*WARSTONE DS dawa best hai..Miracle ki tarah kaam kiya mere liye...16mm ki pathri nikaal di meri..meine seedha cmpany se mangwayi thi..pehle ek pack Amazon se mngwaya tha fir baki ka treatment cmpny se* ..
I am in the US. I have horseshoe kidneys with poor drainage, have dozens of stones, all less than 10mm, and am allergic to flowmax family meds. I take levsin, and Pyridium, and pain meds. I cannot have stents except external or the laser lithotripsy. Prolonged pain….for years. The last time it took about 3 months for me to pass about 100 stones/fragments. With prolonged pain….again sometimes weeks, months, years. Know your situation, your options, and communicate!
Thankyou very much for Good Explanation sir, For 4.4mm to 5mm Kidney stone with EU 1100, can we able to use ESWL to Break the Stone, Will We Need More Intensive Shock Wave to Break it ?, Please Answer sir, Once Again Thankyou
Thanks very much, sir, This is very good information, I have done 1st sitting in Hyderabad. Seriously am not aware of this treatment in begin.Thanks a lot, sir
sir stone 2.9cm ke 2 hai ek right kidney me jis ki wajah sever hydroneohrosis hoa hai jis ki wajah ct scan me cortex loss aya ab hum kya kare pleade batana koi
@@musicstation6064 mere stone nhi tha mere husband ko tha ek kidney ston purana tha kidney kharab kar dya is lye ek kidney stone wali ramzan me nikal di stone nahi puri kidney nikalni padi.
@@musicstation6064 mere husband ko itne salo dard nhi tha stone ka pata nahi chala stone ne pura kidney kharab kharab kar kar dta sever hydronephrosis cortex thin hoa jis ka ilaj nhi tha stone nikalte to bhi kidney thik nhi hoti do opretion karte stone nikalne ka try karte phir bhi kidney thik nhi hoti dr ne bola to ek hi opretion se kidney nikal do kharab kidney rakh kar faida nahi wp aur bhi chize kharab kare gi
@@Urocentre thanku so much for your kind response sir..i had my lithotripsy done today at 11 AM but i haven't pass any stone or particles yet. What could be the reason? As my doctor said that stone has been fragmented. M so worried, feeling burning and frequent urination
Goood question I’m currently awaiting an appointment for this procedure for 11mm in my upper kidney just completed the laser removal of two stones in Blatter worst part was going home with the bag
@@Urocentre Thanku for your reply. My father is 66 and has diabeties and BP as well and scared of surgeries. Hopefully this treatment is well suited and will clear stones in 1 to 2 session without damage and other issues. He gets pain in stomach bcoz of it, your response make things clear, so getting ready for this treatment without hassle. Thanks again🙏👍
Mam it can be possible that some fragment may have got stuck in the pipe of the kidney and cause the same symptoms as you mentioned. It is not a serious problem and can be managed with just one painkiller injection.
@@Urocentre Thanks Sir for your reply a d clarification. I stay in Mumbai and here dr said anesthesia is require for ESWL also. I want treatment from you and ready to come to gurgaon as well. I have what's app my reports to you. Please check.
Sir mera left ureter mein 12 mm ka stone hai .lithotripsy se kya mera stone break hoke removed ho jayega.lithotripsy ke liye mujhe kaha Jana parega mein aap se kaise meet karu kripya him ko bataiye sir ji
Sir mere Bhai ka urethroscopy and lithotripsy operation hua h . operation k 8 days bàad persistent bleeding ho rha h sir is situation m Kya kre please help me
Dear Mr Yai Only Stones in pancreatic Duct have been treated, not Gall stones. Although it needs a gastroenterologist also. Also radiolucent stones are difficult to treat. We can help. Please send all queries and reports to urocentreindia@gmail.com. Happy to help Team Urocentre
Very useful and very nicely explained by you sir....👌👌 Sir i am Navy officer, have 4mm stone in upper calyx of kidney .. already done 3 sessions in 15-15 days gap.. every time hospital staff say we broken it and it will come out..but still no good news... Sir my question is if every time stone is breaking then why still its pieces not coming out through urine track? Please reply... Thanks in advance..
Sir I am having stone of 6 MM in left lower ureter till lower end (vesico-ureteric junction). What should I do now . Kindly do the needful by replying the comments.
