HEALTH
HOW I DEALT WITH THE DIAGNOSIS OF MY BEST FRIEND
This post was originally written in 2012. It has been expanded and updated as necessary.**
SUPER SURVIVOR KNOW-IT-ALL AKA BEEN THERE DONE THAT, THIS WILL BE EASY!
I was diagnosed with stage 3 breast cancer in 2008. My best friend was diagnosed with breast cancer in 2012. As a survivor, I felt that I had an inside track to understanding what it meant to go through breast cancer treatment with someone. I mean, who is closer to you than you? No one, that’s for sure. I assumed that my experience with breast cancer and the treatment… along with all of the reading and research that I’ve done over the past few years prepared me and strengthened me and made me strong enough to withstand the tsunami of emotions that come along with the words “…has breast cancer”.
And yet, when I found out that one of my dearest friends was waiting for results from a biopsy during the Christmas holidays… I was rendered numb. I literally felt nothing. For me, that is wholly strange because I shed a tear and feel a twinge when someone tells me that someone they know and care about has the disease. Whether I know this person or not. I shed a tear every time. And as often as someone shares that message with me… it has added up to a lot of tears over time. But, I felt nothing when I heard that she was waiting for biopsy results to determine whether she had breast cancer. That worried me.
Everything went silent inside of me.
I didn’t know what to feel. I didn’t know what to say. Everything I had said to other people didn’t really apply because this was MY friend. Not a stranger that I was comforting. Not even myself that I had to give a pep talk to. This was a woman I had been friends with for over 15 years. Someone I never had to lie to, who never had to lie to me… and here I was… numb and dumbstruck. Until I was laying on her couch on New Year’s day… hungover and headachy and she told me that while I was napping off the champagne the doctor had called to confirm the results.
At that moment… I lost every possible cool point I may have ever had in my entire life. I didn’t rush to hug her, I didn’t have the right words of compassion and encouragement. No. I was that loser chick who screamed out… “BUT I DON’T WANT THIS FOR YOU!!” Which meant that she ended up consoling me for a moment.
*hangs head in shame*
In the one moment in our friendship where I could have repaid her for all the times she’s taken care of me, loved me, chastised me (because sometimes I need to be scolded)… I could only wail to God that it just wasn’t fair. In her face. Not even in private, like the bathroom, so she didn’t have to witness my breakdown.
Please don’t be a friend like me. Don’t be the friend who makes the person with the diagnosis have to stop her own grieving to console you. That’s selfish AF and it’s just not cool. This is her moment. Her time to BE consoled. Be a much better friend than I was. I beg you.
After the shock wore off… I got my head out of my ass and opened up to her
Over the weeks since her news, I have cried about her diagnosis and mine. And once I found my words… I have been honest with her in a way that I haven’t been honest with anyone since I was diagnosed. I have been honest about navigating the emotional landmines. I’ve been harsh. Not harsh towards her, but harshly honest about how I dealt with (and still deal with) this stupid disease. I haven’t spoken to her a lot. I didn’t want to become that sort of pesky, well-intentioned friend who searched for every little thing that might show how she was feeling in any particular moment. Because I know that her feelings would change from moment to moment and sometimes… sometimes it’s just too much to have someone repeatedly ask you… “how are you really feeling?” even when you know they mean well.
I don’t ever want her to feel like she needs to console me or comfort me during this time. That’s no longer her role. It is now mine.
This switching of places is unusual for us. I’m more of the cry-baby, tender-hearted one. The one who needs constant assurances. She is usually the strong one who always has a plan of action, a name, a number… a thought and a giggle. Something that moves me from inaction (which I often find myself paralyzed in) towards action. And now, I have to switch places and give her the words, the comfort, the truth that she needs. Doing that is not hard. But it isn’t something that I ever wanted to do.
The truth is basic: Nobody wants somebody they love to go through breast cancer. Especially if they’ve been through it themselves. This shit is hard. You want people you love to be spared this type of hardship. But you can’t protect them from it. You can only help them through it. Be there for them in the ways that they need.
My truth: As open as I seemed to be during my treatment process, I really wasn’t.
