{"id":4391,"date":"2025-10-05T17:07:58","date_gmt":"2025-10-05T17:07:58","guid":{"rendered":"https:\/\/oshot.info\/members\/?p=4391"},"modified":"2026-10-14T18:23:37","modified_gmt":"2026-10-14T18:23:37","slug":"jcpm2025-09-09-interstitial-cystitis-vaginal-laser-or-o-shot-or-both-einstein-on-motivation","status":"publish","type":"post","link":"https:\/\/oshot.info\/members\/jcpm2025-09-09-interstitial-cystitis-vaginal-laser-or-o-shot-or-both-einstein-on-motivation\/","title":{"rendered":"JCPM2025.09.09 | Interstitial Cystitis | Vaginal Laser or O-Shot\u00ae or Both? | Einstein on Motivation"},"content":{"rendered":"<div>\n<table class=\"c33\">\n<tbody>\n<tr class=\"c15\">\n<td class=\"c45\" colspan=\"1\" rowspan=\"1\">\n<p class=\"c3\"><span class=\"c46\">Journal Club with Pearls &amp; Marketing 2025.09.09 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/span><span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/&amp;sa=D&amp;source=editors&amp;ust=1759686996575341&amp;usg=AOvVaw26E3CD1VY9uP6zml9NNgNd\" target=\"_blank\" rel=\"noopener\">Cellular Medicine Association<\/a><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"c3 c11\">\n<\/div>\n<h1 class=\"c32 title\"><span class=\"c26\" style=\"color: #0000ff;\">JCPM2025.09.09<\/span><\/h1>\n<p class=\"c22\"><span class=\"c5\">The following is an edited transcript of the\u00a0<\/span><span class=\"c5 c14\">Journal Club with Pearls &amp; Marketing<\/span><span class=\"c27 c5\">\u00a0(JCPM) of September 9, 2025, with Charles Runels, MD. \u00a0<\/span><\/p>\n<p class=\"c22\"><span class=\"c16 c43\"><a class=\"c6\" href=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2025\/10\/JCPM2025.09.09-edited.pdf\" target=\"_blank\" rel=\"noopener\">&gt;-&gt; The PDF transcript of this live journal club can be seen here &lt;-&lt;<\/a><\/span><\/p>\n<div style=\"padding: 56.25% 0 0 0; position: relative;\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" title=\"JCPM2025.09.09\" src=\"https:\/\/player.vimeo.com\/video\/1120612224?h=23f9ed7d22&amp;badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479\" frameborder=\"0\"><\/iframe><\/div>\n<p><script src=\"https:\/\/player.vimeo.com\/api\/player.js\"><\/script><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #0000ff;\">Topics Covered<\/span><\/h1>\n<ul class=\"c17 lst-kix_list_11-0 start\">\n<li class=\"c12 li-bullet-0\"><span class=\"c2\" style=\"color: #800080;\">Vaginal Laser With and Without Vaginal PRP<\/span><\/li>\n<li class=\"c12 li-bullet-0\"><span class=\"c2\" style=\"color: #800080;\">O-Shot\u00ae for Interstitial Cystitis<\/span><\/li>\n<li class=\"c12 li-bullet-0\"><span class=\"c2\" style=\"color: #800080;\">Einstein, Osler, and Whitman on Research and Cosmic Religion<\/span><\/li>\n<li class=\"c12 li-bullet-0\"><span class=\"c2\" style=\"color: #800080;\">Here\u2019s an Email You Could Send if You are an O-Shot\u00ae Provider<\/span><\/li>\n<li class=\"c12 li-bullet-0\"><span class=\"c2\" style=\"color: #800080;\">References<\/span><\/li>\n<li class=\"c3 c25 li-bullet-0\"><span class=\"c2\" style=\"color: #800080;\">Useful Links<\/span><\/li>\n<\/ul>\n<p><span class=\"c2\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3181 alignnone\" src=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2025\/07\/image5-300x239.jpg\" alt=\"\" width=\"300\" height=\"239\" \/><\/span><\/p>\n<p class=\"c39\"><span class=\"c20 c36\"><a href=\"https:\/\/runels.com\" target=\"_blank\" rel=\"noopener\">Charles Runels, MD<\/a><br \/>\nAuthor, researcher, and inventor of the Vampire Facelift\u00ae, Orchid Shot\u00ae (O-Shot\u00ae), Priapus Shot\u00ae (P-Shot\u00ae), Priapus Toxin\u00ae, Vampire Breast Lift\u00ae, and Vampire Wing Lift\u00ae, &amp; Clitoxin\u00ae procedures.<\/span><\/p>\n<h1 class=\"c32 title\"><span class=\"c26\" style=\"color: #0000ff;\">Transcript<\/span><\/h1>\n<p class=\"c3\"><span class=\"c0\">Welcome to our journal club.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">We have two useful papers and one book (by Einstein), which I think was inspired. The book discusses research and how he thought about philosophy.<\/span><\/p>\n<p class=\"c3\">But we'll get to that. Let\u2019s start with this paper,<sup class=\"c19\"><a id=\"ftnt_ref1\" href=\"#ftnt1\">[1]<\/a><\/sup><span class=\"c0\">\u00a0which has been needed\u2014my hats off to these authors for finally doing this study. Although I'm not sure, I believe their conclusion.<\/span><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #800080;\">Vaginal Laser With and Without Vaginal PRP<\/span><\/h1>\n<p class=\"c3\">Patients were divided into three groups.<sup class=\"c19\"><a id=\"ftnt_ref2\" href=\"#ftnt2\">[2]<\/a><\/sup><span class=\"c0\">\u00a0<\/span><\/p>\n<ol class=\"c17 lst-kix_list_13-0 start\" start=\"1\">\n<li class=\"c12 li-bullet-0\"><span class=\"c0\">One group received a PRP injection and a sham laser treatment.<\/span><\/li>\n<li class=\"c12 li-bullet-0\"><span class=\"c0\">The other received a laser treatment and a sham PRP treatment.<\/span><\/li>\n<li class=\"c3 c25 li-bullet-0\"><span class=\"c0\">The third group received both a PRP treatment and a laser treatment.<\/span><\/li>\n<\/ol>\n<p class=\"c3\"><span class=\"c0\">They do not say what they did for the sham PRP treatment: just a needle stick? Saline injection? Something else?<\/span><\/p>\n<p class=\"c3\">Then, they did two more treatments (30 days apart) for a total of 3 treatments and followed the changes in ICI<span class=\"c35\">\u2010<\/span>Q<span class=\"c35\">\u2010<\/span><span class=\"c0\">SF Score and I-QOL.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">They did not measure changes in sexual function.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">They concluded that all three groups improved significantly, but there was no difference between the laser group alone and PRP alone.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">There was a significant improvement when the two were combined compared with either laser or PRP alone.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So this would be good news to those of you who have dropped a hundred thousand plus on a vaginal laser.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">It would also be encouraging if you cannot afford a $150,000 laser, since the PRP treatment alone worked as well as the laser treatment alone, and both treatments showed sustained benefits for the seven months they followed the patients.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">But, I'm still dubious.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">I know I'm biased (about everything), but I'll show you my misgivings.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Remember that all three groups improved significantly, but there was a greater improvement when combined.