Dr. Arpeet Shah
👤 PersonAppearances Over Time
Podcast Appearances
Patients aren't worried about it if you let them know beforehand. You let them know the day of the procedure. You let them know when the catheter comes out that things are going to get worse before they get better. You know, as a physician, it took a little bit to not have that immediate gratification to see an open cavity. And I took every chance I could in getting a cystoscopy.
Patients aren't worried about it if you let them know beforehand. You let them know the day of the procedure. You let them know when the catheter comes out that things are going to get worse before they get better. You know, as a physician, it took a little bit to not have that immediate gratification to see an open cavity. And I took every chance I could in getting a cystoscopy.
I have a patient that grows hematuria a year later. I was, you know, I was doing a cysto on them. Because I wanted to see. And sometimes you'd have patients get CAT scans and you could see the defect. The defect is significant. And there's no doubt about it. What's the largest you're doing? I mean, I know off-label, how big will you go?
I have a patient that grows hematuria a year later. I was, you know, I was doing a cysto on them. Because I wanted to see. And sometimes you'd have patients get CAT scans and you could see the defect. The defect is significant. And there's no doubt about it. What's the largest you're doing? I mean, I know off-label, how big will you go?
I have a patient that grows hematuria a year later. I was, you know, I was doing a cysto on them. Because I wanted to see. And sometimes you'd have patients get CAT scans and you could see the defect. The defect is significant. And there's no doubt about it. What's the largest you're doing? I mean, I know off-label, how big will you go?
So, you know, for particularly comorbid patients who are in urinary retention... I have a 90-year-old who comes in, urinary retention, 120, 130-gram prostate. I'll try it. I think it's worth a try. I usually, for patients with just BPH, not urinary retention, I'll do My average is one stick per 10 grams. So a 50-gram prostate, I would do five sticks.
So, you know, for particularly comorbid patients who are in urinary retention... I have a 90-year-old who comes in, urinary retention, 120, 130-gram prostate. I'll try it. I think it's worth a try. I usually, for patients with just BPH, not urinary retention, I'll do My average is one stick per 10 grams. So a 50-gram prostate, I would do five sticks.
So, you know, for particularly comorbid patients who are in urinary retention... I have a 90-year-old who comes in, urinary retention, 120, 130-gram prostate. I'll try it. I think it's worth a try. I usually, for patients with just BPH, not urinary retention, I'll do My average is one stick per 10 grams. So a 50-gram prostate, I would do five sticks.
When we started with Pronax, patients were so comfortable that we were over-sticking patients. And I think their results were great, but their irritative symptoms lasted longer. But for those patients in retention, like the 90-year-old who comes in, I'll do 120, I'll do 130 gram prostate as long as they know that it's off-label and they know that it might not be successful, but it's worth a try.
When we started with Pronax, patients were so comfortable that we were over-sticking patients. And I think their results were great, but their irritative symptoms lasted longer. But for those patients in retention, like the 90-year-old who comes in, I'll do 120, I'll do 130 gram prostate as long as they know that it's off-label and they know that it might not be successful, but it's worth a try.
When we started with Pronax, patients were so comfortable that we were over-sticking patients. And I think their results were great, but their irritative symptoms lasted longer. But for those patients in retention, like the 90-year-old who comes in, I'll do 120, I'll do 130 gram prostate as long as they know that it's off-label and they know that it might not be successful, but it's worth a try.
Yeah, it's certainly difficult and certainly reiterating it over and over again is necessary. There's a great platform actually called Vidscripts. I'm not sure if you're familiar with it, but these are pre-recorded videos that are sent out to the patient on a particular cadence around when a procedure is done. And I think that patients really appreciate it. So when
Yeah, it's certainly difficult and certainly reiterating it over and over again is necessary. There's a great platform actually called Vidscripts. I'm not sure if you're familiar with it, but these are pre-recorded videos that are sent out to the patient on a particular cadence around when a procedure is done. And I think that patients really appreciate it. So when
Yeah, it's certainly difficult and certainly reiterating it over and over again is necessary. There's a great platform actually called Vidscripts. I'm not sure if you're familiar with it, but these are pre-recorded videos that are sent out to the patient on a particular cadence around when a procedure is done. And I think that patients really appreciate it. So when
When they're having their irritated symptoms one week, two week, four weeks out from the procedure, if they get a little video saying that you might still be having this and this is normal, it puts them at ease. But yeah, certainly, you know, it's easy for us to say it on our side to say that things are going to get worse before they get better.
When they're having their irritated symptoms one week, two week, four weeks out from the procedure, if they get a little video saying that you might still be having this and this is normal, it puts them at ease. But yeah, certainly, you know, it's easy for us to say it on our side to say that things are going to get worse before they get better.
When they're having their irritated symptoms one week, two week, four weeks out from the procedure, if they get a little video saying that you might still be having this and this is normal, it puts them at ease. But yeah, certainly, you know, it's easy for us to say it on our side to say that things are going to get worse before they get better.
But living through it is obviously a different story.
But living through it is obviously a different story.
But living through it is obviously a different story.