Daron Smith
@EndoLuminalEndo
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EndoLuminal EndoUrologist @uclh . Past Chair @bausendourology Founding deputy editor @JELEU_DPG . Vice Chair @endouroacademy . #GoTeamEndo 🇺🇦 🇺🇦
London, England
Joined May 2016
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Pinned Tweet
Delighted to have received the award for the best benign abstract (“non-oncology” in official parlance!) at
#EAU24
alongside
@OJWiseman
and
@5tevenMacLennan
on behalf of CHaRT and
@McclintonSam
@hsru_aberdeen
here in Paris…
Papers to be presented on Monday 8th - see you there!
14
5
103
@DrSelvarajah
Dear primary care colleagues,
Thanks for all the work you do, sorting and prioritising the patients we see in secondary care, where we only see the tip of the iceberg…
You also are amazing. We are
#OneTeam
#NHS
We depend on each-other totally 💯
@michelledrage
2
19
175
One of our 2nd floor wards at Westmoreland St
@uclh
. Waiting for urgent colorectal + gynae oncology cases... keeping things going as best we can + making space for the amazing effort in A/E, ID and ITU on our main site for Covid-19. We may be off site but we’re still one team!
9
21
163
To all our amazing 🇬🇧nursing colleagues - whatever you’re doing today and tomorrow, thank you for the skill, dedication, kindness and hard work that you deliver every single day of the year.
@vsweeney431
@HilaryBaker8
@UrologyJulie
@Clairehump3
@siobhanluthers
@DaniellaTodeva
7
17
103
Wow. WOW. Stone disease in the UK costs as much as the whole cost of bladder and prostate cancer in the UK. That’s a LOT of work
@BAUSendourology
members have been doing!!!! Hats off to you all!!!
@BAUSurology
3
28
98
Endoluminal Prioritisation...
@MSemins
@BEkidneystone
@shah_ojas
Hope this is useful to you guys in USA.
Thanks to
@BAUSendourology
committee for help with these.
Further info and advice to
@BAUSurology
and patients coming in website soon
Take care everyone
8
35
87
Always nice to see this slide!!!
From the
@BURSTurology
#MIMIC
data
@veerukasi
@TaimurShah
@NikitaB0709
@lithohlr
@BAUSurology
@BAUSendourology
Great discussion re MET (again!)
@MattBultitude
@NStreeps
@DrAngusLuk
@JoCresswell4
6
22
88
Congratulations again to
@mrsprostate
on the milestone of
#OneThousandHIFU
cases…
A picture outside
#WMS
@uclh
earlier today…
4
3
84
People paying heed to the “only essential journeys” allowing me to socially distance on the way to
@uclh
for whatever lies ahead this week. Thanks to everyone who’s staying at home; good luck to everyone who’s going to work. All doing their bit to keep the country safe. Take care
5
7
80
I didn’t work with Mr Omer Karim, but have known him for many years and that he is a highly accomplished surgeon and a good man. So am very pleased to see that his struggle to clear his name has reached its rightful conclusion.
7
19
78
On call this weekend - the view from the ground and again from the 14th floor…
But of course, it’s not what the hospital looks like, it’s what goes on inside that counts!!
#OneTeam
@uclh
@NiamhGavaghan
12
4
79
V nice message from
@BJUIjournal
that our acute colic nomogram based on the
@BURSTurology
#MIMIC
data is a
#TopDownloadedArticle
in the journal
Great teamwork and of course glad that the
@BJUIjournal
benefits too!
@TaimurShah
@veerukasi
@prokarurol
2
26
75
Agree totally
I always do semi-rigid first. Takes just a few minutes... look and feel of ureter v important for onward strategy. Allows easy insertion of WGW and assess whether access sheath appropriate. Never regret doing semi-rigid first; but can easily regret NOT doing it!!
❌ NO FORCE
✔️ Check
#Ureter
pre
#UAS
Insertion
✔️ ➡️ Don't Force ➡️ Feel it ➡️ Use SemiRigid scope
@PETRAurogroup
#URS
#Endourology
5
23
84
6
13
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#wce2019
Fluid intake - around 2.5 L per day (each 200ml more fluid reduces risk by 13%). Coffee, tea (and alcohol!) are PROTECTIVE.
