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Big clots are still a big problem in modern endoscopy. Here is a method to turn a flexible/rigidizing overtube into a large suction attachment to evacuate clots rapidly from the stomach. #GITwitter Douglas G. Adler MD, FASGE, FACG, AGAF Rashmi Advani, MD, ABOM Tarun Rustagi Neil Sharma, M.D. FASGE,... show more

Andy Tau, MD

9,154 subscribers

64,289 次观看 • 2 年前 •via X (Twitter)

科学技术健康养生 #GITwitter

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10 条评论

Andy Tau, MD 的头像

Andy Tau, MD2 年前

@ShimaghavimiMD @drkeithsiau @ChahalPrabhleen @DVinsard @GI_Pearls @alan_barkun @NeenaSAbrahamMD @sdesai23 @GIDrDon @ericpaulimd @AnotherPatelMD @KMonkemuller @EndoscopyOthman @DrHarryThomas @TrieuMD @helpatologist @krishnanendo @drKumarGI @DCharabaty @MendozaLadd

Eric Pauli 的头像

Eric Pauli2 年前

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates This also works very well for food bolus impaction/bezoar.

Elliot Servais, MD, FACS 的头像

Elliot Servais, MD, FACS2 年前

This is effectively rigid endoscopy. The downside to this technique as compared to true rigid esophagoscopy (at least as it is demonstrated here) is the inability to visualize at the same time as passing the suction tubing. That said, one could possibly use a pediatric gastroscope through the overtube at the same time as suction tubing.

Adam Myer MD 的头像

Adam Myer MD2 年前

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates This man is a genius

Biswa Ranjan Patra MD,DM 🇮🇳 的头像

Biswa Ranjan Patra MD,DM 🇮🇳2 年前

@giri_gutnliver @DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates Innovative method 👌👌, only concern is blind suction may convert few visible vessels/RCS into active sputer

Andy Tau, MD 的头像

Andy Tau, MD2 年前

@giri_gutnliver @DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates True.

Bara Kurdi, MD 的头像

Bara Kurdi, MD2 年前

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates I've always wanted to do this. However, I'm terrified of blowing up a juicy gastric varix in the process 🫣 How would you work around that?

Andy Tau, MD 的头像

Andy Tau, MD2 年前

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates An endoscopically guided method is better and I ask you standby

Benjamin Clement, MD 的头像

Benjamin Clement, MD2 年前

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates @inukzand @LiverDoc1 @aofosu123

Change your password 的头像

Change your password2 年前

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @SAGES_Updates Creative technique and great video. Sometimes therapeutic endoscopes and max suction are not enough

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Follow up re Ezra Teitelbaum recent milking stones post. The color of these stones is interesting #routineioc Vahagn C. Nikolian, MD Ron Barbosa MD FACS Caroline Park MD, MPH SAGES is in Tampa in 2026! Maggie Bosley, MD Eleah Porter MD Eric Pauli Douglas G. Adler MD, FASGE, FACG, AGAF

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What's the tremendous progress with huge enthusiasm of my 🌟 brothers د. ابراهيم الحافظ Ibrahim Alzahrani to adopt third space endoscopy program . We Performed the first case of Peroral endoscopic myotomy ( POEM ) And Rectal ESD that definitely will be added to premium motality program with Dr.Abdulaziz Alruzuk and luminal GI Programs...Great help and support from the nursing team , Anaesthesia team and Hospital Medical Director ماجد العبدلي-Majed Alabdali. Special thanks and gratitude to our 🌟 Dr.Aymen Aymen Almuhaidb, MD with busy schedule to help and launch such special procedures . Great ERBE knife we're used to. In between both patients are doing fine post procedures. 🔴الحمدلله ؛ بفضل الله تم إجرائين طبيين فريدين من نوعهم لأول مره في مستشفى الملك فهد الجامعي بالخبر KFHU مستشفى الملك فهد الجامعي عبر أطباء الجهاز الهضمي و المناظير العلاجيه .الإجراء الأول لمريض يعاني من مرض تعذر الارتخاء ( achalasia )حيث تم إجراء بالمنظار عمل شق صغير لا يتعدى 15 مل ثم الوصول للمنطقه المستهدفة في نهاية المرئ ويتم تقطيع العضله المسببه للمشكله بينما الإجراء الثاني هي إزالة لحمية كامله من جدار الجهاز الهضمي ESD...وكلا المريضين بخير ...كل الشكر للطاقم الطبي والإداري لتسهيل مثل هذي الإجراءات ... Aymen Almuhaidb, MD . #ThirdspaceEndoscopy #Advancedtherapeutic Klaus Mönkemüller, MD, PhD Ahmad.Madkour Akwi Asombang MD MPH Ammar Kheir Antonio Facciorusso Alaa Alali Sundeep Lakhtakia Samir C. Grover, M.D. Clive Miranda, DO, MSc Jahnvi Dhar DR. MIKE FITE - Foundation Tyler Berzin MD, FASGE Justin J. Forde MD, MS, ABOM-D Antonio Mendoza Ladd MD, AGAF, FACG, FASGE J. Tabibian, FACP, FASGE, FACG, AGAF Faisal Moamen Gabr Sultan Mahmood MD FASGE Erik Holzwanger, MD, ABOM-D Prof John Leeds Bobby Jacob, MD Khaled Bamakhrama Zaheer Nabi Natalie Cosgrove MD Dr. Viswanath Reddy D Violeta Popov, MD PhD Mariam Naveed, MD Neil Bhogal, MD Douglas G. Adler MD, FASGE, FACG, AGAF

