"Prostatectomy Redo Performed by Dr. David Samadi.." Where do they get these #s???

Clock, at the bottom of page (Spanish page) it says "click to view similar articles" or something like that, click on that and you will see the english version.

This should be the english version:

http://www.marketwire.com/press-release/Prostate-Cancer-Survivors-Story-Robotic-Prostatectomy-Redo-Performed-Dr-David-Samadi-1418535.htm

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the person who posted Samadi's link posted it to ridicule him, ot to advertise his services. The URL is from his own site(s) and as such isn't spam.

Bob - he patient in question is Steve. He poste dhere. Linked his employers home page with his picture and his story ( same one as in press release ). He got chased away here by a very limited number of people who questioned his authenticity. He was no different than you and I in wanting to share his story, find a community, and help others. I have since shared a bunch of correspondence with him via email. I was greeted with the same reaction here but unlike me, he decided to throw in the towel and move on. He refused to stay. That is not what the owner and moderators of this forum want. I am sure of that.

Of course this doctor thinks he's better than most doctors. First off, most doctors think that of themselves. Secondly, in all honesty, there is a group of elite robotic surgeons and he's part of that group. He doesn't only take gleason 6 btw, I am gleason 7 and I know of a gleason 8 he treated.

I don't think he would take advanced cases as from my understanding these require more than surgery alone. I understand these require radiation and HT.

Here I am, still a newbie to this site (somewhat), and this is at least the third time this intellectual "donnybrook" has occurred.

Wasn't it about 2 months ago that dr. Tewari's junior partner wrote a piece that appeared in Bloomberg that a skilled urologist needed at least 1,600 DaVince's before he/she could claim to be good? That to me was more insidious than Samadi's nonsense.

The fact is, 3 years ago, these "kings of the universe" had no competition. Intuitive Surgical, the company that makes these machines, is hiring sales people like mad, and selling them as fast as they can make them. In 5 years, mark my word, there will be neighborhood DaVinci surgery centers everywhere, much like the ubiquitous MRI machine.

All these md's are doing is protecting there supposed turf. I guess they are better doctors than marketers.

Bronson, as always, said it correctly.....caveat emptor.

1600 seems high for sure, but in my personal opinion you want at least 600. However, the more the better, that's for sure. Better to go with a surgeon you hate who's performed thousands over a guy you love who's performed a hundred or so.

Intuitive used ( hired???) Samadi to go train other surgeons (including my local guy). Surgeons like Menon, Tehwari, Samadi and a handful of others are not scared of competition in this particular area of prostate cancer. They are very well established and their livlihood isn't going to be threatened by some local urologists dabbling in the technique. In fact, in anything, these local urologists do all the hard work, discover the cancer, only to see their patients go seek out these highly established and experienced surgeons.

There is also one critical piece of logic missing here. These guys, most of them at least, genuinely have a passion for what they do and want to spread the word of what all this really means. It's easy for us to look at this from the position we have acquired via our personal experiences, but try to remember how ignorant and scared you first were when you found out you had prostate cancer. hat these doctors publish is reassuring in my opinion, not spam.

James - certainly worthy of discussion. It's the reactions of a very limited few that are uncalled for and in my personal opinion can theoretically expose the forum itself. This surgery took 59 minutes. Mine with the same surgeon took 3 hours. From what I understand he averages around 2 hours per surgery. He never once during my consultation suggested he would break some sort of time record, he only told me he would take care of me... and he did.

Davidg, you said, "try to remember how ignorant and scared you first were when you found out you had prostate cancer. hat these doctors publish is reassuring in my opinion, not spam."

What this latest release from Dr. Samadi's practice essentially promises the newly diagnosed is, in a nutshell:  place the ports properly, go to work, and 59 minutes later the patient is "cured of cancer."  Another month and he's continent and sexually active again.

Really, do you think that's helpful to men newly diagnosed?  Again, I'm sure he's a top-notch surgeon, but why publish this stuff?

That's an interesting point, David, and there's another point to be made here.  I've been around here for about 7 months, but I think I'm still regarded as a "newbie," and as a newbie (and maybe I'm alone in this) it seems to me that newbie opinions are frequently ignored on follow-up discussions, while points made by a core of "veterans" are referenced. 

On several occasions I've found myself wondering why I bother to post when remarks made after mine, which essentially mirror exactly something I've already posted, are the ones further discussed by veteran posters.   I think there's a sort of "club" here, and I don't think I've yet fully gained admission.  I suppose that's just human nature.