But AVOID sweetened colas etc.
Lemon Juice and OJ increase urinary citrate but 2L needed
Really useful data and advice from
@BEkidneystone
1
30
76
For PCNL - access is key.
@BodoKnudsen
and US guidance…
And
@ryansteinbergmd
“seeing is believing” endoscopic approach has added value…
4
12
70
MIMIC study into Factors associated with spontaneous stone passage in acute ureteric colic now published in
@BJUI
.
Huge congratulations to
@TaimurShah
and
@veerukasi
for coordinating this amazing
@BURSTurology
collaborative success!
6
22
70
I wouldn’t have believed this without seeing it… interesting.
One of the best things of conferences is thinking new thoughts and revisiting old ones and updating them!
@CookMedical
@AlanLoughnane72
#EAU24
4
14
68
Suction the order of the day - lots of fans of FANS it seems… and not only the patient for a stone clearance perspective but also for risk of sepsis and also of post operative pain…
Busy slide but lots of data!
@DocGauhar
@endouro
@OTRAXER
@Urologeman
@D_Castellani
@tzevattefik
6
16
66
To all presenters at
#BAUS19
, (from posters through plenary sessions to international speakers) who are making slides /preparing talks this weekend, thanks for giving up your time to make the meeting a success for all the attendees!
See you there!
@BAUSendourology
@BAUSurology
0
12
64
We all send our support and best wishes to everyone on the main site, where the UUU (urgent urology unit) is all set to sort a whole range of problems and avoid admission/ transfer to WMS.
Our “one team
@uclh
” gets bigger but the collective purpose remains the same!
Take care all
0
6
62
STOCK ANSWER FOR PREDATORY JOURNALS
“I charge a flat rate of $2500 for commissioned articles with half (ie $1250) payable in advance. The remainder must be paid before I will send the article, with an additional $250 per 750 words
Please let me know how you would like to proceed”
11
4
61
Many congratulations to all these eminent
@BAUSurology
prize winners to be awarded at
#BAUS2021
.
Especially of course the
@BAUSendourology
contingent...
8
7
60
The view west from the top of
@uclh
tower - nice way to take a brief break during the on call rounds!
@BrennanSurgeon
2
2
60
Huge congratulations to
@prokarurol
(St Peter’s Medal) and
@peggypearle
(St Paul’s Medal) in recognition of their outstanding contribution to British and Worldwide Urology. Looking forward to seeing the Awards given out
@BAUSurology
next June!
2
9
59
This is a really detailed article about Coronavirus and why early action for social distancing makes sense. Everyone should read this and make the big decisions now.
Coronavirus: Why You Must Act Now - Tomas Pueyo - Medium
6
28
57
Am not a fan of music with “tips and tricks” videos but this is an excellent clip, made by a patient (and posted with permission) to show the beautiful appearance of Stones.
Better out than in… If only they were diamonds!
#everyonelovesstones
#GoTeamEndo
@OTRAXER
1
9
56
@doctorrah
V important all staff know this off top of their heads, as clearly would be absurd to put a notice in the cupboard stating the required dose!
Time for some simplicity+some human factors principles to make mandatory training be more about training than mandatory…
@BrennanSurgeon
4
0
56
Wow.
98% of (“junior” - poor word for senior responsible professionals, hence “” and brackets) Drs from a 75% turnout.
Hardly a narrow 51/49 split that was still enough to leave Europe…
Time to “read the room” and give support to our younger colleagues whilst we have any!
1
4
53
We’re living in unprecedented times: should the
@GMC
suspend all appraisal / revalidation for a year whilst we all concentrate front-line patient management?
Please re-tweet / comment if you agreee.
Exceptional decisions needed for exceptional circumstances I think.
@BAUSurology
1
26
52
Great slide!!!
✅ 𝕊𝕥𝕠𝕟𝕖 𝕔𝕠𝕞𝕡𝕠𝕤𝕚𝕥𝕚𝕠𝕟
🚩 Main factor affecting ureteral passage is size and location!
