GMT20260225-231431_Recording_1920x1200

May 04, 2026 05:44 · 2:54:25 · English · Whisper Turbo · 6 speakers
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0:02
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
That can be not a malignant process? That can also mimic this one? Or are all heterogeneously enhancing masses malignant? This is Geo. So most of our heterogeneously enhancing mass can be considered malignant. However, we have our benign neoplasma as well that can mimic this characteristic one, such as our oncocytic renal mass.
0:48
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
just have benign renal mass. So what's the incidence of that? For the incidence, I think it's as high as 5 to 10% of our benign renal mass that is being surgically removed in which the diagnosis is being seen upon histopathologic report.
1:20
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Okay, considering that this is a 4.2 cm mass, if it were smaller in radius, let's say 2 cm mass and enhancing, would you consider this more malignant or less malignant? And would you do anything surgical? We have an option to observe and to serial indignate.
1:55
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So considering that, how much I think this question was asked already in the past, how many, by how much does the renal mass enlarge over a period of time? If I can remember in one conference, this question was asked. I just want to be reminded. G or Jen? Typical growth.
2:34
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
it is, if I remember correctly, 0.5 centimeter growth per year, or if you're considering malignant. So if the growth is 0.5 centimeter per year, and upon doing serial monitoring for our patient, we are leaning more on thinking that it may be probably more of malignant than benign. Thank you, Gio.
3:11
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Thank you, Dr. Pangaliban. Okay, there's a comment here from Dr. Arsinas, and I believe so. From my end, I was also discussing with the senior residents. We have to establish this nephromity scoring amongst our juniors so that it becomes second nature for you when you're asked about this. I know you know this, Justin. You were trying to deliver that, but there's a way of doing this in a systematic way.
3:40
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
such that all your audience would understand it. We know what you're talking about, so we decided to forego. But there are five parameters. We are explaining it would be nephromity scoring would be a system by which we can identify or describe the complexity of a mask with five parameters. R, B, E, and so on and so forth.
4:04
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
This will help you impress your, when you're taking the boards, impress your examiners. Because if you're just going to rely on, you know, signals, and maybe you won't understand. So this is also a practice for you to be able to know how to deliver this. I know you know this, but...
4:30
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Okay, so for the juniors, Dr. Paulino, let's start by, maybe what you can do is, yung assignment ni Dr. Asinas, maybe you can laminate, create a printout and then laminate ito, and post nyo sa call room nyo. Kasi ito yung mga non-negotiable, these are non-negotiable items that you must know before you finish your urology program. Okay, next. PJ, PJ. Yes, Dr. Paulino.
5:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I think what they lack is, one, number one, when you get the report from the CT scan, they will already put their uniformity score eight. But I think what is better for the residents is to really go down to the CT scan and then really look at the images and really get to know and find out and measure the...
5:25
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
measure the distances, measure the size, and look at the plate. Because for you as a surgeon, if you look at the plates itself, you can determine later on if you would have a difficulty in doing the partial nephrectomy if it need be. So I think that's what's lacking now. And I really urge the residents to.
5:49
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Really go over the CT scan images because when you scroll up and down the images, you can really find out what that nephrometry score will really tell you. Thank you. End of comment. Thank you very much, Pastor. Practice will be perfect. You do it every time. Okay. So if there are no more questions regarding this case, maybe we proceed with the next one. BJ, question.
6:25
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Yes, yes. I just want to ask the complete TNM of this case, Justine. For the TNM staging, it would be stage 1, T1N0X0. T1 what? A, B, C, D, E, F, J. T1D.
6:55
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Practice TNM so that it will be very, very easy for you when you reach the years. And these are clearly very important in terms of knowing the management, knowing the follow-up of this patient. Thank you.
7:24
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Okay. For our next case, we have AM, a 73-year-old male. He is a known case of prostate adenocarcinoma stage 1 with bone metastasis post-PORP last 2023. One week prior, he sought consult at the ER due to acute urinary retention where polycatheter was inserted.
7:51
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
On PE, abdomen is soft, non-distended bladder with fully cathetered in PCOG3. Our consideration is bladder neck contractual. So we did a flexible cystoscopy guided FC insertion. And our plan is to do cystoscopy and transurethral incision of bladder. Good question.
8:21
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Yes, question from Dr. So you already did flexible urethrocystoscopy? Is that right? Yes, at the ER. So you already see if there is a stricture or a bladder neck contracture? Is that it? Yes. So why do you consider it? Bladder neck contracture.
8:52
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So what are you planning to use in doing the DUI-BNC? We plan to use a cold knife. Where do you incise? Usually we incise at the 5 and 7 o'clock position for another neck contract. Dr. Lazala, are you satisfied already with the answer? Yeah, but sometimes we do the...
9:37
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
It's what they call Mercedes incision. You add another one, 12 o'clock. The 5 and 7 is also good enough. It's almost the same as the TUIP. But it depends on...
10:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
how the contracture looks like. And sometimes you might need to add another incision at the 12 o'clock. End of comment. Thank you. PJ, can I ask a question? Yes, no. That's the differential diagnosis. I think we're missing a lot here. That's the differential diagnosis, the other contracture. Do you have any other differential? What's the PSA of the patient?
10:33
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Actually, for pending labs. Pending labs. But I think Dr. Bollong, what Dr. Bollong is trying to ask here, is there a possibility that the prostate is the one that's causing the problem? The prostate itself, so baka merong mga modularities or adjacent tumor growth?
11:00
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
However, we did flexible cystoscopy. They already have the benefit of flexible cystoscopy, so they were able to narrow it down to strictures. So, wala kayo nakita ang mga tumor, sa tumor bed, sa may prostate, wala kayo nakita. PJ, PJ, I have a question. I'll ask Dr. Bolong first if he's already sent. Dr. Bolong, are you okay with that?
11:25
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
No, I'm not happy. PSA I think is very important at this point. Yeah, may I give a comment for Dr. Bolong too? Okay. I think that's what Dave said is very important because the PSA, if it will be elevated, you have to correlate it with your hemoglobin, it's down. So not only are you dealing with a...
11:47
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
problem with the bladder, but you might be dealing with something more systemic. So this is what you have to look out for. Metastatic is it? Is it the cost for the hemoglobin that's down? Are there anything that you have to do moving forward? So it's not only a local problem that you'd be dealing with, but probably a more systemic one.
12:11
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Okay, so in relation to that, before I recognize Dr. Abilin Liv, there's a question here that might relate also to the questions of Dr. Bolong and Dr. Panganibad. From Dr. Garcia, do you have a video of the flexible? It was the bedside. Okay, so sabuti natin si Dr. Abilin, you're recognized.
12:39
S… Speaker 5 (GMT20260225-231431_Recording_1920x1200)
I think one of the differential diagnosis natin na pwedeng i-consider, yun sa question ni Dr. Bolong, is meron ba itong concomitant na detrusor under activity? So, you can test this by doing bedside cystometry para ma-anon nyo lang kung nagko-contract ba yung bladder or hindi. Tapos, yung...
13:02
S… Speaker 5 (GMT20260225-231431_Recording_1920x1200)
Yung sa another thing na sa Korea kasi, what we do with UIBN for those bladder neck contracture, we do lateral incision. So 8.30 or 9 o'clock and 3.30 or 3 o'clock position. Although dun sa Mercedes-Benz sign, there's no direct comparison between the two na lateral incision saka yung tri incision.
13:52
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
Thank you very much, Dr. Ability.
13:58
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Okay, so any other comment? Dr. Bolong, you would like to follow up on your question a while ago? Thank you, PJ. Ang learning kasi natin is, when you have a case like this, you have a bladder neck contracture, lalagay niyo yung differential diagnosis niyo, and how do you rule out each one? Yun ang theoretical part ng...
14:45
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I have a patient with bladder neck contract. Your patient had the radical TURP.
14:52
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
He's presently on a biratoran and tryptoral stage 4 diagnosis. So, what...
15:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Your differential diagnosis, okay, brother neck contracture is one, recurrence is two, second is reflexic bladder, but you can easily rule that out. Other things that you may have to think of, is there an infectious process? When you make a process flow or thinking process for your patient, so you will know how you think. Kulang, kulang tayo, kulang.
15:30
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Thank you. In the interest of time, I think we have a lot of cases to discuss also, and we're left with 40 minutes now. With your indulgence, I would like to move on to the next case.
15:59
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Will you inject, while you're preparing for the next set of cases, there's a question here from Dr. C. Will you inject mitomycin at the area of bladder neglect to prevent future similar episodes? I have a question for the seniors. Progress. Maybe we can also pick the mind of Dr. C. regarding his experience with this.
16:45
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Dr. Singh, can you enlighten us also with your experience? I have limited experience with regards to this. Actually, I have no personal experience. I just saw it in some of the literature.
