Neil Desai's guest appearances

Neil Desai

Canadian Club of Toronto

Beyond Disruption

BackTable Urology

Barack Obama

Deepak Chopra

David Shoemaker

Dan Doctoroff

Angie Smith

Robert Campbell

Paul Lucas

Michele Romanow

Stanley McChrystal

Patrick Brown

Melissa Leong

David Skok

David Rosenberg

Gary Bettman

Robert Kelly

OwlTail

Dr. Neil Desai, a radiation oncologist with UT Southwestern, shares his perspectives on radiation therapy indications, algorithms, side effects, and prognoses for unfavorable intermediate risk prostate cancer patients.---CHECK OUT OUR SPONSORLaurel Road for Doctorshttps://www.laurelroad.com/healthcare-banking/---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/E4pmfO---SHOW NOTESIn this episode of BackTable Urology, Dr. Aditya Bagrodia interviews Dr. Neil Desai, a radiation oncologist from UT Southwestern, about radiation therapy indications, algorithms, side effects, and prognoses for unfavorable intermediate risk prostate cancer patients.Intermediate risk prostate cancer is defined by a Gleason grading score of 7 or more and a PSA level above 10 ng/mL but below 20 ng/mL. Radiation therapy is a common unimodal or multimodal therapy in these prostate cancer patients. Dr. Desi recommends additional imaging via MRI to stage the cancer before starting treatment. Additionally, bone scans and colonoscopies may be beneficial in order to find metastases and colon cancer, respectively, that can also be treated with radiation therapy (RT).A thorough patient history is important to obtain before choosing a radiation therapy option. Dr. Desai divides his history into 2 different categories-–patient-specific factors and disease-specific factors. For patient-specific factors, baseline urinary symptoms, metabolic disorders, hormonal disorders, patient preferences, and baseline sexual potency are important. Contraindications under this category include connective tissue disorders, ulcerative colitis, and Crohn’s disease. Prostate anatomy, such as large median lobes, also need to be assessed. Dr. Desai emphasizes that many of these contraindications do not totally rule out the possibility of radiation therapy, but just warrant careful consideration of the intensity of radiation used on the patient. Next, he discusses disease-specific factors, such as the efficacy of androgen deprivation therapy (ADT). The majority of prostate cancer patients are started on ADT for 4-6 months first, and then begin RT.Next, Dr. Desai summarizes his explanation of RT to his patients. He starts by delineating the differences between internal and external RT, which exist on a continuum. Based on which RT option the patient chooses, the acuity and duration of lower urinary tract symptoms (LUTS) will vary. The RT option he most commonly recommends to patients without contraindications is brachytherapy with an external beam, which results in less cancer recurrence but more LUTS. However, he acknowledges that brachytherapy may not be offered in all centers, may have reduced efficacy in big prostates, and may be an unfavorable choice in patients with severe LUTS. In these cases, conventional fractionation, hypofractionation, or ultra hypofractionation are better options. Furthermore, Dr. Desai dives into more technical aspects of RT, such as the importance of a full bladder as a form of protection from external beam RT and the superiority of photon-based RT over proton-based RT. Additionally, he recommends measuring PSA levels after 3 months post-RT to minimize the chance of picking up noise. He mentions that physicians should address the “PSA bounce”, a fluctuation of PSA level post-RT followed by a transient resolve, with their RT patients because it may be a source of patient anxiety.Finally, Dr. Desai highlights the importance of the collaboration between urologists and radiation oncologists. The patient should be made aware that both specialties are in communication and feel comfortable discussing treatment options with both sides. Dr. Desai will usually advise his patients to meet with their urologists before making a final decision on their radiation therapy. Also, it is important for both sides to coordinate any new tests and check in periodically with patients.

