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Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Lindsey: hi dr. cabral - i have had what seems to be kidney pain for years. i only get relief when my spouse does really deep tissue massages on my lower back. after, my stomach makes gurgling noises and it ends up being gas. ive gone 1 time to a gastro for this and they said it's not my kidneys but inflamed intestines appearing as kidney pain. can you please point me in the right way ? Katherine: Hi Dr. Cabral, Thank you for all u do! You are my "benchmark" in the health world. Wondering what you would recommend a member of your family if this happened to them. Summer 2022 I had a really bad kidney stone that landed me in the hospital. I passed it. Since then I had about 4 more instances of kidney stones (but not as severe-was able to take some meds to ease the pain until it passed). Recently I went for a CT Scan and it showed my left Ureter dilated. The Urologist suggested another CT scan with dye or a to putna camera in and see if something is there causing a blockage or a tumor. Curious what I can do to be more proactive. Tina: Love your show :) what is the best alternative to a mammogram? Thermal imaging anything you can recommend please I do not want to go for a mammogram. I've read other women with mast cell activation having breast cancer. Also, really trying hard to get rid of mast cell activation. Is cancer is a sign of mast cell activation ? Alma powder will it help mast cell activation? Alma powder better then berberine? Been researching alternatives to semaglutitde with myself having insulin resistance type 1 diabetes I am full plant based no fat no sugar no salt Please need help Olivea: Dr. Cabral, The information you provide is wonderful. I just listened to your podcast 'why not fast until lunch' I have never been a huge proponent of fasting for myself simply because of my schedule. Curious what you would recommend for my schedule in regards to fasting and overall health - I try to eat dinner around 6:30/7pm each night. I wake up at 4:45 for the gym - I typically eat an apple on my way to the gym (I go to CrossFit) - my workout is an hour (starting at 5:15am) and then I have 1 egg + some egg whites around 7am, I then make myself a smoothie with water, fruit, and almond milk and take it to work with me and it usually takes me a few hours to drink it. I guess more of what I am asking is - someone who has morning workouts - what do you recommend for fasting? Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions! - - - Show Notes and Resources: StephenCabral.com/3039 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Jon drops in for a quick podcast when life gets in the way. Jon's son went into the hospital for a routine surgery that felt anything but routine. Jon discusses how Ben is doing now, the calming power of Adam West, and why geek culture is meant to be a distraction, not a stress. [Ep368]
Nick and Fei get into the second part of surgical injuries. What do we do if there is a bowel or ureteral injury? Check out the website for the Rosh Review question of the week. Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com
Nick and Fei discuss surgical injuries during obstetric surgery. The most commonly injured organs are the bladder, bowel, and ureter. How do we manage them? What can we do to prevent injury? Find out on today's episode! Check out the website for the Rosh Review question of the week. Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com
To have your question featured in a future video, please email: questions@drmdc.health
May 19, 2023 Mark, Ray, and Scott talk about a question Dr. John Lin asked on a recent Noridian Mac Call about billing a Modifier -78 with POS 11 (hear the recording on the Thriving Urology Facebook Group). Also, they answer 3 questions that came into the Urology Coding and Reimbursement Group.Robot-assisted Laparoscopic Evaluation of LEFT Distal Ureter:How would you code this? dr put 50949. Hello,We have a question for your regarding ADT injections/visits for:Eligard injection- HCPCS: J9217Camcevi injection-HCPCS: J1952We have recently hired an experienced NP to launch an Advanced Prostate Clinic. For our pts on ADT therapy, can they be seen by our NP and bill a level 3 or 4 office visit as she will be discussing bone health, sexual health, and incontinence issues?What are other clinics doing nationwide for this type of visit and what is appropriate/recommended? Please let me know if there is any additional information I can provide.I really enjoy your webinars, thank you so much for providing this service![To clarify, this would be for an E/M and therapeutic injection (ADT) in the same visit? ]Thank you,RileyIs there a cpt code for removal of a urethral stone using forceps, no cysto involved? Every code I see is for cysto with removal. Can we bill a 52310 with a modifier 52 for reduced services? Or should we use unlisted code 53899? Thank you! PRS Network Monthly Webinar Series Recordings:Maximizing Income and Efficiencies for Urology PracticesRegister for Entire Webinar Series - Free*Registration Now Open: Urology Advanced Coding and Reimbursement SeminarClick Here to Register Now Las Vegas, December 1&2, 20238 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayReserve your spot and save!As a Urology Coding and Reimbursement Podcast listener, you get access to a discount (limited-time offer).Use code: 24UACRS733Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com
