Thursday, June 21, 2012

SOMETHING TO PONDER UPON


Professor : You are a Muslim, aren’t you, son ?

Student : Yes, sir.

Professor: So, you believe in GOD ?

Student : Absolutely, sir.

Professor : Is GOD good ?

Student : Sure.

Professor: Is GOD all powerful ?

Student : Yes.

Professor: My brother died of cancer even though he prayed to GOD to heal him. Most of us would attempt to help others who are ill. But GOD didn’t. How is this GOD good then? Hmm?

(Student was silent.)

Professor: You can’t answer, can you ? Let’s start again, young fella. Is GOD good?

Student : Yes.

Professor: Is satan good ?

Student : No.

Professor: Where does satan come from ?

Student : From … GOD …

Professor: That’s right. Tell me son, is there evil in this world?

Student : Yes.

Professor: Evil is everywhere, isn’t it ? And GOD did make everything. Correct?

Student : Yes.

Professor: So who created evil ?

(Student did not answer.)

Professor: Is there sickness? Immorality? Hatred? Ugliness? All these terrible things exist in the world, don’t they?

Student : Yes, sir.

Professor: So, who created them ?

(Student had no answer.)

Professor: Science says you have 5 Senses you use to identify and observe the world around you. Tell me, son, have you ever seen GOD?

Student : No, sir.

Professor: Tell us if you have ever heard your GOD?

Student : No , sir.

Professor: Have you ever felt your GOD, tasted your GOD, smelt your GOD? Have you ever had any sensory perception of GOD for that matter?

Student : No, sir. I’m afraid I haven’t.

Professor: Yet you still believe in Him?

Student : Yes.

Professor : According to Empirical, Testable, Demonstrable Protocol, Science says your GOD doesn’t exist. What do you say to that, son?

Student : Nothing. I only have my faith.

Professor: Yes, faith. And that is the problem Science has.

Student : Professor, is there such a thing as heat?

Professor: Yes.

Student : And is there such a thing as cold?

Professor: Yes.

Student : No, sir. There isn’t.

(The lecture theatre became very quiet with this turn of events.)

Student : Sir, you can have lots of heat, even more heat, superheat, mega heat, white heat, a little heat or no heat. But we don’t have anything called cold. We can hit 458 degrees below zero which is no heat, but we can’t go any further after that. There is no such thing as cold. Cold is only a word we use to describe the absence of heat. We cannot measure cold. Heat is energy. Cold is not the opposite of heat, sir, just the absence of it.

(There was pin-drop silence in the lecture theater.)

Student : What about darkness, Professor? Is there such a thing as darkness?

Professor: Yes. What is night if there isn’t darkness?

Student : You’re wrong again, sir. Darkness is the absence of something. You can have low light, normal light, bright light, flashing light. But if you have no light constantly, you have nothing and its called darkness, isn’t it? In reality, darkness isn’t. If it is, were you would be able to make darkness darker, wouldn’t you?

Professor: So what is the point you are making, young man ?

Student : Sir, my point is your philosophical premise is flawed.

Professor: Flawed ? Can you explain how?

Student : Sir, you are working on the premise of duality. You argue there is life and then there is death, a good GOD and a bad GOD. You are viewing the concept of GOD as something finite, something we can measure. Sir, Science can’t even explain a thought. It uses electricity and magnetism, but has never seen, much less fully understood either one. To view death as the opposite of life is to be ignorant of the fact that death cannot exist as a substantive thing.

Death is not the opposite of life: just the absence of it. Now tell me, Professor, do you teach your students that they evolved from a monkey?

Professor: If you are referring to the natural evolutionary process, yes, of course, I do.

Student : Have you ever observed evolution with your own eyes, sir?

(The Professor shook his head with a smile, beginning to realize where the argument was going.)

Student : Since no one has ever observed the process of evolution at work and cannot even prove that this process is an on-going endeavor. Are you not teaching your opinion, sir? Are you not a scientist but a preacher?

(The class was in uproar.)

Student : Is there anyone in the class who has ever seen the Professor’s brain?

(The class broke out into laughter. )

Student : Is there anyone here who has ever heard the Professor’s brain, felt it, touched or smelt it? No one appears to have done so. So, according to the established Rules of Empirical, Stable, Demonstrable Protocol, Science says that you have no brain, sir. With all due respect, sir, how do we then trust your lectures, sir?

(The room was silent. The Professor stared at the student, his face unfathomable.)

Professor: I guess you’ll have to take them on faith, son.

Student : That is it sir … Exactly ! The link between man & GOD is FAITH. That is all that keeps things alive and moving.

P.S.

I believe you have enjoyed the conversation. And if so, you’ll probably want your friends / colleagues to enjoy the same, won’t you?

Forward this to increase their knowledge … or FAITH.

MARSUPIALIZATION


Marsupialization, Decompression, Partsch operation 

Refer to creating a surgical window on the wall of the cyst which results in maintaining continuity between the cyst and the oral cavity or maxillary sinus or nasal cavity after evacuating the contents of the cyst cavity.Only portion of cyst wall which is removed is the part to create the surgical window, other then that all the cystic lining is left in situ. This causes release in intracystc pressure and promote healing and bone fill.

Marsupialization of ranula

 Indications-

 

Factors to determine weather to do masupialization or not as as follow:

1.Amount of tissue Injury-Close Proximity of a vital structure will indicate for marsupialization to avoid unwanted removal of adjacent vital tissue. Ex- If removal of cyst will result in formation of oroantral fistula then it's better to go for Marsupialization.

2.Surgical Access- If access to all portion of cyst is difficult and there is chance of leaving a piece of cyst wall.

3.Assistance in eruption- If cyst is associated with a unerupted tooth then marsupialization will help in eruption of tooth.

4.Extent of surgery- In a unhealthy and debilitated patient marsupialization is good alternative to extensive removal.

5.Size of cyst- A risk of Jaw fracture in a very large cyst, it may be better to go for Marsupialization.

Advantages.

1.     Simple to perform
2.     May spare vital tructure

Disadvantages

1.     Pathologic tissue is left in situ.
2.     Patient inconvenience.
3.     Cyst cavity must be kept clean.

Technique


1.     Prophylactic antibiotic is needed if patients health condition warrents.
2.     Anesthetize the area.
3.     Cyst is Aspirated.
4.     Aspiration conforms the diagnosis then proceed for marsupialization.
5.     Initial incision is circular or eleptical  and create a large window in the cyst cavity.
6.     If bone have been thinned or exposed then incision goes through bone into cavity.
7.     If bone is thick then a surgical window is created by removing bone with help of bur.
8.     Piece of tissue is submitted to the lab for further tests.
9.     Content of the cyst are evacuated.
10.Cyst cavity is irrigated with normal saline to remove and residual fragment.
11.If access permits then perimeter of the cyst wall can be sutured with the oral mucosa. 
12.Or you can pack the cavity with a strip of gauze impregnated with tincture of benzoin or antibiotic ointment and leave it for 15 days  it will prevent the oral mucosa to heal over window.
13.Give careful instructions to the patients about cleansing of the cavity.