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Join us at the Endo Battery table, as we embark on an eye-opening journey with the renowned Excision specialist, Dr. Mona Orady. Period pain is more than just a discomfort—it’s a crippling condition that echoes throughout the lives of many. In this episode, Dr. Orady not only shares her professional expertise but opens up about her own battles with Endometriosis.
From grappling with excruciating pain to championing a global pursuit for advanced treatments, Dr. Orady’s narrative unfolds, culminating in the establishment of the Orady Women’s Clinic. But this conversation goes beyond surgery; Dr. Orady advocates for a holistic approach to women’s health, intertwining mental wellness, physical therapy, and sexual health into her patients’ care plans.
We’re not just here to talk about the problems; we’re here to foster a community rich in support and education. No one should face these battles alone.
Navigating the challenges of endometriosis and adenomyosis becomes less daunting as we dissect the diagnosis and surgical procedures with meticulous care. Dr. Orady’s involvement goes beyond the surface—it’s about crafting a responsive, detail-oriented environment that prioritizes her patients’ journey to wellness.
Dr. Orady isn’t stagnant in her approach to giving patients the care they deserve. She highlights the benefits of the Mini Laparoscopy—a less invasive surgical approach that minimizes downtime, body trauma, and offers a viable option for those with minimal disease.
But that’s not all. In this episode, we dive into the seldom-discussed topic of adhesions and their implications on your body. Let’s break the silence, dismantle the stigma, and empower ourselves with knowledge.
Tune in for an episode that transcends the ordinary; let’s revolutionize the conversation around endometriosis together! 🌟 #EndoBattery #DrMonaOrady #WomensHealthRevolution
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A Journey Through Endometriosis and Adenomyosis
Speaker 1
0:03
Welcome
to
Indobattery
,
where
I
share
about
my
endometriosis
and
adenomyosis
story
and
continue
learning
along
the
way
.
This
podcast
is
not
a
substitute
for
professional
medical
advice
or
diagnosis
,
but
a
place
to
equip
you
with
information
and
a
sense
of
community
,
ensuring
you
never
have
to
face
this
journey
alone
.
Join
me
as
I
navigate
the
ups
and
downs
and
share
stories
of
strength
,
resilience
and
hope
.
While
navigating
the
world
of
endometriosis
and
adenomyosis
,
from
personal
experience
to
expert
insights
,
I'm
your
host
,
elana
,
and
this
is
Indobattery
charging
our
lives
when
endometriosis
drains
us
.
Welcome
back
to
Indobattery
.
Today
.
I
am
joined
by
none
other
Excision
specialist
,
dr
Mona
Arati
from
the
Arati
Women's
Clinic
,
and
I
am
so
excited
to
have
you
here
.
I
was
telling
you
not
long
ago
that
I
am
thrilled
just
to
sit
down
with
you
and
talk
about
anything
and
everything
endometriosis
,
so
thank
you
for
joining
me
today
.
Speaker 2
1:04
Well
,
thank
you
for
inviting
me
and
I'm
really
happy
to
be
here
.
And
,
yes
,
we
could
probably
talk
forever
with
you
about
endometriosis
and
everything
related
.
Speaker 1
1:13
I
think
we
could
.
Dr
Arati
,
could
you
tell
us
a
little
bit
about
what
you
are
doing
and
where
you're
at
,
because
you
just
recently
opened
up
your
clinic
?
So
if
you
can
enlighten
us
as
to
what
you're
doing
in
your
clinic
and
give
us
just
a
little
bit
of
your
backstory
,
I
think
that
it
is
powerful
to
understand
who
these
doctors
are
that
are
giving
everything
they
have
to
us
within
endometriosis
.
