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Providing Access to Endometriosis Care in Southeast Asia; Dr. Ma Li
**Summary
In this conversation, Dr. Ma Li shares her journey as a gynecological surgeon specializing in endometriosis care. She discusses her background, the evolution of her practice, and the challenges she faced in establishing a specialized center for endometriosis in Singapore. Dr. Ma Li emphasizes the importance of education, patient care, and managing expectations in treating chronic pelvic pain. She also highlights her innovative approach to robotic surgery and her vision for improving endometriosis care in the region.
** Takeaways
- Dr. Ma Li's journey began in China, where she developed a passion for complex surgeries.
- Endometriosis care in Singapore has evolved, but challenges remain in diagnosis and treatment.
- Establishing a specialized center allows for better patient care and individualized treatment plans.
- Education and awareness are crucial for improving endometriosis care among healthcare providers and patients.
- Robotic surgery offers advantages for complex gynecological cases, but adoption is slow due to cost and training.
- Managing patient expectations is key to successful outcomes in chronic pelvic pain treatment.
- Dr. Ma Li allocates significant time for patient consultations to ensure thorough understanding and care.
- The transition from public to private practice presents both challenges and opportunities for growth.
- Collaboration among healthcare professionals is essential for comprehensive endometriosis care.
- Dr. Ma Li aims to create a regional center for education and training in endometriosis treatment.
**Sound Bites
"I want to help them at a very comfortable pace."
"Education is key to improving endometriosis care."
"We need to work together to make a difference."
**Chapters
00:00 Technical Difficulties with Microphone
00:11 Introduction and Personal Background
01:23 Passion for Surgery and Focus on Endometriosis
12:18 Transition to Excision Surgery
17:24 Establishing a Referral Center in Singapore
18:04 Limitations of Public Hospitals
24:15 Opening an Independent Center
28:10 Providing Better Care and Patient Experience
28:51 Dr. Ma Li's Vision for the Mali Center of Endometriosis
36:07 Challenges of Being a Female Surgeon in a Male-Dominated Field
39:33 Barriers to Using Robotic Surgery in Gynecology
46:59 Current Challenges in Dr. Ma Li's Practice
49:42 Dr. Ma Li's Interests in Sports and Hobbies
53:41 The Importance of Managing Patient Expectations
58:22 The Complexity of Chronic Pelvic Pain and the Reward of Solving the Puzzle
01:01:47 Final Thoughts and the Importance of Teamwork
Check Dr. Ma Li's profile: icarebetter.com/doctor/dr-ma-li/
Instagram: storiesdr.mali_singapore/
Переглядів: 46

