iiinova — where your digital self keeps evolving

Brian F. Chapin @chapinmd.bsky.social · 30/11/2024

I don’t think the implication is that you have the secret in your pocket, but rather that’s their way of asking if this is the right choice for them? Affirmation = comfort. I flip it around + discuss how each individual will have a different threshold of risk. And try to help them define theirs.

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Reposted by Brian F. Chapin

UT MD Anderson Cancer Center @mdanderson.bsky.social · 28/11/2024

We are thankful for our patients, their families, our faculty and staff, our volunteers and our generous donors as we work toward our mission to #EndCancer. Happy #Thanksgiving to all those celebrating.

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Brian F. Chapin @chapinmd.bsky.social · 29/11/2024

We did it for the last 12 years in Houston but the Turkey Trot hosted by Baker Ripley is no more.

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Brian F. Chapin @chapinmd.bsky.social · 29/11/2024

Great comments here. Sensitivity of rhPSMA is ⬇️ but likely due to population included as cN+ were ineligible 4 the study. Dec’d Prevalence of the population leads to lower demonstrated sensitivity. *COI: co-PI for BED studies. Can’t be stated enough that a Neg PET doesn’t = absence of pN+ nodes.

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Reposted by Brian F. Chapin

Vikram M. Narayan, MD @drnarayan.com · 26/11/2024

Made this with @ddshapiro.bsky.social, reach out if we missed you! @mdanderson.bsky.social @chapinmd.bsky.social go.bsky.app/NwN3jSo

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Brian F. Chapin @chapinmd.bsky.social · 21/11/2024

Not doing TURBTs but seems intriguing.

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Reposted by Brian F. Chapin

European Urology @euplatinum.bsky.social · 20/11/2024

Words of Wisdom Wednesday: Re: Complications Following Transrectal and Transperineal Prostate Biopsy: Results of the ProBE-PC Randomized Clinical Trial by @boesenlars.bsky.social and @chapinmd.bsky.social Check out the summary below and read the full article here: buff.ly/4fENr7V #UroSky

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Brian F. Chapin @chapinmd.bsky.social · 18/11/2024

Let’s say Patient is wanting treatment and I agree with that. I was leaning toward RT due to risks of incontinence. But interesting to hear others thoughts.

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Brian F. Chapin @chapinmd.bsky.social · 18/11/2024

New diagnosis. On meds. Symptoms worrisome that he will have OAB and incontinence issues post surgery.

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Brian F. Chapin @chapinmd.bsky.social · 18/11/2024

Parkinson’s worries me for surgery?

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Brian F. Chapin @chapinmd.bsky.social · 18/11/2024

Cribiform glands present. 3+4 also on contralteral side. MRI c/w bilateral disease 1.4 cm and 1.0 cm. 40% pattern 4. And for you, Matt he has a palpable lesion for cT2a and the GG2 larger lesion is also visible on US.

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Brian F. Chapin @chapinmd.bsky.social · 18/11/2024

Prostate “Bluesky” case of the day. 67 yo recent Parkinson’s dx, on levodopa, GG2 (12mm) PCa w/LUTS (freq/urgency). UDS->prostatic obstruction + some detrusor OA. Decipher high risk. He desires surgery, but is open to recs. You offer: 1. RARP 2. ADT/RT 3. Prostate procedure + RT/ADT 4. Other

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Brian F. Chapin @chapinmd.bsky.social · 17/11/2024

Perhaps. This feels different. And the first I’ve looked into as a late adopter

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