"Torture" di Wislawa Szymborska

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Fake news is great news. The more, the better. Because it undermines the media's credibility.

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Los Angeles, California: Man Gets Botox Injections In Penis To Achieve Permanent Erection

A Maine man recently began making headlines in the medical world, as Anthony Nature, 28, recently convinced his plastic surgeon to inject Botox into his penis and testicles, causing him to have an erection at all times.

“Mr. Nature has visited me a number of times in the last few years,” said Dr. Carrie Pooler, plastic surgeon at Augusta Health Center. “Tummy tucks, a couple gluteus injections, and now, for the Botox penis injections. This is the first time that anyone has ever asked for this procedure, but I am confident that after Mr. Nature gets the word out, it won’t be the last.”

Nature says that he has never been happier with the results of one of his surgeries.

“I always had a penis that was just average, maybe slightly above average,” said Nature. “Plus, because of my addiction to movie theatre popcorn, I had really bad erectile dysfunction. What I wanted was a bigger, harder penis – longer, not really fuller. Not much, anyway. So I decided that I needed to have the Botox injections into my scrotum and penis. Now I’m erect all the time, and ready to go! The women I sleep with, they’ll never see me soft, so they’ll never know how tiny it is…or was!”

Dr. Pooler says that the Botox, which is actually a poison, will pull the loose skin of Nature’s penis and scrotum back, making the penis appear larger and the scrotum smaller.

“Basically his ol’ bait ‘n’ tackle is looking good, and he’s definitely ready to go,” said Dr. Pooler. “We have a date tonight, actually.”

Nature says that he is extremely happy with his new life, and the constant headaches and difficulty urinating are “totally worth it” in exchange for his newfound giant erection.

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Sacramento, California, USA news

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Porn stars dangle their dicks in front of super subwoofers to produce super erection. Do it yourself shockwave therapy.

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Demography is destiny. That is why Saudi Arabia and Qatar have established billion-dollar funds to provide financial support for every child born in Europe to a Muslim parent. The money is available through mosque charities.

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Chicago, Illinois: Philadelphia Is the Penis Enlargement Capital of the World

Meet the Bala Cynwyd doctor who’s making it happen — and boosting men’s egos in Center City and across the globe

For the past 16 years, from the confines of his bright Bala Cynwyd office, Mark Solomon has quietly been helping men from around the world feel better about their most important appendage: their penis. From longer to thicker to both, he’s the only doctor on the East Coast performing the penis enlargement procedure, and men come from as close as Center City, New York, and Boston to as far as Florida and the Netherlands to put their VIP packages in his capable hands.

In the past three years, he gone from performing roughly three PE procedures each year to one to three a week, and he was recently invited to explain how it all works on the Howard Stern Show. We caught up with him to hear everything from how he got started and how it goes from mini to manly — Is there pain? Are there risks? Can you tell? — to why Philly is quickly becoming the penis enlargement capital of the world.

Q: How did you get started doing this? Was anyone else doing it before you?
A: In the early ‘90s I did a fellowship in Paris. [I met a] surgeon there who was applying for the same fellowship. He was from South Africa, and he and I stayed in touch. Around ’90 or ’91, he was operating in South Africa and operating in Europe because there were significant financial restrictions if he stayed in South Africa. He wasn’t sure what the future would hold. At any rate, he heard about a surgeon in China who was doing penis lengthening. He spoke no Chinese, and he said it was quite a journey to get to this guy’s place … but, he ended up in this little hospital somewhere in China and the doctor who was doing penis lengthening on Chinese guys taught him. It was not one of the big cities in China — and this was China almost 20 years ago!

Then he took this back to South Africa and also opened a clinic in Vienna, and he called me up and said “Come to Vienna, we’ll do a bunch of cases, and I’ll teach you how to do it. “ I was writing a book on male cosmetic surgery at the time, so I went to Vienna, spent a week with him, did a bunch of cases, and learned how to do it.

