Something positive from something negative

Published:January 19, 2023DOI:
      Most know that someone who looks for something positive in every negative event will often be disappointed. Yet, many of us continue to seek the silver lining of dark clouds despite the odds. It brings to mind the joke about the parents of a child that they felt was too optimistic, so they gave the child a pile of manure as a birthday gift in an attempt to help the child realize that life isn’t always positive and happy. To the parents’ surprise, the child gleefully thanked the parents and started happily shoveling through the gift. When the parents asked why, the child answered joyfully, “There’s got to be a pony in here somewhere!”


      FCSEMS (fully covered self-expandable metal stent)
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      1. Sherman S, Kozarek RA, Costamagna G, et al. Soft self-expanding metal stent to treat painful pancreatic duct strictures secondary to chronic pancreatitis: a prospective multicenter trial. Gastrointest Endosc. 2023;97:XXX-XXX.

        • Mendieta P.J.O.
        • Sagae V.M.T.
        • Ribeiro I.B.
        • et al.
        Pain relief in chronic pancreatitis: endoscopic or surgical treatment? a systematic review with meta-analysis.
        Surg Endosc. 2021; 35: 4085-4094
        • Howell E.
        Every SpaceX starship explosion and what Elon Musk and team learned from them (video). August 21, 2021.
        (Available at:)
        • Dumonceau J.M.
        • Delhaye M.
        • Tringali A.
        • et al.
        Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) guideline - Updated August 2018.
        Endoscopy. 2019; 51: 179-193
        • Lohr J.M.
        • Dominguez-Munoz E.
        • Rosendahl J.
        • et al.
        United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU).
        United European Gastroenterol J. 2017; 5: 153-199
        • Gardner T.B.
        • Adler D.G.
        • Forsmark C.E.
        • et al.
        ACG clinical guideline: chronic pancreatitis.
        Am J Gastroenterol. 2020; 115: 322-339