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Please do give your valuable comments regarding the primary repair over an indwelling stent. It is much, much better than a hepaticojejunostomy Stricture formation is up-to 11 - 20 % and its is the same for both the procedure Laparoscopic repair has the least morbidity, An ERCP and stenting may be required in 30 % of cases of such a repair. Reason being early slipping of the feeding tube stent. A pigtail stent or a regular CBD stent cant be used here as they are not flexible enough to be negotiated in the small hepaticocystic space. This is in conjunction with the Laparoscopy Lancers Pledge. "No abdomen should be opened for the lack of our skills". https://tunes.freepik.com/tune/tropic-of-capricorn

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My account was suspended for sharing the truth! 7 steps to quality cannabis oil: THIS IS AN EDUCATIONAL VIDEO. I DO NOT SHIP THC OIL! DO NOT ASK OR PURCHASE FROM ANYONE ON THE COMMENTS CLAIMING THEY DO! I DO recommend checking out GuerillaHealer.org! 100% Solvent-free, whole plant, in veg capsules! If you need charitable assistance, use the contact form and you may qualify for large discounts. I made this video when I first learned to show everyone just how easy it is! You do NOT need a rice cooker, you can do this with a simple double boil! Prefer a bit more advanced version? Check out my newer video How to make winterized cannabis oil in 7 easy steps! https://m.youtube.com/watch?v=mUXTSqw... WARNINGS: USE A WELL VENTILATED AREA. NO SMOKING. NO FLAMES. DO NOT REPLACE ETHYL w/ ISOPROPYL. ISOPROPYL ALCOHOL IS NOT FOR HUMAN INGESTION!!!!!CAN CAUSE LIVER DAMAGE!!! Need your questions answered by BURNTmd? Email the Cannabis Health Hotline™!! Simply make a donation to GuerillaHealer.org, a 501©3 charity helping high risk low income patients with life threatening ailments optimize diet, healthcare, & lifestyle. Once you have donated post your question on the site or email [email protected]! Healer standing by to give you the time you need! This is a charity non-profit service. We do not sell cannabis oil. When starting with cannabis oil, its always easier to take more than to go backwards. Decarb tip: If you allow your oil to cook slow, reaching the point where all activity in the oil has stopped and there are no more bubbles, you can be sure your oil is activated from thc-a to thc. If you prefer retaining more terpenes and utilizing a thc-a oil, not decarbing will yield you thc-a. I personally use thc-a for many ailments, especially fatty lipomas (benign tumors) in dogs! Feel free to email [email protected] for a consultation. *DISCLAIMER: GuerillaHealer.org does not give away medicine, contrary to what I said in the video. GuerillaHealer provides educational services teaching low income, high risk patients with life threatening ailments how to optimize diet, healthcare, & lifestyle. One must qualify as poverty level to receive free care. Please donate to the charity if you are contacting for help. Learn more about our endocannabinoid system at FarmsNotPharms.org 7 Easy Steps To Make Cannabis Oil: 1. Gather materials: cheese cloth, cooking medium (butter maker, rice cooker, stovetop), small pot, large pot, pan, wooden spoon, spatula, scale, fan, ethanol or ever clear, material (trim, flowers, no stalks,!! - ground up dry is best), cooking thermometer, parchment paper, *extracts for added strength, paper towels, isopropyl alcohol for cleanup, *organic unrefined coconut oil or 100% cocoa butter 2. Clean working space & tools 3. gauge cooking medium - cook water; take temp. touch therm gauge bottom temp 4. quick wash - use wooden spoon & big pot, bath & stir for at least 60 seconds. second wash acceptable for atleast 1 week 5. strain - use clean cheese cloth, strain into smaller pot 6. cook - double boil, keep rotating don't let burn remove from heat when no longer runny. use fan to blow directly over the top of the cooking medium from start to finish, use clean cheese cloth to drape over cooking medium (safely) so that no dust particles blow into the oil from the fan, also make sure no open flames, cigarettes, bowls, or joints close. scrape onto parchment, weigh once finished, weigh parchment first, then reweigh oil after to determine actual weight. You can refrigerate, wait 20-30minutes for it to harden, or can skip, keep in pot, and go to step 7 7. homogenize (this is also the step for decarboxylation {activating our oil}) - Before delving into step 7 you may want to weigh your oil. Use scale. use cacao butter for suppository or coconut oil for other. straight works but coconut oil or butter is a better delivery method.. research Decarboxlyation Cannabis temps. ** coconut oil or cocoa butter, a 1:1 ratio is acceptable,compensate for dilution (topicals can use more coconut oil) Use your favorite oil, or butter, reheat in the bowl to activate leftover oil or butter to store for later use when making medicated edibles. Bon Appetite! *Decarb - to activate the cannabinoids from raw acid form to active form it is necessary to decarb or thermally activate. Raising the temp of the oil or cooking for longer period of time on lower temp may help achieve this. Feel free to research boiling points of dif cannabinoids such as thc thca thcv cbd cbn, etc so figure out what temp you do not want to exceed in order to retain desired profile. bilingaul version spanish-english on this channel for anyone who needs it! Info: [email protected] Be well, #FarmsNotPharms

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