<\/span><\/p>\n<p class=\"c3 subtitle\"><span class=\"c24 c14\">Misgiving Number One<\/span><\/p>\n<p class=\"c3\">Though they injected PRP in the anterior vaginal wall, they followed a different protocol than our O-Shot\u00ae procedure: they did not do an\u00a0<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/oshot.info\/&amp;sa=D&amp;source=editors&amp;ust=1759686996545359&amp;usg=AOvVaw0CIowVdK7TK7vLDOFRkRKD\">O-Shot\u00ae<\/a><\/span><span class=\"c0\">, but did do something similar.<\/span><\/p>\n<p class=\"c3\">They put two cc's in the midline, which is a smaller volume than what we inject.<sup class=\"c19\"><a id=\"ftnt_ref3\" href=\"#ftnt3\">[3]<\/a><\/sup><\/p>\n<p class=\"c3 subtitle\"><span class=\"c24 c14\">Misgiving Number Two<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">They don't say how far they injected proximal or distal from the introitus or the bladder. In other words, they told us the street (the pathway of the urethra) but did not give us the address.<\/span><\/p>\n<p class=\"c3 subtitle\"><span class=\"c24 c14\">\u00a0Misgiving Number Three<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">They injected two cc directly beneath the urethra, then 1.5 milliliter on each side. We think that is interesting, but the urethra is not on each side of the urethra. The urethra is where the urethra is, so injecting on either side likely accomplished nothing.<\/span><\/p>\n<p><a href=\"https:\/\/5notes.com\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2682\" src=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2024\/08\/5NotesPracticesChart-232x300.jpg\" alt=\"\" width=\"232\" height=\"300\" \/><\/a><\/p>\n<p class=\"c3 subtitle\"><span class=\"c24 c14\">Misgiving Number Four<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">They did not inject the clitoris. Though it may seem unrelated, in reality, if you study the clitoris and the urethra, there is erectile tissue along the urethra, and the two structures are contiguous. So, you should inject both even when treating incontinence.<\/span><\/p>\n<p class=\"c3\">\u00a0Obviously, these authors are brilliant people, but when I see protocols like this, I don't think they have witnessed\u00a0<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/vampirefacelift.com\/&amp;sa=D&amp;source=editors&amp;ust=1759686996546777&amp;usg=AOvVaw25GDLEf0YH7twUepbZoluL\" target=\"_blank\" rel=\"noopener\">PRP injected in a place where you can actually observe what it's doing<\/a><\/span><span class=\"c0\">. When you inject it subdermally in the anterior vaginal wall, you can't really see where it's going, but when you inject it in the face, you can. And if you put two cc's in a place, it's going to spread out, and it will take the path of least resistance. So, for example, when you inject the tear trough, it spreads linearly because that is where hydrodissection occurs more easily. But when you inject it just above the zygoma, it spreads circumferentially because there's no differential in any direction, and so it spreads in a pattern of a circle.<\/span><\/p>\n<p class=\"c9\">=&gt;<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1759686996547341&amp;usg=AOvVaw0Li1G3fj-IVL0MaTXXPzZI\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c1 c14\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1759686996547433&amp;usg=AOvVaw2PFVooi4zIZVnOqLogtoAn\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c23\">\u00a0<\/span><span class=\"c0\">&lt;=<\/span><\/p>\n<p class=\"c3\">With that in mind, consider that, anecdotally, I've had quite a few gynecologists who've come through\u00a0<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/prp-training-runels\/&amp;sa=D&amp;source=editors&amp;ust=1759686996547637&amp;usg=AOvVaw3ryxlvJWzw4FvC6iOqwCop\" target=\"_blank\" rel=\"noopener\">our workshops<\/a><\/span>, and they've done very well. Still, after doing our course, they go back and do what comes naturally to them: in their gyn training, when they were taught to inject\u00a0<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/www.coaptite.com\/&amp;sa=D&amp;source=editors&amp;ust=1759686996547901&amp;usg=AOvVaw0MKZnyUbFO7UDDFgvznN0P\" target=\"_blank\" rel=\"noopener\">Coaptite, which is calcium hydroxyapatite crystals similar to Radiesse<\/a><\/span><span class=\"c0\">\u00a0(or inject an HA filler like with the G-shot\u2014not the same as our O-Shot), they were using filler or using some other substance to create a physical barrier (not to trigger regeneration of stronger, healthier muscle, neovascularization, and neurogenesis).<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">The target was to make that physical barrier closer to the urethrovesicular junction, which is more proximal to the bladder than dictated by our protocol and more distal from the introitus.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Our observation has been that our procedure works much better when you inject very distally from the bladder near the introitus. Only one or two rugae are within the introitus, and all of it is injected in the center directly beneath the urethra. If you think about it, to each side of the urethra, there's nothing there to improve urinary function.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">But if you're midline, you are creating a physical barrier if the tissue gets thicker, and you have a chance of actually injecting one of those three layers of the urinary sphincter. As you know, there are longitudinal and two different layers of circumferential muscle. And if you're midline, you're much more likely to inject that, possibly get the same benefit that's documented in the sports medicine literature, where you get improvement of muscle strength and repair when you inject it with the platelet-rich plasma.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So we're not sure exactly what the mechanism is for exactly which tissue is improving, or which tissues are plural and to what degree, but there's not much space there. Most likely, we're engaging different types of tissue: neurogenesis, neovascularization, and myocyte regeneration.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So when someone goes lateral and only puts two cc's anterior, they've given about half of what we normally inject. Again, there's no mention of where they're injecting. Based on our experience, if they inject more proximally into the bladder, there will be less of an effect than what we normally see with our O-Shot\u00ae protocol.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Still saw a nice improvement after injecting PRP into the anterior vaginal wall for urinary incontinence, as good but no better than the vaginal laser.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Now, this is the part that I'm going to speak about. Intuitively, using the lasers is absolutely beneficial. That's been shown on histology by many of our providers or some of our providers who are luminaries for the various lasers.