iiinova — where your digital self keeps evolving

Jeremy Grummet @jgrummet.bsky.social · 12/06/2025

When #prostatecancer just ain’t cancer. 👀 👇 www.sciencedirect.com/science/arti... Re: Rajal B. Shah et al. Genitourinary Pathology Society and International Society of Urological Pathology White Paper on Defining Indolent Prostate Cancer: doi.org/10.1016/j.eu... @dr-coops.bsky.social

sciencedirect.com

Re: Rajal B. Shah, Gladell P. Paner, Liang Cheng, et al. Genitourinary Pathology Society and International Society of Urological Pathology White Paper on Defining Indolent Prostate Cancer: Call for a ...

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BJUI & BJUI Compass @bjuijournal.bsky.social · 06/06/2025

How can we deliver high quality urological care while reducing carbon emissions? Here we explore & discusses evidence based decarbonisation in urology through a whole system lens, with practical actions #SustainableHealthcare #SustainableUrology bjui-journals.onlinelibrary.wiley.com/doi/full/10....

Perspectives on technology: All STEPS count – an integrated framework for net zero urological care

Objective
To present a narrative review of evidence to guide the delivery of high-quality, low-carbon urological care using a
structured framework.
Methods
Academic and policy papers which outline actions focused on decarbonising urological care and surgical care more broadly
were identiﬁed and reviewed. The ‘STEPS to Low-Carbon Care’ framework (an acronym for low-carbon care across
‘Settings and Treatments, Efﬁciency, Prevention and System change’) was then used to categorise and present the
evidence-based decarbonisation actions, using the National Health Service in England as a case study.
Results
Across all STEPS framework elements, tangible actions were identiﬁed alongside opportunities for future research and
innovation. The evidence-based actions that were identiﬁed to transition to low-carbon care settings and treatments
included tackling known carbon hotspots in operating theatres: anaesthetic gases, consumables and electricity use. Outside
the operating theatre, urology pathway transformation through one-stop clinics, day-case surgery, appropriate use of virtual
appointments and streamlined pathways demonstrated opportunities to reduce carbon emissions, with potential additional
beneﬁts in terms of cost, efﬁciencies, and patient outcome improvements. Key climate mitigation actions that support
keeping people healthy were identiﬁed. There was a paucity of evidence demonstrating the implementation of climate
change action as part of routine service delivery. Embedding sustainability across organisational processes and ways of
working requires actions to upskill, engage and enable the workforce to deliver and to establish clinical leadership.
Conclusion
This review identiﬁed a range of interventions to decarbonise urological care, whilst highlighting a need for further
research. Categorising the evidence according to components of the STEPS framework indicated …

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Jeremy Grummet @jgrummet.bsky.social · 19/05/2025

Joe Biden was the president of the United States! Why on earth was he not diagnosed earlier, before the #cancer had spread? In fact, we should ask this question about any male over 40. We have the means to do this. And it starts with just a simple blood test called a PSA. #PCFA #Guidelines

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Jeremy Grummet @jgrummet.bsky.social · 18/05/2025

This is exactly what early detection with a simple #PSA blood test aims to prevent - spread to bones. New draft Australian guidelines out now for public consultation until 25 May. #PCFA www.nytimes.com/2025/05/18/u...

nytimes.com

Biden Is Diagnosed With an Aggressive Form of Prostate Cancer

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Jeremy Grummet @jgrummet.bsky.social · 18/05/2025

abc.net.au

Breaking: Joe Biden diagnosed with 'aggressive form' of prostate cancer

Former US president Joe Biden has been diagnosed with an 'aggressive form' of prostate cancer that has metastasised to the bone, his office says in a statement.

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Jeremy Grummet @jgrummet.bsky.social · 05/05/2025

“Just a little prick.” Full credit to Barnaby Joyce for highlighting the benefit of early detection of #prostate #cancer using the PSA - which is just a simple blood test. See PCFA website for brand new draft guidelines for public comment until May 25. www.abc.net.au/news/1052524...

abc.net.au

Barnaby Joyce to undergo surgery after prostate cancer diagnosis

Follow the latest news headlines from Australia's most trusted source. Read in-depth expert analysis and watch live coverage on ABC News.

