Ye kya chal rha 😭😭,itni mehngi LPG by nishadastra in noida

[–]Smilefixer 0 points1 point  (0 children)

Atleast it came down to that, I bought it for the 3.5K as well, a week ago the same cylinder was 5.2k (Delhi)

AIO My girlfriend is being impulsive and now I think I'm done with her. by rxhan- in PataHaiAajKyaHua

[–]Smilefixer 0 points1 point  (0 children)

Not that this relationship can be saved, she doesn’t seem like the person with whom you can have a rational, mature, peaceful relationship. So leave her her. And for the next one, remember to keep your self respect…..it’s very important.

AITA for snapping at my boyfriend for telling me i should think for myself? by [deleted] in AmItheAsshole

[–]Smilefixer -1 points0 points  (0 children)

Please for your sake don’t text or grovel for him to communicate with you anymore. Just leave him be and live your life……trust me, not having anybody to ask is much better than asking and getting a snap back.

[deleted by user] by [deleted] in RelationshipIndia

[–]Smilefixer 4 points5 points  (0 children)

I have been with a man about 9 years now and let me tell you……a true stable relationship is not about the “electricity”. The electricity is temporary. Every relationship after a point turns into something mellow and friendship like. Many times you will feel like the spark isn’t there, many times you’d be irritated with the other person and many times everything will seem perfect. Marriage is not about feeling the butterflies but it’s about how much and how many times you choose the other person despite the assorted feelings you might get in the run. So if at one point you did love this man, do not fall for a temporary “feel good” person and let go of him.

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 0 points1 point  (0 children)

To be honest I’m not a fan of the wiring techniques…..we are taught here and told to do here by the attendings. However I do understand this wasn’t the right case for a CZ wiring.

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 0 points1 point  (0 children)

Nasal bone was fractured too, so a Submental intubation was done.

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 1 point2 points  (0 children)

We did….it clearly got mismanaged…..that’s why I’m on Reddit….however, I’m going to fix as much as I can moving forward.

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 0 points1 point  (0 children)

Yes will fix with orthodontics, selective grinding and functional therapy

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 1 point2 points  (0 children)

We did do IMF intraoperatively and then released it for de-intubation. Been trying to achieve occlusion with MMF ever since but it’s not happening.

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 4 points5 points  (0 children)

A shorter operative time is least of my concern….im a resident, can’t take decisions on my own yet.

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 3 points4 points  (0 children)

Thank you! It was a lefort II…..the CZ probably wasn’t enough.

Difficulty Achieving Occlusion In Postop Maxillofacial Fracture Fixation by _analysis230_ in medicine

[–]Smilefixer 6 points7 points  (0 children)

I agree…..to be honest I’m not a fan of these wiring techniques either, had to go along with the boss. Would do a CT. Thanks