Till 6mm stone dr. Is advising to have conservative therapy i'e Drink more water it will pass out through urine....no need to go for lithotripsy until stone is more than 6mm ......
@@Urocentre sir I asked to my doctor about pcnl but he refused to pcnl he said to me that their is risk of some stone left in kidney....sir I want to know another surgery option ...your opinion
Why you say many sessions. Some people have just in one session even with big stone like the size of head of plugger in the power outlet. Why you say that the stone can be stuck in the pipe after the surgery, couldn't crush the stone in smaller size?
I have a 7mm stone in upper ureter.I have taken medicines for over a month but the pain is still there with vomiting almost daily . Should I use medicine for more time or go for this procedure?
Such a nice video, you have explained all single points in such a beautiful manner that anyone can understand very easily, sir doctor like you Amazing 👏thanks a lot.
Sir I have 7mm stone in lower pole and I have some time mild hydronephrosis due to PCNL which I done in childhood. Can I use ESWL methord to remove for currently 7mm stone?
Sir Stone is in mid calyx of rt.kidney 8.3mm I have taken lot of medicine Ayurvedic olso but nothing happened. I m suffering from pain Please let me know what is the best method of treatment? Love from kashmir
16mm kidney stone with HU~ 1413 break through Lithotripsy??? My urologist denied, he said this type of hard stone can't break by Lithotripsy. Is it true??
@@shehriyarkhan3779 Hello..apko agar urine infection ya kidney swelling ya gallblader stone ya kidney stone nikalwana hai toh ap.. ayurvedic medcine lijiye..surgery math karaye..apko ayurvedic medicine chahye toh mujhe contact kariye...100%guarantee se nikal jayega bina operation karaye
Sir, I have a Right PUJ calculas(11x9.5x9.7mm+1200HU)with mild hydronephrosis +small Right middele calyceal calculus(3x3x2.5mm+242HU) which method is suggest for treatment of stone?
Why there is a blood in urine after litho many times the patient changes his position a little bit during litho due to unbearable pain n the attendant is found missing at that time then will the sound waves damage the kidney. He left me on the bed unattended for 30 mins n i was screaming with pain he totally forgot it still haunts me.
I have stones in both kidney upper and lower pole 5mm and 4mm in left kidney upper pole and 4mm in right kidney lower pole. But i have urine stuck problem from the day i had bleed first time . Can you tell me why my urine stuck regularly and i am bleeding regularly at night from last 11 months i m facing bleeding and urine stuck. I drink 3 to 4 liter water in day . Can you tell me what test i should to do know my urine stuck issues?
@@Urocentre sir my father have 10mm and 9mm and many small sizes stons in kidney, he is also two hard blocks problem and little bit hypertension problem so which type of surgery will preferable(ESWL, RIRS, PCNL) plz suggested me sir
Sir i have a kidney stone 25mm×25mm and 16mm×17mm in same side one by one. Is this hardness is 1600hu. Can i do lithotripsy? Pls give me reply. I'll come to your clinic.
*WARSTONE DS dawa best hai..Miracle ki tarah kaam kiya mere liye...16mm ki pathri nikaal di meri..meine seedha cmpany se mangwayi thi..pehle ek pack Amazon se mngwaya tha fir baki ka treatment cmpny se* ..
Usko use kayse krna hai please
I am in the US. I have horseshoe kidneys with poor drainage, have dozens of stones, all less than 10mm, and am allergic to flowmax family meds. I take levsin, and Pyridium, and pain meds.
I cannot have stents except external or the laser lithotripsy. Prolonged pain….for years. The last time it took about 3 months for me to pass about 100 stones/fragments. With prolonged pain….again sometimes weeks, months, years.
Know your situation, your options, and communicate!
I have never seen such a nice vedio he expain it very much
my friend have stone in both kidney and now doctor put stunt in her body now the tell to operation now plz tell what to do
Sir kindly share the reports with us at urocentreindia@gmail.com
Ye bhi bta dete ki after lithrotipsy ke bad kitne days mein recovery or kaise hoti hai
Sir I have 22mm of kidney stone in my right kidney which treatment is best tell me sir I am 29 old
Thankyou very much for Good Explanation sir, For 4.4mm to 5mm Kidney stone with EU 1100, can we able to use ESWL to Break the Stone, Will We Need More Intensive Shock Wave to Break it ?, Please Answer sir, Once Again Thankyou
Sir ihave two stones at pole of left kidney which treatment is sutable
Is it possible remove Ureter 6 mm stone by this Lithotripsy technology?
