I was wrong about LASER surgery. | This is the future for hemorrhoids and fistula.
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- Опубликовано: 3 ноя 2023
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
I would rather have a doctor with and open learning mind and admit that they made an error, than to have a doctor stuck in some old-school thinking, procedure and methodology because of their ego, stubbornness or refusal to change and learn something new. You put patients first which is a gift to patients that keeps on giving long after they are healed. Thank you for being honest, up front and open with us. I wish you were taking care of my situation.
This is what most Dr.s lack. The ability to say I was wrong and I’m sorry. Or learn new things. Thanks Dr. Chung. My friend saw you yesterday.
We love you Drn Chung!
You have helped me. Thanks!
You are a great man for admitting your mistakes. Thank you.
Thanks for the update Doc. It's great to know there are options.
Wonderful news. I would enjoy seeing a vid on this procedure
Wow..😊 what a sigh of relief!
Well spoken doctor. Thanks for your updates, very helpful information!!!
You are awesome! Thank you so much for the update and the humility shown as a doctor. I wish you were my Proctologist!❤ ❤
Your thumbnails are hilarious. It's good to have a sense of humor.
This is one of your greatest and most important videos so far. Thank you Dr. Chung.
I admire your honesty as a doc. Thank you for this video
You're amazing doc ❤
So much great advice
I swear, I would fly back and forth between Louisiana and California to have you as my doctor. The cost would be worth it. I've got some decisions to make in the very near future and your information and bedside manner is a breath of fresh air. Very informative, Dr. Chung.
I’m so glad you changed your mind on laser surgery!!! After having my THD surgery now I have painful external because I wasn’t given proper post op instructions on constipation
Thank you for sharing your knowledge you are the best Dr. Chung👍👍👍👍🙏🙏🙏🙏
Thank you for being brave, honest, and explaining in detail.
Wow doc! It takes guts to accept when you are wrong. I thought it was a clickbait but you are a good man. Likes and Love
Another reason why I love your channel; you are honest, forthright and know when you’ve made a mistake. A far cry from the rural medicine in my town. I’ve been to a chiropractor who uses a laser in his practice. It has healed my broken wrist, mended torn muscles and a bunch of other things. Thank you so much for doing the research on this and changing your mind. You are a kind soul.
If my doctor would say he was wrong, which he is all the time…I would faint!!! I appreciate you!
❤❤❤ appreciate you😊
Thank you Dr. Chung!
Please keep us posted on this technology as you use it more and more!
Take care :)
Will do!
Thank you 😊
7:57 you're incredible for admitting that you weren't fully aware about something and that you went above and beyond to learn more about the latest technologies and medical advancements ❤
I need to come to your practice ASAP. I need this
Dr. Chung you have the biggest heart and an honest soul. Most people don't have that and for that you are special. I am 15 days post hemmeroidectomy surgery and let me tell you, your videos got me through the most difficult time of my life and I'm so thankful I found your channel. The week before surgery I was stage 4 from suffering 25 years after I had my son. I suffered in silence until they screamed we don't want to be a part if your body anymore. I thank you for giving me the courage to get the surgery and recovery. Your right..my surgeon used a laser and scissors and my recovery was not 😢too bad. I have soreness but most pain when I have a bowel movement but the pain is going away away and I've getting better everyday. So again do not beat yourself up because you are an angel.🙏
❤ and blessings to everyone
FiLaC is one such surgery which is widely used in my country. It's a revolutionary laser surgey for hemmoroids, fistula and fissures. Tremendous results and speedy recovery for most of the patients. Zero incontinence issues. I see many people who had multiple failed surgeries of fistula from countries like Australia, US, Canada are now coming to India for having FiLaC at a much lesser price and getting amazing results.
I was always wondering why the doctors in United states which is the most developed country in the world are still not doing surgeries like FiLaC and DLPL for their patients. After watching your video I understand now what's going on with the medical system in the US and these insurance companies propaganda. Thanks for making such informative video.
Also for fissures. Laser surgery for anal fissures is really good. All doctors are saying is the best thing. Way less pain, recovery much faster.
