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September 8, 2023 10 mins

In this segment, Dr. Mistry and Donna Lee discuss the benefits of a holistic approach to urology. When patients have control over their overall health and medical treatments, they have much better health outcomes. Dr. Mistry also explains the latest in robot-guided laparoscopic surgery when relating the case of a new patient with an 8-inch kidney tumor. After another urologist told her that she would need a huge incision and lose her whole kidney, she sought a second opinion from Dr. Mistry. Fortunately, he was able to offer her the very best, state-of-the-art treatment options. Not only was she able to have the tumor removed laparoscopically while keeping part of her kidney, she had very little down-time during recovery. At NAU Urology Specialists, we are huge fans of the second opinion. If you or someone you love has been diagnosed with any kind of urologic tumor, or is interested in learning more about holistic urology, please give us a call today!

Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot

Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

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Phone: (512) 238-0762

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):


Speaker 2 (00:09):
Welcome back to the Armor Men's Health Show with
Dr. Mystery and Donna Lee.

Speaker 1 (00:15):
Hello

Speaker 3 (00:16):
And welcome to the Armor Men's Health Show. I'm
Dr. Mr , your host here, asalways with my very funny and
soon to be a little older. Oh ,co-host Donna Lee .

Speaker 4 (00:26):
That's right. 47 Again, thank you.

Speaker 3 (00:29):
You know when you have to lie by your age and
you're 47 now you're old.

Speaker 4 (00:32):
Now you know you're old now you're old. You tell
I'm why That's

Speaker 3 (00:34):
Right. When Dang , when you're fake ages old.

Speaker 4 (00:36):
Oh, fake ages old.
When

Speaker 3 (00:38):
You're fake ages old, that's a problem.

Speaker 4 (00:39):
You're very close to my fake age .

Speaker 3 (00:41):
Very good, very good. I'll grow up soon. Day .
I'm Dr. Mystery . I'm a boardcertified urologist. And this
is a show that's brought to youby the urology practice, n a u
urology specialist that wasstarted in 2007 in the heart of
central Texas in Austin, Texas.
That's right. Round Rock,

Speaker 4 (00:56):
Texas. Round Rock, Texas. Where there is a round
rock. You know,

Speaker 3 (00:58):
There is a round rock. I've

Speaker 4 (01:00):
Never seen it.

Speaker 3 (01:00):
I think it gets defaced and , uh, graffitied
all the time. Really? I thinkso. It's just a rock, you know,
in the middle of a stream.

Speaker 4 (01:07):
Oh, I didn't know that.

Speaker 3 (01:08):
Uhhuh . It's not like out in the
middle of nowhere, likeprotected behind glass
. It

Speaker 4 (01:11):
Should be .

Speaker 3 (01:12):
You . You can stand on the Round Rock. Oh,

Speaker 4 (01:13):
We should record out there someday . Yes. Brought to
you by Round Rock. Yes . RoundRock. Yes . Round Rock.

Speaker 3 (01:18):
Round rock babbling.
Brooks . Our urologypractice is unique in the
manner in which we approachmen's health and urologic
health, both for men and women,all told we have a , a very
holistic approach. We try touse more natural and
nutritional based therapies inaddition to surgery and
medications and all thestandard things you'll get from
a urologist. But when you cometo us with a problem, it's not

(01:40):
just going to be a medicationor a surgical procedure that
you're gonna be offered. You'regonna be offered ways of
behavioral therapy. Cantherapy, you'll be offered
psychological therapy if that'ssomething that's important to
you. Mm-hmm . oryour problem justifies it. And
I think in the end, you leave ,uh, your treatment here feeling
much better cared for mm-hmm .
and much betterprepared to deal with things
going forward. That's

Speaker 4 (01:59):
Right. You're the first surgeon I've ever met who
, um, will prescribesupplements first. Sometimes,
well,

Speaker 3 (02:04):
Sometimes. Mm-hmm .
, especiallyyoung patients who are not
looking to get on meds. Mm-hmm.
. And , uh, I'm abig believer that feeling like
you're in control of yourhealth, you're in control, is a
major step in getting you totake control of your disease
process. So

Speaker 4 (02:17):
You mean you are in control, not you're in control.

Speaker 3 (02:19):
Not you're in control .

Speaker 4 (02:20):
We offer

Speaker 3 (02:21):
Also not You are .
Yeah. We offer lots of urinecontrol. . Yeah .
That's pretty good. Thank you.
That's why you're aprofessional. Mm-hmm .
, uh, the ideathat many times when patients
are diagnosed with a new cancerdiagnosis or stones or anything
else mm-hmm. thatthey feel is outta their
control, the first thing theyask about is what should I eat?

