Jeremy Grummet

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 ...

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

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 …

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....

#mentalhealth #mentalillness #walkforsanity #naturedelivers | A/Prof Jeremy Grummet Times of despair and of panic are part of the human condition. But when they turn chronic, you can get very sick. This year, Coastrek raised money for Beyond Blue, a vital resource for those with men...

This was fun!
And raised $8,000! ☺️

www.linkedin.com/posts/a-prof...

How do you know your own risk of prostate cancer? Public consultation for the new draft guidelines on the early detection of #prostate #cancer closes today, May 25. Here's my own submission: We’ve come such a long way in the diagnosis and treatment o...

How do you know your own risk of #prostate #cancer?

www.linkedin.com/pulse/how-do...

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

Biden Is Diagnosed With an Aggressive Form of Prostate Cancer

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...

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.

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.abc.net.au/news/2025-05...

Come to Australia, Dr G.

Free healthcare for all!

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.

“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...

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…

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...

Ahh, the refreshing sounds of….

adults.

This is something many religious people often misunderstand about atheists.

Sing it, Neil.

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

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!

Long‐term outcomes of active surveillance for Grade Group 1 prostate cancer and the impact of the use of MRI on overtreatment Objectives To present the long-term outcomes of men with Grade Group (GG) 1 prostate cancer (PCa), included in the Prostate Cancer Research International Active Surveillance (PRIAS) study, and to as...

"Expanding eligibility for AS and the uptake of AS in men with favourable GG2 PCa is crucial to address the stage shift resulting from the increased accuracy of MRI." bjui-journals.onlinelibrary.wiley.com/doi/10.1111/...

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?

Science = curiosity x humility^2 Plus a surprising addition

Not to be formulaic, but…

open.substack.com/pub/jeremygr...

An Overdose of Overdiagnosis Low grade prostate cancer might look like cancer down a microscope, but it doesn't behave like cancer.

open.substack.com/pub/jeremygr...

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...

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...

As democracy cracks and the world order shifts:
“This is going to be great television.”

But what do you really think, Fred?

Cruel Man Power Things Of Stone and Wood · Junk Theatre · Song · 1995

Split Enz was wrong.

It does repeat.

open.spotify.com/track/4Lix50...

Confused?

Every accusation is a confession.

Notice this.

Now it starts to all make sense.

To counter fabulists like Belle Gibson we must elevate science, fund cancer research If we want to avoid the potentially fatal sway of canny fabulists like Belle Gibson, the answer is not to ridicule patients but to elevate science, to put more money into cancer research.

Fund #science.
Fund #cancer #research.

www.abc.net.au/news/2025-02...

Opinion | Censored Science Can’t Save Lives Progress cannot occur if scientists are barred from asking certain questions.

My colleagues and I have a piece out today in NYT: www.nytimes.com/2025/02/18/o...

Anger, despair, and defiance from a voice within the US federal research system People around the world are watching with disbelief as the new US government closes down its aid programme, withdraws from the World Health Organization (WHO) and the Paris agreement on climate change...

Re-posting in solidarity.

www.bmj.com/content/388/...

Also,

Desecration is a word that comes to mind.

Elon Musk Appears With Trump to Defend Government Overhaul: Live Updates The billionaire, chosen by President Trump to lead a federal overhaul, insisted he was working transparently, but his team’s secretive actions have delivered shocks across the government.

Thoughts go out to that Resolute desk.

This too shall pass.

www.nytimes.com/live/2025/02...