Thank you for being honest Dr. Chung! You explained the procedure, and as always, the Insurance companies don't want to pay!
Hopefully they will in the future. But they will always resist more expensive options.
@@yourfriendlyproctologisthi Dr. Chung , can you let us know more on Bi Polar HET treatment Haemorrhoid Energy Therapy
@@yourfriendlyproctologist man I can't afford the blocks of time you emailed me about and I'm stuck in Colombia with nearly money until April. I'm in excruciating pain. I saw a physician in Colombia and received a cream and pills. Still bleeding, still burning, I'm feeling absolutely desperate.
Thank you Dr. Chung. Insurance companies should not dictate a physician's and patients options. What is the point of Research and Development of medical advances if they are unavailable to so many. I've paid cash for services as it was cheaper than using my insurance co-pay (Radiology).
Agreed.
You should train on the Laser option.....it's amazing
I am so happy that I found your channel! I have been binge watching your videos! they're so informative!
Another helpful and informative video.
Glad to say its been day 5 sinse my 2nd banding on a Gr3 internal, which protruded every BM for last 5 years IS GONE !!!
It's so wierd but so much better, so far.
I'm up in Canada, eh.
Yourself, and this channel have been so helpfull - thank you Dr Chung.
Still looking forward to your releases as i hope to put this behind me !
Ty
Steve.
Did your physician tell you if your Gr3 was a small, medium, or large Gr3, if that was discussed? Just curious.
@@shakrmaker nope. Id say it was med to large.
@@LaserSteve101 thank you so much for that info Steve. Bless you sir.
@@LaserSteve101 oh, one other question, was yours a Gr3 the entire 5yrs? And needed replacement after BM for those 5yrs? Did it prolapse during other activities? Thank you again Steve.
Thank you Dr. I am new to your channel. I haven't "needed" a proctologist but when you do.... you do! Out of the blue I am pretty sure I have an abscess or some sort of cyst that came one very quickly. I was out of town and so next week I will be seeing a nurse practitioner and then hopefully will be referred to a proctologist if needed. I'm hoping it can just be aspirated or something simple. I don't really feel like I have an infection at this point it does not feel super super painful. At the beginning yes but I feel like I got on top of it rather quickly. Anyway, we shall see I may be contacting you if I'm not happy with the information they give me. I'm glad I am feeling prepared with information before going in. I'm not one to do crazy surgeries or anything like that. I'm definitely more leaning toward natural ways to take care of things. Again, thank you so much and it's great to hear that. You realize you can change your mind! That's how we grow.
Best to you in your recovery!
Thank you for being so honest with us, Dr Chung! Do you know if this laser surgery available in BC Canada?
Glad you accepted new technology Dr Chung 👏What you think about even less invasive option IRC ?
I wish you really were my proctologist.
Thank you for being human and admitting it. What is avg cost of laser treatment ?
Dr's need to push insurance companies to cover this for the patients sake....
Thank you Dr. Chung, YOU SAVED MY ASS!!😮😅
Thank you, Dr. Chung, for sharing this important information! I am curious to know whether any of the laser hemorrhoid surgeries that you have performed were paid for by insurance or or did all these patients have to pay out of pocket? And if the procedure WAS covered in some cases, what was the deciding factor? Thanks.
Thanks for not being afraid to say you have evolved in your thoughts and approach to a treatment option. Technology is an awesome thing and can make life better for patients and physicians.
Appreciate you saying this! I’m hoping word will spread and insurances will start paying sooner because demand is high.
Unfortunately insurance companies suck. They make you (the patient & Dr) jump thru so many hoops before they will let you have a test or procedure that is the answer to the ailment.. Friend of mine hurt his arm. 1st an x-ray, 2nd physical therapy, finally mri ! Result- his muscles were torn off the bone resulting in surgery that was so over due that HR ended up with an arm that will never be the same or strong. It's not on you doctors it's on the insurance companies. Same thing is happening with me my arm hurts so bad there are days I want to blow it off with a shot gun. About the only thing patients can do is pray. Always get precertification thru the patients insurance just to be sure things are covered. I think laser is good or I wouldn't have all these stitch marks from hip to ankle from a previous vein removal. Keep up the good work. You are helping people you just may not know it.
