About
I'm a urologic surgeon and real estate investor. I am also the founder of The Darwinian…
Contributions
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How can data be used to improve healthcare disaster preparedness?
As computing power grows, our ability to utilize AI to model disaster scenarios will improve dramatically. While one part of this is reliant on the advancement of hardware and supercomputers, the ability of AI to model these scenarios is likely already here. The neural nets will need massive amounts of data to yield useful predictions, but it’s just a matter of resources at this point. It’s an exciting time to be alive!
Activity
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In today’s PPhREI roundup, we discuss some amazing personal finance books and take a look at the renovations taking place in the Hampton Meadows…
In today’s PPhREI roundup, we discuss some amazing personal finance books and take a look at the renovations taking place in the Hampton Meadows…
Shared by Daniel H. Shin
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Allow myself to introduce...myself. Great piece on yours truly! https://lnkd.in/g_-bbhxn
Allow myself to introduce...myself. Great piece on yours truly! https://lnkd.in/g_-bbhxn
Liked by Daniel H. Shin
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Here’s an explanation of the five ways rental real estate can generate income: 1. Rental Cash Flow: This is the income you receive from tenants…
Here’s an explanation of the five ways rental real estate can generate income: 1. Rental Cash Flow: This is the income you receive from tenants…
Shared by Daniel H. Shin
Experience
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Cereus Real Estate
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Education
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Activities and Societies: The Yale Spizzwinks The Yale Whiffenpoofs The Yale Taekwondo team
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Activities and Societies: Yale Whiffenpoofs Yale Spizzwinks
1999-2003: Member, Yale Spizzwinks. An undergraduate a cappella group founded in 1914.
2000-2003: Black belt, Yale Taekwondo team. Competed in inter-collegiate tournaments.
2003-2004: Member: Yale Whiffenpoofs.
The oldest collegiate a cappella group in the country.
Performed in 13 countries around the world.
Appeared on The Gilmore Girls, The Today Show, ESPN, and Jeopardy!
Licenses & Certifications
Publications
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Development and Validation of a Novel Robotic Procedure-Specific Simulation Platform: Partial Nephrectomy.
Journal of Urology
We developed a novel procedure specific simulation platform for robotic partial nephrectomy. In this study we prospectively evaluate its face, content, construct and concurrent validity.
Other authorsSee publication -
A novel interface for the telementoring of robotic surgery.
British Journal of Urology International
Objectives: To prospectively evaluate the feasibility and safety of a novel, second-generation telementoring interface (ConnectTM) for the da Vinci robot.
Materials and Methods: Robotic surgery trainees were mentored during portions of robot-assisted prostatectomy and renal surgery cases. Cases were assigned as traditional in-room mentoring or remote mentoring using ConnectTM. While viewing 2D, real-time video of the surgical field, remote mentors delivered verbal and visual…Objectives: To prospectively evaluate the feasibility and safety of a novel, second-generation telementoring interface (ConnectTM) for the da Vinci robot.
Materials and Methods: Robotic surgery trainees were mentored during portions of robot-assisted prostatectomy and renal surgery cases. Cases were assigned as traditional in-room mentoring or remote mentoring using ConnectTM. While viewing 2D, real-time video of the surgical field, remote mentors delivered verbal and visual counsel, using 2-way audio and telestration (drawing) capabilities. Perioperative and technical data were recorded. Trainee robotic performance was rated using a validated assessment tool by both mentors and trainees. Mentoring interface was rated using a multi-factorial Likert-based survey. Mann-Whitney and T-tests determined statistical difference.
Results: We enrolled 55 mentored surgical cases (29 in-room, 26 remote). Perioperative parameters of operative time and blood loss were similar between in-room and remote mentored cases. Robotic skills assessment showed no significant difference (p>0.05). Mentors preferred remote over in-room telestration (p=0.05); otherwise no significant difference existed in evaluation of the interfaces. Remote cases utilizing wired (versus wireless) connections had lower latency and better data transfer (p=0.005). Three of 18 (17%) wireless sessions were disrupted; one was converted to wired, one continued after restarting ConnectTM, and the third was aborted. A bipolar injury to the colon occurred during one (3%) in-room mentored case; no intraoperative injuries were reported during remote sessions.
