Dr. Julie Riley

My staff is not complaining about that. But I definitely am not necessarily just putting my foot on the pedal and going pretty straight through that. I'm really kind of adjusting and making those modifications as I go.

My staff is not complaining about that. But I definitely am not necessarily just putting my foot on the pedal and going pretty straight through that. I'm really kind of adjusting and making those modifications as I go.

My staff is not complaining about that. But I definitely am not necessarily just putting my foot on the pedal and going pretty straight through that. I'm really kind of adjusting and making those modifications as I go.

Yeah, I am not really somebody that moves stones around very often. I usually do a lot of my lithotripsy in situ. I think moving it is fine. I just find that if I can actually get a basket around the stone and move it someplace, I'm usually like, well, it's probably time to just pull it out. So I just, I don't tend to do that.

Yeah, I am not really somebody that moves stones around very often. I usually do a lot of my lithotripsy in situ. I think moving it is fine. I just find that if I can actually get a basket around the stone and move it someplace, I'm usually like, well, it's probably time to just pull it out. So I just, I don't tend to do that.

Yeah, I am not really somebody that moves stones around very often. I usually do a lot of my lithotripsy in situ. I think moving it is fine. I just find that if I can actually get a basket around the stone and move it someplace, I'm usually like, well, it's probably time to just pull it out. So I just, I don't tend to do that.

What I will sometimes do in the lower pole is I'll get my scope down there. And again, these disposable scopes are great because you can flex up against that sheath much more than you would with your reusable scope and use a lot more passive deflection against, you know, to get down in the lower pole.

What I will sometimes do in the lower pole is I'll get my scope down there. And again, these disposable scopes are great because you can flex up against that sheath much more than you would with your reusable scope and use a lot more passive deflection against, you know, to get down in the lower pole.

What I will sometimes do in the lower pole is I'll get my scope down there. And again, these disposable scopes are great because you can flex up against that sheath much more than you would with your reusable scope and use a lot more passive deflection against, you know, to get down in the lower pole.

But if I really can't keep my sheath up, I may laser for a little bit and then I might go ahead and take my scope out, push my sheath up, irrigate some with... I'll use a five French Pollock. Now we're seeing more devices to actually do some irrigation and suction, which I think is the next thing that's going to really revolutionize ureteroscopy.

But if I really can't keep my sheath up, I may laser for a little bit and then I might go ahead and take my scope out, push my sheath up, irrigate some with... I'll use a five French Pollock. Now we're seeing more devices to actually do some irrigation and suction, which I think is the next thing that's going to really revolutionize ureteroscopy.

But if I really can't keep my sheath up, I may laser for a little bit and then I might go ahead and take my scope out, push my sheath up, irrigate some with... I'll use a five French Pollock. Now we're seeing more devices to actually do some irrigation and suction, which I think is the next thing that's going to really revolutionize ureteroscopy.

But I just use a Pollock catheter and irrigate things out. And then I'll put my scope back in, pull a sheet back. Yes, it's a little bit inconvenient to do that, but I can get a lot of that dust to irrigate out and see a lot better. And it also gives just a second to let the cool the temperatures off if I'm really using pretty high power settings.

But I just use a Pollock catheter and irrigate things out. And then I'll put my scope back in, pull a sheet back. Yes, it's a little bit inconvenient to do that, but I can get a lot of that dust to irrigate out and see a lot better. And it also gives just a second to let the cool the temperatures off if I'm really using pretty high power settings.

But I just use a Pollock catheter and irrigate things out. And then I'll put my scope back in, pull a sheet back. Yes, it's a little bit inconvenient to do that, but I can get a lot of that dust to irrigate out and see a lot better. And it also gives just a second to let the cool the temperatures off if I'm really using pretty high power settings.

Also, frankly, gives my hands a little bit of a break, gives my residents a little bit of a break, right? These cases can be very long, very frustrating. And as you start getting frustrated in your ureteroscopy, you start, you know, getting a little bit more fidgety, a little bit more clumsy with it.

Also, frankly, gives my hands a little bit of a break, gives my residents a little bit of a break, right? These cases can be very long, very frustrating. And as you start getting frustrated in your ureteroscopy, you start, you know, getting a little bit more fidgety, a little bit more clumsy with it.

Also, frankly, gives my hands a little bit of a break, gives my residents a little bit of a break, right? These cases can be very long, very frustrating. And as you start getting frustrated in your ureteroscopy, you start, you know, getting a little bit more fidgety, a little bit more clumsy with it.

And I think sometimes you just have to give yourself a little bit of a break, do something a little bit different to kind of keep yourself engaged in the whole procedure.

And I think sometimes you just have to give yourself a little bit of a break, do something a little bit different to kind of keep yourself engaged in the whole procedure.