(He) ended up with arm damage. Hate these devices that "spell" for you.
Hola Dr Gracias for your honesty. I know that you are still researching using Lazer for Fissures but I would be interested in your thoughts on using Laser to fix a recurring or new fissures after you have had a LIS procedure. I had a LIS done back in March and have had some recurring issues. Gracias Eric
Thank you so much for your videos they’ve been very very helpful. I have a very complex horseshoe fistula. With many setons. Can you do a video about the pros and cons of moving to a stoma versus all the setons etc.? I think you and advance if you could find time to do a video on this. Of course I’ll be talking to my surgeon but I always like to see what someone else would say and you’re so good at explaining things. Thanks!
Horseshoe are very complicated! that video will be in the works.
@@yourfriendlyproctologist Thank you so much doctor!
Hi Dr Chung, can you share a light on infrared coagulation treatment for internal hemorrhoids. Thanks!
Thank you so much doctor! I never thought this kind of stuff is treatable by doctor like fissures…took me a while to even find out what the actual name for this embarrassing condition. I’m super happy and am going to see if a doc can see me to treat it…such as laser…:)😊
Thanks Dr. Chung for your honest opinion on this subject. I checked your videos and don’t see any topics on Hemorrhoid Embolization. Is this an effective treatment and considered a worthy option?
Thank you for all info I need opp for my bum
thank you dr chung we respect u a lot and learning new technologies is very important in this field, can u please upload videos in the near future about fistula as will? am having small fistula and I don't know about the efficiency of laser fistula surgery.
Yes! This is in the works
@@yourfriendlyproctologistif there’s a way to find out where laser fistula surgery is offered in the US, that would be good information for patients. It seems to be quite uncommon here.
am not from USA @@jenntuomala6259
What responsibility do medical hospitals and their providers have charging such outrageous prices for the services. Maybe if medical prices were reasonable, and insurances were not able to play doctors, patient care would be prioritized giving patients the best care available.
Thanks for your honesty. To admit change of thought is a good thing. We are all learning it’s just life. Wish all doctors would especially for us who have been dumped by our doctors who after years will not continue to treat our chronic pain with opiates because they work and with less damaging side effects to our body as do long term NSAIDS. and aspirin type products which we must take for years and cause damage to kidney, stomach and liver.
Best to you in your recovery!
Thanks for the frank and upfront video Dr Chung. I’ve been watching your videos for more than 1 year now. I had a LIS and fissurectomy procedure in August of this year in Gurgaon, India. I was very worried about the recovery, pain. But in India we have some of the best doctors, hospitals, insurance companies and cheap medicines. My recovery has been painless and fast. I thank my lucky stars that I was born in India and have been blessed with the medical care that India provides.
How many weeks it takes to recover for you sir??
@@khaleja2412 it takes 8-10 weeks to recover fully.
@@fehmeedquaiyumi6869 can you pls give me some suggestions...like I had LIS too it's my 2nd week now...with medicines I don't feel any pain while bowl and stool movement but little uncomfort only...no blood at all...only light pus forming like 2drops a day...is this normal healing process or what?? Kindly tell me sir...
@@khaleja2412 I’m not a doctor so best to check with a doctor.
@@fehmeedquaiyumi6869 then you don't have any issues after surgery sir??
Thank you Sir for uploading such informative videos.
Would you please let us know about your opinions on laser surgery for Fistula ?
Doc. Im glad i found your channel. I had my 1st flare up in July!. I had a mini one while healing but its been getting better slowly. I got the cream from my doctor, Im still doing low residue but ive added some fruit and veggies back. I tried some oatmeal but ummmm it bulked up my poop and my butt was not happy lol. I talk 1/2 miralax daily. And i stay hydrated. 1 day at a time❤
Best to you in your recovery!
Hi Dr Chung,
I have had H’s and I did not mind the non laser surgery as it was a relief to have them gone.
Warmest Regards,
Patricia
Yes! Every procedure will have its place. I’m so glad yours are gone!!
