
Tim Averch
6.3K posts

Tim Averch
@Tdave
Urologic surgeon, healthcare quality observer, self-admitted scifi and tech geek. Just saying.....all my opinions








💧 Kidney stone prevention… reality check 👇 👏Large RCT (n=1,658) testing hydration adherence strategies in @TheLancet ✔️Smart bottles + incentives + coaching = ↑ urine volume 📉But increase was modest and not sustained over time ❌ No reduction in stone recurrence (HR ~0.96) 🚨 What this really shows: 1⃣Adherence is HARD 2⃣Even well-designed behavioral interventions struggle long-term 3⃣Changing behavior ≠ changing outcomes 🤔 Takeaway: Hydration still matters… But “just drink more water” isn’t a scalable solution for most patients @AmerUrological 🔗shorturl.at/tnTda



En Bloc TURBT in 100 seconds, unedited, 4x speed. Lower recurrence rates, lower perforation risk, no obturator reflex, and with practice it can be fast! This should be standard of care. #bladdercancer @CancerBetter

Armed with cystoscopes and sheer will, urologists will descend upon the Hill tomorrow to advocate for physician payment reform (H.R.6160) & to delay (and study) the efficiency adjustment (H.R.7520). @JoshBroghammer pumped up the audience for the fight! 💪 #AUASummit26