My stone is in the distal Ureter about 2cm from the UVJ… can I still get lithotripsy? im too nervous to get the uteroscopy surgery
I have 4.5mm stome in left kidney, will this procedure be the best for me?
You can naturally pass stones upto 7mm. I will suggest drinking lots of water and do exercise for a couple months.
@@ulambaulamba Thanks
I have 5mm in both sides how to remove
@@santanunayak4043 paani se nikl jaegi daba ke.piyo
@@santanunayak4043 clear stone homeopathic medicine use Karo with blabaris valgaris mother ticture medicine.
I have 20 mm stone in left kidney, can lithotripsy cure this or do I need rirs/pcnl. My kidney is horse shoe
@ImranAli-qk3dbuse kayse krna hai please 😊
Thanks very much, sir, This is very good information, I have done 1st sitting in Hyderabad. Seriously am not aware of this treatment in begin.Thanks a lot, sir
sir stone 2.9cm ke 2 hai ek right kidney me jis ki wajah sever hydroneohrosis hoa hai jis ki wajah ct scan me cortex loss aya ab hum kya kare pleade batana koi
apka stone nikal geya sir
@@musicstation6064 mere stone nhi tha mere husband ko tha ek kidney ston purana tha kidney kharab kar dya is lye ek kidney stone wali ramzan me nikal di stone nahi puri kidney nikalni padi.
@@musicstation6064 mere husband ko itne salo dard nhi tha stone ka pata nahi chala stone ne pura kidney kharab kharab kar kar dta sever hydronephrosis cortex thin hoa jis ka ilaj nhi tha stone nikalte to bhi kidney thik nhi hoti do opretion karte stone nikalne ka try karte phir bhi kidney thik nhi hoti dr ne bola to ek hi opretion se kidney nikal do kharab kidney rakh kar faida nahi wp aur bhi chize kharab kare gi
Sir plzzzz tell..can it be done for distal ureter stone of 7mm?
Yes
@@Urocentre thanku so much for your kind response sir..i had my lithotripsy done today at 11 AM but i haven't pass any stone or particles yet. What could be the reason? As my doctor said that stone has been fragmented. M so worried, feeling burning and frequent urination
@@SaraKhan-xt5qlhow it went? Did it work?
Sir, can a stone of 11 mm be treated through lithotripsy
Yes sir certainly.
Goood question I’m currently awaiting an appointment for this procedure for 11mm in my upper kidney just completed the laser removal of two stones in Blatter worst part was going home with the bag
Can lower pole kidney stone of 10mm come out by lithotripsy..?
Plz reply sir
Sir I have lower calyx stone 16mm can I use eswl ?
Kasa thik huwa apka.please reply
can you treat the stone at pu junction of 15mm stone and there will be no damage to other organs.
Yes Mam, Indeed.
@@Urocentre Thanku for your reply. My father is 66 and has diabeties and BP as well and scared of surgeries. Hopefully this treatment is well suited and will clear stones in 1 to 2 session without damage and other issues. He gets pain in stomach bcoz of it, your response make things clear, so getting ready for this treatment without hassle. Thanks again🙏👍
H
@@amita5492 India me kha me hota hai ye.. PlZzzzz talk me ??
Sir aapse milna hai to kha pe ahna hoga
Good information about alternative ways to treat kidney stones without surgery 👍
Sir please provide hospital name in delhi for lithotripsy treatment
We are in Gurgaon. Please whatsapp at 8383812737and we will provide the suport
I have stone little above bladder 10mm stone can lithotripsy be performed
Yes sir it can be but chances of success are reduced when stone is in Pelvis.
Mujhe donon side kidney mein 4 mm stone hai kya main isase nikal sakta hun ya Tut sakte hain yah sukun please adress bataiye
Sir mera operation 1saal pahle hua h but mera stent ni nikala ab uti h theek ni ho raha kya karu kya aur bi kuch body m kharab ho sakta h
Sir you should get it removed urgently
Sir after lithotripsy treatment my patient got uti and there Vontimig not stoping it's serious problem?? What should we do
Mam it can be possible that some fragment may have got stuck in the pipe of the kidney and cause the same symptoms as you mentioned. It is not a serious problem and can be managed with just one painkiller injection.