<\/span><\/p>\n<p class=\"c3\">But suppose you look at the depth of penetration. In that case, it's\u00a0<span class=\"c14 c20\">about the depth of a piece of paper<\/span><span class=\"c0\">, so there's a lot below that depth that may not be affected by the laser, and that you can potentially affect by embedding a needle into something deeper than the thickness of a piece of paper.<\/span><\/p>\n<p class=\"c3 subtitle\"><span class=\"c24 c14\">Misgiving Number 5<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">There was no mention of what happened with sexual function. I know that was not the purpose of the paper. But, having a procedure that improves urinary continence with the side effect of improving sex seems better than not. We think our procedure does both.<\/span><\/p>\n<p class=\"c3 subtitle\"><span class=\"c14 c24\">Misgiving Number 6<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">There was no mention of what the simulated injection was in the PRP-sham arm of the study\u2014those who underwent laser treatment, but the patient was led to believe they also had the PRP injection.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Did they inject saline, or did they just insert the needle?<\/span><\/p>\n<p class=\"c3\">If they had injected saline, that would have also been a treatment that could have helped with improvement and augmenting the effects of the lasers; that would not be a placebo. It's one of my pet peeves. Multiple studies from the dermatology and orthopedic literature show that hydrodisecting tissue with saline does have an effect, and it's been used to treat acne scars, leishmaniasis, and osteoporosis of the knee.<sup class=\"c19\"><a id=\"ftnt_ref4\" href=\"#ftnt4\">[4]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref5\" href=\"#ftnt5\">[5]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref6\" href=\"#ftnt6\">[6]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref7\" href=\"#ftnt7\">[7]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref8\" href=\"#ftnt8\">[8]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref9\" href=\"#ftnt9\">[9]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref10\" href=\"#ftnt10\">[10]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref11\" href=\"#ftnt11\">[11]<\/a><\/sup><\/p>\n<p class=\"c3\">Also, just inserting a needle into tissue has therapeutic effects,<sup class=\"c19\"><a id=\"ftnt_ref12\" href=\"#ftnt12\">[12]<\/a><\/sup><span class=\"c0\">\u00a0so even if they inserted a needle into the anterior vaginal wall, that is not a placebo and would make the laser treatment appear better than it was in comparison with the PRP treatment.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So I would like to know more about what they did for the placebo arm of the study in relation to PRP.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">But the bottom line is that all three groups improved, and we're not sure which one got better in terms of sexual function as a possible side effect. But you can see there was a significant difference in the scores with the combination versus either alone, and either alone was about the same.<\/span><\/p>\n<p class=\"c3\">Okay. So I'll put this link into the chat box\u00a0<sup class=\"c19\"><a id=\"ftnt_ref13\" href=\"#ftnt13\">[13]<\/a><\/sup><span class=\"c0\">\u00a0before I hang up the phone, but this is definitely one. If you do have a laser and you're doing the O-Shot\u00ae, this is one you definitely want to share because, at least on the surface, it seems to indicate that the two combined are better than either alone.<\/span><\/p>\n<p class=\"c3\">Okay. Now let's look at this other study. This one I'm going to take you to the website. Hold a second. Couldn't quite figure out how to download this one so I just made a link to it.<sup class=\"c19\"><a id=\"ftnt_ref14\" href=\"#ftnt14\">[14]<\/a><\/sup><span class=\"c0\">\u00a0We'll definitely come in under 30 minutes today. I'll show you this paper and then show you something I read from Einstein that inspired me this past week and we will call it a night. Okay.<\/span><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #800080;\">O-Shot\u00ae for Interstitial Cystitis<\/span><\/h1>\n<p class=\"c3\">This one came out of China, and they reviewed the current evidence. They call it an evidence synthesis relating to intravesical platelet-rich plasma for interstitial cystitis.<sup class=\"c19\"><a id=\"ftnt_ref15\" href=\"#ftnt15\">[15]<\/a><\/sup>\u00a0There are probably half a dozen of these reviews now, and at least two dozen studies.<sup class=\"c19\"><a id=\"ftnt_ref16\" href=\"#ftnt16\">[16]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref17\" href=\"#ftnt17\">[17]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref18\" href=\"#ftnt18\">[18]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref19\" href=\"#ftnt19\">[19]<\/a><\/sup>\u00a0<sup class=\"c19\"><a id=\"ftnt_ref20\" href=\"#ftnt20\">[20]<\/a><\/sup><\/p>\n<p class=\"c3\"><span class=\"c0\">Well, they mentioned 11 studies they looked at, but there have been other case reports, and they all show benefit. Now, no one has done the study yet.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">This is low-hanging fruit, but many of us are seeing this. Probably a month ago now, I had an excited phone call from one of our gynecologists, and he said, \"Just did a regular O-Shot\u00ae the way we do it. PRP in the midline, the way you taught me, and PRP in the clitoris, the way you taught me. And the woman who has suffered with interstitial cystitis for a decade is now better without any intravesical injection at all.\"<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">And that has been happening now for over a decade.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">The first call I remember receiving about that was one of our luminaries in the Denver area, a urogynecologist, who called me. And he had done a surgical procedure, and as a labiaplasty procedure, and as an add-on, as many of our surgeons do, he just did the O-Shot\u00ae just as a gift in addition to the labiaplasty. And this woman, who just had a regular O-Shot\u00ae but who had also suffered with severe interstitial cystitis for over a decade, had resolution, and it went away and stayed away. He was months out from the procedure and called me very excited about that result.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So, it's low-hanging fruit for someone to do the study. I haven't done it yet, and I haven't financed it yet. It's on my list. If you did this study, you would have a positive result, and it would be much simpler than the intravesicular description that we're reading here.<\/span><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #800080;\">Einstein, Osler, and Whitman on Research and Cosmic Religion<\/span><\/h1>\n<p class=\"c3\"><span class=\"c0\">Okay. And with that, I'm going to show you what I read that Einstein had to say, and then we will call it a night.