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A Homeric hangover ‘cure’ — Greek claim over ancient bovine belly broth stirs feud with rival Turks

THESSALONIKI, Greece (AP) — Many hardy souls in Greece believe a bowl of soup made of bovine bellies and legs can rid you of stomach ulcers, hangovers and various other ailments — if you’re brave enough to try it.

And Dimitris Tsarouhas, the owner of a restaurant in the Greek city of Thessaloniki that specializes in “patsa” is striving to register the soup with UNESCO as a unique and traditional dish of Greece that harks back to the time of Homer’s epic poem “The Odyssey.”

That has prompted a new dispute with age-old rival Turkey, which also claims the soup as its own. Greeks and Turks have been feuding over everything culinary from coffee, stuffed grape leaves and even the famous baklava — the legacy of life under centuries of Ottoman rule.

Now the Turks are up in arms that Greeks are taking sole credit for a soup they call “iskembe,” which according to them has been a cultural staple for centuries.

Tsarouhas told The Associated Press that he’s compiled a large and detailed file with the help of a local cultural organization and Lena Oflidis, the author of the only book that chronicles the soup’s history, in a bid to incorporate the delicacy as part of Greece’s cultural heritage.

A broth coveted by Penelope’s suitors

Dozens of patrons show up at Tsarouhas’ restaurant at all hours — particularly at the crack of dawn — to enjoy patsa as many say the soup eases the stomach after a night of heavy drinking. It’s usually garnished with a sprinkle of seeds and a dash of hot peppers.

A bowl of the soup is usually prepared to the customer’s liking, particularly how the bovine legs are chopped — either coarse or fine, which is the usual morning preference.

“The bovine leg contains 33.4% pure, consumable collagen — that’s what helps greatly after surgery on the joints,” the 53-year-old restauranteur says, describing it as a “cure” also for “ulcers and other stomach ailments caused by alcohol consumption.”

The popular beliefs, shared by many, have not been backed by medical science.

Inside the restaurant’s kitchen, the soup’s preparation is almost ritualistic, as chef Pantazis Koukoumvris works his knife in front of boiling cauldrons where the legs and bellies stew in their broth.

“This is where the art begins from the morning,” Koukoumvris says, drawing from his 22-year experience of patsa-making.

“We place the bellies and legs to boil, so that we can make the broth in the smaller pot,” he says, adding that the recipe was taken by the Byzantines from the ancient Greeks and passed on to the Ottomans.

Tsarouhas notes that the recipe for patsa is mentioned in “The Odyssey,” specifically the feast that Odysseus’ wife Penelope prepared for suitors on the day that her husband came back from his decadelong journey.

Tsarouhas said that it refers to bovine bellies filled with suet – animal fat used in cooking – and blood.

“If this isn’t patsa, then what else could it be?” he asks.

Although neighboring Turks are claiming the soup as their own invention, Tsarouhas isn’t worried. He says that they’re welcome to try if they can put their money where their mouth is.

“Nobody’s stopping them from trying,” he says. “We believe that we have all the tools to secure and certify it (patsa) as such. We don’t have anything to divide with our neighbors — rather the taste unites us.”

Turks flex culinary muscles

Unity in taste isn’t what Ali Turkmen has in mind. The 59-year-old Turkish restauranteur says the dish is historically and culturally specific to Turks, even though the soup — just like in Greece — is also a late-night and go-to comfort food after a boozy night.

“Just like with baklava and many other things, they want to claim it as their own,” Turkmen said of the Greek bid for ownership of the soup. “But it will probably be difficult for them to claim something unique to us. Because it’s been a staple in our culture for centuries. Tripe is something specific to Turks.”

Ali Ohtamis is in charge of the kitchen at Turkmen’s restaurant Alem Iskembe, an establishment that specializes in the soup in Istanbul’s Kiziltoprak neighborhood.

Ohtamis starts boiling the cow stomachs — or tripe — at 4 a.m. every day after the innards are cleaned and washed. It cooks for eight to nine hours, he said, after which the meat is cut to customers’ preference.

While both the Greek and Turkish soups are based on a rich, garlicky broth, the Turkish iskembe uses only tripe.

Turkish media have accused Greece of “appropriating” a dish that is nationally celebrated. The Onedio news portal reported that 17th-century traveler Evliya Celebi, in his “Book of Travels,” described vendors selling tripe and trotters soup in Istanbul, citing it as evidence that the soup has a 400-year history in Turkey.

Alem Iskembe customer Murat Pajik says in no uncertain terms that Turkey shouldn’t allow the Greek bid for recognition to move forward.

