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Single Port Transvesical diverticulectomy. Surgery from within the bladder, max preservation of bladder wall, same day surgery, couple days foley. #SP #SPARC Cleveland Clinic Urology Dr. J. Kaouk

Dr. J. Kaouk

5,472 subscribers

15,572 Aufrufe • vor 3 Jahren •via X (Twitter)

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Single-port Trans-vesical Radical Prostatectomy with modified Hood Technique. Much thanks to Dr. J. Kaouk and Ash Tewari, MD for paving the path. Looking forward to SPARC meeting Amer. Urol. Assn. #AUA24 ✅ retzius-sparing ✅ nerve sparing with preservation of anterior structures

Single-port Trans-vesical Radical Prostatectomy with modified Hood Technique. Much thanks to Dr. J. Kaouk and Ash Tewari, MD for paving the path. Looking forward to SPARC meeting Amer. Urol. Assn. #AUA24 ✅ retzius-sparing ✅ nerve sparing with preservation of anterior structures

Ram Pathak, M.D.

54,839 Aufrufe • vor 2 Jahren

A 5 mm assist port can be very helpful during #SP transvesical simple prostatectomy for suction/retraction. Generally, we don't close this after removal (think sp tube). However, if you prefer to close the small defect, it's simple to do so from within the bladder.

A 5 mm assist port can be very helpful during #SP transvesical simple prostatectomy for suction/retraction. Generally, we don't close this after removal (think sp tube). However, if you prefer to close the small defect, it's simple to do so from within the bladder.

Richard Link

11,260 Aufrufe • vor 2 Jahren

It was literally a back-of-the-envelope idea. Dr. Nima Nassiri had pulled out an envelope to scribble notes on how a bladder transplant could be accomplished in a living person—a surgery that had yet to be performed successfully. About four years later, on May 4, 2025, Nassiri—now 37 and an assistant clinical professor of urology at the University of California, Los Angeles—performed a bladder transplant on a 41-year-old father of four. The procedure, a world first, was a tremendous success. See the full list of last year's notable health breakthroughs and scientists behind them here:

It was literally a back-of-the-envelope idea. Dr. Nima Nassiri had pulled out an envelope to scribble notes on how a bladder transplant could be accomplished in a living person—a surgery that had yet to be performed successfully. About four years later, on May 4, 2025, Nassiri—now 37 and an assistant clinical professor of urology at the University of California, Los Angeles—performed a bladder transplant on a 41-year-old father of four. The procedure, a world first, was a tremendous success. See the full list of last year's notable health breakthroughs and scientists behind them here:

TIME

31,703 Aufrufe • vor 6 Monaten

Dr. Abhishek Shukla (Senior Geriatrician) in conversation with Dr. Rohit Kapoor (MCh Urology) a senior urologist, to discuss a very common problem seen in elderly men—weak urine flow, frequent urination, and the feeling of incomplete bladder emptying.” Dr. Abhishek Shukla asked, “Many senior citizens complain that their urinary stream has become weak, urine comes drop by drop or intermittently, and they need to wake up multiple times at night to pass urine. Even after urinating, they feel that the bladder is not empty. What could be the reason?” Dr. Rohit Kapoor explained that these symptoms are most commonly related to the prostate gland. The prostate is a small gland located below the urinary bladder and surrounds the urinary passage (urethra). As men grow older, the prostate often enlarges and can obstruct the urine flow. He explained that this enlargement may be Benign Prostatic Hyperplasia (BPH), which is non-cancerous and very common with aging. In many cases, medicines can effectively control symptoms. However, an important point is that the size of the prostate alone does not decide treatment. A large prostate does not always need surgery if symptoms are controlled with medicines. On the other hand, even a smaller prostate can cause severe blockage and may require surgery if medicines fail. Dr. Kapoor also emphasized the importance of PSA (Prostate-Specific Antigen) testing for men above 50 years of age. Along with ultrasound and uroflowmetry, PSA helps detect prostate cancer early. He advised that every man above 50 should get a PSA test yearly. Dr. Abhishek Shukla concluded by reminding viewers that urinary problems should never be ignored. Early diagnosis and treatment can prevent complications and improve quality of life. Modern treatments, including advanced robotic surgery, now offer safer and highly precise solutions. #UrinaryHealth #Urology #pelvichealth #Incontinence #OveractiveBladder #BladderControl #BPH (Benign Prostatic Hyperplasia) #ProstateHealth #enlargedprostate #urinarytractinfection #uti #bladderhealth #urinarysystem #urology #urinary #urinaryincontinence #womenshealth #healthylifestyle #bladder #urologist