#96. O tratamento da cólica renal e do cálculo ureteral por meio da ureteroscopia na urgência é algo rotineiro. Mas o que fazer em relação aos cálculos renais que foram diagnosticados na tomografia inicial? Devemos ou não tirar as pedras? Neste episódio do Podcast Conversa Aberta com O Urologista eu discuto um artigo recentemente publicado que traz algumas respostas. Abordamos: · Agradecimentos · Cólica renal e cálculo ureteral: quando e como tratar?· Tomografia na urgência para cólica renal· Cálculos renais assintomáticos que se tornam sintomáticos· O que a literatura e o consenso da urologia dizem à respeito dos cálculos renais descobertos numa crise de cólica renal?· Considerações finais- Ouça e aprenda mais! Se gostar, compartilhe e não esqueça de deixar seu comentário e nota nas plataformas de Podcast, principalmente na da Apple. Isso ajuda a disseminar o conhecimento. - Ouça também em meu site e deixe seu comentário, ficarei muito feliz em tirar suas dúvidas. Mais detalhes em:https://www.ourologista.com.br/podcast/episodio96- Quer receber mais informações sobre Saúde e Urologia? Cadastre-se em nosso site:https://mailchi.mp/c0ab94ae38e9/sign-up
Ano nga ba ang gawain ng kautusan sa ating buhay
Ano nga ba ang gawain ng kautusan sa ating buhay
#75. O tema desta semana é sensível e muitas vezes pouco abordado pelos médicos urologistas ao tratar seus pacientes com cálculo renal e ureteral. Diferente da estenose de uretra, a estenose de ureter é menos frequente e tem sintomas e consequências distintas, sendo algo temido como complicação em quem sofre com cálculos renais.Introdução e agradecimentosA anatomia do ureter e via urináriaO que é estenose de ureter?Quais as principais causas?Quais os riscos do desenvolvimento de uma estenose de ureter?Como suspeitar e diagnosticar uma estenose de ureter?Quando e como tratar?Como seguir após o tratamento?Reflexões finais- Ouça e aprenda mais! Se gostar, compartilhe e não esqueça de deixar seu comentário e nota nas plataformas de Podcast, principalmente na da Apple. Isso ajuda a disseminar o conhecimento. - Ouça também em meu site e deixe seu comentário, ficarei muito feliz em tirar suas dúvidas. Mais detalhes em:https://www.ourologista.com.br/podcast/episodio75- Quer receber mais informações sobre Saúde e Urologia? Cadastre-se em nosso site:https://mailchi.mp/c0ab94ae38e9/sign-up
The ureter is the long thin little muscular structure that transports urine from the kidneys to the bladder. The ureter is a relatively small player in the urinary system but a very important one. It doesn't get talked about enough because it is often thought of as just a transport tube from the kidneys, the star of the show where the urine is made, to the bladder, the supporting actor, where the urine is stored. What is most striking to me as a surgeon is how delicate the ureter is to have such a critical function to getting waste products out of the body, , how small it is and occasionally hard to identify within the body, how easily it can be injured during an operation, and how delicate we have to be when we operate. There's a lot relying on these little guys to do their job. The ureters are long, usually 20–30 cm (8-12 inches) long and around 3–4 mm (1/8 to ¼ inch American) in diameter. From the renal pelvis, they descend on top of the psoas major muscle to reach the brim of the pelvis. Then they cross in front of the common iliac arteries down along the sides of the pelvis, and finally curve forward and enter the bladder at the back of the bladder, tunneling through the bladder wall before opening into the bladder on its back surface at the level of the trigone of the bladder at small openings called the ureteral orifices. The inner lumen of the ureter is lined by transitional cells, the same type of cells that lines the urinary bladder. The transitional cell urothelium stretches in the ureters, appearing as a layer of column-shaped cells when relaxed, and of flatter cells when stretched and distended. Below the epithelium sits the lamina propria, a connective tissue layer with many elastic fibers, blood vessels, veins and lymphatic channels. The ureter's outer layers are two muscular layers, an inner longitudinal layer of muscle, and an outer circular or spiral layer of muscle. The lower third of the ureter has a third muscular layer. Because