BobJoech

@surgeonramirez @IBCOxford @Bariatric_doc @IntuitiveSurg @CirugiaUdC @flochman @PipeCabreraV @CiruAndes2 @juliomayol Hello, could you help my wife who has duodenal perforation and has been in hospital for a month

🇺🇸Quick question… Would you take a medication every day for the rest of your life if the problem could potentially be fixed with one procedure? @IBCOxford @Bariatric_doc #roboticsurgery #Some4surgery @IntuitiveSurg @CirugiaUdC @flochman @PipeCabreraV @CiruAndes2 @juliomayol @pferrada1 @OscarGuevaraHPB @DrJonnys @SAGES_Updates @AmCollSurgeons @SWexner @ascolcirugia @MISIRG1 @APDSurgery @DptoCirugiaPUJ @ForegutSociety @SESC_AmSurg Millions of people take omeprazole and other acid-reflux medications daily. But in many patients, reflux is not just an acid problem — it is an anatomical problem, often caused by a hiatal hernia or a weak valve between the stomach and esophagus. Medications may control symptoms, but they don’t fix the underlying issue. With minimally invasive robotic surgery, we can restore the anatomy and help many patients reduce or even stop long-term reflux medications while improving quality of life. If you suffer from chronic heartburn, GERD, or reflux, it may be time to explore a long-term solution. 📞 727-345-2929 📍 St. Petersburg, Florida Dr. Alexander Ramirez, MD, FACS, FASMBS Robotic & Minimally Invasive Surgery 🇨🇴Pregunta rápida… ¿Tomarías un medicamento todos los días por el resto de tu vida si el problema pudiera corregirse con un procedimiento? Millones de personas toman omeprazol y otros medicamentos para el reflujo diariamente. Pero en muchos pacientes, el reflujo no es solo un problema de ácido — es un problema anatómico, muchas veces causado por una hernia hiatal o una válvula débil entre el estómago y el esófago. Los medicamentos pueden controlar los síntomas, pero no corrigen la causa del problema. Con cirugía robótica mínimamente invasiva, podemos restaurar la anatomía y ayudar a muchos pacientes a reducir o incluso suspender los medicamentos a largo plazo, mejorando su calidad de vida. Si sufres de acidez crónica, reflujo o GERD, puede ser momento de explorar una solución definitiva. 📞 727-345-2929 📍 St. Petersburg, Florida #AcidReflux #GERD #HiatalHernia #HeartburnRelief #RoboticSurgery #MinimallyInvasiveSurgery #StopReflux #TampaBay #StPetersburgFL #CirugiaRobotica #Reflujo #HerniaHiatal

South sea, this is valley rd, this nduthi was washed under my car, so natry kuenda naskia gari haiendi kidogo kidogo mat appears with someone hanging, it's the nduthi guy trying to trace it in the water, passengers scream he leaves it and he is helped to board matatu. Sakaja GO

South sea, this is valley rd, this nduthi was washed under my car, so natry kuenda naskia gari haiendi kidogo kidogo mat appears with someone hanging, it's the nduthi guy trying to trace it in the water, passengers scream he leaves it and he is helped to board matatu. Sakaja GO

Do you remember when you joined X? I do! #MyXAnniversary

Look, I told you, don't admire other couples smiling for the camera then you think your relationship is badly off. I'm telling you Maina, focus on yours, now look at Njugush and Cele

@Cobratate Can you share 1 million dollars and completely change my life ?

It’s the second of January and I’ve already made over 30million dollars in 2026. I’m not bragging I’m just telling you this fills me with a deep sense of dread. The economy is fucking broken. The game is somehow broken and anyone with a brain swims in money and normies endlessly suffer.

