Jordan Saunders, MD

ED resident: so you guys taking this patient to the OR right??

Posting your old match day reactions on the current match day is main character syndrome lol

@Dr_mac2 Someone tagged my program when I matched because I said medical students actually do in fact see patients in clinics when a PA student said they don’t lol

I remember once (or twice) on here I had an unpopular opinion and people tagged my then program director (who laughed about it with me later) and then tried to find my employer (which is me because I work for myself) in order to “teach me some humility.” Smh

@AlphEatsCats @moonbeamer6 @chris_bryant86 @FoxNews PSAs stop at age 75 years old per guidelines. So no he probably didn’t.

@moonbeamer6 @chris_bryant86 @FoxNews lol he almost certainly had a PSA test every year.

BREAKING: Former President Biden diagnosed with prostate cancer with metastasis to the bone

@ellie_hen @chris_bryant86 @FoxNews Prostate cancer screening stops at 75 years old per guidelines . He was diagnosed from likely bone pain which led to the diagnosis.

@chris_bryant86 @FoxNews They probably always knew, but covered for him until they couldn’t … He was a walking talking hazard… Remember “vote blue no matter who.” Zero integrity… 🙄😒

@cnnbrk Important for men to get PSA screenings and see a urologist

Former President Joe Biden was diagnosed with an "aggressive form" of prostate cancer, which has spread to his bones cnn.it/431AAZE

History made today at USC urology. Congratulations @uro_nima @USC_Urology #bladder #transplant

@NK__47 @DrDiGiorgio This also doesn’t account for location either. Take a look at urology. Huge shortage that’s expected to increase. Even if the number increased 100%, who’s going to cover those overnight consults in rural areas? There is a price to pay from being highly specialized

@DrDiGiorgio “Even if we maxed out training slots today, we might see a 5–10% workforce bump in a decade” So? That’s a step in the right direction. Future neurosurgeons will be well rested, and this will attract more trainees and ensure we work towards even more slots.

I keep diving into the debate about tired physicians because people assume fatigue is the result of some malignant, fixable system. As if we just lack the political will to move on from the days when doctors worked 48-hour shifts strung out on cocaine. We’ve come a long way. But we will never have a system that guarantees every doctor is fully rested. Fatigue is the cost of a system that offers both 24/7 emergency care and timely elective access. Let’s say you have 3 neurosurgeons covering a hospital. If they’re barred from doing clinic or elective cases on call or post-call days, do the math. The system’s capacity collapses. And no, we can’t just conjure up 3 more neurosurgeons to work nights. Even if we maxed out training slots today, we might see a 5–10% workforce bump in a decade. Maybe. That’s assuming we even have the case volume and faculty to train them safely, which most hospitals don’t. The same holds true for most highly specialized proceduralists. This isn’t about political will or institutional cruelty. It’s about a supply-demand mismatch. There is no system where every doctor is perfectly rested and every patient gets timely care. Not all needs are equal. Pretending otherwise doesn’t make the math work.

Radical cystectomy vs bladder-sparing therapy for recurrent high-grade non-muscle invasive bladder cancer: Results from the comparison of intravesical therapy and surgery as treatment. The #CISTO study. Presented by John Gore, MD, MS, FACS @UW. #AUA25 written coverage by @chavarriagaj @UofT > bit.ly/42SXFfS @AmerUrological

@DrDiGiorgio @UCSF Also adds to incidental diagnoses that actually don’t correlate with the patients actual condition. Example: Middle aged pt with MSK back pain getting CT and showing a non-obstructing 1mm punctuate stone and so gets referred to urology for txt by PCP. Patient now insists on OR

Doctors order CTs for every minor head bump, not because it's good medicine, but because it’s legally safe. Missing a trivial brain bleed? Career-ending. But irradiating 20 people to find one? No lawsuit. No friction. No second thought. Yet this new @UCSF study shows that medical radiation causes up to 5% of all U.S. cancers. Overtesting isn’t benign. It's just delayed harm that no one tracks back to us. This is exactly what @ThomasSowell meant by unseen trade-offs. We protect ourselves from rare, immediate harms by inflicting diffuse, long-term ones. The incentives are perfectly misaligned. Real policy fix? For non-emergencies, adding cost friction isn't a bad thing. "Just taking a look" isn't harmless. It also shouldn't be "free." We also need to enact common-sense med mal reform that distinguishes rare misses from negligence. Build a culture of risk literacy, not just risk aversion. Until then, we’ll keep harming more patients to protect fewer doctors, and feel morally superior doing it.

Tremendous lecture by @siadaneshmand on updates in #ERAS in 2025 for the #EAU25 @UroOnc lecture. This truly should be the standard of care for our patients. Excited for the new guidelines! @saumyg @JimCatto @KariTikkinen

Ha. Formally I call it Intermittent Resection Technique (IRT) when presenting but all residents/fellows know it as Tap Tap! @saumyg @UroAlsyouf @LeileiXiaUro @ThaliaBajakian

Was able to successfully get access on my first PCNL case this week as a PGY2 #UroSoMe #endourology

@KenOKeefe1TJP Horrific. Utterly horrific

🇵🇸 The Holocaust They’re burning people alive but some of you are still afraid to speak out.

Tremendous effort by @slernerbcmedu1 & colleagues on this @SWOG S1011 trial. Practice changing trial. Standard or Extended Lymphadenectomy for Muscle-Invasive Bladder Cancer #f0" target="_blank" rel="nofollow noopener">nejm.org/doi/full/10.10… @SvatekRob @PoharKamal @AnneSchuckmanMD @UroDocAsh @montypal @garysteinbergmd

In patients with muscle-invasive bladder cancer, extended lymphadenectomy did not improve disease-free or overall survival as compared with the standard procedure and was associated with higher morbidity and mortality. Full SWOG S1011 trial results: nej.md/4dBI8UN

🔥Hot off the press in @JUrology. Kudos to @UroAlsyouf and @siadaneshmand! 1⃣237 EP-RPLNDs 2⃣Median LOS: 2d 3⃣30d complications: 13%; no postop ileus or SBO 4⃣Great onc outcomes in primary and post-chemo settings; 7 in-field recurrences 🔗Free access link: auajournals.org/doi/10.1097/JU…

Over the past 26 years, Michael Koch, MD, has helped lead @IUuro to national prominence by expanding faculty expertise, enhancing education, research, and more: bit.ly/4eSQg5o

That OR must’ve been crazy. Imagine being the scrub tech or anesthesiologist and hearing the OB resident asking layers of the skin while looking directly at peritoneum and the med student answering endometrium 💀

@ShadyBeautyMD29 In this case I agree, it would be incredibly hard to learn anatomy from someone who is under the assumption layers of skin equates to layers of fascia.

The replies to this are hilarious. You don't go into the operating field to learn anatomy. That's what's done in the 1st two yrs in lab & by popping open an anatomy book. Lay the foundation & build in the clinical yrs.