17:05
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Okay. Thank you, Doctor. Okay. Thank you, Doctor. Dr. Aveline Lim, I think she's raising her hand. O manitiyan ba yung kalina pa?
17:18
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Ah, yung kanina pa. Hindi, hindi. May bago. Bago, bago. If okay lang, sasagutin ko na ito. Para magbigil ako ng tip for the comment of Dr. Arsinas, yung to be careful with doing the incision kasi it may end up having incontinence. So for the residents who will do this case, you should first identify the external urethral sphincter. Malalaman mo naman yun eh. It's usually just distal to the veromontanum.
17:48
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Right? So, makikita mo yun sa scope mo na parang nag... Nagko-contract siya. So, yun. So, basta yun yung major landmark mo so that you will not end up having a...
18:04
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
incontinence. May danger kasi yan eh. If you're doing the Mercedes-Benz sign, kapag nando ka na sa 12 o'clock, pwede mo ma-damage yung urethral sphincter dun sa 12 o'clock. Kasi the shape of the urethral sphincter, yung location and shape niya. So, there's a danger if you do the 12 o'clock incision sa Mercedes-Benz na technique. Baka lang masira niya yung external urethral sphincter. Yun lang.
18:33
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Thank you very much, Dr. Lin. So please take note of those comments. Okay, so we now move on with Dr. Raisi Buban. She'll be presenting the pre-op cases for Chinese general hospital. Go ahead. Good morning, doctors. We only have one pre-op case for next week. The rest are already presented. Patient MP, a case of a 29-year-old female who came in due to left lung pain.
19:04
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
December 2025, patient had onset of left lung pain and workup revealed nephrolithiasis left. No fever and patients sought consult with private bureau advisory. However, due to financial constraint, patient opted consult at our institution. Patient is known hypertensive with noted normal labs. CT's tonogram revealed.
19:30
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
left inferior galex of 0.2 cm and 0.3 cm with left ureter pelvic junction stone of 1.5 cm with 980 units. Time is for cystoscopy, RPG, rears, left, possible ECN. Can you show the CT scan? While waiting for the CT scan.
20:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Are there any questions regarding the history from our audience?
20:19
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
rebuild and obstructing ureter pelvic junction. No fibral episodes. Have you done any culture sensitivity testing? You really see it as negative. You understand that it could be negative because the system that is concerned is obstructed. So you cannot take that as Bible truth.
20:44
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
On the other hand, is the facial view of the brain titis tonogram. No questions? So pretty straight up, I guess. No questions. So retrogatorial surgery. So just be sure.
21:13
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So what would you do if, for example, once you release the stone or the obstruction, ang lumabas ay medyo murky ang urine? What would be your ending na muna? No more questions? Yes, doctor? Question to Jake. Who made the plan for that patient?
21:47
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Kasi nakalagay rarest possible PCNL.
22:23
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I'm thinking of maybe we'll do it the anti-grade lipidoc to a PCNL doc. But your primary plan is for years, isn't that right? Our years, good though. Okay, thank you. Okay, so we move on to the next part. We'll be presenting postdoc. For our next cases, we have...
22:58
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Je, a 58-year-old female who underwent cystoscopy, RPG, URS, laser, followed by Rear's right, DJ stand insertion. In here, this shows the RGP, and then this is the stone scene, and post-operatively, we did not, was unable to
23:36
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
to render the patient stone-free, there was still routine stones, the invariable. I missed the information. How big was the stone initially? Actually, based on the results, it was just 1.8 by 1.7. However, how can a 1.8 by 1.7 be a staghorn calculus?
24:09
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Based from that result. Did you see that? Did you see that? Did you see that? Did you see that? Are there any cases involved? We're talking about nomenclature. Maybe you're relying too much on the report brought about by the radiologists. There's no other views.
24:38
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
How do you define staghorn for basic in-service exam? Staghorn calculus is defined as stone in the pelvis involving two or more minor calluses.
25:02
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Anyway, that's probably because of the report given to you. But you have to have your own definition. Yes, Dr. Lasala. Go ahead, please. I think I remember that this was presented previously. And if I remember it right, PCNL is...
25:31
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
advice dito sa procedure. What happened? Nag-rears kayo. Tama ba? Okay, look. So, for this case, Doc, we did ureteroscopy, Doc, and then we're able to reverse the ureteroscopy, Doc. For the PCNL, Doc,
26:23
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
If I remember it right, when I commented on that,
26:30
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
angle ng pelvis into the inferior calyx. And therefore, when you push more the flexible ureteroscope, it will go farther, not closer to the stone. Do you remember what I said last time then? Hindi aabot yan.
27:01
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
P.J., along with Dr. Lasalla's statement, can you show us the RPG? Because again, if you look at it, when you're, I think, your urethroscope was there and then your sheet was there, it's very acute angle to reach that stone, even if I'm not a...
27:24
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
The TCL guy, I can see the difficulty what Apple said. Look at that. Your angle between the, what's that? The uretroscope, you know? Acute na acute. So you really end up with the stones in the lower pole. This was, I think, discussed the last time also. Your infundue pelvic and caliceal angle. So talaga mag-iwan talaga kayo dyan, no? But that was saying,
27:55
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
That was a surgical decision that you'll make, but you just have to tell the patient that you could have done also probably the PCNL or come back for that, you know, that you can't really remove all the stones there. Actually, I was able to actually view the stones.
28:25
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The lower bone stone dock, however dock, malakecia dock. And then I had more time dock. There were other stones dock in the, small stones dock in the other Achilles dock, in which I had more time dock in evacuating those dock. That's why dock, when I was about to do the, or to pulverize the lower stone dock.
29:05
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
Just to put things in context.
29:37
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Actually, the ureteral stone...
29:42
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I was more confident of doing it retrograde level for this case. But if I don't have a ureteral stone, would you still have done bears for this case? Or outright PCNL? For better stone feed, PCNL is a better option.
30:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I see it. When you decided here, you were trying to extract the ureteral stone. But since you still had time, there was no complication. That would have been a different thing. That would have been a different thing. I don't know. I was just asking. Dr. Lasala, please. Arcee, muna.
30:30
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
I think, Jed, di ba napag-usapan na natin dito that the primary treatment should be PCNL because of the presence of the ureteral stone na sinabi pa natin na ang haba huge and the kidney stone is not that small. Nagtuloy ka pa rin ng RIRS?
31:00
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
I think, kasi the problem is, merong overindication, quote-unquote, ang RIRS sa inyo eh. Because maybe of convenience, hindi ka na magdadapa, hindi ka na magkakaroon ng repositioning. So, even stones like this, parang natatandaan ko, sinabi mo ko pa na if you are Yalsita or Lazala, you can do RIRS. But if you're just beginning, sabi ko, it's impossible to clear this everything out.
31:35
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
And then this is a very good case for PCNL kasi dilated yung system. And you can always use the ureteroscope kung ang worry mo is the distance. So I think, Jed, next time you should plan it well. Wag tira ng tira. Don't be a trigger-happy surgeon. You should plan your surgery well.
32:06
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Pignan mo, look at this stone in the kidney. Sobrang laki. Kahit yan lang yung stone, you will never clear that. One more comment from Dr. Lazala and then we move on to the next just to save time for the interest of time.
32:26
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
For me, since you've tried rears for the proximal ureteral stone, I have no problem with that. But what stopped you for doing PCNL on the inferior KDCL stone? So if you do rears, then it will become easy IRS. So what did stop you?
32:54
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
in doing PCNL for the inferior caliceo stone. Alam mo na, halimbawa, hindi na, how long ba na, how long did it take for you to do the rears in attempt of doing rears on the inferior caliceo stone, Jed? For this case, for the inferior caliceo stone, about one and a half hours for the laser time.
33:23
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
And then for the ureteral stone, 40 minutes. And then... Then what stopped you from doing PCML on the inferior caliceal stone? You can even do that on a supine position, yung antag dito, modified valdivia position.
33:51
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
You can do the rears at the same time prepared for possible supine PCNL. I think, yes, it's noted of the vendor option. In hindsight, yes, PCNL should have been done. At this time, I was thinking that... What are you talking about hindsight?
34:28
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
It's not hindsight. It was suggested and recommended based on the distance of the stone and the size of the stone from the pelvic angle. Even me, if R.C. says on the level of Dr. Shalsita or Dr. Lasala, I won't even do rears on that patient.
35:04
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Right, sir. Okay. Thank you, Dr. Lazara. Because there was maybe a discussion with the attending. So I also give the benefit of the doubt to the resident that was solely his decision. Maybe it was a shared decision between him and the attending. And I would like to open the floor also. Give the floor to Dr. Bisner. He has a comment also.
