nasal_endoscopyNasal endoscopy involves evaluation of the sinus and nasal passages with immediate vision utilizing a magnified high-high quality view. It is a generally performed process in the otolaryngologist’s workplace and serves being an objective diagnostic device in the assessment of nasal mucosa, sinonasal anatomy, and nasal pathology. Nasal endoscopy could be accomplished with either a versatile fiberoptic endoscope or perhaps a rigid endoscope (start to see the pictures below). When carried out by experienced practitioners, both versatile endoscopy and rigid endoscopy are well tolerated usually.
The fiberoptic telescope gets the advantage of becoming flexible and smaller in diameter generally, which means that it really is manipulated in several directions allowing visualization of tight areas readily. However, versatile endoscopy requires 2 fingers for manipulation of the device and is therefore a far more difficult procedure. Traditionally, versatile endoscopy has offered inferior visualization, but this drawback offers been conquer with the advancement of digital versatile endoscopes.
The rigid endoscope provides first-class image clarity, facilitates culture and tissue sampling, controls epistaxis much better, and affords the endoscopist the opportunity to perform medical procedures. Rigid endoscopes for the nasal area can be found in diameters of 2.7-4 mm and also have tips of various angles (generally 0-70º), allowing health related conditions to visualize various sinuses and areas within the nasal sinuses and cavity.
Along with affording exceptional visualization, nasal endoscopy provides enhanced illumination, greater magnification, and the capability to navigate to pathologic areas directly. As an outcome, examiners get yourself a more precise and thorough diagnostic assessment. In one research, rigid nasal endoscopy recognized nasal pathology in nearly 40% of patients who had regular examinations on anterior rhinoscopy. Endoscopy plays a significant part in the preoperative, postoperative, and medical administration of patients with sinonasal issues.
Nasal endoscopy includes a clear role inside the identification of sinonasal disease inside patients presenting to the otolaryngologist's office. It must be viewed as an important component of a whole examination of the nasal area and sinuses.
Indications for nasal endoscopy include, but aren't limited to, the next:
·Initial identification of illness inside patients experiencing sinonasal signs and symptoms (eg, mucopurulent drainage, facial pressure or pain, nasal congestion or obstruction, or decreased feeling of smell)
·Evaluation of patients' reaction to medical treatment (eg, quality of polyps, purulent secretions, or mucosal inflammation and edema after therapy with topical nasal steroids, antibiotics, oral steroids, and antihistamines)
·Evaluation of unilateral illness
·Assessment of patients with problems or impending problems of sinusitis
·Obtaining a tradition of purulent secretions
·Debridement and elimination of crusting, mucus, and fibrin from obstructed nasal and sinus cavities after functional endoscopic sinus medical procedures
·Assessment for recurrence of pathology after FESS to (that is particularly valuable in checking for recurrence of intranasal tumors)
·Assessment and biopsy of nasal masses or lesions
·Assessment of the nasopharynx for lymphoid hyperplasia, eustachian tube issues, and nasal obstruction
·Evaluation of cerebrospinal liquid (CSF) leak
·Evaluation and therapy of epistaxis
·Assessment of hyposmia or anosmia
·Evaluation and therapy of nasal international bodies

I pinned this creative mending DIY from the Karen Barbe blog and I couldn’t wait to try it. Aside from absolutely loving her blog, her tutorial on how to make a creative mending patch like this one was pretty easy to follow. Yes, that’s my son’s bed, void of mattress pad, sheets and blankets. Two words: laundry day.

I used embroidery thread in Jacob’s favorite colors and then I used my fabric glue to adhere the patches where I wanted them. After the glue dried, I hand stitched around the edges a little to make sure each patch was secure enough. I love little projects like these, especially because they add just a little hint of a handmade touch to the garment.

I’ve been a day behind this week, so when I woke up and realized it was Thursday, I kind of did a little cheer. It’s always nice when you realize you’re one day closer to the weekend than you thought, right?

{TNAT: Alicia’s Homemaking}

Randomly, at least once a day, Natasha Bedingfield’s song, Pocketful of Sunshine pops in my head like an unwelcome zit before school pictures. It’s a great song, don’t get me wrong, but as my brain finishes singing the first line, it stops itself (every single time) and says, “if you had a pocketful of sunshine, you’d be dead”. Sometimes my brain is too literal.

At six o’clock the other morning, as I was cleaning poop off Judah’s bed and just him in general (he’s getting too smart for those onesies), I threatened my brain…if it sang “Pocketful of Sunshine” at that very moment, I might lose it. Because at that very moment, I was planning my escape. I’m aware that not every mom has these moments, the ones where they just want to wave the white flag and crawl away in defeat. But I’d like to be honest with you. I have those moments often. Then of course the mom guilt rolls in with the evening tide and I belittle myself for such thoughts. If I’ve said it once, I’ve said it a million times, it’s a process folks.

I’m learning to recognize why the white flag edges it’s way into my hands. Often, the root of the problem isn’t the situation at hand. Often it’s “I’m exhausted therefore, I have no perspective” or “I haven’t had any adult contact in two days…therefore I have no perspective” or simply, “I haven’t eaten a real meal since the day before…therefore I have no perspective”.

Friday! All week I’ve been a day behind, then a day ahead and finally, today I’m caught up. I’m so looking forward to this weekend. Family time, coffee date with my friend Malisa (I’m super excited!) and hopefully at least one evening by the fireplace with a cup of hot coco in hand. The weather is cooling off here!