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">I'll preface it with this story:<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Walt Whitman was attended by William Osler, who, as you know, started the Johns Hopkins internal medicine program. Osler wrote the equivalent of Harrison's textbook of internal Medicine, which was the go-to reference book regarding medicine in his day.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">And William Osler attended Walt Whitman.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Walt Whitman was also treated a physician from Canada, Maurice Buck. Buck was also a fan of Walt Whitman.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Witman thought Buck was the better doctor.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">It sounds like Dr. Buck was an explorer out west and a wild man. Then he suffered frostbite while out west and wound up going to school. He somehow had an amazing memory and had memorized Whitman\u2019s Leaves of Grass (all of it!), which you know is not a small feat.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So, one night, Buck was driving his carriage home from a meeting, which sounded like a book club for men. They were reciting Walt Whitman, whom Buck considered to be inspired.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Whitman wrote in a letter to someone who would visit a church that, in relation to life after death, \u201cRemember, they have their faith, but we have seen it.\u201d<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So, Buck was riding home in his carriage, and he had a Saint Paul experience where he thought he saw another dimension. He describes a light and a knowing without any particular words being spoken but a resulting development of what he called \u201cCosmic Consciousness.\u201d \u00a0<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">That experience changed his life.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">As a scientist and a physician, he started researching what had happened to other people who had experienced something similar in the past, how they described it, and how it has continued to this day.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">He researched it, then wrote about it: he titled the book Cosmic Consciousness.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Remember that title, Cosmic Consciousness.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">This past week, I've been reading Einstein's \u201cCosmic Religion\u201d because another book recommended it. Cosmic Religion is his title, which, of course, sounds a lot like Cosmic Consciousness.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/a.co\/d\/0wvXv4T\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3337\" src=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2025\/10\/cosmic-religion-187x300.jpg\" alt=\"\" width=\"187\" height=\"300\" \/><\/a><\/p>\n<p class=\"c3\"><span class=\"c0\">I'm not about to get philosophical on you, but, I think there's a part in here that you'll find inspiring for your research efforts.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Okay. So let's go to this first part of it and I\u2019ll read. Here we go.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">\u201cThe religious geniuses of all times have been distinguished by this cosmic religious sense.\u201d \u00a0- Einstein<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">And by the way, Osler gave a lecture about life after this life, and in summary, he put it like this (I paraphrase): He said, \"As a physician, I don't really know that I should even be lecturing about this, but the way I see it, there are three types of people. There are those who are true atheists who think there's nothing after this life, and there are those who claim to have seen it. And then there's a third group who holds hope and faith that those who have seen it actually did see it, and they put their hope there.\"<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Osler thought it was a happier life to believe those who claim to have seen it, like Walt Whitman and the prophets.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">And that was William Osler talking.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">So with that in mind, now we're back to Einstein and how I think this might inspire you as a physician.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Einstein says, \"The religious geniuses have been distinguished by this cosmic religious sense, which recognizes no dogma. How can this cosmic religious experience be communicated man-to-man if it cannot lead to definite conception of God or theology? Science has been accused of undermining morals.\"<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Now we're getting to this last paragraph, which you'll find inspiring, and then I will stop.<\/span><\/p>\n<p class=\"c3\">Einstein continues, \u201c<span class=\"c14 c20\">I assert that the cosmic religious experience is the strongest and the noblest driving force behind scientific research. No one who does not appreciate the terrific exertions and above all the devotion about which pioneer creations in scientific thought cannot come into being, can judge the strength of the feeling out of which alone such work turned away from its immediate, practical, life can grow<\/span><span class=\"c0\">.\u201d<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Now, obviously, I've done nothing similar to Einstein, nothing similar to these great men. But when I went broke the second time and was sleeping on the floor of my office, which I did for two years because I was just too broke to do anything else. I was determined to run with the idea that seemed to me to be the way things should be regarding PRP, and not get distracted. I thought of it like a racing car, where you throw off the hubcaps, you throw off everything that does not get you across the finish line. And I stripped everything from my life. I quit doing liposuction and I quit doing hormone replacement. I quit doing pretty much everything that did not contribute to exploring this idea about PRP that made a slave of me and threw me into the arena, where I was beaten up by life a little bit, thankfully, because it put me in the situation to see some things.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">I slept on the floor for two years. But this, of course, doesn't compare to what these guys did. I don't want you jettisoning things out of your life and sleeping on the floor. But what he's saying here pulls you away from some things that might normally distract you.