With love from Dahab

I have lots of blues for you

Hi Bluesky missed ya

Mayday comes from french M’aider... which means help me. I am not calling it yet just preparing for transatlantic flight

M’aider M’aider

Someone really broke my friend’s heart.. when asked why would he do something like this he said he is afraid of getting old and dying.. cant even argue with mf

Please god I just want a little fish from Vieques

Come on NY pull it

Trans splenic rendezvous for orphan panc duct access is rendezvous i could be interested

I’ve watched enough crosswind landings and analyzed plane crash histories to know that I may still make it

Loner or a photographer at depths

I think I maybe a loner

Syndactylizing three right hepatic donor ducts into right common hepatic.. is only thing that could get my athletic heart racing

Variants of the PV branching pattern. A. PV trifurcation—PV divides into three branches: left PV, right anterior PV, and right posterior PV. B. Right posterior PV branch arising directly from the main PV. c Left PV arising from the right anterior segmental branch

Normal anatomy of the PVS and the typical branching pattern of the main PV. a Volume rendering technique (VRT) image from late arterial phase contrast-enhanced CT depicting a global view of the PVS.

I see endless future opportunities for you (advanced endoscopists).. not for us. liver transplant surgeon

Cale de San Francisco, Old San Juan

liver bx in autoimmune hepatitis: severe chronic hepatitis with intense portal & lobular inflammation composed of lymphocytes, mononuclear cells, plasmas cells& plasma cell clusters. Also severe interface hepatitis extension of portal inflammation beyond the limiting plate into the adjacent lobule

La Jolla morning

Gallbladder polyp of 6-9 mm WITH increased risk of malignancy (ie, age greater than 50 years, primary sclerosing cholangitis, Indian ethnicity, or sessile polyp including focal wall thickening of greater than 4 mm)->CCY

Salt flats Bonaire

Bonaire Blueskies green blue waters and pink salt flats

Tirzepetide is a dual glucagon-like peptide 1 (GLP1) and glucose-dependent insulinotropic polypeptide (GIP) receptor agonist. SURMOUNT-3 and -4 trials demonstrated a mean 25.3% weight loss from baseline at 88 weeks, and 56.6% of these patients achieving a 25% or higher weight reduction.

Windansea Beach La Jolla

Isolated cecal patches can be found in up to 5% of patients with left-sided or distal UC. More commonly in young patients with rectosigmoid disease and is a/w proximal disease extension. However, it is not a/w escalation of therapy, colectomy, or neoplasia compared to left-sided ulcerative colitis.

Recto-Anal Junction features an important change in epithelial structure. Rectum->columnar epithelium that lines the majority of the GI tract. The anus has a stratified squamous epithelium that provides a greater deal of protection to the underlying tissue.

N Lake Ave Altadena

OPTN mandates that transperitoneal biopsy (either by endoscopic ultrasound or percutaneous approaches) be an exclusion criterion for early hilar CCA (<3cm with no mets, +neoadjuvant) Liver tranplantation candidacy in any institutional protocol.

26 patients but the study from Unievrsité Lille and other French sites demonstrating increased 6mo survival (+2 y fu)with early Liver transplantation in steroid non-responders: 77±8% vs. 23±8%, P<0.001) www.nejm.org/doi/full/10....

Altadena from Eaton fires

Alt

Altadena

Altadena ❤️

Catch waves and feelings

Stop him smbd it is cold in California

No I don’t want to back up my iphone Apple i want it to disappear in the 130feet blue hole

Jibe city surfing school

Lac Bay Bonaire

Have I not shared flamingos from Bonaire last week.. on Bluesky i can’t believe shame on me

I was a night hospitalist admitting 6 patients with same presentation of pneumonia and hypoxia march 11 night of 2020. Nobody cares but i wanted to share with someone

Female European and western divers smooching with sharks while middle eastern guy bumping it with an oxygen tank is the energy i need to see with shark diving. i maybe ready for the red sea guys by june

Really proud of my Kralendijk baby octopus