Speaker 2
1:40
Yeah
well
,
my
backstory
is
long
and
complicated
,
but
the
short
cliff
notes
version
is
I
decided
I
was
going
to
be
a
gynecologist
when
I
was
nine
years
old
,
when
I
was
sitting
in
a
woman's
professionals
meeting
with
my
mom
,
who
is
a
woman
professional
she
has
a
PhD
in
engineering
and
she
was
kind
of
like
the
woman
leader
for
women
in
that
community
and
the
women
started
talking
about
GYN
problems
,
their
periods
,
pain
with
sex
,
all
sorts
of
stuff
,
and
all
of
them
,
universally
,
were
complaining
about
how
no
one
listened
to
them
,
how
they
would
go
to
their
doctor
and
they
would
feel
blown
off
or
like
they
would
even
feel
embarrassed
to
bring
it
up
,
because
they
all
felt
that
,
oh
,
it
was
just
part
of
being
a
woman
that
they
had
to
suffer
.
And
this
really
hit
home
with
me
as
a
nine
year
old
,
because
a
week
later
I
got
my
period
.
I
got
my
first
menstrual
period
and
I
was
literally
curled
up
on
the
floor
in
agony
,
thinking
I
was
dying
.
I
was
in
10
out
of
10
pain
.
My
mom
,
unfortunately
,
was
on
a
business
trip
,
she
wasn't
home
.
My
father
was
kind
of
just
blew
it
off
and
I
literally
cried
myself
to
sleep
that
whole
night
long
,
thinking
I
was
going
to
die
.
And
after
that
my
mom
came
explained
to
me
.
But
then
it
was
a
long
journey
of
ER
visits
and
all
sorts
of
stuff
and
people
just
saying
,
oh
,
you
should
just
have
constipation
.
I'm
like
,
well
,
how
come
I
just
get
constipation
every
time
I
get
a
period
?
It
honestly
,
it
remained
like
that
until
I
was
a
gut
,
became
a
gynecologist
and
I
like
accelerated
.
People
don't
know
this
about
me
,
a
lot
of
people
do
,
but
some
people
don't
.
Speaker 2
3:18
I
went
to
college
when
I
was
12
.
Wow
,
I
went
to
med
school
at
17
,
at
21
.
I
was
a
full
blown
MD
studying
gynecology
,
and
by
that
point
I
started
realizing
that
women
menstrual
disorders
was
just
not
taught
,
wasn't
treated
,
wasn't
addressed
.
And
this
was
early
2000
by
this
point
,
because
I
finished
medical
school
in
2001
.
And
I
literally
graduated
by
residency
and
I
started
traveling
the
world
.
I
went
to
Brazil
,
I
went
to
Italy
,
I
went
to
France
.
I
started
going
to
every
conference
there
was
about
minimally
invasive
surgery
and
gynecology
and
just
learned
as
much
as
I
could
.
Because
I
felt
that
all
women
were
ever
offered
were
birth
control
pills
or
a
hysterectomy
for
these
types
of
problems
.
And
I'm
an
engine
my
,
both
my
parents
are
engineering
,
so
I
couldn't
make
sense
to
me
that
what
were
we
treating
?
No-transcript
,
why
birth
control
pills
are
distracting
me
,
why
can't
we
just
fix
the
problem
,
like
,
why
can't
we
find
what
the
problem
is
and
fix
it
?
And
that's
how
I
became
,
like
long
story
short
,
and
menstrual
disorders
expert
.
Speaker 2
4:24
I
worked
at
Henry
Ford
,
I
worked
at
Cleveland
Clinic
,
I
taught
fellows
and
then
my
family
brought
me
over
to
California
where
I
did
create
a
women's
center
and
a
center
for
mentally
invasive
surgery
at
Dignity
Health
.
But
because
of
the
way
I
was
being
restricted
in
the
way
that
I
could
treat
my
patients
by
Dignity
Health
and
I
couldn't
really
treat
women
in
the
way
I
wanted
to
,
I
decided
to
try
to
work
as
a
private
doctor
to
create
a
center
for
women's
health
and
I
wanted
to
create
something
that
was
holistic
and
took
care
of
the
whole
woman
.
So
it
wasn't
just
a
surgery
place
where
people
women
would
come
and
have
surgery
for
endometriosis
,
but
it
would
be
a
place
that
we
could
treat
them
as
a
whole
,
take
care
of
their
women's
health
needs
,
take
care
of
their
surgery
,
do
surgery
for
endometriosis
,
but
also
treat
all
the
other
issues
that
go
along
their
mental
health
,
their
physical
therapy
that
they
need
,
sexual
health
,
their
bladder
issues
,
their
bowel
issues
,
every
aspect
of
them
.