35:32
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
future plans for the patient of Dr. Bissner. So I'm planning to do the BCNL on the second. Because you're planning to do it anyway in the future. What prevents you from doing it in that same setting? Do you already have eight easiest, right? Just the same as the common.
36:12
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Because I was just relating this to the previous case, right? The previous case you mentioned, 3 years possible BCNL. So why did you not do this in this patient?
36:26
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Kasi kung ganito ang decision-making mo, then maybe in that same patient, the other patient before, the previous patient, baka ganito rin gagawin mo. We'll do clears and if you lack time already, if you're time pressured already, then you will forego with the PCNL. Then do it on another setting. It's more expensive for the patient. No, no, no. Great. Thank you very much. So we move on to the next. How many cases do you have again?
37:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
10, 2 pa, 2. So we did the same time for our rundown. This patient is our 49-year-old Neil, came in with routine work of nodded nephrolithiasis and came in for clearance as a C-pair. The patient is diabetes. We'd see this sonogram of 0.4 by 0.5 UPJ-Catellite and 0.2 by 0.5, 404 to 750 CL stone with...
37:30
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Patient underwent cystoscopy, RTG, rear step, DG-step insertion left. Patient was rendered stonesfield after the next patient is JD, 58-year-old. Sorry, you have a comment here from Dr. Ursua. I think even the ureteral stone is accessible through PCNI. I think he was pertaining to the, referring to the previous case. Okay, so that's well noted. Dr. Ursua, thank you.
38:12
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For our last case, we have Jade, 58-year-old female, referral from GS. They assessed it as appendicial phlegmon and we did pre-op stemming.
38:32
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So I think the biggest takeaway for this pre-op post-op, it's not just you're attending, you should also listen to your other doctors and maybe you should discuss also the consensus of the other.
39:23
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Yes, Dr. Bolong?
39:52
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
And then in this case, what you did was you consulted one and then...
40:15
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Do you still do the green paper? Are you doing the green paper and then it is signed by your consultant? Wala na. That's a prerequisite for PDU.
40:32
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
They are looking for that, and that's part of the requirement. We'll have to implement that again. Okay, so from now on, before the procedure can be done, it should be signed, deferred to a junior and a senior consultant. Because, you know, yes, doctor. Although not, hindi naman lahat ng case is a, kailangan ng somewhat,
41:04
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
scrutiny from both junior and senior. There are run-of-the-mill cases. But for complicated cases like this, siguro it should be a shared decision between the junior and senior consultants. Another thing is that minsan na-abuse yung excuse na ay sabi yan po ang gusto ng consultant of the month. Although the consultant of the month
41:32
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
will only decide kung ano yung nafe-feed mo sa kanya na information. If you don't feed the information na ito was discussed during the pre-op, post-op, whatever, there are other things, eh, syempre, suede yung kanyang decision towards your decision din na gustong gawin. So, it will really depend on the resident who is referring. And in this case ba, sino ang attending?
42:03
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Maybe you can... Dr. Bisner requested the... It's not him, but it's requested anonymity. Ah, okay. Sorry. In this case, I'll tell you, Doc, it's just small and it's easy, Doc. I think it's very accessible by RIRS. Ah, okay, okay. You can do it. It's just like that.
42:27
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Ang sasabihin ng attending, but if you will tell, Doc, there was a discussion, there was a discussion from the group that this case is somewhat a complicated case, somewhat a tricky case, mapapaisip yun. So, yung decision ng attending will depend on your information na pinipid mo sa kanya. So, if you want to try to sway na maging somewhat in favor of you,
42:55
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Okay. Siyempre, ipipid mo yung a few information. So that is a somewhat na-abuse yung excuse na yun about the decision of the attending consult. Yun lang. Thank you.
43:44
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So the case went to the medical director. Una pa lang na sinabi ng medical director at may approval ba ng inyong consultant ang ginawa? The answer was no.
44:18
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So you do not bear the responsibility alone. Remember, these are charity patients. Every penny is important.
44:36
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Can you get the point now? You are not alone.
45:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
make things lighter. Okay, just to settle everything, I think this is an administrative issue that might be addressed by using maybe since we have the benefit of the pre-op post-op, maybe we can weed out cases that should be referred to especially if not the main consultant of the month. The consultant of the month as mentioned by Dr. Arsinas might
45:25
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
be okay to handle the run-of-the-mid cases, so to speak. But if we're able to see cases like this that needs expert opinion from our specialists, like, for example, involving Dr. J.M. Orsua for these cases, it would be helpful also.
46:06
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Please take note of those recommendations. These are very helpful recommendations.
46:12
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Junior, senior. For difficult cases that are picked during the pre-op post-op, we call in the specialist, designated specialist. So it depends. Pwede yung head of the unit or head of the subsection or meron kayo sa subsection meron naka-assign for that blind item. It is si Locke Yans. Nagbilang na din si Locke Yans. At GS pa ako daw.
46:50
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I'm sure that's important. And it's something that we can avoid in the future. Dr. Arcee, how many cases are that, Dr. Arcee? Four. Four cases. Okay, very quickly because we need the time for the rundown. Please implement the green notes.
48:04
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
But you buy the green pad paper and then you print the history, then your plan, and you let the senior, junior consultants in charge sign. If it's a specialized case, then have the head of the subspecialty or anyone assigned in that subspecialty unit to sign as well.
48:26
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
We have patient MG, 50-year-old female, who underwent cystoscopy, trans-uretral incision of ureterosyl, and stent insertion on the right for ureterosyl right and double collecting system. So here are the RPG plates, the scalp fill, and post-stent insertions. So on cystoscopy, we noted ureterosyl on the right.
49:07
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
where we did an incision longitude in this. Okay. Any questions at this point? There was also noted 0.4 cm aggregate of distal ureteral stone. Were you able to extract those? Yes. Actually, for this doc, this patient had ureteral cylinder, right? So we did an inferromedial incision.
49:51
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
And then we note, after the incision duct, we noted a small sub-centimeter stone duct.
50:05
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
And then we were able to do a stone basket extraction. Okay, no questions. I think this is a straight up case. Next case. Next, we have a 62 female who underwent...
50:27
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
prone PCNL for a 6.1 by 3.3 by 2.8 CS on the left . So here is the scout film on the right and left kidney. We did stent insertion on the right and proceeded with PCNL on the left.
51:01
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
and did percutaneous access at the mid-pole. Do you need BDPCNL for this? Or standard? BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL. BDPCNL.
51:26
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Maybe I'd like to ask our experts, Dr. Lazala and Dr. Ursua, regarding their experience. At 6 a.m. stone, would you have gone for a PCNL? Because apparently, as a substitute, this patient was being referred to me. I was quite hesitant going for it. And I would even give them the directives to talk to the patient about the possibility of a staged procedure.
51:56
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Dr. Lasala, do you have experience with 6cm stones, mainly PCNL? Yeah, pero yung stones are usually that I made, that I done, 6cm stage check. Kasi I have a 2 hour, 2 hour and a half na time limit to do PCNL. Finish or not finish, I have to.
52:28
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
To stop. That's also my thinking at that time. I was quite hesitant to give it a go when they were asking me. Kasi ako personally, I would have done the same thing stage. So, apparently this patient is well. Pero, ah, ano pa din ako? Okay naman siya. Okay naman pasyente niya. Nagka-hap. Nagka-anemonyo. Day 1 post. Okay. School time. Question from Dr. Asinas.
53:02
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So we need a 50 minute to 50 minutes po ito. 50 minutes? Bagay, 50 minutes. I would have gone for it also kung 50 minutes. Kung 30 minutes, nakalahati ka na, baka kaya talaga siya. Ang nakatakot lang kasi dyan, stones this big might be harboring large amounts of bacteria.
53:24
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
the sepsis after. You know, sometimes you won't get applauded because of something heroic that you've done. But with one mistake that the patient will have a sepsis, everything goes south. So it's not just about knowing how to do it and knowing how to do it. It's about also knowing when not to proceed.
53:50
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I'm not saying that you did it wrong. Nagawa naman eh. Pero yun nga, next time lang. Maybe pick your cases also. PJ, PJ. Yes, Dr. Urginas. Regarding the sizing of the stone, sometimes don't take it too literally. You should study it well, the images. So you can have a 6cm stone, pero payat.
54:18
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Or not that massive. You can have a 4cm stone but very massive. Do you know what I mean? It's a tridimensional structure. So you don't just check the length. Check the width and the thickness of the stone. So that's how you check if it is a doable thing for a single stage BCNL. Good point.
54:50
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Okay, next case. Next we have DQ of 60 years.
55:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
old male who utterwent cystoscopy, RPG right, systolithotripsy, and lapaxi. URS, laser lithotripsy with DJ stent insertion right for systolithiasis and ureterolithiasis. So here is the... We were able to remove all this on the ureter and that. Stole-free then? Okay. Okay.