Speaker 4 (02:38):
Yeah. Every time you said, and

Speaker 3 (02:39):
It, it psychologically has everything
to do with about control. Well,I can't control that disease
process. It sounds like it'soutta outta control. Right. But
what can I control? And I cancontrol what I put in my body.
It'd be nice if we did thatwhen we're healthy, not after
we get sick, but there's stillthings that we can do after we
get sick. And so if you want tocome see us as a patient , uh,
want to establish care or ourfavorite second opinions

(03:01):
mm-hmm. . That'sright. So you're already under
care. That's , you're happy.
Not Happy's recently diagnosedwith prostate cancer, kidney
cancer, bladder cancer, andwant a second opinion. It may
be that we recommend the exactsame treatment as your other
doctor , surgery, radiation,whatever it may be. Mm-hmm .
. But then atleast we can layer it on with
all of our nutritional andbiomechanical and physical
therapy and all the otherthings that we do here. Right.

(03:22):
Uh , to maximize what yourfunctional outcome's gonna look
like afterwards.

Speaker 4 (03:26):
Sunny second opinion mystery,

Speaker 3 (03:28):
Sunny second opinion mystery

Speaker 4 (03:29):
. I like that. But how the ,

Speaker 3 (03:31):
It's not the best nickname that I've had.

Speaker 4 (03:32):
No second opinion mystery . I like it
though . It wasn't ver

Speaker 3 (03:36):
Pro probably the most accurate though. Right.

Speaker 4 (03:38):
. So how your wellness, our wellness
department started was back inthe day when surgeons would
tell patients , uh, you shouldreally go lose 40 pounds before
I do surgery. And then theywould send them off into the
world, didn't they? They didn'treally have a plan.

Speaker 3 (03:49):
That's right. Many and many of them, you know,
even after treatment, whetherit be for like kidney stones or
anything else, like they just,there's just no follow up
mm-hmm . on how ,how they're gonna be managed.
And I , I think that thatmanagement's real important.
Right. Uh, your questionsreally drive this practice and
the, and the show mm-hmm .
. And so weencourage you to ask us
questions and really engage us.
Donna, how do people make anappointment with us? Where do

(04:10):
they meet us? And what's ouremail? Our

Speaker 4 (04:12):
Email address is Armor men's health@gmail.com,
where you can send your amazingquestions. I try my best to
respond to every one of them,and if you miss the show where
we answer your question, I willsend it to you in a podcast ,
um, to your email address. Ourphone number is (512) 238-0762
during the week. You cancertainly ask for me. And our
website is armor men'shealth.com, where you can see

(04:33):
our smiling faces right thereon the front. Dr. Mystery , we
were about halfway through thissegment, but I wanted to ask
you, what were your favoritecases last week in, in office ?
I love it when you talk aboutthe actual in-office things.

Speaker 3 (04:43):
Well , uh, uh, two things happened that were
awesome. Mm-hmm. . So number one, we had a
superfan. Oh,

Speaker 4 (04:48):
Warren. Hello Warren.

Speaker 3 (04:50):
One of our patients, , who's listened to
every show, knew I everythingand his cataloged every single
thing came in and he's exactlywhy we do the show. Right. He
is someone who has alongstanding history of B P H.
He had elevated p ss a , he'sgot other things going on with
him mm-hmm. andhelping him navigate this

(05:10):
process in a way that helpedwhere he understood what was
going on. Mm-hmm. and he understood what the next
steps were and making sure thathe was holistically taken care
of, I think is exceptionally ,uh, good for him. Right. Uh, we
have ways of treating erectiledysfunction that people don't ,
uh, necessarily utilizeeverywhere. Mm-hmm.
and if, if , ifthe treatment's not right for

(05:30):
you, we don't do it. Right .
And that's, that's also great.
But I think my favorite case ,um, uh, this week was , uh, an
eight centimeter kidney tumor.

Speaker 4 (05:40):
Ooh . Kidney tumor.
That's

Speaker 3 (05:41):
Right. We had a 62 year old woman, she was sent to
us , uh, because of a CT scanshe had in the emergency room
for abdominal pain. Mm-hmm.
and a and a , theCAT scan found a tumor on her
kidney. Oh my . Now this , uh,what was interesting is, so
number one, about 90% of kidneytumors today are found
incidentally. That means thatmm-hmm . , they

(06:03):
don't have any pain orsymptoms.

Speaker 4 (06:04):
Why? Why incidentally, because they had,
they literally

Speaker 3 (06:07):
Have no pain. A CAT scan for no rea for some other
reason. So by luck, by luck insome ways it's kind of, you
know, super lucky that they hadthis imaging done. And because
if you do have symptoms of akidney tumor mm-hmm .
, it'll be bloodin the urine or pain or feeling
something in your flank, andthat means that thing is super
big. Oh my

Speaker 4 (06:26):
God. Like

Speaker 3 (06:27):
12 inches big, and now you have really little
chance of surviving this kindof thing. Oh

Speaker 4 (06:32):
My heaven . So

Speaker 3 (06:34):
If you have symptoms of, of cancer, it could already
be too late. Mm-hmm . You'rebeyond the curative stage.
Mm-hmm. , uh,which, which leads me to what a
lot of patients say all thetime when we diagnose 'em with
prostate cancer or bladdercancer or kidney cancer, the
first thing they say is, well,I'm not feeling anything as if
they're like, questioning thatI gave them like a false

