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Jose Silva

👤 Person
564 total appearances

Appearances Over Time

Podcast Appearances

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

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?

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

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?

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

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?

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

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?

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

So you mentioned temperature, you mentioned intravenous pressure. How technology has helped to minimize complications when we're doing neutroscopies?

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

So you mentioned temperature, you mentioned intravenous pressure. How technology has helped to minimize complications when we're doing neutroscopies?

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

So you mentioned temperature, you mentioned intravenous pressure. How technology has helped to minimize complications when we're doing neutroscopies?

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

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?

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

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?

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

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?

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

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.

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

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.

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

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.

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

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?

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

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?

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

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?

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

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?

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

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?

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

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?

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

And Julie, in terms of, you mentioned the balloon, if you do dilate the ureter, does it mean the stent stays longer?