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Patient with severe CBD stricture caused by panc head mass. Failed ERCP. Proceeded with EUS cholecystoduodenostomy. Stent placed successfully but only clear fluid could be seen coming through the stent? What is going on here? @EHolzwanger Tyler Berzin MD, FASGE Prabhleen Chahal MD,MASGE,FACG

Sultan Mahmood MD FASGE

7,182 subscribers

16,791 views • 3 years ago •via X (Twitter)

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10 Comments

Tyler Berzin MD, FASGE3 years ago

@EHolzwanger @ChahalPrabhleen What’s going on here is a super smooth, freehand LAMS placement by a highly skilled interventional fellow… 👏👏👏

Sultan Mahmood MD3 years ago

@EHolzwanger @ChahalPrabhleen

Tarun Rustagi3 years ago

@EHolzwanger @tberzin @ChahalPrabhleen Nicely done 👍👌👏 Here's another one👇

Sultan Mahmood MD3 years ago

@EHolzwanger @tberzin @ChahalPrabhleen You beat me to it . I was gonna share your tweet as a response 🙏

ZiaRahman_Endo3 years ago

@EHolzwanger @tberzin @ChahalPrabhleen Nice case!! Clear bile is a bad prognostic marker and may be seen in chronic biliary blockages.

Samuel Igbinedion MD3 years ago

@EHolzwanger @tberzin @ChahalPrabhleen Beautiful work 👏🏾

Erik Holzwanger, MD, ABOM-D3 years ago

@tberzin @ChahalPrabhleen Great case! Very well done!

Prabhleen Chahal MD,FASGE,FACG3 years ago

@EHolzwanger @tberzin Nicely done @SultanMahmoodMD !

Omkolsoum3 years ago

@EHolzwanger @tberzin @ChahalPrabhleen White bile !!!

Muhammad Tahir3 years ago

@EHolzwanger @tberzin @ChahalPrabhleen White bile? 🥸

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Travis

104,800 views • 12 days ago

It has been almost A WEEK since California’s primary “ended." The votes are still rolling in and guess what? They're heavily favoring the Democrats! Who could have seen that coming? And California officials actually had the gall to ask us to be patient because this is "normal" for their elections. No, California, NOTHING about how you handle your elections is NORMAL. You don’t need to be a conspiracy theorist to smell the rot here. At the least, this is the appearance of corruption. And when it comes to our elections, appearance is EVERYTHING. Voting is built on trust: Trust that the dead aren’t suddenly voting. Trust that a van with thousands of ballots doesn’t show up overnight and swing the election one way. Trust that non-citizens aren’t casting votes that are being counted. Trump was right to demand transparency. But BOTH sides should be just as furious.

It has been almost A WEEK since California’s primary “ended." The votes are still rolling in and guess what? They're heavily favoring the Democrats! Who could have seen that coming? And California officials actually had the gall to ask us to be patient because this is "normal" for their elections. No, California, NOTHING about how you handle your elections is NORMAL. You don’t need to be a conspiracy theorist to smell the rot here. At the least, this is the appearance of corruption. And when it comes to our elections, appearance is EVERYTHING. Voting is built on trust: Trust that the dead aren’t suddenly voting. Trust that a van with thousands of ballots doesn’t show up overnight and swing the election one way. Trust that non-citizens aren’t casting votes that are being counted. Trump was right to demand transparency. But BOTH sides should be just as furious.

Glenn Beck

72,344 views • 2 months ago

🧵An interview w/ prominent Attorney Blake Horwitz by Clayton J Baker MD on the Geoengineering legal front: "It cannot be that they are playing God, if you don't believe in God, it cannot be that they are playing Mother Nature -The poisons in the atmosphere are very detrimental to agriculture, plant life and the flora & Fauna of the Earth -That is why I chose to take this project on - There is no way that I can put my head down at night and say to myself I am OK with this going on, if I have something to do with changing the course of events, I will." "We are going to sue the individuals polluting the environment - We are going make known to the World know what is taking place." "They cannot put nanoparticles into our body without our consent, our bodies are being exposed to it through breathing and absorption through the skin and the food we are eating." Sulfur Dioxide atmospheric dispersion -"Some business are getting millions of dollars in support and investment for doing this" "Nature has historically worked out Earths issues, for mankind to inject himself into this equation of weather modification is really an absurd concept- Lets let Mother Nature run its course and not play God." ~Ending with: "Legal cases can force transparency" Tom Renz Nicole C. Pearson, Esq.

🧵An interview w/ prominent Attorney Blake Horwitz by Clayton J Baker MD on the Geoengineering legal front: "It cannot be that they are playing God, if you don't believe in God, it cannot be that they are playing Mother Nature -The poisons in the atmosphere are very detrimental to agriculture, plant life and the flora & Fauna of the Earth -That is why I chose to take this project on - There is no way that I can put my head down at night and say to myself I am OK with this going on, if I have something to do with changing the course of events, I will." "We are going to sue the individuals polluting the environment - We are going make known to the World know what is taking place." "They cannot put nanoparticles into our body without our consent, our bodies are being exposed to it through breathing and absorption through the skin and the food we are eating." Sulfur Dioxide atmospheric dispersion -"Some business are getting millions of dollars in support and investment for doing this" "Nature has historically worked out Earths issues, for mankind to inject himself into this equation of weather modification is really an absurd concept- Lets let Mother Nature run its course and not play God." ~Ending with: "Legal cases can force transparency" Tom Renz Nicole C. Pearson, Esq.

Babooschka

113,991 views • 7 months ago

Tucker Carlson on Iran: Everybody knows the only reason we're having this war is because Israel wants it. This is their last chance. This presidency is the last presidency where they're going to have unequivocal bipartisan support. Period. You can't primary every Thomas Massie, and there's a whole army of them coming at some point because everyone can see what's going on. And you can shut down X, and you can just shut down the internet. You can be like Great Britain and arrest people who protest Israel, but attitudes are not going to revert to what they were five years ago. Sorry. And they know this. So this is their last chance. What's so amazing is that Israel, which at least is acting in what it perceives to be its own national interest, is joined by its shills in the United States, of course. But really, its only other ally in this is the American news media, whose job it is to tell you the truth and inform you as to what's happening — to tell you, hey, wake up, the world could be changing and it's going to affect you and your family. That's their job. And instead, they've been lulling you to sleep with the same variety of transparent lies and propaganda.

Tucker Carlson on Iran: Everybody knows the only reason we're having this war is because Israel wants it. This is their last chance. This presidency is the last presidency where they're going to have unequivocal bipartisan support. Period. You can't primary every Thomas Massie, and there's a whole army of them coming at some point because everyone can see what's going on. And you can shut down X, and you can just shut down the internet. You can be like Great Britain and arrest people who protest Israel, but attitudes are not going to revert to what they were five years ago. Sorry. And they know this. So this is their last chance. What's so amazing is that Israel, which at least is acting in what it perceives to be its own national interest, is joined by its shills in the United States, of course. But really, its only other ally in this is the American news media, whose job it is to tell you the truth and inform you as to what's happening — to tell you, hey, wake up, the world could be changing and it's going to affect you and your family. That's their job. And instead, they've been lulling you to sleep with the same variety of transparent lies and propaganda.

Clash Report

285,035 views • 5 months ago