(06:56):
diagnosis. You know, like ,well, I'm not feeling anything.
I don't think I should havetreatment. Right . I say to
them, well, once you startfeeling something, things go
downhill real quick. Mm-hmm.
. So better tofind these things early in the
process. Right. So we performsomething called a robot
assisted, laparoscopic, partialkidney removal or partial
nephrectomy. Mm-hmm.
, it's a surgery.
Takes about two hours ofoperative time. We go in, we

(07:19):
find the kidney, we find thekidney tumor. Mm-hmm.
, we ultrasound ,uh, right there inside the body
and try to determine how, how,how deep into the kidney it
goes. We find the artery andthe vein of the kidney and
clamp them off with a clamp.
Mm-hmm. . Andthen in under 30 minutes it's
like, race by the clock.

Speaker 4 (07:38):
Oh, wow.

Speaker 3 (07:39):
Because you can't keep the thing clamped forever.
Oh. You'd have to take thekidney tumor off and sew it
back together.

Speaker 4 (07:46):
Robotically.

Speaker 3 (07:46):
Robotically.

Speaker 4 (07:47):
Wow. That's , it's super cool superhero stuff.

Speaker 3 (07:50):
It is super cool every time . Do you care wear a
cape every time ? andnothing else ? Uh , it
is. No, no, no. I wear, I'mfully clothed in the operating
room, but , uh, it is , uh, itis , uh, one of the coolest
operations that we do. Mm-hmm.
, and this is ,uh, in distinction, when I
trained 15 years ago, we didn'thave the robot. We didn't have
Oh , right . All of thislaparoscopic stuff. Mm-hmm.

(08:11):
, like shewould've lost this kidney. Like
we didn't, we would never evenwould've tried to remove part
of it 20 years ago, let's saywe would've just booked her and
taken her kidney out. That'snot

Speaker 4 (08:20):
Too long

Speaker 3 (08:20):
Ago. That's not too long ago compared to , uh, but
, but, but how science andtechnology has changed over the
last, even just during my , uh,medical career has been
amazing. Right . And so ifyou're out there and you've
been diagnosed with a kidneytumor , um, this particular
patient came to me actually asa second opinion. Oh, really?
She had no insurance. She wasseen in the emergency room, saw

(08:40):
another doctor in town, thatother doctor didn't feel fully
confident that they couldremove just the tumor and Oh .
And they thought the kidneyneeded to go. And that

Speaker 4 (08:49):
Was a

Speaker 3 (08:49):
Neurologist . They , they were gonna do it with a
bigger incision. Mm . And , uh,I'm so happy for her that she
came to us because we were ableto, you know, provide her with
state-of-the-art treatment andyou , she's gonna go home in
two days and do Well, the tumorwas removed and , uh, you know,
she'll probably live acompletely normal life with
just missing just a little partof her kidney . What's

Speaker 4 (09:10):
The downtime for that? She's gonna be in bed for
a week or so.

Speaker 3 (09:14):
No, you're not in bed at all. We want you to get
up and walk around. Oh. Uh, andso we want you to walk around.
There's a lifting restrictionmm-hmm. , uh,
that lasts for about fourweeks. Hmm . But for the most
part, you're gonna feel and dofine , uh, within just a few
days. Wow.

Speaker 4 (09:28):
That's amazing.

Speaker 3 (09:29):
And that's really true of a lot of our advanced
prostate , uh, and kidneyrobotic operations. Mm-hmm.
, uh, people areup and walking , uh, much
sooner than you think that theywould be. And they feel pretty
normal pretty quickly.

Speaker 4 (09:42):
Really. Well, that's fascinating. That was a good,
I'm glad I asked you thatquestion. Hmm . Um, before we
forget though, let's give avery clear shout out to Warren.

Speaker 3 (09:50):
Yes. Warren.

Speaker 4 (09:52):
Say Warren. Warren,

Speaker 3 (09:53):
We love you. We love you , Warren. We hope , we hope
that you're listening rightnow.

Speaker 4 (09:56):
He was lucky enough to get a very fancy t-shirt
that says he's nuts forurology, just like the rest of
us.

Speaker 3 (10:02):
If you call us with a question or send us a
question or send us anypersonal insights, we'll send
you a shirt too. We have, youknow, a few of them .

Speaker 4 (10:08):
Well, we actually don't. I had to order more so
there. Hmm . That's ourmarketing budget, dead in the
water with the t-shirts.

Speaker 3 (10:15):
How do people send those questions and how do they
get hold

Speaker 4 (10:17):
Of ? You can reach us at Armor men's
health@gmail.com. Our websiteis armor men's health.com. And
please check out our podcastswherever you listen to
podcasts. They are awesome.
They're free, and they areamazing. Because

Speaker 3 (10:27):
I said something .

Speaker 2 (10:28):
The Armor Men's Health Show will be right back
to submit a question for Dr .
Mystery , visit armor men'shealth.com.
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