Відео

Understanding the Video Vetting Process
Переглядів 13День тому
Join Dr. Saied Gholami, founder of iCareBetter, as he takes you behind the scenes of the video-vetting process for iCareBetter doctors. In this video, Dr. Gholami demonstrates how surgery videos, pathological reports, and operative reports are reviewed to ensure transparency and quality. He showcases two applications-a successful one and one that didn’t pass-and highlights the double-blind revi...
Precise Excision Surgeries for Improved Nerves Endometriosis Outcomes; Dr. Ana Sierra
Переглядів 11421 день тому
Dr. Ana Sierra, a neuro-pelvic surgeon, discusses her journey into medicine and her focus on excision of endometriosis. She shares her passion for neurobiology and how it has shaped her approach to treating chronic pelvic pain. Dr. Sierra emphasizes the importance of unlearning traditional surgical techniques and adopting a neurobiology-based approach. She also explains her comprehensive pelvic...
Dr. Ramiro Cabrera on The Importance of Mindset, Education, and Awareness in Endometriosis Excision
Переглядів 87Місяць тому
Summary Dr. Ramiro Cabrera, an excision specialist and world leader in endometriosis treatment, shares his journey into medicine and his passion for helping patients with endometriosis. He emphasizes the importance of excision surgery and the challenges of preserving normal tissue while removing endometriosis lesions. Dr. Cabrera discusses the need for certification and multidisciplinary approa...
Navigating Unexpected Findings in Endometriosis Surgery with Dr. William Kondo
Переглядів 772 місяці тому
Dr. Kondo discusses his decision to join Endo Global and the unique value the organization brings to endometriosis treatment. He emphasizes the importance of a thorough clinical evaluation and imaging exams in diagnosing and treating the disease. Dr. Kondo also explains the extensive preoperative assessment and mapping using MRI that he utilizes as a surgeon. He discusses the challenges of unex...
True story behind a controversial moment in iCareBetter life
Переглядів 752 місяці тому
Summary In this conversation, Dr. Gholami discusses the history and purpose of iCareBetter, an educational platform for endometriosis patients. He explains the vetting process for surgeons and the controversy that arose when a surgeon with a negative reputation passed the vetting. Dr. Gholami emphasizes the importance of unbiased video vetting and the growth of the platform. He expresses his co...
Endometriosis Typology and Ovarian Cancer with Dr. Steve Vasilev
Переглядів 2712 місяці тому
Dr. Steve Vasilev is a gynecologist and has several articles and books on the topic of cancer and endometriosis. He discussed the new article on the relationships between endometriosis and cancer. The conversation discusses the relationship between endometriosis and ovarian cancer, focusing on a recent article published in JAMA (jamanetwork.com/journals/jama/article-abstract/2821194?resultClick...
Beating Endo Pelvic Pain Using Alternative Reliefs, with Emily Sauer and Tamer Hill
Переглядів 3652 місяці тому
In this conversation, Jandra Mueller interviews Emily, CEO of The Pelvic People, and Tamar Hill, co-founder of Pacific Roots, about their products that address pelvic pain. Emily shares her personal experience with painful sex and the motivation behind creating Oh-Nut, a “sex bumper” that controls the depth of penetration. She also introduces Kiwi, a multi-purpose massage tool designed to provi...
An Insightful Convo with Dr. Vasilev, Endometriosis Surgeon, Oncologist, and Integrative Specialist
Переглядів 7378 місяців тому
Dr. Steve Vasilev, a triple board-certified physician specializing in gynecology oncology, provides insights into the field of endometriosis surgery, particularly emphasizing the importance of surgical training and the utilization of robotics for enhanced precision. He discusses his own journey into this specialty, highlighting the improved optics and lesion recognition afforded by robotic tech...
Breaking Barriers: Shea's Story Part 2
Переглядів 5439 місяців тому
Breaking Barriers: Shea's Story Part 2
Breaking Barriers: Shea's Story Part 1
Переглядів 3,8 тис.Рік тому
Navigating Endometriosis, Neuroproliferative Vestibulodynia, Neurodivergence, Non-Binary Identity, and Chronic Health Conditions In previous episodes, we had experts discussing neuroproliferative vestibulodynia and mast cell activation syndrome - wondering what this looks like in real life? Join us for today's episode of Shea's Story Part 1. We explore the extraordinary journey of Shea Shea O'D...
Intersection of Endometriosis, Vestibulodynia, and Painful Sex with Drs. Goldstein and Yong