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Einstein continues, \u201cWhat happens when you have a deep faith in the rationality of the structure of the world and what a long time to understand even a glimpse of the reason revealed in the world, there must have been a Kepler and Newton to enable them to unravel the mechanism of the heavens in long years of lonely work. Anyone who only knows scientific research and practical applications may easily come to a wrong interpretation of the state of mind of the men who surrounded by skeptical contemporaries have shown the way to kindred spirits scattered over all countries in all centuries.\u201d<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">This is the best part, Einstein goes on..<\/span><\/p>\n<p class=\"c3\">\u201cOnly those who have dedicated their life to similar ends can have a living conception of the inspiration which gave these men the power to remain loyal to their purpose in spite of countless failures.\u00a0<span class=\"c21 c14 c20 c42\">It's this cosmic religious sense which grants this power. A contemporary has rightly said that the only deeply religious people of our largely materialistic age are the earnest men of research.\u201d<\/span><\/p>\n<p class=\"c9\"><span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/accma.memberlodge.org\/page-925782&amp;sa=D&amp;source=editors&amp;ust=1759686996561289&amp;usg=AOvVaw3lcdoSKYDJWXiYtv_W3aoR\" target=\"_blank\" rel=\"noopener\">=&gt;Next Hands-On Workshops with Live Models&lt;=<\/a><\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">And so how does that relate to what we do on a daily basis?<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">I think what he's saying there, in my understanding, is that his conception of God was that God was beyond conception, but that if you see that there's a design to the world.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Remember somewhere he supposedly said, \"God does not play dice with the universe.\"<\/span><\/p>\n<p class=\"c3\">And if you devote your life to trying to glimpse through a tiny little crack to see some piece of that design and understand (you hope) perhaps a tiny piece of it that hasn't been seen before, and you go on the fate that it's there, if you can just see it, that gives you the purpose and what he calls\u00a0<span class=\"c14 c20\">the power<\/span><span class=\"c0\">\u00a0and what I just call grit like Cool Hand Luke, where you keep getting up every time you get beat up and knocked down.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">But you do that because you're convinced there's something in that crack or there's something that you're seeing in a tiny little group like our CMA that the world hasn't seen yet.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">And so you keep looking at it, and it motivates you to write an email, talk with your patients, read the research, show up at journal club, talk about it the next day, explore it, do your own writing, do your own video, do your own research.<\/span><\/p>\n<p class=\"c9\">=&gt;<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1759686996562633&amp;usg=AOvVaw2Q3Ly3pztBB1lMpExAgYyy\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c1 c14\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1759686996562734&amp;usg=AOvVaw0Su1pPCo7jAcwS8dqejoDb\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c23\">\u00a0<\/span><span class=\"c0\">&lt;=<\/span><\/p>\n<p class=\"c9\"><span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/accma.memberlodge.org\/page-925782&amp;sa=D&amp;source=editors&amp;ust=1759686996562864&amp;usg=AOvVaw0t7qGQtUK-3oyumqJjdmMJ\" target=\"_blank\" rel=\"noopener\">=&gt;Next Hands-On Workshops with Live Models&lt;=<\/a><\/span><\/p>\n<p class=\"c3\"><span class=\"c14 c20\">And you do that because you understand that something beyond our understanding created something far beyond what we currently understand. And that pushes you<\/span><span class=\"c0\">\u00a0that way.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">And that may be more philosophy than our journal club calls for. But he is Einstein, and he did have something to say about inspiring us to do more research and what he thought gave people this power, fortitude, grit, and maybe even intelligence.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Hopefully, that wasn't a waste of your time. I think I\u2019d better quit.<\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">Let's see if there are any questions.<\/span><\/p>\n<p class=\"c3\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3182\" src=\"https:\/\/cellularmedicineassociation.org\/wp-content\/uploads\/2025\/07\/image2-300x300.png\" alt=\"\" width=\"300\" height=\"300\" \/><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #800080;\">Here\u2019s an Email You Could Send if You are an O-Shot\u00ae Provider<\/span><\/h1>\n<ol class=\"c17 lst-kix_list_6-0 start\" start=\"1\">\n<li class=\"c12 li-bullet-0\"><span class=\"c0\">Copy and paste the following message into a new Word document.<\/span><\/li>\n<li class=\"c12 li-bullet-0\"><span class=\"c0\">Then edit it so that it sounds like you.<\/span><\/li>\n<li class=\"c12 li-bullet-0\"><span class=\"c0\">Add a story or a personal observation if you have time.<\/span><\/li>\n<li class=\"c3 c25 li-bullet-0\"><span class=\"c0\"><span class=\"c0\">Then, fill in the information with your phone number, etc., and send it to your patients.<\/span><\/span><br \/>\n<hr \/>\n<\/li>\n<\/ol>\n<p class=\"c3\">Hello\u00a0[First Name],<\/p>\n<p>Over the past (how many years have you been a physician), I have found few things more frustrating for women and those who love them than the years of suffering that can happen with chronic interstitial cystitis.<\/p>\n<p>So, I was pleased to see another study supporting the possibility of improvement for such women after they receive a variation of our O-Shot\u00ae procedure. Though this study shows improvement after injecting PRP into the bladder, we have seen great results for many women who suffer from interstitial cystitis after they receive our O-Shot\u00ae procedure with no variation at all--that is,\u00a0they do not have to suffer an injection into the bladder. Two simple injections on the outside (anterior vaginal wall and clitoris) are all they need.<\/p>\n<p><span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/www.minervamedica.it\/en\/journals\/minerva-urology-nephrology\/article.php?cod%3DR19Y9999N00A25090502&amp;sa=D&amp;source=editors&amp;ust=1759686996564687&amp;usg=AOvVaw0zA3bGVEOjNlhkZ0L4VPWu\" target=\"_blank\" rel=\"noopener\">Here's the research&lt;--<\/a><\/span><br \/>\n<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/oshot.info&amp;sa=D&amp;source=editors&amp;ust=1759686996564806&amp;usg=AOvVaw2jvIpOXHhOq5cTPpsRoU55\">Here's more about the O-Shot\u00ae procedure&lt;--<\/a><\/span><br \/>\n<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/oshot.info\/members\/directory&amp;sa=D&amp;source=editors&amp;ust=1759686996564919&amp;usg=AOvVaw10sD040MrLpWSMtBSso_M2\">Here's where to find the nearest provider&lt;--<\/a><\/span><\/p>\n<p>I hope this helps you or someone you love.