And
that's
what
I'm
trying
to
create
with
the
Iorati
women's
clinic
.
And
I
named
it
after
my
father
,
who
passed
away
a
couple
of
years
ago
a
legacy
after
his
name
,
because
his
family
in
Egypt
,
which
is
where
I'm
from
,
were
literally
the
people
that
took
care
of
everybody
,
anybody
that
needed
anything
.
I
think
they
had
like
10
orphans
in
their
house
Like
anybody
that
needed
anything
.
The
Iorati
family
would
be
the
ones
that
people
would
go
to
to
take
care
of
them
.
And
I
felt
like
that's
how
I
want
,
like
I
even
want
to
create
like
a
subset
of
the
clinic
that's
charity
care
that
can
help
women
in
all
aspects
.
And
that's
been
like
my
philosophy
to
create
this
kind
of
holistic
center
where
we
could
treat
women's
health
comprehensively
,
but
also
with
the
focus
on
menstrual
disorder
,
so
the
PCOS
,
the
hormonal
dysfunction
,
sexual
dysfunction
,
endometriosis
,
fibroids
,
fertility
where
a
woman
could
come
and
feel
like
she's
finally
being
heard
.
Yeah
,
so
basically
I
want
a
place
where
women
can
not
only
feel
heard
but
be
taken
care
of
in
every
way
and
we
think
about
the
woman
as
a
whole
,
her
mental
health
,
her
fertility
,
her
sexual
health
,
her
pain
in
different
aspects
,
because
,
as
we
know
,
excision
surgery
works
and
you
can
help
people's
endometriosis
pain
and
endometriosis
symptoms
and
their
fertility
.
Speaker 2
6:43
But
it
doesn't
stop
there
.
No
,
right
,
you
don't
just
have
surgery
and
then
you're
miraculously
better
,
right
.
I
mean
far
in
some
ways
,
but
it's
a
process
,
right
,
and
you
have
to
feel
really
taken
care
of
.
Like
even
my
logo
,
I
made
it
like
a
heart
with
a
hug
.
Like
I
told
my
marketing
person
,
I
want
people
to
feel
hugged
,
to
be
cared
for
,
warm
.
You
know
I
want
that
.
You
have
the
surgery
but
you
still
feel
like
you're
being
held
.
Yes
,
you're
being
supported
,
you're
being
cared
for
After
the
surgery
ends
,
when
you
go
home
.
We
have
telehealth
.
We
help
you
find
people
that
can
help
you
in
other
aspects
and
to
truly
take
care
of
that
person
.
It's
not
just
surgery
,
it's
taking
care
of
them
and
that's
a
big
meaning
for
me
.
Speaker 1
7:24
Yeah
,
that's
a
big
step
.
When
someone
walks
in
your
clinic
,
you
approach
it
differently
because
you
approach
it
from
the
whole
person
,
not
just
from
the
surgical
standpoint
.
In
opening
your
clinic
you've
had
your
PA
with
you
for
a
long
time
,
You've
had
your
support
staff
with
you
for
a
long
time
and
your
manager
.
Can
you
tell
us
kind
of
what
your
intake
looks
like
and
what
people
can
expect
when
you
do
an
intake
?
Speaker 2
7:53
Yeah
,
I
mean
my
intake
.
Really
,
my
office
manager
and
my
PA
are
a
very
large
portion
of
it
,
because
they've
been
with
me
forever
and
they've
taken
care
of
thousands
and
thousands
of
patients
.
They
basically
know
everything
there
is
to
know
about
what
I
do
and
how
I
do
it
.
My
physician
assistant
takes
care
of
my
patients
before
and
after
surgery
in
consultation
with
me
.
She
does
the
surgery
with
me
.
She's
literally
my
assistant
in
surgery
too
,
so
she
knows
every
aspect
of
what
we
do
and
what
we
found
and
what
our
plans
for
going
on
is
.
