Sameer Parmar

Co-founder @endouroacademy and founder @lithoacademy. My views are my own My passion #ESWL Believer in Personalised Stone Approach (PSA) #askmehow2swl

[Sameer Parmar @sameerparmar]

A word of thoughtfulness:
“Are we moving from external scar to internal scar in modern Endourology ?”
@endouroacademy

[Sameer Parmar @sameerparmar]

Post 4/4

Few large energy steps may create abrupt escalation.

Many smaller steps may allow smoother control.

Same peak energy.
Different path to peak.
Potentially different fragmentation quality.

The goal is not just stone breakage.
The goal is finer, passable fragments.

[Sameer Parmar @sameerparmar]

Post 1/4

In SWL, we often discuss energy, frequency, shockwave number, targeting, and coupling.

But I believe another lithotripter parameter deserves attention:

Ramping resolution.

#AskMeHow2SWL #ESWL #SWL #Lithotripsy

[Sameer Parmar @sameerparmar]

Post 3/4

In my ESWL experience, #Siemens and #STORZMEDICAL are two systems where I have seen both:

Adequate peak energy
A clinically useful ramping profile

This combination matters when we talk about controlled, personalized fragmentation.

[Sameer Parmar @sameerparmar]

Continuous learning is not optional in clinical application work. It is part of the responsibility.
As I prepare for an extensive month of application training, I am going back to one of the books that every SWL enthusiast should read
#AskMeHow2SWL

[Endourology Academy @endouroacademy]

Had a fantastic meeting with our core board today.
Something exciting, fascinating, and never seen before in the field of education is coming soon. Big thanks to @uroksarica @EndoLuminalEndo @DrPNMaheshwari @sameerparmar

[Sameer Parmar @sameerparmar]

https://t.co/6VrpJsHWzj

[Sameer Parmar @sameerparmar]

Some thing great coming up soon!
Countdown as begun!
This will some thing unique not available on YouTube no university offers this !
#DrivenByExpertise
@uroksarica @EndoLuminalEndo @DrPNMaheshwari

[Sameer Parmar @sameerparmar]

@Mohamedendourol @DocGauhar @mohamed92902484 @drkemalsarica @endouro @D_Castellani @steffiyuen @KARLSTORZUro @JustineShi_js @wissamabokhalid @Endo_Sec_Eua @Moser_DanielC @BernardoNor9 https://t.co/36t8MnpIZX

We have spectrum of 28 faculties world wide teaching PCNL

[Sameer Parmar @sameerparmar]

Check out this insightful article on optimizing shockwave lithotripsy:

https://t.co/bebHm4pw35

[Sameer Parmar @sameerparmar]

Understanding the physics of shockwaves is crucial for achieving optimal results in stone treatment. Each patient and stone is unique, requiring a personalized protocol based on size, location, density, and body mass index. There's no one-size-fits-all approach.
#AskMeHow2SWL

[Sameer Parmar @sameerparmar]

https://t.co/bebHm4pw35

[Sameer Parmar @sameerparmar]

@TFL_URO_APIS @so_uro Thanks for your insights
Will BWL kill fURS? 🤔

[Sameer Parmar @sameerparmar]

Recently I had some text exchange on same platform! On a urologist claiming ESWL is dead!
I would like to ask and provoke a discussion
What the reason you feel!
#askmehow2swl

[Sameer Parmar @sameerparmar]

@DrBora_Urol @dravinashsingh Seems author withdraw his statement

[Sameer Parmar @sameerparmar]

@TheGeorgeHabib These is where you need to vote one of four
You Text Point out to indication !

[Sameer Parmar @sameerparmar]

@dravinashsingh You are like One of the Andhbhakt conclude what you want to world knows the truth don’t be GodiMedia

[Sameer Parmar @sameerparmar]

@DrBora_Urol Thanks for highlighting