@DrBloodandGuts Practicing in Egypt, I’ve recently seen 3 cases of hilar HCC with segmental biliary dilatation. We could cannulate the CBD but not all segments. Even with placing ≥2 stents in different segments + PTD in the most dilated one, bilirubin still didn’t drop below 4 mg/dL.
الشيخ سعيد الكلمي، جزاه الله خيرًا، كان في حد سأله السؤال دا بالظبط ورد عليه رد واقعي جدًا و هو..
«أنَّ الإنسان غالبًا لا يرتاح في الموضع الذي أقامه الله فيه!»
👇The power of VT 🆚 The power of sinus rhythm 🆚 The power of Impella for VT ablation 🆚 The power of mapping systems👇
A 65 y/o patient with DCM and VT storm. During VT, there was no LV output
👉 Power of VT
The patient remained alive due to the Impella with an average pressure of 75 mmHg
👉 Power of Impella💪💪
After VT termination through ablation, there was immediate LV output and adequate blood pressure in sinus rhythm
👉 Superpower of SR💪💪💪
A very nice correlation between the late velocity vector in sinus rhythm and propagation in the activation map during VT using #Carto_V8 from @JNJNews@JNJInnovation
👉 Power of mapping systems 💪
@Phiso_de@MBraunEP@chris_sohns@VanessaSciacca_@MoneebKhalaph@Cardioschool@Abiomed @AleSpoken @AGEP_DGK@YoungDgk@KarHarutyun
صدمتك في الاشخاص مبتكونش بسبب افعالهم معاك علي قد ما بتكون بسبب انك راهنت عليهم انهم غير الناس. بالرغم من انك عارف ان الناس كلها واحد بس انت بتقول المره دي غير وساعاتها المره دي اللي بتكسرك لان دي كانت اخر فرصه ليك مع نفسك.