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Dr. Julie Riley

👤 Person
282 total appearances

Appearances Over Time

Podcast Appearances

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

even if the patient is really unhappy, the reality is you did the safe thing and you're avoiding some of this. I think we're going to find as we're measuring these pressures, that does really correlate whenever we go in without a sheath, whenever we have very narrowed ureters, I think we're going to see that that pressure goes up.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

even if the patient is really unhappy, the reality is you did the safe thing and you're avoiding some of this. I think we're going to find as we're measuring these pressures, that does really correlate whenever we go in without a sheath, whenever we have very narrowed ureters, I think we're going to see that that pressure goes up.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

even if the patient is really unhappy, the reality is you did the safe thing and you're avoiding some of this. I think we're going to find as we're measuring these pressures, that does really correlate whenever we go in without a sheath, whenever we have very narrowed ureters, I think we're going to see that that pressure goes up.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Now, whether that translates into more pain, bad outcomes for the patient in terms of infection, I don't know yet, but it does seem like those at least correlate.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Now, whether that translates into more pain, bad outcomes for the patient in terms of infection, I don't know yet, but it does seem like those at least correlate.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Now, whether that translates into more pain, bad outcomes for the patient in terms of infection, I don't know yet, but it does seem like those at least correlate.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Wow, thank you, Jose. Every time that I hear people go over all my stuff, I'm just like, oh gosh, so much to go over. We spend so much time in school, so thank you for that introduction.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Wow, thank you, Jose. Every time that I hear people go over all my stuff, I'm just like, oh gosh, so much to go over. We spend so much time in school, so thank you for that introduction.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Wow, thank you, Jose. Every time that I hear people go over all my stuff, I'm just like, oh gosh, so much to go over. We spend so much time in school, so thank you for that introduction.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Yeah. So the nice thing about ureteroscopy is that just about anybody can have a ureteroscopy as long as they are a surgical candidate. So as long as we can have anesthesia clear them, you can probably put a ureteroscope where you need to go to take out the stone.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Yeah. So the nice thing about ureteroscopy is that just about anybody can have a ureteroscopy as long as they are a surgical candidate. So as long as we can have anesthesia clear them, you can probably put a ureteroscope where you need to go to take out the stone.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Yeah. So the nice thing about ureteroscopy is that just about anybody can have a ureteroscopy as long as they are a surgical candidate. So as long as we can have anesthesia clear them, you can probably put a ureteroscope where you need to go to take out the stone.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

A few caveats to that, of course, are that, you know, lower pole stones, very large stones are going to take significantly more time, significantly more time. you know, effect on the scopes, putting more pressure on them. But truthfully, just about any stone can be managed that way, and that is one of the very large appeals of ureteroscopy.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

A few caveats to that, of course, are that, you know, lower pole stones, very large stones are going to take significantly more time, significantly more time. you know, effect on the scopes, putting more pressure on them. But truthfully, just about any stone can be managed that way, and that is one of the very large appeals of ureteroscopy.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

A few caveats to that, of course, are that, you know, lower pole stones, very large stones are going to take significantly more time, significantly more time. you know, effect on the scopes, putting more pressure on them. But truthfully, just about any stone can be managed that way, and that is one of the very large appeals of ureteroscopy.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Yeah, I mean, I'm much like you that some of the biggest things I'm going to talk about is that stent discomfort and the need for the stent and what that's all about. I think really laying down the expectations for patients goes a really long way to help them get through that stent pain.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Yeah, I mean, I'm much like you that some of the biggest things I'm going to talk about is that stent discomfort and the need for the stent and what that's all about. I think really laying down the expectations for patients goes a really long way to help them get through that stent pain.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

Yeah, I mean, I'm much like you that some of the biggest things I'm going to talk about is that stent discomfort and the need for the stent and what that's all about. I think really laying down the expectations for patients goes a really long way to help them get through that stent pain.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

But some of the more severe complications, I do talk about infections and I will highlight that some of these patients can get quite sick, particularly these very large stones, patients that have complex anatomy infections. These are a lot of the patients that I'm seeing that are referred to me. And so I do really highlight this infection risk and that that is not a minuscule thing.

BackTable Urology
Ep. 194 IRP Monitoring: Enhancing Patient Outcomes in Urology with Dr. Julie Riley

But some of the more severe complications, I do talk about infections and I will highlight that some of these patients can get quite sick, particularly these very large stones, patients that have complex anatomy infections. These are a lot of the patients that I'm seeing that are referred to me. And so I do really highlight this infection risk and that that is not a minuscule thing.

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