Dr. Abhishek Shukla (Senior Geriatrician) in conversation with Dr. Rohit Kapoor (MCh Urology) a senior urologist, to discuss a very common problem seen in elderly men—weak urine flow, frequent urination, and the feeling of incomplete bladder emptying.” Dr. Abhishek Shukla asked, “Many senior citizens complain that their urinary stream has become weak, urine comes drop by drop or intermittently, and they need to wake up multiple times at night to pass urine. Even after urinating, they feel that the bladder is not empty. What could be the reason?” Dr. Rohit Kapoor explained that these symptoms are most commonly related to the prostate gland. The prostate is a small gland located below the urinary bladder and surrounds the urinary passage (urethra). As men grow older, the prostate often enlarges and can obstruct the urine flow. He explained that this enlargement may be Benign Prostatic Hyperplasia (BPH), which is non-cancerous and very common with aging. In many cases, medicines can effectively control symptoms. However, an important point is that the size of the prostate alone does not decide treatment. A large prostate does not always need surgery if symptoms are controlled with medicines. On the other hand, even a smaller prostate can cause severe blockage and may require surgery if medicines fail. Dr. Kapoor also emphasized the importance of PSA (Prostate-Specific Antigen) testing for men above 50 years of age. Along with ultrasound and uroflowmetry, PSA helps detect prostate cancer early. He advised that every man above 50 should get a PSA test yearly. Dr. Abhishek Shukla concluded by reminding viewers that urinary problems should never be ignored. Early diagnosis and treatment can prevent complications and improve quality of life. Modern treatments, including advanced robotic surgery, now offer safer and highly precise solutions. #UrinaryHealth #Urology #pelvichealth #Incontinence #OveractiveBladder #BladderControl #BPH (Benign Prostatic Hyperplasia) #ProstateHealth #enlargedprostate #urinarytractinfection #uti #bladderhealth #urinarysystem #urology #urinary #urinaryincontinence #womenshealth #healthylifestyle #bladder #urologist

Association of International Doctors. (India).

25,997 Aufrufe • vor 1 Monat

VIDEO | Telangana: It's nearly 3,900 kilometres between Wuhan in China and Hyderabad in India. But this distance disappeared when a senior urologist performed a robotics-assisted tele-surgery from a hospital in Wuhan on a 57-year-old woman in Hyderabad. The procedure was led by Indian urologist Dr Syed Mohammad Ghouse from Hyderabad's Asian Institute of Nephrology and Urology, who was in Wuhan at that point in time. Dr Syed Md Ghouse, Director, Robotic and Minimal Access Urological Surgery, AINU, Hyderabad, said, "It was basically a ureteric reimplantation that was contemplated for a patient who got a ureteric obstruction. What is ureteric obstruction? It is a tube which connects kidney to the urinary bladder and this tube was blocked for this particular patient. This blocked tube was freshly attached to the bladder which is known as ureteric reimplantation. So, this we regularly do in our operation theatre with the robot and console by the side of the patient, but this was extended to Wuhan, because I was called for a conference there ,and there were 4-5 other surgeons, who had done tele-surgery from there to there own countries. I have done from there to this patient and it was done successfully. The patient went home." (Full video available on PTI Videos -

VIDEO | Telangana: It's nearly 3,900 kilometres between Wuhan in China and Hyderabad in India. But this distance disappeared when a senior urologist performed a robotics-assisted tele-surgery from a hospital in Wuhan on a 57-year-old woman in Hyderabad. The procedure was led by Indian urologist Dr Syed Mohammad Ghouse from Hyderabad's Asian Institute of Nephrology and Urology, who was in Wuhan at that point in time. Dr Syed Md Ghouse, Director, Robotic and Minimal Access Urological Surgery, AINU, Hyderabad, said, "It was basically a ureteric reimplantation that was contemplated for a patient who got a ureteric obstruction. What is ureteric obstruction? It is a tube which connects kidney to the urinary bladder and this tube was blocked for this particular patient. This blocked tube was freshly attached to the bladder which is known as ureteric reimplantation. So, this we regularly do in our operation theatre with the robot and console by the side of the patient, but this was extended to Wuhan, because I was called for a conference there ,and there were 4-5 other surgeons, who had done tele-surgery from there to there own countries. I have done from there to this patient and it was done successfully. The patient went home." (Full video available on PTI Videos -