55:35
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Then we have Evie, 65-year-old male, who underwent mesh, post-prostate CA, who experienced inguinal bulge underwrite.
55:51
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Wait, what do you think is the reason why the patient developed her? Weekend posterior. Yeah, it's a weekend, but other than that, the reason why I'm asking... The patient underwent a radical prostatectomy last year. So, they may have compromised. Posterior domino. The reason I'm asking is...
56:20
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
when you're treating these problems, usually it's secondary to another problem. So, when you operate it, you wreck the hernia, and the pre-existing problem that brought about this hernia is still there. It will be recurrent. So, what are those things?
56:39
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Surgeon ka, GS ka na eh, di ba? Dapat alam mo yan. Smoking, straining. Smoking, to be specifically yan. COPT, di ba? Hugo, coughing, ano pa? Earing. Ano pa yung mga earing ka? Staining. History of lower urinary symptoms. Ano pa? Non-neurological, but still important.
57:06
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Constipation, di ba? Lahat na nag-incase ng intra-abdominal pressure. So you were able to rule those out. Wala tayo lahat. Okay. Yun yung reason. That's our last case. Last case. Okay. I think we have a presentation. Give the floor to our partners. Meron tayong short presentation from them. Maybe you can introduce Dr. Gio. You have the floor. Please introduce the partners. I would like to call our Sir Ote from Pasqual Pharma, our sponsor for today. You will have a short presentation.
57:40
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Bye. Bye.
1:00:01
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Thank you. Thank you.
1:01:48
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Hello, good morning dear doctors on behalf of Pascol Park Corporation. Maraming maraming salamat po for bringing me here in front of you to present and to promote my
1:01:59
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Our products. Again, I'm Joseph, and that is the business manager of what's called Parma Corporation. And currently, yung aking medical rep is on leave, having her maternity leave. So, dalawa naman po yung aming produkto for Euro portfolio. Our number one brand is Relief Forte. Get stone relief, wheat relief. Some book addresses all cornerstones of stones management compared to other molecules.
1:02:32
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
According to the studies, sambog is diuresis, chemolysis, expulsive, and also alkalinizing. Compared to thiazide, they are diuresis. Potassium citrate, they are chemolysis and alkalinizing. Soju bicarbonate plus citric acid, they are alkalinizing. And for alpha blockers, they are expulsive. Sa sambog, they are 4. Completed.
1:02:59
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Our relief forte is the next level sambong. Kasi po lumipat po kami ng manufacturer from Pascua Laboratories ngayon po, nasa Herbanex Laboratories na po kami. Ang advantage po is yung aming current formulation, safe na po ito for lactose intolerant patient. Yung smell din po ng sambong.
1:03:23
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
It's better for patient compliance and more sturdy the tablet. It's not easy to use it compared to the previous formulation of easy or easy to use.
1:03:37
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, yun lang po, dear doctors. And I would like also to mention yung aming Zilden-Sadenophyll, 50 milligrams and 100 milligrams. Very affordable po. 50 milligrams is 94 pesos and 100 milligrams is 195 pesos. Available po lahat ito sa Mercury, Watsons, and Southstar. So, akit po. Maraming maraming salamat po sa inyipot tayo. Thank you. Mayroon, the beginning of the start paper, what's that? What's that one?
1:04:38
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Yeah, yeah, yeah, yeah, yeah.
1:04:42
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Thank you. Thank you very much. Thank you for the food. So we now proceed with a rundown of cases, the audit. We have one hour and 40 minutes approximately.
1:05:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Dr. Orlina, you have the floor. Good morning, doctors. So I'll be presenting the round of cases for USD for the month of January. So for the private division, we have a total of nine admissions, three referrals, a total of 54 operations with one morbidity case.
1:05:26
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
This new listing is based on the latest PBU guidelines. So they might be a higher number of operations. However, these are the only cases that are being counted for the residents and for rehabilitation. So for open cases, we have one partial nephrectomy and one benign renal surgery, which includes benign stoll surgery.
1:05:54
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
We have three PCNLs. We have a case of irritatory lithotomy. No bladder cases. Sorry, we have one bladder case. Not counted lang. Procedure. Then we have two transurethral ablative prostate surgery cases. Two prostate biopsy cases. One erythrotomy case. Two scrotal surgeries.
1:06:28
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
one operation for undescended testes, one case of circumcision, and majority of cases are uroradiologic procedures for a total of 28, four urodynamics and four shockwave for the month of January. So for the specifics, we have, for the open partial nephrectomy, we have GSE 66-0 female came in due to
1:07:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
abdominal pain and then work I've noted to have a... So I'll go with the private first and then I'll explain the charity. So we have a case of thiersal rinocyl carcinoma stage one, under open partial nephrectomy.
1:07:32
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
We have a case of stagward calculi. In this case, we underwent open an atrophic nepholithotomy left. Then we have a case of a series of PCNLs, wherein one, our morbidity came in with the one PCNL, wherein the patient underwent a chest JP drain insertion, the same side of the surgery.
1:08:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
However, a patient was able to be discharged immediately two days after the chest JP drain insertion. What was the paramount of the access? When they inserted the drain dock, they described it as if you should dock it. So you cannot totally roll out your access or trauma.
1:08:39
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For the purposes of learning, when did the patient have symptoms or when was the... When did the suspicion start? The ward na ba ito? The ward na ito. So okay, okay buong procedure? So pwede siyang mangyari na parang ano, no? Yes, doc. Well, the x-ray in the ward, doc.
1:09:03
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Day one post-op, the patient was complaining of the PCN with episodes of desaturation. You can see the PCN was done on the right side. You can see a planted costa-free sulcus on the right side for a doctor. Then the patient was referred to TCVS for evaluation, and they decided to put a thoracic drain.
1:09:37
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The patient was already complaining of dyspnea the night before. The resident disregarded them. So the following day, the patient already had the oxygen mask and without oxygen is 92.
1:10:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
With oxygen, it became 96. Where is your species to change? Basta PCNL, upper pole, kagad, we should think and access to the, or inadvertently open the floor. You need to put the oxygen. So, it's a funny place to clean up. You don't have to do an ultrasound to make the diagnosis.
1:10:29
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
physical examination pa lang, because of the patient's diagnosis. And then, right after that, before then, then, you know what it is that you? What is it? What is it? What is it? At what point?
1:11:13
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Which is something that we could have. It didn't manifest right after the following day. I think there was a small link.
1:11:24
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
The only thing that I failed to do during this time is when I pulled out the necroscope, I could have made the direct answer. So that's my learning there. And I hope that you will also learn it.
1:12:12
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
This one?
1:12:31
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, not CPP.
1:13:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
How long did the drain have to maintain this day? As long as the output is minimum and then it reaches x-ray 24 and 28 hours so you can pull output.
1:13:27
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
I saw the flora and we avoided the flora.
1:13:43
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
It's a learning point. So learning points for this, mentioned by Dr. Molong, if it's an upper pole axis, until proven otherwise, patient is complaining of difficulty of breathing, until proven otherwise, you suspect that. So x-ray would be in order for physical examination, actually, would help also.
1:14:06
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Because sometimes, you know, we're all guilty of this. We attribute everything because of post-op pain, the stroke side, we disregard these signs. So until proven otherwise, it's like that. Okay, any more comments regarding this case? Can we move on? Okay, next case, please. So to follow the rundown, another case of PCNL, which is unremarkable.
1:14:37
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
We have two cases for ureters. We have a case of VL-49 female, a case of urosepsis who underwent stent insertion, MA-71-year-old male who underwent a open ureterithotomy followed by re-implantation, and a series of...
1:15:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
stent removal cases. Uh, later we have a case of, uh, gross and mature, but a secondary to complicated UTI, uh, cannot totally roll out upper track injury post that we saw underwent evacuation of blood clots and stent insertion and immediate and underwent stent removal afterwards, after two, after 12 days, uh, series of, uh, two cases of whole left.
1:15:38
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
And two cases of prostate biopsy, so unremarkable results, benign results. It's 110 grams, 61, that's nucleated 43, based on pathology report in 24. Then we have a case of DVIU, then a case of a series of scrotal expiration, one case of circumcision.
1:16:25
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
no adrenal cases, and the rest are shockwave cases, four shockwaves, urodynamics, and since we have to record also all the VCUG cases already, we have to do all the radiologic procedures done in private with indications commonly for recurrent UTI. So for the charity cases,
1:17:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
We have a total of 22 admissions, one referral, a total of 29 operations. For the charity, we have one open radical nephrectomy, three benign renal surgeries for non-functioning or poorly functioning kidneys, one nephrostomy tube.
