#The ents are going to war how to#

One by one, you have to invade adjacent territories, taking down enemies and fending off your own invasions to be the first one to make it to the fiery mountain of Mordor. The game is a territory-based RPG, with the whole of Middle-Earth divided into segments, each marking a territory. Of course, this is a monumental task, and itвЂ™ll take you a long time to get anywhere near your goal. The goal of the game is actually the opposite of existing LotR lore: youвЂ™re heading to Mordor to steal the One Ring, rather than going there to destroy it. You choose which race you want to play as, then from there, you'll start building your own army. It exists slightly outside of the existing canon, with you playing as the commander of your own army from a range of factions including orcs, men, and elves. Tolkien's books and Peter JacksonвЂ™s films.

We all agree that the practice of medicine has changed forever, but knowing that there is kinship among chaos with our ENT peers from within our society and around the globe, we address these challenges and what they present to our practice, our patients, and our community, one by one, together.The Lord of the Rings: Rise to War is the latest mobile game set in the rich world of J.R.R. Who is getting COVID-19 tests for patients in the office for endoscopy or laryngoscopy? Are we using the same protocols and procedures for surgical patients? How frequently are we and our staff being tested for COVID-19? Now again with the COVID-19 pandemic, we are sharing information like where to get wipes, surgical masks, face shields, and air purifiers. All these things have made me more humble and more grateful for the gifts we have received. We exchanged information about which gas stations or grocery stores gave doctors the right to go straight to the front of the line without having to wait for hours for gas or getting into places for essential products and materials.

#The ents are going to war how to#

The usual discussions of ENT problems in the practice became less important as we now shared how to do oil changes in our power plants and install electrical connections with transfer switches, as well as discussed how many watts the refrigerator consumed and how to fix the water tank pump. With no electricity and no internet, we were back to writing notes and paper charts. The office was only open in the early hours to catch the morning breeze with open windows, and we were using battery-powered otoscopes and headlamps and performing larynx examinations with mirrors.

My ENT practice, back in the early days after the hurricane, was like it had been in the past. Who had electricity, the internet, or water? Where was gasoline or diesel available? Days became weeks and weeks became months.

Sometime just after Hurricane Maria, the Society of Otolaryngology вЂ“ Head and Neck Surgery of Puerto Rico WhatsApp forum became the source of information sharing between us. Social media has been a source of help to us. We have gone through death, destruction, landscape devastation, and human suffering, besides the lack of essential services like water and electricity for months. My ENT peers in Puerto Rico may not have been to war together, but after two major hurricanes in 2017-Irma and Maria-tropical storms, a major earthquake on January 6, 2020, and its ensuing aftershocks, Sahara dust thick as fog for days, and the COVID-19 worldwide pandemic, it has been like going to war. Charles Juarbe, MD, AAO-HNS Board of Governors Member for the Society of Otolaryngology вЂ“ Head and Neck Surgery of Puerto Rico