So
I
find
it
a
lot
easier
if
patients
see
my
PA
first
,
because
she
can
do
all
the
nitty
gritty
look
at
all
the
thousands
of
pages
of
records
,
look
at
all
the
prior
surgeries
,
get
records
if
we
need
it
,
get
labs
,
get
an
MRI
,
get
a
GI
consult
,
get
a
colonoscopy
,
get
a
urology
consult
or
whatever
else
she
needs
,
again
in
consultation
with
me
,
because
we
talk
about
every
single
patient
that
she's
seen
.
At
the
end
of
the
day
,
Right
.
Speaker 2
8:55
So
she
does
the
front
work
so
that
by
the
time
the
patient
is
seeing
me
we
have
everything
ready
.
Speaker 2
9:01
I
have
all
the
information
.
I
have
the
MRI
images
,
I
have
the
consults
,
I
have
the
colonoscopy
,
I
have
the
prior
records
,
I
have
a
summary
of
what's
going
on
so
that
I
can
truly
focus
on
really
coming
up
with
a
really
good
plan
for
that
patient
.
If
I
see
them
initially
,
I
can
do
all
that
,
but
it's
kind
of
hard
because
my
time
is
a
little
bit
more
rushed
.
I
don't
have
two
hours
to
spend
with
a
patient
,
especially
a
new
patient
,
where
my
PA
does
.
Speaker 1
9:27
Right
.
Speaker 2
9:29
So
I
ultimately
usually
just
end
up
sending
them
to
my
PA
to
do
that
work
and
then
come
back
to
me
and
then
my
office
manager
,
she's
the
coordinator
of
care
,
so
she's
the
one
that
will
help
you
get
your
MRI
,
help
you
get
the
colonoscopy
referral
,
the
GI
referral
,
the
general
surgery
referral
if
I
need
a
general
surgeon
,
if
you
have
rectal
endometriosis
to
get
the
urology
referral
if
you
have
ureter
,
bowel
or
bladder
endometriosis
,
to
kind
of
help
coordinate
everything
.
Speaker 2
9:52
And
then
after
surgery
,
she's
the
one
that
helps
to
refer
to
physical
therapy
or
refer
to
integrative
medicine
,
refer
for
acupuncture
and
all
the
things
that
we
do
after
surgery
to
help
people
with
the
healing
process
.
She
does
all
of
that
as
well
,
and
again
in
coordination
with
my
PA
.
So
we
really
work
together
as
a
team
,
Right
,
and
we
basically
do
the
same
thing
and
I
think
the
flow
is
my
PA
and
office
manager
usually
want
to
see
the
initial
people
,
the
people
coming
in
,
so
that
by
the
time
again
they're
seeing
me
,
that
I
have
all
the
information
I
need
to
come
up
with
a
management
plan
.
Speaker 1
10:28
Right
.
Speaker 2
10:28
And
then
my
PA
and
my
office
manager
will
help
execute
that
plan
,
yeah
,
and
then
I'll
schedule
the
surgery
and
all
that
,
and
then
I
will
see
the
patients
again
before
surgery
,
after
surgery
,
but
again
kind
of
back
and
forth
between
me
and
my
physician
assistant
so
that
we
can
maximize
the
amount
of
care
that
they're
getting
.
Speaker 1
10:46
And
the
reason
why
this
is
important
is
because
efficiency
is
key
and
when
there
are
so
many
endometriosis
patients
coming
in
and
needing
care
and
assistance
,
your
time
is
so
precious
and
valuable
.
Speaker 1
11:00
If
you're
having
a
surgery
,
like
if
I
were
walking
into
your
office
and
wanted
a
surgery
with
you
,
I
would
want
you
to
be
able
to
give
the
time
I
needed
in
that
surgery
and
the
best
care
,
and
if
there
are
multiple
eyes
on
that
,
that's
so
important
to
giving
someone
the
best
care
,
and
I
think
a
lot
of
us
have
had
maybe
the
misconception
that
if
we're
not
talking
to
the
doctor
directly
first
time
,
then
we're
not
getting
the
best
care
,
and
in
your
case
that
is
.
