Dave Penson
@urogeek
Followers
6,238
Following
483
Media
440
Statuses
8,861
Urologist, Red Sox fan, bad golfer- Yes, I'm a geek. Chair, Dept of Urology, Vanderbilt Univ. Med. Center. All opinions expressed are my own.
Nashville, TN
Joined December 2011
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@LauraDonnellyMD
You know you're ready to graduate residency when your intern calls from the ER and your spouse picks up and says "He's in the shower right now but that sounds more like epididymitis than torsion. Get a UA and a scrotal utx and call right back." AND SHE'S RIGHT!
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I had a rough time in clinic yesterday. Saw a patient with very bad likely neuroendocrine prostate cancer that quickly metsd to lungs and liver. Had a hard time balancing being honest about prognosis vs. providing hope and comfort. Do others struggle with this like I do?
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This is my dad who is in a nursing home with dementia. I took this yesterday- which was the first day I had been allowed/able to see him in nearly a year. It was also the same day he got vaccinated so hopefully I can now start seeing him more regularly again.
THANK YOU
@pfizer
.
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@judywbrandt
My father is in a SNF and has dementia. In January, he knew who I was and could still speak (barely). 3 months of isolation and he has lost his ability to communicate and doesn't recognize me on facetime. I know they meant well but COVID got him anyways.
I really miss my dad 😢
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So very excited about the 20-21
@VUMCurology
residents. A great group of young physicians that I am confident will impact the specialty positively for years to come!
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He won't brag on himself but I will. Congratulations to
@StuReynoldsMD
for getting not one but TWO R-01s in the last month.
He joins
@DanBarocas
and
@RoboDuke1
as R-01 funded surgeon-scientists on
@VUMCurology
faculty.
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Hospital administrators and other physician leaders keep asking me "what is this going to do to our budgets? How are we going to make ends meet?"
PEOPLE, WE CAN'T WORRY ABOUT THAT NOW. WE HAVE TO TAKE CARE OF THE SICK FOLKS. THE MONEY WILL SORT ITSELF OUT LATER.
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Absolute joy is your daughter with terrible asthma getting a COVID vaccine.
Phew... I have lived the past year in fear of her getting the virus and ending up in severe respiratory failure. Seriously grateful to
@VUMChealth
and
@TNDeptofHealth
today.
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Listen up urotwitter…
@DDJoyce_BFA
will be joining the faculty of
@VUMCurology
in the summer of 2023 and
@RuchikaTalwarMD
will be joining in the summer of 2024.
Putting together the uro-onc dream lead by the GOAT himself,
@UroCancerMD
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He's laying low but I won't let him... So excited that
@UroDocJT
is joining the faculty at
@VUMCurology
. Welcome, Jeff!
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I went through all three hundred freaking-9-4 applications to our residency program.
No step 1 cut-off. Read them all. My head is spinning...it's nice to be loved but no chance all 394 REALLY want to come here.
THERE HAS TO BE A BETTER WAY
@UroAcademic
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Congratulations to
@StoneCrushed
on getting his first R-01 grant funded. Making a difference for patients with stone disease and making
@VUMCurology
proud!
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It was two years ago this month that my father passed away. Not a day goes by that I don’t hear his voice in my head giving me life advice. Your legacy is the people you influence, mentor and help grow. I owe that man everything
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@LastLinekeeper
@LauraDonnellyMD
Yup.. True story from my chief year.
And when I got out of the shower and called the intern back, she was right. Pt had epidydimitis. My wife can do my job. I can't do hers. SHE'S AMAZING!
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Congratulations to
@DavidGUSCFPMRS
@ctleeuro
@mkterris
@EdwardSchaeffer
and David Joseph on their election into the prestigious American Association of Genitourinary Surgeons. A well-deserved honor for all. We’re lucky to have such talented and accomplished people in our field
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@RepMattSchaefer
@RepMattSchaefer
: "God gave me the right to carry a gun and shoot people I think are evil"
God: "I think my exact line was 'They shall beat your swords into plowshares'"
Rep Schaefer, Don't invoke God's name to justify killing people and your relationship with the NRA.
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@WhyamIhereb
I have a good friend who shall remain nameless but might use the Twitter handle
@JoshuaBeckmanMD
who used to refer to medicine rounds as "shifting dullness"
He was a medicine chief resident at the time.