<\/p>\n<p>Best regards,<\/p>\n<p>(your name)<br \/>\n(your website)<br \/>\n(your email)<br \/>\n(your phone number)<\/p>\n<p><span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/oshot.info\/research&amp;sa=D&amp;source=editors&amp;ust=1759686996565113&amp;usg=AOvVaw1QKant3EKHOEJkVHAsEI_4\">More about the O-Shot\u00ae procedure&lt;-<\/a><\/span><br \/>\n<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/clitoxin.com&amp;sa=D&amp;source=editors&amp;ust=1759686996565162&amp;usg=AOvVaw34ZlBwVD4aWVDG5hdZ9enj\" target=\"_blank\" rel=\"noopener\">Clitoxin\u00ae<\/a><\/span><\/p>\n<p class=\"c3\"><span class=\"c0\">___________________________________________-<\/span><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #800080;\">References<\/span><\/h1>\n<p class=\"c3 c7\"><span class=\"c0\">Asghar, Aneela, Zahid Tahir, Aisha Ghias, Usma Iftikhar, and Tahir Jameel Ahmad. \u201cEfficacy and Safety of Intralesional Normal Saline in Atrophic Acne Scars.\u201d\u00a0<\/span><span class=\"c8\">Annals of King Edward Medical University<\/span><span class=\"c0\">\u00a025, no. 2 (2019): 2. https:\/\/doi.org\/10.21649\/akemu.v25i2.2867.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Bagherani, Nooshin, and Bruce R Smoller. \u201cIntroduction of a Novel Therapeutic Option for Atrophic Acne Scars: Saline Injection Therapy.\u201d\u00a0<\/span><span class=\"c8\">Global Dermatology<\/span><span class=\"c0\">\u00a02, no. 6 (2016). https:\/\/doi.org\/10.15761\/GOD.1000159.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">\u201cClinical Benefit of Intra-Articular Saline as a Comparator in Clinical Trials of Knee Osteoarthritis Treatments_ A Systematic Review and Meta-Analysis of Randomized Trials | Elsevier Enhanced Reader.\u201d https:\/\/doi.org\/10.1016\/j.semarthrit.2016.04.003.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">D\u00f6nmez, M.\u00a0<\/span><span class=\"c27 c5\">\u0130<\/span><span class=\"c0\">rfan, Kubilay\u00a0<\/span><span class=\"c27 c5\">\u0130<\/span><span class=\"c0\">nci, Naciye Dilara Zeybek, H. Serkan Do<\/span><span class=\"c27 c5\">\u011f<\/span><span class=\"c0\">an, and Ali Ergen. \u201cThe Early Histological Effects of Intravesical Instillation of Platelet-Rich Plasma in Cystitis Models.\u201d\u00a0<\/span><span class=\"c8\">International Neurourology Journal<\/span><span class=\"c0\">\u00a020, no. 3 (2016): 188\u201396. https:\/\/doi.org\/10.5213\/inj.1632548.274.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">El-Amawy, Heba Saed, and Sameh Magdy Sarsik. \u201cSaline in Dermatology: A Literature Review.\u201d\u00a0<\/span><span class=\"c8\">Journal of Cosmetic Dermatology<\/span><span class=\"c0\">\u00a020, no. 7 (2021): 2040\u201351. https:\/\/doi.org\/10.1111\/jocd.13813.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Jhang, Jia-Fong, Teng-Yi Lin, and Hann-Chorng Kuo. \u201cIntravesical Injections of Platelet-Rich Plasma Is Effective and Safe in Treatment of Interstitial Cystitis Refractory to Conventional Treatment-A Prospective Clinical Trial.\u201d\u00a0<\/span><span class=\"c8\">Neurourology and Urodynamics<\/span><span class=\"c0\">, no. October (2018). https:\/\/doi.org\/10.1002\/nau.23898.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Lu, Mingjing, Weijiao Liu, Yuchan Wu, and Kaixian Deng. \u201cA Randomized Controlled Trial of Platelet-Rich Plasma Combined with Fractional CO2 Laser Therapy for Mild and Moderate Stress Urinary Incontinence in Women.\u201d\u00a0<\/span><span class=\"c8\">International Urogynecology Journal<\/span><span class=\"c0\">, ahead of print, September 8, 2025. https:\/\/doi.org\/10.1007\/s00192-025-06292-x.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Mirzaei, Mahboubeh, Azar Daneshpajooh, Alireza Farsinezhad, et al. \u201cThe Therapeutic Effect of Intravesical Instillation of Platelet Rich Plasma on Recurrent Bacterial Cystitis in Women: A Randomized Clinical Trial.\u201d\u00a0<\/span><span class=\"c8\">Urology Journal<\/span><span class=\"c0\">\u00a016, no. 6 (2019): 609\u201313. https:\/\/doi.org\/10.22037\/uj.v0i0.5239.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Popp, Lothar W. \u201cImprovement in Endoscopic Hernioplasty: Transcutaneous Aquadissection of the Musculofascial Defect and Preperitoneal Endoscopic Patch Repair.\u201d\u00a0<\/span><span class=\"c8\">Journal of Laparoendoscopic Surgery<\/span><span class=\"c0\">\u00a01, no. 2 (1991): 83\u201390. https:\/\/doi.org\/10.1089\/lps.1991.1.83.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Riccetto, C\u00e1ssio L. Z. \u201cEditorial Comment: Intravesical Injections of Platelet-Rich Plasma Is Effective and Safe in Treatment of Interstitial Cystitis Refractory to Conventional Treatment-A Prospective Clinical Trial.\u201d\u00a0<\/span><span class=\"c8\">International Braz J Urol: Official Journal of the Brazilian Society of Urology<\/span><span class=\"c0\">\u00a047, no. 2 (2021): 456\u201357. https:\/\/doi.org\/10.1590\/S1677-5538.IBJU.2021.02.04.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Runels, Charles. \u201cA Pilot Study of the Effect of Localized Injections of Autologous Platelet Rich Plasma (PRP) for the Treatment of Female Sexual Dysfunction.\u201d\u00a0<\/span><span class=\"c8\">Journal of Women\u2019s Health Care<\/span><span class=\"c0\">\u00a003, no. 04 (2014). https:\/\/doi.org\/10.4172\/2167-0420.1000169.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Saltzman, Bryan M., Timothy Leroux, Maximilian A. Meyer, et al. \u201cThe Therapeutic Effect of Intra-Articular Normal Saline Injections for Knee Osteoarthritis: A Meta-Analysis of Evidence Level 1 Studies.\u201d\u00a0<\/span><span class=\"c8\">The American Journal of Sports Medicine<\/span><span class=\"c0\">\u00a045, no. 11 (2017): 2647\u201353. https:\/\/doi.org\/10.1177\/0363546516680607.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Searle, Tamara, Firas Al-Niaimi, and Faisal R. Ali. \u201cSaline in Dermatologic Surgery.\u201d\u00a0<\/span><span class=\"c8\">Journal of Cosmetic Dermatology<\/span><span class=\"c0\">\u00a020, no. 4 (2021): 1346\u201347. https:\/\/doi.org\/10.1111\/jocd.13996.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">\u201cSnapshot.\u201d n.d. Accessed September 9, 2025. https:\/\/www.minervamedica.it\/en\/journals\/minerva-urology-nephrology\/article.php?cod=R19Y9999N00A25090502.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">\u201cThe Efficacy and Safety of Intravesical Platelet-Rich Plasma Injections into the Bladder for the Treatment of Interstitial Cystitis\/Bladder Pain Syndrome: A Systematic Review and Meta-Analysis - Minerva Urology and Nephrology 2025 Sep 05.\u201d Accessed September 9, 2025. https:\/\/www.minervamedica.it\/en\/journals\/minerva-urology-nephrology\/article.php?cod=R19Y9999N00A25090502.