Endogyn Kruschinski and Steward More of ENDOGATE

From http://www.adhesionrelateddisorder.com/Endogate-Papers.html  

“IHRT is hoping that for once we are NOT correct in our stand regarding what appears to be "bogus" claims made to harvest persons afflicted with ARD to Endogyn, as if we are, many, far to many victims of ARD, have been victimized again......... We, at IHRT, DO in fact, proclaim ourselves the defenders of those afflicted with ARD, and we will continue our quest to stomp out the injustices dealt them wherever it continues to exist in the world, indeed as we are their defenders... PLEASE remember this if you do not go any further in this message!
MANY of Daniels patients have returned home with reports from him stating they had NO adhesions in the second look! Within a few weeks or months, they are left wondering why and what is causing pain that seems to be from “adhesions,” but how could it be if they were adhesion free when they left Germany! These patients start the same process of diagnostic tests, pain medications, fears that this pain is for life and NOT from adhesions, do not be to quick to claim a success out of Endogyn as in doing this without giving yourself time to REALLY know if in fact you did receive a “clean” peritoneum from a surgery at Endogyn, what your doing is feeding information and hope to a very desperate and suffering group of people who will do everything they can to get there for their “miracle,” only to learn to late that YOUR story wasn’t as good as you represented it to be! They turn to Daniel with questions, only to be offered another surgery, at a discount, and if this is refused him, watch out! (You will see why I say this!)

http://www.adhesionrelateddisorder.com/Dawn-Rose-Op-Reports.html

It is my desire, if not my duty to try to talk to you with some candor about what is happening at Endogyn, Emma Klinic, Frankfurt, Germany under the auspices of Daniel Kruschinski. This isn’t the first time I have approached this subject, and the times prior to this can be found recorded in black and white, within IHRT.
Back in 2003, & 2004, I was accused of unjustly “persecuting” Daniel Kruschinki, and others whom favored his attention, however, the line between investigating and persecuting is a very fine one...and my dear people, by no means were my intentions meant to persecute anyone during those times, nor are they meant to persecute anyone today with all of this rhetoric about Endogyn. Today, as in the other episodes dealing with Endogyn, I will deliver my points with facts, and tell the truth of these issues by using peoples own words, and I do this to bring to you information that I think will protect you from making decisions that are NOT in your best interest!

I am of the opinion that all human beings have a built-in allergy to unpleasant or disturbing information, but unless we recognize that if we insulate ourselves from the realities of the world in which we live, the world of ARD, we will be kicked around, and bullwhipped, and damned! We easily become victim to “hearsay, rumor, gossip, unfounded information, unconfirmed reports, and false promises! We can easily fall prey to those who seek to benefit in both “financial” and “egotistical” ways by using methods that distract, delude, amuse, sidetrack and isolate us so that when they come in for the “kill,” we are non the wiser of the scam!
There are those who look at all of this “Endogyn banter” in shock and repulsed by it, and there are those who work at perpetrating it... and both may see a totally different picture of it all, but no matter the sides taken in these issues, for some, it is too late to make a difference!
If what I say about this depravity in Endogyn in the material I write is responsible, then I alone am responsible for the saying of it, but I've searched my conscience and I can't, for the life of me, find any justification for NOT bringing it to the attention of the public.

I also can accept that there are, on every story, two equal and logical sides to an argument, and understanding the position those promoting Endogyn have put me in, causes me to produce hard facts backed by credible material in my attempts to protect more persons afflicted with “Adhesion Related Disorder” from coming into harm by seeking a surgery at Endogyn by means that they might otherwise think are credible!
The line between investigating and persecuting is a very fine one...however, I will not walk by fear of another’s words against me, I will not keep silent because the subject is “unpopular & uncomfortable” for some, I will not speak words that only seek approval from others, and never question or challenge, because I do not fear to write, to associate, to question or to challenge, nor do I fear being “questioned” & “challenged,” when it comes to defend the causes of persons afflicted with “Adhesion Related Disorder.” To be “silent” only serves to give considerable comfort to those who perpetrate crimes against other, thus when I see an injustice, I will not remain silent!
I may have been instrumental in the beginning for promoting Endogyn, however, when the reality of the situations there became evident to me, I immediately made them public and did my best to expose the truth, but even in that attempt to save others from the dishonesty and harm that was going on at Endogyn, I cannot escape responsibility for the results.