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I am happy to announce that
@VUMCurology
will be holding in-person residency interviews this year. In accordance with the AAMC statement that
@UroAcademic
endorsed, we will provide hotel accommodations to applicants as support and to minimize financial inequities as best we can.
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@wendy_bickmore
Sorry... But what exactly do I owe you and the system?!?! A system that now charges me to submit my manuscript, that collects large ad revenues and then charges for access for the first year? I ask again WHAT DO I OWE THIS SYSTEM?
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I just had one of the best weekends ever with my son at the
@SpursOfficial
game in London. Amazing how quickly they grow up. A reminder to hug your kids and spend time with them while you can.
(Oh and thank you
@SpursOfficial
@Sonny7
@TimoWerner
@CutiRomero2
for the win!)
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Ok, let's admit it...This is pretty cool. May be the only time we see a urologist in lights on Times Square. Nice job,
@AmerUrological
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Highlight of
#AUA23
I finally got a JU fanny pack (
@JenniferARegala
where were you? I thought we could get a picture together!)
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Professionally, the thing I am most proud of and has given me the greatest joy has been the opportunity to mentor so many great people and watch them grow.
Thank you all (you know who you are). You have given me so much more than I have ever given you.
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Come on
#urotwitter
... I don't know Brian personally but he's one of us.
Hope and Healing for Brian Lane
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Here's what makes Vanderbilt urology so special... We actually LIKE each other.. Me,
@ResnickMJ
and
@UroCancerMD
sharing a bucket list experience
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So excited to have
@BrynLauner
,
@willfuruyama
, Lani and Kate joining the team here at
@VUMChealth
in urology. Another spectacular foursome. The future of urology is in good hands with this crew!
Congratulations to all who matched! We are
#thrilled
to welcome Bryn, Will, Lani, and Kate to the
@VUMCurology
#family
@SES_AUA
@AmerUrological
#UroSoMe
#Uromatch
@Uro_Res
@UroResidency
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One of the highlights of
#AUA23
is always the Vandy Uro Onc Fellow alumni dinner (aka the pocket square dinner in honor of
@UroCancerMD
). Another reason I love
@VUMCurology
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Congratulations to my colleague and friend, Sam Chang. Incredibly well-deserved.
An absolute 🌟🌟🌟 lineup of urologists honored for incredible work, including the one & only, most deserving,
@UroCancerMD
!
Dr. Chang is a phenomenal surgeon, clinician, researcher, teacher, mentor, sponsor & leader. But above all, just one of the best darn people ever 🫶🏽♥️🤩
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The best advice I ever got from a number of mentors was to make dedicated time to spend with your kids.
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Congratulations to this year's urology match applicants. Truly one of the best and most diverse groups I have seen in my career to date. I am so optimistic for the future future thanks to all of you... 1/2
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SOOOOO excited to announce that
@lecorona
will be joining
@VUMCurology
this fall. A great addition to the peds urology team! Thanks Earl Cheng at
@NM_Urology
and the folks at
@UMUroResidency
for sending us a rising superstar!
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I try to not to twitter self-promote but I think the way PCORI disseminates research findings is cool and, frankly, I am proud of the work
@DanBarocas
and I and the CEASAR investigators have done on this project, so here is my shameless self-promotion:
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So how cool is this?
@mcuban
calling out
@RuchikaTalwarMD
outstanding work! So proud of her!
DID I MENTION SHE IS JOINING THE FACULTY OF
@VUMCurology
AFTER SHE FINISHES HER FELLOWSHIP?
👇👇👇
@BernieSanders
@LeaderMcConnell
@AOC
@SenSchumer
We are standing buy to save taxpayers money. Waiting on each of you to do your part !
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So happy and honored to host Bruce Jacobs as VP here at
@vandy_urology
.
@UPittUrology
is lucky to have this rising star in urologic HSR on faculty (and he clearly has better hair than his partner
@daviesbj
)
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Just 24 hours away until we add 4 more extraordinary individuals to the
@VUMCurology
family. It's like Christmas eve day!!! Can't wait for the
#urologymatch
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@mahad_minhas
As far as I am concerned, if any
@VUMChealth
or
@VUMCurology
residents, medical students or other trainees publicly condemn racism or attend rallies, I would think the exact opposite. These are the future leaders of medicine. I want to help train people who do the right thing.