Conclusion: In a tightly controlled environment, the ConnectTM interface allows trainee robotic surgeons to be telementored in a safe and effective manner while performing basic surgical techniques. Significant steps remain prior to widespread utilization of this technology.Other authors -
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The evaluation and treatment of delayed ejaculation.
Sexual Medicine Reviews
Introduction
Delayed ejaculation is a small but important subsection of ejaculatory dysfunction, with prevalence estimated at 1–4%. It is most commonly defined by DSM-IV-TR criteria, as “a persistent delay in, or absence of, orgasm in a male following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person's age, judges to be adequate in focus, intensity, and duration.” The pathophysiology of delayed ejaculation is related to disruptions in…Introduction
Delayed ejaculation is a small but important subsection of ejaculatory dysfunction, with prevalence estimated at 1–4%. It is most commonly defined by DSM-IV-TR criteria, as “a persistent delay in, or absence of, orgasm in a male following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person's age, judges to be adequate in focus, intensity, and duration.” The pathophysiology of delayed ejaculation is related to disruptions in ejaculatory apparatus, nervous transmission, hormonal or neurochemical ejaculatory control, or psychosocial factors.
Conclusion
The evaluation of this condition requires a focused history and physical, which includes a detailed sexual history, examination of the genitalia, and inquiry into the status of the partner. Laboratory tests are aimed at the detection of abnormalities in the blood count, glucose level, hormone levels, or kidney function. If a correctable etiology is discovered, treatment is directed towards the reversal of this condition. In some cases, the delayed ejaculation may be a lifelong problem. Also, in some cases the etiology of the delayed ejaculation may be irreversible, such as in the case of age-related sensation loss or diabetes-related neuropathy. In these instances treatment may require a combination of behavioral modification, sexual therapy, or perhaps pharmaceutical drugs. Participation of the partner in therapy may sometimes be necessary. Future investigations will continue to elucidate the complex biological and psychosocial factors which contribute to delayed ejaculation, leading to more effective treatments.Other authorsSee publication -
Sperm Retrieval Techniques
Nature Reviews: Urology
Since the advent of intracytoplasmic sperm injection in 1992, sperm retrieval procedures have been routinely employed to treat male infertility owing to azoospermia. With obstructive azoospermia, sperm is potentially harvestable from the vas deferens, epididymis, and testicle using percutaneous and open sperm retrieval procedures that are relatively straightforward and reliable. In nonobstructive azoospermia, sperm is generally found only in the testicles and can often be difficult to retrieve.…
Since the advent of intracytoplasmic sperm injection in 1992, sperm retrieval procedures have been routinely employed to treat male infertility owing to azoospermia. With obstructive azoospermia, sperm is potentially harvestable from the vas deferens, epididymis, and testicle using percutaneous and open sperm retrieval procedures that are relatively straightforward and reliable. In nonobstructive azoospermia, sperm is generally found only in the testicles and can often be difficult to retrieve. Several approaches aimed at maximizing sperm yield in this condition have been developed, but only 50% of men with nonobstructive azoospermia will have clinically usable sperm. Multibiopsy testicular sperm extraction (TESE), microdissection TESE, and fine-needle-aspiration map-guided TESE are three common methods currently employed to locate and retrieve sperm in these difficult cases. Other factors that influence the use of surgically retrieved sperm for assisted reproduction include differences in sperm DNA integrity, the expertise of the surgeon and the andrology laboratory, and the described differences in the viability of sperm from different anatomical sources after freezing and thawing.
Other authorsSee publication -
Primary epithelioid hemangioendothelioma of the kidney and penis.
The Canadian Journal of Urology
Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor of low malignant potential most commonly found in the lung, liver, and soft tissues. Here we describe the very rare presentations of primary EHE in the kidney and on the penis. One patient is a 59-year-old man with a renal lesion found incidentally on surveillance radiography, and the other is a 26-year-old man with an asymptomatic subdermal glanular lesion. Both were treated surgically via open partial nephrectomy and partial…
Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor of low malignant potential most commonly found in the lung, liver, and soft tissues. Here we describe the very rare presentations of primary EHE in the kidney and on the penis. One patient is a 59-year-old man with a renal lesion found incidentally on surveillance radiography, and the other is a 26-year-old man with an asymptomatic subdermal glanular lesion. Both were treated surgically via open partial nephrectomy and partial penectomy, respectively. Surgery is standard treatment, and close clinical follow up is necessary due to the unpredictable nature of EHE.