📎Slide by
@EndoLuminalEndo
on MIMIC Study 👉
2
10
37
4
7
51
Does anyone know if the Coronavirus that causes
#COVID19
is excreted in the urine? Would be useful to know for urological operations and ward care including catheter management on ITU.
@BAUSurology
@BAUSendourology
@BJUIjournal
14
13
50
A very happy Christmas to everyone on
#twitter
and extra special good wishes to anyone who is working over the holidays - I hope your delayed time off with your family will be worth waiting for!
With very best wishes to all for a happy and healthy new year
Take care and stay safe
3
1
51
@DrUmeshPrabhu
@Abi_Rimmer
Sorry - not meaning to misquote or indeed argue but "all doctors messes have been closed and rightly so" doesn't leave much room for interpretation! I think most agree loss of time for lunch and talk is a shame.
3
1
49
@JMG_urology
In case the link doesn't work, here's a photo of my letter about training and assessments for speedier viewing...
@JMG_urology
@BAUSurology
@tsoburol
11
27
49
Today is world mental health day.
If we’re honest, I suspect we’ve all had some struggles with this from time to time, especially after the challenges and pressures of the last 18 months.
So take a moment today to “phone a friend” and make sure they are ok.
@JMG_urology
@uclh
1
14
48
@DrBenLovell
Phoned a surgeon on speaker phone and they said “sure I’ll come and see the patient immediately and take them over”?
2
0
46
Smaller stents or even just a strong as the distal portion better for aren’t bother. “Normal stents” shouldn’t cross the midline. But
@thomastailly
agrees “the best stent is the stent you DIDN’T have to place”
#WCE2019
7
11
46
And again - COFFEE IS OK!! And actually good for avoiding stones. Some good news to start the morning!
Great literature review by
@DaveFromUrology
at
#WCET22
3
12
45
Very pleased to chair my first
@BAUSendourology
Committee day...
@BAUSurology
summer nearly sorted and programme looking excellent and full...
Honoured to work with such excellent team - the BAUS office, VC
@Sri_URO
and new secretary Rob Calvert and the whole committee...
4
2
46
@medicalaxioms
@toates_19
It's a terrible term "poor historian". It's not the patient's job to give a good history; it's the doctors job to elicit it. "Challenging history" a better way of saying the doctor found it difficult to ascertain the information that was sought.
5
12
45
@wissamabokhalid
@AndrewPortis
@kevanms42
@joeurol
@UrologyUK
@lithohlr
@jake_p76
@MattBultitude
@OJWiseman
@magubolg
@veerukasi
@MrWillFinch
@BAUSendourology
@SWLNHS
@BEkidneystone
@SorensenMathew
@Tdave
@mudhar_hasan
@nishanturo
MIMIC data presented in a single slide for decision making by stone size and position. The red is anything under 50% likely spontaneous passage.
So basically all Stones >7mm and Stones 5-7 mm in upper ureter.
If pain ok, others worth a trial of supported passage
@AndrewPortis
11
10
46
@chrisharding123
@JamesMaloneLee3
Very sorry to hear this sad news. As
@chrisharding123
has said, his legacy and unrivalled enthusiasm for the treatment of chronic UTI will live on through others.
And all of us who work in this field send you, his “home family” our heartfelt condolences for your loss.
0
0
43
Happy Diwali!
May the festival of lights bring happiness during tonight’s darkness for all!
5
4
44
My excellent friend
@Sri_URO
, next chair of
@BAUSendourology
from Jan 2022, and also president of
@RSMUrology
from today - a busy man indeed - showing the timetable for the urology year ahead at the RSM.
Looking forward to the Endourology day of course!!
Have a great year Sri!
1
3
45
A challenging case to get everyone’s thinking caps on...
See the poll that follows...
@GuidoGiusti
@thomastailly
@mudhar_hasan
@DocGauhar
@Urologeman
@BEkidneystone
@ShashiKiranPal
@OJWiseman
@MattBultitude
@NakadaSteve
@sbinhamrii
@dravinashsingh
@scoffonecesare
@Rahul79307822
26
6
44
Brilliant talk from
@LondonProstate1
at
@GuysUrology
this morning - I dropped in to see my (and his!) old boss
@mortensen_neil
and great to see so many other wonderful colleagues in their fabulous meeting!
