Fast FAQs about Rhinoplasty

Rhinoplasty is the surgical reconstruction of the nose that will alter its look, size or shape for esthetic or functional purposes. It is commonly referred to as a nose job.

The typical rhinoplasty may cost between $2,000 and $10,000 depending on the type of procedure and where it will be performed. Any hospital stay is over and above the cost for the procedure itself. It may be possible to have a portion of the costs covered by health insurance if there is a documented functional i.e. difficulty in breathing component to it.

In general, rhinoplasty is as safe as any surgical procedure can be, although there is still a risk of infection or an allergic reaction to the anesthesia. The procedure is performed under general anesthesia and takes about 2 hours. The biggest risk with rhinoplasty is being disappointed by the results if patient expectations are unreasonable. According to the Des Moines-based plastic surgery center Bergman & Folkers website, the emphasis should be for a natural-looking result based on the patient’s facial characteristics and bone structure. A competent plastic surgeon will discuss how the procedure will go and what to expect to minimize revisions.

Prior to the day of the procedure, the patient is typically asked to refrain from medications that can thin out the blood and inhibit clotting to prevent excessive bleeding such as those containing ibuprofen and aspirin. Smokers are advised to refrain from smoking for at least a month before and after the procedure to allow faster healing. Recovery usually takes about three weeks, and may be accompanied by pain and difficulty in breathing. Swelling and bruising around the eyes may also manifest for about 14 days. A nasal splint may be used as support and may be removed after approximately 7 days. Patients are advised against any strenuous activities for a month after surgery.

Results from rhinoplasty may be seen in about two months after the surgery when most of the swelling has gone down, although the appearance will continue to improve after several months. For best results, rhinoplasty should be performed by a reputable surgeon in the area who has wide experience and a good track record in performing the procedure.

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Couples Therapy and Promoting Strengths

When a romantic relationship is in trouble, the tendency is to focus on what went wrong rather than what went right. People tend to dwell on a person’s irritating habits rather than the adorable traits. Up to a certain point, this is also what happens in couples therapy. After all, the only reason people in a relationship would go to a counselor because there is a serious problem. Perfectly happy and suited couples with minor disagreements would obviously have no need for counseling as they would be able to handle the situation themselves. Just like in medical treatment where the doctor focuses on the part of the body that is ailing, the counselor would focus primarily on the source of the relationship conflict in couples therapy.

However, while triage also applies in couples therapy, there is a stage when the crisis has passed when the counselor will want to target those aspects in the relationship that brought them together in the first place. Promoting strengths in the relationship effectively encourages resilience, which allows the couple to function better. The competent counselor would encourage the couple to list the other person’s positive attributes and to dwell on it. This can gradually alter each partner’s perception about the relationship from a more constructive angle, and breeds patience and tolerance for each pother’s shortcomings. Highlighting the strengths of a partner encourages appreciation, which in the long run can help minimize the tendency to find fault and assign blame when things go wrong.

All couples have problems; the task of the counselor in couples therapy is to show them that most problems can be fixed with the right tools and the right attitude. This is a far more difficult task than it appears. For couples having serious relationship problems, it may be the better part of valor to seek professional help before the relationship goes beyond salvage.

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The Dangers of Asbestos Exposure

It is no longer a secret that asbestos is hazardous material, causing serious health conditions such as asbestosis (similar in presentation to emphysema) in people who are constantly exposed to asbestos. This could be work-related, such as for automobile brake parts, textile or construction workers, or home-based, such as from old insulation made from asbestos or during a home renovation.

Asbestos is a known carcinogenic, but because it has many industrial uses, it is still being used in the US today on a limited basis. There was a time that the heat resistant material was used everywhere. But even with its current restriction to certain products, it is still possible to be at risk from asbestos-related illnesses, which usually come out years after exposure to asbestos.

Perhaps the most identifiable asbestos-related disease is mesothelioma, although asbestosis is more common and just as deadly. The notoriety of mesothelioma is due to the fact that when it is diagnosed, it is almost always fatal within 12 months. It is very hard to detect it in the first stages even with regular health screening for those at risk, so intervention measures usually come too late to be effective.

