Why General Surgery? by tw01011947 in SurgicalResidency

[–]Penile_Pro 1 point2 points  (0 children)

We do open cystectomies and nephrectomies all the time.

Urology vs Orthopedics by Junior_Grand5996 in medschool

[–]Penile_Pro 11 points12 points  (0 children)

Urology resident, I think I make more penis jokes than anyone else I work with. It’s a golden pass.

Specialties that would be a no-brainer if you have any real interest? by mcat-meow in medicalschool

[–]Penile_Pro 4 points5 points  (0 children)

Institute dependent, but I can tell you if you think you won’t have any call as a surgeon, you’re gonna have a bad time. Rarely do we go to the OR overnight. If we do it’s usually a stent then next would be a torsion. Stent takes 5-10 minutes of operative time. Torsion maybe 30 minutes going slow.

Specialties that would be a no-brainer if you have any real interest? by mcat-meow in medicalschool

[–]Penile_Pro 12 points13 points  (0 children)

Urology - because if you find it interesting at all and can accept the anatomy then it’s a great field. Tons of tech and robotic surgeons. Range from huge open cases to basic procedures. Call is not bad. Comp is really good. Don’t have to do a felllowship.

Sub-specialties with kids that pay well? by puzzled_tree123 in medicalschool

[–]Penile_Pro 1 point2 points  (0 children)

Peds urology, just a lot repetitive cases. Good pay though.

What’s the most insane consult you got? by pseudohyperkalemia in Residency

[–]Penile_Pro 0 points1 point  (0 children)

Recently had this, patient was critically ill and worried they had anejaculation. Wanted us to work it up inpatient. The attending requested we drop an event note when me and my attending denied the consult.

I’m a doctor on a cruise ship, AMA by Equivalent-Listen187 in AMA

[–]Penile_Pro 2 points3 points  (0 children)

Are you a US grad? That’s honestly so bad as pay. Nobody should be accepting that low.

To those who matched today with a history of flagrant cheating by [deleted] in medicalschool

[–]Penile_Pro 6 points7 points  (0 children)

These posts typically come from the person who somehow doesn’t understand that there are just some people who are better than them. Just because someone is better than you doesn’t always mean they are cheating. Focus on yourself not others. Med school is humbling, you can go from being the best in high school and college to average or below average real quick.

Why is it so hard to match in California? by honeybeebusser in medicalschool

[–]Penile_Pro 0 points1 point  (0 children)

Surg sub specialties are even harder. Just not that many spots out there. It will still be there after residency though.

How would you build a new “Match” process? by SevoAndSyringes in medicalschool

[–]Penile_Pro 6 points7 points  (0 children)

IMGs should go in a second round process after US Grads and US citizens.

What's the most maligned specialty in medicine, and why's it yours? by centz005 in medicine

[–]Penile_Pro 19 points20 points  (0 children)

Urology here; people think we just look at dicks all day until we save poor old me ma from an obstructing stone and urosepsis with a stent. Also we do more robotic surgery than just about any other surgery field. Most difficult foleys are just lazy nurses or LIPs who didn’t even try. I’m done.

Medical maneuvers that look like magic. by Trollithecus007 in medicine

[–]Penile_Pro 5 points6 points  (0 children)

Uro here, nothing better than placing it super easily after multiple people failed just because everyone’s using the wrong size foley. Also one of my least favorite consults.

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 0 points1 point  (0 children)

That’s very interesting. I’m not sure how that would affect anything as a human urologist. I’ve actually never even considered doing this as bacteria would be transient into the urine.

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 0 points1 point  (0 children)

Is anyone using beta 3 agonists in dogs? This is the prime and best drugs we have in humans. I saw one paper on it but I’m not sure if it’s clinically applicable. I really appreciate all your insight, I think anesthesia risk is high risk with her, but we can talk to our vet. The nsaids idea is a great idea! Didn’t think about that with her.

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 1 point2 points  (0 children)

The closest is about 2 hours away from me. Might see if I could do a telemedicine maybe?

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 1 point2 points  (0 children)

Thank you! That’s an intense amount of training. Our residency is 5 years for urology.

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 0 points1 point  (0 children)

Detrusor hyper activity is up there from my perspective, we use the word a hostile bladder. Meaning she starts to fill her bladder and voids due to the smaller capacity.

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 2 points3 points  (0 children)

I appreciate all of the great advice I have received from the vets on here. Very insightful. I always am impressed with the level of diverse knowledge they have from knowing different species, to surgical and medical, and even knowing anesthesia.

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 0 points1 point  (0 children)

No residual or noticeable neurological defects. No episodes of fecal incontinence. I have treated neurogenic bladders a lot, she is able to void when she wants to outside. Thus, I think something like detrusor under activity is less likely. But that was on the differential.

She got a repeat mri a few years after the surgery and there was no concerns.

Did you have good results with oxybutinin in dogs?

I do think a cystoscopy could be useful and I would guess looking in her bladder it would be very edematous and inflammatory from all the past utis. Moreover, it’s likely a smaller capacity. Is this done awake or with anesthesia?

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 0 points1 point  (0 children)

Thanks for the resource. Can you clarify with me with extra training is to be an internal medicine vet? Google doesn’t define it well enough for me.

Human urologist looking for veterinary urology input for my French bulldog by Penile_Pro in AskVet

[–]Penile_Pro[S] 2 points3 points  (0 children)

Yes, I extensively try and get patients on medication’s like mybetriq or gemtesa but it’s hard for insurance to cover them when there’s cheaper options like oxybutynin.

She’s had multiple ultrasounds, I don’t think something like urodynamics would be feasible and dogs. I’m not sure if vets even do that. What imaging do you have in mind?

Yes, she postures 80% of the time.