@MattBultitude
@benchallacombe
@JMG_urology
@prokarurol
@tsoburol
2
12
44
Dr Marshall Stoller and a video of calcification in the tip of a papilla with an attached (Presumably a CaOx monohydrate) stone. Nice!
#WCE2019
0
10
42
Had to visit
@uclh
A/E with my Dad today - was totally packed but all staff “delightful” (his words, and not a man prone to hyperbole!)
Huge thanks to
@drchrislaing
and the amazing team there - calm and kind despite huge pressure, and managing this 24/7. Impressive.
@MarcelLevi
4
2
43
The small Stone and UTI
@endouro
Removing the stone completely eliminates UTI in 90% - so definitely worth it!
Including data from our VIP guest lecturer
@amy_krambeck
3
14
44
So, How to change mindset for urologists stenting despite “uncomplicated URS”...
Watch this space
@thomastailly
#WCE2019
@veerukasi
@NikitaB0709
@OJWiseman
@Dr_RPM
@BAUSendourology
2
15
43
Happy
#InternationalWomensDay
Particularly to all our excellent colleagues
@uclh
, esp the strong urological role models for us all to aspire to!
@TamsinGreenwel1
@mrsprostate
@Pippa_Sangster
Siân Allen, Bernadett Szabados Daniella Andrich Mahreen Pakzad and Helena Gresty and more
3
2
43
Looking forward to hearing
@DrBenChew
discussing stents and encrustation shortly…
#EAU24
@david_ahonen
@BSCEMEA_Urology
2
2
43
On call week
@uclh
has begun… nice clear blue sky to start it off!!
Given your recent pics, linking you in
@RobCalvert18
@BrennanSurgeon
so you can enjoy the London morning skyline too!
5
2
43
Well it looks like
@endouro
getting himself in the groove for
#SaudiUrolithiasisDays
Doing well following your 0300 arrival Professor!
1
1
43
This looks like the perfect way to spend a bank holiday Monday...
2
2
42
@RealDr_Pepper
It’s good; but nothing will beat my Reg and SR when I was a Colotrectal Houseman (for the current president of the
@RCSnews
@mortensen_neil
no less!) a Mr Butt and a Mr Payne. Priceless!!
May even be why I became a Urologist!!
🤣🤣🤣
1
1
40
Just been sent this by an Endoluminal friend!
Anticipating my new look for 2021 when (even) greyer and not able to have hair cut for a while...
Like
#endoluminalendourology
good to have a strategy and a “Plan B”!!
Happy holidays to everyone and take care!
@DocGauhar
@DrBenChew
8
0
41
6
13
40
Can still remember a gloriously Sunny autumn day when I was taken for my first day at university - amazing to be up early today to take my Son for his first day today...
Good luck to all parents and young adults embarking on this journey over the next few weeks... 1/2
7
2
40
I have just heard from Microbiology/Virology/ID
@uclh
that healthcare workers NOT EXEMPT from the 2/52 isolation EVEN IF ENTIRELY ASYMPTOMATIC. We need a test ASAP. The system will struggle even more if fit and well colleagues are at home...
@MattHancock
@lithohlr
@BAUSurology
4
13
39
#GoTeamEndo
from strength to strength!!!
Very honoured to join
@OJWiseman
at
#EAU24
to showcase the work of so many excellent 🇬🇧 colleagues and represent
@BAUSendourology
and
@BAUSurology
on the international stage!
@JoCresswell4
@IPearce82
@joeurol
Huge Congrats
@OJWiseman
@EndoLuminalEndo
@McclintonSam
et al for winning the best non-oncology abstract at
#EAU24
🎉🇬🇧
2
3
47
2
2
40
Today is the day!!!
🚀 🚀🚀🚀🚀🚀🚀🚀🚀🚀🚀🚀🚀
@drkemalsarica
@geavlet
@DrKScotland
@peepeeDoctor
@petkovakremena
@pabloNContreras
@DrVCMohan
@AntonioLopesUro
@endoluminalendo
#endouroacademy
@endouroacademy
2
6
39
Great; thank you!!
