Prostate Cancer is one of the leading causes of death in men, responsible for about 1 in every 44 deaths. But, it's one of the few cancers that is completely curable. Mark was 51 years old when diagnosed with prostate cancer in 2015. Now, almost a decade later he is online to tell his story of how he was diagnosed, and what other men should expect on their path to being cured of this disease. He talks about how he learned about his cancer, the surgery that saved his life, and how he manages ...
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A urology podcast, focussing on all things prostate, kidney, bladder, testis and penile cancer. Join Professor Declan Murphy and Dr Renu Eapen from Peter MacCallum Cancer Centre in Melbourne for this regular dive into the world of genitourinary (GU) Oncology and Urology. Regular guests from all over the world, from every walk of life. Find out more gucast.org
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Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practic ...
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Mark shares his experience with recurrent prostate cancer and his journey through radiation treatment. He discusses the use of ADT medication to reduce testosterone levels before radiation, the side effects of ADT, the process of radiation treatment, and the emotional journey of completing treatment. Mark also talks about the importance of early de…
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Getting Confident as First-Line Providers: An Interview with Michelle Lyons
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Leading educator, thinking and pioneer in our field, Michelle is the first 3-time PelviCon speaker and you won't want to miss this wide-ranging conversation! We take a deep dive into menopause, hormone replacement therapy and what we - as a pelvic rehab profession - are still getting wrong about menopause. Michelle talks about how to have a more co…
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Three Big Waves in Testis Cancer | With Rob Hamilton and Ben Tran
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Testis cancer! We don't talk enough about this on GU Cast. But we are making up for it today with a cracking overview of three hot topics in testis cancer a couple of world-leading testis cancer experts. We are joined by Rob Hamilton (Urologist, Princess Margaret Cancer Centre, Toronto), and Ben Tran (Medical Oncologist, Peter Mac, Melbourne) to di…
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We know it can feel daunting and discouraging (especially as a newer pelvic rehab provider) how much there is to learn! This 'sode came from a listener comment. She was expressing frustration with how her entry-level courses didn't really prepare her for the way clinicians actually treat. We talk about the challenges of doing an introductory course…
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As if any of us need an excuse to go to beautiful Bali! Well the Urological Association of Asia (UAA) Annual Meeting takes place there from 5-8th September 2024. Renu caught up with Dr Agus Rizal Hamid recently to hear what the UAA have in store for us! www.uaa2024.comBởi Professor Declan Murphy & Dr Renu Eapen
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PSA and Testosterone | Why low numbers matter
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How often do you check PSA and testosterone in your patients on androgen deprivation therapy? Probably not often enough!! Declan caught up with friend of the podcast Professor Axel Merseburger at a conference recently to chat about this under-appreciated topic. Don't get too distracted by fancy scans and genomic testing; but do make sure you know a…
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The Courage to Have an Opinion: An Interview with Gráinne Donnelly
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Probably best known for creating the first 'Return to Run' protocol, Gráinne is a clinic owner, clinician, researcher, podcaster and editor of a peer-reviewed journal. We can't wait to have her join us at PelviCon! In this 'sode we discuss how she had the courage to post her ideas about returning to running for post-partum moms, what she's learned …
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The short answer? No! You don't need to market to physicians to have a thriving practice. The full answer is a lot more nuanced. If you don't market to physicians, you're leaving a lot on the table. And it is possible to get past the gatekeepers and form great relationships as colleagues. If you're struggling to market to physicians but know you wa…
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It's Not 'Weak vs. Tight' Pelvic Floor: An Interview with Sinéad Dufour
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Leading researcher, educator and clinician, Sinéad Dufour discusses how to avoid the false dichotomy of 'weak vs tight' pelvic floor. Perhaps best known for her seminal research on the link between low back pain and pelvic floor dysfunction, Sinéad goes through the origin of her research and what we still get wrong when we interpret her results. Sh…
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Today we dedicate our podcast to the memory of our colleague, Dr Brian Kelly (40), who passed away unexpectedly this week. We are devastated to lose Brian, who was a Consultant Urologist at Peter Mac and Eastern Health here in Melbourne, and one of our closest friends in the world. Here we replay the Memorial Session which we conducted at Peter Mac…
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Anyone else have a hard time with delegating to others? Learning to lead a team is a whole new skill. In fact, many of the traits that bring success as a solopreneur - a touch of perfectionism, wanting control over the business, being 'in the weeds' on every aspect of what you do - actually make growing beyond yourself more difficult! What got you …
