Resilience is a desired character in a surgeon. But surgeons are just as frail and vulnerable to stress as the general population. My thoughts on being a resilient surgeon 🧵

🧵1/12 🔍 Understanding #NMIBC: Key Categories 🧬 🚫 Refractory: High-grade disease persists at 6 months despite BCG therapy. Includes any stage/grade progression by 3 months. 🔄 Relapsing: High-grade recurrence after disease-free state at 6 months post-BCG. 🛑 Intolerant:

1/ NEW & IMPORTANT: So we need to talk about NHS pay. NEW shocking [post DDRB] data just in 4/1/24 👇 (SPOILER: Not "fair & reasonable") We need to fix pay/retention to fix waiting lists- increasingly clear next GE will won/lost on NHS Please read whole 🧵 & share widely/RT

The operating room is a hostile environment for surgeons. 38% of surgeons are in pain. 87% if using an endoscope. A primer on surgical ergonomics to save you suffering 🧵

*Writing a systematic review*:🧵 I’ve seen too many people embark on a systematic review without knowing how, and assuming it’s a quick & easy way to publish. News flash: it’s not. It requires lots of time & work, but with a great reward at the end. Follow this 🧵 for advice:

Completed 2 Full Back to Back Days of Ureteric Stones ESWL. An exciting new service established today for Urologist delivered Inpatient/Hot ESWL to add to our well established Primary URS/PCNL services armamentarium for stones. East Sussex Healthcare NHS Trust ESHT Engagement & Wellbeing @ESHT_urologycns BAUS Endourology

We’re coming up to that time of year - July 1 is right around the corner. We talk a lot about tips and pearls for new residents and medical students; but arguably the biggest transition is for brand new Attendings. So - here are my top 10 non-clinical tips for new staff 🧵

The fundamentals of kidney ultrasound! Today, we're focusing on transducer orientation and exploring the importance of capturing transverse, coronal, and sagittal views. Understanding these angles is crucial for clear imaging Endourology Academy Kemal Sarıca Daron Smith

Utilizing a long weekend holiday in Germany, Created some images from Campbell-Walsh Urology in 3D software for my upcoming training program.

Hyponatremia is a relatively common inpt diagnosis and may seem confusing. Let's break it down and consider SIADH. 🤔Diagnosing SIADH with an algorithm isn't difficult, but understanding it is another matter! Follow the 🧵 and let's make it simple and rationale in 4 steps

🧵regarding the useful technique of 'straightening the wire' during central line placement when the plastic guide is no longer within reach. If you do a lot of central lines (or a lot of percutaneous procedures), this technique will come in handy over and over again. (1/ )

Core Surgical Training Applications on Oriel opening from end of Oct 2024 MSRA Jan 2025 Portfolio evidence portal 8th-14th Feb 2025 40 Operations assisted 3 Conferences attended Led QI project with change National presentation Teaching program PGCert Interviews late Feb 2025

Mark Bagnall PhD FRCS Free / low cost surgical online conference can be found on MedAll!! Conferences I attended at FY: - Future Surg RCS £0 - Green Surg RCS £0 - International Women’s day WENTS UK - Women in ENT Surgery UK £0 - Faculty of pre op care RCS £0 - BAUS ~ £40 (for 3 days!) - ASiT (biggest expense £80)

Write a research paper this weekend! Use my mini-guide:⬇️

⭕️ Amazing Collection :) 💡 Two of them are not 7.5 Fr ❓ PETRA PEARLS UroSoMe

Practical treatment pathway for metastatic clear cell RCC! Regina Barragan-Carrillo Eddy Saad Renee Maria Saliby Maxine Sun Laurence Albiges Daniel Heng Robert Motzer MD Elizabeth Plimack MD Arnaud Méjean, MD, PhD Tom Powles Brian Rini, MD Tian Zhang, MD, MHS Toni Choueiri, MD European Urology European Association of Urology (EAU) OncoAlert Sarah P. Psutka MD MS Sumanta K. Pal, MD, FASCO

Bedside or office-based ureteric stenting offers a viable alternative to the traditional operating theatre approach, with high success and low complication rates, plus substantial cost savings. #Urology #UroStone #OpenAccess Dr Joseph Ischia Damien Bolton doi.org/10.1111/bju.16…

Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧 Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦‍♀️ Here are the 10 most common fluid prescription mistakes I see 🧵

Bladder Volume #ultrasound #sonologist

An excellent programme RSM Endourology RSM Urology Section The Royal Society of Medicine PURE Daron Smith Stones 10-25mm, PCNL (vs fURS) - ⬆️ clearance + ⬇️retreatment rate -↔️ complication rate -⬆️ health status. Early dip in health status after URS - stent pain?? -💷⬇️COST/ ⬆️COST EFFECTIVE