Q: What year was this?
A: ’94 was when I finally went to Vienna. And in fact, the other funny joke of the whole thing — and I lost the photograph — but we took a taxi to the clinic from the hotel and we get out of the taxi and I look at the name on the side of the building and I start laughing because the name on the side of the building — it’s in German — says Die Neuen Wien Klinik. It meant “The New Vienna Clinic,” but, in English, of course it [looked like]“The New Wiener Clinic.” [Laughs]

Q: Oh my God, what are the chances of that?
A: Right. I started laughing and he, of course, because it’s an American colloquialism, didn’t even get the joke. But I, to this day, I just think it’s great karma that that’s where I went to learn to do penis lengthening.

Q: Destined, I guess.
A: Right. So yeah, that’s where I learned how to do it, at the New Wiener Clinic.

Q: How long did it take before you started getting one to three patients a week?
A: So I started doing it in the mid-’90s. Then actually, in the late-’90s there was a guy in California who’d done a bunch of them who got some really bad press and he pretty much killed it and it really fell into some level of disrepute. So I would do a couple a year, three a year, but not a lot. Then, in the past two or three years it’s really sort of taken off. The Internet being a viral sort of medium, it’s just grown.

Q: Is there any reason you think that people are starting to do it again? Is it the changes in procedures?
A: First of all, the way I do the thickening procedure has significantly improved over what we started doing years ago, in the fact that I can wrap the whole circumference of the penis. I think that makes an aesthetically nicer penis, I think these graft materials are significantly bigger than what was available 10 years ago, so that you get a thicker result, so that helps. I think that the lengthening procedures have gone through a number of iterations and the latest one makes the most sense, has the smallest amount of external scars, and it works. There have been these subtle improvements over the years. They’ve all helped.

Q: How many men have you treated in the Philadelphia area?
A: I get patients from all over the world. It’s not just Philadelphia. New York crushes Philadelphia in terms of the popularity of this, but it’s eight million people versus two million, right? Part of it’s just sheer numbers.

Q: Do you feel that guys in Philadelphia really know this is here?
A: No, no, no. I think that people outside the area are far more aware of it.

Q: So, you do two different penis enlargement operations: length and girth. How do you add length to the penis?
A: The length procedure is actually cutting a ligament that holds the penis back that attaches the penis to the pubic bone. And by cutting that ligament, you can advance out what I describe as the “hidden penis,” the portion that is under the skin. And that makes it longer, or makes it looks longer, when it’s flaccid primarily. And then patients have to wear a device, which is basically a condom with a weight in it, and that weighted condom prevents scar tissue from forming that would pull it back.

Q: How many inches on average are you able to add in length?
A: One to two.

Q: How does increasing the girth of a penis work?
A: The girth procedure uses tissue that we get from the tissue bank these are called “dermal graphs.” Dermis is the layer of tissue beneath the epidermis — epidermis is your skin — so if you shave off the outer layer you have dermis. And these graphs, they’re called acellular dermis, meaning that they have no cells so you can’t reject them. It’s basically the support structure of the skin and it allows actually the scaffold which allows tissue to grow in. So basically I wrap this tissue around the shaft, under the skin, and then your own tissue grows into it.

Q: About how much width can you add to it?
A: Thirty to 50 percent and it’s circumference, it’s not just width. Actually, formally, maybe 10 to 12 years ago, we would take little strips and slide them down the sides. Now these materials are cut in larger pieces, thicker sheets, that allow me to go all the way around, so that’s what I do.

Q: What is the recovery time with both of these procedures?
A: Four to six weeks. I mean, you’re back to work within a week or so, but before you’re functional and healed it’s four to six weeks.

Q: So four to six weeks before you engage in any sex or anything like that?
A: Yup.

Q: How much pain do patients have?
A: It varies from patient to patient. Some guys are “Eh, it’s no big deal” and other guys are “Whoa.” A lot of it has to do with how well behaved they are after the procedure. The guys who sort of hang out and don’t get too carried away have less pain, less swelling, they do better.