of it's length along the body the ureter's blood supply (arteries and veins), lymphatic drainage and nerve innervation come from many different sources at the levels along it's path. The ureters can be affected by a number of diseases. Kidney stones are the most common problem. The ureters are so narrow it doesn't take a very big stone to get stuck in the middle. Stones even as small as 1-2 mm may get stuck in the ureter (although some ureters can pass stones as large as a centimeter). When the stone gets stuck the urine cannot pass. The urine backing up stretches the ureter and renal pelvis behind it causing hydronephrosis or hydroureteronephrosis. The muscular renal pelvis and ureter try to push the urine out with peristaltic waves of muscular contraction. The pressure buildup and stretch receptors in the renal pelvis and ureter cause pain. The pain often comes in waves and is referred to as renal colic. Because the nerve innervation comes from several levels along the course of the ureter the pain can be felt sometimes in the back, sometimes in the flank, or sometimes radiating around to the front lower abdomen and down into the testicle, scrotum or labia. To get a stone that is stuck in the ureter out of the body often requires a scope procedure called ureteroscopy to look into the ureter and pull out the stone and/or to break it up using a holmium laser. The ureter can also be blocked by obstruction. Obstruction of the ureter can occur intrinsically, as a result of narrowing within the ureter, or extrinsically, compression or fibrosis of structures around the ureter pushing on the ureter to narrow it. Intrinsic blockage can come from strictures, congenital or acquired, and ureteropelvic junction obstruction from abnormal development at that junction or from obstructive ureteroceles. Extrinsic compression can come from cancer, endometriosis, tuberculosis and schistosomiasis, and retroperitoneal fibrosis. A narrowed ureter leads to hydronephrosis and hydroureteronephrosis similar to a kidney stone but it does not always lead to pain because the conditions are usually more chronic. Other symptoms may be blood in the urine, infection, or a loss of kidney function. Often the condition is found incidentally, when an x-ray, ultrasound or CT scan is done for another condition. Treatment of any of these obstructions may involve treatment of the underlying conditions as well as ureteral stenting or nephrostomy tube, ureterolysis in the case of retroperitoneal fibrosis, or reinserting the ureters into a new place on the bladder called reimplantation. Another class of ureteral problem is congenital abnormalities that affect the ureters, which can include the development of two ureters on the same side with subsequent obstruction and/or reflux, or abnormally placed ureters, called the ectopic ureter. Variants of ureteral anatomy such as duplication occur when the ureteric bud, an outpouching from the mesonephric duct, which forms the ureter, develops abnormally, sometimes duplicating completely or incompletely or budding from an abnormal position so the ureter drains not on the trigone of the bladder but higher or lower in the bladder, in the prostate, urethra or vagina. Congenital abnormalities can present with a number of symptoms and may need to be treated very early in life in some cases. Another condition commonly seen in children is vesicoureteral reflux. Reflux is when urine is pushed back into the ureter during urination. In the normal situation the ureter tunneling through the bladder creates an area of the ureter that prevents urine from going back into the ureter during urination. Many children with this vesicoureteral reflux have the reflux resolve as the bladder develops through childhood. The amount of reflux can be mild, going just to the end of the ureter, or severe, going to the renal pelvis and dilating the system from the backflow. Symptoms are most commonly recurrent infections. Occasionally surgery is needed to reimplant the ureter and correct the reflux. Lastly, I would like to mention ureteral cancer. Ureteral cancer is most often cancer of the cells lining the ureter, the transitional cells, and is called transitional cell carcinoma This is a similar cancer to most bladder cancers. Bladder cancers are more common that ureteral or renal pelvic tumors, but the risk factors are largely the same, including smoking and exposure to dyes such as aromatic amines and aldehydes. The most common symptom is blood in the urine. Diagnosis is made radiographically and through visual inspection called ureteroscopy. Treatment most often requires removal of the entire ureter, renal pelvis, and kidney on that side. For more information on that you can listen to the last episode of this podcast, an interview I had with Dr Mikhail Regelman about a procedure called nephroureterectomy. Find more episodes and connect with me at whyurologypodcast.com.
#11. Neste episódio, respondo à pergunta da Camila sobre catéter duplo J. De forma bem completa, explico tudo que os pacientes precisam saber sobre o catéter de duplo J. Abordo os seguintes temas: O que é o cateter duplo J? Um paralelo: o que realmente dói na cólica renal? Do que é feito esse cateter? São todos iguais? Quando é indicado? O Duplo J incomoda? O que vou sentir? Como posso minimizar os sintomas do duplo J? Quanto tempo posso ficar com o duplo J? Como o duplo J é retirado? O duplo J pode se deslocar? Ouça e aprenda mais! Se gostar, compartilhe e não esqueça de deixar seu comentário e nota nas plataformas de Podcast. Isso ajuda a disseminar o conhecimento. Ouça também em meu site e deixe seu comentários, ficarei muito feliz em tirar suas dúvidas. Link to http://www.ourologista.com.br/podcast/episodio11
Join Yvonne Brandenburg, RVT, VTS SAIM and Jordan Porter RVT, LVT, VTS SAIM as we talk about: Did you know that in the time it takes you to listen to this entire episode, your kidneys have filtered one of your patient’s blood 13.5 times!!!! Listen to us this week as we talk the nitty gritty of kidney function all the way through to the urethra. Urine for basics of the urinary system ;) Question of the Week What is your favorite “body system” and why? Leave a comment at https://imfpp.org/episode38 Resources We Mentioned in the Show Internal Medicine For Pet Parents: https://www.internalmedicineforpetparents.com/urinary.html How do your kidneys work? - Emma Bryce https://youtu.be/FN3MFhYPWWo Bassert, T. C. (2002). Clinical Anatomy and Physiology for Veterinary Technicians. St. Louis: Mosby, Inc. Linda Merrill, L. V. (2012). Small Animal Internal Medicine for Veterinary Technicians and Nurses. Ames: Wiley-Blackwell. Thanks so much for tuning in. Join us again next week for another episode! Get Access to the waitlist for the Internal Medicine for Vet Techs Membership Sign up at https://imfvt.com Get Access to the Technician Treasure Trove Sign up at https://imfpp.org/treasuretrove Thanks for listening! – Yvonne and Jordan
Nothing good happens after midnight when the long knives are out. Alex explores the horror of suffering in uncertainty after he finds a knife in his back. Be sure to visit J. Alexander Greenwood at PilatesCross.com or purchase his work here. The Mysterious Goings On Podcast is recorded at Green Shebeen Studios in the heart of beautiful Kansas City, Missouri. Copyright 2019, all rights reserved. No reproduction, excerpting or other use without written permission. Theme music "Spy Glass" and additional music "Truth in the Stones" by Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/
Well, this is the story of my operation for Ureter Stone. This is all about how I got operated and what's next...
Take a microscopic tour down the urinary tract from the kidney to the bladder with Professor Susan Anderson. See the unique transitional cell epithelium and the muscular arrangement of the organs. All you need to know for exams or to amaze your friends.
10/24/2016 | CT of the Ureter and Bladder: Pearls and Pitfalls Part 2
10/17/2016 | CT of the Ureter and Bladder: Pearls and Pitfalls Part 1
The Puru may have finally met his match. Jibril is an extraordinary five year-old living in the Bronx who just happens to be obsessed with digestion. In this episode of SHHH, Jibril schools Shawn on why poop should resemble bananas instead of asteroids, explains the genesis of the pyloric sphincter, and meditates on the difference between half-digested food and poop. Joined by his mother Fatima and a league of lego models, Jibril will refresh your knowledge of basic biology and redefine cuteness while saying words like "penis," "gallbladder," and "hepatopancreatic duct" in all innocent earnestness. Mentioned in podcast: Shawn Shafner, early childhood, poop, digestion, sphincters, reproduction, vagina, ureter, bolus, chyme, pancreas, duodenum, pharynx, larynx, teeth, tongue, saliva, stomach, large and small intestine, rectum, anus, Bronx Museum of Art, Boogie on the Boulevard, NYC, YouTube, Magic Schoolbus, taboo.
Susan Clayton shows you how to do a laparoscopic renal pyeloplasty for pelviureteric junction (PUJ) obstruction. In this step by step video you will be taken though the stages of this key operation in urology. Essential viewing for any core trainee or resident, or anyone interested in or already pursuing a career in surgery or urology. Susan Clayton is a trainee in the East Midlands School of Surgery. The procedure was performed by Mr Simon Williams, Consultant Urologic Surgeon, Royal Derby Hospital, UK
In a previous podcast you've seen how to to a laparoscopic nephrouterectomy for TCC. Now you can learn about transitional cell carcinoma itself. Susan Clayton discusses epidemiology, aetiology, presentation, investigation, treatment options and prognosis of TCC with Simon Williams. The podcast is mapped to learning outcomes from ISCP and covers all you need to know as a medical student and core surgical trainee (junior resident) about this common urological cancer. Listening to this is a few minutes well spent on the way to urology clinic or theatre where you might see a patient with TCC and be asked equations on it. Impress the consultant with your knowledge and structured presentation! Its also useful as a quick revision aid for more senior trainees, especially in the run up to an exam. Dr Susan Clayton is a core surgical trainee in the East Midlands School of Surgery UK, and Simon Williams is a Consultant Urological Surgeon at the Royal Derby Hospital, UK.
