Vice Chair of Education, Dept of Urology, University of Washington. Staff Urologist and Director of Comprehensive Metabolic Stone Clinic, Puget Sound VA
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@vmadhu_md@justindubinmd@daviesbj@UroOnc@neurosurgery There are tremendous inefficiencies in the way we train. The basics/foundation of Residency could be 1-2 years shorter with a purposeful transition to specialization for the last 2 years. The chief year exposure is only long-term valuable to a fraction of trainees.
Open fellowship position. UW has an open 1 year Endourology Fellowship position starting July 2027. Reach out or email [email protected] for more info. @SorensenMathew@uwurology
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@CanesDavid@Gabe__MD “It is just like flying a plane” except every plane is different. Some are actually a submarine. None have instructions or a steering wheel, and every one responds differently to your efforts….but otherwise, the same
@roger_sur At this pH there is not a lot of dissolved uric acid. Maybe some, but this pH is just at the breakpoint of uric acid’s pka. The supersaturation is low as the urine volume is very high (not likely a sustainable or regular volume).
@roger_sur Actual adherence to the KCitrate +/- a higher dose. Will probably also need allopurinol given that high of UA but would start by trying dietary efforts. The patient might need to give up their lifetime membership to the Brazilian steakhouse next door