See, one of the things that I grew to accept as a comfort in this process was learning to tell some but not all of what I was feeling, what I knew and what I feared. I figured out early on that people do not want to know… really know… the tornado of emotions that you feel during this time. They want to know some of it, that’s true. I couldn’t get away with saying “I’m fine” for too long to my friends. So, I learned to parcel out how much of “I’m fine” to hand out. Too much and people believe that you’re lying. Too little and they get lost in their own personal nightmare of “oh my gawd, how does she handle it and what if that happens to me“… fair assessments on both ends.
Truth between survivors is raw.
But between survivors — and now my dear friend is also my pink ribbon sister — there is an unspoken code of brutal honesty that we share. We don’t lie to each other about how we feel or what we worry about because we don’t have to. We know what it all means and how it changes us. We know how it colors our world differently and makes everything topsy-turvy for a time. So, that raw and brutal honesty… we tend to save and share with each other.
Between survivors, there is a space that goes unsaid. That space says “life is far too short for the bullshit so give it to me real and don’t spare my feelings.” Nobody who has been diagnosed with breast cancer goes back to their naivety about how fleeting life is and how quickly things can change. It’s why we get that steel in our back and face the world head-on, ready to snatch and grab and go for any and everything we want. The illusion of time is gone. You seek the joy in all things small and minor that will keep you going until the next moment… because it’s what keeps you going until the next moment. No more waiting for the “next big thing” because it might not happy. Being happy now is all that is possible. Now. Not later. Not next year. Right now. Be happy and find joy in this actual moment.
And tell the raw, honest truth. Nobody has time for lies. They waste time because the truth will come out and whatever emotions you were trying to protect are still going to be exposed. So deal with the truth now and respect your time and the people in your life.
 |
| Yes, we are real people. Friends…. no scratch that.. sisters. |
How to move forward and be a supporter
At this point, I am letting her guide me into how much she needs me and where she wants me to be. She gave me that gift when I was going through my treatment and it was so very precious. But, just like she held my hand, literally and figuratively, throughout the two years that I fought this disease. I too am holding her hand and I won’t let go until she tells me to.
The steps to being a good friend and supporter are simple: listen and do.
Listen to her. Or just sit with her silently. But either way, give her space where she’s comfortable sharing with you what’s in her heart without that moment becoming about you. Don’t be so stoic that you don’t have any emotions. But find the balance between being a good listener and sharing her emotions.
Do what needs to be done. You have a home and a career or business and a family. You may not know all of her details and systems but you have a good idea of what it takes to run a household and to keep your career or business on track. Breast cancer treatment will wear you out – mentally, physically and financially. Don’t ask her what she needs, just do something that she needs. At your home, the dishes and laundry get washed, right? Well, at her home, those things will need to get done too – but she’s probably too exhausted to do them. Show up, and help out. Or gift her some maid service for a few months. Something like that will be super appreciated. Take her kids for an overnight visit or a trip to the movies. Visa gift cards or gift cards to a restaurant she likes that delivers.
Be easy on yourself… it’s hard for everyone to cope
I still struggle with guilt behind this disease. I think that’s life though. You can overthink everything if you try. And I seem to try daily and succeed at it. Your friend wants to be understood, given room to grieve, helped out without feeling guilty about needing help, and to still be treated like someone you love. If you master that, you win it all.
Also Read: 50 AFFIRMATIONS FOR BREAST CANCER SURVIVORS
Radiology has always been a cornerstone of modern medicine, offering vital insights into the human body’s inner workings. At the forefront of this field stands Catherine Ho, whose contributions to radiology have been both groundbreaking and inspiring. With her deep expertise, she combines advanced imaging technology with patient-focused care, setting a gold standard in medical imaging practices. In this article, we’ll explore how Catherine Ho radiology is advancing healthcare, the innovations she brings to the field, and her approach to delivering compassionate, precise imaging services.
The Role of Radiology in Modern Medicine
Radiology serves as the bridge between diagnosis and treatment. From detecting cancers in their earliest stages to guiding surgeons in complex procedures, radiology provides clinicians with crucial insights. With the rise of cutting-edge imaging techniques like MRI, CT, and PET scans, healthcare has witnessed a seismic shift in how diseases are diagnosed and managed. Yet, even in a field rich with innovation, leaders like Catherine Ho push the boundaries, ensuring patient care and technology work hand in hand.
