𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜

Father of 5️⃣ | Urologist @laheyuro | Associate Prof | MIS robotic onc | 🎸| Personal finance rants | Workplace efficiency enthusiast | Founder @wellprept 👈

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

When I was 15, I learned firsthand what grit truly looks like.

It was 1990. My mother was 42 and two years into a confirmed Multiple Sclerosis diagnosis—a condition she had suspected since her twenties.

She was a dynamic middle school French teacher, beloved by her students. Her South African accent captivated them whenever she snuck in a few sentences in English. She had a way of lighting up any room.

My mother's passion for French took her from South Africa to Paris as a teenager, where she studied at the Sorbonne. Though English was her native tongue, she also spoke Afrikaans and Hebrew.

Fast forward to 1990: she was teaching at a private school in the NY suburbs, but the public schools offered better salaries (is this still true?). My mother wanted a position in the local public school system. However, the demand for French was dwindling, with Spanish on the rise. She couldn't get a public school teaching job.

So, she took a bold risk. She left her job and took a year off to get certified as a Spanish teacher. Only a year? How would that work? Despite not speaking Spanish, her strong foundation in romance languages gave her the confidence to learn quickly.

What she did next was remarkable. She went to the local community college and declared she wanted to take Intro and Spanish 101 simultaneously. The registrar said it was impossible—Intro was a prerequisite for 101.

"How about I register for Intro and audit Spanish 101?" she proposed. "If I pass both, you give me credit for both." They agreed.

She aced both classes.

That summer, she immersed herself in Spanish literature and Telenovelas. She used a Spanish-English dictionary and even a French-Spanish dictionary, finding it easier to map French to Spanish than English to Spanish. This detail still amazes me.

She repeated her (now precedented) request for Spanish 201 and 301 and aced them both, earning all the credits needed for Spanish Teacher Certification in one year. This landed her a job, eventually tenured, teaching both French and Spanish at the local public school.

My mother passed away from complications of Multiple Sclerosis three years ago. Her determination and resilience continue to inspire me.

Where did she get this incredible determination? Her father, my grandfather, immigrated from Lithuania to South Africa at age 14. He worked in a furniture factory, saving half of his weekly salary for English lessons. Through sheer hard work and perseverance, he eventually owned the factory.

As a young child witnessing her perseverance, I witnessed the true meaning of grit. Now, as I steer @WellPrept from idea into existence, and now help it expand... I frequently reflect on her tenacity. Every day, I try to embody her ability to tackle challenges head-on and her unwavering belief in herself.

I think you can see it in her eyes in the photo.

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

@utopianmae @jfunkmd Canes!

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

@jryckman3 @claudeai Usage schmusage
Think of all you get accomplished.

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

now there's no reason to ever leave @claudeai
Microsoft office... google workspace... canva... they're all significantly at risk.

[UrologyWatch.com @UrologyWatchHQ]

#1 in bladder cancer on Urology Scholars: @urodocash of @UTMDAnderson, with 388 bladder cancer papers on PubMed (582 in urology, #11 overall). A career shaping how we treat #bladdercancer, including as President of @IBCG_BladderCa.

See the full top 20:
https://t.co/8Vj60tlom0

[Khurshid Ghani @peepeeDoctor]

Nice to be in good company! #Endourology @UrologyWatchHQ

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

@RoupenMD Imagine your clinic had a system to make this happen every time, not just when a patient happens to do it of their own accord.

That’s why I created @WellPrept

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

@redunndant @claudeai And then present right from claude itself or do you export it?

[UrologyWatch.com @UrologyWatchHQ]

① FDA grants De Novo authorization to Virtuoso Robotic System for bladder tumor resection
② Reconstructed-data analysis: newer BCG-unresponsive NMIBC drugs do not outperform gem/doce

Today's urology Top 5, Nov 11: https://t.co/UQYtlKusVz

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

@averbs He's perfect

[Ricardo Sánchez, MD @netherdoc]

@dr_coops Agree. The Docology-Wellprept bundle for document intake and pre-visit patient education is the answer.

[UrologyWatch.com @UrologyWatchHQ]

New on UrologyWatch: Urology Scholars.

The most published faculty in U.S. urology residency and fellowship programs, ranked by PubMed papers. Overall and in 16 fields, from kidney cancer to pediatric urology, with the top 20 in each.

https://t.co/hQOM7bsBoj

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

@elietoubiana Whaaaaat? Umm… better than most radiologists, Elie? You sure about that?

[UrologyWatch.com @UrologyWatchHQ]

Medicare final rule: CMS finalizes removal of urinary procedures from inpatient only list

The CY2027 OPPS final rule removes 637 services, including procedures from the urinary clinical family, from the Medicare inpatient…

Takes effect Jan 1, 2027.

https://t.co/NorA2fcuCP

[WellPrept @WellPrept]

“What does this mean for a practice? It means a peaceful front desk. A back office that has the bandwidth to talk to the patients in front of them.” —Dr. David Canes MD, Founder and CEO, WellPrept

The purpose has always been to help make your work life easier so you can put your attention and energy on your patients.

See the full conversation: https://t.co/Reu12krAOd

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

Have been using Claude for personao finance for a year.

I have hired professionals for personal finances in the past, and used “proprietary apps”. Let me tell you something: humans miss far more details by an order of magnitude than Claude does. No finance software has ever come close to giving me the insights that Claude has in this context.

Of course, you have to verify, but it notices details, money flow, and edge cases in a way that mosy human beings cannot.

I never have to worry about fiduciary duty. At least for now, it's not trying to sell me something.

It can predict my future account balances weeks and, in some cases, months away within a tight error margin. It's simply absolutely wonderful.

The industry is seriously in trouble

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

I would gently push back, Matt. The increased note length was 170 characters. that's about 30 words ... Would you really call that note bloat?

listen, there's no universal workflow for everyone and some people just aren't going to use scribes.

But for those of us who use it exclusively, it's never about RVUs, time in the note, note closure, etc. For me it saves a ton of time there (2h per day), but if you average something like that out across a population of doctors, the benefits power users see get washed out by the casual users.

Mostly it's about cognitive load, eye contact with the patient, faithfully reproducing the patient voice in the note, and avoiding the tendency of templated notes to be pretty much the same for every encounter for a particular disease.

Those are hard to measure.

[UrologyWatch.com @UrologyWatchHQ]

Medicare final rule: CMS finalizes 2027 hospital outpatient and ASC payment rule

CMS issued the CY2027 OPPS and ASC final rule on Nov 4 updating outpatient and ASC payment rates and finalizing a requirement for prior…

Takes effect Jan 1, 2027.

https://t.co/kznTvM2Q7n

[UrologyWatch.com @UrologyWatchHQ]

① PROTEUS substudy: perioperative apalutamide plus ADT improves event-free survival before RP
② Non-BRCA2 HRR gene alterations show divergent survival in mCRPC cohort

Today's urology Top 5, Nov 5: https://t.co/UQYtlKusVz

[WellPrept @WellPrept]

“The information for patients always existed. It just never showed up the moment that the patients needed it most.”

WellPrept and docology are built around the same idea: Use the tech to help create space for the doctor-patient relationship.

See the full conversation: https://t.co/Reu12krAOd

[WellPrept @WellPrept]

“docology prepares the chart, and WellPrept prepares the patient.”

Both companies were founded in clinics with the same goal: to enable more meaningful 1-to-1 interactions. That’s the foundation of this partnership.

See the full conversation: https://t.co/cAT5pI2MhX