@georgediano Njoroge let me start an Uber business Also Njoroge, zero intelligence on customer rights Also Njoroge after losing the business, Uber ni wabaya, Kasongo 1terrm I mean dude, it's an international company, who are deliberate on their reputation lol😂😅😂😂😂😂

You order a cab, then you refuse to pay & start creating drama. These are the type of women who are used to paying uber with extra services & when they find a strict driver, the start playing victims. Unfortunately, Uber being the most unfair company will block the driver's account without listening to the driver's side & will offer the lady countless discounts & promotions so as to lure her into continued usage of their service.

Happy Birthday Martin Odegaard.Come back with your head held high. We have 2 serious leagues to win. The @ChampionsLeague and the @premierleague . @Arsenal

@Kenyans Well I give to GenZs, they've noticed they be dealing with stupid people up top, they do crazy things and get recognized, even compared to legends like Wangari Maathai, they end up even meeting the President for this meanwhile there is a millennial who thinks PHD is it. Hehehe

I did not get support from the Ministry of Environment - Truphena Muthoni

@AokoOtieno_ Yawa jokma nyame timonwa marach, tiuru maber

Ida Odinga, Mum, pliz, you are still grieving Achana na Siasa. Achana na Sifuna. Achana na Babu. Mourn Jakom in Peace! You can not bully everyone the way you dis-inherited Fidel's widow When jakom was in the hands of his enemies like Oketch Salah, ulikuwa kutolewa kutu na Gaucho Shameless escapades funded by Wanga who should tell us where Charles Odhiambo is We were alive when a maid working for you and had an affair with Mzee, suddenly died in her room The official statement was carbondioxide poisoning *jiko) It is on record how you thwarted Jakom's chances at presidency with your greed Made all odm mps from Luo contribute 2M each, towards a library at your alma chietha, Ogande Girls Ukakula. That scar on Raila's head, donge you hit him with a pan over Passaris? ODM nomination certificates has been an enterprise btwn you, Junet, and fools like Oduor ong'wen That's why God is turning your womb into a joke. Money ASIDE Nyithindi either otho, oran, muofu. Etc.. Money is useless without God's mercy You attended Akothe's wedding, it didn't last three weeks. Pepo YOU ARE RUINING LIVES with your meddling and dark cloud Madam, let Luos and ODM breathe We will respect and protect you if you retreat and allow sanity Kidwaro nyef nyef, we are READY! By the way, that's Ruto's daughter you are hugging. Her mother is Raila's niece Don't get me started

@Mishi_2210 4 dots fam

How many dots You see ...?? 99.9% will fail

@KenyanSays Pesa kidogo ushatoka watu walishape maisha yako. You lived there coz pesa yako ilikufikisha hapo, in the first month you should have left. Halafu kwani weed ni mbaya

A Kenyan lady shares her life living along Thika Road!

@achieng_ayoma Hi

When Arsenal royalty graces your timeline 🙌 #GabrielJesus

@EstherPassaris Triple X lounge Kasarani na unipee me ndio niitishe

Watu wa Kanairo where will you be watching the Match from? Nikam wapi ninunue round moja ya drinks?

@iamennoh Aache kudate chokoch

Twitter doctors, what causes this, and how can my girlfriend get rid of it

daughters well being. I want to take this opportunity to recommend AAR Kiambu road to expectant mother's, you will be amazed. Thank you

@AAR_Healthcare Kiambu road, or is it Muthaiga, I want to say thank you for delivering my daughter with the greatest expertise I have ever experienced. All staff that visited Furaha 10, I am forever greatful. You guys were efficient. There was a chaplain who even prayed for my

@big_yemm women

Women deal with periods, pregnancy, and menopause. Wtf do men deal with ?

@SSFootball Who be this

It had to be him 😮‍💨⚡ Ebere Eze gets his first Premier League goal against his former side 🌟 📺 Stream #ARSCRY on DStv: tinyurl.com/4wrtdwtb

The Luo Funeral Culture has been showcased on Live National Television for all to see at Bondo in the late Raila Amolo Odinga Funeral. Learn and stop asking silly questions and believing things that you heard. This is pride in display.