The material you are about to read is NOT what I THINK it to be, but what I KNOW it to be!

The more the subject of, “The Hypoxic Side Effects of Carbon Dioxide by Gasless Laparoscope’s,” is researched by me, the more it appears that all of us were deceived by information and claims made by Daniel Kruschinski, Karen Steward, & Helen Dynda, among others, about the hypoxic side effects of carbon dioxide by gasless laparoscopy! Other information presented by them, is bogus as well, and I will stand by my words unless it can be shown otherwise!

Though this “exposure” of facts might be to late for many who went to Endogyn because they believed the words of these people, it is still better late, then not at all! For all who are either, NOT “well” from the experience, or “worse” for the experience, and in a number of cases, financially harmed by one or more return trips to Endogyn because they “trusted another surgeon in hopes of securing desperately need medical intervention for ARD,” I am so sorry. “May God Bless you!”

For all who perpetrated this deception against your own group of people, “May God Be Kind to You,” when you face him, if you face him, in the mean time, I hope you lose sleep knowing that you led many to additional injury at Endogyn because of your selfishness and egotistical goals in life! I will state that I do not think that Daniel created this situation he finds himself in today, (all of this hype about him and his 100% miracle procedures,) I am of the opinion that some of his patients simply felt that because someone they knew got better from his surgery, they were wanting of that for everyone, One big problem there though, was they wanted that so bad that when others did not get well, they turned to unscrupulous means to harvest patients to Daniel, who merely exploited it and rather successfully.
I will be showing you, through the posts of persons making what appear to be “unsubstantiated” claims about the “benefits” to patients having abdominal/pelvic surgery at Endogyn with the “Abdolift.” The posts you are about to read, are only a fraction of such posts making claims for "research" and "stats" regarding the "benefits" of "gasless" surgery.)

Suggestion:
If you go into one of the URL’s to find information related to "Gasless surgery"
use your PC keyboard as follows to make your search easier:
* Simply click the keys "Ctrl " and "F"
* At the same time and a box will appear for you to type in the word "gasless."
* This maneuver will automatically highlight where every word, " gasless" is mentioned
within the article.
* You can do this with ANY word on Any page you bring up in your computers!!

Next related post: http://ihrt.blogspot.com/2011/08/endogate-papers-endogyn-kruschinski.html

Robotic surgery gains popularity

Patients appreciate faster recovery; surgeons report ability to see better

By Rhiannon Meyers

Corpus Christi Caller Times

Posted July 23, 2011 CORPUS CHRISTI — As the patient lay motionless on the table, her belly exposed and marked for a hysterectomy, Dr. Laura Shelton prepped for surgery.Shelton removed her plastic face shield and pulled off her sanitized surgeon's gown. She sank into a rolling chair, pushed up her long sleeves to the elbows and kicked off her tennis shoes.

For the next hour, Shelton performed the hysterectomy in a pair of pink and gray ankle socks sitting at a console 6 feetfrom the patient.

A live video feed from within the woman's abdomen illuminated Shelton's pale blue eyes as she worked a set of joysticks guiding robotic arms that cut, cauterized and sutured.

This, Shelton said, is the future of surgery.

The growing popularity of this pricey equipment — which can cost more than $2 million, according to some estimates — has sparked a debate on the merits and risks of robotic surgery.

Both local hospital systems now have surgical robots in an effort, hospital officials say, to provide minimally invasive surgery that shortens patients' hospital stays. Christus Spohn Health System bought one last year and Corpus Christi Medical Center added one in January.

Surgeons who use the robots say the technology allows patients to recover quicker because they lose less blood — less than a tablespoon, in some cases — and the incisions are smaller, sometimes less than half an inch.

