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Jose Silva

👤 Person
564 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

And sometimes they do get a little bit of improvement with Flowmax, for example. And because they do get a little bit of improvement, they get used to being so bad that just a little bit of relief is good enough for them. But they don't understand that the damage will continue, that bladder damage will continue.

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

Yeah, that guy with 150-gram prostate that said, I'm perfect. But, you know, you do a cystoscopy, severe trabeculation, I mean, definitely you're not perfect. RP, when do you start talking, or Nicole, when do you start talking about possible procedures to the patient?

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

Yeah, that guy with 150-gram prostate that said, I'm perfect. But, you know, you do a cystoscopy, severe trabeculation, I mean, definitely you're not perfect. RP, when do you start talking, or Nicole, when do you start talking about possible procedures to the patient?

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

Yeah, that guy with 150-gram prostate that said, I'm perfect. But, you know, you do a cystoscopy, severe trabeculation, I mean, definitely you're not perfect. RP, when do you start talking, or Nicole, when do you start talking about possible procedures to the patient?

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

Right now, I mean, I see a lot of patients, Europe is doing a good job, I guess, getting the information out there because I see a lot of patients asking for it. But then when you do the testing, I mean, trilobal prostate, intravascular compound, hey, you're not a candidate. So, yeah, so like you mentioned, and you mentioned you give them like a brief pamphlet of everything or...

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

Right now, I mean, I see a lot of patients, Europe is doing a good job, I guess, getting the information out there because I see a lot of patients asking for it. But then when you do the testing, I mean, trilobal prostate, intravascular compound, hey, you're not a candidate. So, yeah, so like you mentioned, and you mentioned you give them like a brief pamphlet of everything or...

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

Right now, I mean, I see a lot of patients, Europe is doing a good job, I guess, getting the information out there because I see a lot of patients asking for it. But then when you do the testing, I mean, trilobal prostate, intravascular compound, hey, you're not a candidate. So, yeah, so like you mentioned, and you mentioned you give them like a brief pamphlet of everything or...

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

Okay, so the patient has BPH symptoms, is obstructive. Then describe that process of deciding. Are you guys doing procedures in the office or strictly in ASC? It's a mixture.

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

Okay, so the patient has BPH symptoms, is obstructive. Then describe that process of deciding. Are you guys doing procedures in the office or strictly in ASC? It's a mixture.

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

Okay, so the patient has BPH symptoms, is obstructive. Then describe that process of deciding. Are you guys doing procedures in the office or strictly in ASC? It's a mixture.

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

And those are the things you talk to with the patient. We have this in the office, you're a candidate versus something a little bit more invasive, which will be in the hospital. And you start deciding what's the process and going through that.

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

And those are the things you talk to with the patient. We have this in the office, you're a candidate versus something a little bit more invasive, which will be in the hospital. And you start deciding what's the process and going through that.

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

And those are the things you talk to with the patient. We have this in the office, you're a candidate versus something a little bit more invasive, which will be in the hospital. And you start deciding what's the process and going through that.

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

No, definitely. I mean, I do some resumes and the patients do great. As a surgeon, you don't see that instant gratification of the whole, but definitely you just have to trust the technology and let the prostate shrink because it will, it will shrink. How long are you leaving the cancer?

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

No, definitely. I mean, I do some resumes and the patients do great. As a surgeon, you don't see that instant gratification of the whole, but definitely you just have to trust the technology and let the prostate shrink because it will, it will shrink. How long are you leaving the cancer?

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

No, definitely. I mean, I do some resumes and the patients do great. As a surgeon, you don't see that instant gratification of the whole, but definitely you just have to trust the technology and let the prostate shrink because it will, it will shrink. How long are you leaving the cancer?

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

It's either that or nothing. Keep the catheter. And Nicole, are you the one seeing the post-op or who's seeing the post-op?

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

It's either that or nothing. Keep the catheter. And Nicole, are you the one seeing the post-op or who's seeing the post-op?

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

It's either that or nothing. Keep the catheter. And Nicole, are you the one seeing the post-op or who's seeing the post-op?

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

And let's say you have a patient after any procedure of BPH starts getting overactive bladder symptoms. Are you treating them or they're going to Dr. Chow?