Let's keep training at the top of the agenda!
@JMG_urology
@Rolyrat1
@BSoT_UK
@BAUSendourology
@BAUSurology
0
0
11
7
3
39
Was checking a letter early this am to my expert friend
@nikhilvasdevuro
regarding a patient he’d kindly referred for an additional Endoluminal opinion...
Dictation voice recognition has decided he should be called Mr Nik Vas Deferens!!
Any other amusing spell check howlers...
15
2
39
Cycled in to work this am. Was a challenge:
🌚 Dark
🥶 Cold
💧 Wet
❄️ Snow
💨 HeadWind
A lot to overcome…
Similar to the challenges that my excellent female colleagues
@uclh
, around the UK 🇬🇧 and internationally have had to get to manage…
Happy
#WomensDay2023
to you all!
5
2
39
Clearly there struggles across the whole of the system - this the sausage roll from the canteen at WMS
@uclh
today… hoping for better at Silverstone for the British GP this weekend!!!
10
0
38
Successfully negotiated the admin…
#AUA2022
begins soon!!
@thomastailly
@amy_krambeck
@DrBenChew
@NaeemBhojani7
@DrKScotland
@MattBultitude
@tsoburol
@JoCresswell4
@alanroberts2016
@drdanwood
@AmerUrological
6
2
38
@DrUmeshPrabhu
@Abi_Rimmer
Really? Close all doctors messes because of concerns of plotting? Couldn't this happen outside of a doctors mess? What about a positive place for doctors to meet, discuss patients, and simply take a moment from the front line...
1
2
38
On behalf of
@baus
and
@bausendo
, huge thanks to
@benchew
for all your contributions to
#baus18
(chair of poster session, modern management of stones course, and your "the fate of fragments and the science of stents" plenary.
Travel safely!
@TheRealArenache
@JMG_urology
1
9
35
The journey to
#BAUS22
begins!
Thanks
@JMG_urology
for the lift: look forward to some good chatting about everything on the way there.
And then catching up with everyone this evening for the opening ceremonials!
@BAUSendourology
@BAUSurology
@tsoburol
@JoCresswell4
@IPearce82
2
0
37
My first tweet for
#baus19
What is the definition of stone free... not clear from the literature
And time for QofL data to take the fore...
@BAUSurology
@BAUSendourology
@JMG_urology
@OJWiseman
6
13
37
@SteveBarclay
That’s an amazing figure - substantially more than I earn for my full time NHS salary (incl Prev/current National+International leadership / educational/research roles).
There must be some truly awesome people in
#NHS
earning WAY more than £135k to make this the average. Bravo!
5
4
37
@mancunianmedic
@RealCarlVernon
To be honest, given the stresses at work, if if built teamwork and morale and therefore helped patients, it could be argued it wasn’t even that I’ll advised…
I guess it’s a case of perspective and from the thick of it this was perhaps understandable…
1
1
36
When is the correct time to intervene and definitively treat a patient with a ureteric stone (adequately controlled pain) to preserve renal function?
Please re-tweet to broaden the feedback and opinion!
@BAUSendourology
@BURSTurology
@DrBenChew
@NakadaSteve
@MattBultitude
Within 48 hours
83
Within 3 weeks
236
Within 6 weeks
190
pain ok so doesn’t matter
26
18
60
37
Arrived early for
@tsoburol
1000th Meeting
@GuysUrology
this morning to catch up with
@JMG_urology
for a coffee and chat before kick off...
Looking forward to catching up with everyone for a great day ahead in celebration of a remarkable achievement of weekly meetings!
1
2
36
Fantastic that
@BAUSurology
has made this free for BAUS members to register - a great way to thank our hardworking colleagues for all their efforts during a difficult year.
Thank you
@tsoburol
@Dr_Andrology
@IPearce82
All of us
@BAUSendourology
very grateful.
0
8
36
A date for the diary of all Endourologists Everywhere - August 12-17 2024…
May the year ahead be a more straightforward one for everyone - because “the future of meetings is meeting”!