1:17:32
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
one ephrostomy, two, four PCNL cases, three RIRS cases. Most of these cases were augmented for the, since from the medical mission. One case of open ulterior lithotomy, one URS case, one case of reticol cystectomy, one TURBD, one systolic otopaxi, two prostate biopsies.
1:18:01
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For charity, mostly kidney cases. Then one scrotosclery. Then two hernias. Then we have one adrenalectomy for January. Twenty-nine doc, yung count then. We didn't do any TRP for January. Ah, walang TRP yung January. Wala pang case na. Four UST lang, walang TRP. Four T-Doc. Four T-Docs. Four T-Docs. Four T-Docs. Four T-Docs. Four T-Docs. Four T-Docs.
1:19:06
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Actually, if I can show this tomorrow, we'll also present the...
1:19:11
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The audit for the month of January. So, it's still far. For UST. So, for a total of six cases of open kidney surgery in the UST, I have the accredited number out of 40 for the two senior residents. 64 for endoscopic. 9.5 pa lang tayo.
1:19:53
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So to present the cases for charity.
1:20:02
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
We have a case of mixed epithelial trauma tumor underwent an open radical nephrectomy. A series of poorly functioning or non-functioning kidneys underwent open nephrectomies. These were already previously presented in ZAPO.
1:21:10
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
How was your experience with the house you did in the winter?
1:21:21
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For the horseshoe kidney, if you open the RPG, maybe due to the improper rotation of the kidney, the collecting system is actually more
1:21:43
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
More accessible in the interior side. And as you can see also in this second RPG slide, it looks like it's a high inserting unit there in the pelvis. Secondary to the malrotation also. So because of the malrotation, the cleanly dock is more in front. Actually, we have had an easy time accessing.
1:22:34
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So a series of PCNL cases and we have a series of RIRS cases. And we have one case of URS, laser-related privacy.
1:23:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
discussed retrocaval ureter, underwent open ureter, ureterostomy, and extravagant of stone. Then stent removal pieces. Then we have one open radical cystoprostatectomy case with ileal gondui. Then really DORBT case for a case of metastatic bladder adenocarcinoma from
1:23:57
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The TORPT was not done here though. We have no random biopsy and prostate biopsy during that time. In the consensus, when asked, actually this is not presented though. But with the consultant, proceed with it.
1:24:18
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
This could have been a good candidate because it's only solitary. And on one side, completely resected, actually, you are high-grade, high-grade masculine-based. This is pre-care anastomosis po, Doc, and two-side anastomosis. Doctor, can you use the microphone? Actually, I prefer the...
1:25:01
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
I prefer the three-year doctor. Technically, it's easier to do than the one that's technically in which you combine the two, you refer first before doing that.
1:25:47
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
we'll also take time compared to awalax. Another advantage of the awalax is just in case you encounter strictures in your anastomosis in the future, it can also happen. We already have two cases of those or two to three cases of those. So when you do the flexible school,
1:26:16
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
to check on the anastomosis picture and put a stent if you will easily find it with the wallace technique. Because you will know that if you bump into the proximal or the end part of the ilium, you will know that that's already your anastomosis. And I think the breakers, you need to find the actual insertion and if you have group B there in the ilium.
1:26:42
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
It's very difficult to locate the actual, especially if you have structure. So that's the advantage of koalas. It's madaling mag-anap ng mga long-term complications such as structure. And if you insert a contrast also, alam mo, kung nasa gulo, nandun ay yung alas ko most.
1:27:25
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
Two cases of prostate biopsies, one positive for prostate surgery. Then we have two hernia repairs, and one hernia mesh repairs, and one hydrostatectomy case. And one shared case with plastic surgery for excision of albina caratheno with scourthal advancement exam. And in the previous discuss, lapadrenatectomy.
1:29:13
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
We have total of 123 operations, 68 of which are admissions, 55 are outpatients. We have
1:29:26
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Five open kidney surgeries. We have eight endoscopic, 19 urethoroscopy, one radical cystectomy, 10 endoscopic bladder procedures, one open prostate surgery, one radical prostatectomy, and then eight total endoscopic prostate surgeries. We have three open.
1:30:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
urethra surgeries and 10 scrotal surgeries. For the penis, we have a total of two and nine shockwave cases last January. We have 13 robotic surgery and one uretero-ureterostomy. 123.
1:30:37
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So for the first case, we have patient CK, papillary renal cell carcinoma stage 1, underwent robot-assisted partial nephrectomy with histopath findings of renal cell carcinoma. Second case, we have patient MB, a 75-year-old female, a known case of clear cell carcinoma, who also underwent robot-assisted partial nephrectomy.
1:31:04
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Next case, we have patient OP, a known case of swanoma right, who underwent robot-assisted extortion of retroperitoneal mass right. Next, we have patient BE, a known case of clear cell carcinoma, who underwent open radical nephrectomy left with thrombectomy. Next, we have patient QA, a known case of clear cell carcinoma, who underwent also open radical
1:31:35
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Nephro-uretrectomy left last January 11. Next case, we have patient EJ, a known case of clear cell carcinoma, who underwent open radical nephrectomy, right? Next, we have patient AM, a known case of clear cell carcinoma, who underwent exploratory laparotomy sigmoidectomy together with partial nephrectomy, right?
1:32:07
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Next, we have patient SK, a known case of Santogrenoma 2 spial nephritis, right, who underwent open simple nephrectomy, right? Next, we have a series of PCNL, then followed by a series of PCNL, and then followed by nephrostomy tube insertion. Next, we have the ureters.
1:32:42
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Here are the series of URS laser. Then we had this patient FL, a known case of hydronyprosis secondary to ureteral structure, who underwent open ureteral retrosomy, right? And then we have another series of URS laser and followed by DJ stand removals. For the bladder, we have...
1:33:28
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Case of CM, muscle-invasive bladder adenocarcinoma, well-differentiated, underwent robot-assisted radical cystectomy with ileal kandui. And we have another patient, TC, tumor recurrence rectal adenocarcinoma, stage 4.
1:34:02
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Then we have patient CW. And then this is followed by a series of TORBTs. And then here, a series of systoletotripsy as well and systoletotripsy.
1:34:22
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For the prostate. So that the reason why I'm asking is that if you have this in your charity cases, you'll be able to know the steps in taking down the bistula.
1:35:35
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Here next we have the prostate, we have patient CP.
1:35:42
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
known case of prostate adenocarcinoma who underwent robot assisted radical prostatectomy and followed by a series of robot assisted radical prostatectomy. Next we have then we have one open radical prostatectomy with bilateral pelvic lymph node isectomy and then here followed by a series of URP.
1:36:41
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For the Robert approach, they do it all the same posterior approach. Anybody doing the anterior approach? I see we have so many Robert cases. Yes. For the January cases, we all have the posterior approach. February, not one anterior. February. Yes. And the reason for anterior, that's the preferred technique of the cerebrals.
1:37:21
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Next for the external genitalia and urethro, we have one case of penile reconstruction, patient VT, and known case of buried penis.
1:37:33
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Then next, we have urethral structure who underwent urethroscopy, urethroplasty with mucosalgraphical carnage technique. And then we have a circumcoronal circumcision due to redundant preface. And then next is meatoplasty, secondary to meatostenosis.
1:38:01
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Next, for the testis and scrotum, we have three who underwent a series of radical archiectomy. And we have here a series of open baricoselectomy and one hernioraphyde. And here are the series of... For the patient biopsy, we have a total of 14 cases, 12 of which are positive and two are negative.
1:38:41
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Yielding 85.7% yield. Our charity cases, we have 10 admissions, 14 operations, 2 open kidney surgery, 1 BCNL, 1 case of ureteroscopy, 2 cases of systolitotripsy, 2 cases of TRP.
1:39:29
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So for our kidney cases, we have patient BA, a known case of Staghorn calculus left, who underwent open anatrophic nephrodotomy left, followed by patient YS, a known case of nephrodotiasis, who underwent PCML, then a series of URS laser and one open nephrectomy.
1:40:01
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Then we also had one morbidity for charity case, which is Quixent DM, known case of ureteropelvic junction obstruction left, hospital-acquired pneumonia, who underwent cystoscopy RPG left, followed by open dismembered pyroplasty left with DJ stand insertion left.
1:40:30
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So that for you to feel a bit more relaxed. Next, we have patient SP, a known case of nephrolithiasis lab who underwent retrograde interrenal surgery. Then followed by patient DM, a known case of obstructive neuropathy secondary to rethrolithiasis right who underwent PC.
1:40:56
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
DG-stent insertion, right? And then we have patient Avery, who a known case of placenta previa, totalis per preta, who was referred to as intraoperatively, and we did a systoric, together with hysterectomy.
