that can fix that too.

#nose reshaping #nose plastic surgery #nose surgery #hospital in hyderabad #BEST HOSPITAL IN HYDERABAD

[db-best]

3 Tips for Succeeding as a Student With Chronic Illness - Yahoo Lifestyle

College students walking in a hallway and chatting. More It’s that time of year again — time for all the big “kids” and small ones to get ready and head back to school. During my final year studying for both of my bachelor’s degrees, I first began to experience some of my chronic conditions. I can relate to what it’s like to deal with a high-stress school environment while also dealing with constant doctors’ appointments and life-threatening illness. In 2008, I had my gall bladder removed, and what was supposed to be a simple little outpatient procedure turned very difficult when the surgeon nicked my vagus nerve. The vagus nerve controls a whole host of internal functions most people probably never think about on a daily basis, but which turned my whole world upside down. First I experienced the failure of my bile duct and pancreatic duct as I developed a couple of rare conditions called sphincter of Oddi dysfunction and pancreatic sphincter dysfunction. This lead to a whole host of problems, not the least of which was the beginning of a long-standing relationship with pancreatitis, which I first contracted the summer before my senior year as an undergrad student. For a while, it wasn’t just wondering if I’d get back to school that was the worst part of that first bout with pancreatitis. We actually wondered if I’d make it out alive. Thankfully I did, and I spent the next year recovering while I finished my bachelor’s degrees. Related:​ What I Didn't Expect When I Applied for Disability Benefits This leads me to the reason for this article: I wanted to give those of us who are brave enough to take on an active school career while dealing with chronic illness a few tips on how to deal with both situations at the same time, because it’s no easy task, believe me! Here are my top three tips on dealing with chronic illness as a student. 1. Communicate well and often with your professors or teachers. Even though a lot of college professors may seem very inaccessible, they really do appreciate it if you let them know what’s going on — why you may be gone from time to time, and why some assignments may come in much later than they’re due. Especially during my master’s program, I was very up front with all of my professors about what I was going through and why. I spent a lot of time in the hospital during my master’s, and there were times when I even had to miss some exams. But my professors were all more than willing to work with me to give me extensions — sometimes multiple — on missed work and time. The more honest I was with them and the earlier I spoke to them, the better. Related:​ When I Asked My Mom What It Was Like Chasing a Diagnosis for 55 Years 2. Be willing to forgive yourself. When you’re missing a lot of school because of illness and the late assignments begin to pile up, it can become very easy to beat yourself up psychologically. It’s important to remember that this thing happening to you is not your fault. You didn’t ask for it and you can’t control it. I believe learning to forgive yourself for these things you can’t control is essential to maintaining a healthy and positive frame of mind in a high stress environment. All of my professors during both my bachelor’s and master’s programs were more than willing to forgive me for lateness or absenteeism due to my illnesses, but I found it was exponentially harder for me to forgive myself. Once I learned to do that, it made dealing with late assignments and beginning to finish my work as best I could so much easier. It’s much better to go into the school environment without the weight of placing blame for your situation on your own shoulders. I know it’s hard to do, but if you’re brave enough to face school through illness, I know you can be brave enough to master forgiveness of yourself as well! Related:​ Sharing Pregnancy Stories When Your Child Has Down Syndrome 3. Manage the time available to you wisely. When you’re ill you’re almost certainly going to have to deal with late assignments and papers, missed exams or tests. Once you’re communicating well with your professors or teachers and can reach an agreement on when these late items are due, it is essential to manage whatever time you have to complete them well. This may mean  you have less time for social concerns or you need to cut back on other activities to get everything done. But it’s important to remember the main reason you went to school in the first place was to finish this work. If you load yourself up with too many other activities on the side, it can become very easy to get yourself into a situation that is so stressful it can actually exacerbate your illness. If you’re like me, stress becomes a huge trigger for illness, and it can often bring on episodes that become harder and harder to control. So it’s important to put schoolwork first and give yourself plenty of time to get it done. All of my professors made this as easy as possible on me, as they all realized it wasn’t only one class I had late assignments in, but all of my classes. So they were more than willing to work with me and ensure I had plenty of time to complete all of my work, even if it bled over into the next semester. I made ample use of the calendar app on my computer to map out my time and make sure whatever assignments needed to be completed first got done on time. So there you have it! This is not a comprehensive list of ways to deal with school and chronic illness by any means, but I feel like these three quick tips are the most important for students, and will give you the best possible chance at completing your school career in the most timely and affirming way. Unfortunately, I was never able to finish my master’s program due to the progressing severity of my illnesses, but that doesn’t mean it’s an impossible task for you. Just be willing to give yourself the time and leeway necessary to do the work you need to do in the time available to you. You can do it! I believe in you! Read more stories like this on The Mighty: When My Son’s Doctor Said a Sentence I Didn’t Know I Needed to Hear 6 Requests for the Mainstream Teacher of My Child With Autism To the Young Lady Who Used the R-Word to Describe My Son With Asperger’s Read the full article

#advice #tips