Timothy Y Tran

@SPuro88 Maybe at their last stop there was a fluid shortage

Travelers are ruining medicine. #IYKYK

@CanesDavid Btw starting using opus 4.6 for this function this week and it’s way better than copilot, ChatGPT or Gemini

I hate to niggle, but I can't help it. That's not an "agent" It's manual work chatting with an LLM. That's of course some kind of improvement, but it's not sustainable. The end goal is not having to prechart. You show up to clinic and it has happened for you. You review a summary, and see the patient.

First experience with EPIC’s AI Summaries “Generate Summary from Notes” This was early access in my health system in the outpatient setting, where it can generate a summary of what's gone on with the patient since my last visit. I'm overall pleased that Epic is headed in this direction, but so far my first impression was that it falls short in several major ways: 1. The latency essentially makes it unusable for me. It takes 40 seconds plus to generate a summary. 2. Summaries can only “see” notes. They don't see labs, they don't see imaging, and for a subspecialist that's severely limiting. Context is everything and that’s just not enough context. 3. The summary ends up showing me random snippets from my own previous note, and it's unclear how those are prioritized. They’re typically not the most important sentences. In the 40 seconds it took to render, I'm best off just pulling up my last note and reading it myself. Not quite ready for prime time, but a step in the right direction. If you have a clinician-facing AI product, you need to think very carefully about the user intent. And it should be FAST. It cannot slow people down. Has anyone tried this and found it useful?

@Princeton Way to go man!

"I was attached with the Marine Corps for four years and, in 2017, I deployed to the Middle East in the West Pacific. I spent four years taking care of wounded Marines. I enjoy taking care of people and seeing the direct impact that I can make. And I realized on deployment that I wanted to be a physician. And so the next steps were to get out of the military and to apply to college." Join us and stand up for America's veterans like Luke Hixson and the transformative power of a college education: bit.ly/4rsUKET

@sbinhamrii @PETRAurogroup @so_uro 4. Be a Jedi URS master and use the force Well done!

🔵 Lower Medial Calyx Large Stone in Right Kidney 🔵 You Have only Scope 9 Clock WC 🌟Tips: 1. Just open the basket 2. Use Manual Pump to force Stone jumping in 3. Do it blindly - Take Your chances 🤾‍♂️Here we go @PETRAurogroup @so_uro

@Mohamedendourol @sbinhamrii @wissamabokhalid @trwherrmann @lfredosanchez @DocGauhar @StefaniaFerret @D_Castellani @Moser_DanielC @Endo_Society @Endo_Sec_Eua Looks like the entire hemoglobin drop may have occurred from 0:21-0:31!! Anyways, great work. Thanks for sharing

Even in a redo case of a 220-g prostate in a patient on Plavix and Aspirin, safe enucleation was achievable using a bipolar platform — 80-minute enucleation time with only a 1.5 g/dL hemoglobin drop.

@sbinhamrii @so_uro @PETRAurogroup Two if it makes you feel better but I bet a week would be fine! Great work

🔴 Let's see ... 🔴 How long you want to keep stent ❓ @so_uro @PETRAurogroup #ICE26

@CanesDavid @UroOncologist True but ambient scribes have been readily adopted and they surely use more tokens to take in 10 min of speech and then generate a note vs taking in a note or two and some labs / imaging report

@UroOncologist It’s an internal decision probably, but every generated summary consumes LLM “tokens” It’s not free to make a summary. Multiply that out across hundreds of thousands of visits you can see why they decide to make the MD click “generate summary” when needed.

@CanesDavid Haha true. Agent in name only. Cowork could do (in theory, not sure can interact w epic) but PHI to cloud bad. Best would be epic plugin / tool - seems so easy

@CanesDavid Yea. Copy, paste, copy, paste. Saves me from dictating to prechart so it’s an improvement

@TimothyTranMD But you are manually feeding it the last note?

@CanesDavid Just standard chatbot agent. Instructions like “take input (last progress note) and use to generate HPI for upcoming visit. Keep concise, maintain my writing style, keep relevant info and some formatting stuff

@TimothyTranMD Expand on “made agent”

@SoumLokeshwar @AmerUrological @ArunRaiMD @amirkhanUro Our best and our brightest!

Honored to represent the @AmerUrological in DC for the #AUAsummit26 , thank you to our Maryland reps for taking the time to meet with us and our patients today

@ribzoftiktok Might cost me my life

Without checking their prices, how much would you pay for this sandwich?

@Yale_Urology @justine_ryu @YaleHemOnc @YaleMed 🥰🥰

A special shoutout to the newest member of the Yale Urology family! Our own Jason Lee, MD, and his wife, @justine_ryu, MD, (with @YaleHemOnc) welcomed Baby Jamie last month. Lee says her hobbies include, "...drinking milk and reading black and white urology textbooks😊" @YaleMed

@jaredsmithbets When you’re rooting for a team there’s nothing like the shared experience of watching with your friends. Maybe similar emotions but feels diff jumping up and down w friends vs alone. If there’s no rooting interest it’s still a great time to be with friends and eat great food

Hot take: Super Bowl parties are wildly overrated I just want to watch in silence like I do every other game during the season without a random Chad telling me why his 10-leg SGP that includes the coin toss is going to "smack"

@kshvbgde I think they’re both great. Sometimes alternating between the two every few days keeps the tastes from getting bland.

I honestly do not know the difference between these two drinks, and I’m too afraid to ask at this point. I prefer coke zero btw

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@parkersity_9 “Fair enough” “High pressure water jet” “Laser into tiny pieces of dust and sand” “Hello!” *sigh*

Without naming your job, tell me something you say 15 times per day at work

@DutchRojas @DRsLoungePod That’s wonderful. Just finished the episode. Very inspiring. Excited to see what the coming months bring

@TimothyTranMD @DRsLoungePod We do! youtu.be/CJmpDNCx164?si… We will have our own Channel soon. Right now we use mine.

Welcome to our live show! x.com/i/broadcasts/1…