Catherine Ho Radiology: A Leader in Innovation
When discussing Catherine Ho’s contributions to radiology, innovation immediately comes to mind. As a skilled radiologist, her approach integrates the latest advancements in imaging while maintaining an unwavering focus on patient well-being. Her work revolves around two key principles: accuracy and empathy.
Advanced Imaging Techniques
Catherine Ho has been at the forefront of adopting sophisticated imaging modalities. From high-resolution 3D imaging to AI-assisted diagnostics, her practice leverages cutting-edge tools to enhance accuracy. This not only improves diagnostic precision but also reduces the time patients spend waiting for results—an essential factor in healthcare.
Patient-Centered Care
One of the hallmarks of Catherine Ho radiology is the compassionate care she offers patients. Radiology can often feel intimidating for individuals undergoing tests. Whether it’s the loud hum of an MRI machine or the uncertainty of a diagnosis, Catherine Ho ensures that her patients feel supported throughout the process. Her dedication to patient education empowers individuals to understand their imaging results, fostering trust and transparency.
How Catherine Ho Radiology Stands Out
In a competitive field like radiology, it takes more than expertise to truly stand out. Catherine Ho radiology distinguishes itself by excelling in several areas:
Accuracy and Precision in Diagnostics
Radiology is only as effective as its ability to provide precise diagnoses. Catherine Ho’s meticulous approach ensures that imaging results are both accurate and actionable. She employs the latest imaging protocols, tailored to the unique needs of each patient.
Collaboration with Multidisciplinary Teams
Catherine Ho works closely with specialists from oncology, cardiology, orthopedics, and other fields. By collaborating with multidisciplinary teams, she ensures that radiology findings translate seamlessly into comprehensive care plans. This teamwork-driven approach has made her an integral part of many successful patient outcomes.
Commitment to Education and Research
Catherine Ho is not just a practitioner but also a thought leader in radiology. Her ongoing commitment to education ensures she stays at the forefront of new developments. Additionally, her contributions to research have helped advance understanding in areas such as diagnostic imaging techniques, radiation safety, and the role of artificial intelligence in radiology.
Exploring Cutting-Edge Technologies in Catherine Ho Radiology
Technology drives the field of radiology forward, and Catherine Ho has always been an early adopter. Let’s delve into some of the cutting-edge tools and methods she employs:
AI-Powered Imaging
Artificial intelligence (AI) is revolutionizing radiology by improving image interpretation. Catherine Ho leverages AI-powered tools to identify patterns and abnormalities with greater speed and accuracy, allowing for earlier detection of diseases.
3D and 4D Imaging
3D imaging offers unparalleled clarity for visualizing complex structures like organs, tumors, and vascular systems. Catherine Ho also explores 4D imaging, which captures movement, such as the beating heart or fetal development, providing an additional layer of diagnostic insight.
Minimizing Radiation Exposure
Safety is a priority in radiology. Catherine Ho utilizes advanced imaging techniques that minimize radiation exposure while maintaining high diagnostic quality. This is particularly beneficial for pediatric and cancer patients who require repeated scans.
The Importance of Compassionate Care in Radiology
While technology takes center stage in radiology, patient care remains its heart. For Catherine Ho, radiology isn’t just about producing images—it’s about creating a supportive and positive experience for patients.
Listening to Patient Concerns
Catherine Ho believes that listening is an essential part of patient care. By addressing fears and answering questions, she helps patients feel more at ease during their imaging procedures.
Providing Clear Explanations
Medical imaging results can often seem complex and overwhelming. Catherine Ho takes the time to explain findings in simple terms, ensuring patients fully understand their results and next steps.
Reducing Anxiety Through Comfort Measures
Radiology appointments can be stressful for patients, especially those with claustrophobia or anxiety. Catherine Ho’s practice incorporates measures like open MRI machines, calming environments, and personalized care to ease patient worries.
Catherine Ho Radiology in Cancer Diagnosis
Cancer diagnosis is one of the most critical areas of radiology, and Catherine Ho’s expertise in this field has saved countless lives.
Early Detection of Cancer
Using state-of-the-art imaging technologies, Catherine Ho identifies cancerous lesions in their earliest stages. Early detection not only improves survival rates but also allows for less invasive treatments.
Monitoring Treatment Progress
Radiology plays a crucial role in monitoring how well treatments like chemotherapy or radiation therapy are working. Catherine Ho ensures that imaging results are precise and delivered promptly, enabling oncologists to adjust treatment plans as needed.