"We can have them back on their feet in a week instead of six weeks," said Dr. Stan Shoemaker, an obstetrician/gynecologist who operates at Corpus Christi Medical Center. "It's a much more attractive alternative."

Advocates also say robotic surgery causes less physical strain on the surgeon and could lengthen a doctor's career in the operating room. Shoemaker said the robot also allows him to perform more challenging surgeries in a minimally invasive way.

"I'm not nearly as frightened about a tough case," Shoemaker said.

But others argue that the benefits are overstated and driven by marketing, at times by the robot's manufacturer, Intuitive Surgical Inc., which earned $1.4 billion in its last fiscal year.

One recent study suggested there was no solid scientific evidence to back claims that robotic surgery is more precise and results in less pain. The study, released in May by Johns Hopkins University School of Medicine researchers, also argued that hospitals often use Intuitive Surgical's promotional materials and fail to talk about robotic surgery risks, including claims that such surgeries can take more time, causing patients to remain under anesthesia longer, and that they are more costly.

There remains a healthy debate about the merits of traditional surgery versus the robotic procedure, said Dr. Benjamin Lowentritt, a urologist in Baltimore who solely offers robotic surgery.

"I don't think it does anyone any good to declare it as a cure-all and the perfect treatment," he said. "I would not advocate (open surgery) in my practice, but at the same time, I don't fault anyone for making that choice."

Still, Lowentritt said, it's difficult for any hospital to opt against offering robotic surgery because of the strong patient demand.

"I wouldn't want to go to a hospital that didn't have it for my prostate care," he said. "To be a center that provides the full complement of care to your patients, I think it is something that you should have."

Plus, he said, robotic surgery acts as a good recruiting tool for new surgeons.

"As time goes on, hospitals and communities that don't have them will more and more have difficulty attracting newer and recently trained physicians," he said.n n nFor the past 1½ years, Debra Cantu, 34, struggled with near-constant pelvic pain and an overactive bladder. She popped pain relievers at least three times a week and ran to the bathroom once an hour. She woke frequently at night to use the restroom.

Shelton diagnosed her with uterine fibroids, which are noncancerous tumors, and possibly endometriosis, a painful condition where tissue typically lining the uterus grows outside the uterus, becomes inflamed and eventually develops scar tissue and adhesions, which bind organs together and causes pelvic pain, according to the Mayo Clinic.

Shelton recommended giving Cantu a partial hysterectomy using Christus Spohn Health System's da Vinci robot.

The robots are controlled solely by the surgeon, who sits at a nearby console and views the surgery through a viewfinder, where the images are magnified 10 times and appear in 3D.

Robotic instruments, which look like miniature forceps, are inserted through tubes in the patient's body. The surgeon uses joysticks to direct them to pinch, cut and sew.

Using a pedal that looks like a car accelerator, the surgeon can move around a small, lighted camera, usually inserted through a tube in the patient's belly button, to peek around organs and zoom in on blood vessels. The surgeon uses another pedal to deliver bursts of electricity that cauterize, or burn, tissue and blood vessels to seal them and stop the bleeding.

As Shelton worked at the console Wednesday – shoeless, she said, so she could better feel the pedals – she navigated the instruments past organs and blood vessels that filled the flat-screen televisions on each side of the operating room.

Shelton pointed to scar tissue and adhesions that marred the inside of Cantu's pelvis and decided she had to do a complete hysterectomy. It was the only option, she said, that could relieve Cantu of her pain, even though it would force the mother of two into early menopause.

It was an option they had discussed in a pre-operative appointment, but once Shelton saw in excruciating detail the extent of the scarring from Cantu's endometriosis, she said she realized the problem was worse than expected. Cantu's ovaries had adhered to her abdominal wall and scar tissue was tucked underneath her uterus, a typically hard-to-reach area for a surgeon.

Shelton said she wouldn't have been able to see such detail with traditional surgery, which likely would have been more challenging.

