from pptx import Presentation
from pathlib import Path
from docx import Document
import pdfplumber, zipfile
base=Path('/tmp/workspace/attachments/94d79901-2f9d-4001-aee8-ec25c7215c00')
for f in base.glob('*.pptx'):
    print('\nFILE',f.name)
    p=Presentation(str(f)); print('SLIDES',len(p.slides))
    for i,s in enumerate(p.slides,1):
        tx=[]
        for sh in s.shapes:
            if getattr(sh,'has_text_frame',False) and sh.text.strip(): tx.append(sh.text.replace('\n',' | '))
        print('SLIDE',i, ' || '.join(tx)[:1200])
    z=zipfile.ZipFile(f); names=z.namelist(); print('MEDIA', [x for x in names if x.startswith('ppt/media/')]); print('VIDEO', [x for x in names if 'video' in x.lower()])
print('\nDOCX')
d=Document(base/'MANUSCRIPT CHANGES.docx')
for x in d.paragraphs:
    if x.text.strip(): print(x.text)
for ti,t in enumerate(d.tables):
    print('TABLE',ti)
    for r in t.rows: print(' | '.join(c.text for c in r.cells))
print('\nPDF')
with pdfplumber.open(base/'video presentation 2026.pdf') as pdf:
    print('PAGES',len(pdf.pages))
    for i,page in enumerate(pdf.pages): print('PAGE',i+1, (page.extract_text() or '')[:2000].replace('\n',' | '))

from pptx import Presentation
from pptx.util import Inches, Pt
from pptx.enum.text import PP_ALIGN, MSO_ANCHOR
from pptx.enum.shapes import MSO_SHAPE
from pptx.dml.color import RGBColor
from pptx.enum.dml import MSO_THEME_COLOR
from pptx.enum.text import MSO_AUTO_SIZE
from pathlib import Path

OUT=Path('/tmp/workspace/ent_coblation_guest_lecture/output/Coblation_Guest_Lecture_15min_ENT_2026.pptx')
AS=Path('/tmp/workspace/ent_coblation_guest_lecture/assets')
prs=Presentation(); prs.slide_width=Inches(13.333); prs.slide_height=Inches(7.5)
blank=prs.slide_layouts[6]
NAVY=RGBColor(9,32,59); TEAL=RGBColor(0,146,150); GOLD=RGBColor(231,171,50); PALE=RGBColor(238,245,247); INK=RGBColor(28,43,55); GREY=RGBColor(93,107,115); WHITE=RGBColor(255,255,255); RED=RGBColor(179,57,57)

def rect(s,x,y,w,h,c, radius=False, line=None):
    sh=s.shapes.add_shape(MSO_SHAPE.ROUNDED_RECTANGLE if radius else MSO_SHAPE.RECTANGLE, Inches(x),Inches(y),Inches(w),Inches(h)); sh.fill.solid(); sh.fill.fore_color.rgb=c; sh.line.color.rgb=line or c; return sh

def text(s,txt,x,y,w,h,size=18,color=INK,bold=False,align=None, font='Aptos',valign=MSO_ANCHOR.TOP):
    tb=s.shapes.add_textbox(Inches(x),Inches(y),Inches(w),Inches(h)); tf=tb.text_frame; tf.clear(); tf.word_wrap=True; tf.margin_left=tf.margin_right=Pt(0); tf.margin_top=tf.margin_bottom=Pt(0); tf.vertical_anchor=valign
    for j,line in enumerate(txt.split('\n')):
        p=tf.paragraphs[0] if j==0 else tf.add_paragraph(); p.text=line; p.font.name=font; p.font.size=Pt(size); p.font.bold=bold; p.font.color.rgb=color; p.space_after=Pt(4)
        if align: p.alignment=align
    return tb

def base(label='', num=None):
    s=prs.slides.add_slide(blank); rect(s,0,0,13.333,7.5,WHITE); rect(s,0,0,13.333,.18,TEAL); text(s,label.upper(),.55,.34,8,.25,9,TEAL,True); 