Press Trust of India

57,863 Aufrufe • vor 2 Monaten

This is Dr. Dimple Jangda. She makes us believe that she is an Ayurvedic practitioner. But the fact is that she is not a doctor. She is not even an Ayurvedic practitioner. She has no formal training in real medicine or pseudomedicine of Ayurveda. She was a television producer. Then an investment banker. Then a podcast host. And thereafter, a talk show host. She has a masters degree in business administration. She has a virtual online degree from National American University in (?)management which she claims is "honorary." She has a diploma in Yoga from Yoga Mumbai Institute. She has a virtual and unidentifiable degree in (?) business management from Thames International University, Paris. She has no formal training in any aspect of healthcare. She is a quack of quacks. A top of the line fearmongering "wellness fraud" - a bottom feeder in the ecosystem of healthcare business. She is a female version of Sadhguru. Lots of confidently sounding English words that takes shape of a word salad containing some of the biggest health-related misinformation and disinformation in Indian social media today. See this video for instance. She tells gullible people (who are already fearmongered about modern medicine and have distrust in doctors and medical science) not to opt for gall bladder removal surgery even if it gets complicated with stones disease or inflammation (called acute cholecystitis). A dangerous misinformation that can lead to loss of life. The physiology of gall bladder function and the change in function after gall bladder surgery that she provides is top-class garbage. Complicated gall stone disease require surgery for cure and to prevent further complications. If you remove the gall bladder, you do not develop more diseases like diabetes or obesity. The bile gets stored in the upper part of the small intestine in the absence of gall bladder and keeps helping in digestion. There is no food or diet shortcut that can dissolve gall stones. The story that this lady speaks about - from her own father's experience of using Ayurveda to remove gall stones is complete fabrication. It is an unverifiable, anecdotal bluff. There is no way, gall stones can just disappear in a month. There is only ONE method to diagnose and treat gall stones disease and it is the scientific method based consensus guidelines. See this from the European Association for Study of Liver - Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. It provides all information on 1. Prevention of gall stones 2. Diagnosis of gall bladder stones 3. Medical therapy of gall bladder stones 4. Surgical therapy of gall bladder stones 5. Diagnosis of bile duct stones 6. Endoscopic and surgical therapy of bile duct stones 7. Diagnosis and therapy of stones inside liver 8. Therapy of gall stones during pregnancy Peppermint tea, hibiscus tea, lemon water and such easy sounding kitchen-hacks are not the treatment for gall bladder disease or complicated gall stones. Gall bladder stones that are uncomplicated or incidentally detected do not require treatment. Do not worry about them unnecessarily. Gall stones that get stuck in the neck of the gall bladder or come down into the bile duct, causing bile duct obstruction, bile block and infection requires antibiotic therapy and after an interval, removal of gall bladder. Otherwise it could happen again and the second hit of infection could kill the person. It can also lead to gall stone pancreatitis that can lead to multiple organ failure. No amount of hibiscus tea and lemon water will save you when you are in septic shock due to cholangitis and a ruptured gall bladder, on the ventilator inside an ICU. High cholesterol, high blood pressure, obesity and fatty liver are not caused by removal of gall bladder, but are risk factors for development of the stones themselves - that is, metabolic diseases are associated with higher risk of developing gall stone disease and not the other way around. The lady had gotten it all topsy-turvy - why? Because she has no formal education in medicine and would probably have no clue on which side of the body the liver is. Increasing fruit and vegetable consumption in women aged 48-60 years prevented (a correlation) risk of complicated gall stone disease, and subsequent surgery, but is not in anyway same as not doing surgery for complicated gall stone disease. Once complicated, surgery is the best bet to prevent further complications. There is no evidence that drinking carrot and beetroot juice helps reduce complicated gall stone disease or dissolves gall stones. This is utter nonsense. You may be wondering why my post is so long and I had to keep going on and on to debunk small points made by Dimple Jangda. It is not so simple. Its because of this: The Bullshit Asymmetry Principle, also known as Brandolini’s Law, states that the amount of energy needed to refute bullshit is an order of magnitude bigger than that needed to produce it. PS: Please dont share any more of this quack's videos for me to debunk. I am getting too old for this.

This is Dr. Dimple Jangda. She makes us believe that she is an Ayurvedic practitioner. But the fact is that she is not a doctor. She is not even an Ayurvedic practitioner. She has no formal training in real medicine or pseudomedicine of Ayurveda. She was a television producer. Then an investment banker. Then a podcast host. And thereafter, a talk show host. She has a masters degree in business administration. She has a virtual online degree from National American University in (?)management which she claims is "honorary." She has a diploma in Yoga from Yoga Mumbai Institute. She has a virtual and unidentifiable degree in (?) business management from Thames International University, Paris. She has no formal training in any aspect of healthcare. She is a quack of quacks. A top of the line fearmongering "wellness fraud" - a bottom feeder in the ecosystem of healthcare business. She is a female version of Sadhguru. Lots of confidently sounding English words that takes shape of a word salad containing some of the biggest health-related misinformation and disinformation in Indian social media today. See this video for instance. She tells gullible people (who are already fearmongered about modern medicine and have distrust in doctors and medical science) not to opt for gall bladder removal surgery even if it gets complicated with stones disease or inflammation (called acute cholecystitis). A dangerous misinformation that can lead to loss of life. The physiology of gall bladder function and the change in function after gall bladder surgery that she provides is top-class garbage. Complicated gall stone disease require surgery for cure and to prevent further complications. If you remove the gall bladder, you do not develop more diseases like diabetes or obesity. The bile gets stored in the upper part of the small intestine in the absence of gall bladder and keeps helping in digestion. There is no food or diet shortcut that can dissolve gall stones. The story that this lady speaks about - from her own father's experience of using Ayurveda to remove gall stones is complete fabrication. It is an unverifiable, anecdotal bluff. There is no way, gall stones can just disappear in a month. There is only ONE method to diagnose and treat gall stones disease and it is the scientific method based consensus guidelines. See this from the European Association for Study of Liver - Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. It provides all information on 1. Prevention of gall stones 2. Diagnosis of gall bladder stones 3. Medical therapy of gall bladder stones 4. Surgical therapy of gall bladder stones 5. Diagnosis of bile duct stones 6. Endoscopic and surgical therapy of bile duct stones 7. Diagnosis and therapy of stones inside liver 8. Therapy of gall stones during pregnancy Peppermint tea, hibiscus tea, lemon water and such easy sounding kitchen-hacks are not the treatment for gall bladder disease or complicated gall stones. Gall bladder stones that are uncomplicated or incidentally detected do not require treatment. Do not worry about them unnecessarily. Gall stones that get stuck in the neck of the gall bladder or come down into the bile duct, causing bile duct obstruction, bile block and infection requires antibiotic therapy and after an interval, removal of gall bladder. Otherwise it could happen again and the second hit of infection could kill the person. It can also lead to gall stone pancreatitis that can lead to multiple organ failure. No amount of hibiscus tea and lemon water will save you when you are in septic shock due to cholangitis and a ruptured gall bladder, on the ventilator inside an ICU. High cholesterol, high blood pressure, obesity and fatty liver are not caused by removal of gall bladder, but are risk factors for development of the stones themselves - that is, metabolic diseases are associated with higher risk of developing gall stone disease and not the other way around. The lady had gotten it all topsy-turvy - why? Because she has no formal education in medicine and would probably have no clue on which side of the body the liver is. Increasing fruit and vegetable consumption in women aged 48-60 years prevented (a correlation) risk of complicated gall stone disease, and subsequent surgery, but is not in anyway same as not doing surgery for complicated gall stone disease. Once complicated, surgery is the best bet to prevent further complications. There is no evidence that drinking carrot and beetroot juice helps reduce complicated gall stone disease or dissolves gall stones. This is utter nonsense. You may be wondering why my post is so long and I had to keep going on and on to debunk small points made by Dimple Jangda. It is not so simple. Its because of this: The Bullshit Asymmetry Principle, also known as Brandolini’s Law, states that the amount of energy needed to refute bullshit is an order of magnitude bigger than that needed to produce it. PS: Please dont share any more of this quack's videos for me to debunk. I am getting too old for this.