Переглядів 433Рік тому
In today's episode, I talk with two exceptional physicians who are making significant strides in the field - Dr. Irwin Goldstein, a urologist based in San Diego, and Dr. Paul Yong, a distinguished researcher and physician from Vancouver, Canada. Join us as we delve into the fascinating world of sexual medicine with Over the last seven years, I've had the privilege of collaborating with Dr. Gold...
Christina's story Part 2: Excision surgery, diagnosis, recovery and reflecting back
Переглядів 281Рік тому
We are back with part 2 of Christina’s story. We left off with her having a confirmed #endometrioma and fibroid, struggling with #fertility, and figuring out her next move. For those of you who missed part 1, you can listen on Apple Podcasts, Spotify, or iCareBetter’s UA-cam channel, link in bio! She continues where she left off, finding the right providers. She had some significant findings du...
Neuroscience researcher Dr. Jason Kutch talks pain, the brain, pelvic floor dysfunction and surfing!
Переглядів 318Рік тому
In today's episode, I am joined with Stephanie Prendergast, MPT, as my lovely co-host and we sit down with Dr. Jason Kutch to unravel the mysteries of the brain, pain, movement science and.... surfing! Join us for an enlightening conversation with Dr. Jason Kutch, a distinguished neuroscience researcher and associate professor at the University of Southern California. Dr. Kutch shares his own p...
Christina's story through childhood chronic illness, bartonellosis, infertility and endometriosis P1
Переглядів 195Рік тому
Today we speak with Christina on part 1 of her story, navigating lifelong chronic illness and infection, challenges around fertility; and ultimately, her path to finding herself again. Christina is an endometriosis patient and budding endo and chronic illness advocate. Christina is taking a much needed break from climbing the corporate ladder as a clinical research professional to work on getti...
Mast cell activation syndrome and complex chronic diseases like endometriosis with Tania Dempsey, MD
Переглядів 1,8 тис.Рік тому
Mast cell activation syndrome and complex chronic diseases like endometriosis with Tania Dempsey, MD
Endometriosis Excision Surgery, Vetted Surgeon, with Dr. Paul Tyan
Переглядів 786Рік тому
Endometriosis Excision Surgery, Vetted Surgeon, with Dr. Paul Tyan
Beating Endo: Future direction of endometriosis, excision surgery, with Iris Kerin Orbuch, MD
Переглядів 812Рік тому
Beating Endo: Future direction of endometriosis, excision surgery, with Iris Kerin Orbuch, MD
Endometriosis diagnosis, individualized, and interdisciplinary care: with Dr. Mathew Leonardi
Переглядів 403Рік тому
Endometriosis diagnosis, individualized, and interdisciplinary care: with Dr. Mathew Leonardi
The Transformation of Endometriosis Treatment with Stephanie Prendergast and Elizabeth Akincilar
Переглядів 219Рік тому
The Transformation of Endometriosis Treatment with Stephanie Prendergast and Elizabeth Akincilar
Merritt Jones, Endometriosis, Fertility, Acupuncture and Integrative Medicine
Переглядів 177Рік тому
Merritt Jones, Endometriosis, Fertility, Acupuncture and Integrative Medicine
Endometriosis, Chronic Pain, and Mental Health: A Candid Conversation with Amber Murphy
Переглядів 377Рік тому
Endometriosis, Chronic Pain, and Mental Health: A Candid Conversation with Amber Murphy
Dr. Ana Arteaga-Biggs: A Mental Health Therapist and an Endometriosis Warrior
Переглядів 624Рік тому
Dr. Ana Arteaga-Biggs: A Mental Health Therapist and an Endometriosis Warrior
iCareBetter: A New Hope for Endometriosis
Переглядів 614Рік тому
iCareBetter: A New Hope for Endometriosis
General Anesthesia
Переглядів 4,8 тис.Рік тому
General Anesthesia
Consequences of a Suboptimal Endometriosis Surgery for a Patient, with Dr. Cindy Mosbrucker.
Переглядів 1,2 тис.2 роки тому
Consequences of a Suboptimal Endometriosis Surgery for a Patient, with Dr. Cindy Mosbrucker.
Physical Therapy for Post-Excision Persistent Pain in Endometriosis with Dr. Rebecca Patton
Переглядів 2872 роки тому
Physical Therapy for Post-Excision Persistent Pain in Endometriosis with Dr. Rebecca Patton
Endometriosis After Menopause with Dr. Steve Vasilev
Переглядів 6 тис.2 роки тому
Endometriosis After Menopause with Dr. Steve Vasilev
Endometriosis and estrogen, hormonal therapy, menopause, and cancer risks with Dr. Steve Vasilev
Переглядів 3,6 тис.2 роки тому
Endometriosis and estrogen, hormonal therapy, menopause, and cancer risks with Dr. Steve Vasilev
Endometriosis and adhesions after excision surgery and menopause with Dr. Steve Vasilev
Переглядів 2,6 тис.2 роки тому
Endometriosis and adhesions after excision surgery and menopause with Dr. Steve Vasilev

