Now, sometimes we get gallstones in the liver. Gallstones can block the tree. So when we do alkaline phosphatase, it's going to be high. And with the ultrasound, we can see the stone. We're talking about adults now, so we don't need an MRI because we're not babies anymore. So the liver is big, the ducts is visible, and the gallbladder is visible. We can actually see the stones. One minute, we already know if you have a blockage or you don't have blockage. And one small test for 4,000, we know if this alkaline phosphatase is high. And combining this with the clinical experience and what we see on the screen on the ultrasound we already know what the story is and we can treat with medicine to dissolve the stones we don't need to go directly to surgery unless you have cholecystitis and the wall of the gallbladder is very thick representing inflammatory process going on in the gallbladder wall and that require an intensive course of antibiotics to be resolved go on medication medication solve it we don't need we don't need surgery anymore So because we have seen surgical cases that surgical has surgery has been done, but they have after surgery complication for whatever reason, we're not going to go into that today. So it's the best way is non-invasive exhaust all your non-invasive procedure. If you all finish and that's it, surgery is a must and we'll go to surgery. But we're not going to go, oh, you have a small stone. Oh, let me take you to surgery. A couple of million. Why? And it has its own complication, too. So we exhaust the non-invasive first, and then if we fail non-invasive, which is drugs, remedies, blah, blah, blah, blah, blah, blah, then we go to the invasive, which is the surgery. That is how it's done everywhere in the world. Safe medicine,