"The visualization is key," she said. "I could see exactly where the adhesions were, exactly where to cut."

Lowentritt, who said he was skeptical at first of what he thought would be a gimmicky new technology, said the visualization provided by robotic surgery changed his mind.

"I feel like it has made me a much better surgeon because I could see for the first time in ways I couldn't with open surgery," he said.n n nWhile hospitals nationwide offer robotic surgery for a variety of procedures, from heart surgery to gastric bypass, the local hospitals so far only offer it for gynecological and urologic surgeries, such as hysterectomies and prostate removals.

All surgeons working with the robot must be trained.

Christus Spohn Health System bought its robot for urologists at Spohn Hospital Shoreline, but officials moved the robot in March to Spohn Hospital South so it could get more use, spokeswoman Katy Kiser said.

The hospital system has used it 115 times, and five gynecologist surgeons now operate on it, da Vinci representative Michael Isaac said. Kiser said the hospital system has plans to train more surgeons on the robot and expand its surgical offerings, but no plans to buy additional robots.

Corpus Christi Medical Center bought a newer version of the robot in January and surgeons there since have performed 150 gynecologic and urologic procedures, hospital spokeswoman Lisa Robertson said. Twelve hospital system surgeons are trained on the robot, she said.

Dr. Joseph Wagner, director of robotic surgery at Hartford Hospital in Connecticut, said he considers a robot thoroughly used at 500 cases a year.

He suggests hospitals consider expansion if their robots hit 350 to 400 annual operations, well above the usage level at Corpus Christi hospitals.

Kris Muller, spokeswoman for Corpus Christi Medical Center's parent company HCA, said robotic surgery does not cost patients more than traditional surgery. Some insurance policies cover the full cost, others do not, Shelton said.

n n n

While the debate continues about the cost of the technology and long-term benefits for patients, there seems to be little argument that robotic surgery is better for the surgeon.

Surgeons say robotic surgery leaves them less fatigued, allows them to see better within the body and gives them the ability more easily to suture, or sew tissue, than they could with traditional laparoscopic surgery, a type of minimally invasive surgery in which surgeons work at the bedside using long, slender, chopstick-like instruments inserted through small incisions in a patient's body.

Dr. Alan Nesbit, a urologist who operates at Corpus Christi Medical Center, said the robot is easier on his body than traditional laparoscopic procedures, which left him exhausted.

His knees, hips and back ached after standing for five or six hours at a patient's bedside, his arms positioned in an awkward manner over the patient's body.

"No matter how strong you are, it's a very physical surgery," he said.

Shoemaker said, without the robot, his persistent back pain and arthritis likely would have forced him to take a break from surgery. Robotic surgery allows him to rest his back by sitting in a cushy chair at a console, instead of standing for hours at a patient's bedside.

"It's extended my surgical career by 10 years," he said.

At Cantu's hysterectomy on Wednesday, Shelton chatted easily while she performed complicated maneuvers within Cantu's pelvis. As she flicked her wrists at the joysticks, the robotic instruments pushed a tiny, thin needle with barbed-wire-like thread in and out of the tissue. Shelton said she was operating within a space the size of a pingpong ball.

This is the kind of technique that, if done in a traditional laparoscopic way, would have been more difficult and physically draining, Shelton said.

"I feel like I'm going to go exercise now and I wouldn't have wanted to go exercise had I done it laparoscopically," she said after the surgery. "I would've been too sore. I would've said, 'I've done my exercise for the day.'"

n n n

Experts say robotic surgery is likely to expand in coming years, particularly as the technology improves. Surgeons say they expect the devices will get smaller and eventually provide tactile feedback, giving surgeons back the sense of feel that they traded for the magnified, high-definition vision that came with robotic surgery.

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ARDvark Blog Journal of Adhesion Related Disorder: Intraperitoneal adhesions-an ongoing challenge between biomedical engineering and the life sciences.

ARDvark Blog Journal of Adhesion Related Disorder: Intraperitoneal adhesions-an ongoing challenge between biomedical engineering and the life sciences.