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Two ways to look at this:
1) great minds think alike
2) Pat and I wore the same dress to the prom.
I prefer the former.
The official ugly Christmas sweater of
@vandy_urology
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It's days like today that make me think twitter is terrible. People are making Kobe jokes. It's a tragedy. Five people died including a 13 year old girl. There is nothing funny about it and it's horribly disrespectful. Social media can bring out the worst in people. RIP Kobe.
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USPSTF Draft Rec on Prostate Cancer Screening
Thanks to USPSTF for changing their rec..and yes I was the aua's guy
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Seeing a 53yo patient in second opinion today with a single core of Gleason 3+3=6, psa=5.5,normal DRE. Outside urologist note clearly denotes surgery as best option and dismisses active surveillance as UNSAFE in someone this young. Am I missing something? How can this be in 2019?
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@DGlaucomflecken
Truly a noble and necessary profession. Everyone makes jokes about urologists until you need us...
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Southern food with the
@AmerUrological
/
@Uroweb
exchange scholars
@GMarra_MD
@KFKowalewski
@driuliaandras
.
@UroCancerMD
in rare form. Good times with friends new and old!
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Medical students interested in urology... Please attend our
@VUMCurology
virtual Town halls in the coming months to learn more about our residency program5. Also feel free to ask me or
@Scarps_kristen
any questions out here, by DM or by email.
WYSIWYG at
@VUMCurology
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So my weekend was pretty good. While I am bummed that
@KeithKow
spanked me so hard in fantasy football, my
@SpursOfficial
spanked ManU just as hard and we got a new addition to the family... Lily, an 8 wk old sheepadoodle.. Lily-as in the Lilywhites
#COYS
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As a parent, I can attest that this is true and unexaggerated. Love your kids and realize that their experiences are different then yours and their struggles are real. Mental health matters.
‘It’s Life or Death’: The Mental Health Crisis Among U.S. Teens
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@vandy_urology
@AmyLuckenbaugh
Not only is
@AmyLuckenbaugh
a John Quale Travel Fellow, She's also
@vandy_urology
's newest faculty member. Congrats, Amy! We're lucky to have you joining the team permanently!
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More than a passing resemblance sadly... But on my deathbed I will achieve total consciousness...
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Matty turns 40 this year and we are celebrating earlier! Urotwitterati please with
@ResnickMJ
happy birthday and tell him not to hit his drives into the quarry. He'll understand...
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As we ponder this year's highly volatile USNWR rankings (I'm being nice here) and vent our collective anger (?) at
@benharder
, I feel it is important to fall back on words that have been attributed to Teddy Roosevelt:
COMPARISON IS THE THIEF OF JOY
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@Virginia_Mareco
Ummm.. Let's wait for RCT data before we make statements like that.
Matching observational cohort analyses can be very problematic. I can show you similar analyses in prostate cancer that favor surgery and your response will be "we need RCT data"
Do the definitive study.
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Great work, Bashir! Proud of you!
Third CEASAR paper in JAMA.
@DanBarocas
you are the man!!!
Functional outcomes after contemporary
#prostatecancer
treatments through 10 yrs, stratified by disease prognosis - out now in
@JAMA_current
@DanBarocas
@WallisCJD
@urogeek
@KHoffmanMD
@CaPsurvivorship
@RuchikaTalwarMD
@KoyamaTatsuki
@VUMChealth
(1/5)
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Air-conditioned baseball is weird but the annual father-son baseball trip is back after a one year pandemic hiatus... Only possible because we both are vaccinated. Do yourself (and your loved ones) a favor and get the shot!
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I hadn't seen this piece but it is so spot-on. In an era where med school is pass-fail, step 1 scores are pass-fail, seems like every applicant has some research experience, everyone starts to look the same! The personal statement is an opportunity to stand out!
Your Personal Statement is your”personal statement” so make it about what is unique about you that will attract me as a PD!
#match2023
#InsidetheMatch
#IMG
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Want to get more involved in the
@AmerUrological
(AUA) meeting? Watch the video below and go to this link to sign up to be an abstract reviewer:
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Nick Kavoussi working with colleagues at in the School of Engineering/VISE to help pts with kidney stones.