Q: What are the risks of doing it?
A: Well, with the lengthening procedure the biggest risk is that scar tissue can pull things back. So if you’re not willing to wear the weighted device, don’t have the lengthening. With the girth procedure, the biggest risk is infection.

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Q: Has it ever resulted in someone not being able to have sex after doing this?
A: No.

Q: Why do you think guys are doing this? How much do you think it improves their body image?
A: I think that’s strictly what it’s about. Ya know, for a lot of guys it’s about what do they look like in their gym shorts because they feel they’re inadequate. I tell patients all the time, it’s breast augmentation for men.

Q: So it’s actually about when they have clothes on that they’re more concerned about?
A: Well, I think it’s more the self confidence that they’ve got the biggest penis in the room, whether they have to show their penis or not.

Q: And do most guys want length or girth added?
A: Uh … Most guys want both. I probably do a little bit more girth than length because they don’t want to wear the weights.

Q: Can you do them both at the same time?
A: Yes.

Q: What’s the average size of a guy’s penis?
A: The average flaccid penis is 3-and-a-half inches in length and erect is 5-and-three-quarters and that’s if you take the average of about 12,000 measurements, which you can collect from literature.

Q: On average, how big is the guy that comes in there?
A: Normal. With rare exceptions, 10 percent are true abnormalities. For example, what’s called a ‘buried penis’ and for those you don’t just do a lengthening, you also have to do a liposuction of the pubic area, for example. Which, by the way, is a nice trick for a lot of guys because you flatten out the pubic area; it makes it look longer without doing any lengthening.

Q: Do you do that often?
A: Oh yeah, oh yeah.

Q: Is that usually in a heavier person?
A: Generally, but not always. But the other thing that the procedure does if you think about the aesthetics of the penis and you think about measurements of what normal things are, the length and the circumference, either hard or soft, should be roughly one to one. So if a guy has a penis that’s 3-and-a-half inches long when he’s flaccid but the circumference is 2-and-a-half inches, then a girth procedure would give him better proportions.

Q: Do you ever see guys coming in because they feel like they can’t please a woman in bed?
A: Generally, that’s not a discussion that we have. Because I make a big point of saying this is about appearance not function. The flip side is that when I talk to their significant others or their wives after surgery they tell me they can feel the difference. In fact, one of the stories I told on Howard was there’s a guy who came back for his third thickening…

Q: Oh, you can do it multiple times?
A: Yes, and the wife basically said, “Oh my goodness, I’m not sure if I can take anymore.” But then, six months later, she came back and got a breast augmentation. So I guess the answer is she could. [Laughs]

Q: So can you lengthen more than one time?
A: No, but you can add girth more than one time.

Q: What’s the most girth you’ve ever added to one penis?
A: That guy — three.

Q: So how many inches did it increase the circumference?
A: His circumference probably went up to about 16 centimeters, which is huge.

Q: Did it look normal at that point?
A: It looked really big.

Q: How big was this guy, how tall?
A: He was maybe 5’8 and skinny as a rail. They were nudists, so he wanted a really big penis. And he got one.

Q: I guess that makes a big difference when that’s what everybody sees.
A: I’ve got a couple of people like that. Yea, they’re nudists and they want to have big penises.

Q: And where are they usually from?
A: Well, he was from Emmaus, you know where that is? That’s up outside of Lancaster.

Q: How do you know if you’re a good candidate?
A: Come see me. You know, healthy, preferably non-smoker, non-diabetic, no medications, no problems with erections, ya know, normal penis.

Q: So it’s not about having a penis that works better at all.
A: Correct. If your penis doesn’t work I’m not gonna make it work better. And I get an awful lot of calls from guys who need treatment for impotence. I do get that, and I don’t treat those people. ‘Cause I’m not interested in operating on people I can’t help.

Q: You also do scrotum procedures, correct?
A: Right.

