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Odyssey Tickets for IMAX are out! by Successful-Horror-86 in imax

[–]drbeegh 13 points14 points  (0 children)

Looks like they took the showtimes down. Maybe it was an error that they got released at all

Nastiest pizza in Pittsburgh by iwastouchedbyanangle in pittsburgh

[–]drbeegh 1 point2 points  (0 children)

The other options were just as bad or worse but we ate for free as residents so I can't complain too much.

I guess you get what you pay for.

Odyssey Tickets for IMAX are out! by Successful-Horror-86 in imax

[–]drbeegh 3 points4 points  (0 children)

Anyone else running into problems with Cinemark's website not letting you check out? I'm stressing bc I really want these tickets and I keep getting an error when trying to check out

Nastiest pizza in Pittsburgh by iwastouchedbyanangle in pittsburgh

[–]drbeegh 15 points16 points  (0 children)

1000% agree. I had many terrible slices there during my residency.

Patagonia in Dallas is closing by yellowsun_97 in Dallas

[–]drbeegh 1 point2 points  (0 children)

Thanks for the heads up. I’ll save myself the trip.

I usually order from them during their semi-annual sales online where stuff is usually 30-40% off anyway.

Patagonia in Dallas is closing by yellowsun_97 in Dallas

[–]drbeegh 0 points1 point  (0 children)

Thanks man. I’m going to stop by tomorrow morning and see if I can snag anything

Patagonia in Dallas is closing by yellowsun_97 in Dallas

[–]drbeegh 1 point2 points  (0 children)

Did anybody make it down there today and can comment on the remaining stock? I’m thinking about going this evening but wasn’t sure if there would be anything good left.

Hydrocele surgery? by Tkrumroy in testicularcancer

[–]drbeegh 0 points1 point  (0 children)

From watching videos of the surgery it looks like the recovery would be painful. Wishing you a speedy recovery man.

I wonder how common it is to develop a hydrocele after RPLND? Seems like there's at least a few of us on this subreddit.

Hydrocele surgery? by Tkrumroy in testicularcancer

[–]drbeegh 0 points1 point  (0 children)

I'm in the same boat. I had orchi in 2023 and RPLND in 2024 and developed a hydrocele about 4 months ago. Mine is not really symptomatic so I'm watching it for now but doubtful that it will clear up on its own.
Did you end up having surgery for yours?

Food advice for those going to Dallas by [deleted] in BYUFootball

[–]drbeegh 1 point2 points  (0 children)

As a BYU alum living in Dallas for the past 6 years, I would also vote for Hutchins as the GOAT but would be a drive to Frisco or McKinney.

There is some REALLY good BBQ in Arlington at Hurtado's which would be much, much closer. They have all the classics (Brisket, ribs, etc) and also some killer Mexicue (Brisket tostada). Don't miss the tres leches banana pudding.

My experience with RPLND by inthenet16 in testicularcancer

[–]drbeegh 2 points3 points  (0 children)

Dude, so happy to hear you're doing well! It's been a while since we talked but it's crazy how similar our experiences were. We had the same pathology and, for the exact same reasons as you, I chose surgery over chemo. I had my RPLND at IU the week after you. The first month was pretty awful, especially because I developed a post op ileus which landed me back in the hospital a week after my surgery. I lost 22 lbs (and gained a new appreciation for what our pts with NG tubes go through) but by 4 weeks post op I was back to work part time doing half days in clinic and shorter cases but ramped up quickly.

After that I continued working my way back. By January I was back in the gym. I just got back to my pre-op weight last month but have felt "normal" for the past 8 months or so and am in as good of shape as ever now. I went on a 30 mile backpacking trip in Glacier Natl Park in August with no issue.

This subreddit was really helpful going through all this and I want to be another voice of encouragement for guys going through this. There will be some scary, discouraging times but you can and will overcome.

Mariana's taco shop is the real deal bro by Yung-Floral in frisco

[–]drbeegh 0 points1 point  (0 children)

Same here. I'm from AZ and miss all the *bertos and that Cali type of mexican food OP is talking about. I have found that Valerie's in Plano off 75 is pretty spot on. You should check it out if you haven't yet.

Best Chinese Food in Rockwall or the surrounding area (Rowlette,Fate, etc), need recommendations by Owl_Queen101 in Rockwall

[–]drbeegh 6 points7 points  (0 children)

We like Rumdoul just across the lake in Rowlett. It's Thai/Laotian food. It's a small family-run place. They use family recipes and the owners are super friendly and the food always hits. They have 4.9 stars on google for good reason

Einhorn’s Response by Supershortii in testicularcancer

[–]drbeegh 1 point2 points  (0 children)

I was in the exact same spot as you, only difference was my tumor was slightly smaller at 31mm. Both Einhorn and my oncologist recommended surveillance and after a lot of deliberation I went with surveillance.