Malignant mesothelioma is a type of cancer where the abnormal cells develop in the mesothelium, that thin covering of the abdominal organs, lungs, and chest cavity.  Mesothelioma is essentially incurable because it is often diagnosed when the malignancy is already widespread. There are some treatments that may help, but there are no guarantees.

Like most cancers, there is the surgical, radiation, and chemotherapy options, each of which are not only risky, they are expensive. They are often used in combination depending on the state of the cancer and the health of the patient. In most cases, the toll on the patient and the family extends beyond the physical and emotional trauma; because of the expense associated with mesothelioma treatment, bankruptcy protection may have to be invoked to protect whatever fixed assets that may become vulnerable, such as the primary residence.

If you have been diagnosed with mesothelioma and the exposure is due to the negligence of a third party, you may need to seek compensation to avoid financial ruin. Consult with a mesothelioma lawyer in the area to discuss your options.

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Failure to Warn of GranuFlo Dangers

Most of us take our kidneys for granted while their working normally. But because they act as a filter to remove toxins and waste materials from the blood, it can be fatal when it does not do what it is supposed to. In essence, the body is being poisoned from inside out. In order to clean the blood when renal failure occurs, the patient has to undergo dialysis regularly. A dialysis machine is designed to take the place of the kidneys with the use of a neutralizing substance.

GranuFlo (and its liquid counterpart NaturaLyte) is a product developed and marketed by Frenesius Medical Care (FMC) to help in the neutralization process. It increases the capacity of the bicarbonate agent to deactivate the acid that naturally accumulates in the blood. It makes the process more efficient and less bothersome for the patient.

It is expected that those administering the process of dialysis will have to be sufficiently trained and conscientious about the dosages of the cleaning agents as this will have a direct effect on the patient. An over-dosage of any pharmaceutical product is always undesirable, although there are typically margins for error. With GranuFlo, the margin for error was very narrow, especially for patients with a history of cardiac problems.

It seems strange then that FMC would emphasize potential GranuFlo dangers to dialysis centers in their network but neglect to issue the same warnings to other centers that use their product. It was an inexplicable failure, and one that is turning out to be a legal quagmire of liability for the company. Currently, in excess of 500 cases have been filed in multidistrict litigation (MDL No. 2428 In re Fresenius GranuFlo/Naturalyte Dialysate Litigation) after a Class 1 recall by  the Food and Drug Administration made public a suspected pharmaceutical defect in the product. It is alleged that personal injury caused stroke, cardiac problems, and death of patients.

If you or a family member has suffered injury from using Granuflo, you may be eligible for compensation. Contact a product liability lawyer in the area who is experienced in handling defective drug cases to assess your case and discuss legal options with you.

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Dangers of Construction Sites

It has been repeated ad nauseam that construction sites are dangerous, and the work equally risky, but that is because failure to follow safety regulations often make the dangers of construction sites worse than they should be. This applies equally to employers and employees, and the only way to really drive it home is to always keep it in the forefront.

When a worker is injured on a construction site in the course of his or her duties, workers’ compensation insurance typically kicks in. However, if the worker who is driving home is involved in a car accident involving a construction site vehicle, this is outside the scope of workers’ comp, so it becomes a more complicated issue.

Workers’ comp is typically no-fault coverage, so there is no need to establish responsibility for the accident or injury to make a claim. In the case of a personal injury claim such as in the example above, however, the claimant must prove that the other party i.e. construction vehicle driver was negligent to some extent. The burden of proof is entirely on the plaintiff, and this is not an easy undertaking. It is still a viable case with the right legal representation, but it will still take considerable time and effort to prepare and file a case.

According to the website of the Hankey Law Office, in cases where the injury is so severe that the victim is out of commission for an extended period or even becomes no longer capable of working, there may be no choice but to make a disability claim if the accident was due to negligence. It is possible to get disability benefits from Social Security if the worker has enough work credits to qualify. These credits are built up over time, only a few per year of work where the employee was taxed for Social Security. Nevertheless, being able to qualify for Social Security does not mean that compensation should not be sought from the responsible parties, especially if the medical and associated expenses are considerable.

If you have been injured through no fault of your own, you need to set things right. Engage the services of a personal injury lawyer in the area to help you get through the situation.

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