What's the tremendous progress with huge enthusiasm of my 🌟 brothers د. ابراهيم الحافظ Ibrahim Alzahrani to adopt third space endoscopy program . We Performed the first case of Peroral endoscopic myotomy ( POEM ) And Rectal ESD that definitely will be added to premium motality program with Dr.Abdulaziz Alruzuk and luminal GI Programs...Great help and support from the nursing team , Anaesthesia team and Hospital Medical Director ماجد العبدلي-Majed Alabdali. Special thanks and gratitude to our 🌟 Dr.Aymen Aymen Almuhaidb, MD with busy schedule to help and launch such special procedures . Great ERBE knife we're used to. In between both patients are doing fine post procedures. 🔴الحمدلله ؛ بفضل الله تم إجرائين طبيين فريدين من نوعهم لأول مره في مستشفى الملك فهد الجامعي بالخبر KFHU مستشفى الملك فهد الجامعي عبر أطباء الجهاز الهضمي و المناظير العلاجيه .الإجراء الأول لمريض يعاني من مرض تعذر الارتخاء ( achalasia )حيث تم إجراء بالمنظار عمل شق صغير لا يتعدى 15 مل ثم الوصول للمنطقه المستهدفة في نهاية المرئ ويتم تقطيع العضله المسببه للمشكله بينما الإجراء الثاني هي إزالة لحمية كامله من جدار الجهاز الهضمي ESD...وكلا المريضين بخير ...كل الشكر للطاقم الطبي والإداري لتسهيل مثل هذي الإجراءات ... Aymen Almuhaidb, MD . #ThirdspaceEndoscopy #Advancedtherapeutic Klaus Mönkemüller, MD, PhD Ahmad.Madkour Akwi Asombang MD MPH Ammar Kheir Antonio Facciorusso Alaa Alali Sundeep Lakhtakia Samir C. Grover, M.D. Clive Miranda, DO, MSc Jahnvi Dhar DR. MIKE FITE - Foundation Tyler Berzin MD, FASGE Justin J. Forde MD, MS, ABOM-D Antonio Mendoza Ladd MD, AGAF, FACG, FASGE J. Tabibian, FACP, FASGE, FACG, AGAF Faisal Moamen Gabr Sultan Mahmood MD FASGE Erik Holzwanger, MD, ABOM-D Prof John Leeds Bobby Jacob, MD Khaled Bamakhrama Zaheer Nabi Natalie Cosgrove MD Dr. Viswanath Reddy D Violeta Popov, MD PhD Mariam Naveed, MD Neil Bhogal, MD Douglas G. Adler MD, FASGE, FACG, AGAF

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1,541,223 次观看 • 2 年前

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1,623,275 次观看 • 2 年前

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Humanspective

26,983 次观看 • 13 天前

What are these 'calamari-like' clots that embalmers keep finding? New peer-reviewed paper examines the recent phenomena of unusual white fibrous clots found by embalmers. Retired Air Force Major Thomas Haviland’s peer-reviewed research exposes a persistent phenomenon that the mainstream medical establishment continues to ignore. A new peer-reviewed paper published July 1 in the International Journal of Innovative Research and Medical Science breaks down what embalmers across English-speaking countries have discovered in recent years: tough, rubbery, white fibrous clots appearing in a significant percentage of bodies long after the COVID-19 pandemic and vaccine rollout. Thomas Haviland, a retired U.S. Air Force Major, began investigating this phenomenon after watching the 2022 documentary Died Suddenly. He has since conducted annual surveys of embalmers in the United States, Canada, the UK, Australia, and New Zealand. His latest analysis of 808 responses from 2022 through 2025 found that 75% of embalmers reported seeing the unusual clots. “The embalmers are seeing these white fibrous clots in an average of 23% of their corpses,” Haviland stated. A separate, more recent, 2026 survey of Tennessee embalmers showed roughly 70% still observing the clots in 18% of cases, according to Haviland. Notably, these structures differ sharply from clots seen before 2020. “Many of these embalmers have 20 or 30 years of experience, never saw this phenomenon before,” Haviland explained. “Prior to COVID, they would see two types of clots. What’s called grape jelly clots… And they also see what’s called chicken fat clots… Much, much different than these large white fibrous clots, which are really tough and rubbery and hard to break." Haviland also shared the account of an endovascular specialist and cardiologist in Jacksonville, Florida, who contacted him about removing similar clots from living patients at his lab. “He actually refers to the clots as devious clots,” Haviland said. After sharing images and angiograms, the doctor emailed in March 2024 to tell Tom that he had been instructed to terminate communication immediately. “Somebody, his hospital administrator probably got to him, right? Told him to shut up, stop talking about this, or else we’ll go after your medical license,” Haviland observed. “So it’s a shame. That’s what’s happening. People are staying silent about this when they should be speaking out.” Laboratory tests on the clots, including Raman spectroscopy and others, point to the spike protein — whether from the virus, modified RNA injections, or both — sticking to a blood protein called fibrinogen and creating unusual structures. “It makes that fibrinogen all misfolded and twisted… So then it becomes almost impossible to break down the clot. It becomes this rubbery polymer instead,” Haviland said. Despite repeated submissions of survey results to the FDA, CDC, and NIH, and the publication of supporting papers, major health agencies and institutions including the Mayo Clinic, Cleveland Clinic, Johns Hopkins, and Stanford have shown no interest in obtaining samples for further study. Although Haviland’s initial preprint was rejected by one platform as “not novel enough,” four years later, embalmers continue to report the never-before-seen clots into 2026. Haviland and others behind his research are calling for forensic pathologists and independent researchers to examine the structures directly and for congressional hearings to investigate what embalmers have been documenting for years.

