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Clinical Presentation : Heightened urethral sensations ! Burning sensations along urethra ‘unrelated to urination’ - slowly progressive over few years ! While he underwent his therapy ! Dilemma for #urologist with no clinical #BXO ! Dealing with Chronic urethritis?or Neuralgia ? or Precursor to #stricture . Had first glimpse... show more
15,911 views • 2 years ago •via X (Twitter)
10 Comments
Very similar to “idiopathic bulbar urethritis” that we see in teen and pre-teen boys. Always circumferential but usually just the bulb. Submucosal steroid injection can sometimes provide relief for a few months. Rare stricture. Some resolve fully. Totally ? cause 🤔
Noted Chief Very powerful insights. Looking forward to solving this Regards
We see it in adolescents and it is either self limited (commonly) or resistant, step wise management (supported by weak evidence), instill steroid in the urethra 40 mg, then up to 80 mg, if ongoing try an anticholinergic + trimethoprim, if resistant leave a catheter for 2 weeks.
Was the pt catheterized before cystoscopy, sometime the latex catheter cause severe allergic reaction and inflammation of urethra
Well said The latex cath does cause urethritis that leads to a downhill course. None that he knows. Many thanks. Brilliant. Sometimes the most poor quality catheters have had most severe reactions in urethra taking the entire urethra by storm.
Thanku for sharing sir
genitourinary tuberculosis? negative urine bk?
Candida Albicans ?
Biopsy and culture
HIV? How about applying steroidal ointment on foley catheter? Thank you
!["Brook Jackson's case against Pfizer...[is] the largest case in the world...there's literally...trillions in potential damages." "The clinical trial data was manipulated...[Pfizer's] vaccine...increased all cause mortality...And...they hid deaths." (1/7) Warner Mendenhall (Warner Mendenhall), an activist, citizen, and lawyer representing Pfizer whistleblower Brook Jackson (Brook Jackson 💜), describes for Leslie Manookian (Leslie Manookian) of Health Freedom Defense Fund (Health Freedom Defense Fund) how the pharma giant conducted a "manipulated" clinical trial for its COVID injections. Mendenhall notes that Pfizer manipulated its "clinical trial" (which was really a "demonstration" of a clinical trial—see tweet 2), in various ways. First and foremost, by "[hiding] deaths" in the "shot" arm of the trial. Furthermore, Mendenhall notes that more people died in the "shot arm" of Pfizer's trial than in the placebo arm. (Indeed, the Summary Basis for Regulatory Action published by the FDA on November 8, 2021 for Pfizer's *supposedly* FDA approved injection, COMIRNATY, clearly stated that there were 21 deaths in the injection arm of the trial and 17 in the placebo arm—see tweet 5). Also note that while Mendenhall doesn't discuss this point in this clip, Trump's own Department of Justice requested—in 2025(!)—that Jackson's case against Pfizer be dismissed. "Trump sides with Pfizer!" Jackson wrote on X on April 28, 2025. "[Trump's] DOJ explained to the court that it has had continued access to the Pfizer vaccine clinical trial data and the vaccine is effective," Jackson added. Trump's DOJ asked the court to dismiss Jackson's lawsuit against Pfizer, in part, because her case is "inconsistent with public policy" (see tweet 5). Furthermore, note that HHS Secretary Robert F. Kennedy Jr. himself has called Pfizer's COVID-injection clinical trial "kabuki theater." Kennedy noted in an interview conducted in 2023 that the trial "was meaningless theater." He added that Pfizer's COVID injection "is a demonstration product, not a medical product" and that "the FDA has no authority over it." (See tweet 3.) ---------------Partial transcription of clip-------------- "We have a couple of cases that are very well known. Brook Jackson's case against Pfizer I think is the most well known. But it is something that we've had no mainstream coverage of. What could be the largest case in the world right now because there's literally hundreds, of billions, essentially trillions in potential damages that Pfizer would never be able to pay. "They'd be bankrupt if Brook Jackson is, successful in her case. That case is again, it's very simple. The clinical trial data was manipulated to show that this drug, was somewhat effective against COVID 19. They started with 43,000 people in the clinical trial, but the data that the FDA, made a decision on was only based on 170 people out of 43,000. So why, why only 170? "I think anyone would ask if you have 43,000 data points. It's because that came after they went through the data, you know, and basically manipulated it to where it showed a quote unquote 