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Light microscopy of the internal lining of the urinary bladder; haematoxylin and eosin stain
Managing High-Risk NMIBC

A patient’s view on shaping NMIBC care

Last updated: 11th Nov 2025
Published: 11th Nov 2025

After listening to this podcast, are you more confident in incorporating patient and caregiver perspectives into treatment discussions and care planning for NMIBC?

Episode 9. Ashish Kamat, patient Doug Cappiello, and caregiver Camille Cappiello explore how treatment pathways in NMIBC are shaped by patient priorities, emotional resilience, and the clarity of communication from care teams. They discuss the emotional burden of recurrence and progression risk, the critical need for clear communication about evolving therapies, and how shared decision-making can empower patients. Camille highlights the caregiver’s role as a vital part of the care team, advocating for their inclusion in important treatment discussions with patients. Doug closes with candid insights for clinicians – practical advice that may challenge assumptions and reshape how you approach patient conversations. View transcript.

Chapters
00:54 Navigating first treatment talks
04:10 Patient priorities in care decisions
07:27 Experiencing treatment: Patient lens
10:12 What support is needed during treatment?
12:18 Caregiver’s view on treatment journey
17:36 How to best support patients and caregivers

 

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Meet the guest speakers

Douglas Cappiello smiling outdoors in front of green foliage.Douglas Cappiello, MD

Doug Cappiello is a retired ophthalmologist and bladder cancer survivor, diagnosed with stage T1 high grade bladder cancer with carcinoma in situ in 2020. Following unsuccessful Bacillus Calmette–Guérin treatment, he underwent robotic radical cystectomy in 2021 and has since made a full recovery. Doug is a patient advocate and survivor-to-survivor volunteer with the Bladder Cancer Advocacy Network (BCAN), serves on its Board of Directors, and founded an online support group for patients.

Disclosures: No disclosures provided at time of publishing.

 

Camille Cappiello smiling, wearing glasses, with a colorful background. Camille Cappiello

Camille Cappiello is a retired registered nurse and caregiver advocate in the bladder cancer community. She supported her husband Doug through his diagnosis and treatment. Since then, she has served as a patient advocate and survivor-to-survivor volunteer with BCAN, supporting caregivers navigating complex challenges. Camille is passionate about education and peer support, and co-leads an online bladder cancer support group with Doug.

Disclosures: No disclosures provided at time of publishing.

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