1:41:24
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
with bilateral cell finger operectomy. Next, for the prostate cases, we have a series of ERPs. And then for external genitalia, we have, for the bladder, we have one case, a patient MW, known case of bladder outlet of reference secondary to urethral utiasis, who underwent cystoscopy system of little lapax.
1:41:59
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For fusion biopsy, we have three cases of fusion biopsy in the charity division, two of which are, the negative one was positive. That's all put up. So, thank you very much, Dr. Flores and Dr. Bubat. So, do we have questions from the online audience?
1:42:36
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
That's all.
1:43:13
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Thank you. Thank you.
1:43:47
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So far, no questions from the audience. Okay. So with that, I turn you over again to our chief, Dr. Gio Pong. I'm inviting everyone for upcoming strategic planning for our consortium on Saturday.
1:44:14
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
It will be at the sixth-floor auditorium of Chinese General Hospital. Maybe we can ask the admin from the Chinese General Group, Dr. C. Apple, Dr. Letran, if you have any things to consider for the agenda for this upcoming strat plan for the consortium going on.
1:44:54
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So we finished early, so there's still an hour left. So we just...
1:45:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
the time remaining for meeting, for meeting for the postgrad and the consortium meeting this Saturday. So if you want to stay, you can stay, but we'll go ahead with the meeting already. Thank you very much. Thank you. Can I say something? Go ahead. Yeah, we'll just think, fine tune everything.
1:45:37
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
By next year, hopefully one candidate for the Euro 1 can be selected from the Chinese Gen side. Because from the general surgery, I think they have a lot of potential applicants that goes to waste. So at least probably they can be considered as candidates for you. Like a plantilla from Euro 1 until Euro 6.
1:46:13
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
So I think if ever there's a potential candidate for Chinese, one potential candidate, then that would be a priority. Then one would be coming from USD. If ever there will be none from Chinese gen, then probably we can get two from USD.
1:46:41
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
But as we previously mentioned in the meetings, the applicants should apply as residents and then we will process them as applicants in general, so not specific to an institution.
1:47:03
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
Of course, the applicant is free to apply, but we still need by merit to accept them, if ever. So regardless of where they came from, etc. That's what I understand from the previous meeting. But of course, the applicant is very welcome.
1:47:28
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
To address the question of Avi, Avi will still have a meeting later, 6pm, but we'll just make use of the time remaining now. So until 10am. So first we'll post here the agenda for this Saturday. Then if you still have time, we'll discuss the post-grad. Because the Eurolympics already nears on March 28th.
1:47:57
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
If GEO will post the possible agenda for this Saturday, then we'll just arrange it in order later. Excuse Carlo. I'm not sure if you have included the criteria for taking official leave for presentation of papers in international conventions.
1:49:04
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So, great idea for allowing residents to go on a research or talk about a daily week. Yeah, okay, thank you. Thank you. Gio, Carlo, I think we also have to discuss when we review the applications, if they have to be accepted, how will we pay the residents from both institutions in light of the fact that we still have an existing MOA?
1:49:33
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
between Chinese and UST. It has to be discussed also.
1:50:13
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
What's useless is that we don't really need to use. Since there are 5 gifts, if we don't apply and seriously apply, that is basically useless.
1:51:01
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Any other additional agenda?
1:51:24
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Yes, yes, that's it. Next time I'm going to discuss slides and these same questions we've been having in the province.
1:52:38
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
We'll be able to update everyone on Saturday.
1:52:57
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So you should be able to present the calendar for travelers so if there are comments from everyone.
1:53:21
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
The conference topics too. We don't want to know.
1:53:57
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So, how are you for that? I don't want to be for that. I don't want to be for that. I don't want to be for that. I don't want to be for that. I want to be for that. I want to be for that. I want to be for that.
1:54:28
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
We have discussed it with the Chinese website. Although, it's either an internal arrangement, but in their eyes, they don't have one month. But it's still an internal arrangement. But if the sanctions should be based on the protocol in each institution, you cannot impose that. They can't afford it for your role.
1:54:57
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
and the protocol of that.
1:55:06
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
They should not adjust for just one specific subspecialty. So from the Chinese side, please check the sanctions. What sanctions you prefer to give the residents?
1:55:29
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Where if they fail to pass the exams, continuously fail to pass the exam, then maybe the Chinese gen group can think of possible solutions on their side.
1:56:13
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
That will be more from the Chinese then.
1:56:37
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Actually, it's been a long-long talk when we were in Japan. It's been a long-long talk when we were in Japan. It's been a long-long talk when we were in Japan. It's been a long-long talk when we were in Japan. It's been a long-long talk when we were in Japan. It's been a long talk when we were in Japan.
1:57:11
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I feel like they would be able to do something like that. They would be able to participate in 2020. And by default, they would be automatically accepted. If they would be able to participate in 2020. That's why I would like to participate in 2020. If they would not be delayed, because they would be able to participate in 2020.
1:57:43
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Noong 2027. Kasi pagkanya niyan, tatapos na isang year, wala nang retro ranking na rule. So, napagbitingan kasi sa, ano, sa STAT sa Japan, sa International Association.
1:58:09
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So we will also talk regarding the sponsorship of each institution, support from pharma.
1:58:57
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
What if there are minor conventions from sub-specialties? I said, that's still an honor for that exhibition.
1:59:09
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So that's it. Things to decide on. If you're a designer, you're going to pay for it. If you're not going to publish it, you're not going to publish it. In the poster, it's subject to decision. If you're not going to publish it, you're going to present it in Mexico.
1:59:37
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
I didn't like the letters.
2:00:06
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
We can review it. We can review it. We can review it.
2:00:36
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Seven breakfast, okay.
2:01:02
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
What's the name? What's the name? Rotation. Rotation residence. Battle by, if you're six months ago, it'll be three months. You don't have to pay for GS. It's not the GS side. It's a Euro side. It's a Euro side. It's a Euro side. But it's a GS. It's not a consortium of GS program. So one year GS. Two years GS. So if you're here at GS atin.
2:01:45
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
But in Euro 1 and Euro 2, they'll be excused to attend our conferences. So, in Chinese, you have to ask them. I'm not a fan of the conference. We will have potatoes. Usually, they rotate to us. They don't have to pay for it, because they have to pay for the award. I don't know how to pay for Tires. I don't know how to pay for Tires. I don't know how to pay for Tires. I don't know how to pay for Tires. It's Dr. Manila.
2:02:14
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
That's right. He added a rotation of residence, then... Euro-1, Euro-2 rotation. Euro-1, Euro-2 rotation. So let's know if it's here or equal. Ask Dr. Buro. Because Dr. C. About the rotation, the cost of G. In USD, that cost of course.
2:02:47
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The Chinese general will pay for two years. Our GS, like GS here. No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no,
2:03:36
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So first, what are the minor details that have grown? I don't know how to change the rotation here. Maybe the one that said that Euro 6 should be...
2:03:54
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
In the end of the year, there may be a very rare nature case. It was a Chinese dad, but we don't want it to be a young singer. We're from Chinese dad to US.
2:04:31
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Thank you. Thank you.
2:05:01
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
Yes. Yes. Yes.
2:05:39
S… Speaker 6 (GMT20260225-231431_Recording_1920x1200)
Let's say that building in Chinese Gen will be all up and running in about two or three years. Might, and we have more cases already, will there be a chance that they will allow us to increase a number of residents? Is there a ratio or something based on the PBU? If ever, I'm just thinking...
2:06:06
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Moving forward, I think we just have to prepare for that. So I think they will allow that. Government institutions with big numbers of cases, like ISAB, JR, I think they have three per batch. So I think they will allow that. But we have to show the numbers. Yeah, correct, correct. I agree with you. I'm just thinking forward that if they put... I think Jason knows about this, we will have one floor.
2:06:38
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
of that 10-floor building coming up all to ourselves. So maraming patience yan if ever. But I think that they will only allow that if we really show them the numbers. Yeah. Okay. Charity. Charity lang yan. Charity lang yan. Charity. Okay. Thank you. I think that's all for the agenda. So just prepare all the files na lang. Tapos para we'll just revise it.
2:07:10
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
As it is Saturday. Then, now we go to the post-grad. We'll discuss first the Eurolympics.
2:07:46
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Two procedures, two competitions. Yung lap, urethrobesical anastomosis, stipulation for laparoscopic radical prostatectomy. Actually, may gamit na naman ito, hindi lang nag-defrost. I'm going defrosting lang yun. I'll send a picture na nakaset up na siya. Intestine, tapos yung stomach ng chicken.
2:08:34
S… Speaker 5 (GMT20260225-231431_Recording_1920x1200)
Can you run off Oriana's first deal regarding sa anong dalawang
2:08:45
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
On March 28, Saturday, our two procedure will be laparoscopic uretrobesical anastomosis and second is reconstructive urology which is the uretroplasty. Uretrobesical meaning? Post-ratpros. And for the reconstructive urology uretroplasty. So in the morning,
2:09:17
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
We will do a lecture, doing the retroplasty, and how it will be done in the modern scope. After we have... The retroplasty is the lecture, but the competition is the only. Maybe we can also focus on building, harvesting, what are the grafts that are used.
