Ricardo Sánchez, MD
303 posts
Ricardo Sánchez, MD
@netherdoc
Urologic Oncologist. Division of Urology, University of Puerto Rico. Views my own.
Puerto Rico, USA Katılım Mayıs 2016
350 Takip Edilen488 Takipçiler
Ricardo Sánchez, MD retweetledi
@mcuban @costplusdrugs Thank You for adding Puerto Rico to your list of eligible purchasers! Huge savings for our patients. Abiraterone $19.23 (retail: $1093.20). Tadalafil 5 mg ($5.98 x 30 days). Leuprolide acetate 22.5 mg ($227.84). Tamsulosin ($6.32 x 30 d).
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@mcuban @costplusdrugs Thank You for adding Puerto Rico to your list of eligible purchasers! Huge savings for our patients. Abiraterone $19.23 (retail: $1093.20). Tadalafil 5 mg ($5.98 x 30 days). Leuprolide acetate 22.5 mg ($227.84). Tamsulosin ($6.32 x 30 d)
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@CanesDavid 💯. Millimeters of pattern 4, MRI tumor size, PSAD should should drive decision-making.
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I mean... you have someone with 8 cores of GG1, one core of GG2 with <5% pattern 4, and you're gonna call that UFIR? Get a PET-CT, tell them they need immediate treatment.
No way.
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Counting positive cores -> making someone unfavorable intermediate risk...
NCCN has to nix that ingredient.
It makes no sense.
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@CanesDavid 💯. Millimeters of pattern 4, MRI tumor size, PSAD should should drive decision-making for AS,
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Ricardo Sánchez, MD retweetledi
Don't take my word for it.
Listen to Dr. Ariana Smith organically mention how @WellPrept makes clinic conversations better.
Curious? My DMs are open.
WellPrept@WellPrept
“I love it. I love WellPrept. I love Dave Canes and WellPrept.” —@AmyPearlman1 “He’s done a great job. Patients receive it, they love it. They come in educated, and now you take that conversation to the next level.” —Dr. Ariana L. Smith, MD, Professor of Urology, Perelman School of Medicine, @PennMedicine
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@CanesDavid Agree 💯. And it IS hormone therapy, after all. Why would someone want to have a low DHT... IMO, if they get PCa, nerve sparing is harder.
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Hot take: nobody should ever be on finasteride for BPH
Who wants to be on a medication where it may or may not work, and we won't know for six months?
It has lousy side effects. And given how well alpha blockers typically work, if you're delving into combo therapy, you may as well actually solve the problem surgically.
Gland size reduction is modest, if at all
Prove me wrong
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@CanesDavid @DrDiGiorgio Physician brain wildfires across the country. Nobody cares.
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Making a doctor put in the reason for a telephone note as a hard stop is cruel.
The reason is in the note.
We'll just put whatever in there- to get past the hard stop.
See? I'm complaining about EPIC @DrDiGiorgio
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Ricardo Sánchez, MD retweetledi
Ricardo Sánchez, MD retweetledi
Today, Dr. Ariana Smith successfully performed the first surgery in Philadelphia implanting a new nerve-stimulating device to treat individuals with urge urinary incontinence, which is caused by a communication breakdown between the nerves connecting brain and bladder.
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Ricardo Sánchez, MD retweetledi
Ricardo Sánchez, MD retweetledi
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Ricardo Sánchez, MD retweetledi
BETO YDRACH MAKES NO MISTAKE FROM THE SPOT!
The 26-year wait is over as the @RiverhoundsSC take down Tulsa to win the 2025 @USLChampionship final! 🏆
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Ricardo Sánchez, MD retweetledi
@CanesDavid 💯. Dr. OpenEvidence would be performing prostate biopsies on 74 year-olds with CHF and defibrillators just because their PSA is above 4...
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There seems to be this pervasive belief out there in the world that the majority of what doctors do is diagnose. I think the majority of what we do is treat, guide, care, and shepherd people through their illnesses and disease processes.
It’s mostly TV doctors caught up in some diagnostic conundrum. That’s not the real world.
Maybe that’s just Urology? What do you think?
Mike Solana@micsolana
gonna be crazy when you have to pay a doctor $500 so they, a Credentialed Human, can ask a special version of GPT what’s wrong with you
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Thank You for adding Puerto Rico to your list of eligible purchasers. @mcuban @costplusdrugs @jjbareapr Huge savings for our patients.!Abiraterone $19.23 (retail: $1093.20). Tadalafil 5 mg ($5.98 x 30 days). Leuprolide acetate 22.5 mg ($227.84). Tamsulosin ($6.32 x 30 d)
English
@mcuban @costplusdrugs Thank You for adding Puerto Rico to your list of eligible purchasers. Huge savings for our patients. Abiraterone $19.23 (retail: $1093.20). Tadalafil 5 mg ($5.98 x 30 days). Leuprolide acetate 22.5 mg ($227.84). Tamsulosin ($6.32 x 30 d)
English
@mcuban @costplusdrugs Thank You for adding Puerto Rico to your list of eligible purchasers! Huge savings for our patients. Abiraterone $19.23 (retail: $1093.20). Tadalafil 5 mg ($5.98 x 30 days). Leuprolide acetate 22.5 mg ($227.84). Tamsulosin ($6.32 x 30 d)
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