Speaker 1
11:28
That
is
not
the
case
,
because
you
have
trained
these
people
and
the
reason
why
your
passion
has
driven
you
to
where
you
are
with
opening
your
own
clinic
is
that
you
trust
these
people
so
much
with
your
patients
,
and
your
patients
are
like
your
babies
.
You
take
so
much
pride
in
helping
your
patients
and
walking
with
them
through
this
journey
,
and
I
think
it's
important
to
highlight
that
.
This
is
step
one
,
the
intake
.
So
knowing
who
your
doctor
is
,
knowing
their
support
staff
,
knowing
that
they're
going
to
give
you
their
absolute
best
,
and
that
means
by
with
their
staff
and
everything
else
.
It's
important
to
recognize
that
.
Speaker 2
12:02
And
that's
actually
.
You
know
.
It's
interesting
when
I
decided
I
was
going
to
open
up
the
already
women's
clinic
and
we've
only
been
open
for
about
two
and
a
half
months
now
.
So
,
I
literally
went
to
grace
my
physician
assistant
Angelita
,
who's
my
key
office
manager
and
she
basically
does
everything
,
and
I
told
them
,
like
I
cannot
do
this
without
you
.
Speaker 2
12:21
Is
this
your
passion
,
is
this
what
you
want
to
do
?
And
they
said
absolutely
.
Dr
Adi
,
you
know
we
want
to
come
with
you
,
we
want
to
do
this
with
you
.
They're
just
as
passionate
about
it
as
I
am
.
Speaker 1
12:31
Yeah
,
it
makes
a
big
difference
in
the
overall
care
that
you
will
receive
from
your
doctor
is
if
the
people
that
are
in
their
clinic
are
just
as
passionate
as
they
are
.
Diagnosis to Surgery Process for Endometriosis
Speaker 2
12:42
Yeah
,
exactly
,
and
the
thing
is
that
I
mean
I
think
patients
are
surprised
when
I
do
see
them
and
I
literally
know
everything
that's
happened
,
everything
they
know
.
I
mean
I
don't
think
people
know
this
,
but
I
read
every
single
that
comes
in
through
the
website
,
every
single
one
.
I
read
every
single
voicemail
that's
left
,
every
single
one
.
Maybe
I
might
respond
personally
sometimes
I
do
,
but
my
staff
knows
what
I
want
and
I
make
sure
that
it's
done
.
I
know
every
single
patient
that
my
PA
has
seen
.
I
know
every
single
consultation
that's
been
put
in
.
I
know
every
single
MRI
we've
ordered
.
I
literally
do
know
everything
that's
going
on
.
Speaker 2
13:18
I
just
don't
do
it
personally
.
I'm
more
just
kind
of
supervising
so
that
I
can
focus
on
making
sure
that
we
have
a
good
management
plan
for
every
patient
,
that
we
can
get
surgeries
done
efficiently
.
I
try
to
get
patients
,
you
know
,
scheduled
within
six
weeks
,
which
is
really
difficult
.
If
fertility
patients
,
I
try
to
get
them
in
.
I
mean
,
my
goal
is
to
get
them
into
the
office
within
two
weeks
and
to
have
surgery
within
six
weeks
,
which
again
is
really
difficult
as
a
single
human
being
.
Yeah
,
so
it
does
take
longer
when
we
need
other
surgeons
,
like
a
general
surgeon
or
urologist
,
but
I
literally
do
bend
over
backwards
to
try
to
make
sure
patients
are
taken
care
of
as
best
as
I
can
,
and
my
staff
are
the
same
,
Like
they
are
.
On
top
of
it
,
they
all
work
after
hours
.
Speaker 2
14:04
Like
it's
not
a
nine
to
five
job
to
us
,
you
know
I
mean
I
joke
.
Like
some
people
say
,
oh
,
why
are
you
responding
to
the
portal
messages
at
3am
?
I'm
like
,
well
,
I'm
breastfeeding
my
baby
at
3am
and
I'm
reading
the
emails
and
the
messages
and
I'm
responding
at
3am
.
Yeah
,
so
this
is
my
life
and
these
are
my
babies
.
So
,
just
like
I
breastfeed
my
baby
at
3am
,
I'll
respond
to
your
email
.
