@CaseySeidemanMD@EMPAthy_atrophy This is probably better directed toward your adult urology colleagues. Usually pts don’t get sent anywhere without 1st a phone call to them asking, “will you do this?”
Way back when I was in Afghanistan with the Army in 2014 I had an evening conversation with a civilian contractor that was adamant that the USA was headed for civil war. I thought he had been in Central Asia too long. He had a better sense of things than I did.