Dr. Neil Desai, a radiation oncologist with UT Southwestern, shares his perspectives on radiation therapy indications, algorithms, side effects, and prognoses for unfavorable intermediate risk prostate cancer patients. --- CHECK OUT OUR SPONSOR Laurel Road for Doctors<a href="https://www.laurelroad.com/healthcare-banking/" rel="nofollow" target="_blank">https://www.laurelroad.com/healthcare-banking/</a> --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: <a href="https://earnc.me/E4pmfO" rel="nofollow" target="_blank">https://earnc.me/E4pmfO</a> --- SHOW NOTES In this episode of BackTable Urology, Dr. Aditya Bagrodia interviews Dr. Neil Desai, a radiation oncologist from UT Southwestern, about radiation therapy indications, algorithms, side effects, and prognoses for unfavorable intermediate risk prostate cancer patients. Intermediate risk prostate cancer is defined by a Gleason grading score of 7 or more and a PSA level above 10 ng/mL but below 20 ng/mL. Radiation therapy is a common unimodal or multimodal therapy in these prostate cancer patients. Dr. Desi recommends additional imaging via MRI to stage the cancer before starting treatment. Additionally, bone scans and colonoscopies may be beneficial in order to find metastases and colon cancer, respectively, that can also be treated with radiation therapy (RT). A thorough patient history is important to obtain before choosing a radiation therapy option. Dr. Desai divides his history into 2 different categories-–patient-specific factors and disease-specific factors. For patient-specific factors, baseline urinary symptoms, metabolic disorders, hormonal disorders, patient preferences, and baseline sexual potency are important. Contraindications under this category include connective tissue disorders, ulcerative colitis, and Crohn’s disease. Prostate anatomy, such as large median lobes, also need to be assessed. Dr. Desai emphasizes that many of these contraindications do not totally rule out the possibility of radiation therapy, but just warrant careful consideration of the intensity of radiation used on the patient. Next, he discusses disease-specific factors, such as the efficacy of androgen deprivation therapy (ADT). The majority of prostate cancer patients are started on ADT for 4-6 months first, and then begin RT. Next, Dr. Desai summarizes his explanation of RT to his patients. He starts by delineating the differences between internal and external RT, which exist on a continuum. Based on which RT option the patient chooses, the acuity and duration of lower urinary tract symptoms (LUTS) will vary. The RT option he most commonly recommends to patients without contraindications is brachytherapy with an external beam, which results in less cancer recurrence but more LUTS. However, he acknowledges that brachytherapy may not be offered in all centers, may have reduced efficacy in big prostates, and may be an unfavorable choice in patients with severe LUTS. In these cases, conventional fractionation, hypofractionation, or ultra hypofractionation are better options. Furthermore, Dr. Desai dives into more technical aspects of RT, such as the importance of a full bladder as a form of protection from external beam RT and the superiority of photon-based RT over proton-based RT. Additionally, he recommends measuring PSA levels after 3 months post-RT to minimize the chance of picking up noise. He mentions that physicians should address the “PSA bounce”, a fluctuation of PSA level post-RT followed by a transient resolve, with their RT patients because it may be a source of patient anxiety. Finally, Dr. Desai highlights the importance of the collaboration between urologists and radiation oncologists. The patient should be made aware that both specialties are in communication and feel comfortable discussing treatment options with both sides. Dr. Desai will usually advise his patients to meet with their urologists before making a final decision on their radiation therapy. Also, it is important for both sides to coordinate any new tests and check in periodically with patients.

Ep. 41 Radiotherapy for Unfavorable Intermediate Prostate Cancer with Dr. Neil Desai

Peter Sloly

Bryan Larkin

Antje McNeely

Challenges and Change in Canada’s Communities

 Virtual Event: Policing 2021, Panel: Peter Sloly , Bryan Larkin and Antje McNeely, Moderated by Neil Desai 