Speaker 2
14:29
Now
,
I
may
not
sometimes
I
don't
respond
right
away
when
I
do
get
really
busy
but
I
will
get
you
know
,
get
back
to
you
,
and
definitely
by
the
weekends
I
usually
will
get
back
to
people
.
But
it's
something
that
I
think
is
really
important
to
know
that
this
is
not
just
it's
not
just
a
job
for
me
.
This
is
my
passion
.
It's
the
legacy
from
my
family
name
.
You
know
I
was
telling
you
my
father
.
He
comes
from
a
family
called
the
Oradi
family
in
Egypt
and
that
family
was
the
family
that
would
take
care
of
everybody
,
like
my
father
had
.
He
doesn't
even
know
who
his
real
brothers
and
sisters
are
,
because
there
were
so
many
orphans
living
in
the
house
with
him
and
I
when
I
was
a
kid
and
I'd
go
and
he'd
be
like
this
is
your
uncle
,
this
is
your
uncle
.
This
is
your
uncle
.
Speaker 2
15:09
I'd
be
like
how
many
uncles
do
I
have
,
and
it
was
just
because
that
was
they
were
.
They
were
in
a
very
poor
area
of
Egypt
and
the
Delta
and
the
villages
and
everything
belonged
to
everybody
and
that's
how
I
feel
.
Like
anything
I
can
give
it's
for
everybody
and
that's
why
I
also
told
you
I'm
still
trying
to
like
I'm
literally
contracted
with
every
insurance
that
I
can
you
know
,
I'm
trying
to
provide
care
to
anybody
who
can
and
I'm
trying
to
do
it
to
the
best
of
my
ability
.
Speaker 2
15:38
But
that's
kind
of
the
flow
is
.
Patients
will
come
in
.
We
try
to
get
them
to
see
the
PA
first
,
to
make
sure
everything
is
cup
of
static
,
and
then
I
see
them
,
we
come
up
with
a
management
plan
and
then
we
will
coordinate
a
management
plan
and
surgery
if
needed
,
or
referrals
if
needed
,
et
cetera
.
Speaker 1
15:54
Right
,
when
the
patients
come
in
and
they've
seen
your
PA
and
you're
going
through
that
process
.
What
does
the
diagnosis
to
surgery
process
look
like
?
Because
a
lot
of
patients
coming
in
are
coming
in
because
they
think
they
have
endometriosis
or
they're
just
in
pain
and
they're
finally
seeing
someone
that
might
actually
listen
to
them
.
What
is
that
process
?
And
I
know
that
each
doctor
does
this
a
little
bit
differently
,
but
I
do
think
that
there
is
value
in
understanding
that
there
is
a
process
from
diagnosis
to
surgery
.
Like
not
everyone's
going
to
rush
into
surgery
or
can
rush
into
surgery
.
So
understanding
from
diagnosis
how
severe
something
is
in
order
to
know
when
surgery
is
appropriate
.
Speaker 2
16:35
So
the
process
is
really
it
depends
on
where
the
patient
is
.
But
some
people
come
in
already
with
a
diagnosis
or
a
prior
surgery
or
you
know
they
have
infertility
and
they
think
it's
endometriosis
.
They've
already
had
a
receptiva
test
as
positive
.
Those
patients
are
easy
because
they
come
in
almost
ready
for
surgery
and
what
we
do
is
my
PA
will
order
labs
,
records
and
imaging
that
what
we'll
need
,
and
then
they'll
usually
schedule
them
with
an
exam
and
ultrasound
with
me
and
pretty
much
on
physical
exam
and
ultrasound
and
looking
at
labs
and
imaging
,
I
can
tell
how
severe
someone's
endometriosis
is
and
whether
it's
involving
the
diaphragm
,
the
rectum
,
the
bowel
,
the
bladder
,
the
ureter
.
I
can
usually
tell
just
during
my
exam
what
severity
of
endometriosis
we're
talking
about
and
then
,
dependent
on
the
severity
,
I
will
direct
them
to
what
we
need
.
Speaker 2
17:22
If
they
have
rectal
endometriosis
or
suspicion
for
appendix
endometriosis
,
I
will
get
a
general
surgeon
and
I
work
with
two
different
general
surgeons
almost
every
Friday
.