    if num: text(s,str(num).zfill(2),12.2,.32,.55,.25,10,GREY,True,PP_ALIGN.RIGHT)
    return s
def title(s,head,sub=''):
    text(s,head,.55,.70,12.0,.65,28,NAVY,True); 
    if sub:text(s,sub,.58,1.40,11.5,.38,12,GREY)
def footer(s,ref=''):
    rect(s,.55,7.13,12.2,.012,RGBColor(210,220,225)); text(s,'National ENT Conference 2026  |  Coblation in diverse laryngeal lesions',.55,7.19,7,.18,8,GREY)
    if ref:text(s,ref,7.1,7.18,5.65,.20,7,GREY,False,PP_ALIGN.RIGHT)
def bullets(s,items,x,y,w,size=17,colour=INK, gap=8):
    tb=s.shapes.add_textbox(Inches(x),Inches(y),Inches(w),Inches(4.8)); tf=tb.text_frame; tf.clear(); tf.word_wrap=True; tf.margin_left=Pt(2); tf.margin_right=Pt(0)
    for i,item in enumerate(items):
        p=tf.paragraphs[0] if i==0 else tf.add_paragraph(); p.text=item; p.level=0; p.font.name='Aptos'; p.font.size=Pt(size); p.font.color.rgb=colour; p.space_after=Pt(gap); p.text='• '+item
    return tb
def pill(s,txt,x,y,w,c=TEAL):
    rect(s,x,y,w,.32,c,True); text(s,txt,x+.1,y+.065,w-.2,.18,9,WHITE,True,PP_ALIGN.CENTER)
def image(s,path,x,y,w,h):
    if Path(path).exists(): s.shapes.add_picture(str(path), Inches(x), Inches(y), width=Inches(w),height=Inches(h))
def video_box(s,label,x,y,w,h,caption='Insert 12-20 s edited clip'):
    rect(s,x,y,w,h,NAVY,True); text(s,'▶',x+w/2-.23,y+h/2-.30,.46,.5,31,WHITE,True,PP_ALIGN.CENTER); text(s,label,x+.15,y+.16,w-.3,.25,12,WHITE,True,PP_ALIGN.CENTER); text(s,caption,x+.14,y+h-.38,w-.28,.18,8,RGBColor(205,222,226),False,PP_ALIGN.CENTER)

# 1
s=base('Guest Lecture',1); rect(s,0,.18,13.333,7.32,NAVY); rect(s,.64,1.13,.1,4.75,GOLD); text(s,'ONE TOOL,\nMANY LESIONS',1.05,1.22,7.5,1.6,33,WHITE,True); text(s,'Coblation-assisted endoscopic management of\nselected benign and non-malignant laryngeal lesions',1.05,3.05,8.2,.85,19,RGBColor(220,237,240)); pill(s,'15-MINUTE GUEST LECTURE',1.05,4.30,2.55,GOLD); text(s,'[Presenter name, qualifications]\n[Department / Institution]\nNational ENT Conference | 2026',1.05,5.20,6.5,.85,15,WHITE); image(s,AS/'image2.jpg',9.05,1.25,3.25,2.5); text(s,'Case-led approach\nwith operative video vignettes',9.05,4.3,3.2,.7,17,RGBColor(220,237,240),True,PP_ALIGN.CENTER)
#2
s=base('Opening',2); title(s,'Why this topic?','A confined, function-critical airway with very different tissue challenges')
for x,hd,body in [(0.7,'COMMON','Nodules, polyps, cysts, Reinke edema, papilloma, granuloma'),(4.55,'UNCOMMON','Amyloidosis, chondroma, vascular lesions, inflammatory stenosis'),(8.4,'THE SHARED GOAL','Clear disease while preserving airway, voice and swallow')]:
 rect(s,x,2.1,3.45,2.65,PALE,True); text(s,hd,x+.25,2.42,2.95,.28,13,TEAL,True); text(s,body,x+.25,2.95,2.9,1.2,18,NAVY,True,PP_ALIGN.CENTER, valign=MSO_ANCHOR.MIDDLE)
text(s,'Today: five rare or high-stakes patterns where tissue selectivity and haemostasis matter.',.85,5.55,11.65,.50,21,NAVY,True,PP_ALIGN.CENTER); footer(s,'Cummings Otolaryngology, 8th ed.')
