Jose Silva
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Podcast Appearances
And for those patients, let's say pre-standard, do you think there's a difference if the stone is in the kidney versus the ureter in terms of risk of infection or after the procedure?
In those patients, I mean, that is a very big stone, two to three centimeters. What's your ideal scenario? I mean, let's say the patient goes to the office, no symptoms of infections. Are you trying to put an access sheet on these patients? What are you doing with these patients that have big stones?
In those patients, I mean, that is a very big stone, two to three centimeters. What's your ideal scenario? I mean, let's say the patient goes to the office, no symptoms of infections. Are you trying to put an access sheet on these patients? What are you doing with these patients that have big stones?
In those patients, I mean, that is a very big stone, two to three centimeters. What's your ideal scenario? I mean, let's say the patient goes to the office, no symptoms of infections. Are you trying to put an access sheet on these patients? What are you doing with these patients that have big stones?
So you mentioned temperature, you mentioned intravenous pressure. How technology has helped to minimize complications when we're doing neutroscopies?
So you mentioned temperature, you mentioned intravenous pressure. How technology has helped to minimize complications when we're doing neutroscopies?
So you mentioned temperature, you mentioned intravenous pressure. How technology has helped to minimize complications when we're doing neutroscopies?
And in terms of intrarenal pressure, what are we talking about? What's normal? What's abnormal? Where we're in a dangerous zone? And the other question will be, what do you use to irrigate the kidney?
And in terms of intrarenal pressure, what are we talking about? What's normal? What's abnormal? Where we're in a dangerous zone? And the other question will be, what do you use to irrigate the kidney?
And in terms of intrarenal pressure, what are we talking about? What's normal? What's abnormal? Where we're in a dangerous zone? And the other question will be, what do you use to irrigate the kidney?
And Julie, in terms of putting an anesthetist, now that you're actually seeing intravenous pressures, sometimes, I mean, let's say you have a one centimeter stone in the kidney. The uterus is very narrow. You don't want to take the patient again. And this is a patient that calls us outpatient, not infected. and you don't want to put a stent and then come back in another week to do it.
And Julie, in terms of putting an anesthetist, now that you're actually seeing intravenous pressures, sometimes, I mean, let's say you have a one centimeter stone in the kidney. The uterus is very narrow. You don't want to take the patient again. And this is a patient that calls us outpatient, not infected. and you don't want to put a stent and then come back in another week to do it.
And Julie, in terms of putting an anesthetist, now that you're actually seeing intravenous pressures, sometimes, I mean, let's say you have a one centimeter stone in the kidney. The uterus is very narrow. You don't want to take the patient again. And this is a patient that calls us outpatient, not infected. and you don't want to put a stent and then come back in another week to do it.
So you go to the kidney, there's not that much drainage, and those patients usually then complain of back pain. I mean, hopefully they don't go into infection, but those are the patients that I see that are really having more pressure in the back in PACU. What do you usually do?
So you go to the kidney, there's not that much drainage, and those patients usually then complain of back pain. I mean, hopefully they don't go into infection, but those are the patients that I see that are really having more pressure in the back in PACU. What do you usually do?
So you go to the kidney, there's not that much drainage, and those patients usually then complain of back pain. I mean, hopefully they don't go into infection, but those are the patients that I see that are really having more pressure in the back in PACU. What do you usually do?
I mean, is that usually what you do, or you prefer just to put a stent and come back in another day, you can put an exit sheath?
I mean, is that usually what you do, or you prefer just to put a stent and come back in another day, you can put an exit sheath?
I mean, is that usually what you do, or you prefer just to put a stent and come back in another day, you can put an exit sheath?
And Julie, in terms of, you mentioned the balloon, if you do dilate the ureter, does it mean the stent stays longer?