2:09:45
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Thank you so much for joining us.
2:10:13
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
And for the...
2:10:34
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So we haven't analyzed yet.
2:11:10
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Dr. Ian, Lorenzo. He has a fellow. Gors. I thought I was informed by him. What did you call him at the Olympics? My post-credo. Do you want to ask Dr. Ian? Ian. If not, who? Herial. Herial, yeah.
2:11:45
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Then focus on the tips and tricks of anastomosis. 9 to 10, half of it. 8 to 9, 9 to 10. And the rest of the day will be for the competition.
2:12:23
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
But we are planning to do the participants during the first COVID, the other half is doing the electroplastic challenge. And that's why it's very simple.
2:12:48
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
I'm not going to finalize that because it's close to me.
2:13:07
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
They have to commit because if you don't have a commitment, it will be the final number. We'll do a time schedule for the Eurolympics.
2:13:34
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I don't know. I don't know.
2:14:10
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Then 8am to 8.45. Then 8.45 to 9.30.
2:14:40
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
orientation of schedule, orientation of judging criteria, orientation of how to go about the competition. So, union rules or rules. So, union 9.45 to 10. Tapos, 10 to 12. Usually,
2:15:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
10am to 12, the first competition of RC2. Then the lunch time, 12 to 1. Then 1 to 3, the next competition is another competition. The orientation of rules and judging criteria. Then 10am to... So who will orient? Is he a consultant or a resident?
2:15:51
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Anong model nyo nga pala?
2:16:11
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Ganda nyo to ah. Actually, hindi naman kailangan box to eh kasi naka-accurate na yun. Ang ganda nyo. Anong model nga to? Ano yun? Ah, hindi yun, Frozen. Kailangan Rome. Hindi, hindi. Ah, sa Risa. Hindi ko pa lang kung kailangan frozen, makakamang na-appretal na siya. Tinatry ko. Tinatry ko ngayon. Kasi pag dino, hindi ba siya dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali-dali.
2:16:47
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Yeah, it's a good intestine.
2:17:15
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
We have two announcements, right? Usually we have two announcements, right? We have two announcements, right? We have two announcements, right?
2:17:51
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The actual agenda.
2:18:03
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So what do we do in 10 to 12? Do we have an alternate plan?
2:18:42
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Kailangan din natin ma-check yung time.
2:18:45
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
What's the time we're going to give to the quilting? It's quilting right now, isn't it? There's no cold carnage. There's no cold carnage. They're going to mix it out. They're going to mix it out. They're going to mix it out. They're going to mix it out. They're going to mix it out. They're going to mix it out. They're going to mix it out.
2:19:15
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Maybe yung medyo yung mga masyado na nag, makamagandang siya. Hindi kailangan maano na natin. Ang importante yun yung nairapat tayo dati, yung criteria for Judging, saka yung time. Kailangan mapasok natin 4 hours lang yun. Pasok yung ilang institutions yun. Kali ang attending natin, 10 institutions. Kung 10 institutions, hindi ba yung 240 minutes, ilan yan?
2:19:52
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
All 12 has to undergo...
2:20:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
20 minutes? Wala pa ang log time. So, 20 minutes per, ano yun? 20 minutes. Ang tanong ba, feasible ba? Patakos sila yun. Hindi naman na sila magda-disek eh. Feeling ko kaya na. 20 minutes, enough na siguro yun. So, by harvesting, duck and quilt.
2:20:33
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, I want you to try the didactics. You can try it. The anastomosis, you can do it now. What is continuous? Continuous, usually. Continuous. The style of Toto. You can do it. Feel up. Feel up or simple.
2:21:16
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So, next, for this week, what you need to do is try it.
2:21:24
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Pag-practice nyo na rin yun. Pag-time nyo na. Pag-time nyo na para alam natin yung time frame natin. Kasi kung hindi kaya, pwede na mati-extend ng 4 to 5 yung announcement of winners. Pakakulangin tayo. So, itry nyo na this week. Tapos, coordinate na with the lecturer speakers kung paano nila ito go about the competition.
2:21:51
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Then one is the criteria for judging. How do we subtract the points like in urethroplasty? What are the points of deduction? The rules are important for objective scoring. It's not just time. We have deduction, deduction. You can ask Toto how to do it.
2:22:18
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Eurethroplasty. Pero nakita mo parang baboy ng pagkagawa. Diba? Para lang just for the sake naman nila. So may mga deduction dapat yan. Ano ba yung, tanong mo si Toto, ano ba yung mga gusto niyang points for deduction? Kasi hindi lang pure time. Ganon din sa anastomosis. Ano ba yung, mabilis ka niya natapos, pero ano ba ang requirement natin? 3 knots, 4 knots, and then, tapos, ilan ba dapat loop?
2:23:01
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I want to finalize this lecture. Paano po yung requirement?
2:23:31
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So next meeting for the Euronim Geeks, another meeting next meeting. So what you accomplished right now, I'll just summarize it. Summarize it, Jim.
2:23:55
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The actual rules and the inputs from the model.
2:24:21
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
If you have a challenge, a lab rad cross challenge or a urethroplasty challenge, you can do it again. Then you have a picture of a urethroplasty lab rad cross. Then you can send a letter to the institution. Then you can check your attendance, who is going to go. You can vibrate again.
2:24:52
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
For us to know what's going on. It's about 15 institutions. The time is missing.
2:25:02
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Let's prepare for our food. How is our food? The food... We were talking about it. I had a sponsor to bring it to us. For Eurolympics. For Eurolympics, it was really a yes. There was already a dog on the farm for the fellowship.
2:25:33
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
For the Pura kasi. Magpapang fellowship ka. Last year, walang tayo fellowship, diba? For Pura. Pinatanong ko lang ha. This year, meron ka. For the rest. Kasi usually, it's the Eurolympics tournament. Di ba mag-aalisan yan? Atin ba sila talaga? Ina lang siya namin na head of time. Party party kaya. So, expensive section yan.
2:26:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
I need to sponsor you. I need to sponsor you. Sponsor you? Arista Panto. Arista Panto. Okay, Ajanta Panto. Separate yan sa mga sponsor sa Arista Postgrad. Hindi siya nag-sponsor sa Arista Postgrad. Hindi siya nag-sponsor sa Arista Postgrad. Hindi siya nag-sponsor sa Arista Panto. Magpa-meeting lakas. Sila daw yung cover. Sabi yan, meron ka. Ikaw na bahala dyan. Okay, okay. For the trailer tonight actually ng Postgrad, tatlong nag-commit ka siya.
2:26:40
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, ito. May ano ko ba ba dyan? So, yung things to accomplish next week for Eurolympics kasi malapit na talaga. So, e-poster. Importante ah. Send ka na the letter to each institution. So, okay na tayo. Tulungan kayo Jed ah.
2:27:09
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So now we go to the postgrad proper. This will be on April 25.
2:27:30
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
You know, Dr. Rolls, you really want to do it. But on Facebook, he replied, he said, nice deal. You know, it's bipolar. It's the backup. You're going to take it. You're going to take it. You're going to take it. You're going to take it. You're going to take it. You're going to take it. You're going to take it. You're going to take it.
2:28:01
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
He's going to leave. Apple can't. I agree with Apple there. He's going to leave a message. Maybe he's going to leave. Who's sitting there? He's going to leave. It's hard because he's going to leave face-to-face. Support Apple.
2:29:05
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Invite natin yung alumni G or Postgrat.
2:29:09
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Because in other institutions, it's a great support for alumni. Even the other provinces are going to go for their postgrad. So I agree that they will have a fellowship night for postgrad. Because that will attract also identities from our alumni. Because sometimes they just want to go for fellowship night. Because when it's good for the support, it's better for the pharma. They don't know, they're 100 plus students.
2:29:44
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, next year, mas gusto na nila mag-join sa postcard natin. Pero pag for ang attendees natin, wala. Next year, baka mahirapan tayo sa sponsorship. Nice.
2:30:22
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
For the female urology though, okay na po yung speaker.
2:30:27
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Korean. What is that? On-line. And Avi, transvaginal approach. Trans-free. Avi has done that. I don't know if I did that. Sacrospinus.
2:30:56
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
But it's like Euro, it's transvaginal. Is CSID video? Ah, it's transvaginal. It's transvaginal. Fixation. But what's it? What's that? Prolapse. That's what it's called.
2:31:31
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Transvaginal approach in BVF, prepare and prolapse. Mabilis lang yung BVF. Tuturo niya lang yung landmarks. And then si Abby. Abby Lynn, baka pwede. Kasi may robotics tayo, may transvaginal approach.