We had a really great day today. It was just the kind of relaxing day we needed to end the week. We busted out the bow ties today and played dress up…but you know, in a manly-boyish kind of way. ha! Both boys secretly enjoyed it because neither one of them wanted to take them off.Jacob nonchalantly told us that when he grows up, he’s going to take care of Judah, then promptly looked at Judah and told him that he was supposed to stay little so he could take care of him. Their relationship matures each day and I love seeing them grow together. 

Also, may I just tell you, thanks for your comments! I love reading them and getting to know everyone. You guys are always to encouraging and sweet. Sometimes I’m not great about replying and I’m not sure if you actually check back to see if I have, but they really do make my day!I hope you have an amazing weekend! What do you have planned?

I love my iPhone (thank you Steve Jobs).

This past weekend we decided to pack ourselves into the car and drive over to Muir Woods. Actually, I have no clue if we drove over, down or up to Muir Woods because I’m a direction-challenged female. Regardless, we were halfway into the hour drive and I looked back and realized we’d forgotten to pack our camera. Ham sandwiches and Salt and Vinegar chips, check. Camera, nope. So, we used our handy-dandy iPhones instead.

I turned on the heat this morning. Like literally, not figuratively. Because as fabulous as I’d like to think I am, this girl cannot rock the bed head, crusty eyes and morning breath. It takes a good hour to un-crust and drink my coffee with pinkies up. So literally, I turned on the heat and I sat at the computer desk listening to my pitch-fork wielding self argue with my halo sporting self about why I should eat that chocolate pie in the fridge for breakfast.

  • Token: The Blog  {Because I love clothes but don’t want to clog up this space with outfit posts and shop updates. The plan is to link the two so this space still gets personal style posts.}
  • I just found Casey Leigh’s blog and I love it: The Wiegand’s 
  • Did you see this Bow Belt DIY from Orange Juice etc?
  • These modular bookshelves made out of letters and numbers.
  • I love Mandy’s house tour, especially her mantle.
  • I think my babies need suspenders like this.

I am so thrilled to have Caroline from Chocolate and Carrots guest posting today! I think Chocolate and Carrots was one of the first blogs I started following constantly and I am sure you’ll see why. :) She’s got skills in the kitchen for sure! Also, a huge congratulations to Caroline and her husband for their wonderful news and thank you Caroline for sharing this awesome Fall treat.

These mini, little (yeah, yeah…I know…two adjectives that mean the same thing…it’s cute though, right?!? Anyway…), these mini, little cookies are the perfect size for a small treat.

I woke up around 4:30am this morning to Judah throwing a tantrum. Since age three, he’s been pretty good about sleeping through the night (thank you melatonin) but on occasion he gets stuck in a sleep routine that’s less than desirable. The past few mornings, he’s been up around 4:30am and while that sounds brutally early, this morning, was just a little comical.

It’s pitch black and I make my way into the room. I can hear him screaming and I know it’s the mad kind of tantrum, not the I’m-hurt-come-save-me kind. I can’t see anything, but I hear Jacob’s sleepy voice say, “Judy…” and I’m still searching, but can’t find him. I sort of trip over a toy and find myself on my hands and knees and oddly enough I hear Judah louder down there. I abandon the bed and blanket search and finally realize that Judah is under his bed. He’s under his bed, screaming and flailing and I finally manage to score an ankle. I tug him out and go through the ritual of deep pressure hugs, calming voice and then finally, “Judah. It’s time to stop screaming. One. Two…” and just before I get to three I hear a man’s voice say, “Judah, calm down honey.” I yell at the man, “Get out!” genuinely unsure of who the man is. I finish calming Judah down and it’s not until we’re all quietly back in bed that I realize the man was Josh. After four years of middle of the night wakings, Josh says he’s used to my incoherent ways and loves me anyway.

The boys went to bed last night and I finally felt like I’d caught up on everything. Then there was this smell. It was just a whiff, but as faint as it was, I know if there’s even a hint of scent, it’s best to find the culprit before scent turns into tangible substance like mold or fruit flies. So as it turns out, behind the play kitchen is the best place to hide unwanted items. Whatever milk had not curdled inside the container, had leaked out onto the carpet. I vaguely remember a week ago, buying Jacob a single serving size bottle of milk to go with his morning snack. I was nearly positive he drank it and then threw the bottle away. Yes, threw it away…behind the play kitchen! Kids and their shenanigans are not for the faint of heart. 


Veterinary medicine

Veterinary medicine is the branch of medicine that deals with the prevention, diagnosis and treatment of disease, disorder and injury in non-human animals. The scope of veterinary medicine is wide, covering all animal species, both domesticated and wild, with a wide range of conditions which can affect different species.

Veterinary medicine is widely practiced, both with and without professional supervision. Professional care is most often led by a veterinary physician (also known as a vet, veterinary surgeon or veterinarian), but also by paraveterinary workers such as veterinary nurses or technicians. This can be augmented by other paraprofessionals with specific specialisms such as animal physiotherapy or dentistry, and species relevant roles such as farriers.

Veterinary science

Veterinary science helps human health through the monitoring and control of zoonotic disease (infectious disease transmitted from non-human animals to humans), food safety, and indirectly through human applications from basic medical research. They also help to maintain food supply through livestock health monitoring and treatment, and mental health by keeping pets healthy and long living. Veterinary scientists often collaborate with epidemiologists, and other health or natural scientists depending on type of work. Ethically, veterinarians are usually obliged to look after animal welfare.

Deepwood Veterinary Clinic

11 December 2018

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