I
alternate
.
So
Fridays
are
my
like
rectal
,
bowel
endometriosis
day
,
and
then
Mondays
and
Wednesdays
are
kind
of
my
lighter
days
where
I
don't
do
bowel
or
rectal
,
although
Mondays
I
tend
to
do
the
urology
cases
,
the
ones
with
ureter
or
bladder
so
,
and
Wednesdays
I
tend
to
do
what
I
call
the
more
minor
,
lower
grade
endometriosis
,
fertility
patients
.
And
for
those
patients
that
have
a
lesser
degree
of
endometriosis
,
I
will
sometimes
offer
them
mini
or
microlaparoscopy
because
they
will
heal
so
much
faster
.
So
if
I
do
their
surgery
on
Wednesday
with
a
mini
microlaparoscopy
and
they
have
stage
one
or
two
endometriosis
which
I
can
treat
with
mini
laparoscopy
,
by
Monday
they're
back
at
work
.
Interesting
,
so
literally
the
five
day
recovery
for
them
,
which
is
why
I
tend
to
do
those
on
Wednesdays
,
so
by
Monday
.
Speaker 1
18:16
What
is
that
though
?
What
is
a
mini
microlaparoscopy
.
Speaker 2
18:21
So
mini
microlaparoscopy
is
you've
heard
of
laparoscopic
surgery
right
when
you
have
a
camera
in
the
bully
button
and
then
you
have
instruments
that
are
usually
five
or
10
millimeters
that
go
through
little
ports
that
go
in
the
external
abdomen
into
the
abdomen
to
do
the
surgery
.
Mini
microlaparoscopy
uses
a
three
millimeter
camera
,
so
it's
like
this
big
.
Speaker 1
18:41
So
it's
like
a
pencil
tip
.
Smaller
than
a
pencil
,
it's
a
pencil
tip
.
Speaker 2
18:46
They
call
it
needleoscopy
.
So
it's
just
like
a
fat
14
gauge
needle
and
all
the
ports
and
the
instruments
are
that
size
too
.
So
I
can
do
endometriosis
excision
with
almost
basically
no
incision
because
these
are
like
they're
like
the
size
of
a
fat
needle
that
goes
through
the
abdomen
.
So
there
is
very
little
recovery
time
and
there's
very
little
downtime
.
There's
no
concerns
about
hernia
formation
or
not
running
,
not
lifting
.
You
can
go
back
to
normal
physical
activities
almost
immediately
and
there's
no
need
for
pain
medicine
and
the
healing
is
just
so
much
faster
.
You
still
have
like
that
post-op
bloating
and
the
anesthesia
effect
and
like
gas
pain
and
that
you
get
after
a
laparoscopy
,
but
the
recovery
is
so
much
faster
.
It's
literally
cuts
recovery
time
it
has
.
Speaker 2
19:32
And
there's
,
the
incisions
are
invisible
,
like
you
.
Literally
I
see
these
patients
a
year
or
two
later
.
I
can't
even
find
the
incision
.
I
don't
know
where
they
are
,
I
don't
know
where
I
put
them
.
I
know
approximately
where
I
put
them
because
I
usually
use
the
same
locations
for
everybody
,
but
they
are
.
It's
invisible
surgery
.
And
so
for
patients
who
are
teens
,
you
know
,
really
young
.
For
people
who
are
athletes
who
,
like
they
,
can't
stop
running
or
exercising
,
for
females
who
are
infertility
patients
where
,
like
they
don't
need
to
go
through
a
major
surgery
.
They
just
need
to
know
do
I
have
endo
and
how
bad
is
it
and
can
I
treat
it
?
And
for
patients
that
I
think
have
mild
disease
,
it's
a
really
ideal
solution
for
them
because
they
won't
have
the
downtime
of
surgery
or
the
scars
from
surgery
.
It's
almost
like
they
didn't
have
surgery
but
they
did
and
we
can
excise
their
endometriosis
.
Speaker 1
20:22
So
this
isn't
like
for
severe
cases
or
even
for
those
who
have
a
repeated
surgery
,
necessarily
.