2:31:51
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Very interesting yan. Abby, can you include in your video the procedure you need yesterday? Abby? Prolapse doc? Another completely different doc. Saka mahaba yung prolapse eh. Hey, gaya mo yan. BBFM prolapse. Hindi kaya nga suggested another topic for you. Ano lang topic?
2:32:19
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
If not, it's a different year. You can make shorter time, 9.30 to 9.40, then 9.40 to 9.50 for a different topic.
2:32:46
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Hi, Lynn. Titignan ka muna yung quality nung ano, Doc? Yung kit ng CSID. Kasi hindi ko pa nakukuha eh.
2:32:54
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Hindi ko kasi maraming maging interested kung maraming ting female Eurology. Kasi like HALF by HALF medyo gaskas na rin siya. Halos lahat ang institutions nagpo-postgrad ng gano'n. Pero for a female Euro, konti lang. So this is an added exposure kasi. Hindi, ano na lang daw. Idagdag dun sa female Euro. Tapos i-adjust yung time. So ilagay lang namin temporary B. Okay lang. Okay, final na yan. Kung hindi tayo.
2:33:46
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Let's try it.
2:33:51
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Yeah. Ah, yeah. Pero titignan ko pa yung video ah. Kasi hindi ko alam kung parang yung video. It's tiny pa yun. So maganda yan. Nagayaw mo ng time. 9.30 to 9.45. 9.45 to 10. Oh, tigpe 15 minutes na lang ano? Ano? Separate time. Tignan ko BBF. Mabilis lang din yan. Ayan. Si Mike Tan. Puro-puro yung sa'yo. Oo nga. 9.45 to 10. Tapos adjust mo yung open forum. 10 to 10.10.
2:34:52
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
For this industry sponsor, I asked again...
2:35:00
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Yes, Parma. I don't want to. I don't want to. I don't want to. I don't want to. I want to. I want to. I want to. I want to. I want to. I want to. I want to.
2:35:30
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
It's open to... It's not really theoretical, Abil. It's just a video. So how many sponsors are you, Gio, for the whole event? No. Okay, that's it. Why, if there's a lot, it's too much advertorial. At this meantime, we'll talk later.
2:36:28
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Very interesting female urology. Maraming sumunod kay Adeline. Jed.
2:36:40
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
A female urologist, Jed. You need to use the urodynamics. Isn't it, Abby? Is it already passed? 9-10 to 9-10. Abby, Jed. 10-20. 10-40. 10-40. Rudy. 10-40.
2:37:15
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, my God. Ibigay niya na ng formal letter lahat ha. Hindi ko siya nakakausap. Pero kami ni Justin, kinukuha niya na yung record na CPD. Yung 11 to 11.20, hindi daw po ang sinaparagdahan na dyan. Ah, nasa Japan daw. Ay yung nagsuggest. Anak ni Doktor. Yung kalbo.
2:37:57
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Very ultrasound.
2:38:13
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Transparental. Transparental. Transparental.
2:38:29
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, you missed the letter, Gio? Tulsa. Then you'll sign it, right? They'll sign it if they confirm it. Because if it's a letter, you can't sign it. So, letter, my confirmation, you'll sign it. Usually, that's in PUA. I'll give you a formal letter. Cheers!
2:38:53
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Then, invite the PGH. They're not usually going to attend. There's a conformer on the other side. Okay, Dr. Letran. Geo. Okay. Pedia. Okay, Dr. K. Rivera. Try mo na open forum. 11-20 to 11-13. Last year, partner natin si Lamela, di ba? Si Iman Mela.
2:39:38
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
So, inform nyo na sila. Inform sila. Ma-reserve na. Team and ano to eh. I-revide nyo. Kasi last, ilang years ago, may kasabayan natin na Orto Convention. Ay, sa Apapo pala yan. So, yun. Para ma-reserve na agad siya.
2:40:00
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
It's the area of our lecture, the food at the loob. The food is the industry sponsor. It's the Eurolympics. It's the food. It's the food. It's the food. It's the food. It's the food. It's the food. So, we'll eat our food. I'll call them. I'll give them a formal letter.
2:41:01
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
The reason is that Distal is because it's a general euro.
2:41:07
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Ah, parang si Kay yata do yung distal hypospedias. Ha? Si Kay yata yun, alam. Kay Rivera. Ang, kay Joe Anata yung mga buried penis congenital. Lagyan mo siguro ng specific na congenital para maingan nyo. Parang nakalito yung congenital. Minsan baka hindi mag-gets. Oo nga eh. Dapat penile na lang yun. Formal.
2:41:36
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Penile anomaly ba yan, pare? Si, si ba yung nagkasabi na, si Johan? Siya ba nagawa ng title niyan? Congenital. Okay, okay. Sina lang. Sina? Ah. Alam mo, siguro, para sa akin, suggested not for general urology use, yung recognizing congenital anomalies. Pero bang practical lang. Kung nakita mo to, may proteinuria yung pasyente.
2:42:11
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
which are very common, the Dennis Drush Syndrome. It's practical.
2:42:41
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
What can you do? There's a suggestion for Doc. Do you ask them about the title? Maybe they have a label that exists. So they don't have to label so much.
2:43:20
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Do you call them Phosphomycery? Are they still a new brand? Do they want to follow up? They told me that they want to go back to you. The IV of Phosphomycery? No, they have the Monurals. Maybe they are the same company.
2:43:50
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Or how do you do it? Field care, not field care. Of course, you can use the DSBL, the combination drugs. There are a lot of them. I hope they don't decline their self-tracks. You can do it by 20 to 130. The Agi Bakhtang, the distributor.
2:44:55
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Why is there though?
2:44:54
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
You love me.
2:45:20
S… Speaker 4 (GMT20260225-231431_Recording_1920x1200)
And next, what else?
2:45:35
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Okay, let's go to 1.30. Until 1.30. Until 1.30. Until 1.30. Confirm. Confirm, right? Okay, right? Brian, ciao.
2:46:03
S… Speaker 3 (GMT20260225-231431_Recording_1920x1200)
Can we proceed to the designated evacuation area?
2:46:33
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
10 minute break or whatever, 1.20 to 1.30. Same kind of wee-wee break. What's your lecture, Labrancha? What's your live or recorded? Coffee break. Confirmed it. So, open or close the live or recorded question mark. What's your question? But it's confirmed the same, right? We're not here.
2:47:05
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Robotic divine gender reaffirmation. Robotic divine gender reaffirmation. Okay. Okay yan. Sige di ba. Tingin ko live yan kasi inaano nila yung timing. Yung time ng difference. Kino-compute ni Toto. Pero hindi live surgery. I mean live next year.
2:47:41
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
It looks confirmed that everything is correct. Maybe Ian Lorenzo is not correct.
2:48:39
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
You would say that no matter how or what the... Si Karl siguro daw.
2:48:53
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Do you see it? Experience-wise, Doc, because it's the name of the CPI. Do you see it? I don't know. I only saw it in the hole, but the tulle, and the rears. But the rears. Why not? It's like a practical tip. Practical tips.
2:49:20
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Here, Doc, the team here is the Robotic Guerrears. Joy, Doc, has experience in Korea for robotics. Unless now we add another session for the fans. We can do it just in case.
2:49:51
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
Oh, yeah. Baka sabihin ko sa kanila. Sila mag-responsive na. Sila po yung medication.
2:50:02
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
If you want, you can replace the robotic PSNL into fans.
2:50:37
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
That's it, Carlton. You invited me. Fans with the expert. Did you tell me the title? Flexible. What does it mean by fans? Access. Access. What is that? Flexible. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate. Navigate.
2:51:23
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Very nice. Very nice. Thank you, Doc. So 320 to 330 now the open forum. And awarding of certificates, closing remarks, awarding of certificates.
2:52:22
S… Speaker 1 (GMT20260225-231431_Recording_1920x1200)
I know.
2:52:29
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
It's not a GSK It's not a GSK It's not a GSK It's not a GSK It's not a GSK It's not a GSK It's not a GSK It's not a GSK It's not a GSK
2:53:03
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So next update it's going to be the poster, if it's okay. It's ongoing, the poster, the requirements for the CPD units. So far we're up to the clock, we can submit an initial, we can confirm it so that we can submit the update.
2:53:44
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
So far Gio, we can end the...
2:54:08
S… Speaker 2 (GMT20260225-231431_Recording_1920x1200)
Speaking at the... Thank you pa na. Thank you pa na for the guests. Thank you pa na mag-tagout. Thank you for attending po our conference. Thank you.

This transcript was generated by AI (automatic speech recognition). May contain errors — verify against the original audio for critical use. AI policy

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