Beyond Disruption 24: Countering Crime in Our Digital Age with Neil Desai June 19, 2019 In this episode of the Beyond Disruption podcast, we’re at theSingularityU Canada Summit 2019 with Neil Desai, Vice President of MagnetForensics and SingularityU Security and Governance Faculty. You’ll discover: How Magnet Forensics originated 10 years ago.What changes we need to make to become more responsive tocybercrime.How we can start working together to understand cybersecurity.Types of conversations to have in order to protect thevulnerable from cybercrime. https://www.disruptionmagazine.ca/wp-content/uploads/2019/07/Beyond-Disruption-Podcast-Neil-Desai.mp3  Connect with Neil Desai NeilDesai (su.org/neil-desai, LinkedIn, @NeilDesai81) is Vice President at Magnet Forensics, heleads strategic engagement with leaders from policing, national security andgovernment agencies to support their digital transformations in the realm ofcyber-investigations. Aside from work, he’s a tech enthusiast, sports fanatic,film and music lover.  Follow Us On Twitter @DisruptionMagCA@yegcloud Sources SingularityU CanadaMagnet Forensics Thanks for listening, please remember to subscribe to thepodcast and rate and review us on iTunes! For more from us, check out thedigital and audio issues of Disruption Magazine at disruptionmagazine.ca. The post Beyond Disruption 24: Countering Crime in Our Digital Age with Neil Desai appeared first on Magazine Canada.

<h1>Beyond Disruption 24: Countering Crime in Our Digital Age with Neil Desai</h1> June 19, 2019 In this episode of the Beyond Disruption podcast, we’re at the SingularityU Canada Summit 2019 with Neil Desai, Vice President of Magnet Forensics and SingularityU Security and Governance Faculty. You’ll discover: <ul><li>How Magnet Forensics originated 10 years ago.</li><li>What changes we need to make to become more responsive to cybercrime.</li><li>How we can start working together to understand cybersecurity.</li><li>Types of conversations to have in order to protect the vulnerable from cybercrime.</li></ul> <a href="https://mk0disruptionmau955x.kinstacdn.com/wp-content/uploads/2019/07/Beyond-Disruption-Podcast-Neil-Desai.mp3" rel="nofollow" target="_blank">https://www.disruptionmagazine.ca/wp-content/uploads/2019/07/Beyond-Disruption-Podcast-Neil-Desai.mp3</a> <a href="https://podcasts.apple.com/ca/podcast/beyond-disruption/id1462173673" rel="nofollow" target="_blank"></a> <h2>Connect with Neil Desai</h2> Neil Desai (<a href="https://su.org/about/faculty/neil-desai/" rel="nofollow" target="_blank">su.org/neil-desai</a>, <a href="https://www.linkedin.com/in/neil-desai-ca/?originalSubdomain=ca" rel="nofollow" target="_blank">LinkedIn</a>, <a href="https://twitter.com/neildesai81?lang=en" rel="nofollow" target="_blank">@NeilDesai81</a>) is Vice President at Magnet Forensics, he leads strategic engagement with leaders from policing, national security and government agencies to support their digital transformations in the realm of cyber-investigations. Aside from work, he’s a tech enthusiast, sports fanatic, film and music lover. <h3>Follow Us On Twitter</h3> <ul><li><a href="https://twitter.com/DisruptionMagCA" rel="nofollow" target="_blank">@DisruptionMagCA</a></li><li><a href="https://twitter.com/yegcloud" rel="nofollow" target="_blank">@yegcloud</a></li></ul> <h3>Sources</h3> <ul><li><a href="https://sucanada.org/" rel="nofollow" target="_blank">SingularityU Canada</a></li><li><a href="https://www.magnetforensics.com/" rel="nofollow" target="_blank">Magnet Forensics</a></li></ul> Thanks for listening, please remember to subscribe to the podcast and rate and review us on iTunes! For more from us, check out the digital and audio issues of Disruption Magazine at <a href="https://www.disruptionmagazine.ca/" rel="nofollow" target="_blank">disruptionmagazine.ca.</a> The post <a href="https://www.disruptionmagazine.ca/beyond-disruption-24-neil-desai/" rel="nofollow" target="_blank">Beyond Disruption 24: Countering Crime in Our Digital Age with Neil Desai</a> appeared first on <a href="https://www.disruptionmagazine.ca" rel="nofollow" target="_blank">Magazine Canada</a>.

Beyond Disruption 24: Countering Crime in Our Digital Age with Neil Desai