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Ben Challacombe

@benchallacombe.bsky.social

430 followers 217 following 1 posts

Consultant Urologist/Associate Prof Guy’s & St Thomas’ NHS. Prostate & kidney cancer, Robotic surgery HoLEP. Training surgeons. Own views

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Reposted by Ben Challacombe

GU Cast | Declan Murphy & Renu Eapen @gu-cast.bsky.social · 09/12/2024

The Sir Chris Hoy Effect - teaser from recent GU Cast #urology #podcast #prostatecancer @benchallacombe.bsky.social Daniel Moon, Renu Eapen, Declan Murphy, Andrei Norris

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Reposted by Ben Challacombe

GU Cast | Declan Murphy & Renu Eapen @gu-cast.bsky.social · 25/11/2024

The Sir Chris Hoy Effect - why family history matters. GU Cast with @benchallacombe.bsky.social Daniel Moon, Renu Eapen, Declan Murphy and patient Andrei Norris @usanzurology.bsky.social youtu.be/VcLAjWebo-A?...

youtu.be

The Sir Chris Hoy Effect | Why family history matters

YouTube video by GU Cast

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Reposted by Ben Challacombe

Matt Cooperberg @dr-coops.bsky.social · 21/11/2024

Ok, maybe AI is even coming for surgery in our lifetime…! scitechdaily.com/robot-that-w...

scitechdaily.com

Robot That Watched Surgical Videos Now Operates With Human-Level Skill

Researchers have developed a robot capable of performing surgical procedures with the same skill as human doctors by training it using videos of surgeries. The team from Johns Hopkins and Stanford Uni...

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Reposted by Ben Challacombe

Trisha Elliott @trishaelliott.bsky.social · 17/11/2024

This is a very helpful piece in the @bmj.com from @scarlettmcnally.bsky.social on improving shared decision making in medicine (here specifically, surgery). When we talk about waiting list numbers, I’d be keen to know whether everyone on them has had a thorough review as described. #MedSky

At one of my first meetings as a council member of the Royal College of Surgeons of England, we approved a report called Access All Ages.
It encouraged less ageist thinking and bias among healthcare staff that might lead to them denying older people surgery.
But sometimes an operation isn't the best option. Among patients who have surgery, 14% express regret and 15% experience complications, which are at least four times as likely if they're frail or physically inactive. The Centre for Perioperative Care has published information on the importance of exercise before surgery, but that alone may not be enough. We need shared decision making, including asking patients what matters to them.
The public should be primed to ask about BRAN-the benefits, risks, and alternatives to surgery and the likely result from doing nothing. A slew of data supports this approach, especially from the Perioperative Care of Older People Undergoing Surgery (POPS) initiative. After discussion with a geriatric medicine team completing a comprehensive assessment and using shared decision making with a POPS approach, 14.8% of patients decided against surgery.
Most of these then had their health improved through other means: adjusted medication, lifestyle advice, or other interventions.

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Ben Challacombe @benchallacombe.bsky.social · 16/11/2024

Feels like I’m on here early for a urologist but seems such a happy environment and different. Looks like traction is happening though. #bringthemacross

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GU Cast | Declan Murphy & Renu Eapen @gu-cast.bsky.social · 16/11/2024

Hello Urology?? Anyone out there? Declan and Renu here fleeing from the misery of Twitter and looking for a happy place!! #urology #podcast @uroweb.bsky.social

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