Q: Do you want to talk a little bit about that and what that entails?
A: So, scrotal issues include, just generally, a scrotum that hangs too much, or what’s called a “turkey neck,” which is basically a web that goes from the shaft of the penis to the scrotum. Some of those patients will tell me they feel like they can’t penetrate very well. So, removing the web makes them feel better about that, they don’t feel like they’re tethered. Does that make sense? So that’s an option for those guys.

Q: How do you know if it’s hanging too far down, on average?
A: That’s an interesting question; I don’t have a lot of numbers in that regard. But it’s sort of like pornography; you know it when you see it.

Q: What is that surgery like? What’s the recovery time?
A: Again, two to four weeks. There’s a couple different procedures you can do, the hanging down is different than the turkey neck.

Q: How do they work?
A: It’s sort of complicated to explain but they’re just technically different procedures.

Q: So is this one actually where you’re cutting away, though?
A: Right, you’re removing tissue. Well, the turkey neck you rearrange tissue and the hanging down you remove tissue. But you have to maintain the blood flow to the scrotum, so it’s a challenge.

Q: Have you ever had someone who wasn’t happy with the results?
A: Mmm… probably. Yea, I can’t think off the top of my head, but I’m sure I have.

Q: But in general, what’s the reaction you get from people after they’ve had it done?
A: Guys are satisfied, they’re happy they did it. Anywhere from like “Yea, it’s okay,” to ecstatic.

Q: This lasts for the rest of their life?
A: As far as I know. The guy from Missouri I just—I had done a lengthening on him over 10 years ago and he’s much longer than his pre-op photo and I just did a thickening on him.

Q: How much do the procedures start at?
A: About $6,000 and it goes up when you start putting multiple procedures together. $15,000 to $20,000.

Q: Are there any scars that are left? If you are undressed in front of someone is there any sign that shows you’ve had something done?
A: So, for the lengthening procedure there’s about a one inch scar where the penis meets the pubic area, but the pubic hair will cover it. Although guys don’t always have pubic hair, just like women don’t always have public hair anymore. Part of the reason guys don’t have pubic hair is because they want to make their penis look longer. But basically if you cover it, it’s not visible. And then the scars in the scrotum and behind the head of the penis for the girth procedure and the scrotal procedures. Scrotal scars are almost always imperceptible and the ones behind the head of the penis are like circumcision scars, which are pretty imperceptible.

Q: So getting back to the whole Philly thing, do you think that once Philly knows more about you, you’ll be seeing more guys coming in?
A: You know, maybe. I don’t know. Philadelphia was probably more conservative than most of the rest of the country for a long time about breast augmentation, then it sort of took off a few years ago. The Northeast is a more prudential part of the world. But again, I get a lot of inquiries from Boston, but even more from Florida and California and Texas.

Q: Are there other doctors in New York that are doing it?
A: Not presently, no.

Q: So are you the only one on the East Coast?
A: The way I do it, that’s correct. There’s a guy in Virginia who does fat injections and does some lengthenings.

Q: You told me earlier that a lot of Philadelphia men that do come to you are coming because they’ve had fat injections and they need the procedure to be re-done. Why are you fixing a lot of the fat injections?
A: Well fat injections require that the fat live in the recipient site and there’s no fat in a penis normally. So it’s not really a good place to put fat when you think about it. It’s great for breast augmentation and it’s great for buttocks augmentation ‘cause those are areas where fat normally lives. The fat doesn’t live in the penis so … inevitably when you inject fat not all of it will survive, some of it’s gonna die, so that leaves islands of fat to get lumpy and it’s aesthetically just not logical to me, doesn’t make sense. So while I do fat injections, it’s not, I think, appropriate for the penis.

Q: Do fat injections go away after a while?
A: Well, that’s what happens. You lose about a third of it right off the bat. And you don’t know which third you’re gonna lose.

Q: So that’s why it can become lumpy or look strange.
A: Right. And also, even when you have an erection the fat’s soft, spongy. I’m not sure that’s… I can’t speak to the woman side of it, but it doesn’t make a lot of sense to me.

