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Read Wordworth, "the young man beholds with envy, what the old man hardly feels." Read Tennyson's Ulysses, "We are...One equal temper of heroic hearts, Made weak by time and fate, but strong in will To strive, to seek, to find, and not to yield."poetryfoundation.org/poems/45392/ul…

God bless (from an agnostic) for all your hard work delivering expert healthcare to underserved Africans. PS how does cautery help IC (in 240 characters)? Safe travels NM

Thanks for sharing your saga, your work ethic, Mo & the strength that you derive from each other - an inspiration. Imagine if you had to endure this alone. I think often of the plight of disadvantaged, single women exemplified by Fantine in Les Miserables. youtu.be/-p6OH7FoWoQ

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In primary bladder neck obstruction, the BN looks normal, but causes obstruction. Only effective Tx is surgery. Probably the same here. You can do a Whitaker test by gravity at the time of antegrade pyelogram to see if the renal pelvis works. Ouch! Happy to discuss.

On the flip side of the question, there is no good treatment for this "pipe stem urethra," at least in my hands. First, do no harm, hope for some improvement and be prepared for intermittent cath.

Wow, most impressive! Remember, "all new therapies work miracles... for a little while, " so, I'm looking forward to seeing studies. Is there much of a learning curve for the harvest? Chances of bladder perforation?

My heartfelt condolences. I hope you (all) find some solace in the short poem by Ben Johnson that I will send in the next tweet

It is not growing like a tree In bulk doth make Man better be Or standing long an oak 300 yrs A lily of a day Is fairer far in May, Although it fall and die that night It was the flower of light In small proportions we just beauties see; And in short measures life may perfect be.

Huh? The leak point pressure is an observable measure of "sphincter strength." Incontinence is a sign symptom and condition. The condition can be caused by a weak sphincter. Don't judge a runner by how fast he runs? Duh!

Just refilled eye drop prescriptions, first refill of 2022. After all, a surgeon must see. I have good insurance, I'm told. $2400/ year for 3 tiny squeeze bottles one generic. "Elections matter." PS I see good. cnbc.com/2022/01/12/bid…

Every year, prior to the pandemic, I and almost all of my health care colleagues received the flu vaccine but throughout the flu season, we mostly all got a URI and/or debilitating flu symptoms multiple times, often lasting 2 - 4 weeks at a time. Now, practically never. Why?

.Governor Kathy Hochul Assembly Member Rebecca Seawright Senator Liz Krueger Please assure that any legislation to update New York’s wrongful death law be balanced to also bring down our extraordinary medical liability costs! Medical Society NY #DontChasePhysiciansOutofNY #TortReform p2a-files.s3.amazonaws.com/production/cam…

Thanks for the kind words, Jeff. I am humbled by being accorded a Legend in Urology. To write an autobiography and reading others was most enlightening. Try it while you are young, Learn from the mistakes of others, you can't make them all yourself (Eleanor Rosevelt)