On October 18 I wrote about a very sick patient with an obstructing, infected kidney stone who underwent a dramatic transfer via boat to the nearest hospital with urologic capability. I will report what we learned about happened next. The patient underwent ultrasound there by the urologist, who noted that the kidney was indeed obstructed but who could not see a stone. He decided his involvement was no longer needed. The patient was begun on dialysis.
We would love to be able to put in stents here in our clinic. What does that involve? Might it be possible in a low-resource setting like ours, if were were able to get good equipment?
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