Welcome back. One of the topics that I wanted to cover while we were talking about nephylothiasis

is straining the urine. Now, here's probably a perfect example of my rapid cycling personality.

I can go from Namaste to anger and back in half a minute. But here's my lash out moment.

Strain the damn urine. If we don't know what kind of stone the patient has,

it's going to be harder to prevent them and understand what caused them in the first place.

That's not to say that we can't do other metabolic workup, but if we know that it's a uric acid

stone or a calcium oxalate stone, it really, really is helpful.

Okay, now for my namaste moment, my listeners are always trying to improve their practice

and all of our previous mistakes are forgiven, even if you're one of those who I pick up

the patient and you never strain the urine. Now, namaste away from me until I've had my coffee.

Stone analysis is actually very cheap.

So all those practitioners out there who constantly get a CBC and comprehensive metabolic

panel on every patient in the hospital every day for almost no reason, that's a huge waste

of money.

A stone analysis actually pretty cheap tells you a reason. That's a huge waste of money. A stone analysis, actually pretty

cheap, tells you a lot. It's probably too early in an episode to be going off on a tangent,

but I was just bigot. My friends, and particularly my social media friends, who I haven't seen

in a while, who are really into yoga. They put up all these peaceful poses of them

doing yoga on beaches and they look really good and I don't mind looking at them. But most of those

people are among the craziest people I have ever met in my life. My wife excluded. She is super

into hot yoga for about the past 15 years and honey whenever you lose your temper totally justified

think god she never listens to this podcast in fact i am 90% certain she has no idea that i

...