What Sets Catherine Ho Radiology Apart from the Rest?
It’s not just the expertise but also the holistic approach that sets Catherine Ho apart. By combining technical excellence with a personal touch, she has redefined radiology as more than a diagnostic tool—it’s an integral part of healing and care.
Commitment to Accessibility
Catherine Ho believes in making high-quality radiology accessible to all. Whether it’s offering flexible appointment times or working with diverse healthcare providers, she prioritizes patient convenience.
Investing in the Future
Radiology is an ever-evolving field, and Catherine Ho is committed to continuous learning and growth. She actively participates in global conferences and research initiatives, ensuring her patients benefit from the latest advancements.
FAQs
What is Catherine Ho radiology known for?
Catherine Ho radiology is known for its innovative approach to medical imaging, combining cutting-edge technology with compassionate, patient-centered care.
How does Catherine Ho use technology in radiology?
Catherine Ho employs advanced technologies like AI-powered diagnostics, 3D imaging, and low-radiation imaging techniques to enhance diagnostic accuracy while ensuring patient safety.
What role does Catherine Ho radiology play in cancer detection?
Catherine Ho radiology specializes in early cancer detection, using state-of-the-art imaging tools to identify cancerous lesions at their earliest stages and monitor treatment progress.
Why is patient-centered care important in radiology?
Patient-centered care ensures that individuals feel supported and informed throughout their radiology experience, reducing anxiety and building trust.
What innovations set Catherine Ho radiology apart?
Catherine Ho’s use of AI, 4D imaging, and radiation safety protocols, combined with a focus on education and collaboration, make her a leader in the field.
How does Catherine Ho ensure accurate diagnoses?
Catherine Ho follows meticulous imaging protocols and leverages the latest tools to provide precise and actionable diagnostic results.
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Conclusion
Catherine Ho radiology exemplifies the perfect blend of innovation, expertise, and compassion. By staying at the forefront of technology and maintaining a patient-first philosophy, Catherine Ho has redefined what it means to provide exceptional radiology care. Whether diagnosing complex conditions or easing patient anxiety, her impact resonates far beyond the imaging room. For patients and practitioners alike, her contributions to radiology continue to set a benchmark of excellence.
Hair care is more than just a routine—it’s a way to invest in your confidence and personal style. With Keune hair care products, you don’t just take care of your hair; you elevate it. As a globally trusted brand with decades of expertise, Keune is synonymous with premium-quality hair solutions tailored for all hair types and needs.
In this blog, we’ll explore why Keune stands out, the range of its offerings, and how its products can transform your hair care regimen.
Why Choose Keune Hair Care Products?
Keune isn’t just another name in the beauty aisle; it’s a brand rooted in innovation, sustainability, and quality. But what sets Keune apart?
- Proven Expertise: Established in 1922, Keune has been at the forefront of professional hair care, trusted by stylists worldwide.
- High-Quality Ingredients: The brand prioritizes safe, effective ingredients that nourish hair from the root to the tip.
- Tailored Solutions: Keune offers products for diverse hair textures and concerns, from dryness to frizz.
- Sustainability Focus: With environmentally friendly practices, Keune delivers beauty solutions you can feel good about using.
Top Features of Keune Hair Care Products
Nourishing Formulas for Healthier Hair
Keune’s products focus on restoring and maintaining hair health. Whether it’s their shampoos enriched with essential oils or their deeply conditioning treatments, every product is designed to enhance your hair’s natural beauty.
Color Preservation Technology
For color-treated hair, Keune’s specialized formulas prevent fading and keep your locks vibrant. Their UV filters and advanced ingredients provide long-lasting protection against environmental damage.
Diverse Product Range
From gentle cleansing to intensive treatments, Keune offers:
- Shampoos: Sulfate-free options for all hair types.
- Conditioners: Deeply hydrating for soft, manageable hair.
- Styling Products: For sleek finishes and long-lasting hold.
Popular Keune Hair Care Lines
Care Line: For Overall Hair Health
The Keune Care Line is ideal for those seeking balanced care for their hair and scalp. With options like Keratin Smooth and Vital Nutrition, it’s perfect for strengthening and repairing damaged hair.
Blend Line: Versatile Styling Solutions
If you love experimenting with your look, Keune’s Blend Line offers a range of products to shape, texturize, and style your hair effortlessly.
