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Ben Challacombe

@benchallacombe.bsky.social

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

424 Followers  |  217 Following  |  1 Posts  |  Joined: 14.11.2024  |  1.3835

Latest posts by benchallacombe.bsky.social on Bluesky

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

09.12.2024 06:33 — 👍 0    🔁 1    💬 0    📌 0
The Sir Chris Hoy Effect | Why family history matters
YouTube video by GU Cast The Sir Chris Hoy Effect | Why family history matters

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?...

25.11.2024 20:50 — 👍 13    🔁 4    💬 1    📌 0
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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...

Ok, maybe AI is even coming for surgery in our lifetime…!

scitechdaily.com/robot-that-w...

21.11.2024 02:17 — 👍 18    🔁 4    💬 2    📌 2
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.

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.

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

17.11.2024 10:24 — 👍 65    🔁 34    💬 7    📌 5

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

16.11.2024 10:17 — 👍 24    🔁 3    💬 1    📌 1
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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

16.11.2024 04:05 — 👍 45    🔁 6    💬 5    📌 1

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