Craig Nichols

@pimentel_md Urgent cisplatin-based chemotherapy beginning today without orchiectomy. If HCG is massively elevated, many centers would give 3 days of EP and hold for a bit and resume with 5 day course once bleeding risk is past. I council such patients that they may end up in ICU intubated

Lesion biopsy, to confirm cannon ball metastasis of the testicular cancer #MedTwitter

@Caba_L @siadaneshmand @uroegg @dr_coops @ChapinMD @SimaPorten @Scarps_kristen @mdallera @DanLinMD @wandering_gu @uretericbud @AnneSchuckmanMD @pcvblack @DanBarocas @LoebStacy @daviesbj @urogeek @cjkane10 @RobertReiterMD @SurenaMatinMD Almost as bad as Or-E Gone. My own from my youth was the word "misled" which I pronounced in my head as my-seld. I knew it had a bad connotation, but not exactly how

@siadaneshmand @uroegg @dr_coops @ChapinMD @SimaPorten @Scarps_kristen @mdallera @DanLinMD @wandering_gu @uretericbud @AnneSchuckmanMD @pcvblack @DanBarocas @LoebStacy @daviesbj @urogeek @cjkane10 @RobertReiterMD @SurenaMatinMD Yep! 😉 I hear it mispronounced often when people order wine 🍷

🙄 Hyperbole Segue Genre Which ones for you? @uroegg @dr_coops @ChapinMD @SimaPorten @Scarps_kristen @mdallera @DanLinMD @wandering_gu @uretericbud @AnneSchuckmanMD @pcvblack @DanBarocas @LoebStacy @daviesbj @urogeek @cjkane10 @RobertReiterMD @siadaneshmand @SurenaMatinMD

@Caba_L @uroegg @dr_coops @ChapinMD @SimaPorten @Scarps_kristen @mdallera @DanLinMD @wandering_gu @uretericbud @AnneSchuckmanMD @pcvblack @DanBarocas @LoebStacy @daviesbj @urogeek @cjkane10 @RobertReiterMD @SurenaMatinMD Willamette!!

JCO Comments and Controversies piece out. Provides rationale for PRESTIGE and MAGESTIC trials to come. Thanks @UroAlsyouf @siadaneshmand @LuciaNappi4 DOI: 10.1200/JCO.22.02002

@siadaneshmand is stepping out on me with different organ! However, per usual, he's making high-level, multi-front impacts on management of the bladder cancer as well as TC. Congrats on a memorable AUA and keep up the good work

Case for pRPLND as chemo-sparing approach in CSII NS becoming stronger. @moosemousa @RHamiltonUrol #AUA2023 PRIMARY RETROPERITONEAL LYMPH NODE DISSECTION FOR METASTATIC NONSEMINOMATOUS GERM CELL TUMOR:

@LuciaNappi4 ASCO presentation of long f/u BCC pilot will be a forme fruste of S1823 which will also be presented in the Trials in Progress session as well. @SupportingSWOG

Testis cancer oral abstracts ASCO pick up nicely on two emerging likely practice changing themes. miR371 (@LuciaNappi4) and primary RPLND in early regional seminoma (T. Tandstad). Can't wait

Well. . . This is a bit awkward. ChatGPT appears to be as good at poetry as it is at understanding clinical trial design, conduct, actual patient impact and cogent debate

While not a lot of new information, the article is important in that it reiterates the high baseline of CVD risk factors (with or without cisplatin) for men as they move into their 40s/ 50s. Should have low threshold for management of HTN, dyslipidemia, obesity, energy balance

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Took Bard out for a spin. Not so impressive. Could not stage testis cancer and could not identify Larry Einhorn. Needs some work

Notified that S1823 will be presented as a poster in the Trials in Progress section #ASCO23. @SWOG @supportingSWOG @siadaneshmand, @uroegg,@nabiladra @LuciaNappi4,@RHamiltonUrol @AdityaBagrodia and Andrea Harzstark, SWOG biostats and the over 700 pts enrolled

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Nice AUA abstract by Candelas-Gomez, Hamilton, Jewett et al re Canadian 2nd opinion in GCT. Mirrors England SWENTOTECA German efforts at hub and spoke care delivery

Remember this is PFS or TFS NOT OS which is 100%

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Well, we will have at least one oral presentation at big #ASCO2023. Magnifico! @LuciaNappi4

AUA Abstracts are out. Expanding data sets for surgical management of CSII GCT @siadaneshmand, USC superstar young urologists and the whole network

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