Link to paper: https://www.ncbi.nlm.nih.gov/pubmed/17222649
Pediatric Urology
What Is Pediatric Urology?
Children frequently suffer from Genito-urinary disorders. Infants are not able to comprehensively express the discomfort due to these disorders. In such a scenario, a trained and experienced pediatric urologist is required. Pediatric urologists are the doctors that diagnose and treat various Genito-urinary disorders in children.
The genito-urinary system includes ureter, kidney, bladder, and reproductive organs. It has been estimated that of all the disorders requiring surgery in children, almost 50% of them are associated with the Genito-urinary system. These disorders may include both congenital as well as acquired. A pediatric urologist is an expert in handling the simple as well as complex cases of the Genito-urinary tract in infants and children.
How Pediatric Urology Is Different From Adult Urology?
Pediatric urology is quite different from adult urology. The symptoms of pediatric disorders are different from those of adult urology. Most of the urological disorders are congenital disorders and requires altogether a different treatment approach. Most of these problems can be managed with close observation and may not require any intervention. Pediatric surgeons are now well-equipped to precisely diagnose and manage various conditions without any surgery. Minimally invasive surgery also plays an important role in minimizing complications.
What Are The Various Pediatric Disorders?
Following are the various pediatric urological conditions:
Hypospadias : Hypospadias is the condition in which the opening of the urethra is not present on the tip of the penis. It is rather present on the underside of the penis.
Undescended testicles: Medically known as cryptorchidism, it is the condition in which either one or both the testicles failed to descend.
Vesicoureteral reflux: This condition involves the flowing of urine in the wrong direction.
Bladder exstrophy: When the bladder protrudes outside the abdominal wall, the condition is termed as bladder exstrophy.
Pelvic-ureteric junction obstruction: This condition is characterize
... keep reading on reddit ➡tl;dr: I go to medical schools, instruct students on the proper way to conduct genito-urinary (your cock and balls) and digito-rectal (finger in your butt) exams, using my own body as a teaching guide.
This AMA was requested here.
Here's the explanation I gave in the thread:
>The job title, officially, is "guiding patient". The idea is to have people to teach genito-urinary (your cock and balls) and digito-rectal (your asshole, particularly your prostate) exams who can instruct you on what you're doing wrong by feel.
>A big part of doing these exams correctly is that they should not hurt or cause discomfort; if they do, then it is a sign of a health problem. However, many medical schools either just use model patients (they don't speak at all, just passively sit there like a hunk of meat), actual models (plastic! what the fuck?), or laypeople (who don't know how it ought to feel and won't speak up in the event of discomfort) to teach these exams.
>Basically: I show up. I introduce myself. I go through the steps of the exam - usually with a professor silently present - verbally, discussing the best way to inform your patient what you're doing, how to discuss men's health needs with your patients, etc. Our company founder started out doing HR training, so that's a lot of what we focus on: the doctor-patient interaction and relationship.
>Then I drop my drawers and I demonstrate the exam on my own body.
>Then I have the students, one by one, do the exam on my body, while role-playing a doctor-patient relationship. If they are using too much or too little pressure, I inform them; if they're having trouble finding the prostate or the epidydimis, I guide them to it. I coach them through, make jokes, encourage them, etc - the idea is that doctors are often just as intimidated by these exams as patients, so it's good to get them comfortable with it.
>Then I pull up my drawers, collect my paycheck, and go.
>Honestly, most of the students tell us that it was one of the best experiences they've had in medical school. They almost never get to practice on a knowledgeable patient who can tell them what they need to do and coach them through it; it's like a cheat guide for when they do it for real.
>Surprisingly rewarding work, actually.
So I'm quitting H. But I find not being on drugs a hard existence. And I hate alcohol, and weed gives me anxiety.
I want to get addicted to ketamine to replace my heroin addiction, because ketamine is the only drug that can replace heroin for me.
But, I'm worried about my bladder and kidneys. What's the best way to use ketamine regularly and keep my bladder and kidneys in decent shape?
I know there's no full proof way, as there's no full proof way to keep a healthy liver while being an alcoholic. But with the combination of breaks and other things, I can at least keep my bladder from completely giving up on me and needing it removed.
What supplements should I take? Like is there a milk thistle for my bladder / kidneys that can mitigate the toxicity
So I get the need for filtration (such as in the glomerulus) in which filtrate, which is full of important nutrients + ions, is sent into the nephron, but the thing that has me puzzled is why reabsorption occurs.
Is there no way to simply extract the waste products from the body and go straight into excretion (so the body can just keep the important nutrients + ions)?