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Andrew Vickers @vickersbiostats.bsky.social · 02/05/2025

Latest data from PBCG on MRI prostate biopsy: 2-fold variation in probability PI-RADS 4/5 across 13 sites after adjustment for case mix. Risk of GG ≥2 disease for PI-RADS 4/5 varied between 23%-68% / 49%-87%. Need better standardization www.sciencedirect.com/science/arti...

sciencedirect.com

Variation in Prostate Magnetic Resonance Imaging Performance: Data from the Prostate Biopsy Collaborative Group

The quality and reporting of prostate magnetic resonance imaging (MRI) are operator dependent, leading to variations in estimates such as positive pre…

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Saganism @sagan.bsky.social · 30/04/2025

This is something many religious people often misunderstand about atheists.

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Saganism @sagan.bsky.social · 25/04/2025

It would be very healthy for human species, If there is less Discouragement.

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Jeremy Grummet @jgrummet.bsky.social · 21/04/2025

www.coastrek.com.au/s/57237/69575 What better cause is there than supporting mental health. As I asked one of my daughters on the weekend: Can you think of anything more important in your life than your mental health? No, I can't either. Please support us!

coastrek.com.au

Jeremy is doing Coastrek!

I am hiking for mental health with Coastrek Mornington Peninsula 2025 - 30KM and raising funds for Beyond Blue. Please support me and help ensure support is there when needed for those we love and for...

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Saganism @sagan.bsky.social · 20/04/2025

In the last interview of his life (1996), astronomer Carl Sagan gave an eerily prescient warning of the dangers that come when you cannot ask skeptical scientific questions of those in authority. Watch and ask yourself: was he right?

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Ardem Patapoutian @ardemp.bskyverified.social · 09/04/2025

Published an op-ed for @cnn.com: “Nobel laureate: I owe America my success. Today, its scientific future is in danger.” A personal reflection on what’s at stake as science funding gets slashed. I’d be grateful if you could amplify both in and beyond the science world. www.cnn.com/2025/04/09/h...

cnn.com

Nobel laureate: I owe America my success. Today, its scientific future is in danger | CNN

Dr. Ardem Patapoutian says he watches “with deep sadness as the United States’ remarkable scientific enterprise, which took generations of hard work and national investment to build, faces a concerted...

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Jeremy Grummet @jgrummet.bsky.social · 26/02/2025

But what do you really think, Fred?

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Jeremy Grummet @jgrummet.bsky.social · 19/02/2025

Confused? Every accusation is a confession. Notice this. Now it starts to all make sense.

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Adam Grant @adamgrant.bsky.social · 06/02/2025

In toxic relationships, you're forced to choose between honesty and loyalty. You bite your tongue to protect their ego. In healthy relationships, honesty is an expression of loyalty. You speak your mind to help them grow. When you have trust and respect, candor shows care.

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Jeremy Grummet @jgrummet.bsky.social · 26/01/2025

#AustraliaDay You know, you can love this country AND respect our First Nations people. Respecting Indigenous Australians is in fact a perfect way of showing love for this country. Let’s celebrate Australia Day by all means. But just change the bloody date. Why so hard?

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Jeremy Grummet @jgrummet.bsky.social · 21/01/2025

Who can you trust these days? Scientists. But only if we remain true to the principles of science: - seek truth - question everything - be rigorous in method - be humble in ignorance And communicate our knowledge to people so they can actually understand! theconversation.com/most-of-us-t...

theconversation.com

Most of us trust scientists, shows a survey of nearly 72,000 people worldwide

A global new survey shows there’s no crisis of trust in scientists, as some might claim. But there are some nuances.

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New York Times Opinion @nytopinion.nytimes.com · 14/01/2025

Paul Offit, a pediatrician and vaccine skeptic considers Robert F. Kennedy Jr. a vaccine cynic. “I fear what will happen in America, which is already seeing a rising mistrust of vaccines, if he becomes health secretary,” Offit writes.

nytimes.com

Opinion | RFK Jr. Is a Vaccine Cynic, Not Skeptic.

My job is to ask tough questions of vaccine makers. That’s not what he is doing.

