Dr. Julie Riley

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...

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...

Some of these infections, some of this high pressure systems and, you know, really some of the pain that might come. Again, laying down the expectations is really going to be the biggest thing to do that. So I would say if you don't have access to that, be very careful about your irrigation. Don't set your gravity too high.

Some of these infections, some of this high pressure systems and, you know, really some of the pain that might come. Again, laying down the expectations is really going to be the biggest thing to do that. So I would say if you don't have access to that, be very careful about your irrigation. Don't set your gravity too high.

Some of these infections, some of this high pressure systems and, you know, really some of the pain that might come. Again, laying down the expectations is really going to be the biggest thing to do that. So I would say if you don't have access to that, be very careful about your irrigation. Don't set your gravity too high.

If you're using a hand pump, make sure that the person who's using that hand pump really understands what they're doing. I would be pretty hesitant to give it to a really inexperienced scrub tech. I mean, if it's somebody you work with all the time, great. They know what's going on and you can really help them through that.

If you're using a hand pump, make sure that the person who's using that hand pump really understands what they're doing. I would be pretty hesitant to give it to a really inexperienced scrub tech. I mean, if it's somebody you work with all the time, great. They know what's going on and you can really help them through that.

If you're using a hand pump, make sure that the person who's using that hand pump really understands what they're doing. I would be pretty hesitant to give it to a really inexperienced scrub tech. I mean, if it's somebody you work with all the time, great. They know what's going on and you can really help them through that.

But somebody that really doesn't know, you're going to generate a lot of high pressure. So I would be very cognizant about that. So if you can't get it, that would be my suggestions.

But somebody that really doesn't know, you're going to generate a lot of high pressure. So I would be very cognizant about that. So if you can't get it, that would be my suggestions.

But somebody that really doesn't know, you're going to generate a lot of high pressure. So I would be very cognizant about that. So if you can't get it, that would be my suggestions.

Right. And I usually just kind of grab a hold and I'm like, you know, it's just this teeny little pump and you can see, I can see everything. That's all I really need. But I'm always surprised that sometimes I kind of turn my head and I realize all of a sudden somebody's pushing pretty hard on that hand pump. Yeah.

Right. And I usually just kind of grab a hold and I'm like, you know, it's just this teeny little pump and you can see, I can see everything. That's all I really need. But I'm always surprised that sometimes I kind of turn my head and I realize all of a sudden somebody's pushing pretty hard on that hand pump. Yeah.

Right. And I usually just kind of grab a hold and I'm like, you know, it's just this teeny little pump and you can see, I can see everything. That's all I really need. But I'm always surprised that sometimes I kind of turn my head and I realize all of a sudden somebody's pushing pretty hard on that hand pump. Yeah.

I think, you know, I have a luxury of having very qualified residents who are holding the scope and I'm holding the hand pump. So we have two very qualified people to do that. I think if you're at an institution where maybe you don't have a specialized team, it's going to be a lot harder.

I think, you know, I have a luxury of having very qualified residents who are holding the scope and I'm holding the hand pump. So we have two very qualified people to do that. I think if you're at an institution where maybe you don't have a specialized team, it's going to be a lot harder.

I think, you know, I have a luxury of having very qualified residents who are holding the scope and I'm holding the hand pump. So we have two very qualified people to do that. I think if you're at an institution where maybe you don't have a specialized team, it's going to be a lot harder.

So you might think about switching to gravity or very low pressure bags to be able to have more control over that, make sure that it's a little bit more steady.

So you might think about switching to gravity or very low pressure bags to be able to have more control over that, make sure that it's a little bit more steady.

So you might think about switching to gravity or very low pressure bags to be able to have more control over that, make sure that it's a little bit more steady.