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Sharp : the definitive introduction to knives, sharpening, and cutting techniques, with recipes from great chefs
\"[This] is a knife skills class in book form and an introduction to the best knives you can buy from all over the world. From a premier knife purveyor and go-to knives expert, this comprehensive guide details the elements of buying and caring for good knives, including sharpening and knife skills\"--Amazon.com.
BOOK
Victorinox Swiss Army Knives : a collector's companion
Swiss Army Knives is the comprehensive guide for Swiss Army Knives no collector should live without. This fascinating, colorfully illustrated book is a celebration of one of the great icons of Swiss culture. Swiss Army Knives catalogs each gadget, beginning with the simple Soldier's knife, later developed into the Student Knife, the Cadet Knife, and Farmer's Knife. Each model is accompanied with a narrative. For example, the Soldier's knife was heavy, which led developers to create the lighter Officer's knife, with an added second blade and a corkscrew. The book includes hundreds of illustrated examples of Swiss Army Knives and anecdotes from military personnel and other owners and a comprehensive model identification system, for the dedicated collectors. This fascinating, colorfully illustrated celebration of one of the great icons of Swiss culture--in France it's the Couteau Swiss, in Germany the Schweizer Messer, and to the English-speaking world it's the Victorinox Swiss Army Knife--used by military programs the world over and given away as gifts to guests by the White House (Lyndon Johnson did it first).
Book
2870 Flexible Endoscopic Diverticultomy: Development of a Community-Based Referral Program and Ways to Improve Efficiency and Outcomes
INTRODUCTION:Until recently Flexible endoscopic diverticulotomy (FED) has not gained momentum among GI endoscopists in USA due to a variety of reasons including new skill set, referral patterns, procedural risks and complexity. Thus far it has been limited to select university hospitals, restricting its availability. We present a case series of FED performed in our community hospital system.METHODS:Retrospective review was performed from the start of the FED program over 3 months in 2018. We established a new multi-disciplinary Advanced GERD & Esophageal Services (PAGES) program through which patients were reviewed and selected. All were performed by a single interventional ESD (endoscopic submucosal dissection) trained endoscopist.RESULTS:Mean age 69yrs; mean Eckardt score (EDS) 5. Prominent symptoms were dysphagia and weight loss. Diagnosis was established by imaging or EGD. ESD knives were used. Clips were placed on the diverticular base. The thickness and length of the cricopharyngeal bar varied from 0.7- 3 cm (mean: 1.8) and 3- 5 cm (mean: 3.6) respectively. Total operative time depended on the length of the septum, thickness, the type of knife used and varied from 25-168 min (mean:62). The transition from other ESD knives to scissor type knives reduced our operative time by 50% (168 down to 40min) (Table 1). Patients were discharged home 6 hrs post-procedure. A routine predischarge esophagogram was obtained to document complete excision of cricopharyngeal bar. One case of intraoperative bleeding was controlled using a coagrasper. No blood transfusions or second endoscopic procedures were required to control bleeding. One patient was readmitted within 24 hrs of discharge for control of N/V. The success of the procedure was measured using 4 week post-operative EDS. Three of five patients achieved complete symptom resolution at week 1. Two patients had occasional dysphagia (EDS:1) and regurgitation (EDS:1) respectively. All were symptom free at the end of week 4 (EDS: 0 -1) (Table 2).CONCLUSION:Transoral FED gives the gastroenterologists the opportunity to be the forerunners in managing ZD. The vast majority of these patients present to GI physicians with a complaint of dysphagia. The development of the multi-disciplinary program to identify and triage patients, scissor type ESD knife, and a fellowship trained advanced endoscopist are the recipe to success for a tertiary community program.
Journal Article