90 or 95% effectiveness rate. But if you go back to a little broader view of the data, you can see, right in the broader view that of the folks who didn't get the vaccine, there were 1800 who got COVID-19. "Of the folks who did get the supposed vaccine, there were like 1600 that got COVID 19. That is not a statistically relevant difference in any way and really doesn't show, any benefit from it. And then you look at all cause mortality. That's a normal thing to look at with any drug. What does it do to all cause mortality? If you take the drug, it should reduce all cause mortality. This didn't, when you took the vaccine, it increased all cause mortality among the vaccine arm. And I hate to use the word vaccine, but I'll do that as a shorthand here. "Let's make people understand that the shot arm had higher all cause mortality. So more people were dying if they got the drug than the ones if they didn't. That's just a good overall test of something. And then they hid deaths. So we knew there were deaths. They were hidden. And it's taken a lot of basically citizen and amateur research to go through all those tens of thousands of pages of Pfizer documents. But they found them and people who were injured in the trial. They managed to exclude them, and not count them as serious adverse events. "And we have a great one, great example is a gentleman out of Argentina who's contacted us, Augusto Roux. He's been fighting that issue in Argentina. And that site and Augusto Roux. And what he had to say to us was really interesting because they managed to enroll 4,000 people in a clinical trial in a couple of weeks. Get them run through, get the data and. And it was at a military hospital. And. And then on top of it all, there has been in the Argentine press an allegation of bribery. "And one of the chief researchers who by the way, wrote a, wrote an article for the New England Journal of Medicine is Fernando Pollock. He's who ran that clinical trial down there. He's well known to us in the United States. He's no longer licensed in the United States. I'm not sure exactly why. He has military and intelligence contacts, which makes me very curious. And he wrote this article in the New England Journal of Medicine, which has essentially been debunked since then about how effective this vaccine, trial. This vaccine was, based on the trial numbers. So all kinds of very interesting things on that case."](https://image.24vids.com/tw-1924263528854139257/amplify_video_thumb/1924251021506662400/img/q0kaiEyTGGyJoUVV.jpg)
![I’m seeing a lot of questions on the launch of China’s Chang’e 6 mission yesterday to get samples - for the first time - from the far side of the moon. We don’t know (afaik) why specifically they’re doing that, but we have a pretty good idea what grand vision China is working towards with their space program. How? From this 2022 video by Chas Freeman (former Assistant Secretary of Defense and Nixon's interpreter during his era-defining 1972 China visit), who imho is undoubtedly one of the most knowledgeable former US officials on China. He says that according to his own discussions with people running China’s space program, they’re following the vision described in the book "The high frontier" by Gerard K. O'Neill, which Freeman says has "become the bible of the Chinese space program". I read the book. So what vision does it describe? The book was written in 1976 by O'Neill who was a professor of physics at Princeton University. He also founded the Space Studies Institute, an organization devoted to funding research into space manufacturing and colonization. In other words, he knew his stuff. The book makes the very fair point that we have massive resource constraints on earth, especially given the growing population. He estimated in 1976 that we should be "about six and a half billion people in the year 2000", and we were 6.114 billion back then so he was pretty prescient. He estimates that these constraints will progressively give rise to more and more social tensions as the growing earth population competes for our limited resources as well as faces global problems like climate change. In his view, dealing with this will either require "an authoritarian regime capable of mounting the immense task of social reorganization needed to escape catastrophe" or, alternatively, “mankind would [need to adopt] a static society [that would be] forced in self-defense to suppress new ideas". The 3rd alternative is of course the colonization of space. The most interesting aspect of the book is that he claims everything he writes is feasible with knowledge and technology that already existed in the late 70s. In short he calls for the establishment of large human habitats in the