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Trama, Francesco, Ester Illiano, Alessandro Marchesi, et al. \u201cUse of Intravesical Injections of Platelet-Rich Plasma for the Treatment of Bladder Pain Syndrome: A Comprehensive Literature Review.\u201d\u00a0<\/span><span class=\"c8\">Antibiotics (Basel, Switzerland)<\/span><span class=\"c0\">\u00a010, no. 10 (2021): 1194. https:\/\/doi.org\/10.3390\/antibiotics10101194.<\/span><\/p>\n<p class=\"c3 c7\"><span class=\"c0\">Wang, Yi, Peng Luo, Ping Chen, et al. \u201cTrigger Point Injection: A Therapeutic Propellant for Myofascial Pain Syndromes.\u201d\u00a0<\/span><span class=\"c8\">Tissue Engineering Part B: Reviews<\/span><span class=\"c0\">, September 29, 2025, 19373341251364757. https:\/\/doi.org\/10.1177\/19373341251364757.<\/span><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #800080;\">Tags<\/span><\/h1>\n<p class=\"c10\"><span class=\"c0 c38\">PRP, platelet-rich plasma, O-Shot\u00ae, stress urinary incontinence, vaginal laser, sham injection, sham laser, combined therapy, injection protocol, anterior vaginal wall, hydrodissection, gynecology, coaptite, Radiesse, G-shot, urethra, urinary sphincter, neovascularization, myocytes, sexual function, saline injection, dermatology, orthopedics, acne scars, leishmaniasis, osteoarthritis knee, interstitial cystitis, urogynecology, labiaplasty, evidence synthesis, China study, Einstein, Cosmic Religion, Cosmic Consciousness, Walt Whitman, William Osler, Maurice Buck, Johns Hopkins, philosophy, research inspiration, scientific grit, Cool Hand Luke, CMA, regenerative medicine, journal club, Fairhope, Alabama<\/span><\/p>\n<h1 class=\"c10\"><span class=\"c13\" style=\"color: #800080;\">Helpful Links<\/span><\/h1>\n<p class=\"c3\">=&gt;\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/accma.memberlodge.org\/page-925782&amp;sa=D&amp;source=editors&amp;ust=1759686996570863&amp;usg=AOvVaw2yfnMQ30qDcjWKVnFYrwoG\" target=\"_blank\" rel=\"noopener\">Next Hands-On Workshops with Live Model<\/a><\/span><span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/accma.memberlodge.org\/page-925782&amp;sa=D&amp;source=editors&amp;ust=1759686996570939&amp;usg=AOvVaw234665q1NeW-l6Xe4FcLWs\" target=\"_blank\" rel=\"noopener\">s<\/a><\/span><span class=\"c0\">\u00a0&lt;=<\/span><\/p>\n<p class=\"c3\"><span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/botoxclass.com\/workshop&amp;sa=D&amp;source=editors&amp;ust=1759686996571079&amp;usg=AOvVaw1fVn9v06WSDYrCgzSsJeER\" target=\"_blank\" rel=\"noopener\">=&gt;Hands On Botulinum Toxin Workshop That Teaches Medical &amp; Cosmetic Uses&lt;=<\/a><\/span><\/p>\n<p class=\"c3\">=&gt;\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/botoxclass.com\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571169&amp;usg=AOvVaw1r4XU9h5k3i6J_g9LRoY0G\" target=\"_blank\" rel=\"noopener\">Dr. Runels Online\u00a0<\/a><\/span><span class=\"c1 c14\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/botoxclass.com\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571220&amp;usg=AOvVaw1WWuru04PxOAlrmK2QMm6K\" target=\"_blank\" rel=\"noopener\">Botulinum Blastoff Cours<\/a><\/span><span class=\"c16 c14\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/botoxclass.com\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571250&amp;usg=AOvVaw0hUhsQc4-ZErvHXY938Jwc\" target=\"_blank\" rel=\"noopener\">e<\/a><\/span><span class=\"c0\">\u00a0&lt;=<\/span><\/p>\n<p class=\"c3\">=&gt;\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571373&amp;usg=AOvVaw2b_9v2tce7njfRAaFdzVCi\" target=\"_blank\" rel=\"noopener\">The Cellular Medicine Association (who we are<\/a><\/span><span class=\"c23\">)\u00a0<\/span><span class=\"c0\">&lt;=<\/span><\/p>\n<p class=\"c3\">=&gt;<span class=\"c16\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571494&amp;usg=AOvVaw06UpEQssoPmmlEgq2WOr6A\" target=\"_blank\" rel=\"noopener\">\u00a0Apply for\u00a0<\/a><\/span><span class=\"c16 c14\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/procedures\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571584&amp;usg=AOvVaw0l0TwEOjF-spNlghJtz87q\" target=\"_blank\" rel=\"noopener\">Online Training for Multiple PRP Procedures<\/a><\/span><span class=\"c23\">\u00a0<\/span><span class=\"c0\">&lt;=<\/span><\/p>\n<p class=\"c3\">=&gt;\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/oshot.info\/fsfi-calculator&amp;sa=D&amp;source=editors&amp;ust=1759686996571712&amp;usg=AOvVaw0PU_MtMqEwwZnrQcWb7VT_\">FSFI Online Administrator and Calculator<\/a><\/span><span class=\"c0\">\u00a0&lt;=<\/span><\/p>\n<p class=\"c3\">=&gt;\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/5notes.com\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571812&amp;usg=AOvVaw1q5jLB5DadfreHtESyPk59\" target=\"_blank\" rel=\"noopener\">5-Notes Expert System for Doctors<\/a><\/span><span class=\"c23\">\u00a0<\/span><span class=\"c0\">&lt;=<\/span><\/p>\n<p class=\"c3\">=&gt;<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/password\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571918&amp;usg=AOvVaw3p5-M5nW_Q0q2DWMjUWlxT\" target=\"_blank\" rel=\"noopener\">\u00a0Help with\u00a0<\/a><\/span><span class=\"c1 c14\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/password\/&amp;sa=D&amp;source=editors&amp;ust=1759686996571992&amp;usg=AOvVaw1Cmhv8AzP-inPV6Xtt954h\" target=\"_blank\" rel=\"noopener\">Logging into Membership Website<\/a><\/span><span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/cellularmedicineassociation.org\/password\/&amp;sa=D&amp;source=editors&amp;ust=1759686996572036&amp;usg=AOvVaw3X5Yt9dufBTL_XSNLmmA_C\" target=\"_blank\" rel=\"noopener\">s<\/a><\/span><span class=\"c23\">\u00a0<\/span><span class=\"c0\">&lt;=<\/span><\/p>\n<p class=\"c3\">=&gt;\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/ontraport.com\/Cellular-Medicine-Association-&amp;sa=D&amp;source=editors&amp;ust=1759686996572184&amp;usg=AOvVaw1g5coUp28HSD3D5TPFLeVz\" target=\"_blank\" rel=\"noopener\">The software I use to send emails: ONTRAPORT (free trial)<\/a><\/span><span class=\"c23 c37\">\u00a0<\/span><span class=\"c21\">&lt;=<\/span><span class=\"c0\">\u00a0<\/span><\/p>\n<p class=\"c3\">=&gt; Sell O-Shot\u00ae products: You make 10% with links you place; shipped by the manufacturer),\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/www.loom.com\/share\/dcd9fe2284a746a199fd7d5cc42d5f61?sid%3Df5a33b4b-a3ee-4fb1-b13e-2273718dce9b&amp;sa=D&amp;source=editors&amp;ust=1759686996572406&amp;usg=AOvVaw2BahnAETTJAfEt4vaNuI1n\" target=\"_blank\" rel=\"noopener\">this explains<\/a><\/span>\u00a0and\u00a0<span class=\"c1\"><a class=\"c6\" href=\"https:\/\/www.google.com\/url?q=https:\/\/oshotwomen.leaddyno.com\/&amp;sa=D&amp;source=editors&amp;ust=1759686996572485&amp;usg=AOvVaw3CViCXsno60UFPST01sf1S\" target=\"_blank\" rel=\"noopener\">here\u2019s where to apply<\/a><\/span><\/p>\n<div>\n<p class=\"c3 c11\">\n<\/div>\n<hr class=\"c18\" \/>\n<div>\n<p class=\"c3\"><a id=\"ftnt1\" href=\"#ftnt_ref1\">[1]<\/a><span class=\"c4\">\u00a0Lu et al., \u201cA Randomized Controlled Trial of Platelet-Rich Plasma Combined with Fractional CO2 Laser Therapy for Mild and Moderate Stress Urinary Incontinence in Women.