Narcissists believe their personality and appearance is superior to others. Symptoms of narcissism include focusing only on one's self, lacking guilt and an inability to empathize. Narcissistic people tend to be vain. A marriage being undermined by narcissism might benefit from therapy.
Trocar: A sharply pointed shaft, usually with a three-sided point. A trocar may be used within a cannula, a hollow tube, designed to be inserted into a vein, artery, bone marrow or body cavity. The word trocar is derived from the French trois (three) + carre (side). Last Editorial Review: 6/9/2016.
A tracheotomy or a tracheostomy is an opening surgically created through the neck into the trachea (windpipe) to allow direct access to the breathing tube and is commonly done in an operating room under general anesthesia.