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The Medical Journal of Australia @mja.com.au · 08/01/2025

Why clinical artificial intelligence is (almost) non‐existent in Australian hospitals and how to fix it buff.ly/4ahWE3b

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Todd Morgan, MD @wandering-gu.bsky.social · 04/01/2025

So excited about this work, led by UMich Pathologist Cathryn Lapedis. We're accustomed to providing patients with reports that are uninterpretable to them, then having a subsequent decoding discussion. What happens when we make the reports understandable the first time around?@bzikmund.bsky.social

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Jeremy Grummet @jgrummet.bsky.social · 05/01/2025

Do we want to be in the health industry, or the sickness industry? Or is the sickness industry just too damn good for business??🤔 #prostatecancer #earlydetection

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Jeremy Grummet @jgrummet.bsky.social · 14/12/2024

More evidence to support what has been standard practice for years now. MRI triages for prostate biopsy, reducing unnecessary biopsy by HALF. MRI = Massive risk mitigation in #prostatecancer testing. BUT….reporting by properly trained radiologists is essential. mripro.io

mripro.io

Online Prostate MRI Trainer - MRI PRO

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Saganism @sagan.bsky.social · 12/12/2024

"Science is not perfect. It's often misused. It's only a tool. But it's the best tool we have."

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Jeremy Grummet @jgrummet.bsky.social · 12/12/2024

Fast forward through the housekeeping and get to the juicy stuff. Essential listening for anyone who values #science and #intellectual #honesty. Our institutions need ongoing self-correction. Not wilful destruction. podcasts.apple.com/au/podcast/m...

podcasts.apple.com

Making Sense with Sam Harris

Science Podcast · 419 Episodes · Updated Fortnightly

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Jeremy Grummet @jgrummet.bsky.social · 07/12/2024

Men never do evil so completely and cheerfully as when they do it with religious conviction. Blaise Pascal (1623-1662)

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Jeremy Grummet @jgrummet.bsky.social · 04/12/2024

If you have to take a guy’s ball out, you could at least offer to put a fake one back in. It’s just good manners.

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Jeremy Grummet @jgrummet.bsky.social · 03/12/2024

Beware of the shifty! Makes sense that patient outcomes of #MRI targeted biopsy are different from those of systematic biopsy. Just as #PSMA PET causes #stageshift, MRI-targeted biopsy can cause #gradeshift. Both are more accurate, but we need to account for shift in prognosis. #prostatecancer

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Judd Legum @juddlegum.bsky.social · 02/12/2024

"We cannot continue to participate in the social network feed of a man who proclaims the death of the media and therefore of journalists... X is a platform that no longer serves the public interest at all, but the special ideological and financial interests of its owner and his political allies"

thelondoneconomic.com

European Federation of Journalists to stop posting content on X

The EFJ represents over 295,000 journalists in 44 countries.

20488042515187

Jeremy Grummet @jgrummet.bsky.social · 01/12/2024

We need to be better at politics. We could start by being way better at communicating science to people.

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Jeremy Grummet @jgrummet.bsky.social · 01/12/2024

A tad too much tadalafil? Can’t they just smoke pot like normal college students? 🙄

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Jeremy Grummet @jgrummet.bsky.social · 01/12/2024

Shame-based learning. No one wins.

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Kevin Ault @kevinault.bsky.social · 30/11/2024

"The man who does not read good books has no advantage over the man who can't read them." 'If I cannot drink Bourbon and smoke cigars in heaven then I shall not go." Mark Twain, born as Samuel Langhorne Clemens #OTD in 1835.

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Jeremy Grummet @jgrummet.bsky.social · 01/12/2024

Walking on beach today with wife, talking life. Realised my biggest lesson after a period of hardship is: “[insert life event] MADE ME [insert my reaction]” is NOT true. How you respond to events, big or small, is YOUR choice IF you can see it as choice. Practise this. See what happens. 😊

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Andrew Vickers @vickersbiostats.bsky.social · 27/11/2024

Recent JAMA prostate cancer study reports ~3X risk of bladder cancer in RT patients. Is this something we should be telling our patients, or is this figure based on out of date technology? If the latter, what is best estimate? jamanetwork.com/journals/jam...

jamanetwork.com

Long-Term Adverse Effects and Complications After Prostate Cancer Treatment

This cohort study assesses the long-term adverse effects and complications of prostate cancer treatment in treated patients compared with a general population of older males.

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