The Virus
12/23/2021

Today, Omicron is devastating America and the rest of the world. 
We are lucky here that vaccines are available. 
Yet some people refuse to take the vaccine for different excuses.
The question is getting sick with it and transmitting it to other people is an important one. 
What right do these people have to make other people sick with it? 
Is this freedom? 
In reading news from around the world, many governments are dealing with the virus more sturnly. I can predict that there will be quarantines for such people in the future. It may even be illegal not to take the vaccine.
I am just waiting. 
Urologic Observations
1. Patients with kidney stones
Did you know that forcing fluids during an episode of renal colic can make the pain worse?

2. Night-time Urination
Did you know that frequent urination at night may not be always due to an enlarged prostate? It could be a result of fluids accumulating in the legs during daytime. The volume of liquids will, once the patient is laying down, go to his kidneys, then to the bladder, and fill it up so that the patient has to void several times.

3. Inability to Void
If a patient is unable to void, he should stop drinking, because this will make things worse. The concept of putting more fluid in the bladder to push it through is obsolete and actually counterproductive.
Robotic Prostatectomy
There are three concerns in prostate surgery for cancer:
1. Impotence
2. Incontinence
3. Positive surgical margins
    When the specimen is sent to the lab, the pathologist will study the borders and will know if some cancerous tissue was left behind or not.
    So far, the literature is not very clear on all three issues.
    It is well known that patients with moderate grade cancers will do well, no matter what the treatment is, for at least five years. The difference in outcome for these patients is really between five and fifteen years.