#3
s=base('Treatment landscape',3); title(s,'The treatment menu is lesion-specific')
items=[('Observation / medical','Voice therapy, reflux control, steroid or disease-directed treatment'),('Office procedures','Injection, laser in selected lesions'),('Microlaryngeal surgery','Cold instruments, microflap, microdebrider'),('Energy devices','CO₂ / KTP laser, RF plasma-coblation, electrosurgery'),('Airway reconstruction','Balloon dilation, open surgery for selected stenosis')]
for i,(a,b) in enumerate(items):
 y=1.75+i*.88; rect(s,.8,y,2.5,.58,TEAL if i==3 else PALE,True); text(s,a,.98,y+.16,2.13,.2,12,WHITE if i==3 else NAVY,True,PP_ALIGN.CENTER); text(s,b,3.65,y+.11,8.6,.38,15,INK)
text(s,'Not a “one-device-for-all” claim: modality, extent and pathology determine the safest treatment.',.85,6.35,11.6,.35,15,RED,True,PP_ALIGN.CENTER); footer(s)
#4
s=base('Technology',4); title(s,'Coblation and the BONSS RF plasma system','What is relevant in laryngeal work')
rect(s,.65,1.65,5.7,4.85,PALE,True); text(s,'Principle',.95,1.98,1.5,.3,16,TEAL,True); bullets(s,['Bipolar RF energy in saline creates a plasma field at the electrode surface','Tissue ablation and coagulation are controlled separately by the surgeon','Potential practical advantages: precise soft-tissue reduction, concurrent haemostasis and a clear field'],.95,2.45,4.95,17)
rect(s,6.7,1.65,5.95,4.85,NAVY,True); text(s,'BONSS set-up: document, do not generalise',7.02,1.98,5.25,.3,16,WHITE,True); bullets(s,['Controller: ARS700 RF Plasma Surgical System','Laryngeal electrode: LarynMax (A7171) where locally available','Modes: ABLATE and COAG. Record wand, mode, power and irrigation for every case.','Use only the current manufacturer IFU and institution-approved settings.'],7.02,2.45,5.15,16,WHITE)
footer(s,'BONSS product information; PMID 34482444')
#5
s=base('Technology',5); title(s,'BONSS laryngeal wand: practical slide for the theatre team')
rect(s,.7,1.65,4.2,4.85,PALE,True); image(s,AS/'image3.jpg',.95,2.0,3.7,1.38); text(s,'Available BONSS ENT electrode families',1.0,3.75,3.6,.25,15,TEAL,True,PP_ALIGN.CENTER); bullets(s,['Laryngeal: LarynMax A7171','Other families: tonsil, turbinate, sinus and palate electrodes','Do not substitute a product label for a clinical indication.'],1.0,4.25,3.55,14)
rect(s,5.25,1.65,7.35,4.85,NAVY,True); text(s,'Institutional operative record',5.60,2.0,4,.3,18,WHITE,True); 
for i,t in enumerate(['Wand / lot number','ABLATE power: ____','COAG power: ____','Saline / suction setting: ____','Airway strategy and backup plan: ____']):
 rect(s,5.62,2.55+i*.60,6.4,.42,RGBColor(27,63,87),True); text(s,t,5.82,2.67+i*.60,5.9,.16,14,WHITE)
text(s,'Populate these fields from the operative notes and IFU before presenting.',5.62,5.95,6.1,.25,12,RGBColor(255,218,141),True); footer(s,'Manufacturer IFU supersedes this slide')
#6
s=base('Cases',6); title(s,'Five case vignettes: one question per lesion','Use a 15-20 second operative clip only where it changes the teaching point')
rows=[('01','Subglottic chondroma','Airway restoration without destabilising the cricoid'),('02','Post-cricoid cavernous hemangioma','Vascular control in a narrow hypopharynx'),('03','Subglottic necrotising granuloma','Diagnostic uncertainty and restenosis risk'),('04','Laryngeal amyloidosis','Tissue-sparing debulking for recurrent infiltration'),('05','Intubation granuloma','Avoiding further posterior-glottic trauma')]
for i,(n,a,b) in enumerate(rows):
 y=1.65+i*.85; rect(s,.75,y,.55,.48,TEAL,True); text(s,n,.75,y+.13,.55,.16,12,WHITE,True,PP_ALIGN.CENTER); text(s,a,1.55,y+.08,3.5,.22,17,NAVY,True); text(s,b,5.18,y+.10,6.85,.2,14,INK)
footer(s)
# helper case slides

def case_slide(num,name,history,challenge,procedure,outcome,ref,video=True, imagefile=None):
 s=base('Case '+str(num),6+num); title(s,f'Case {num}: {name}',history)
 rect(s,.65,1.7,3.5,4.95,PALE,True); text(s,'THE CHALLENGE',.95,2.02,2.7,.25,14,TEAL,True); text(s,challenge,.95,2.48,2.85,1.25,19,NAVY,True,PP_ALIGN.CENTER,valign=MSO_ANCHOR.MIDDLE); text(s,'Operative strategy',.95,4.28,2.6,.25,14,TEAL,True); bullets(s,procedure,.95,4.68,2.85,14)