@VUMCurology
moving the needle through team science here at
@VUMChealth
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Ryan Hsi is laying down knowledge in Hangzhou. Ryan is a superstar and we're lucky to have him in urology and at Vanderbilt
@AmerUrological
@VUMChealth
@vandy_urology
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My new license plate... (Because "SOX4NY3" was too subtle for most Yankee fans to understand)
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So well deserved! Congratulations to Dr Bloom, not only one of the most accomplished people in urology... One of the nicest as well.
We are so proud of our former chair, David Bloom, who was awarded the 2019
#AAGUS
Spence Medal for outstanding achievements in Urology!! 🏅🏆🍾👏
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@Scarps_kristen
is way too modest to tweet out that she was just selected for this year's AUA Young Leadership program.
Congratulations Dr Scarpato
@vandy_urology
would be lost without you!
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Honored to moderate prostate cancer advocacy panel at 1st annual urology advocacy summit. Great turn out! Strong work
@kzwarick
#AUASummit18
. The view from the panel!
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Thanksgiving highlight... My oldest daughter is writing a paper for school on the peer review process and just called and asked me if I knew of any good peer-reviewed articles on prostate cancer...
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@SCNosalMD
@DGlaucomflecken
Yes. I totally understand why the USPSTF would recommend against this test. I mean it's VERY costly and there are REAL harms to testicular self-exam. I mean a guy might squeeze too hard and end up in the ER, right?
SMFH
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Another July 1...officially an R-29 today. Maybe my new chief resident
@DDJoyce_BFA
will let me have some console time today. 🤞
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And for those who didn't match, don't despair. This was one of the largest groups of applicants ever and there simply weren't enough spots. Don't let this define you. You can do this if you want. Regroup and reapply. The field needs good people like you.
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Congratulations to Jay Smith, this year's recipient of the AAGUS Keyes Medal, one of the highest honors in all of Urology. Medal presented brilliantly by
@UroCancerMD
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Congratulations to
@NakadaSteve
on his receiving the
@AmerUrological
2020 Hugh Hampton Young Award. Well deserved, Steve!
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FYI... Apparently Trump supporters in MI and PA are chanting "stop the count". Trumpers in AZ are chanting "count the vote"
YOU CAN'T HAVE IT BOTH WAYS PEOPLE.
SMFH
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Thank you
@gpalapa2
. What a SWEET sweater! You are a good sport and you honor your bets!
@VandyBoys
2019 CWS champs...lets not have a hockey rematch though (or football for that matter)
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For those of you who have been where I have been and why I have been generally incommunicado this week...
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Ladies and Gentlemen- I now officially have status in the medical twittersphere....
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Ryan Hsi and I promoting world urologic peace in China.
@VUMChealth
@vandy_urology
(Ryan couldn't help himself with the selfie)
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@mahad_minhas
Didn't cry in med school. The gods of medicine saved it for my internship and made it bad. A 7 year old boy undergoing a minor biopsy procedure coded on the OR table and died because of a malfunction with the anesthesia machine. Still one of the worst days of my life...
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If you missed this, read it NOW. Stop rushing to publish bad studies with the word COVID in the title...and shame on the journals for facilitating it. Everyone bears some responsibility here.
The Pandemic Claims New Victims: Prestigious Medical Journals
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@craig_teed
Let me tell you what is actually going to happen:
1) Swanson signs elsewhere
2) Sox fail to extend Devers and he leaves
3) Sox sign an over the hill pitcher instead and try to sell him to us as Cy young
4) Team finishes last
5) Sox cry poverty
John Henry SELL THE TEAM
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@BrettKelman
@MariahTimms
Explain to me how they can hold the vaccine as backup and yet don't have the backbone to put a statewide mask mandate in place. The lack of both consistency and leadership is disturbing...
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Allow a non-ID and non-virologist who has formal training in epidemiology a moment to think outloud and be optimistic. I think Omicron is going to be the end of the pandemic. Here's why...
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@hannah_moreland
@Uro_Res
@UroAcademic
@AmerUrological
@UroResidency
@Uro_Stream
@UrologyList
NO filters used at
@VUMCurology
. We review every application we receive. Why do you think I am on twitter on Friday night? Procrastating going back to application review.
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