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Inside a complete HoLEP procedure: precise enucleation, minimal bleeding, and immediate relief for BPH patients. Surgical elegance in action. UroSoMe Quanta Surgery #holep #BPH

11,836 次观看 • 2 个月前 •via X (Twitter)

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Based on available information, Biden’s cancer is likely to have formed sometime after 2019 and may have been missed because of a false negative from medication he was taking — he probably didn’t have bone metastases until 2024 or early 2025. Here’s why ⬇️ In 2019 Biden’s physician said Biden is being treated for BPH (benign prostatic hyperplasia). He probably had a raised PSA at the time. Did they do an MRI of the prostate to check for lesions? I would guess yes, and they would have seen any lesions/nodules at this time. This was the only time he mentioned Biden’s prostate, he specifically said no prostate cancer and he didn’t mention which medication the BPH was being treated with. Feb 2023, it was mentioned Biden has “normal wear and tear of the spine” and while he didn’t specify which imaging modality was used, he mentioned “no nerve root compression” indicating a spinal MRI. If there were spinal bone metastases at this time, they would have likely seen them. Feb 2024, it stated “unchanged spinal arthritis without compression of nerve root.” They also mention hip arthritis. Maybe another MRI, spine and hip? If so, any bone lesions? July 2024, Biden gets Covid. Does he get a CT Chest? Do they see any bone lesions indicating metastatic disease? A few days later he dropped out of the presidential race. Is this why? Biden’s spokesperson says his last PSA test was 2014, which I find hard to believe if they were still treating him for BPH in 2019. They specifically said he didn’t have prostate cancer in 2019, how would they know if they didn’t check PSA or do imaging? How were they monitoring it? Symptoms only? Was Biden actually getting PSA tests to monitor his BPH and screen for prostate cancer? He was getting skin checks and colonoscopies so he was still being screened for common cancers despite his age. Was he taking Finasteride for the BPH (Trump has also taken this medication in the past) which may lead to a false negative PSA, ultimately masking the cancer causing it to be missed? When the cancer began no one can definitively say but my guess is, if Biden was being treated for BPH, it may have caused a false negative in his PSA screening if he was getting screened and it was missed if he wasn’t getting regular physical exams. Let’s be honest men, rectal exams to feel the prostate aren’t fun so many opt out. Ultimately, the former president has an aggressive, late stage cancer and is probably suffering from bone pain. While I wish he would be more transparent about his mental and physical fitness, I hope he finds relief from his pain and wish him well.

Nicole Saphier, MD

166,732 次观看 • 1 年前

I am humbled to share a significant milestone in pancreatic surgery: I recently performed the first-ever da Vinci single-port robotic distal pancreatectomy and splenectomy without an additional incision for pancreatic cancer in the United States, approved by both the Institutional Review Board and IDE from the FDA through a 2cm incision inside the belly button leaving no additional scar. This pioneering procedure not only achieved negative margins but also allowed for the thorough harvesting of all local lymphatics, a critical factor in ensuring comprehensive cancer treatment. I am grateful to report that the patient is doing exceptionally well, and it was a privilege to see him in the clinic several days post-operation. The images included illustrate the operating room moments and a snapshot of our follow-up clinic visit with my remarkable ARNP Dana Manzi and myself. This journey underscores the importance of innovation in surgical techniques and the profound impact they can have on patient outcomes. Thank you to everyone who has supported and believed in this work. THANK YOU INTUITIVE SURGICAL FOR DEVELOPING SUCH AN INCREDIBLE SURGICAL TECHNOLOGY. #pancreaticcancer #DaVinciSinglePortRobot #women #roboticsurgery #innovations #surgery AdventHealth AdventHealthWFL AdventHealthCFL BayCare HCA Healthcare Moffitt Cancer Center Tampa General Hospital USF Health Medicine USF Health UCF Health FSU Seminoles FLORIDA UMiami Health System Miller Medicine FIU Intuitive Medtronic Johnson & Johnson Olympus Boston Scientific NVIDIA Women in Surgery WomenSurgeons SAGES is in Vegas in 2027! AHPBA E-AHPBA IHPBA American College of Surgeons Journal of the American College of Surgeons (JACS) Florida Lancer SSAT Society of Robotic Surgery | SRS Society of Laparoscopic & Robotic Surgery (SLS) Pancreatic Cancer Action Pancreatic Cancer North America

Sharona B. Ross

27,468 次观看 • 1 个月前