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It's Not Pain Science vs. Manual Therapy: An Interview with Bill Taylor
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From his early days with Riverdance to the Scottish Ballet to his own practice and teaching all over the world, you won't want to miss this conversation with PelviCon speaker Bill Taylor! For us pelvic health nerds, this conversation is absolutely gold! We talk about how long a plan of care needs to be ("it takes until it's done"), treating to redu…
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Three big things in advanced/high risk kidney cancer | With Rana McKay and Lewis Au
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We were very happy to have world-famous kidney cancer guru Dr Rana McKay in Australia this week to do some educational events and to visit us at Peter Mac. So of course we also invited her to the GU Cast studio to pick her brains on all things kidney cancer, along with Dr Lewis Au, GU Medical Oncologist at Peter Mac. We asked them to cover three ho…
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Business owners (or wannabes) - we're getting tactical today! Don't skip this 'sode just because it doesn't sound sexy...it might save you tens of thousands of dollars in your business over the next few years. As business owners, we actually get a ton of tax benefits that a regular employee does not. One of those is the ability to choose how we are…
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Post-Prostatectomy, Peyronie's Disease, and Men's Health: An Interview with Jo Milios
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One of the most influential thinkers and voices in men's pelvic health, Jo Milios is sharing her research and treatment techniques at PelviCon this year! In this fantastic conversation we discuss what it's really like to treat men in the clinic, apprehensions about working in men's pelvic health, collaborating with urologists and surgeons, how to '…
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Sunshine and Science from #ANZUP24 on the Gold Coast
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Renu and Declan escape winter in Melbourne to enjoy a few days of sunshine and science at the #ANZUP24 Annual Scientific Meeting on the Gold Coast. ANZUP is our fantastic GU Oncology co-operative trials group here in Australia and New Zealand and have an outstanding record in running clinical trials and supporting research and education in GU Oncol…
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Consolidate Your Schedule and Work the Hours You Want!
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One of the reasons many of us started a business was time flexibility. But how many of us are really taking advantage of it? Maybe you're starting earlier than you want, or working later, because patients 'need' those time slots. Or you're spending 30 hours a week at the office but only seeing 12 patients. Or working straight through your lunch. Or…
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Trust Your Clinical Intuition: An Interview with Yeni Abraham
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A trailblazer in pelvic rehab for supporting patients during their fertility journey, Yeni is going to be a 2-time PelviCon speaker and back by popular demand! She brought the house down last year, and can't wait for you to hear about her PelviCon 2024 topics. Just like last year, they are areas where we often feel uncomfortable and need more infor…
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The Prostate Cancer Olympics 2024! With Elena Castro and Arun Azad
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To celebrate the Paris 2024 Olympics, we bring you this special Olympics-themed episode of GU Cast - our very own Prostate Cancer Olympics! Yes we We are joined in the GU Cast studio by Dr Elena Castro, GU Medical Oncologist at Hospital 12 de Octubre in Madrid, who happened to be passing through Melbourne. And by our own A/Professor Arun Azad, GU M…
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Radical prostatectomy and the wave of new robots in China today
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In the second of our special episodes focussing on GU Oncology in China, we are delighted to welcome back our GU Cast China Editor. Professor Yao Zhu, who has put together this cracking epsiode focussing on radical prostatectomy in China. We are joined by Professor Ming Liu (Beijing Hospital, Beijing) and Professor Jiahua Pan (Ren Ji Hospital, Shan…
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Why IG & FB Ads Don't Work in Pelvic Health
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We're told (ironically, often in paid ads!) paid advertising is the 'magic bullet' to getting the phone to ring in our clinics. But is that true? In this 'sode we dive into the challenges with IG and FB ads. The fundamental problem? No one is going on social media hoping to be hit with an ad to fix their incontinence! And especially for a high-tick…
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We Should All Be Oncology Rehab Providers: An Interview with Alex Hill
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Incredible conversation with PelviCon speaker Alex Hill! She might be the only person in the country double-board certified in both oncology and pelvic health. We introduce her PelviCon topics, what every rehab provider needs to know about oncology care, how to better help the trans population, and Alex shares her clinical superpower! Don't miss th…
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This conversation is about the recovery process after prostate surgery. The speaker shares his personal experience and provides tips and advice for surviving post-surgery. He discusses waking up after surgery, the presence of a catheter, the recovery room, hospital stay, diet, bowel movements, continence, and erectile function. He emphasizes the im…