@@Urocentre sir can we admit our patient in your urocentre .
Bcoz my patient not getting any relief can you sovle this case
Sir aap kaha se please bataye?
Lithotripsy karne ke bad without stent stone nikal skata hai kya
Yes sir. But that depends on a lot of factors like size and location of stone etc.
Sir, Please confirm if Anastasia is given in lithotripsy
Anesthesia is not needed in this process
@@Urocentre Thanks Sir for your reply a d clarification. I stay in Mumbai and here dr said anesthesia is require for ESWL also. I want treatment from you and ready to come to gurgaon as well. I have what's app my reports to you. Please check.
Sir please reply my question.
How many days the dj stent were in body and when it can be remove?
Can it be used in case of hydroutereonephrosis?
No Sir. Unless it is because of stone.
Sir do u treat Horshoe kidney stones of 12mm and 6 mm
Yes sir Definitely
Sir mera left ureter mein 12 mm ka stone hai .lithotripsy se kya mera stone break hoke removed ho jayega.lithotripsy ke liye mujhe kaha Jana parega mein aap se kaise meet karu kripya him ko bataiye sir ji
Sir it should be possible. Our main centre in India is in gurugram
@@Urocentre please send adress and pH no
Sir mere Bhai ka urethroscopy and lithotripsy operation hua h . operation k 8 days bàad persistent bleeding ho rha h sir is situation m Kya kre please help me
Sir it must be because of stent or infection. Please consult your doctor and take antibiotics and get the stent removed.
Sir app say contact kaise karrai
I am from Hyderabad
@@msbaig2730 hlo
Plz btao contact kese kiya apne
I have 16mm and 0.6mm stone in left kidney can it be remove through lithotripsy
Yes sir
How can we know that stone is hard or soft ?
In CT scan hardness is found Like 600HU or mor
how much will lithotripsy cost
Can a stone of 10-11 mm in Vesicoureteric junction can be removed with this method ???? Please reply
Sir I have a 5.8mm ureteral stone with is causing obstruction can it be done with lithotripsy. Location upper ureter between L3 & L4 disc space
Yes sir. Definitely
@@Urocentre will ESWL be applicable., am a thin guy body weight 67kg
@Sukhdev Varma Thank you par mera kabka nikal gaya
@@einercolt9970 bhai kaise nikla tha
@@gouravsingh2264 by homeopathy
Can do gullstone Also??
Dear Mr Yai
Only Stones in pancreatic Duct have been treated, not Gall stones. Although it needs a gastroenterologist also. Also radiolucent stones are difficult to treat.
We can help.
Please send all queries and reports to urocentreindia@gmail.com.
Happy to help
Team Urocentre
I have 16mm kidney stone in right kidney. Lithotripsy helps to remove??
Yes Sir
@@Urocentre where is your hospital??
Sir mere kidney ke lower pole me 12mm ka stone hai
Ct scan me 1250 hu hardness hai
Kya ye lithotripsy se pura nikal jayega
for lower pole stones we do lithotripsy in less than 1 cm stones
Sir phir kaun si surgery karaye
sir eswl se kidney infection to nhi hota hai?
Very nicely explained , went through so many videos but not like thjs
Very useful and very nicely explained by you sir....👌👌
Sir i am Navy officer, have 4mm stone in upper calyx of kidney .. already done 3 sessions in 15-15 days gap.. every time hospital staff say we broken it and it will come out..but still no good news... Sir my question is if every time stone is breaking then why still its pieces not coming out through urine track?
Please reply... Thanks in advance..
How much they are charging for 1 session
Yes what about the cist
Good
Where is the hospital????
We are located in
Jyoti Hospital, Ganapati Enclave, 28, Jharsa Rd, Housing Board Colony, Patel Nagar, Gurugram, Haryana 122001
Sir I am having stone of 6 MM in left lower ureter till lower end (vesico-ureteric junction). What should I do now . Kindly do the needful by replying the comments.
Till 6mm stone dr. Is advising to have conservative therapy i'e Drink more water it will pass out through urine....no need to go for lithotripsy until stone is more than 6mm ......