TheLiverDoc™

314,397 Aufrufe • vor 3 Jahren

Dr. Caleb Masterson say health insurance companies are openly breaking laws in Alabama He explains some of his patients situations with insurance companies - “I had an insurance company tell a patient that no authorization for the procedure was required, the procedure was performed, and then the patient was denied the care because the procedure was never authorized. So the patient got charged the entire cost of the procedure” - “I had another patient who is supposed to be due an answer to an insurance claim within 30 days of submission. If they do not reply within 30 days, that's breaking Alabama law. And that claim is currently at the 65th day, so its insurance can be breaking the law.” - “Then I had an insurance company deny care to a patient that they had previously approved. So a patient qualified for surgery based on medical necessity, they had met all the criteria for surgery, they underwent surgery, then the patient had that surgery denied. The patient submitted that information to the insurance company and said, Hey, look, this was already pre-approved. And they said, We reversed our decision and the patient had to pay.”

Dr. Caleb Masterson say health insurance companies are openly breaking laws in Alabama He explains some of his patients situations with insurance companies - “I had an insurance company tell a patient that no authorization for the procedure was required, the procedure was performed, and then the patient was denied the care because the procedure was never authorized. So the patient got charged the entire cost of the procedure” - “I had another patient who is supposed to be due an answer to an insurance claim within 30 days of submission. If they do not reply within 30 days, that's breaking Alabama law. And that claim is currently at the 65th day, so its insurance can be breaking the law.” - “Then I had an insurance company deny care to a patient that they had previously approved. So a patient qualified for surgery based on medical necessity, they had met all the criteria for surgery, they underwent surgery, then the patient had that surgery denied. The patient submitted that information to the insurance company and said, Hey, look, this was already pre-approved. And they said, We reversed our decision and the patient had to pay.”

Wall Street Apes

46,070 Aufrufe • vor 6 Monaten

11-year-old girl tells her father that she is getting a new heart after waiting in the hospital for 200 days. "Daddy, I’m getting a heart." Ava Cooper has a new "lease on life" after she had a successful heart transplant. Cooper underwent her first heart surgery at the age of 6 days old. She had four open-heart surgeries by the age of 5. In September of 2024, Ava was put on the heart transplant waiting list. In March, she finally got the call. Following the surgery, Ava spent the next month in the hospital recovering and was able to go home after 8 months. She is showing no signs of rejection and is functioning well, according to Dr. Madeleine Townsend. "I was so excited to be back in my own bedroom and be able to see my dog Rocky again," Ava said. Congrats, Ava! Source: Cleveland Clinic

11-year-old girl tells her father that she is getting a new heart after waiting in the hospital for 200 days. "Daddy, I’m getting a heart." Ava Cooper has a new "lease on life" after she had a successful heart transplant. Cooper underwent her first heart surgery at the age of 6 days old. She had four open-heart surgeries by the age of 5. In September of 2024, Ava was put on the heart transplant waiting list. In March, she finally got the call. Following the surgery, Ava spent the next month in the hospital recovering and was able to go home after 8 months. She is showing no signs of rejection and is functioning well, according to Dr. Madeleine Townsend. "I was so excited to be back in my own bedroom and be able to see my dog Rocky again," Ava said. Congrats, Ava! Source: Cleveland Clinic

Collin Rugg

157,878 Aufrufe • vor 1 Jahr

Awakening "inner fire" to completely make gall bladder polyps disappear is the new rubbish "medinfluencer" Ayurveda practitioners are bringing to town. Do not for a second believe this nonsense. "Before" and "After" reports based on anecdotal, single patient "stories" are a common tactic by alternative medicine practitioners to mislead people into believing that their voodoo treatments work. In fact, I know of a Homeopathy practitioner, who famously "cured" patients with chronic hepatitis B virus infection by simply changing the positive report to a negative one using Adobe Photoshop. The same can be true here too. Please do not believe or opt for pseudoscientific alternative treatments for diseases that require realistic care based on "before and after" social media stories. The reports may be manipulated or it could be another patient's report - which is possible in this video too. Removal of gall bladder is a best option and curative treatment for certain gall bladder diseases. Removing the gall bladder does not increase pressure on the liver (trust me, I am a Liver Doctor) and does not make the liver "work hard!" Removing the gall bladder will anatomically change the storage of bile produced by the liver to the upper part of small intestine and nothing more. This does not affect the functioning of the liver in any way. All gall bladder polyps do not require surgical management. Here is what the science has to say on it. To oversimplify: Polyps even in the absence of symptoms, smaller than 10 mm do have the capacity to become cancerous and surgery is recommended when patient has one of more risk factors such as: age more than 60 years, history of primary sclerosing cholangitis (PSC), Asian ethnicity, sessile polypoid lesion (including focal gallbladder wall thickening > 4 mm). For polyps smaller than 10 mm without risk factors, a follow-up at 6 months, 1 year and 2 years with abdominal ultrasound seems to be appropriate. The indication for gall bladder removal should be discussed with the patient in the case of dynamic or unexpected polyp growth. Here is a very detailed and simple guideline on when to surgically manage gall bladder polyps (and no, it does not mention "inner fire or AGNI awakening.") Also please go and educate this Ayurvedic practitioner and reel poster on the real thing:

Awakening "inner fire" to completely make gall bladder polyps disappear is the new rubbish "medinfluencer" Ayurveda practitioners are bringing to town. Do not for a second believe this nonsense. "Before" and "After" reports based on anecdotal, single patient "stories" are a common tactic by alternative medicine practitioners to mislead people into believing that their voodoo treatments work. In fact, I know of a Homeopathy practitioner, who famously "cured" patients with chronic hepatitis B virus infection by simply changing the positive report to a negative one using Adobe Photoshop. The same can be true here too. Please do not believe or opt for pseudoscientific alternative treatments for diseases that require realistic care based on "before and after" social media stories. The reports may be manipulated or it could be another patient's report - which is possible in this video too. Removal of gall bladder is a best option and curative treatment for certain gall bladder diseases. Removing the gall bladder does not increase pressure on the liver (trust me, I am a Liver Doctor) and does not make the liver "work hard!" Removing the gall bladder will anatomically change the storage of bile produced by the liver to the upper part of small intestine and nothing more. This does not affect the functioning of the liver in any way. All gall bladder polyps do not require surgical management. Here is what the science has to say on it. To oversimplify: Polyps even in the absence of symptoms, smaller than 10 mm do have the capacity to become cancerous and surgery is recommended when patient has one of more risk factors such as: age more than 60 years, history of primary sclerosing cholangitis (PSC), Asian ethnicity, sessile polypoid lesion (including focal gallbladder wall thickening > 4 mm). For polyps smaller than 10 mm without risk factors, a follow-up at 6 months, 1 year and 2 years with abdominal ultrasound seems to be appropriate. The indication for gall bladder removal should be discussed with the patient in the case of dynamic or unexpected polyp growth. Here is a very detailed and simple guideline on when to surgically manage gall bladder polyps (and no, it does not mention "inner fire or AGNI awakening.") Also please go and educate this Ayurvedic practitioner and reel poster on the real thing:

TheLiverDoc™

72,092 Aufrufe • vor 2 Jahren

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

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

27,526 Aufrufe • vor 2 Monaten

A stunning account from Dr. Patrick Soon-Shiong reveals a catastrophic failure at the FDA, where bureaucratic indifference and potential conflicts of interest are blocking a groundbreaking cancer treatment. His drug, already approved for a form of bladder cancer, is a unique natural protein therapy that activates the body's own immune system (natural killer cells, T-cells). It has shown remarkable long-term results, preserving patients' bladders for over a decade and avoiding radical, high-mortality surgery. Yet, when seeking a simple label expansion for another bladder cancer indication—a logical step—the FDA "Refused to File." In a desperate meeting, Dr. Soon-Shiong confronted two senior reviewers. He posed a heartfelt question: If his own father had bladder cancer, and this safe, approved drug could save his bladder, why wouldn't they give him that chance? Their chilling response: "I don't care." Pushed for rationale, they fell back on outdated dogma: "This is how we've done it for years." They demanded a comparative trial against chemotherapy, which he argued is unethical. Chemotherapy destroys immune memory and carries severe risks, while his treatment offers durable freedom. Weeks later, the hypocrisy was exposed. Johnson & Johnson received a "Priority Review" for a bladder cancer chemotherapy—a treatment with a 1% mortality rate and a 24% rate of devastating low lymphocyte counts. Why the discrepancy? Dr. Soon-Shiong’s drug, despite its breakthrough status, was denied the same priority. This begs the question: Is the "revolving door" between the FDA and Big Pharma putting corporate profits over patient lives? Even with well-intentioned leaders like Bobby Kennedy and Dr. Marty Makary, the entrenched bureaucracy seems immune to both scientific evidence and human compassion. Patients are being left behind, and innovators are being stiff-armed, all while the old, toxic guard is given the red-carpet treatment. This is more than a story of one drug; it's a systemic crisis in American medicine.

A stunning account from Dr. Patrick Soon-Shiong reveals a catastrophic failure at the FDA, where bureaucratic indifference and potential conflicts of interest are blocking a groundbreaking cancer treatment. His drug, already approved for a form of bladder cancer, is a unique natural protein therapy that activates the body's own immune system (natural killer cells, T-cells). It has shown remarkable long-term results, preserving patients' bladders for over a decade and avoiding radical, high-mortality surgery. Yet, when seeking a simple label expansion for another bladder cancer indication—a logical step—the FDA "Refused to File." In a desperate meeting, Dr. Soon-Shiong confronted two senior reviewers. He posed a heartfelt question: If his own father had bladder cancer, and this safe, approved drug could save his bladder, why wouldn't they give him that chance? Their chilling response: "I don't care." Pushed for rationale, they fell back on outdated dogma: "This is how we've done it for years." They demanded a comparative trial against chemotherapy, which he argued is unethical. Chemotherapy destroys immune memory and carries severe risks, while his treatment offers durable freedom. Weeks later, the hypocrisy was exposed. Johnson & Johnson received a "Priority Review" for a bladder cancer chemotherapy—a treatment with a 1% mortality rate and a 24% rate of devastating low lymphocyte counts. Why the discrepancy? Dr. Soon-Shiong’s drug, despite its breakthrough status, was denied the same priority. This begs the question: Is the "revolving door" between the FDA and Big Pharma putting corporate profits over patient lives? Even with well-intentioned leaders like Bobby Kennedy and Dr. Marty Makary, the entrenched bureaucracy seems immune to both scientific evidence and human compassion. Patients are being left behind, and innovators are being stiff-armed, all while the old, toxic guard is given the red-carpet treatment. This is more than a story of one drug; it's a systemic crisis in American medicine.