КОМЕНТАРІ

  • @kateaye3506
    @kateaye3506 5 днів тому

    Thanks to Dr Vasilev for giving us his time. Very much appreciated.

  • @kateaye3506
    @kateaye3506 8 днів тому

    Thank you so much for these series. Very helpful to those of us who have been disregarded for decades.

    • @icarebetter
      @icarebetter 6 днів тому

      You are most welcome. Please let us know if there are any topics you would like us to discuss.

    • @kateaye3506
      @kateaye3506 6 днів тому

      @icarebetter ooh, yes please! How haemophilia affects endometriosis. This is really unchartered territory.

    • @icarebetter
      @icarebetter 5 днів тому

      @@kateaye3506 We will find an expert to discuss this. Thanks for the suggestion.

  • @alipg2251
    @alipg2251 Місяць тому

    Thank you!

  • @dragonfly1955
    @dragonfly1955 2 місяці тому

    Any updates to this conversation from 2 years ago. I need to go to this man

    • @icarebetter
      @icarebetter 2 місяці тому

      Hi, we have published some new short videos and plan to do an extended version in the near future. If you want to get in touch with Dr. Vasilev please go to this link: icarebetter.com/doctor/dr-steven-vasilev/

    • @dragonfly1955
      @dragonfly1955 2 місяці тому

      Thank you so much for putting this out there. Subscribed

    • @icarebetter
      @icarebetter 2 місяці тому

      @@dragonfly1955 We have not received anything yet. Try again, please. icarebetter.com/doctor/dr-steven-vasilev/

  • @aliciagralewicz2804
    @aliciagralewicz2804 3 місяці тому

    Amen 🙌 TRUTH doctor says to me absolutely Not consistent severe constant pain years now menopause endometriosis scar tissue mesh bladder frequency and pelvic groin ongoing musculoskeletal impairment extra area's limited quality of life, thanks for this perfect

  • @alexandraferreira561
    @alexandraferreira561 3 місяці тому

    O need estrogen

  • @alexandraferreira561
    @alexandraferreira561 3 місяці тому

    🙏💯

  • @JViolet77
    @JViolet77 4 місяці тому

    I'm the 45yo who just found out I am full of endo and only had minimal pain until 2 years ago. Now, it looks like stage 4

  • @danispratt506
    @danispratt506 5 місяців тому

    Thank you so much for this video! I'm so glad to see there are still doctors out there who care about looking at the big picture as more and more are going into specialties. I have endometriosis and the lack of knowledge about it from my local doctors has forced me to do my own research and bide my time until I can afford to go somewhere that can actually help me! I've recently learned about mcas and am amazed how perfectly it fits!

  • @stephanieburgess8217
    @stephanieburgess8217 5 місяців тому

    The litature that says excision doesn’t make a difference is wrong! I’m proof of this type of surgery to remove Endo DOES work and does decrease pain.

  • @stephanieburgess8217
    @stephanieburgess8217 5 місяців тому

    Dr Matigbay at the Mayo Clinic in AZ does ovarian gynecological surgery and he did mine using the Davinci. Best decision of my life and I’m so grateful that I sought out Dr Arrington who knew what to look for and could send me to the Mayo so I could get my direlhagmatic surgery and all the other things that were done.. it was a 5 1/2 hour surgery and every day I think about how blessed I was to have this surgery.

