 And good morning. Welcome back to the channel. Welcome back to the vlog. It is another beautiful day here in Manhattan. I have to watch out. I'm not going to step off the ledge here and fall into the East River, but today is July 4th into all of my American followers out there. Happy Independence Day. Happy July 4th. The wifey is currently at work. She has to work until 3pm today. Unfortunately. So I had the morning off to basically do whatever I want. So I decided to get a little exercise and take the little journey, you know, somewhere I haven't been yet. So that's why I'm on the opposite side of Manhattan. This is Manhattan over here. I guess technically this is Manhattan, but that's Manhattan over there. That's the Upper East side Spanish Harlem. And this is the bridge I came across to get there. Not a bad view over here. I must say. Kicking it back on the water. Beautiful, beautiful day. It's like 70 degrees here right now. The wind is blowing nicely. I can't think of a better morning to spend July 4th. I think a lot of you all see that I talk about a lot of the positive things about New York City. And trust me, there are plenty of negative things about living here. It's a very difficult city to live in, but at the same time, it's a very easy city to live in. You just have to kind of get used to it. But if you want me to do a video on the negative sides of Manhattan, I would love to because there are plenty, but on days like this, I just love it. So, you know, I had to take a little journey on my good old fashioned city bike this morning. I just wanted to get some exercise and see something new. So I am on Randall's Island, which is across the East River from Manhattan. I rode my bike all the way up the East River all the way to this bridge right here. This is the Wilds Wides Bridge. Wides. I can't remember the name of it. It's like a walking bridge and bike path only. It's uphill one way and it was quite exhausting to get up it, but it's downhill the other way. And I came on to this island that I'm currently standing on. So it's a beautiful view. You just get a nice view of Manhattan from a different vantage point, which, you know, you're not used to seeing Manhattan from this side. So anyways, so I'm going to continue to bike around here, explore a little bit, go back home across the bridge again and wait for Andrew on it to get off work. We are going to Queens later today. We are going to do a nice July 4th barbecue with the family, as per usual. And, you know, in cliche fashion, maybe I'll show you some firework montage to celebrate July 4th, like everybody else does. So all right. Happy July 4th. We'll see you later. From who knows where Iqnics IQU in packaging. But as you guys know, I'm doing a desk setup and I keep getting all this stuff in the mail. And this is my brand new Iqnics F 96 keyboard, mechanical keyboard. This thing is beautiful. If you didn't hear on one of my prior videos, I'm doing a very modern, sleek, white on white approach to my desk setup. And this goes perfectly and listen to this. Hold on. This is what it's all about. You get the nice tactile feel with a little bit of sound, but not too much to annoy everybody around you. This thing is so sleek. Thank you, Iqnics. This thing is awesome. And it is now Sunday, July 5th. Yesterday was July 4th. It's Sunday at like 9 p.m. And we ate a lot for dinner again. And I ate so much this weekend, we decided to go for a little bike ride in Central Park with this one. And look how many people are out. It's like 9 p.m. on Sunday, Central Park. And you would think it's like Saturday at 10 a.m. Crazy. I love it, though. Everybody's active and enjoying the beautiful day. And this is what I missed about being in New York City just because people get out and do things. But anyways, tomorrow I start back to work and I'll catch you all in the morning. It's 30 a.m. Heading into the hospital. It's a little warm today, but still hanging in there, not sweating too bad just yet. But today is Monday. It's my first day of a whole full week of IR. So the way we do it is we have each fellow is in a room and only that room for the whole day. So in any case that is scheduled in that room or that's added on in that room, you have to do it. You take the responsibility of which I kind of like. I'm used to kind of bouncing in between rooms and stuff. So it's nice just to have one room and take care of all the cases of that one. But. I'm out to present a case this morning and I'll let you guys know if I come across any cool cases and I'll see what I can show you without breaking HIPAA, obviously. And what is going on, everybody? Just finished a long, almost like 12 hour day and now it's pouring down rain, which is awesome. I think it's supposed to rain like the next couple of weeks. All right, not a couple of weeks, a couple of days. So that's pretty exciting. There's some cool cases today, still on the vascular surgery side of things. It seems to be a common thread. I was on vascular surgery before I came out to New York City. And now I started off my first case on vascular surgery as well. And my nose is all red from the N95 I was wearing today. But anyways, let's see if I can go over some of the cases or maybe not the cases, but a similar case right now. All right, so it's super late and I'm currently tired right now. But basically, we had a patient who had chronic venous insufficiency and chronic lower extremity swelling. We ended up placing a stent just like this. And for those of you who don't know what a stent looks like, we basically put something, basically a long sheath or tether inside the actual vein. This case is the common iliac vein. And then we slowly expand this metal nightnoss stent. It kind of keeps the walls open. So this is actually a pretty good example, as you see. So this is a super tight stenosis or focal narrowing of the iliac vein. And you would see why once we cross that area, we can put a stent through it and open it up so that it is the same size as the adjacent vessel, which allows blood to flow through. As you can imagine, blood has a difficult time flowing through this narrowed area. So you have to widen it and allow blood to flow through it. I hope you all can see this here, because we also do something called an intravascular ultrasound or IVAS when we actually put a IVAS catheter up through the vein. So you can see how this is the catheter right here, the IVAS catheter. And this is the vessel. And then as you go up through the area of stenosis, right, corresponding to this level, you see how tight it is. There's not that much black space or vessel super tight on the catheter. And then distally as well, there's some open area. So we got to go in and open that up, place the stent so it stays open. All right, guys, just finished another day of vascular surgery. But that officially concludes this vlog. So make sure you smash that like and subscribe for all the other S-grams if you don't already. Otherwise, I'll see you all on the next video.