Susan Clayton takes you through laparoscopic removal of the kidney and ureter to treat transitional cell carcinoma. There is a step by step commentary and operative footage of this commonly performed operation, with explanation of the anatomy and each step of the operation. This podcast will help you to fully understand nephroureterectomy, whether you are a medical student, core trainee (junior resident), or higher surgical trainee. Surgery perfumed by Simon Williams, Consultant Urological Surgeon, Royal Derby Hospital, UK
08/05/2013 | CT of the Ureter: An Overlooked Source of Pathology
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 11/19
Thu, 17 Jun 2010 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/11716/ https://edoc.ub.uni-muenchen.de/11716/1/Bauer_Margit.pdf Bauer, Margit ddc:610, ddc:600, Medizinische Fakultät
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 05/19
Diese retrospektive Arbeit untersucht die Sensitivität, Spezifität und Genauigkeit der Multi-Detektor-Computer-Tomographie (MDCT), für die Entdeckung und Lokalisation von tumorösen Veränderungen des Harntrakts. Material und Methoden: Native MDCT-Aufnahmen und MDCT-Aufnahmen mit Kontrastmittel (nephrographische Phase und CT-Urographie) der Nieren und des Harntrakts wurden für 27 Patienten (14 Patienten mit einem Urothelkarzinom (UC) in der Vorgeschichte und dem Verdacht auf ein Tumorrezidiv und 13 Patienten mit schmerzloser Makrohämaturie) in axialer und koronarer Ebene rekonstruiert (Alter der Patienten 72 ± 11 Jahre, 22 männlich, 5 weiblich). Die MDCT-Aufnahmen wurden von einem Facharzt für Radiologie (Untersucher 1) und einer Weiterbildungsassistentin für Urologie im letzten Ausbildungsjahr (Untersucher 2), unabhängig von einander, auf das Vorliegen einer tumorösen Veränderung hin untersucht. Der Harntrakt wurde in 17 Segmente unterteilt (rechts und links, obere, mittlere und untere Kelchgruppe, Nierenbecken, Infundibulum, oberer, mittlerer und unterer Ureter, sowie die Harnblase). Die Ergebnisse der Befundung der MDCT-Aufnahmen wurden entweder mit dem pathologischen Befund aus Operationspräparaten oder anderen invasiven Untersuchungen, sowie bildgebender Nachuntersuchungen für ein Jahr einschließlich MDCT, intravenöser Urographie und Cystographie oder Cystoskopie verglichen. Ergebnisse: Von 27 Patienten hatten 18 ein UC (TNM 2002 pTa, n=3, pT1– pT3, n = 15), bei neun Patienten konnte kein Tumor nachgewiesen werden. Beide, Untersucher 1 und Untersucher 2, erkannten einen Tumor bei 17 Patienten (Sensitivität 94 %, 95%-Konfidenzintervall 84 - 100%) und schlossen ihn bei 7 Patienten (Spezifität 78 %, 95%-Konfidenzintervall 51 – 100 %) aus und entdeckten 10 Tumore von 11 des oberen Harntrakts. Auf die einzelnen Segmente des Harntrakts bezogen ergab sich für Untersucher 1 eine Sensitivität von 78% (95%-Konfidenzintervall 66 - 90%) und eine Spezifität von 96% (95%-Konfidenzintervall 94 – 98%) Für Untersucher 2 ergab sich auf die einzelnen Segmente des Harntrakts bezogen eine Sensitivität von 57% (95%-Konfidenzintervall 42 – 71%) und eine Spezifität von 98% (95%-Konfidenzintervall 97 – 100%) Für die 35 Segmente mit und die 308 Segmente ohne UC ergab die ROC-Analyse bei Betrachtung alles MDCT-Phasen für Untersucher 1 eine Genauigkeit (aerea under the curve) von 0,910 ± 0.035 (95%- Konfidenzintervall 0,842 - 0,979) und für Untersucher 2 eine Genauigkeit von 0,749 ± 0,055 (95%-Konfidenzintervall 0,642 - 0,857). Schlussfolgerung: Mit der MDCT ist es möglich Tumore des oberen Harntrakts mit hoher Sensitivität und guter Spezifität zu entdecken. Die hohe Übereinstimmung der beiden Untersucher (Untersucher 1 und Untersucher 2) mit jeweils unterschiedlichem Ausbildungsstand legt nahe, dass die Tumore sowohl von entsprechen vorgebildeten Radiologen als auch von Urologen erkannt werden können.
Sat, 1 Oct 1994 12:00:00 +0100 https://epub.ub.uni-muenchen.de/9517/1/stief_christian_9517.pdf Jonas, Udo; Stief, Christian Georg; Forssmann, W. G.; Truss, Michael C.; Meyer, M. F.; Schulz-Knappe, P.; Taher, A.