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Dr. Arpeet Shah

👤 Person
252 total appearances

Appearances Over Time

Podcast Appearances

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

Yeah, so our BPH program is really, I think, robust and I'm really proud of what we've built. It's a combination of utilizing patient navigation services, our advanced practice providers, nursing kind of at every level, and then the physician to drive things home and But we have all new patients are seen by the physician. We really try to make that happen.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

Yeah, so our BPH program is really, I think, robust and I'm really proud of what we've built. It's a combination of utilizing patient navigation services, our advanced practice providers, nursing kind of at every level, and then the physician to drive things home and But we have all new patients are seen by the physician. We really try to make that happen.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

Yeah, so our BPH program is really, I think, robust and I'm really proud of what we've built. It's a combination of utilizing patient navigation services, our advanced practice providers, nursing kind of at every level, and then the physician to drive things home and But we have all new patients are seen by the physician. We really try to make that happen.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I think it starts the patient journey off in the way that a lot of patients want. They want to see a doctor. And then if a patient has significant urinary symptoms based on AUA symptom score, We'll, you know, we'll trial a med if they have not. And then, you know, we really care. And I personally really care about objective testing.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I think it starts the patient journey off in the way that a lot of patients want. They want to see a doctor. And then if a patient has significant urinary symptoms based on AUA symptom score, We'll, you know, we'll trial a med if they have not. And then, you know, we really care. And I personally really care about objective testing.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I think it starts the patient journey off in the way that a lot of patients want. They want to see a doctor. And then if a patient has significant urinary symptoms based on AUA symptom score, We'll, you know, we'll trial a med if they have not. And then, you know, we really care. And I personally really care about objective testing.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I think the days of saying you have urinary symptoms, we're going to do a TURP are kind of over because we have so many options in terms of the surgical management and all the procedures that are available. And we know that certain procedures work better for certain prostates and certain work better for other prostates. So I am just a huge proponent of objective measuring.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I think the days of saying you have urinary symptoms, we're going to do a TURP are kind of over because we have so many options in terms of the surgical management and all the procedures that are available. And we know that certain procedures work better for certain prostates and certain work better for other prostates. So I am just a huge proponent of objective measuring.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I think the days of saying you have urinary symptoms, we're going to do a TURP are kind of over because we have so many options in terms of the surgical management and all the procedures that are available. And we know that certain procedures work better for certain prostates and certain work better for other prostates. So I am just a huge proponent of objective measuring.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And so objective measurements come with three things, you know, cystoscopy, transrectal ultrasound of the prostate, and then some form of uroflow, urocuff, uroflow, urodynamics, depending on kind of what your practice wants. And we usually start with Eurocuff in our practice. And it's because it's a great non-invasive test that, you know, we don't have to put anything into a patient.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And so objective measurements come with three things, you know, cystoscopy, transrectal ultrasound of the prostate, and then some form of uroflow, urocuff, uroflow, urodynamics, depending on kind of what your practice wants. And we usually start with Eurocuff in our practice. And it's because it's a great non-invasive test that, you know, we don't have to put anything into a patient.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And so objective measurements come with three things, you know, cystoscopy, transrectal ultrasound of the prostate, and then some form of uroflow, urocuff, uroflow, urodynamics, depending on kind of what your practice wants. And we usually start with Eurocuff in our practice. And it's because it's a great non-invasive test that, you know, we don't have to put anything into a patient.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And patients certainly appreciate that to get some baseline measurements. And then, you know, the Eurocuff test is done by our MAs. on a day and then they're interpreted by our advanced practice providers where we've spent a tremendous amount of time educating our advanced practice providers on how to read Eurocuffs. I can tell you A lot of them can read them better than physicians.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And patients certainly appreciate that to get some baseline measurements. And then, you know, the Eurocuff test is done by our MAs. on a day and then they're interpreted by our advanced practice providers where we've spent a tremendous amount of time educating our advanced practice providers on how to read Eurocuffs. I can tell you A lot of them can read them better than physicians.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And patients certainly appreciate that to get some baseline measurements. And then, you know, the Eurocuff test is done by our MAs. on a day and then they're interpreted by our advanced practice providers where we've spent a tremendous amount of time educating our advanced practice providers on how to read Eurocuffs. I can tell you A lot of them can read them better than physicians.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I can tell you, Nicole, if I have, sometimes I will ask her, what does she think about a uro cuff to give me a second opinion or a urodynamics, you know? And so education is important there. And then Nicole will read the uro cuff. And if the patient needs that objective testing, it gets put back onto the physician to do a cystoscopy and trust. We'll usually do that on the same day.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I can tell you, Nicole, if I have, sometimes I will ask her, what does she think about a uro cuff to give me a second opinion or a urodynamics, you know? And so education is important there. And then Nicole will read the uro cuff. And if the patient needs that objective testing, it gets put back onto the physician to do a cystoscopy and trust. We'll usually do that on the same day.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

I can tell you, Nicole, if I have, sometimes I will ask her, what does she think about a uro cuff to give me a second opinion or a urodynamics, you know? And so education is important there. And then Nicole will read the uro cuff. And if the patient needs that objective testing, it gets put back onto the physician to do a cystoscopy and trust. We'll usually do that on the same day.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And then at that point, we have all kind of the necessary measurements to make an assessment on how the patient is doing with meds, without meds, if they need surgery, what surgery they need, and we can go from there.

BackTable Urology
Ep. 190 Optimizing BPH Care: Insights from Physician-APP Collaboration with Dr. Arpeet Shah and Nicole Hollander

And then at that point, we have all kind of the necessary measurements to make an assessment on how the patient is doing with meds, without meds, if they need surgery, what surgery they need, and we can go from there.