I think what's lacking is the arena where insurance companies are sat down and instructed by the medical community to stay in step with technology. I remember having colonoscopies without sedation! I'm of the opinion that all changed with insurance employees started to have the procedure regularly.
Hi Dr , can u do a video about Hemorrhoid Artery Embolization? Does it treat grade 3 or 4 H? Thanks!
Dr. Chang, you’re an amazing help and voice for a lot of people.
I live in Chicago and have been to 2 separate colorectal surgeons who don’t think I’m a candidate for surgery but I am experiencing physical and mental discomfort daily. I’ve had a couple banding procedures done in the past but no one has ever mentioned this laser treatment as an option.
How do I go about finding out if this is an option for me from someone experienced?
I think u may opt for staple procedure also. May b am wrong
Consult about it.
.
Loving
Please discuss radio frequency ablation
hello Dr Albert. I'm Dr. Okkian from Indonesia. Very interesting content about laser applications in proctology with insurance financing. We in Indonesia also face something similar. where laser application on hemorrhoids and fistulas is often rejected on the reason that it is still in the experimental stage. In fact, as far as I know, laser aplication in the field of proctolgy is not in ICD10.
Dr Chung - are you able to comment on the Rafaelo procedure that uses radio frequency ablation ? Is it a similar technique to laser ?
So how do I find a provider that has this equipment?
Love this video. What do you think about banding with laser for grade 4? I’m in Hawaii and no doctor here that i have found will open their mind to any improved, advantageous treatment for hemorrhoids. I hope that changes soon. I need a hemorrhoidectemy but refuse the cut and stitch method with dangerous pain meds. I am a recovered addict and don’t want to have anything to do with these drugs but i hate the idea of excruciating pain.
Not a fan of banding for grade 4.
Thanks Dr. Chung. While I benefitted a lot from your videos specifically on Anal fissures, I couldn’t avoid a procedure on my fissures last year. I was prescribed a Laser procedure and as you mentioned it worked great. I was up in couple of days and it was life changing as I’m without pain after several years. However, I’d flag a side effect of it, which is incontinence (or may be soiling). I notice that a very small amount of poop always keeps leaking.
Best to you in your recovery!
@@yourfriendlyproctologist😂 best in your recovery?? That’s all he says he gives 2 fucs
Where u have done? Please am also have fistula
My major concern is the vast cost differences the procedures have from insurance to private pay...
dr. chung, i was lookig to do his procedure on mexico, but my doctor said one of my hems needs to be cut and stiched ( i got 3 internal grade 3 ) i was really depressed to hear that ( im so scared of pain after this) some doctor said closed heoroidectomy with ligasure, or focus harmonic scapel is less painfull . i was going to look for that option , is it true? or it is just positive a commercial advertisement to sell those procedures
Dr you should also talk where we can have that laser surgery dane and about the cost because like you said insurance fo not cover . Give us a avrg. Price like between this $ to thiss $ but not more than tjis$$$
So there is another channel that is overseas and advertises laser surgery heavily. There are also some videos of laser procedures being done in other states than the one I live in. After seeing a lot of these videos, I really got sold on the idea of laser surgery. Finally, I had colonoscopy with a five-star laser surgeon who was local and in my hmo. Before he even did the colonoscopy, he told me he stopped doing the laser treatments because too many people complained about the recovery, and he wasn't interested in hurting people or making things worse.
Interesting....very contradictory to what I have experienced.
I'm a new subscriber. Although my butt is perfect, I'm here for my wife. I think Dr. Chung is wonderful. Almost makes me want hemorrhoids. I better be careful what I ask for. I was a huge fan of the late Norm McDonald and I can "hear" Norm in Dr. Chung. Now I'm going binge watch this station. Hopefully this station can give my wife some relief.
You don’t want this. Trust me. When it gets bad you lose your will to live.
@@yeahyeahyeah2935 this comment makes me more sympathetic with my wife.
I'm trying to find a doctor who does this, and it's difficult, as everyone wants to do banding. I can't travel across the country.. I found out that only in AZ do they have the BEST means to handle it, which is to vaporize the piles leaving it look like you never had them.
Online searches don't show many doctors doing laser procedure. I spoke with one in my region and he said he doesn't think anyone in my area does it; they only do banding or surgery.
