Dr Amr Elsaadany

Consultant Interventional Radiology - Royal London Hospital

[Naif Alsaikhan | د. نايف بن حمد الصيخان @Naif_87]

Cholecystitis in an unusually upward-oriented gallbladder in a sub-diaphragmatic location. Not suitable for LAMS GBD. Two stick technique (US transpleural needle for opacification, then fluoroscopy guided access to the GB pouch). Access angle allowed a 6.5 Fr endoscope to clear the neck and fundus.

[Naif Alsaikhan | د. نايف بن حمد الصيخان @Naif_87]

Bronchoscopy-Fluoroscopy Rendezvous to plug pancreatico-bronchial fistula.

Used 6.5 Fr scope, outside and parallel to ETT. Followed the bubbling (injection from below) to the leak. Passed the wire to collection, externalized, plug the bronchus and glue below it.

#IR_Endoscopy

[Naveen Gowda @NaveenGowdaMD]

I had some free time this week and built several AI-assisted tools for Diagnostic & Interventional Radiology workflows: CT Protocol Assistant, Tumor Board Assistant, Anticoagulation Management, Follow-up Manager, and more. https://t.co/uj1MUQyFEd https://t.co/6jZV2XRYDN

#IRad

[Austin Bourgeois @AustinBourgeois]

Nice little HCC you got there. Would be a shame if it got nuked at 800gy

[Dr Pavan Najran @NajranPavan]

Excited to share the launch of a new podcast dedicated to advancing awareness and understanding of chemosaturation for ocular melanoma.

#OcularMelanoma #Chemosaturation #Oncology #RareCancers #MedicalInnovation #HealthcarePodcast

https://t.co/LVQnF9H6Yc

[Naif Alsaikhan | د. نايف بن حمد الصيخان @Naif_87]

Adopting Percutaneous Necrosectomy techniques to non-pancreatic tissues. Larger tools with parallel small endoscopes. Notice healthy granulation tissue linings at completion. One setting, one access, one day admission.

#InterventionalRadiology

[Raimundo C. Santos, MD. @raimcsantos]

🔸Disruptive technology that saves lives! Full-size 3D printing. Surgical planning with precision engineering! Personalized patient printing pre- and post-operatively. High-precision post-operative monitoring. #3D #Technology #3Dprinting #Anatomy #Surgery
🔸 Tecnologia disruptiva que salva vidas! Impressão 3D tamanho real. Planejamento cirúrgico com engenharia de precisão! Impressão personalizada do paciente no pré-operatório e no pós-operatório. Seguimento pós-operatório com alta precisão.

[The Royal College of Radiologists @RCRadiologists]

Last week, @GMB highlighted the shortage of radiologists and resulting delays and anxiety for patients. @DHSC must urgently fund more radiology specialty training posts to ensure the workforce can meet rising demand for scans, and cut agonising delays for patients.

[Aquilant GI Intervention @AquilantGI]

🚨LAST FEW SPACES🚨
Join the Liver Intervention Study Day with Dr Dominic Yu for expert-led lectures, learning & networking

🗓️6th May 2026
📍London

‼️Don't miss out - REGISTER NOW👇
https://t.co/w2V6Xw7bnX

#InterventionalRadiology #Liver #Hepatology #LiverIntervention #IR

[Stephanie Kim, MD, PhD @stephkimMD]

UFE https://t.co/60ybNSPs75 How I perform Uterine Fibroid Embolization 👩🏻‍⚕️🩻 - a start to finish fluoroscopy video for our trainees at WashU (credit to Jim Duncan MD PhD for editing and narration!) #interventionalradiology #radiology #irad #iradres #futureradres #meded #radres

[Dr Amr Elsaadany @dramrmaged]

@rangapurushoth Similar case but not difficult as yours

https://t.co/2teCJuRfQ6

[Dr Amr Elsaadany @dramrmaged]

@rangapurushoth Well done 👍🏻

[Rangarajan Purushothaman @rangapurushoth]

Young pt with testicular CA and PET avid precaval lymph node. Trans caval biopsy using TLAB with diagnostic samples #IRAD

[Rangarajan Purushothaman @rangapurushoth]

@t_intheleadcoat @smbracewell @ChengaziMD been using an inflated Fogarty with a little bit of Benson wire to lead, balloon just follows direction of flow and also doesn't get caught in the chordae

[Austin Bourgeois @AustinBourgeois]

Overview of our equipment and technique for accessing the PA for PE thrombectomy. @SDhandMD @t_intheleadcoat @keithppereira @TheRealDoctorOs @_backtable

[Dr Amr Elsaadany @dramrmaged]

@eltreiki_f ما أروع ما كتبتي و الأروع هو نبل مشاعرك و بالفعل هي قطر حيث السكينة و الأمان و المحبة و الأخوة

[Dr Amr Elsaadany @dramrmaged]

https://t.co/47yXLBCg0f

[Elizabeth Warren @SenWarren]

I just left a classified briefing with the Trump Administration about the war in Iran.

I was worried before, but I’m more worried now.