 if imagefile: image(s,imagefile,4.55,1.84,3.45,2.35); text(s,'Preoperative endoscopy / imaging',4.55,4.30,3.45,.20,11,GREY,False,PP_ALIGN.CENTER)
 else: video_box(s,'PREOPERATIVE ENDOSCOPY',4.55,1.84,3.45,2.35,'Replace with patient still or 8 s clip')
 video_box(s,'INTRAOPERATIVE COBLATION',8.35,1.84,3.45,2.35,'Replace with 12-20 s edited clip')
 rect(s,4.55,4.85,7.25,1.45,NAVY,True); text(s,'OUTCOME / FOLLOW-UP',4.82,5.12,2.5,.2,12,RGBColor(170,230,228),True); text(s,outcome,4.82,5.48,6.65,.55,16,WHITE,True); text(s,'HPE: insert annotated photomicrograph + final pathology label.  Follow-up: show 1-week and 6-12 month endoscopy.',4.55,6.44,7.3,.22,10,GREY,False,PP_ALIGN.CENTER); footer(s,ref)
 return s
case_slide(1,'Subglottic chondroma','Slowly progressive dyspnoea / stridor; CT defines cricoid origin and extent.','Differentiate from low-grade chondrosarcoma and improve airway while preserving the laryngeal framework.',['Secure airway and expose under suspension microlaryngoscopy','Obtain representative tissue for pathology','Selected endoscopic debulking only when access, anatomy and pathology permit'],'Show: pre-op airway, key debulking step, immediate calibre, then 6-12 month patency.','PMID 38835336')
case_slide(2,'Post-cricoid cavernous hemangioma','65-year-old woman, 7-month globus/dysphagia; MRI: 0.9 × 1.0 × 1.1 cm post-cricoid lesion.','Bleeding risk, difficult access and protection of the post-cricoid wall.',['Avoid blind biopsy of a suspected vascular lesion','Edge coagulation followed by controlled ablation/resection','Use cold steel plus coblation when tissue plane demands it'],'Case record: HPE cavernous hemangioma; Ryle tube removed at 6 weeks; asymptomatic without residual/recurrent lesion on follow-up.','PMID 37394981; institutional abstract',imagefile=AS/'image1.png')
case_slide(3,'Subglottic necrotising granuloma','Progressive stridor with a tumour-mimic subglottic lesion.','Obtain an adequate diagnosis while preventing iatrogenic scarring in a restenosis-prone airway.',['Deep biopsy and microbiology where indicated','Correlate pathology with ANCA, systemic evaluation and imaging','Endoscopic restoration of calibre with disease-directed medical therapy'],'Show: pre-op stenosis, tissue sampling / limited debulking, 1-week healing and serial airway surveillance.','PMID 35261874')
case_slide(4,'Laryngeal amyloidosis','Slowly progressive dysphonia with submucosal, often multifocal infiltration.','Repeated intervention may be needed: preserve phonatory tissue and exclude systemic disease.',['Biopsy confirmation with Congo red; complete systemic evaluation','Tailored, staged endoscopic debulking based on extent','Avoid circumferential injury; plan long-term surveillance'],'Evidence: recurrence after primary surgery was 28.4% in a 2023 systematic review. Show 1-week healing and 6-12 month voice/airway result.','PMID 36790723')
case_slide(5,'Intubation granuloma','Posterior glottic lesion after airway instrumentation, often amplified by reflux and phonotrauma.','Recurrence after excision and risk of additional posterior-glottic trauma.',['Confirm vocal fold mobility and treat reflux / cough / phonotrauma','Reserve excision for symptomatic, large or refractory disease','Pair surgery with medical and voice management'],'Evidence supports conservative treatment for many lesions; when surgery is needed, combine it with cause-directed management to reduce recurrence.','PMID 31628044')
# synthesis
s=base('Synthesis',12); title(s,'What changed the operative plan?','Not the diagnosis alone: the tissue challenge')
cols=[('LESION','PRIMARY CHALLENGE','ROLE OF COBLATION'),('Chondroma','Firm airway mass / framework','Selected controlled debulking'),('Hemangioma','Bleeding / access','Haemostasis plus tissue reduction'),('Necrotising granuloma','Diagnosis + fibrosis','Limited airway restoration'),('Amyloidosis','Infiltrative recurrence','Tissue-sparing staged debulking'),('Intubation granuloma','Posterior-glottic trauma','Precise excision when needed')]