I wasn't going to say anything about this, but yes I did find that odd this morning, and I only bring it up now because other new posters may feel the same.

Clock,

I see you as much a regular as anyone else here. You have made many a decent and caring post in my observation, so please don't feel that way. If there is a club, and I don't think there is, I am not a member of it, nor would I want to. I consider myself a free agent here.

I have seen the "ignoring" of newer posters here by a select few, and have even thought it was rude on their part. But that is not the common practice here, nor would it be in the spirit of HW.

What bothered me, is I read casey's post, and it pissed me off, and I responded to it. The fact that our two posts on the same subject at a similar time, was purely by coincidence.

I would love for Casey himself to clarify what he meant, but I think we both already know the answer to that.

If James response had included both of us, I wouldn't have given it another thought. I don't like being singled out, if others are saying or feeling the same way.

You are doing great here, I would advise to stay.

David in SC

davidg said...


Of course this doctor thinks he's better than most doctors. First off, most doctors think that of themselves. Secondly, in all honesty, there is a group of elite robotic surgeons and he's part of that group. He doesn't only take gleason 6 btw, I am gleason 7 and I know of a gleason 8 he treated.

/quote]



So why aren't the other "elite robotic surgeons" conducting their marketing and claims of cures like Dr Samadi? He may be a great surgeon but his internet conduct has been reprehensible. Why is that? Why should Dr Samadi get a pass here? Even if he's not running this side of his practice he still remains responsible for his "press releases" and web site which IMHO is quite tacky and in poor taste. Outlandish impossible claims, patient testimonials as if it's promoting food supplements. Plus w.tf is all this about 59 minute operations? If I'm undergoing major surgery I sure don't want my surgeon watching the clock trying to get it done in under an hour. Oh well if nothing else maybe that "press release" will be used against him in the future in a malpractice case. Included will be his speed surgery too I imagine. I'll add what others have said. He appears to be a successful surgeon placed in a major hospital so why all this from him? His peers either know better or face it just have more self respect or are less greedy than Dr S. What's next half hour operations claims followed immediately by an inpatient lap dance, just to show off his 87% potency rate?

Post Edited (Ziggy9) : 3/29/2011 9:16:24 AM (GMT-6)

ziggy, that was a pretty good post, actually made me laugh out loud, that's not an easy thing to do with me. good going.

Purgatory said...
ziggy, that was a pretty good post, actually made me laugh out loud, that's not an easy thing to do with me. good going.

Thanks Dave, I'll be doing two shows a day. Tell your friends to show up early next show for happy hour. Until then drive safely and tip your waitresses

...Ziggy in front of brick wall..fade to black

Most registered members of this site have already decided upon their treatment. If it was Robitic surgery they chose, it has likely long since taken place. I ahve no motive other than my concern for other guys at this point. I have nothing to gain or lose.

I didn't read a single word in that press release that was posed as a pca patients heartfelt story, about the type of pca he had, the level, the biopsy, nothing. You would think that all pca is the same.

Unless you knew better.

We know better.

But there are others that dont.

Hence I took issue with that story because I think those that dont know better, should.

My R. N. wife and I have been talking about that press release.  She, having been in operating theaters,  made the very good point that the first surgery would most likely have been halted not by the surgeon, but by the anesthesiologist.  The surgeon would have been six feet away at the console.  It would have been the anesthesiologist who would have assessed that the patient was in distress, maybe that they were in danger of losing him.   It's unlikely that an anesthesiolgist would stop a procedure without a very good reason, and it would be a very foolish doctor who would ignore him.  It happens.  Heck, maybe the patient had some chest congestion on that particular day.  We don't know, and the first surgeon has no opportunity to defend what occurred.

How would ANY surgeon have ignored such a call to stop the procedure? How is that development the surgeon's fault?  Would it have been any different if he had 3000 surgeries under is belt?  No.  Yet the Samadi release clearly faults the first surgeon for the failed attempt, blaming the placement of the ports, which really doesn't sound like rocket science to me.

Of course in the second surgery, the anesthesiolgist would know that the patient had difficulty on the first go-round and would carry him lighter, use a different sedative, or make other adjustments.  But it's Dr.. Samadi who gets all the credit? It's just an incredibly egotistical, overly optimistic portrayal of how it all works.

And, Ziggy, I got a good laugh out of the lap dance reference.

Post Edited (clocknut) : 3/29/2011 10:34:09 AM (GMT-6)