  • @shelleygranger4597
    @shelleygranger4597 5 місяців тому

    I just got my papsmear which everything came back negative;however I never had Anthony Joseph and my results at 62 years old came up positive and showing in my capture and I have no bleeding. What are my options and why wouldn’t I be able to get a hysterectomy from my doctor because I do not want to go through any kind of.

  • @WhiTor1
    @WhiTor1 5 місяців тому

    Thank you to Dr Vasilev and all the others who give their time to do these interviews and spread awareness for those who have suffered and searched for answers.

  • @SomethingNew1133
    @SomethingNew1133 6 місяців тому

    FYI I was diagnosed with endometriosis in my early thirties. I was prescribed progesterone. In about 3 years of treatment, The biopsy came back clean no uterine cancer. I am currently in Menopause and my sixties endometriosis is running rampant in my body. The pain is unbearable and gobs of endometrial uterine tissue(?) are in my system and sometimes being excreted.

  • @MG-ss1it
    @MG-ss1it 7 місяців тому

    So insightful! Should patients request ARID1A and mitotic rate testing on tissue samples from surgeries? Would be amazing to get clarity for those getting surgeries from other excision specialists who don't have this oncology perspective.

    • @DrSteveVasilevMD
      @DrSteveVasilevMD 7 місяців тому

      These are all part of cutting-edge notions with a strong basic science base but no clear clinical proof of outcomes benefit. Having said that, the information can contribute to helping make more informed choices after surgery. The mitotic index is something that can be requested from pathology and may provide insight into whether or not recurrence is more likely. It is just a matter of counting mitotic figures under a microscope by a specific protocol. The mutated ARID1A marker is, as mentioned, something that overlaps cancer and non-malignant but potentially more aggressive endo lesions. The problem is that this test is reserved by the current specialized testing companies (based on FDA approval) for oncology cases for the moment. As more data develops, this may open up. As a proxy for ARID1a molecular testing, a stain (called immunohistochemistry) can be used to measure if the tumor suppressor gene ARID1A is expressing itself normally or not (i.e. proteins from this gene's signals in normal or mutated state can be tested for). This is not standard of practice but can be ordered at an additional expense. Unfortunately, this is not likely going to be covered by insurance in most cases, but it is not wildly expensive. The bigger and more important question is what these tests can mean in terms of treatment options. There are no clinical studies yet to answer this question, and it may be a long time coming. However, positive results may mean closer monitoring is prudent, especially if there were elevated markers prior to surgery, like CA125 and CA19-9. Also, meticulous attention to lifestyle and diet can reduce excess estrogen levels, which may impact recurrence rates (also not proven but poses no risk and generates overall health benefits). This is easier said than done, but might be more top of mind when facing a likely higher risk of recurrence. In addition, positive testing may stimulate more consideration for post-surgical hormone suppression options, using the least toxic or lowest side-effect options available. Overall, this kind of approach will increase as we progress further into the molecular personalized medicine age for early diagnosis, treatment options beyond hormones, and postoperative monitoring.

  • @MG-ss1it
    @MG-ss1it 7 місяців тому

    This was so insightful, and the exact conversation I needed as I prepare for surgery.

  • @lauratownsend2040
    @lauratownsend2040 7 місяців тому

    Thank you!! Very informative!!

    • @icarebetter
      @icarebetter 6 днів тому

      You are very welcome. Please let us know if there are any topics you would like us to discuss.

  • @sukienukie551
    @sukienukie551 7 місяців тому

    Fantastic discussion. Thank you very much!

  • @Dancingdays223
    @Dancingdays223 7 місяців тому

    Very informative, thank you. What are the long term effects of taking only progesterone with endometriosis?

  • @fayeni1005
    @fayeni1005 8 місяців тому

    Very good information finally! I’m 39, had gone though Ivf and God gave me a son. I’ve been suffering lots of pain afterwards, I’ve been wanting another child but it just not happening. I’ve been asked go do a surgery to increase the success rate. But have been debating if I should for the purpose of being healthy and able to get pregnant again.