Earth-Moon system, located at stable Lagrange points ("parking spots" in space where gravity from different spatial bodies cancel each other out). In particular he developed the concept of what's known today as the "O'Neill cylinder" which he says "could support quite easily a population of ten million people, growing its food in agricultural cylinders near but outside the main habitat". Energy-wise, it'd simply make use of solar energy via a system of mirrors. As he describes it: "the concentration of the unvarying, intense sunlight of space by very lightweight, inexpensive mirrors can provide all the energy that industry will ever need [...] at a fraction of a cent per kilowatt-hour". He envisages building these habitats with material from the moon, shot into space via "mass drivers", a form of electromagnetic catapult. Also "the habitats would have artificial gravity similar as that of earth by rotating about twenty-eight times an hour”, but he also envisages low-gravity areas, especially for recreational activities such as swimming pools or dancing representations. To trade with earth, he develops the idea of beaming solar power back to earth via "microwave from solar power stations in orbit". As he describes it "the microwave beam would arrive at Earth with a beam width of about seven kilometers. Its intensity would be modest, less than half that of sunlight. In contrast to sunlight, though, it would be there all the time, even at night or in clouds or rain, and it would be in a form ready for conversion to DC current with a loss of only 10 percent. The areas receiving these beams’ output on Earth would be fenced, and outside the fence the intensity of microwave radiation would be no higher than outside a microwave oven with the door closed. He estimates that if "Satellite Solar Power Stations (SSPS) were to become the sole source of electric energy in the United States in the year 2000, the land area necessary for the SSPS antennas would still be only 0.2 percent of that of the continental United States". In short, the establishment of space colonies could lead to the fulfillment of a good share of Earth's energy needs. Last but not least he describes life in space habitats as better than that of earth, largely thanks to the level of control we'd have over the environment (total climate control which would enable an abundance of food and no natural disaster) as well as unlimited cheap energy. To conclude, Chas Freeman typically really knows his stuff when it comes to China and he’s very intellectually honest (a rare trait among US officials) so I have no doubt he tells the truth when he says the Chinese told him that was the vision. And China famously thinks very big and very long term so it would be quite like them to go for something like this. There are also quite a few tangible signs that China is working towards that vision. See for instance this November 2022 news where “China’s space station will join a project to collect solar power from space and send it to Earth in a high-energy microwave beam”: That’s exactly O’Neill’s vision! Or check this October 2022 news that says China is developing new "electromagnetic sledges" that can propel a carriage weighing a few tonnes to a record speed, with a key application for this being “aerospace”: Remember: O’Neill’s vision is to build his habitats with material from the moon, shot into space via "mass drivers", a form of electromagnetic catapult. So there you go… Or also the fact that the Chinese will build, together with the Russians, a moon base - planned for 2028 - powered by a “space nuclear reactor” that’s already been developed (on Earth) and has passed review by China’s Ministry of Science: The space nuclear reactor can generate 1MW of electricity, enough to power 10 International Space Stations. Enough power, maybe, to undertake mining activity and power an electromagnetic catapult… After visions change, the world changes, so it’s also possible that China’s view on what they want to do has evolved. In any case, Chas Freeman is right that China’s motivation for all its initiatives in space can’t just be to “boldly explore where no-one has been before”, they have to be working towards something. And Freeman is also absolutely right to lament that the U.S. decided to ban any cooperation in space with the Chinese. Those endeavors are something that could have been jointly developed as a multilateral effort to unite us all as a species… Instead China is now forced to go at it alone with Russia and we face a future where our petty divisions on Earth will be carried with us to space…](https://image.24vids.com/tw-1786611294218702934/ext_tw_video_thumb/1786610517114851328/pu/img/OoYUvR3PovMC-WFS.jpg)