“I don’t know exactly who is responsible, but measures need to be taken. Tripe soup is one of the dishes we should be promoting to the world,” Pajik said.

Engin Cakar said that the Greeks are fighting in vain to claim ownership.

“I don’t think Greece is doing the right thing. This tripe dish is from our grandfathers, our mothers,” he said.

Over in Greece, Christos Mousoulis sees it differently. A regular at Tsarouhas’ restaurant, he says that patsa has been made in the traditional way in Greek homes for generations.

“I don’t doubt that the taste of patsa, either Greek or Turkishm which I haven’t tried, may be similar, but we grew up with Greek patsa,” he says.

___

Fraser reported from Ankara, Turkey. Associated Press journalists Ayse Wieting and Mehmet Guzel in Istanbul, and Menelaos Hadjicostis in Nicosia, Cyprus, contributed to this report.

When you have advanced prostate cancer: What living with the disease looks like

(CNN) — “How long do I have to live ?”When I tell a patient he has prostate cancer, this is usually what he asks me first.With early-stage or low-grade prostate cancer, I can offer strong reassurance: Your life expectancy is good — expect a five-year relative survival rate of greater than 99% with treatment. Simply put, most men will not die from low-grade prostate cancer.However, once the cancer has spread outside the prostate to the bones and other organs the answer becomes more difficult. Treatment has changed dramatically over the past decade for advanced prostate cancer. New drugs, better imaging and the earlier use of combined therapies are helping men live longer.In a video released July 15, former President Joe Biden gave an update on his prostate cancer, saying he was receiving treatments that have been going well. In May 2025, Biden officially announced that he had an aggressive form of prostate cancer that had spread to his bones. Since then, based on official updates, he has continued hormone therapy, completed a course of radiation and maintained a public presence.His diagnosis brought renewed attention to prostate cancer screening and treatment. Now, more than a year later, his cancer journey offers an opportunity to examine what has changed in the treatment of advanced prostate cancer — and the hope these offer men living with the disease.I recently saw a patient who was diagnosed three years ago with cancer that had already spread to multiple areas in his bones. Since then, he has taken cruises, traveled with his family and spent weekends babysitting his grandchildren.He gets tired and cannot garden the way he once did. But he is still alive and considers every day a blessing. His experience, and what we see with Biden, shows what living with metastatic prostate cancer can look like today.Understanding survival ratesIf they haven’t asked their doctor already, many patients go online and find five-year survival rates, but every number they may find online comes with a huge asterisk.The American Cancer Society reports five-year relative survival of greater than 99% when prostate cancer is found in or near the prostate. The figure drops to 38% when it has reached distant parts of the body.But that number is based on large groups of men treated years ago. It does not fully reflect the impact of newer treatments — or account for an individual man’s age, overall health and response to therapy.Survival statistics describe groups of patients but do not predict what will happen to one person. That is why the 38% figure cannot tell us how long Biden — or any individual patient — will live. These patients’ outlook depends on details of their cancer and how they are responding to treatments.It’s treated more aggressively nowA man diagnosed with metastatic prostate cancer a decade ago and a man diagnosed today would not receive the same treatment. The thinking now is to use our best treatments early instead of holding back.For years, doctors began with hormone therapy — usually injections that lower testosterone — and saved other treatments until the cancer stopped responding.Today, those injections are often combined from the start with a newer hormone-blocking drug and/or chemotherapy. These combinations have helped men live longer and are one of the biggest shifts of the past decade.What Biden’s diagnosis told usThere are three details about Biden’s cancer that help doctors like me understand how aggressive it is and how to manage it effectively. Official statements highlighted that his cancer had a Gleason score of 9. The cancer had spread to his bones, and it was labeled as hormone-sensitive.The Gleason score is assigned after a pathologist examines biopsy samples. Scores typically range from 6 to 10, with higher numbers indicating more aggressive cancer. A score of 9 falls into the most aggressive category. However, the score alone cannot tell us whether the cancer has spread outside the prostate.When prostate cancer spreads, the most common destination is the bones — particularly the spine, pelvis and ribs. It can also reach organs such as the lungs or liver. Once it has reached distant parts of the body, it is generally not curable, but treatment can put a brake on it for years.Prostate cancer can also be hormone-sensitive or hormone-resistant. Because it typically relies on testosterone to grow, lowering the hormone or blocking its effects can help control the cancer. Hormone-sensitive means it still responds to these treatments.Over time, most advanced or metastatic prostate cancers find ways to grow despite low testosterone levels, which mean they are now hormone-resistant. Lowering testosterone alone is no longer enough to control the cancer, so doctors have to turn to additional therapies.Knowing if the cancer has spreadThe