Camus

188,269 Aufrufe • vor 10 Monaten

Alleged Medical Negligence which Led to the Death of Okolie Ngozi Blessing… We lost my sister, Blessing Okolie, on March 28, 2026. A scissor/artery forceps was left in her stomach after anfibroid surgery at OAR Medical Centre, Ilepo Abule Egba. After a “successful” surgery, they gave her milk + Milo in 4 hours. On the 3rd day, she started experiencing severe pain and bloating. We begged for a scan, but the hospital said it wouldn’t show anything. 10 days later, they finally agreed. After the scan, the result showed an Artery forceps inside her. She was too weak, but they refused to refer us. They then did a 2nd surgery but she got worse. April 11, 3am: Their fuel finished. She was on oxygen. We rushed her to the LASUTH ICU. Paid immediately. 1 day later, her heart stopped. Blessing was gone. The Dr. (name withheld) vanished for 6 days before we left. “Coming tomorrow” every time we called. He never came. Cc from street_cobbled on Instagram

Alleged Medical Negligence which Led to the Death of Okolie Ngozi Blessing… We lost my sister, Blessing Okolie, on March 28, 2026. A scissor/artery forceps was left in her stomach after anfibroid surgery at OAR Medical Centre, Ilepo Abule Egba. After a “successful” surgery, they gave her milk + Milo in 4 hours. On the 3rd day, she started experiencing severe pain and bloating. We begged for a scan, but the hospital said it wouldn’t show anything. 10 days later, they finally agreed. After the scan, the result showed an Artery forceps inside her. She was too weak, but they refused to refer us. They then did a 2nd surgery but she got worse. April 11, 3am: Their fuel finished. She was on oxygen. We rushed her to the LASUTH ICU. Paid immediately. 1 day later, her heart stopped. Blessing was gone. The Dr. (name withheld) vanished for 6 days before we left. “Coming tomorrow” every time we called. He never came. Cc from street_cobbled on Instagram

Itohan 🐘 🌟 💜 supremos baby

57,126 Aufrufe • vor 3 Monaten

Grateful to collaborate with Wattanachai Ratanapornsompong |วัฒนชัย รัตนพรสมปอง, Amr Elbakry, Jeffery Lin, MD 🏳️‍🌈 and team on this work. Single-port robotic non-transecting Y-V flap pyeloplasty + stricturoplasty for primary UPJO. Why it matters: Classic dismembered pyeloplasty transects the ureter and can compromise longitudinal blood supply — problematic if revision is ever needed. This approach preserves vascularity, widens a narrow plate with stricturoplasty when required, and relocates the neo-UPJ away from crossing vessels without routine transposition. SP platform makes it efficient. Early outcomes in 21 patients (median f/u 73 weeks): 95% success, 86% same-day discharge, no major complications. Short technique clip below 👇 Deeper dive and full cases: search “pyeloplasty” on my video library at Open access: How are you handling UPJO these days — still dismembered, or exploring non-transecting options? #Urology #RoboticSurgery #SinglePortRobot #Pyeloplasty

Grateful to collaborate with Wattanachai Ratanapornsompong |วัฒนชัย รัตนพรสมปอง, Amr Elbakry, Jeffery Lin, MD 🏳️‍🌈 and team on this work. Single-port robotic non-transecting Y-V flap pyeloplasty + stricturoplasty for primary UPJO. Why it matters: Classic dismembered pyeloplasty transects the ureter and can compromise longitudinal blood supply — problematic if revision is ever needed. This approach preserves vascularity, widens a narrow plate with stricturoplasty when required, and relocates the neo-UPJ away from crossing vessels without routine transposition. SP platform makes it efficient. Early outcomes in 21 patients (median f/u 73 weeks): 95% success, 86% same-day discharge, no major complications. Short technique clip below 👇 Deeper dive and full cases: search “pyeloplasty” on my video library at Open access: How are you handling UPJO these days — still dismembered, or exploring non-transecting options? #Urology #RoboticSurgery #SinglePortRobot #Pyeloplasty