xs=[.7,3.35,7.3]; ws=[2.35,3.55,5.15]
for r,row in enumerate(cols):
 y=1.65+r*.75
 for c,val in enumerate(row):
  rect(s,xs[c],y,ws[c],.58,NAVY if r==0 else (PALE if r%2 else WHITE),False,RGBColor(215,225,228)); text(s,val,xs[c]+.14,y+.15,ws[c]-.25,.22,13,WHITE if r==0 else INK,r==0 or c==0)
text(s,'Message: coblation is a complementary tool. Its utility depends on lesion anatomy, pathology, surgeon experience and the planned functional endpoint.',.85,6.55,11.7,.3,15,TEAL,True,PP_ALIGN.CENTER); footer(s)
# evidence
s=base('Evidence',13); title(s,'Evidence: promising, but lesion-specific and limited')
for x,hd,body in [(0.7,'COBLATION IN LARYNGOLOGY','Review-level data describe lower-temperature tissue interaction, haemostasis and use across ENT, but high-quality lesion-specific comparisons are sparse.\nPMID 34482444'),(4.55,'HEMANGIOMA','23-patient retrospective series: single-session success, no postoperative bleeding, 1-year recurrence-free follow-up.\nPMID 37394981'),(8.4,'AMYLOIDOSIS','Systematic review, 515 patients: recurrence 28.4%; tailored surgery and long follow-up recommended.\nPMID 36790723')]:
 rect(s,x,1.75,3.45,3.65,PALE,True); text(s,hd,x+.23,2.05,2.95,.3,13,TEAL,True,PP_ALIGN.CENTER); text(s,body,x+.25,2.62,2.93,2.1,15,NAVY,False,PP_ALIGN.CENTER,valign=MSO_ANCHOR.MIDDLE)
text(s,'Do not claim superiority over CO₂ laser or cold steel without lesion-specific comparative data.',.8,5.92,11.7,.35,17,RED,True,PP_ALIGN.CENTER); footer(s,'Selected PubMed-indexed literature')
# takehome
s=base('Close',14); rect(s,0,.18,13.333,7.32,NAVY); text(s,'TAKE-HOME MESSAGES',.75,.88,8,.35,14,RGBColor(171,232,230),True)
for i,st in enumerate(['Start with the lesion biology and functional target, not the device.','Coblation can combine tissue reduction with haemostasis in selected endoscopic laryngeal and hypopharyngeal cases.','Show your evidence transparently: this is a case-led experience, not a superiority claim.','Document wand, settings, pathology and long-term functional follow-up for every case.']):
 rect(s,.85,1.65+i*1.14,.55,.55,GOLD,True); text(s,str(i+1),.85,1.80+i*1.14,.55,.18,14,NAVY,True,PP_ALIGN.CENTER); text(s,st,1.72,1.70+i*1.14,10.4,.48,19,WHITE,True)
text(s,'Coblation + cold instruments: complementary, not competitive.',.85,6.45,11.6,.35,19,RGBColor(255,220,147),True,PP_ALIGN.CENTER)
# refs
s=base('References',15); title(s,'Selected references','Full citations and PMIDs for the spoken claims')
refs=['OuYang Z, Lou Z. Management of adult laryngeal hemangioma with low-temperature plasma RF coblation. Ear Nose Throat J. 2026. PMID: 37394981.','Galluzzi F, Garavello W. Surgical treatment of laryngeal amyloidosis: a systematic review. Eur Arch Otorhinolaryngol. 2023. PMID: 36790723.','Tsai SW, et al. Operative and conservative management of laryngeal contact granuloma: systematic review. J Voice. 2021. PMID: 31628044.','Candelo E, et al. Laryngeal chondromas: current knowledge and future directions. Laryngoscope Investig Otolaryngol. 2024. PMID: 38835336.','Pasick LJ, et al. An updated review of subglottic stenosis. Curr Pulmonol Rep. 2022. PMID: 35261874.','Svistushkin VM, et al. Possibilities of coblation in otorhinolaryngology: analytical review. Eur Arch Otorhinolaryngol. 2022. PMID: 34482444.']
bullets(s,refs,.75,1.70,11.85,15,INK,13); text(s,'Device-specific directions for use and institutional protocols supersede general educational material.',.8,6.52,11.75,.25,12,RED,True,PP_ALIGN.CENTER); footer(s)
# end
s=base('Discussion',16); rect(s,0,.18,13.333,7.32,NAVY); text(s,'Thank you',.7,1.55,11.9,.7,37,WHITE,True,PP_ALIGN.CENTER); text(s,'Questions and discussion',.7,2.45,11.9,.4,20,RGBColor(184,230,229),PP_ALIGN.CENTER); text(s,'[Presenter]  |  [Institution]  |  [Email]',.7,5.75,11.9,.28,16,WHITE,False,PP_ALIGN.CENTER)
prs.save(OUT)
print(OUT)

Successfully replaced 1 instance(s) of the string in '/tmp/workspace/ent_coblation_guest_lecture/src/build_deck.py'