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I am Dr. Todd Brandt. I am a urologist. 

These are words I couldn't have imagined myself saying as I was growing up thinking about medicine as a career. 

And I have been asked many, many times why I went into urology as a medical specialty. In this podcast I attempt to explain how I got here. Why did I choose urology as a specialty? Why do I like it? Why, if you are someone with a urinary tract, should you care? Get it? Why Urology.

This podcast is a personal experiment in medical audio content. I make the obvious disclaimer that this is not medical advice. You should be going to your own physician for that.

These episodes are meant to educate, entertain, inspire or inform you in some way with urology as the launching point for each episode. Each episode is varied in format and length as I have experimented with content. 

Listen, follow, share, rate, review, know what to do.

If you have kidney stones, or prostate cancer, or another urologic health concern this podcast may help you.

If you have a loved one with any urologic health concern this podcast may help you. 

If you are someone who has asked, "How does my bladder do it's thing?", this podcast may help you.

If you make urine, or even if you don't, this podcast may help you.

Thank you for listening to this podcast. I do appreciated any feedback I get so please reach out to me at the link provided on this website. 

Be well,

Dr. Todd Brandt

Jun 9, 2019

In this episode and the last we are talking about blood in the urine.


Blood in the urine is a common reason people will come to the urologist. I our last episode I talked about gross hematuria or visual blood in the urine, specifically as an indicator and sign that a patient may have bladder cancer, or a kidney stone, or kidney cancer or a host of other serious problems.


Visual blood in the urine is not something you can mistake for something else. When you have gross hematuria your urine is red, think cherry kool-aid or maybe tomato soup. Sometimes you will have clots. The clots can be vermiform, long and stringy like a worm.

Visible blood in the urine is not normal. Don’t ignore it.

But there is another form of blood in the urine, called microhematuria, that also should not be ignored.  You can’t see microhematuria; it is found on routine laboratory testing. Microhematuria is diagnosed when a urine dipstick test indicates that there is detectable blood on the chemical exam and then, under a microscope, a laboratory technician can see red blood cells in your urine.

Microhematuria can be just as significant as gross hematuria when it comes to what might be causing the problem. While gross hematuria shouts at you “Go see a doctor!”, microhematuria says it quietly, in a sinister voice “You might have a problem.”

Link to AUA guidelines: