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Jose Silva

๐Ÿ‘ค Speaker
568 total appearances

Appearances Over Time

Podcast Appearances

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

And for me, I find it challenging in the sense that, for example, patients, younger guys that they don't have insurance, they come to the hospital, you want to try to do it in one shot and maybe you force a little bit more. So that means that the stent stays longer. So it's always a balance between that and, like you said, always the safest way is just putting a stand and going back another day.

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

So I haven't used the little Violet. I have used the first generation. I mean, you have the Saper monitor just as the old one, but you also have, is it attached to the same monitor or is it a Saper piece that you get the reading from the intravenous pressure? Or how is it? Because I haven't seen it.

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

So I haven't used the little Violet. I have used the first generation. I mean, you have the Saper monitor just as the old one, but you also have, is it attached to the same monitor or is it a Saper piece that you get the reading from the intravenous pressure? Or how is it? Because I haven't seen it.

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

So I haven't used the little Violet. I have used the first generation. I mean, you have the Saper monitor just as the old one, but you also have, is it attached to the same monitor or is it a Saper piece that you get the reading from the intravenous pressure? Or how is it? Because I haven't seen it.

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

So, I mean, the little view, the vision while you're breaking a stone is very good because with some of the reusable scopes, they might look great when you're just doing a nephroscopy. But when you start actually breaking stones and putting it to work, then maybe you don't get that great image as you do with the little view.

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

So, I mean, the little view, the vision while you're breaking a stone is very good because with some of the reusable scopes, they might look great when you're just doing a nephroscopy. But when you start actually breaking stones and putting it to work, then maybe you don't get that great image as you do with the little view.

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

So, I mean, the little view, the vision while you're breaking a stone is very good because with some of the reusable scopes, they might look great when you're just doing a nephroscopy. But when you start actually breaking stones and putting it to work, then maybe you don't get that great image as you do with the little view.

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

Yeah, and now the hospital is getting reimbursed depending on the insurance, but they are getting reimbursed for these disposable scopes. I have been more liberal or the hospital have been letting me use more of the disposables.

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

Yeah, and now the hospital is getting reimbursed depending on the insurance, but they are getting reimbursed for these disposable scopes. I have been more liberal or the hospital have been letting me use more of the disposables.

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

Yeah, and now the hospital is getting reimbursed depending on the insurance, but they are getting reimbursed for these disposable scopes. I have been more liberal or the hospital have been letting me use more of the disposables.

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

So, Julie, in terms of when you're there in the kidney and the uteroscopy that you do, how has it changed now that you are monitoring the intrarenal pressure versus before?

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

So, Julie, in terms of when you're there in the kidney and the uteroscopy that you do, how has it changed now that you are monitoring the intrarenal pressure versus before?

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

So, Julie, in terms of when you're there in the kidney and the uteroscopy that you do, how has it changed now that you are monitoring the intrarenal pressure versus before?

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

And you mentioned that you tried to put the sheath a little bit higher. And, I mean, if you're in an upper pole stone, upper pole calyx, it's much easier, but sometimes when you're going to the lower pole, that high axis sheath will prevent that urethra, urethroscope going down into that calyx.

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

And you mentioned that you tried to put the sheath a little bit higher. And, I mean, if you're in an upper pole stone, upper pole calyx, it's much easier, but sometimes when you're going to the lower pole, that high axis sheath will prevent that urethra, urethroscope going down into that calyx.

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

And you mentioned that you tried to put the sheath a little bit higher. And, I mean, if you're in an upper pole stone, upper pole calyx, it's much easier, but sometimes when you're going to the lower pole, that high axis sheath will prevent that urethra, urethroscope going down into that calyx.

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

Are you trying to move the stone to another position to be able to put the axis sheath, or that really is not that important?

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

Are you trying to move the stone to another position to be able to put the axis sheath, or that really is not that important?

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

Are you trying to move the stone to another position to be able to put the axis sheath, or that really is not that important?

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

So, I mean, before you were able to monitor the intrarenal pressure, I mean, is there a way to eyeball it for somebody that doesn't have access to a little view elite?