alcedir raiser /

medico urologista / câncer urologico/ Palmeirense fanático

[alcedir raiser / @draiser38]

@historyrock_ Night moves

[alcedir raiser / @draiser38]

@RdonalisioMD @nathanjoseph_sg @AmerUrological @RRGonzalezMD @UroLori @UTHealthHouston @UTPhysicians @memorialhermann @BradGillMD @ScottBauerMD @Dr_KevinZorn @fgomsan @urobraulio

[alcedir raiser / @draiser38]

@alvaropereirajr Qual dele é o mais gente boa ? Que dá pra sentar em uma padaria e trocar uma ideia

[Dra. María Natalia Gandur Quiroga @nataliagandur]

⭐ #APCCC26 DAY 1 HIGHLIGHTS — A paradigm shift in prostate cancer care
@OncoAlert @APCCC_Lugano #APCCC26 @Silke_Gillessen @AOmlin

🔹 FROM HIGH-RISK LOCALIZED DISEASE TO mHSPC — one central theme emerged:
👉 Treatment decisions are becoming more precise, more complex, and more patient-centered
🔹 KEY HIGHLIGHTS:

🧠 RISK ≠ UNIFORM
• High-risk disease is deeply heterogeneous
• Imaging (PSMA PET) is redefining staging → and who truly needs intensification

⚖️ DEBATES SHAPING PRACTICE
• ARPI + RT + ADT → benefit vs overtreatment remains unresolved
• Early salvage RT vs adjuvant RT → timing matters, not just treatment
🧬 BIOLOGY ENTERS THE CLINIC
• Genomics & AI → promising for treatment selection, not universal use
• Need to move from “can we treat?” → who truly benefits?
📊 ENDPOINTS UNDER SCRUTINY
• rPFS & MFS → useful but not definitive surrogates for OS
• Trial endpoints ≠ always patient-relevant outcomes

🧑‍⚕️ PATIENT PERSPECTIVE AT THE CENTER
• QoL, frailty, toxicity → core drivers of decisions
• Survival alone is not enough → how patients live matters
🔬 mHSPC EVOLUTION
• Triplets vs doublets → intensification guided by risk, biology, and tolerance
• Increasing role of molecular stratification and targeted combinations

🎤 Key voices:
@declangmurphy @ChrisSweens1 @BertrandTOMBAL
@DrRanaMcKay @LoebStacy @EAntonarakis
Susan Halabi Ian D. Davis David Matheson Erik Briers
Jason A. Efstathiou @DrYukselUrun Karim Fizazi

🔹 TAKE-HOME:
The field is moving beyond “one-size-fits-all” →
➡️ Toward precision, context-aware, patient-centered oncology
📍 An intense and practice-changing Day 1 at #APCCC26

#ProstateCancer #UroOncology #Oncologyy

[alcedir raiser / @draiser38]

@glauber_doc Acabei de conhecer São Roque se minas ( serra da canastra) pessoal fala assim

[alcedir raiser / @draiser38]

@BlankaTrader @glauber_doc Gostei da bio, “nada aqui é recomendação”

[ISSM Sexual Medicine Journals (ISMJ) @sexmedjournals]

Platelet rich therapies for ED have long generated interest, but this meta analysis found no clear advantage over placebo on key erectile function outcomes.

Read the full study to learn more: https://t.co/375ztT2c0s

@thairopereira

[Jenna Taglienti @jenna_taglienti]

I wrote this in a moment I never would have chosen. A sudden pause that made me see my life clearly.

The meaning of our work is profound. This experience simply helped me see more clearly what matters most.

“Time is Finite” JAMA

https://t.co/IwkKdyeEWx

[alcedir raiser / @draiser38]

https://t.co/mXUG72Xatu

[alcedir raiser / @draiser38]

@CanesDavid We must always prioritize patient safety — being a surgeon isn’t just about wanting to be one.

[alcedir raiser / @draiser38]

@CanesDavid No one can handle the truth — but in medicine (especially in surgery), lies don’t hold up. The hard part is finding the right words to make it clear, without offending, that this just isn’t what they were meant to do.

[alcedir raiser / @draiser38]

@SurgiTube I always advance the knot with my index finger all the way down. Tying it like this with your hand tends to put unnecessary tension on the tissue—on a fragile vessel, it can easily tear.

[Marcelo Wroclawski @wroclawski_uro]

Great talk by Alberto Briganti at @UroOncoBR!
PSMA-PET is reshaping the prostate cancer diagnostic pathway and may also guide decision-making across multiple clinical scenarios.

#UroOnco26 #ProstateCancer #PSMAPET

[alcedir raiser / @draiser38]

@JVMonte2 Exile

[alcedir raiser / @draiser38]

“In the first place, I would set before you as a desideratum the quality which is perhaps the most difficult for a physician to acquire, but which is perhaps the most essential — I mean imperturbability.
A physician who has this quality is calm, cool, and collected in all emergencies; he is not flurried, not excited, not agitated, but meets all the exigencies of practice with a clear judgment and a steady hand.
Imperturbability means coolness and presence of mind under all circumstances, calmness amid storm, clearness of judgment in moments of grave peril.”
Willian Osler

[alcedir raiser / @draiser38]

@PedroCerize Se você fizer uma pesquisa entre os médicos, vai ver que a Erika Hilton tem seu valor

[alcedir raiser / @draiser38]

@Paul_Wischmeyer I have two of these in the trauma room—I felt fulfilled as a trauma surgeon. But what you described is true; it was very intense

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

Continuous Over and Over Sutures:

👉Behind every reliable suture line is the same foundation: spacing, needle angle, tension, and repetition.
🎥With 7-0 Prolene (BV175-6, 8.0 mm, 3/8 circle)

@CiruAndes2 @MediUniandes @Uniandes @FSFB_Salud @pferrada1 @SWexner @TomVargheseJr

[alcedir raiser / @draiser38]

@alvaropereirajr Aposto que a atendente antes de responder t,
Perguntou o número do seu cpf

[alcedir raiser / @draiser38]

@thiagobarata87 Sim, ela retrata isso de uma maneira bem realista , diferente de todas as outras séries semelhantes