Q: When you add the length and the girth, I’m assuming that it also adds two inches to your erection, if you get two inches when flaccid?
A: Well that’s the assumption but nobody knows for sure. And notice I don’t have pictures of erect guys on my website.

Q: Have you ever heard from your patients though?
A: I mean anecdotally I tell people yea, some guys have nice … they admit they’re longer and again, the thing that really sealed it for me was that their partners tell me they feel a difference. But that’s not … I don’t have 100 percent of my patients telling me that.

Q: Why would there not be … if you have two inches flaccid you don’t get two inches erect?
A: Well because the penis is sort of like the head of a turtle. It’s the same head whether it’s in the shell or out of the shell.

Q: What else do you think men and their wives or girlfriends or partners should know about this?
A: A lot of the patients that I get are married, a lot of them their wives have had a couple kids and the guys think they can’t satisfy their wives. The other thing that everybody thought when I started doing this was all the men would be gay, but probably only 20 to 30 percent are gay and the rest of them are straight. And probably half of them are married.

Q: Do you feel that it’s definitely a procedure that men don’t want anyone to know they’re having done?
A: Oh, without a doubt.

Q: So is there some shame involved?
A: It’s not shame it’s just privacy. But then again, I’ve had patients with breast implants that don’t want anyone to know or women who get their labia done, they don’t want people to know. Or face lifts. You don’t wanna have anyone know, you just wanna do it.

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Men are our competitors. We want less of those around. Women are our prey. We want them poor and helpless.

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In a Uganda, rich fathers use super high dosages of butea superba combined with tongkat ali to turn their gay sons into heterosexual husbands.

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Houston, Texas: Anesthesia Awareness—What If I Am Awake During Surgery?

Updated on November 4, 2016

TahoeDoc HealDove

Anesthesia Awareness - Awake Under Anesthesia

Fear of being awake under anesthesia, called anesthesia awareness or intraoperative awareness, causes a lot of anxiety for patients facing surgery.

Having anesthesia is scary for most people. As an anesthesiologist, I usually meet patients right before their surgeries. People facing surgery have many apprehensions and fears. More and more are concerned about anesthesia awareness.

I repeatedly hear that patients are often more apprehensive about the anesthesia than the surgery itself. And of all the fears that people have about the anesthetic side effects and anesthetic complications, the one I hear most often is, "I'm afraid of waking up during the surgery."

Anesthesia awareness has received a great deal of attention in the press over the last few years and even a full-length movie, called "Awake," capitalized on this fearful concept (I have reluctantly included the trailer here). But what is it really? Why and to whom does it occur? Keep reading to find out why it most likely won't happen to you.

"Awake" - Sensationalizing Anesthesia Awareness

What Is Anesthesia Awareness?

Anesthesia awareness, also called intraoperative awareness refers to a specific situation where a person is under general anesthesia for surgery and regains consciousness during the surgical procedure.

The definition of general anesthesia includes induction and maintenance of loss of consciousness. This means that you should not be able to wake up until the surgery is over. You do not respond to voice or painful stimuli.

For various reasons, some people do regain consciousness when they are under general anesthesia. For most people, this involves a very brief, hazy memory. Some people are aware of what is being said, but cannot move or indicate that they are awake. Still, there is usually no sensation of pain or awareness of the operation. The very rare, unfortunate few are awake, cannot move and do feel the surgery being done.

What Is NOT True Anesthesia Awareness?

There are many situations that are confused with anesthesia awareness.

Sedation anesthesia. I often have patients tell me they had anesthesia awareness during their colonoscopy or other procedure. These procedures are commonly done under intravenous sedation anesthesia. While the intravenous sedation drugs do cause sleepiness and often amnesia- you don't remember the procedure, they do not cause unconsciousness. It is not at all abnormal to be awake and remember these procedures. With the sedation, pain medications are either injected at the surgical site or given in the IV or both. You should still not be uncomfortable, even if you are awake, during surgeries or procedures under sedation.