What are these 'calamari-like' clots that embalmers keep finding? New peer-reviewed paper examines the recent phenomena of unusual white fibrous clots found by embalmers. Retired Air Force Major Thomas Haviland’s peer-reviewed research exposes a persistent phenomenon that the mainstream medical establishment continues to ignore. A new peer-reviewed paper published July 1 in the International Journal of Innovative Research and Medical Science breaks down what embalmers across English-speaking countries have discovered in recent years: tough, rubbery, white fibrous clots appearing in a significant percentage of bodies long after the COVID-19 pandemic and vaccine rollout. Thomas Haviland, a retired U.S. Air Force Major, began investigating this phenomenon after watching the 2022 documentary Died Suddenly. He has since conducted annual surveys of embalmers in the United States, Canada, the UK, Australia, and New Zealand. His latest analysis of 808 responses from 2022 through 2025 found that 75% of embalmers reported seeing the unusual clots. “The embalmers are seeing these white fibrous clots in an average of 23% of their corpses,” Haviland stated. A separate, more recent, 2026 survey of Tennessee embalmers showed roughly 70% still observing the clots in 18% of cases, according to Haviland. Notably, these structures differ sharply from clots seen before 2020. “Many of these embalmers have 20 or 30 years of experience, never saw this phenomenon before,” Haviland explained. “Prior to COVID, they would see two types of clots. What’s called grape jelly clots… And they also see what’s called chicken fat clots… Much, much different than these large white fibrous clots, which are really tough and rubbery and hard to break." Haviland also shared the account of an endovascular specialist and cardiologist in Jacksonville, Florida, who contacted him about removing similar clots from living patients at his lab. “He actually refers to the clots as devious clots,” Haviland said. After sharing images and angiograms, the doctor emailed in March 2024 to tell Tom that he had been instructed to terminate communication immediately. “Somebody, his hospital administrator probably got to him, right? Told him to shut up, stop talking about this, or else we’ll go after your medical license,” Haviland observed. “So it’s a shame. That’s what’s happening. People are staying silent about this when they should be speaking out.” Laboratory tests on the clots, including Raman spectroscopy and others, point to the spike protein — whether from the virus, modified RNA injections, or both — sticking to a blood protein called fibrinogen and creating unusual structures. “It makes that fibrinogen all misfolded and twisted… So then it becomes almost impossible to break down the clot. It becomes this rubbery polymer instead,” Haviland said. Despite repeated submissions of survey results to the FDA, CDC, and NIH, and the publication of supporting papers, major health agencies and institutions including the Mayo Clinic, Cleveland Clinic, Johns Hopkins, and Stanford have shown no interest in obtaining samples for further study. Although Haviland’s initial preprint was rejected by one platform as “not novel enough,” four years later, embalmers continue to report the never-before-seen clots into 2026. Haviland and others behind his research are calling for forensic pathologists and independent researchers to examine the structures directly and for congressional hearings to investigate what embalmers have been documenting for years.

Rebel News

19,345 次观看 • 4 天前

This is not the Middle East. This is Las Vegas Nevada “Allahu Akbar we turning Sin City into Halal City” The Muslim population in Nevada is growing rapidly seeing a 250% increase from 2004-2023. Expansions on Mosques due to the growth of Islam are being made

This is not the Middle East. This is Las Vegas Nevada “Allahu Akbar we turning Sin City into Halal City” The Muslim population in Nevada is growing rapidly seeing a 250% increase from 2004-2023. Expansions on Mosques due to the growth of Islam are being made

Wall Street Apes

228,005 次观看 • 8 个月前