    • @icarebetter
      @icarebetter 8 місяців тому

      We highly recommend consulting with an expert about your situation. Sometimes, endometriosis excision surgery increases the success rates of IVF. Here is a link to Doctor Vasilev (the doctor in the video) if you would like to get in touch and discuss possibilities. icarebetter.com/doctor/dr-steven-vasilev/

  • @johnathanabrams8434
    @johnathanabrams8434 8 місяців тому

    www.ncbi.nlm.nih.gov/pmc/articles/PMC7979491/ Widespread myofascial dysfunction and sensitization in women with endometriosis-associated chronic pelvic pain: A cross-sectional study V. T. Phan, BS,1 P. Stratton, MD,2 H. K. Tandon, BA,1 N. Sinaii, PhD,3 J. V. Aredo, BS,4 B. I. Karp, MD,2 M. A. Merideth, MD, MPH,5 and J. P. Shah, MD1 Importantly, the neuro-musculoskeletal examination revealed that all women also had widespread myofascial dysfunction with palpable myofascial trigger points and low pressure-pain thresholds in nearly all muscles tested. Similarly, widespread and regional sensitization were observed in most women in addition to low pressure-pain thresholds over the interspinous ligaments On the neuro-musculoskeletal exam, all women had widespread myofascial dysfunction as evidenced by myofascial trigger points in more than two-thirds of assessed regions. Fourteen (47%) of 30 women had myofascial trigger points in all 26 assessed regions. A low pressure-pain threshold was observed in all of the assessed myofascial trigger points (Figure 3). Most women had widespread (17/30, 57%), thoracic (21/30, 70%), and lumbosacral/pelvic (18/30, 60%) spinal segment sensitization. Cervical spinal segment sensitization was manifested as low pressure-pain thresholds; in addition, orofacial pain was reported in 21/30 (70%) or recurrent severe headaches in 23/30 (77%). The pressure-pain thresholds over the interspinous ligaments were generally low within the cervical, thoracic, and lumbosacral/pelvic regions (Figure 4). Overall, sixteen (53%) of 30 women had low pressure-pain thresholds over all interspinous ligaments. DONT LISTEN TO THESE TWO. They think your loved ones endometriosis is going to get better by riding a surf board ? Most if not ALL women with post endometriosis lesion removal have widespread myofascial trigger point dysfunction.

  • @obguy99
    @obguy99 8 місяців тому

    beautiful work

  • @NurMaryamAbdullah
    @NurMaryamAbdullah 8 місяців тому

    Im 49 years and having so much pain..adenomyosis for 7 years rite now

    • @robert9461
      @robert9461 5 місяців тому

      I hope you have found some relief

  • @dreamaboutrainbows
    @dreamaboutrainbows 9 місяців тому

    Great info! Please speak to Pelvic Congestion Syndrome plays into hormone therapy and pelvic pain.

  • @CP-so4hg
    @CP-so4hg 10 місяців тому

    I’ve gone through the unfortunate experience and struggle of chronic pelvic pain symptoms. It’s unbelievable in this day and age how pain science has lagged in study and acceptance in the broader medical community. Glad that Dr. Kutch’s research into the neuroscience behind COPCs is leading the way to hopefully groundbreaking and effective treatment of these conditions. It’s personally gratifying that there’s a passion to helping others based on his personal experience having CPP.

  • @ignorantignorance
    @ignorantignorance 11 місяців тому

    Are there any specialists you would recommend in Australia?

  • @juliemonk8946
    @juliemonk8946 Рік тому

    Great video full of tidbits about mast cells and how far reaching their effects can be in the body. I really appreciate both of you for sharing this information. Thank you!