Doc , are there centers in the east coast that do laser surgery?
Hello I have 2 fissures and my painful bowls have been better but I still have on and off pain dose that mean I am getting better or worse and I have been doing sizts baths and diltiazem cream some burning when applied but I want know am I getting any better amd how long should I use this cream and how long till I notice some improvement there are some minor improvements but not major I have been using this cream for 4 weeks now and I have noticed small improvements but I want to know if I am getting better thank u
Hey, Dr. Chung, 2 quick questions: Does this procedure help with external hemorrhoids as well? And is this different from IRC correct?
Hey I had a pretty painful hemorrhoid that basically made sex as a gay man impossible and started to get very very depressed. Thanks for providing info and hope. Im all good now but i am in constant worry about them coming back. Glad my proctologist told me to wait for surgery, i wasnt happy to hear it but he was right.
Best to you in your recovery!
How was the recovery was it painful I’ve heard it’s the worst pain of your life and you want to just die is this true ? I know everyone is different but just curious to know I myself am dealing with the same issue .
@@boobierubi8567 I never got surgery and they went away for the most part im sure they are still there but they are not nearly as painful. Although it took months for them to heal up. Best advice i can give is use topical treatments until they heal on their own and if they dont after 6-12 months then maybe think about surgery. Also talk to a proctologist if you can without seeing a regular doctor first cause they are gonna examine you both times and its not fun.
how did you get rid of them?
@@eddiebalogh1590 best thing is to see a colorectal surgeon and get an examination . Some internal hemorrhoids they can band them which kind of strangles the hemorrhoid and stops blood flow to them and they pretty much shrink and die off . But if they get too big that’s when you need a hemorrhoidectomy and that you don’t want it’s so painful . External ones they lance and I had that done and it does hurt but not as bad as internal ones .
Is there a way for external hemorrhoids surgery without anesthesia?
What are your thoughts on irc or het? Do either work and is it safe?
Do you recommend ligasure hemorrhoidectomy? Is the recuvery less painfull?
Can surgical scar tape flatten raised skin post op
Doctor sir , please tell about collinsonia root . is it good if it is what are the side effects. Please help me i have an ongoing hemorrhoid flare up it's been 2 weeks . started from 2 day train travel😢 and it has not fully healed yet. I am using euphorbia prostrata ointment . 😢
Hey is the laser you’re referring to infrared coagulation? Does this work for external hemorrhoids?
😢 ugh so messed up. I hate that everything is about the money.
lot of patients complain about recurrence after Laser, any research done on that regard ?
Our Doctor has now seen the "LASER" light!
hey doc...I got kinda horror story. I had a hemroidectemy 10 months ago that was the most brutal, painfully insane surgery I have ever had!! I have hard parts of my spine removed and it didn't come close to that pain!! So everything was good and just when I got over the pain and it was 2 months later and I went to the bathroom and boom I got hemroids AGAIN!! I was so traumatized from the last surgery I didn't do to get checked out for 10 months!! But most people don't know you bottom end makes the most mucus out of anywhere in your body and with hemroids the mucus is insane!! So it's causing all kinds of other health issues and the surgeon said I would need another hemroidectemy AND IM FREAKING OUT!!! I JUST CAN'T GO THROUGH THAT AGAIN!! BUT I CANT LIVE LIKE THIS MAN!!! to make things worse I was in a bad work accident in 2010 and I got a bunch of metal in my lower back so it's just such an issue man and I seriously think about jumping off a building!!! I saw this video and I was actually one of your first subscribers and I put you on Reddit😄. I believe the Lord Jesus Christ brought me to your channel so I could spread it to lots of other people so they could get help. I seriously wish all my doctors were like you man!!! I'm not just saying that you really helped a lot of people!! So this Lazer surgery got me excited and gave me some hope.....I'm willing I'm in P.A. but I'm willing to travel to come and see you...I know my Medicaid won't work in the state you live in.....I'm trying something called HEM-HEALER to see if maybe it will help but man I'm DESPERATE I need help man.....can you please let me know how much you would charge me for the Lazer surgury?? I'm