@kvnkoo
@emiliani_e
@sproietti81
@jleow
@kmoretry
@DrDAgarwal
@roger_sur
@Joseph_HM_Wong
1
16
36
As we approach our 1-year anniversary, just had a great board meeting of the
@endouroacademy
this afternoon…
Look out for announcements and updates this week!!
@drkemalsarica
@geavlet
@DrKScotland
@petkovakremena
@pabloNContreras
@DrVCMohan
@DocGauhar
@Urologeman
@sameerparmar
3
5
35
Brilliantly clear and well considered talk from
@thomastailly
(as we’d all expect!) about stone size vs volume
This definitely an important area for us to work on and get right - both practically and academically
#EAU24
@fpanthier
@exkeller
3
7
36
If you’re a basketer of fragments,
@amy_krambeck
team have shown blood Coagulum can help remove small stones. Tips and tricks: use JUST a SMALL amount of blood, WAIT 5 mins (meanwhile flush scope channel ex Vivo) and BE GENTLE removing the stones adherent to the clot
#WCE2019
1
13
36
Nearly a decade’s work summarised in 2 or 3 mins!!! That’s PUrE
Look forward to expanding somewhat at
#AUA24
and of course
#BAUS24
@BAUSurology
@OJWiseman
@McclintonSam
@5tevenMacLennan
@hsru_aberdeen
@bwturney
@zara_gall
@joeurol
@BAUSendourology
@IPearce82
@JoCresswell4
The prize-winning poster presented by
@EndoLuminalEndo
on behalf of British Endourology
#EAU24
🥇
@McclintonSam
@OJWiseman
3
1
28
1
1
36
Many congratulations to
@JoCresswell4
- the next Vice President of
@BAUSurology
and therefore the next President after
@tsoburol
from June 2022...
Onwards and upwards!!
2
8
35
@dravinashsingh
@AndrewPortis
@kevanms42
@emschoenfeld
@EMresearchUMMSB
@Baystate_IHDPS
@BaystateEM
@BURSTurology
Great debate!
Mx of acute ureteric colic close to my heart (esp given my close involvement with
@BURSTurology
and MIMIC - thanks
@andyportis
for the reference - see my pinned tweet for more details!)
Here’s my unpublished summary slide - watch this space for prediction model...
3
12
35
Quality of Life in stone patients is the key outcome - Dr Kris Pennington shows how relieving symptoms a more important measure than stone free status for quality of life
@NakadaSteve
#WCE2019
0
4
35
Am at memorial service this afternoon for John Wickham, and celebrating the enormous contribution he made to British and World EndoUrology. A genuine giant.
@BAUSurology
@BAUSendourology
@BJUIjournal
@JELEU_DPG
4
28
35
@Mohamedendourol
@StefaniaFerret
@drkemalsarica
@sbinhamrii
@dryasser_noor
@sharaf20581
@mohamed92902484
@D_Castellani
@chuikalun1
@fgomsan
@Khalifa_Urol
@OmerRaheemMD
@lithohlr
@TheGeorgeHabib
The technique to avoid is
1) recognise perf has taken place.
2) leave the Perfed wire in situ - plugs hole + shows where it is!
3) pass true luminal wire via scope - ideally with scope above stone as then MUST be true luminal
4) stent over this wire
5) remove perf wire last
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For all the rugby players out there
And indeed all the good sports…
It’s all about kindness - and how simple gestures can mean so much.
Enjoy the clip!
@benchallacombe
@MattBultitude
@probert_david
@tsoburol
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Sadly, “kindness” is perhaps an adjective that doesn’t spring to mind when you think of surgeons.
But, the words of Jennifer Dukes Lee “In a world where you can be anything, be kind” helps make a strong message in this
@RCSnews
editorial.
@JMG_urology
@BrennanSurgeon
Link next
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Look out for our next
@endouroacademy
webinar
✅ SATURDAY 13th MAY at 2pm GMT
Coordinated with
@Geavle
@geavlet
and including
@DrKScotland
and of course our chair
@drkemalsarica
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#BEAM23
At dinner…
Part of the
#CovidFive
@thomastailly
@NaeemBhojani7
(missing
@DrKScotland
and
@DrBenChew
) and
@endouroacademy
with
@PabloNContreras
It’s not long till day two tomorrow…
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