  • @estelleadamski308
    @estelleadamski308 Рік тому

    I had knee surgery 4 days ago. as soon as I went into the OR the DR said I would moved to the table, but, 1st, he would give me a little bit of medicine. I looked down at the tube and saw white liquid I, and I went out. I never remember getting on the table, having my arms put on the boards, never remember being asked to breathe w/the mask on. I think he put me out too quickly. Did I do all that other stuff and just don't remember? I just remember waking up in the PACU when the surgery was over. I was having a nice time looking over the OR and seeing all the machines. In 12 days I will have an endoscopy, so I'll see the difference. This will take quite a while as the docs will try to close a fistula, endoscopically

  • @FreelanceZinna
    @FreelanceZinna Рік тому

    Very nice discussion

  • @christineheadley
    @christineheadley Рік тому

    Short but good. Have had everything from none, ether, sodium Pen. Have had 20 surgeries requiring anesthesia of some sort. My last surgery was for total right knee replacement. I had a Spinal without sedation. I was awake for the whole process. It was by far the most enjoyable anesthesia and surgical procedure I have had. It was a new life's experience. If I need surgery in the future and a spinal is used I will do it again without sedation. The main reason tor anesthesia that renders you unconscious is to prevent you from developing PTSD. I have seen and done so much during my 83 Orbits around the sun. I have no PTSD nor am I susceptible to PTSD. If I was, I'd already have it. I was in the military during Vietnam and I was a Cop. Do what you think is best for yourself. General Anesthesia at level 4 (Unconscious and on a ventilator) is more dangerous the older you are. Avoid it if possible. Versed/midazolam is used to keep you from forming new memories and also causes the loss of some older ones. Avoid this drug, it's not necessary.

  • @dizzman5546
    @dizzman5546 Рік тому

    Thats not a cindy

  • @stem_cell_nutrition
    @stem_cell_nutrition Рік тому

    can't take this seriously when the host got the death clot 😒

  • @johnathanabrams8434
    @johnathanabrams8434 Рік тому

    Omg!! I can't wait to tell my girlfriend to get on a surf board to fix her pelvic pain !!!!!

  • @northeast7416
    @northeast7416 Рік тому

    Im 25 yrs old how will live my rest of my life

  • @wadha94
    @wadha94 Рік тому

    Two of the most talented experts in the endometriosis sphere. Loved this podcast.

  • @silviyaivanova2154
    @silviyaivanova2154 Рік тому

    ❤❤❤

  • @paularivera4574
    @paularivera4574 Рік тому

    👍

  • @silviyaivanova2154
    @silviyaivanova2154 Рік тому

    This is great information! More people need to see this and the rest of the videos!

    • @icarebetter
      @icarebetter Рік тому

      Thank you for your comment. We would appreciate it if you shared this with your community, and they will appreciate it too.

  • @ileanakuakini5200
    @ileanakuakini5200 Рік тому

    Promo*SM 🙂

  • @MJ-tx8jz
    @MJ-tx8jz Рік тому

    Thank you! It’s so difficult to find the right people! The Gaslighting has made me depressed! I live in NY on Longisland Nassau County if you have any recommendations of people I could see from Orthopedics to Physical Therapy, and Neurology I would appreciate it! My Surgery was June20th, 2022!

    • @icarebetter
      @icarebetter Рік тому

      Hi MJ, sorry for your experience. Please go to this link to find some great physical therapists who are experienced in endometriosis and can help you. icarebetter.com/doctor-category/new-york/

  • @saeidgholamimd
    @saeidgholamimd Рік тому

    This was an in-depth conversation between two endometriosis experts and warriors. As Dr. Ana mentioned, doctors need to listen to this and learn to say, "I do not know how to diagnose and treat endometriosis." That could save so many years of pain and suffering.

  • @germanmitmasoud
    @germanmitmasoud Рік тому

    You’re doing a great job

  • @danielsalahi
    @danielsalahi Рік тому

    Incredibly insightful! This video is a true gem

  • @saeidgholamimd
    @saeidgholamimd Рік тому

    It was a great interview. Thank you, Jandra, for starting the podcast. This will cover so many aspects of endometriosis that are less known and spoken of.