most sensitive imaging test available today is a PSMA PET scan. It uses a radioactive tracer that seeks out a protein found on the surface of prostate cancer cells. Areas containing cancer may appear as bright spots, helping identify where the cancer has spread. The American Urological Association supports using this imaging test to determine whether high-risk prostate cancer has spread and to help establish its stage.A traditional bone scan, used for decades, highlights areas where bone is reacting to injury or disease. It remains an alternative imaging option, but PSMA PET is increasingly replacing its use.What areas light up and where matter when deciding on treatments. A single spot in the spine and cancer that has spread to the liver are both called stage 4, but they are not the same disease and may not be treated the same way.Doctors also consider how much cancer has spread. We label it as “low-volume” disease when the cancer has reached a limited number of areas. High volume is when the spread is more widespread or has reached other organs such as the liver or lungs.Both require treatment that works throughout the body. Treatment for metastatic disease generally includes therapy that works throughout the body. For men with low-volume disease, adding radiation to the prostate may also help them live longer.Biden has completed a course of radiation, but his team has not disclosed what area was treated or enough detail to determine whether his cancer would be considered low- or high-volume.Treatment has become more preciseBeyond starting more treatments earlier, doctors can increasingly tailor therapy to the biology of an individual man’s cancer. We can now test both the tumor and a patient’s own DNA for mutations that help guide treatment.Roughly 1 in 10 men with metastatic prostate cancer carries an inherited mutation affecting the body’s ability to repair DNA. The best known are BRCA1 and BRCA2, the same genes linked to some breast and ovarian cancers.Certain mutations found in the tumor or inherited DNA may make targeted drugs called PARP inhibitors an option. If a mutation is inherited, it also gives family members information they can act on through genetic counseling, testing and earlier screening.Another advance is radioligand therapy. If a scan shows that cancer cells carry a protein called PSMA, doctors can attach radiation to a molecule that seeks out that protein. Delivered through an IV, it targets cancer cells throughout the body. This approach was expanded last year to more men whose cancer had become hormone resistant.Living longer can come with costsEvery treatment can cause side effects. With hormone therapy, one of the first is often hot flashes, similar to what women experience during menopause. These are not dangerous, but they can affect a man’s quality of life.Fatigue is also common. Testosterone helps maintain muscle, so lowering it can reduce strength and energy. Regular walking and resistance training can help preserve muscle and reduce fatigue.The side effect almost no one talks about is loss of sex drive or low libido. At diagnosis, most men are thinking about staying alive, not their libido. But months later, it often matters. It is worth discussing with your care team and your partner rather than assuming it is simply the price of treatment.The side effect I worry about most is weaker bones. Low testosterone reduces bone density, while cancer deposits can weaken the bone’s structure. Follow-up care should include exercise, a bone-density scan, and ensuring adequate levels of calcium and vitamin D. For men with hormone-resistant cancer that has spread to bone, bone-protecting drugs can reduce the risk of fractures and other complications.New or worsening back pain, especially with leg weakness, numbness or trouble controlling the bladder or bowels? These could mean the cancer is pressing on the spinal cord. It is a true medical emergency that requires immediate attention.Cancer care requires a team approachIdeally, several doctors work together to coordinate a patient’s care. The urologist is often the starting point. A medical oncologist manages treatments that work throughout the body, while a radiation oncologist targets specific areas, whether that is the prostate itself or a painful bone lesion. The primary care doctor helps protect the patient’s heart and bones and looks after the person’s overall health.A man’s age, other medical conditions, ability to tolerate side effects and goals for treatment all shape treatment plans. Two men with nearly identical test results may be offered — or choose — different paths based on their health and priorities.Good communication among doctors is essential, but gaps can happen. Being your own advocate means knowing who is on your care team, asking questions and understanding your options.I also recommend bringing someone you trust to important visits for support and to take notes and help you remember what was discussed.More treatments, better testing offer hopeFor men worried about prostate cancer, talk with your health care provider about the benefits and risks of PSA testing. Black men and those with a strong family history should begin that conversation in their 40s. New urinary symptoms are often not cancer, but they still deserve attention, as does blood in the urine or semen, unexplained weight loss and/or persistent back or bone pain.For men living with advanced prostate cancer, there is reason for hope. There are more treatments and better testing than there were a decade ago, and good care pays attention to how a man feels, not just to what his scans show.The-CNN-Wire™ & © 2026 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.
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