Sedation plus spinal or epidural. Neither sedation or spinal/epidural anesthesia makes you unconscious during your operation. If you have spinal or epidural anesthesia to block the pain of surgery, you are usually also given sedation. The same is true for local anesthesia as well. In this case, it is not unusual or abnormal to have memories of being in the operating room. This is not anesthetic awareness.

Dreaming. Some people actually dream during their anesthetic, or more likely, when transitioning from unconsciousness back to wakefulness at the end of surgery. These dreams are often interpreted as actual wakefulness, but are not.

Waking at the end of surgery, but not able to move. When you return to consciousness, sometimes your brain is more awake than your body. You are waking up, but cannot move for a couple minutes. You can hear the anesthesiologist talking to you or feel the nurses putting bandages on your incisions, but cannot yet respond. The anesthesia wears off at different rates for different people. If your surgery is over, but you are still in the operating room and have memories of this, it is a normal variant of the emergence phase from anesthesia. Most people are conscious when they leave the operating room, post anesthesia, and many are talking and asking questions, but may not remember it later. If you do remember this phase, it's ok. The same is true for the beginning of your anesthetic, the anesthesia induction. Vague, hazy memories of being in the operating room are confusing and can be mistaken for being awake during the anesthetic.

Risk Factors for Intraoperative Awareness

Certain risk factors make anesthesia awareness more likely.

Type of surgery and type of anesthesia. Certain types of surgery are associated with higher incidences of anesthesia awareness. Surgeries where using lower concentrations and amounts of anesthetics is necessary to protect patients lead to more intraoperative awareness. Emergency cesarean sections, trauma surgeries, and open heart surgeries are the most likely cases to be associated with anesthesia awareness. Anesthesia challenges the body's physiology. Heart rates vary and blood pressures drop. When they cannot be adequately managed by giving more medication, the anesthetic must be "lightened" in order to NOT endanger the patients' lives.

There are certain brain and spinal cord surgeries that require that no anesthesia gas be used in order to not interfere with the nerve monitoring being used to prevent paralysis. The anesthetic called TIVA (total intra-venous anesthesia) also predisposes to higher rates of anesthesia awareness.

Type of patient. Patients who use illegal drugs such as cocaine and methamphetamine may be more likely to have intraoperative awareness. Not only do these drugs cause dangerous fluctuations in heart rate and blood pressure, they make the metabolism of anesthetic drugs much more unpredictable.

Some prescription medications. Certain prescription medications may also increase the risk. Anesthetics are adjusted throughout the surgery based on surgical stimulation level, type of anesthesia and the heart rate, breathing rate and blood pressure of the patient. Patients who take medications that block the normal increases in heart rate or blood pressure may have their signs of light anesthesia masked by the medication.

Statistics on Awareness Under Anesthesia

The American Society of Anesthesiologists estimates that some degree of anesthesia awareness occurs in about 1 in 1000 general anesthetics. It is believed that the majority of these cases are during the induction (beginning) of the anesthetic when the drugs haven't fully taken effect. Likewise, a great many cases are at the end of surgery, during anesthetic emergence, when the anesthetic is wearing off but isn't completely gone. These are not intraoperative awareness as the surgery is not occurring. Because the memories are fuzzy and confusing, patients often don't know that this wasn't during the surgery itself.

There are no exact statistics on true intraoperative awareness cases that occur during the surgery and cause distress and lasting trauma to the patient. It is, however, an area of active study and research.

Again, talk to your doctors and ask questions if you are remotely concerned that this has happened to you.

Prevention: What You Can Do to Prevent Intraoperative Awareness.

Talk to your anesthesia doctor and provide accurate information. This is your best defense against intraoperative awareness.