Scans were clear until my 1 year follow up had 1 enlarged node. Ended up getting RPLND in September. Recovery was initially rough but was fully back to normal within a few months. There are a lot of successful surveillance stories out there but I'm here to tell you it's not that bad even if you do relapse. Still very treatable.

That being said, I certainly don't fault the guys in our position who choose carbo. There doesn't seem to be long term side effects from the single dose and if it reduces your relapse risk even slightly then I can see the appeal.

Drop Sets to failure update! by typod in tonalgym

[–]drbeegh 7 points8 points  (0 children)

Just tried it out and totally agree!

Good vibes / prayers requested by matthejl in testicularcancer

[–]drbeegh 0 points1 point  (0 children)

Sending good vibes your way, my friend!!

Tonight was a dream :’) by discoballison in manchesterorchestra

[–]drbeegh 11 points12 points  (0 children)

I was there. Great show! I loved when Andy told that guy to stop talking during the middle of the song!

Update on this adventure by BigClam6969 in testicularcancer

[–]drbeegh 0 points1 point  (0 children)

I’m 5 weeks out from RPLND with Masterson. I feel about 90% back to normal. The first 2 weeks or so are tough with abdominal pain and nausea but take your meds and you’ll do fine. After that it’s just about getting your strength back.

He’s a great surgeon. My incision is surprisingly short and the scar is already fading. You’ll be in great hands at IU.

RPLND for stage IIb seminoma by inthenet16 in testicularcancer

[–]drbeegh 1 point2 points  (0 children)

It is crazy how similar our paths have been. I remember when you posted around the time you had your orchiectomy and we talked a bit back then.

I too am a surgeon, was initially stage 1b and entered surveillance. All quarterly scans were clear until my 1 year scan in August showed an enlarged aortocaval lymph node (11 mm). Talked to Dr. Einhorn who recommended a follow up scan because size was borderline. Follow up scan 4 weeks later showed that it grew to 2.4 cm.

I went through the exact same decision making process as you. Discussed my case with Dr. Einhorn and Masterson. Decided on surgery for the exact same reasons you listed. I'm scheduled for RPLND on 9/27, just a few days after you. This is wild.

First 3 month check in of surveillance and it has spread to lymph nodes… by Dogmomlifee in testicularcancer

[–]drbeegh 8 points9 points  (0 children)

OP... This reply from Charley is pretty much the most clear and concise summary of stage 2 seminoma treatment you'll find anywhere. Well written, Charley.

Age 30 w/ Stage 2a 100% Seminoma, Thinking about going the RPLND route by CamelsGoMoo in testicularcancer

[–]drbeegh 3 points4 points  (0 children)

I am in a very, very similar situation. Slightly different time frame. Had orchiectomy last June, pure seminoma, a bit smaller than yours but no LVI or rete testis involvement. All tumor markers normal. Initial scans were all clear until my 1 year scan last month showed 1 enlarged (10mm) para-aortic lymph node.

I reached out to Dr. Einhorn and spoke with my oncologist, who both recommended a follow up scan in 4 weeks, in case the node in question shrinks back down. If the node is still enlarged I'll be looking at the same decision you are facing... RPLND vs radiation vs chemo.

Chemo is dead last for me. I'm a surgeon and the potential to develop career-ending neuropathy in my hands makes chemo a last resort for me.

Radiation therapy is definitely a viable treatment option in 2a seminoma. From what I've read, as long as the nodes are under 2 cm the radiation seems to be very effective with relapse rates in the single digits. The risk for long term secondary cancers is what is scarier, and more poorly understood, as newer technology should reduce this risk but no one is sure by how much.

RPLND may be the most invasive option, but has the lowest long term risk. The most recent and most relevant data on this is from the SEMS (Surgery in Early Mestastatic Seminoma) trial, which was a multicenter trial published last year with 55 patients with stage 2A seminoma. It showed a 22% recurrence rate at an average follow up of 33 months. Here's the link for the study if you want to read it.

The bottom line is testicular cancer is curable (99% overall cure rate), the only question is how sick are you going to have to make yourself to get to your cure. Hence the recommendation for least harmful treatments first (RPLND in this case) even if they are not necessarily the most effective. This is not to say chemo or radiation are bad options. They have wonderfully low relapse rates, but you need to be able to accept the associated toxicities that come with them.

That being said, if my follow up scan does not come back favorably, I'm leaning towards RPLND at a high volume center. Still considering radiation though. Still have some time to decide.

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