This
is
more
like
,
or
can
it
be
used
for
,
like
a
repeated
kind
of
look
around
,
so
to
speak
,
to
see
okay
,
or
a
repeated
look
around
,
it's
okay
.
Speaker 2
20:38
But
if
I'm
,
if
I'm
going
to
be
doing
very
like
deep
dissection
around
the
rectum
that's
kind
of
what
determines
whether
I
use
a
robot
or
not
.
If
I
go
in
and
there's
disease
around
the
rectum
or
the
ureter
where
I
have
to
like
really
dissect
out
those
very
deep
spaces
in
the
pelvis
,
it's
not
ideal
to
use
micro
.
Have
I
done
it
?
I
have
.
I
was
surprised
it
was
deep
,
I
did
it
.
But
it's
not
the
best
way
because
it'll
take
a
lot
longer
to
do
it
using
micro
laparoscopy
,
because
you're
doing
a
very
big
dissection
using
two
millimeter
scissors
.
Speaker 2
21:08
So
it's
like
it
takes
so
much
longer
than
having
a
robot
where
I
can
do
the
dissection
in
,
you
know
,
half
the
time
.
So
it
is
ideal
for
people
,
as
I
said
young
girls
,
teens
,
early
stage
endo
fertility
diagnostic
and
then
I
use
the
robot
for
deep
like
stage
three
endo
.
If
I'm
having
to
peel
off
an
endomastroma
and
reconstruct
an
ovary
,
if
I
think
they
have
rectal
disease
or
disease
that's
deep
into
the
pelvis
where
I'm
going
to
have
to
do
a
deeper
dissection
,
then
I
tend
to
prefer
a
robot
.
Speaker 1
21:39
Okay
,
I
mean
I
think
that's
such
a
valuable
tool
that
isn't
talked
about
enough
,
because
I
know
for
myself
,
having
young
girls
,
I'm
always
looking
at
how
can
I
have
the
least
amount
of
trauma
to
them
early
on
.
Because
the
other
part
of
this
is
the
adhesion
part
of
this
the
more
major
the
surgery
I
mean
this
is
,
I'm
not
the
doctor
,
I'm
going
to
let
you
talk
about
that
but
the
more
major
the
surgery
.
Typically
you
can
get
more
adhesions
from
that
than
if
you
were
to
do
something
less
invasive
,
even
than
minimally
invasive
,
because
we
all
know
that
minimally
invasive
is
really
not
minimally
invasive
in
the
sense
of
like
it
still
takes
a
toll
on
your
body
.
It's
full
surgery
,
yeah
.
Speaker 2
22:21
It's
major
,
full
on
surgery
and
yes
,
and
in
terms
of
the
adhesion
piece
of
it
,
that's
a
whole
another
piece
I
want
to
talk
about
and
I
actually
just
created
an
entire
session
at
our
Society
of
Laptoroscopic
Surgeons
conference
that
I
just
organized
just
on
adhesion
prevention
,
and
I'm
giving
a
session
in
Europe
next
week
.
Actually
,
I'm
flying
to
Vienna
.
I'm
giving
an
entire
session
on
adhesion
prevention
,
especially
in
fertile
women
,
because
a
lot
of
people
don't
Minimizing Adhesion Reformation and Women Advocacy
Speaker 2
22:47
talk
about
this
.
But
adhesions
can
have
a
huge
effect
on
people
,
women
who
are
still
wanting
childbearing
.
It
can
affect
their
fallopian
tubes
and
block
their
tubes
.
It
can
cause
pain
,
it
can
cause
shifting
of
the
uterus
and
a
lot
of
them
already
have
some
adhesions
from
the
endometriosis
.
And
the
question
is
how
do
we
minimize
reformation
?
Speaker 1
23:05
This
conversation
just
keeps
getting
better
and
better
,
so
to
make
sure
that
you
join
us
,
next
week
is
Dr
Arati
talks
about
adhesions
,
teen
endometriosis
and
shares
in
all
the
other
passionate
areas
of
adhesions
.
And
until
then
,
continue
advocating
for
you
.