So Pure Line: Natural and Organic
For those who prefer chemical-free options, the So Pure Line combines the power of nature with science. Infused with organic essential oils, this line caters to eco-conscious individuals.
Benefits of Using Keune Hair Care Products
Improved Hair Texture and Shine
Keune’s advanced formulations smooth frizz and restore shine, leaving your hair visibly healthier.
Moisture Retention
Dry hair? Not anymore. Keune products are designed to lock in moisture, preventing breakage and split ends.
Scalp Care
Healthy hair starts with a healthy scalp. Keune’s scalp care solutions tackle issues like dandruff and irritation, promoting overall wellness.
How to Build a Routine with Keune Hair Care Products
Creating a hair care routine tailored to your needs is key to achieving your dream hair. Follow this simple guide:
- Cleanse with Keune Shampoo
Start with a shampoo that suits your hair type. For instance, use the Keratin Smooth Shampoo for frizz control or the Color Brillianz Shampoo for color-treated hair. - Condition with Care
Apply a Keune conditioner to hydrate and detangle your strands. Leave it on for 2-3 minutes for maximum absorption. - Treat with Masks or Serums
For extra care, incorporate a weekly hair mask like the Keune Care Vital Nutrition Mask or a serum to protect your hair from heat and damage. - Style Smartly
Use Keune styling products like mousse, wax, or gel to define your look while maintaining your hair’s natural texture.
Keune Products for Different Hair Types
For Dry Hair
The Vital Nutrition series replenishes moisture, leaving dry hair silky and manageable.
For Fine Hair
Keune’s Volume Line adds body without weighing hair down, perfect for a fuller look.
For Curly Hair
The Curl Control range enhances curl definition while fighting frizz.
Sustainability and Ethical Practices at Keune
Keune stands out for its commitment to sustainable beauty. Its environmentally friendly practices include:
- Recyclable Packaging: Reducing waste impact.
- Cruelty-Free Testing: Ethical, animal-friendly product development.
- Renewable Energy: Supporting green initiatives.
Tips for Maximizing the Benefits of Keune Hair Care Products
- Don’t Overwash: Washing your hair too frequently can strip it of natural oils.
- Use a Wide-Tooth Comb: Prevent breakage when detangling wet hair.
- Apply Products Evenly: Distribute conditioner and treatments thoroughly for consistent results.
- Invest in Regular Trims: Pair Keune’s care with a healthy trim schedule to maintain hair health.
Customer Favorites: Top Keune Products to Try
- Keune Care Satin Oil Shampoo
- Perfect for dry, dull hair needing extra nourishment.
- Keune Blend Salt Mousse
- Adds volume and texture effortlessly.
- Keune Tinta Color Care Conditioner
- Enhances and preserves hair color.
FAQs
What makes Keune hair care products unique?
Keune combines premium-quality ingredients with cutting-edge technology to offer effective, tailored solutions for various hair needs.
Are Keune products safe for color-treated hair?
Yes, Keune offers a range of products specifically formulated to preserve and enhance hair color.
Can I use Keune products daily?
Absolutely! Keune products are gentle enough for regular use, but always choose the right formula for your hair type.
Is Keune environmentally friendly?
Yes, Keune emphasizes sustainability with recyclable packaging and cruelty-free practices.
Which Keune line is best for damaged hair?
The Care Line, particularly the Vital Nutrition series, is excellent for repairing and strengthening damaged hair.
How do I find the right Keune product for my hair?
Consult Keune’s product descriptions or your hairstylist to match the right products to your hair’s needs.
see also Luvme Hair Clip-In Hair Extensions Review – 100% Brazilian Hair
Conclusion
Keune hair care products represent the perfect blend of luxury and effectiveness. Whether you’re battling dryness, maintaining your color, or seeking eco-conscious options, Keune has something for everyone. With consistent use, you’ll experience stronger, shinier, and healthier hair that turns heads.
When the cornea becomes irreversibly opaque, irregular, or at risk of perforation, and less invasive treatments fail, the best clinics in Turkey may recommend a surgical procedure called keratoplasty, or corneal grafting, to replace the damaged tissue.
What is a corneal transplant?