@@beigh_fazli_ thanks dear it's already passed out
Sir ureter stones shock waves se remove hoti hai ka
Dear sir please reply
Kideny stone 11mm kideny ke andar hi hai kya uspe lithotripsy kam karega
30mm stone in kidney and have no pain for year ...but u want to remove it rom my kidney...which type or surgery is best
Sir PCNL is best for such large stones
@@Urocentre sir I asked to my doctor about pcnl but he refused to pcnl he said to me that their is risk of some stone left in kidney....sir I want to know another surgery option ...your opinion
@@AzadKumar-pc3mc if there is no pain and kidney functions well, do not consider for surgery yet.
@@MuhammedAYDIN i operate of my stone
Will the x-ray pass large amount of radiation & harm our body during lithotripsy ???
Sir is eswl treatment will effect kidneys
Why you say many sessions. Some people have just in one session even with big stone like the size of head of plugger in the power outlet. Why you say that the stone can be stuck in the pipe after the surgery, couldn't crush the stone in smaller size?
Sir human body and kidney cannot tolerate more than a certain number of shocks in one sitting.
There can be bleeding also.
Thanks
@@Urocentre Good to know. Thanks.
Sir tell me I have 16mm lower calyx kidney stone I am use eswl ?
I HAVE A STONE OF 4.5 MM , HOW LONG WOULD THE PROCEDURE TAKE ??
4.5mm stone can be treated with just medicines. No procedure or surgery is needed for it unless you need medical clearence
Hi Doctor,
I have a 6.6 mm stone stuck in my ureter can this be treated with ESWL?
Yes sir
Did you do this method?
Did you do ESWL please reply
@@Urocentre 🚣🚰🚰
@@einercolt9970 yes he does
Sir I have 14 mm stone in left kidney it is suitable for me or not sir plz reply me 🙏🙏
It should be suitable for you sir.
30mm stone in kidney which type of surgery is required
Mr Azad
Mostly PCNL will be the surgery needed
Please send us reports for better assessment and helping you.
Regards
Team Urocentre
dj stand nikalte time dard hota hai bande ko hose main rakhte hai ya nahi
I have a 7mm stone in upper ureter.I have taken medicines for over a month but the pain is still there with vomiting almost daily . Should I use medicine for more time or go for this procedure?
Konsa treatment liya phir aapne
Sir 18mm ki stones he right kidney me break ho jaye gi please tell me
Such a nice video, you have explained all single points in such a beautiful manner that anyone can understand very easily, sir doctor like you Amazing 👏thanks a lot.
Sir where is your hospital please give address .Thank u
@Sukhdev Varma kese or kis tarh lena hai ye please batayiyega
Sir I have 7mm stone in lower pole and I have some time mild hydronephrosis due to PCNL which I done in childhood. Can I use ESWL methord to remove for currently 7mm stone?
How can I find a vet in my area who can use this on my dog?
Excellent video. So clear and precise on explaining the procedure of lithotripsy treatment. Kudos.
Sir
Stone is in mid calyx of rt.kidney 8.3mm
I have taken lot of medicine Ayurvedic olso but nothing happened.
I m suffering from pain
Please let me know what is the best method of treatment?
Love from kashmir
16mm kidney stone with HU~ 1413 break through Lithotripsy??? My urologist denied, he said this type of hard stone can't break by Lithotripsy. Is it true??
Yes sir 1400 HU stone may be very hard and chances of lithotripsy to break it may be lesser.
sar 38 mm ha ya remov ho jya ge
Sir 38mm stone burden is too large for lithotripsy. You should rather choose PCNL for that stone. Lithotripsy works best for stones upto 20-25mm
Sir 17mm stone in left kidney which method is better for removing
Sir i have kidney stone 25mm×25mm and 16mm×17mm in the same side. Is this hardness 1600hu. Can i do lithotripsy? Pls reply me. I will come to you
Sir, I have a 7.4 mm stone stuck in prostatic urethra for the last one month. Can it be broken through lithotripsy?
Sir for that we have even easier solution of CLT.
Sir adders
Sir is it possible for lower pole kidney stone??
Yes sir it is possible if stone size is less than 1 cm.
@@Urocentre sir i have 18mm stone in lower pole of my left kidney and i am going for this process whats your opinioun
@@shehriyarkhan3779 sir for 18mm lower pole mini PCNL is the best.