[أدهم شرقاوي @adhamsharkawi]

10 رسائل ربانية لتهدئة قلبك في زمن الزلازل والحروب:

​1️⃣ فاطمئنوا:
لا تسقط قذيفة، ولا يشتعل صراع، ولا تتحرك بارجة في بحرٍ أو صاروخ في سماء، إلا بعلم مَن لا تَخفى عليه خافية؛ فكيف بكونٍ كلّه تحت تدبيره؟

2️⃣ فاهدؤوا:
الحروب، الزلازل، الأزمات الاقتصادية… ليست عبثًا ولا فوضى؛ إنها ضمن جيشٍ خفيّ اسمه جنود الله، تتحرك بأمره لا بأمر الملوك والرؤساء.

3️⃣ فافهموا:
قد نغرق في التحليلات: من انتصر؟ من خسر؟ من يملك السلاح الأقوى؟
لكن الحكمة الحقيقية أعمق من كل الشاشات؛ لله تدبيرٌ لا تدركه عقولنا المحدودة، لكنه يجري بدقّة لا تخطئ.

4️⃣ فاعقلوا:
الابتلاء مِصفاة لا تستثني أحدًا:
شعوب، حكومات، قوى عظمى، وأفراد عاديون مثلي ومثلك.
تُغربِل القلوب: من يتوكل على السلاح؟ ومن يتوكل على الله؟

5️⃣ فتذكّروا:
هذه الدنيا ليست قصرًا أبيضَ نعيش فيه آمنين؛ بل طريقٌ ملتوي مليء بالمطبات، خُلِقنا فيه لنتعب، ونُختبَر، ونُربّى… ثم نرتاح هناك، حيث لا حرب ولا وجع.

6️⃣ فاستبشروا:
حين تتيه الأمم في سباق السلاح، ويُظَن أن القرار بيد هذه الدولة أو تلك القوة…
يرسل الله منبّهات قاسية في ظاهرها: حروبًا، أزمات، زلازل… لكنها في باطنها رحمة توقِظ الغافلين، وتردّ القلوب إلى باب السماء.

7️⃣ فاستدركوا:
قد يكون البلاء رسالة خاصة لك أنت:
– إمّا رسالة حب: ارجع إليّ، لقد اشتقتُ إلى سماع صوتك في السَّحر.
– أو جرس إنذار: صحّح مسارك قبل أن يُغلَق الباب.

8️⃣ فتأدّبوا:
نحن ضعفاء، نخاف من الأخبار، نرتبك من التصعيد بين الدول، ننهار من خبر فقدٍ واحد…
ومع ذلك يظل هو الكريم، الذي خلقنا في أحسن تقويم، ويقبلنا كلما رجعنا، مهما لطّختنا فتن الدنيا.

9️⃣ فافرحوا:
﴿فَعَسَىٰ أَن تَكْرَهُوا شَيْئًا وَيَجْعَلَ اللَّهُ فِيهِ خَيْرًا كَثِيرًا﴾
قد نكره الحرب، الخوف، اضطراب الأسعار…
لكن من رحم هذه المحن قد يولد وعيٌ جديد، وإيمانٌ أعمق، وعودةٌ صادقة إلى الله لا تشتريها الدنيا كلها.

🔟 فاصبروا
﴿وَلَا تَيْأَسُوا مِن رَّوْحِ اللَّهِ﴾
اليأس ليس خيارًا متاحًا للمؤمن؛
حتى لو اشتعلت المنطقة بين إيران وأمريكا، وحتى لو اشتدت النيران في أوطاننا؛ يبقى في قلب المؤمن نافذة اسمها: رحمة الله لا تُغلق.

محمد الغزالي

[Peter Girnus 🦅 @gothburz]

I am a diplomatic aide in the Sultanate of Oman's Ministry of Foreign Affairs.

My job is logistics. When two countries that cannot speak to each other need to speak to each other, I book the rooms. I prepare the briefing materials. I make sure the water glasses are the right distance apart. You would be surprised how much of diplomacy is water glasses. Too close and it feels informal. Too far and it feels like a tribunal. I have a chart.

We had a very good month.

Since January, Oman has been mediating indirect talks between the United States and Iran on Iran's nuclear program. The talks were held in Muscat and in Geneva. The Americans would sit in one room. The Iranians would sit in another room. I would walk between them. My Fitbit says I averaged fourteen thousand steps on negotiation days. The hallway between the two rooms at the Royal Opera House conference center is forty-seven meters. I walked it two hundred and twelve times in February. This is good for my cardiovascular health. It was less good for my knees. Both are in the service of peace.

By mid-February, we had something.

Iran agreed to zero stockpiling of enriched uranium. Not reduced stockpiling. Zero. They agreed to down-blend existing stockpiles to the lowest possible level. They agreed to convert them into irreversible fuel. They agreed to full IAEA verification with potential US inspector access. They agreed, in the Foreign Minister's phrase, to "never, ever" possess nuclear material for a bomb. I have worked in diplomacy for seven years. I have never seen a country agree to this many things this quickly. I made a spreadsheet of the concessions. It had fourteen rows. I color-coded it. Green for confirmed. Yellow for pending. By February 21 the spreadsheet was entirely green. I printed it. It is on my desk in Muscat. It is still green.