The operation involves replacing the cornea, or part of it, with that of a donor. Unlike until recently, when the only possible intervention was to replace the entire thickness of the tissue, it is now possible to decide to replace only the affected part of the tissue, leaving the other layers of the cornea intact. This has been shown to reduce surgical aggressiveness and the risk of rejection, as well as speeding up functional recovery. Based on the damaged corneal layer (stroma, endothelium), it is possible to plan a selective graft of pathological tissue, deep anterior lamellar (DALC – Deep Anterior Lamellar Keratoplasty), in which only the anterior part of the cornea is replaced, without perforation. the eyeball or a graft of corneal endothelium only (DSAEK – Descemet Stripping Automated Endothelial Keratoplasty) leaving the most superficial healthy part intact.
Full-thickness corneal transplantation ( PK or perforating keratoplasty) is now reserved for cases in which corneal damage has occurred at all levels, or has caused tissue damage making the other two techniques impractical. In extreme cases, its sole purpose may be to avoid imminent perforation, or to remedy the situation as a matter of urgency in order to eliminate continuity between the internal ocular structures and the outside world (tectonic transplantation).
The ophthalmologist decides which technique is best suited to the case, after assessing the patient’s overall clinical picture. The donated corneas are taken from carefully selected cadavers, preserved in culture media and sent to the hospital on request from CORNAL BANKS, which certify the quality of the tissue sent. This enables operations to be planned in advance, and guarantees the high quality of the tissue to be transplanted.
The primary aim of corneal transplant procedure is to restore the corneal anatomy and improve visual function impaired by reduced tissue transparency and/or regularity.
How are corneal transplants performed?
The operation can be planned well in advance, but depends on the availability of corneal bank tissue. The operation is performed under local or general anaesthetic, depending on the surgeon’s and anaesthetist’s indications, with hospitalization. If the operation is imminent, the patient is checked for any contraindications. Once the operation has been performed, and in the absence of complications, the patient stays in hospital for 1 to 3 days, to check on post-operative progress in a protected environment and under safe conditions.
What are the advantages of corneal transplants?
Although corneal transplant surgery is standardized and followed by satisfactory results, it does not escape the general rule that there is no such thing as risk-free surgery. It is therefore impossible to formally guarantee the success of the operation or the absence of complications, the incidence of which also depends on the type and degree of progression of the disease. For these reasons, the decision to transplant the cornea must be taken in the absence of less invasive medical or surgical therapies that are just as effective.
Is a corneal transplant painful or dangerous?
The operation is painless and is generally performed under general anaesthetic. After the operation, the affected eye will be more or less red and painful. You may experience sensations of a foreign body, burning, discomfort, tearing, visual fluctuations and halos, all of which will gradually subside. Since this is a surgical procedure, complications are possible before, during and after the operation itself. There is a high risk of infection, which can only be significantly reduced by careful attention to personal and ocular hygiene.
Corneal transplantation carries a risk of lifelong rejection. This phenomenon, the frequency of which is considerably reduced after the first 5 years, can lead to severe and irreversible inflammation of the ocular surface and, in the absence of timely treatment or due to the severity of its manifestation, to the use of a new cornea transplant.
Which patients are eligible for a corneal transplant?
Patients of any age, suffering from pathologies that do not allow less invasive therapeutic options with the same efficacy, and who have obtained surgical approval from the anesthesiology team, can undergo a corneal transplant.
Follow-up
Post-operative check-ups, initially more frequent, are necessary for a long period. If checks are not carried out as planned, the outcome of the operation may be compromised. After surgery, there is often residual astigmatism, and in order to reduce this, a new method of tensioning the suture under intraoperative topographic guidance has been developed which significantly reduces postoperative astigmatism within the first few days after surgery.
Approximately 1? years after the operation, the suture is removed, after which corneal rearrangement can lead to the appearance of unpredictable visual defects such as astigmatism, myopia or hyperopia.
Visual improvement is not immediate, but occurs slowly over several weeks, and is linked to the graft take and vitality of the grafted cornea, its transparency, the presence of residual astigmatism, and the health of other areas (retina, lens, etc.) of the operated eye. Indeed, the presence of other ocular lesions can limit vision recovery.
Are there any rules for preparing for the operation?
In preparation for the operation, it is necessary to check for the absence of diseases and/or infections affecting the eye or other parts of the body that could increase the surgical risk. The patient must arrive on the morning of the operation on an empty stomach.
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