@@shehriyarkhan3779 Hello..apko agar urine infection ya kidney swelling ya gallblader stone ya kidney stone nikalwana hai toh ap.. ayurvedic medcine lijiye..surgery math karaye..apko ayurvedic medicine chahye toh mujhe contact kariye...100%guarantee se nikal jayega bina operation karaye
@@herbalproduct3859 sir i have stone in my keft kidney..
Is it safe to perform ESWL if I have papery thin parenchyma because of UPJ obstruction? I am likely to undergo pyloplasty procedure.
Sir you are not a candidtae for ESWL then. Please send your complete reports at urocentreindia@gmail.com
@@Urocentre Because of UPJ Obstruction, I have non obstructive stones in lower calyx. Maximum of 4mm.
Sir... It is a safe method or not
Aage Chl K koe problem to nhi hoti
Yes, it is
Cost
Sir cost depends on a lot of variables like size and HU.
Sir, I have a Right PUJ calculas(11x9.5x9.7mm+1200HU)with mild hydronephrosis +small Right middele calyceal calculus(3x3x2.5mm+242HU) which method is suggest for treatment of stone?
Have you done any treatment???
Sir wher is your hospital
How much does it cost sir
Sir the cost depends on the size and location of the stone. Please share your report on Whatsapp at 8383812737
During the sessions is it painful without anaesthesia??
@Sukhdev Varma mobile please sir
Why there is a blood in urine after litho many times the patient changes his position a little bit during litho due to unbearable pain n the attendant is found missing at that time then will the sound waves damage the kidney. He left me on the bed unattended for 30 mins n i was screaming with pain he totally forgot it still haunts me.
Sir that depends on which machine it was. Electromagnetic ones don't cause any major pain.
Sir mere wife ke kidney me 7.3 mm ka stone hai upper galaxy me hai kya mere ilaj ho jayegi
Sir ,
What is the test and how to assess the hardness of stone. I have 17mm in left kidney
Sir NCCT scan is the best way to test that.
does this proceedure work on OBESE patients?
Sir lithotrpsy is harmful yes or no
I have listen that itis harmful is it true?
remove of stent is very painful procedure
Sir
I have a 4.3mm stone in right kidney in lower calyx. Tell me what treatment will help me to remove the stone.
Sir apki number dijiye please 🙏 merebi kidni stone
I have stones in both kidney upper and lower pole 5mm and 4mm in left kidney upper pole and 4mm in right kidney lower pole. But i have urine stuck problem from the day i had bleed first time . Can you tell me why my urine stuck regularly and i am bleeding regularly at night from last 11 months i m facing bleeding and urine stuck. I drink 3 to 4 liter water in day . Can you tell me what test i should to do know my urine stuck issues?
You need a uroflowmetry and then a consult to see the reasons.
Hi thanks for this information. May i know how much dose it cost
Please send a mail with your reports attached at urocentreindia@gmail.com
We will send a personalized quote
@@Urocentre sir my father have 10mm and 9mm and many small sizes stons in kidney, he is also two hard blocks problem and little bit hypertension problem so which type of surgery will preferable(ESWL, RIRS, PCNL) plz suggested me sir
Sir i have a kidney stone 25mm×25mm and 16mm×17mm in same side one by one. Is this hardness is 1600hu. Can i do lithotripsy? Pls give me reply. I'll come to your clinic.
Sir such stone will be better treated by PCNL. This stone is very big multiple and also very hard to be dealt with my lithotripsy.
Sir for stone of 7 to 8mm which method is best. ESWL or ureteroscopy. One stone is in kidney and other one is in ureteral pipe
Sir urteroscopy cannot deal with kidney stones
Go for RIRS
My father have a left upper ureteric calculus of 6.1 mm.
Sir, how can i contact with you?
Please send a whatsapp at 8383812737
If stone is not visible in x ray can eswl be performed in that case ?
2 mm kidney stone ke kitna time lag jayega lithotripsy mai.....Dr.
I am 43 year old. What is age limit
Sir koi side effects hoha kiya
Is anesthesia is needed in this process??
Rakesh 19mm ston
Lithotripsy can be offered with stenting to prevent obstruction sir.
Sir kitana cast lagata hai lithotripsy me
I have a stone in my bladder and I would like to remove it.Do they put catheter in penis while performing this surgery ?