Lee Zhao

24,378 Aufrufe • vor 1 Monat

A New Dawn in the Cancer War: Pioneering "BioShield" Technology Achieves Long-Term Remission Where Others Failed A stunning revelation from Dr. Patrick Soon-Shiong on the dawn of a new medical era. He details a breakthrough he calls "BioShield," a technology designed to prevent cancer by fundamentally educating the body's own immune system. Forget conventional vaccines. This isn't about antibodies. This is about creating a living, intelligent defense system within you. Here’s the concept: "BioShield" educates your T-cells to become elite "memory" cells. They then hide in your bone marrow, lying in wait. When a cancerous cell appears, they emerge to seek and destroy it—stopping cancer before it can ever gain a foothold. This isn't science fiction. It's peer-reviewed, published science with the National Cancer Institute (NCI). And the results are nothing short of remarkable: ➡️ Bladder Cancer: Patients who failed all other treatments and faced radical bladder removal have achieved complete remission for nine years after a simple injection. No surgery. Just a functional cure. ➡️ Pancreatic Cancer: A disease with a grim prognosis, now seeing patients disease-free for five years. The late Senator Harry Reid, after being told by others not to pursue it, saw his tumor markers normalize and lived two active, cancer-free years. ➡️ Merkel Cell Carcinoma & Head/Neck Cancer: Stories of complete responses in patients given weeks to live, with one living nine years and another saved from hospice when his ulcerating tumor melted away. Dr. Soon-Shiong is reframing the conversation. This isn't a "vaccine" in the traditional sense. It's Project BioShield—a proactive, cellular guardian for the body. The takeaway? We are transitioning from toxic, reactive cancer therapies to intelligent, preemptive protection. The age of the immune system as our most powerful shield against cancer has arrived. What are your thoughts on this "BioShield" approach to cancer?

A New Dawn in the Cancer War: Pioneering "BioShield" Technology Achieves Long-Term Remission Where Others Failed A stunning revelation from Dr. Patrick Soon-Shiong on the dawn of a new medical era. He details a breakthrough he calls "BioShield," a technology designed to prevent cancer by fundamentally educating the body's own immune system. Forget conventional vaccines. This isn't about antibodies. This is about creating a living, intelligent defense system within you. Here’s the concept: "BioShield" educates your T-cells to become elite "memory" cells. They then hide in your bone marrow, lying in wait. When a cancerous cell appears, they emerge to seek and destroy it—stopping cancer before it can ever gain a foothold. This isn't science fiction. It's peer-reviewed, published science with the National Cancer Institute (NCI). And the results are nothing short of remarkable: ➡️ Bladder Cancer: Patients who failed all other treatments and faced radical bladder removal have achieved complete remission for nine years after a simple injection. No surgery. Just a functional cure. ➡️ Pancreatic Cancer: A disease with a grim prognosis, now seeing patients disease-free for five years. The late Senator Harry Reid, after being told by others not to pursue it, saw his tumor markers normalize and lived two active, cancer-free years. ➡️ Merkel Cell Carcinoma & Head/Neck Cancer: Stories of complete responses in patients given weeks to live, with one living nine years and another saved from hospice when his ulcerating tumor melted away. Dr. Soon-Shiong is reframing the conversation. This isn't a "vaccine" in the traditional sense. It's Project BioShield—a proactive, cellular guardian for the body. The takeaway? We are transitioning from toxic, reactive cancer therapies to intelligent, preemptive protection. The age of the immune system as our most powerful shield against cancer has arrived. What are your thoughts on this "BioShield" approach to cancer?

Camus

31,209 Aufrufe • vor 8 Monaten

🙏 ENCOURAGING UPDATE: Port St. Lucie Sgt. Erick Levasseur is "out of the woods" PORT ST. LUCIE, Fla. — The Port St. Lucie Police Department gave some encouraging updates Thursday on the condition of a police sergeant shot while on duty Monday night. Sgt. Erick Levasseur, a 27-year veteran of the agency, was shot twice in the face during a gunfight with an armed suspect in the 11000 block of Southwest Lake Park Drive. Police Chief Leo Niemczyk said Thursday that Levasseur, 55, was flown to an undisclosed medical center to have surgery on both of his eyes. Police said on Tuesday that the injured sergeant had his jaw wired shut for recovery and received a tracheostomy to keep his airway secure following the surgery. Doctors said there was shrapnel in LeVasseur's retina, which required a special team of expert surgeons, and was also placed in a medically induced coma. Niemczyk said Thursday that Levasseur had surgery on his eyes Wednesday night to remove shrapnel. The chief said they anticipated that he would be transferred "within the next two days" to HCA Florida Lawnwood Hospital in Fort Pierce as he continues to recover from his wounds. "I will say that he is spending more time right now not sedated, and he is aware and alert and writing notes and making jokes to his wife and coworkers, so our spirits are heavily lifting," Niemczyk said. The police chief said they anticipate that Levasseur would make a "very strong recovery" but were still "guarded and careful." "We're not aware of the level of his eye function, but he is a very strong man with a very strong will," Niemczyk said. "We feel he's out of the woods." At Thursday's news conference, the police chief thanked the community and fellow law enforcement for their "overwhelming" support this week. "It's lifted the spirits of the officers within the organization and made this endeavor a little bit more comfortable for us," Niemczyk said. The police chief said it's unclear when Levasseur might be able to return to the police force, but they were "absolutely hopeful" that he would be able to.