So, be honest with your doctor about:

Your fears. Usually, this will help calm you. While no absolute guarantees can ever be made, your doctor can help pinpoint whether or not you have higher risk than average for this complication and let you know how he or she will address the risk. Alcohol consumption. Chronic, excessive alcohol intake results in a higher need for anesthetic medications. Illegal drugs use. Your anesthesiologist needs to know this to figure out which and how much anesthesia it will take to get you to sleep and keep you there. They are not there to judge you, but cannot keep you safe if they don't have all relevant information. All of your prescriptions and supplements. Different medications affect the metabolism of anesthesia differently. And just because supplements are "natural" or "alternative" doesn't mean they don't have side-effects or don't interfere with anesthetic medicines. How the Anesthesiologist Monitors During Surgery

The anesthesiologist, using intraoperative monitoring, will be watching your heart rate, blood pressure, and breathing rate (if a ventilator doesn't need to be used). Increases in these seen on the intraop monitors indicates that the anesthesia is too "light." These parameters generally increase before any awareness occurs. The anesthesiologist is constantly adjusting the delivery of the anesthesia gas and giving other medication in the IV to keep the anesthesia level where it needs to be. The anesthesia is increased to ensure adequate depth of anesthesia if it's too light. Likewise, even though you are unconscious, your body will reflexively move to stimulation if the anesthetic depth needs to be increased. This also occurs before awareness.

The various brain monitors on the market have not been shown to reduce anesthesia awareness, despite what the makers of these expensive devices say. They do provide other useful information and may or may not be used if your hospital has them, at the discretion of the anesthesiologist.

BIS Monitor

A study published in the "New England Journal of Medicine" (August 18, 2011) has actually shown that relying on a BIS (brain) monitor can actually increase the incidence of intraoperative awareness vs. using measurement of the anesthetic concentration (the usual technique). This sounds counter-intuitive, but to me is not surprising. Here's why...

The BIS monitor (which I use for other information) gives a number that is indicates the level of consciousness. Other indicators include heart rate, blood pressure and breathing rate/pattern changes (if the patient is breathing on their own). In my experience (disclaimer-based on only my experience, not scientific study), the changes in vital signs happen first. Heart rate goes up before you see a change in the BIS number. That means that providers who rely only on the BIS number and ignore the changes in vital signs may be missing the chance to prevent awareness. The awareness may have already happened before the change in BIS number is seen. There is a lag between the event and the change in BIS.

Personally, I try to use all the data available to me and not rely on the BIS monitor for prevention of awareness. Vital signs to me are more reliable, happen earlier (before awareness can occur in most cases) and should not be ignored to focus on the BIS monitor. The BIS does provide other useful info, but is not as reliable as the manufacturer may claim to prevent awareness.

Treatment for Anesthesia Awareness

If you have had a case of genuine intraoperative awareness, let your doctor, surgeon, or anesthesiologist know right away. Many people do well with just an explanation of why it might have happened. Others suffer short-term or even long-term post-traumatic stress disorder. In those cases, an evaluation by a psychologist or psychiatrist and possible medications may be needed, usually on a short-term basis.

If you aren't sure if you had true anesthesia awareness, speak to your surgeon or contact the anesthesiologist. Most people who aren't sure have had one of the other experiences -- like sedation, dreaming, or waking at the end and being confused about the time -- and feel much better after having their questions answered.

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Most European women have gang rape fantasies, because their vaginas are so big that there is space for two or more dicks.

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In a rich world, a persons value depends on attractiveness and youth. If you are rich and older, just invest in destruction. The poorer the world, the less does your value depend on youth.

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Phoenix, Arizona: Mascarilla para el pecho: lo último que la cosmética oriental ha creado para tu cuerpo

Es evidente que el pecho y el escote se han convertido en los protagonistas de los estilismos de noche, los de día y los favoritos para conseguir likes en redes sociales (el de Bella Hadid, él solito, lleva cosechados más de 150 mil). Pero hay que ser realistas, ¿qué es un buen escote si no va acompañado de un busto cuidado? Hasta ahora existían buenas cremas, geles, sérums y hasta potingues caseros que ayudaban a mantenerlo hidratado, tonificado y firme. Ahora llegan desde Oriente las mascarillas de un solo uso, como las de celulosa que ya conoces, pero para el pecho. Pecho y escote: la piel más delicada del cuerpo

