Rick OllieA good day, followed by bad test results lead to more cancerous thoughts of what lies ahead in my seemingly never-ending battle with the disease.
#cancer #testresults #prostatectomy #breastcancerawarenessmonth #writerscommunity #authors #cancerfighter #health #davinci #aaliyah #lovemeanyways #love
Paul GloverCompleted a 6km walk in under one hour this morning. Soon be back to running
#Prostatectomy
#prostatecancer
#walk #walking #recovery #bladder #photography #landscape #TeamPixel
#Prostatectomy
#prostatecancer
#walk #walking #recovery #bladder #photography #landscape #TeamPixel
EarlI followed up this morning with the surgeon who did the prostatectomy surgery on me a year ago, and my test for cancer came up as "undetectable." I am grateful! Next appt in one year. #prostatectomy #RALP #ProstateCancer #Undetectable #cancer #grateful #gratitude #thankful #OneYearLater
This won't mean much to many but for the first time since 7 December, I've walked 5km and at the same speed I walked it that day. Since my prostatectomy, I've been hesitant to walk that far but I've built up to it and did it easily. And with Twig in tow.
I think I've earned a large glass of water.
Gabriele PollaraWhat a cool paper!
Objective definition of the surgical gestures associated with better / worse outcomes!
Surgery has always had the problem that interventions retain strong user-specific variability, whereas this leverages more standardised robotic movements, to correlate with outcomes.
Can see potential to impact on practice / training.
Surgical gestures as a method to quantify surgical performance and predict patient outcomes - npj Digital Medicine
How well a surgery is performed impacts a patient’s outcomes; however, objective quantification of performance remains an unsolved challenge. Deconstructing a procedure into discrete instrument-tissue “gestures” is a emerging way to understand surgery. To establish this paradigm in a procedure where performance is the most important factor for patient outcomes, we identify 34,323 individual gestures performed in 80 nerve-sparing robot-assisted radical prostatectomies from two international medical centers. Gestures are classified into nine distinct dissection gestures (e.g., hot cut) and four supporting gestures (e.g., retraction). Our primary outcome is to identify factors impacting a patient’s 1-year erectile function (EF) recovery after radical prostatectomy. We find that less use of hot cut and more use of peel/push are statistically associated with better chance of 1-year EF recovery. Our results also show interactions between surgeon experience and gesture types—similar gesture selection resulted in different EF recovery rates dependent on surgeon experience. To further validate this framework, two teams independently constructe distinct machine learning models using gesture sequences vs. traditional clinical features to predict 1-year EF. In both models, gesture sequences are able to better predict 1-year EF (Team 1: AUC 0.77, 95% CI 0.73–0.81; Team 2: AUC 0.68, 95% CI 0.66–0.70) than traditional clinical features (Team 1: AUC 0.69, 95% CI 0.65–0.73; Team 2: AUC 0.65, 95% CI 0.62–0.68). Our results suggest that gestures provide a granular method to objectively indicate surgical performance and outcomes. Application of this methodology to other surgeries may lead to discoveries on methods to improve surgery.
End of week one post op radical prostatectomy. My biggest piece of advice so far to anyone is to avoid any illness that involves a #catheter
#prostatecancer
#prostate
#cancer
In related news, in 12 hours from now I should be #catheter free. Then the beginning of February sees my next appointment with the results of my first #PSA test following the #Prostatectomy
Now to check those hash tags
Colfet MediaBig day tomorrow.
I have both my pre op appointment and my post op physio therapy appointment. Operation all set for Good Friday !
#roboticradical #prostatectomy
All okay but suddenly all a bit hear and now! Apologies to anyone I’ve been a bit vague re bookings recently