  • @kateaye3506
    @kateaye3506 Рік тому

    Dr Vasilev, why do females with haemophilia (mild) tend to have a greater propensity for endo?

  • @royalfamilync1316
    @royalfamilync1316 Рік тому

    Thank you for this information. About 9 years ago I had a hysterectomy due to severe endometriosis. The endometriosis was also on my kidneys and liver, but from what I was told the doctors were not able to reach it . Anyways after years go by my health has went down hill.

    • @carajoos5844
      @carajoos5844 11 місяців тому

      Find one of these icarebetter surgeons. You deserve your health.

  • @Jtronique
    @Jtronique Рік тому

    Hi :) Thanks for uploading this video! I'm 3 weeks PO and would like to recommend this video to anyone watching... the video is accurate. My experience with Endometrioma excision/cystectomy/bisapingectomy and unilateral oophorectomy with the anesthesia, all went smooth. Had Propofol + Sevorlorane gas and Peripheral Nerve Block. PLEASE MENTION THE PNB when you speak to your anesthesiologist! It can make all the difference. They gave me a RX for opioid based pain medication I NEVER needed to fill it! Because of the PNB. I only took acetominophen (which doesn't work GREAT but I still took as recommended), they cleared me for ibuprofen, and I got clearance to use CBD. The PNB can make a huge difference in your pain management/amplification result coming out of Post Op! Be sure to ask for it. :) !!! Also - some recommended that having a cold beverage ready with lemon and honey may soothe throat irritation. I personally had ZERO irritation from the tracheal tube! I dealt with my surgery 100% alone , except for a wonderful team. If you are going through it alone, STAY STRONG, you can do it! Anesthesiology has come a long way. - one more thing If you ever HAD general anesthesia, and did not have nausea, I would probably say to research the anti-nausea patch. It is an option they can give you but you want to decline it if you can, because that patch has the side effect of making it slightly more difficult to urinate. This can complicate when you have your CATHETER removed. I did not have the Anti Nausea patch and ALSO - since it was a day surgery, I had a slimline (NON FOLEY) catheter. I had an easy time urinating on my own when I got home. @Icarebetter thanks for the upload and if you have not, perhaps make a video about CATHETER, I had only minor irritation but both ANESTHESIA AND CATH frightened me, but there was no reason for it! Thank you very much. 4:30 I experienced a minor complication from the PNB which is temporary numbness (neuralgia) of a specific muscle in the thigh (Meralgia Paresthetica) but it usually resolves in patients who have PNB/robotic laproscopy within 3-4 weeks and mine is resolving. It is not an uncommon complication and not terribly difficult to deal with, as is reversible.

  • @Jtronique
    @Jtronique Рік тому

    This was a really great series! subscribed and shared. Thank you!

  • @bethannawhite2275
    @bethannawhite2275 Рік тому

    Hello, total hysterectomy at age 27. (Endometriosis on bladder, colon all female parts)I am 65 now and have not been off of estradiol until recently, as my lab levels of estrogen are I’ve 1000. My dr took me off of estradiol and put me on twice daily progesterone. Would endometriosis someplace cause extreme levels of estrogen❓thoughts❓thank you

    • @winniecash1654
      @winniecash1654 Рік тому

      Yes. Endometriosis makes estrogen, and it's why some women ( like me) have elevated estrogen even after hysterectomy.

  • @salamatugobir5084
    @salamatugobir5084 Рік тому

    How can i consult with u. And if i want to come how can i get to ur hospital

    • @icarebetter
      @icarebetter Рік тому

      Hi Salamatu, please use this link to get in touch with Dr. Vasilev’s office. They will help you with your questions about getting to the hospital. icarebetter.com/doctor/dr-steven-vasilev/