Hay que ser conscientes de lo delicada que es la piel que rodea al escote y el pecho, el escote suele sufrir problemas como deshidratación, manchas y arrugas y en cuanto al pecho, éste además está sometido a los cambios hormonales que toda mujer experimenta a lo largo de la vida y que repercuten en la pérdida de firmeza. Centrándonos en el busto, recuerda que siempre debes incluir esta zona en tus rutinas diarias de belleza, bien aprovechando los productos que utilizas para el rostro, bien extendiendo los que usas para el cuerpo, aunque es mejor utilizar la cosmética creada para atender sus necesidades particulares. Las nuevas mascarillas de un solo uso para el pecho han sido creadas precisamente para atender problemas específicos de esta zona tan delicada y son tan atractivas como las que ya conoces de celulosa.

De origen coreano y con un packaging divertidísimo, la mascarilla Oh! My Busty!? de Pure Smile promete dejar el pecho hidratado y suave con tres sencillos pasos: el primera consiste en una exfoliación, el segundo en colocar una mascarilla de hidrogel durante unos 10 o 15 minutos y el tercero en aplicar una crema enriquecida con ingredientes nutritivos. Se aconseja masajear la zona hasta su completa absorción para mantener la piel del busto suave e hidratada.

MasKingdom Fit for Queen Lace Breast Mask: para tonificar

Estas mascarillas de origen taiwanés son de la marca MasKingdom, tienen forma de flor y están disponibles en fibra de bambú o en encaje de seda. Perfumadas con violeta y miel, prometen dar elasticidad, tonificar y dar firmeza a la piel del pecho mediante una formulación a base de extracto de rosas y polvo de perlas. Se utiliza como cualquier mascarilla desechable, hay que limpiar la zona antes de aplicarla, respetar los tiempos y una vez retirada, masajear para que penetre el producto sobrante.

Bioxidea Miracle: efecto antiedad

Bioxidea Cosmetics es una firma inglesa que se ha puesto rápidamente las pilas y ha creado la Miracle24 Breast, una mascarilla antiedad que combate arrugas y flacidez. Especialmente indicada para que las pieles maduras recobren elasticidad de inmediato y que durante 24 horas el pecho tenga un aspecto firme, voluminoso y revitalizado. Breast Firming Masks: efecto lifting

Desde California llega esta mascarilla de la marca Gingi, un producto reafirmante del busto que calma y enfría la piel, formulado a base de agua de rosas, extracto de palmera y manzana, ingredientes suaves que permiten su aplicación a diario. Entre los resultados que promete incluye combatir la flacidez y hacer desaparecer las estrías. Para su aplicación hay que limpiar la zona previamente, dejar actuar unos treinta minutos y después de retirarla limpiar la piel con agua.

Gold Collagen Breast Mask: para el crecimiento

Desde California llega esta mascarilla de la marca Gingi, un producto reafirmante del busto que calma y enfría la piel, formulado a base de agua de rosas, extracto de palmera y manzana, ingredientes suaves que permiten su aplicación a diario. Entre los resultados que promete incluye combatir la flacidez y hacer desaparecer las estrías. Para su aplicación hay que limpiar la zona previamente, dejar actuar unos treinta minutos y después de retirarla limpiar la piel con agua.

Gold Collagen Breast Mask: para el crecimiento

Jamela es una firma inglesa conocida por sus mascarillas de oro de 24 quilates que facilitan la penetración de extractos naturales en la piel. Ésta, especialmente creada para el busto, contiene colágeno y elastina, ingredientes reafirmantes y nutritivos. Pero además esta mascarilla contiene extracto natural de las raíces de la Butea Superba, una planta tailandesa que imita los efectos de los estrógenos y que actúa como reafirmante, proporcionando firmeza, tonificación, elevación y más volumen a los senos.

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The Serge Kreutz diet is the ultimate sex diet via the day-long stimulation of taste buds with chocolate.

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