When the lean principles are learnt from a person who is outside the company and is considered an expert by the industry in the said subject and he facilitates the implementation of these principles to maximize the customer value, then it becomes consulting.
Funic souffle is a soft blowing sound of blood that is at the same rate as the fetal heart rate. Increased blood pulsating through the placenta, a soft blowing sound of blood that is at the same rate as the maternal pulse and increased blood pulsating through the uterine arteries relate to uterine souffle.
a state of confusion or disorder The definition of a kerfuffle is a British word for  a state of confusion or disorder. An example of a kerfuffle is rushing around to find important papers before a big presentation.