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How much of our daily lives as rehab practitioners is dictated by insurance companies? Whether you're a current (or future) business owner or a clinician in an insurance-based world, it's important to realize how much insurance companies control. Those of us in the cash-based world talk a lot about how insurance dictates care. But what do we really…
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We meet the Active Surveillor | Howard Wolinsky
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There are patient advocates and there are patient advocates, and then there is Howard Wolinsky! We chat with the inimitable Howard, medical journalist and very long-time active surveillance patient, about his varied interests in low-risk prostate cancer and prostate cancer diagnostics. He runs a great substack called The Active Surveillor with a re…
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Finding Your Tribe of Practitioners for Multi-Disciplinary Care
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One thing the recent Vulvodynia Symposium did (and you can still grab the recording if you haven't already) was remind us of the amazing practitioners who are out there. We're often frustrated with physicians or other members of the medical profession for negative patient stories and interactions. And it's definitely valid to be frustrated when a p…
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#108 - How to Eat, Train and Prepare for Prostate Cancer Treatment
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This podcast episode provides tips and advice for individuals preparing for surgery or radiation for prostate cancer or recurrence of prostate cancer. The host, a prostate cancer survivor, shares his personal experience and the strategies he used to prepare his body for these procedures. The episode covers topics such as diet, exercise, Kegel exerc…
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#APCCC24 Conference Highlights | Part 2
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Part 2 of our Conference Highlight specials from the Advanced Prostate Cancer Consensus Conference, held in April 2024 in Lugano. This is our very favourite prostate cancer meeting and we are thrilled to bring you these highlight podcasts. In this episode we chat with Elena Castro, Nick James, Anthony Joshua, Bertrand Tombal, Silke Gillessen, Aurel…
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Pelvic Health PTs and OTs: Restoring Common Sense to the Conversation
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We've noticed the conversation around and between pelvic health PTs and OTs has devolved over time. The pelvic health rehab specialty is growing, and that's fantastic for all of us and our patients. But that also leads to growing pains. We hope this conversation provides some context, restores civility and gets to back to having productive conversa…
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Fighting 'Shiny Object Syndrome': An Interview with Jenn Perna
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How do we stay focused on what really matters in business? In this 'sode with Rising Coach Jenn Perna, we discuss how damaging 'shiny object syndrome' can be in the business. When we start to lose our focus on the reason we started the practice and look for 'easy' answers in business, we dilute our energy and end up going nowhere. You'll also hear …
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If you have less than 5 years of pelvic health experience, what should you be prioritizing? We got so many messages after last week's episode on '20 pet peeves' about internal. Many of you asked what courses to take or where we had learned these different techniques. So we wanted to put together a 'sode for all of you who are new(er) to pelvic heal…
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#107: I'm 4 Weeks into Proton Radiation for Prostate Cancer Recurrence
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Mark is halfway through his radiation treatment for recurrent prostate cancer. He shares his experience, how he feels, and what to expect for the second half. He discusses the decision to have radiation after a recurrence, the process leading up to it, and the difference between proton radiation and photon radiation. Mark emphasizes the importance …
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3 Things To Consider When Investing in the Business
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When we consider investing in something in PelvicSanity, we use three simple questions to help us make a decision and sort through all of the marketing 'buzz' out there. So here are the things to consider: 1) Is it financially safe? Can you actually afford the program or coaching? How would you break-even on the program? Often it's helpful to break…
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20 of Nicole's Biggest Pet Peeves about Internal
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In this 'sode, Nicole is challenged to give her 20 biggest pet peeves with internal treatment is done or taught in just 20 minutes! You'll have to check out the 'full sode for the list, but they include... Using too much lube. Gloving both hands. Constantly asking 'are you ok?' (there's a better way) Sitting at the end of the table And giving 'Swir…
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How We Fell In Love with Business Coaching
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We pull back the curtain and talk about our love of business and helping others in their business journey in this 'sode. We know how hard it is to run a business. How much time it takes. How much mental energy. How much risk. How many evenings and nights and weekends thinking about the business. And we wanted to lighten the load for others who are …
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2024 EAU Prostate Cancer Guidelines - some big changes!!
