Dr. Julie Riley

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.

I thought that the answer to that would be yes. And I was sort of hoping that would be true. But watching it, I am truly amazed at sometimes whenever that pressure jumps up and you're like, how did that even happen? It looks fine. And sometimes, I mean, you know, whenever... You're up there and it's getting really distended. Yeah, the pressure is up high.

I thought that the answer to that would be yes. And I was sort of hoping that would be true. But watching it, I am truly amazed at sometimes whenever that pressure jumps up and you're like, how did that even happen? It looks fine. And sometimes, I mean, you know, whenever... You're up there and it's getting really distended. Yeah, the pressure is up high.

I thought that the answer to that would be yes. And I was sort of hoping that would be true. But watching it, I am truly amazed at sometimes whenever that pressure jumps up and you're like, how did that even happen? It looks fine. And sometimes, I mean, you know, whenever... You're up there and it's getting really distended. Yeah, the pressure is up high.

But I was actually sort of surprised sometimes whenever it was pretty hydronephrotic, pressure sometimes weren't really going up as I thought they would. So it's not as intuitive as I would have liked it to be and as I would have hoped that I could have predict. I wish I would have been a better surgeon at that one. But unfortunately, I think it really proves we have to monitor it.

But I was actually sort of surprised sometimes whenever it was pretty hydronephrotic, pressure sometimes weren't really going up as I thought they would. So it's not as intuitive as I would have liked it to be and as I would have hoped that I could have predict. I wish I would have been a better surgeon at that one. But unfortunately, I think it really proves we have to monitor it.

But I was actually sort of surprised sometimes whenever it was pretty hydronephrotic, pressure sometimes weren't really going up as I thought they would. So it's not as intuitive as I would have liked it to be and as I would have hoped that I could have predict. I wish I would have been a better surgeon at that one. But unfortunately, I think it really proves we have to monitor it.

Yeah, I selectively use this. My institution for sure does not want me to use this on every case. It is significantly more expensive, and I get it, and we need to be fiscally responsible. We can't pass these charges off to patients and to our hospitals. I'm typically choosing them for large stones, patients that have some sort of immunocompromised state. I operate on transplant patients, so

Yeah, I selectively use this. My institution for sure does not want me to use this on every case. It is significantly more expensive, and I get it, and we need to be fiscally responsible. We can't pass these charges off to patients and to our hospitals. I'm typically choosing them for large stones, patients that have some sort of immunocompromised state. I operate on transplant patients, so

Yeah, I selectively use this. My institution for sure does not want me to use this on every case. It is significantly more expensive, and I get it, and we need to be fiscally responsible. We can't pass these charges off to patients and to our hospitals. I'm typically choosing them for large stones, patients that have some sort of immunocompromised state. I operate on transplant patients, so

Those are really high targeted patients. People that I know are at risk for having an infection, so spina bifida patients, people who have already proven that they get septic from their procedures. I certainly think that those are the patients I'm going to be using that for. But if it's a small stone, I'm not going to be putting a lot of stress on my scopes.

Those are really high targeted patients. People that I know are at risk for having an infection, so spina bifida patients, people who have already proven that they get septic from their procedures. I certainly think that those are the patients I'm going to be using that for. But if it's a small stone, I'm not going to be putting a lot of stress on my scopes.

Those are really high targeted patients. People that I know are at risk for having an infection, so spina bifida patients, people who have already proven that they get septic from their procedures. I certainly think that those are the patients I'm going to be using that for. But if it's a small stone, I'm not going to be putting a lot of stress on my scopes.

I'm going to use my reusable scope because that's exactly, you know, what that, you know, that place in the process of how to do that. But if, you know, it's somebody that I really... Need to see that pressure. It's a big deal. If they get an infection, then yes, I'm going to pull that out. I'm going to use the extra money to prevent.

I'm going to use my reusable scope because that's exactly, you know, what that, you know, that place in the process of how to do that. But if, you know, it's somebody that I really... Need to see that pressure. It's a big deal. If they get an infection, then yes, I'm going to pull that out. I'm going to use the extra money to prevent.

I'm going to use my reusable scope because that's exactly, you know, what that, you know, that place in the process of how to do that. But if, you know, it's somebody that I really... Need to see that pressure. It's a big deal. If they get an infection, then yes, I'm going to pull that out. I'm going to use the extra money to prevent.

Hopefully this will show up that we're preventing the infection and the admission and every all the downstream effects of that.

Hopefully this will show up that we're preventing the infection and the admission and every all the downstream effects of that.

Hopefully this will show up that we're preventing the infection and the admission and every all the downstream effects of that.

I think if you can't get the technology, I really think access sheaths are a good thing. Don't be afraid to use those access sheaths. Yes, you might have to put a stent in. Yes, patients aren't going to like that. But I think if you explain to patients up front, this is why I'm doing this, is to try to prevent...