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Languages
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Spanish
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English
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More activity by Daniel H.
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I’m in Seoul for 36 hours…! #WCET24 A privilege to moderate the #AI in Endourology and Robotics panel with stellar talks by Timothy Chang…
I’m in Seoul for 36 hours…! #WCET24 A privilege to moderate the #AI in Endourology and Robotics panel with stellar talks by Timothy Chang…
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Today’s post explains why I’m going to focus on buying experiences, not things. We’ll talk about hedonic adaptation, vomitoriums, and…
Today’s post explains why I’m going to focus on buying experiences, not things. We’ll talk about hedonic adaptation, vomitoriums, and…
Shared by Daniel H. Shin
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“The most dangerous phrase in the language is, ‘We’ve always done it this way.’” - Rear Admiral Grace Hopper, Pioneering Computer Scientist. IUD…
“The most dangerous phrase in the language is, ‘We’ve always done it this way.’” - Rear Admiral Grace Hopper, Pioneering Computer Scientist. IUD…
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In today’s PPhREI Network Roundup post, Dr. Frey shows us how he approaches good debt vs bad debt, and I bring you along with my family on an epic…
In today’s PPhREI Network Roundup post, Dr. Frey shows us how he approaches good debt vs bad debt, and I bring you along with my family on an epic…
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👩⚕️👨⚕️ Why Physicians Should Buy Disability Insurance to Protect Their Income As a physician, your ability to earn an income is one of your…
👩⚕️👨⚕️ Why Physicians Should Buy Disability Insurance to Protect Their Income As a physician, your ability to earn an income is one of your…
Shared by Daniel H. Shin
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In a world where words are empty, and endorsements are muddled by money or strings attached I am proud and humbled to have reviewed Dr. Susan J…
In a world where words are empty, and endorsements are muddled by money or strings attached I am proud and humbled to have reviewed Dr. Susan J…
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Time Out. 🏀 You take a time out in the game of basketball when you are no longer playing your game. Or the game is getting away from you. It is a…
Time Out. 🏀 You take a time out in the game of basketball when you are no longer playing your game. Or the game is getting away from you. It is a…
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Are we headed for another housing crash? My conclusion is that it’s unlikely in the near future. Read below for my reasons…
Are we headed for another housing crash? My conclusion is that it’s unlikely in the near future. Read below for my reasons…
Shared by Daniel H. Shin
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In this post, you can hear about my family’s epic summer getaway to California, specifically San Francisco, Santa Cruz, and Los…
In this post, you can hear about my family’s epic summer getaway to California, specifically San Francisco, Santa Cruz, and Los…
Shared by Daniel H. Shin
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In today’s post, I’ll walk you through the painful process of getting a mortgage, and why I think this is a good thing. https://loom.ly/0-H3HKI
In today’s post, I’ll walk you through the painful process of getting a mortgage, and why I think this is a good thing. https://loom.ly/0-H3HKI
Shared by Daniel H. Shin
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Today, I review our short term and long term rental portfolio, including the evidence that the Broken Bow vacation rental bubble has…
Today, I review our short term and long term rental portfolio, including the evidence that the Broken Bow vacation rental bubble has…
Shared by Daniel H. Shin
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It's July, so that means that thousands of physicians have graduated from residency or fellowship and started their first attending jobs. Often…
It's July, so that means that thousands of physicians have graduated from residency or fellowship and started their first attending jobs. Often…
Shared by Daniel H. Shin
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What level of spending do you picture in your retirement? If it’s $100,000 a year, you’re a fan of FatFIRE. But what if you want to spend more?…
What level of spending do you picture in your retirement? If it’s $100,000 a year, you’re a fan of FatFIRE. But what if you want to spend more?…
Shared by Daniel H. Shin
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In this special edition of Anno Darwinii, my real estate empire turns two years old and hits $3 million of property value! https://loom.ly/BrOFPek
In this special edition of Anno Darwinii, my real estate empire turns two years old and hits $3 million of property value! https://loom.ly/BrOFPek
Shared by Daniel H. Shin
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