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Pelvic lymph node dissection down-graded. Systematic prostate biopsies no longer recommended. More clarity around PSMA PET/CT for staging. Surgery no longer recommended for cN1 prostate cancer. Yep the recent updates to the EAU Prostate Cancer Guidelines had a lot of important changes for the global urology community to digest. So we invited EAU Pr…
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5 Mistakes in Getting Clinical Buy-In for our Patients
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How can we get better buy-in from our patients, reduce self-discharges and help our people finish their full plan of care? Regardless of your work setting, getting clinical buy-in is critical to getting the outcomes our patients want. In this 'sode we go through the five biggest mistakes we see in that process of getting buy-in and keeping our pati…
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#APCCC24 Conference Highlights | Part 1
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The first of two Conference Highlight specials from the Advanced Prostate Cancer Consensus Conference, held in April 2024 in Lugano. This is our very favourite prostate cancer meeting and we are thrilled to bring you these highlight podcasts. In this epsiode we chat with Silke Gillessen, Derya Tilki, Jochen Walz, Neha Vapiwala, Dingwei Ye, and the …
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#106: Stayin' Alive With Prostate Cancer
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The theme of this podcast is staying alive and dealing with prostate cancer. Mark shares his experience with treatment and offers words of wisdom for those who are newly diagnosed or facing recurrence. He emphasizes the importance of not letting the cancer get the better of you and staying positive throughout the journey. The podcast covers topics …
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5 Mistakes with Business Systems You're Probably Making
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Business systems streamline the practice, save you time, ensure a consistent product and a great experience for your patients. They keep you organized. They allow you to hire. They're also chronically overlooked! Systems are what people are talking about when they say "work ON your business, not IN your business". But how do we do that? It's a reas…
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GU Highlights at #ASCO24 | with Marty Schoen
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Didn't get to ASCO this year?? Us neither!! But not to worry, we checked in with Dr Marty Schoen who did, and brings us all the key highlights! Marty is a GU Medical Oncologist at the St Louis Veterans Affairs Medical Centre and the University of St Louis, Missouri. He runs through a smattering of stuff that caught his eye at ASCO this year. Thanks…
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5 Questions about Treating Male Patients
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Male patients are an awesome group to work with and chronically underserved by our system. But there's also a lot of concerns and misinformation about working with men. We go through the five most common questions we get about treating male patients! With how pelvic health education has been structured, many of us don't get training in treating mal…
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5 Marketing Mistakes You're Probably Making
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Marketing is the engine that drives the business. A steady flow of leads is critical (and can often cover a multitude of sins within the business). For a cash-based practice, marketing is often the limiting factor. So why do we consistently see people getting marketing so wrong? It's not your fault - there are so many misconceptions out there. Or t…
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#105: I've Started Radiation for Prostate Cancer Recurrence
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Summary Mark provides an update on his radiation treatment for recurrence of prostate cancer, sharing insights on ADT, radiation treatment, side effects, and emotional impact. He emphasizes the importance of seeking treatment and maintaining a positive outlook. Keywords prostate cancer, radiation treatment, ADT, side effects, emotional impact, trea…
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Pembro improves survival after nephrectomy | Huge news for Urologists
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For Urologists, there are not that many papers that come along where we can say - "this will almost immediately change my practice". But KEYNOTE-564 looks like one of those! A large phase III randomised trial of adjuvant pembro following nephrectomy for renal cell carcinoma in patients deemed at higher risk for recurrence. Regular listeners/viewers…
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Business Ownership (Definitely!) Isn't For Everyone
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Often there's a rosy picture painted of business ownership, but the hidden reality is entrepreneurship is hard, anxiety-producing, and definitely not for everyone. We firmly believe anyone listening to this podcast CAN start their own business, but just because you can doesn't mean you should. There's a myth that business owners have unlimited time…
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10 Biggest PelvicSanity Business Mistakes (Ugh!)
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We've been promising it for a while now, but here are 10 huge mistakes we've made as PelvicSanity business owners. As painful as many of these are to relive, we hope you learn from them. The reason we do business coaching is to create the resources and help we wish had been available for ourselves! There are always going to be mistakes in business …
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En-bloc party! RCT of TURBT with Jeremy Teoh
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Should we remove bladder cancers piece-meal by chopping them into little pieces, or should we try and remove en bloc with a margin around the base?? This very nice randomised controlled trial from our friends in Hong Kong demonstrates that the recurrence rate is significantly lower if we use the all-too-rarely used en bloc technique. Dr Jeremy Teoh…
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Happier at Work #4 - Are you working in the right place?
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Is where you work working for you? If it is, we need to celebrate it. If not, it might be time to look for another position. Let's start with this - no position is perfect. The best setting, time with patients, flexibility scheduling, reduced documentation, stress, quality of management, job responsibilities, fun coworkers, nice treatment rooms, gr…
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10 Ways Cash-Based Practices INCREASE Access to Care
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We hear it from PT schools, insurance-based practices and even worry about this as cash-based business owners - are we 'decreasing access to care' by not contracting with insurance companies? The rise of cash practices has dramatically INCREASED access to care over the last 5-10 years. It's driven the rapid growth of our specialty and field. It's n…
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