🙏 ENCOURAGING UPDATE: Port St. Lucie Sgt. Erick Levasseur is "out of the woods" PORT ST. LUCIE, Fla. — The Port St. Lucie Police Department gave some encouraging updates Thursday on the condition of a police sergeant shot while on duty Monday night. Sgt. Erick Levasseur, a 27-year veteran of the agency, was shot twice in the face during a gunfight with an armed suspect in the 11000 block of Southwest Lake Park Drive. Police Chief Leo Niemczyk said Thursday that Levasseur, 55, was flown to an undisclosed medical center to have surgery on both of his eyes. Police said on Tuesday that the injured sergeant had his jaw wired shut for recovery and received a tracheostomy to keep his airway secure following the surgery. Doctors said there was shrapnel in LeVasseur's retina, which required a special team of expert surgeons, and was also placed in a medically induced coma. Niemczyk said Thursday that Levasseur had surgery on his eyes Wednesday night to remove shrapnel. The chief said they anticipated that he would be transferred "within the next two days" to HCA Florida Lawnwood Hospital in Fort Pierce as he continues to recover from his wounds. "I will say that he is spending more time right now not sedated, and he is aware and alert and writing notes and making jokes to his wife and coworkers, so our spirits are heavily lifting," Niemczyk said. The police chief said they anticipate that Levasseur would make a "very strong recovery" but were still "guarded and careful." "We're not aware of the level of his eye function, but he is a very strong man with a very strong will," Niemczyk said. "We feel he's out of the woods." At Thursday's news conference, the police chief thanked the community and fellow law enforcement for their "overwhelming" support this week. "It's lifted the spirits of the officers within the organization and made this endeavor a little bit more comfortable for us," Niemczyk said. The police chief said it's unclear when Levasseur might be able to return to the police force, but they were "absolutely hopeful" that he would be able to.

👑💥 Serenity 💥👑

14,217 Aufrufe • vor 8 Monaten

JUST IN: 12-year-old school bully arrested for murder after allegedly throwing a metal bottle at another 12-year-old girl who stood up to bullies targeting her sister and later died The 12-year-old girl was arrested by LAPD after the death of Khimberly Zavaleta, 12 Zavaleta’s family said she was hit in the head with a metal bottle at Reseda High School They said she was trying to protect her younger sister from being bullied when it happened She was treated and released the same day, but collapsed 10 days later from a brain hemorrhage She was put into a coma, underwent surgery, and later died after going into heart failure

JUST IN: 12-year-old school bully arrested for murder after allegedly throwing a metal bottle at another 12-year-old girl who stood up to bullies targeting her sister and later died The 12-year-old girl was arrested by LAPD after the death of Khimberly Zavaleta, 12 Zavaleta’s family said she was hit in the head with a metal bottle at Reseda High School They said she was trying to protect her younger sister from being bullied when it happened She was treated and released the same day, but collapsed 10 days later from a brain hemorrhage She was put into a coma, underwent surgery, and later died after going into heart failure

Unlimited L's

654,877 Aufrufe • vor 4 Monaten

Chris Cuomo went dead silent on NewsNation when Dr. Patrick Soon-Shiong unveiled these real before-and-after brain tumor scans during their explosive interview. The patient? Had already exhausted surgery, radiation, and every round of chemotherapy—total failure. Then came this game-changing protocol: zero high-dose chemo, zero radiation in the core treatment. Result? Tumor visibly dissolving in mere months. Dr. Soon-Shiong to Cuomo: “For the first time in medical history, we’re flipping the switch on your own killer T-cells—the body’s deadliest cancer assassins—instead of nuking the immune system with the old high-dose hammer.” The mechanism? Micro-doses of legacy therapies deployed like a spotlight, “smoking out” the tumor to expose it... unleashing the patient’s primed natural killer cells to track, target, and obliterate. - FDA greenlit for bladder cancer - Phase 2/3 trials wrapped or in flight for pancreatic, triple-negative breast, lung, head & neck, plus 10+ more tumor fronts - Nearly 1,000 patients treated off-label via compassionate access, with stories of multi-year survival where docs gave months No hype from the doc: “This isn’t a silver bullet or one-and-done. It’s a seismic shift—from collateral-damage chemo wars to immune-system mastery.” Part of NewsNation’s must-watch special “Killing Cancer: The Power Within”—airing breakthroughs that could redefine the fight. If you’ve ever wondered what’s next for oncology, these scans demand your 123 seconds. Watch the full clip. What hits you hardest?

Chris Cuomo went dead silent on NewsNation when Dr. Patrick Soon-Shiong unveiled these real before-and-after brain tumor scans during their explosive interview. The patient? Had already exhausted surgery, radiation, and every round of chemotherapy—total failure. Then came this game-changing protocol: zero high-dose chemo, zero radiation in the core treatment. Result? Tumor visibly dissolving in mere months. Dr. Soon-Shiong to Cuomo: “For the first time in medical history, we’re flipping the switch on your own killer T-cells—the body’s deadliest cancer assassins—instead of nuking the immune system with the old high-dose hammer.” The mechanism? Micro-doses of legacy therapies deployed like a spotlight, “smoking out” the tumor to expose it... unleashing the patient’s primed natural killer cells to track, target, and obliterate. - FDA greenlit for bladder cancer - Phase 2/3 trials wrapped or in flight for pancreatic, triple-negative breast, lung, head & neck, plus 10+ more tumor fronts - Nearly 1,000 patients treated off-label via compassionate access, with stories of multi-year survival where docs gave months No hype from the doc: “This isn’t a silver bullet or one-and-done. It’s a seismic shift—from collateral-damage chemo wars to immune-system mastery.” Part of NewsNation’s must-watch special “Killing Cancer: The Power Within”—airing breakthroughs that could redefine the fight. If you’ve ever wondered what’s next for oncology, these scans demand your 123 seconds. Watch the full clip. What hits you hardest?

Camus

62,314 Aufrufe • vor 8 Monaten