Henry Rosevear, MD, shares what he learned from reducing time spent on his smartphone.
“I don’t expect appreciation... But I believe patients do appreciate what we do, and it’s nice to receive thanks," says one urologist.
The authors discuss the case of a 57-year-old man who initially presents to a general surgeon with a chief complaint of right lower back and posterior neck pain, with associated soft tissue swelling. On presentation to the authors' institution, he had experienced regrowth of the masses with "ticking" in the right lumbar area that he correlated with his heartbeat. He also reported unintentional weight loss of 15 pounds over the previous 3 months.
Several strategies are available, each with their own pros and cons.
“Our time with patients is very truncated. EMRs actually get in the way of good care. They consume huge amounts of time," says one urologist.
"Advanced practice providers are uniquely positioned to advocate for an individualized approach to patient care through shared decision-making," writes Adele M. Caruso, DNP, CRNP.
"I'm not opposed to making a profit, and certainly businesses that take the risk to develop new technology should be financially rewarded for bringing that technology to market. But should life-changing technology be limited to those who can pay?" ponders Dr. Rosevear.
A 69-year-old woman was transferred from an outside institution to our inpatient service with recurrent gross hematuria. Two weeks prior to transfer, she underwent routine bilateral ureteral stent exchange, which was complicated by gross hematuria with significant clot burden.
Igor Sorokin, MD, presents the case of a woman with a history of microhematuria and two positive cytologies for urothelial carcinoma. Ureteroscopy on the right side reveals three lesions.
"The next time you think about what you would do instead of becoming a doctor and especially a urologist, just stop and be thankful you chose urology," writes Neil H. Baum, MD.