That phrase took eleven days. "Never, ever." The Iranians initially offered "not seek to." The Americans wanted "will not under any circumstances." We landed on "never, ever" at 2:14 AM on a Tuesday in Muscat. I typed the final version myself. I used Times New Roman because Geneva prefers it. The document was fourteen pages. I was proud of every comma.

Here is what they said, in the order they said it.

February 24: "We have a once-in-a-generation opportunity." — The Foreign Minister, private briefing to Gulf Cooperation Council ambassadors. I prepared the slide deck. Slide 14 was the implementation timeline. Slide 15 was the signing ceremony logistics. I had reserved the Palais des Nations in Geneva, Room XX. It seats four hundred. We discussed pen brands for the signing. The Iranians preferred Montblanc. The Americans had no preference. I ordered twelve Montblanc Meisterstucks at six hundred and thirty dollars each. They arrive on Tuesday.

February 27, 8:30 AM EST: "The deal is within our reach." — The Foreign Minister, CBS Face the Nation. He sat across from Margaret Brennan. He said broad political terms could be agreed "tomorrow" with ninety days for technical implementation in Vienna. He said, and I wrote this line for the briefing card he carried in his breast pocket: "If we just allow diplomacy the space it needs." He praised the American envoys by name. Steve Witkoff. Jared Kushner. He said both had been constructive.

I watched from the Four Seasons Georgetown. The minibar had cashews. I ate the cashews. They were nineteen dollars. The most expensive cashew I have ever eaten. But it was a good morning and we were within our reach.

February 27, 2:00 PM EST: Meeting with Vice President Vance, Washington. The Foreign Minister presented our progress. Zero stockpiling. Full verification. Irreversible conversion. "Never, ever." The Vice President used the word "encouraging." His aide took notes on an iPad. The aide did not make eye contact for the last nine minutes of the meeting. I noticed this. Noticing things is the only part of my job that is not water glasses.

February 27, 4:00 PM EST: "Not happy with the pace." — President Trump, to reporters.

Not happy with the pace.

We had achieved zero stockpiling. Full IAEA verification. Irreversible fuel conversion. Inspector access. And the phrase "never, ever," which took eleven days and cost me two hundred and twelve trips down a forty-seven-meter hallway.

Every American president since Carter has failed to get Iran to agree to this. Forty-five years.

Not happy with the pace.

February 27, 9:47 PM EST: The Foreign Minister's flight departs Dulles for Muscat. I am in the seat behind him. He is reviewing Slide 14 on his laptop. The implementation timeline. Vienna technical sessions. The signing ceremony. The pens.

I fall asleep over the Atlantic. I dream about water glasses.

February 28, 6:00 AM GST: I wake up to push notifications.

February 28: "The United States has begun major combat operations in Iran." — President Trump.

Operation Epic Fury. Coordinated airstrikes. The United States and Israel. Tehran. Isfahan. Qom. Karaj. Kermanshah. Nuclear facilities. IRGC bases. Sites near the Supreme Leader's office. Israel called their half Operation Roaring Lion. Someone in both governments spent time choosing these names. Epic Fury. Roaring Lion. I spent eleven days on "never, ever." They spent it on branding. The President said Iran had "rejected American calls to halt its nuclear weapons production."

Rejected.

Iran had agreed to zero stockpiling. Iran had agreed to full verification. Iran had agreed to "never, ever." Iran had agreed to everything in a fourteen-page document that I typed in Times New Roman.

The President said they rejected it.

I do not know which document the President was reading. I know which one I typed.

February 28, 18:45 UTC: Iran internet connectivity: four percent. — NetBlocks, confirmed by Cloudflare. Ninety-six percent of a country went dark. You cannot negotiate with a country at four percent connectivity. You cannot negotiate with a country that is being struck. You cannot negotiate. This is not a political opinion. This is a logistics assessment.

February 28: The governor of Minab reported forty girls killed at an elementary school.

I do not have logistics for that. There is no slide for that. The water glass chart does not cover that.

February 28: Lockheed Martin: up. Northrop Grumman: up. RTX: up. Dow futures: down six hundred and twenty-two points. Gold: five thousand two hundred and ninety-six dollars. An analyst at AInvest published a note titled "Iran Strikes: Tactical Plays." The note recommended positions in oil, defense stocks, and gold.

The most expensive cashew I have ever eaten was nineteen dollars. The most expensive pen I have ever ordered was six hundred and thirty dollars. The math suggests I have been working in the wrong industry. Defense stocks do not require water glasses. Defense stocks do not require eleven days. Defense stocks require one morning.

February 28: Israel closed its airspace and its schools. Iran launched retaliatory missiles toward US bases in the Gulf. The Supreme Leader promised a "crushing response." Israel's defense minister declared a permanent state of emergency. Everyone is using words I recognize in an order I do not. I recognize "permanent." I recognize "emergency." I do not recognize them next to each other. In diplomacy, nothing is permanent and everything is an emergency. In war it is the reverse.

February 28: The Foreign Minister has not made a public statement.

The briefing card is still in his breast pocket. It still says "within our reach."