so so desperate to get my bottom end fixed. I can't travel or take on any speaking engagements like this and many churches have been asking me to come and speak. I was supposed to speak at a conference in Africa in December but now that all these issues are happening because of these hemroids that came back 10 months after the most brutal surgery ever!! It traumatized me man. No joke my whole body starts to shake. I can't even show normal and alot of this is mental from that surgery I'm sure but I'm really REALLY DESPERATE FOR SOME HELP!!! please I honestly don't trust another doctor to even look at me down there after going through all of this. I know that Lazer surgery would be absolutely AMAZING and I really have been loosing hope to ever get a life back again till I just saw this video.......can you please give me the office number. I'm so desperate!! thank you man. I don't know if you will even see this but I'm going to pray you do!!! 🙏✝️❤️🔥
My sympathy goes out to you fellow brother in Christ.. Lots of praying for your issue.. I will recommend a really good set of books from Anthony Williams. Especially cleanse to heal and liver rescue. Most people dont realize the Liver has alot to do with roids.. Bioflavonoids from Nature's Life will help with fast relief to get the veins to shrink back down.. Rutin is a very effective flavonoid that works quickly. Try drinking aloe vera and keep fats and proteins to a minimum.. papaya, bananas and potatoes are extremely healing foods. But everyone is different see what works for you..
@@toneman8478 hey thanks man.....ya I been taking Rutin and another bioflavonoid. I also got something called HEM-HEALER that's supposed to have a 94% success rate. I changed my whole diet after my hemroidectemy. My diet is basically scrambled eggs, oatmeal and bananas....I take stool softener 3 times a day but I'm a chronic pain patient so I take opioids since my spine surgery. Never really had any constipation issues. For some reason they don't affect me like that. I know that's not the problem because I had been taking them for almost 15 years before I had any issues......all this happened after I got covid and I couldn't even hold down water for almost 2 months. I had never been so sick. I'm a "COVID long hauler" whatever that is haaaa haaa. So I really haven't been healthy since......I finally went back to the surgeon but man Lazer surgery sounds like a dream compared to what I went through!!! I have tried everything and no good. THANK YOU SO MUCH FOR ALL THE PRAYERS!!! greatly appreciated!!!! I know the Lord can heal me just by thinking it so I have hope I'm going to wake up better one day but it's absolutely stopping my whole life. Anyway I hate talking about it. I'm praying this HEM-HEALER works!!! Have a great weekend 🙏✝️❤️🔥
Jesus Christ won’t help you here, that fake praying believing stuff is 4 the 🐦 birds .. you see you got another 1 after your surgery!! This is real life not make belief Jesus stuff eat high fiber!!! Chang also didn’t respond .
I hope you get treated tho but stop with the Jesus Christ will help me stuff please
I know the pain, I haven't had surgery because of these horror stories but every day I wake up in fear knowing I'll be going to the toilet anywhere from 2-8 times in the space of 2 hours. I don't like sitting in chairs so just lay in bed all day counting down the minutes knowing it will be morning soon. It's no life, I might as well be dead. I love In the UK and they only cut and stitch at grade 4 piles and even then you have to wait over 12 months for it. I don't have the money to go private so I guess I'll just fear every morning and lay in bed until I'm dead. Man I'm so depressed.
Hello
i checked my insurance and Aetna is not in network..what is an office procedure cost?
but how can we make the insurance pay for it?
What about for chronic fissures?
what about sclerotherapy, Doc ?
I have External thromboses hemorrhoids will this work?
Can you do laser surgery for grade 3 piles ? any information will be well appreciated
Can they be used for fistulas?
Does the Cleveland Clinic do laser treatment.
So ur recommend laser surgery for grade 2 hemorrhoid over banding
My husband had removed his hemorrhoids removal twice. First time no pain but second time very painful due having two together one in front and behind.Now many clinics are doing it at a cheaper price.
Do they give anaesthetises before laser surgery commences ? Also do doctors take xray or sonography too
So are you going to address the issues in the first episode? Cost insurance will pay for, success rate, and return rate? Will you have updates on your 1 year patients after laser surgery? Laser is not offered in many rural cities unfortunately.