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt2\" href=\"#ftnt_ref2\">[2]<\/a><span class=\"c4\">\u00a0Lu et al., \u201cA Randomized Controlled Trial of Platelet-Rich Plasma Combined with Fractional CO2 Laser Therapy for Mild and Moderate Stress Urinary Incontinence in Women.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt3\" href=\"#ftnt_ref3\">[3]<\/a><span class=\"c4\">\u00a0Runels, \u201cA Pilot Study of the Effect of Localized Injections of Autologous Platelet Rich Plasma (PRP) for the Treatment of Female Sexual Dysfunction.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt4\" href=\"#ftnt_ref4\">[4]<\/a><span class=\"c4\">\u00a0\u201cClinical Benefit of Intra-Articular Saline as a Comparator in Clinical Trials of Knee Osteoarthritis Treatments_ A Systematic Review and Meta-Analysis of Randomized Trials | Elsevier Enhanced Reader.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt5\" href=\"#ftnt_ref5\">[5]<\/a><span class=\"c4\">\u00a0Asghar et al., \u201cEfficacy and Safety of Intralesional Normal Saline in Atrophic Acne Scars.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt6\" href=\"#ftnt_ref6\">[6]<\/a><span class=\"c4\">\u00a0Popp, \u201cImprovement in Endoscopic Hernioplasty.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt7\" href=\"#ftnt_ref7\">[7]<\/a><span class=\"c4\">\u00a0Bagherani and R Smoller, \u201cIntroduction of a Novel Therapeutic Option for Atrophic Acne Scars.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt8\" href=\"#ftnt_ref8\">[8]<\/a><span class=\"c4\">\u00a0Searle et al., \u201cSaline in Dermatologic Surgery.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt9\" href=\"#ftnt_ref9\">[9]<\/a><span class=\"c4\">\u00a0El-Amawy and Sarsik, \u201cSaline in Dermatology.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt10\" href=\"#ftnt_ref10\">[10]<\/a><span class=\"c4\">\u00a0Saltzman et al., \u201cThe Therapeutic Effect of Intra-Articular Normal Saline Injections for Knee Osteoarthritis.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt11\" href=\"#ftnt_ref11\">[11]<\/a><span class=\"c4\">\u00a0Wang et al., \u201cTrigger Point Injection.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt12\" href=\"#ftnt_ref12\">[12]<\/a><span class=\"c4\">\u00a0Wang et al., \u201cTrigger Point Injection.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt13\" href=\"#ftnt_ref13\">[13]<\/a><span class=\"c4\">\u00a0\u201cSnapshot.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt14\" href=\"#ftnt_ref14\">[14]<\/a><span class=\"c4\">\u00a0\u201cThe Efficacy and Safety of Intravesical Platelet-Rich Plasma Injections into the Bladder for the Treatment of Interstitial Cystitis\/Bladder Pain Syndrome.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt15\" href=\"#ftnt_ref15\">[15]<\/a><span class=\"c4\">\u00a0\u201cThe Efficacy and Safety of Intravesical Platelet-Rich Plasma Injections into the Bladder for the Treatment of Interstitial Cystitis\/Bladder Pain Syndrome.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt16\" href=\"#ftnt_ref16\">[16]<\/a><span class=\"c4\">\u00a0Riccetto, \u201cEditorial Comment.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt17\" href=\"#ftnt_ref17\">[17]<\/a><span class=\"c4\">\u00a0Jhang et al., \u201cIntravesical Injections of Platelet-Rich Plasma Is Effective and Safe in Treatment of Interstitial Cystitis Refractory to Conventional Treatment-A Prospective Clinical Trial.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt18\" href=\"#ftnt_ref18\">[18]<\/a><span class=\"c4\">\u00a0D\u00f6nmez et al., \u201cThe Early Histological Effects of Intravesical Instillation of Platelet-Rich Plasma in Cystitis Models.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt19\" href=\"#ftnt_ref19\">[19]<\/a><span class=\"c4\">\u00a0Mirzaei et al., \u201cThe Therapeutic Effect of Intravesical Instillation of Platelet Rich Plasma on Recurrent Bacterial Cystitis in Women.\u201d<\/span><\/p>\n<\/div>\n<div>\n<p class=\"c3\"><a id=\"ftnt20\" href=\"#ftnt_ref20\">[20]<\/a><span class=\"c4\">\u00a0Trama et al., \u201cUse of Intravesical Injections of Platelet-Rich Plasma for the Treatment of Bladder Pain Syndrome.\u201d<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Journal Club with Pearls &amp; Marketing 2025.09.09 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0Cellular Medicine Association JCPM2025.09.09 The following is an edited transcript of the\u00a0Journal Club with Pearls &amp; Marketing\u00a0(JCPM) of September 9, 2025, with Charles Runels, MD. \u00a0 &gt;-&gt; The PDF transcript of this live journal club can be seen here &lt;-&lt; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[2308,47],"tags":[],"class_list":["post-4391","post","type-post","status-publish","format-standard","hentry","category-bladder-incontinence","category-journal-club"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6W8NG-18P","jetpack-related-posts":[{"id":2641,"url":"https:\/\/oshot.info\/members\/interstitial-cystitis-the-o-shot-procedure\/","url_meta":{"origin":4391,"position":0},"title":"Interstitial Cystitis &#038; the O-Shot\u00ae Procedure","author":"Charles Runels, MD","date":"March 24, 2022","format":false,"excerpt":"For physicians interested in learning to do the O-Shot\u00ae procedure<--- Chen, Yung-Hsiang, Kee-Ming Man, Wen-Chi Chen, Po-Len Liu, Kao-Sung Tsai, Ming-Yen Tsai, Yu-Tzu Wu, and Huey-Yi Chen. \u201cPlatelet-Rich Plasma Ameliorates Cyclophosphamide-Induced Acute Interstitial Cystitis\/Painful Bladder Syndrome in a Rat Model.\u201d Diagnostics (Basel, Switzerland) 10, no. 6 (June 8, 2020): E381.\u2026","rel":"","context":"In &quot;Bladder, Incontinence &amp; Pelvic Floor&quot;","block_context":{"text":"Bladder, Incontinence &amp; Pelvic Floor","link":"https:\/\/oshot.info\/members\/category\/bladder-incontinence\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":5286,"url":"https:\/\/oshot.info\/members\/jcpm2026-10-06-peyronies-clitoris-trimix-o-shot-p-shot\/","url_meta":{"origin":4391,"position":1},"title":"JCPM2026.10.06 | Peyronie&#8217;s | Clitoris | Trimix | O-Shot\u00ae | P-Shot\u00ae","author":"Charles Runels, MD","date":"October 8, 2026","format":false,"excerpt":"The following is an edited transcript of the Journal Club with Pearls & Marketing (JCPM) of October 6, 2026, with Charles Runels, MD. >-> The PDF transcript of this live journal club can be seen here <-< Topics Covered Injecting the Penis Before There Was a P-Shot\u00ae The TriNetX Study:\u2026","rel":"","context":"In &quot;Journal Club&quot;","block_context":{"text":"Journal Club","link":"https:\/\/oshot.info\/members\/category\/journal-club\/"},"img":{"alt_text":"A book cover with a rocket launch Description automatically 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