Patrick Patten, MD, MPH

@PhilipRChapman1 Then we wouldn’t need societies telling us which templates to use

If we just had one more radiologist telling everyone else how to dictate…

@docxusofficial A breast with a lawyer. It always takes more than 1 look. Two Views. 2 viewers.

ONE look… that’s all it should take What is it ❓

@Abhilasha21822 Looking forward to ai telling everyone chondrocalcinosis = CPPD 🙄🙄🙄🙄🙄

Not all mechanical knee pains are untreatable some just need xray… When the patient walks in with mechanical knee pain, you think 🤔 “Osteoarthritis.” You order X-ray… 🤯🤯 those linear white calcifications staring back at you…. Not OA. Not aging. And the best part??? You can still fix their pain with colchicine. Tell me what you are seeing ???

@Sage_medics CT face and CTA head/neck/chest/abd/pelvis with bilateral run off and then a consult to ortho about 4 hours later

What’s next?????

@Hstlinghosptlis @olsonplanner Also looking forward to an unknown company buying their assets to settle debts while leaving the equity investors empty handed, but later finding out that unknown company shares a certain number of principals with the original syndicators.

@Hstlinghosptlis @olsonplanner Numbers vary. I’d say up to 10% would be usual for the management. But they could also be paying themselves or their companies for various services. Could be up to 20% all in. Per year.

You’ll get passive income, they said. You can trust us - we’re physicians just like you, they said. Financial independence is just around the corner - all you have to do is invest in our affiliated real estate investments, they said. They. Were wrong.

@francisdeng @arosenkrantzmd @radiology_rsna It used to be that the button clicking monkeys knew when and why to click the buttons, but then it became they only knew which buttons to click, and after that they only remember that buttons needed to be clicked, and now they don’t know the name of a button to click.

24 head CTs were obtained for every 100 ED visits among Medicare beneficiaries in 2023, an 80% increase from a decade ago. Overall CT utilization, per ED visit in the Medicare population, more than doubled since 2013. @arosenkrantzmd in @radiology_rsna doi.org/10.1148/radiol…

@ChengaziMD @OncBrothers @drochohan @_backtable @keithppereira @jinks_d @iRadRock @LoudonNate @Flavius_IR @NevdeK @SDhandMD I recently found a very nice Herman Miller chair in my neighbors trash which is now my primary work chair. Every other week for the last 11 years it’s just been plain trash on the curb.

Trash IR? Or opportunity to significantly expedite care, build relationships and referrals, and open doors to more complex interventions? We consult on all biopsy requests. Here we ID malignant compression and DVT missed on OSH CT read, coordinated AC day 0, biopsy day 1 (to expedite dx), and thrombectomy/stenting day 5 post request.

@ana_safavi @DrLongissimus If the ER can find us so can they.

@DrLongissimus But then how will the med students find you?

Ughhh can I be a stay at home radiologist

@northwoods1980 They never need us. Until they need us.

Drives me nuts when a surgeon starts quoting "facts" and doesn't include a qualified radiologist in the discussion and then makes a statement "please accept as fact". Please invite qualified radiologist to weigh in and include Radiology literature"-Seattle science F

@Neuromed_ Training Ai

Your diagnosis!!!

@Neuromed_ The real gem is the basilar tip aneurysm you’re showing off on the noncon. Nice case.

Your diagnosis!!!

@maor_elad @yonigros @PCRonline @mandeep_mayo No such thing as a routine case. Sorry to everyone involved.

A true nightmare in the cath lab: 50M with inferior STEMI, normal coronaries, then collapsed. Aortogram clip speaks for itself. The saying goes, 'If you haven’t faced it in the cath lab, you haven’t seen enough cases.' @yonigros @PCRonline @mandeep_mayo

@GruesomeVideos I’m not sure anyone is making it home for dinner

@ChengaziMD @IRKhalsa @iRadRock @SDhandMD @keithppereira @karananandpara @AmputationSuck @kmadass @_backtable @t_intheleadcoat @IR_Doctor Just like you did

@patrickppatten @IRKhalsa @iRadRock @SDhandMD @keithppereira @karananandpara @AmputationSuck @kmadass @_backtable @t_intheleadcoat @IR_Doctor Would you go perc, TIPS access, or try to go through shunt like I did?

Everyone loves the perfect angio shot But there’s lots to learn when things don’t go as planned Embo for high flow intrahepatic shunt>coil flies off>balloon trapped coil>snared in IVC>embo completed Crisis averted, case salvaged. How would you approach this case/complication?

@linemonkeymd A nearby urologist asked me to become an employee. I kindly turned it down for those reasons.

In the last week, 6 different IRs have reached out to me asking about how to structure an arrangement with urology groups. These arrangements tend to have common themes: 1. No ownership pathway in the new entity or group practice. 2. Flat rate per PAE case 3. Zero discussion of clinical care These are seeds that have been planted over the last decade and now the trees are sprouting everywhere. Urologists are searching for IR mercenaries. I’m very sad to see this. It reflects a fundamental culture issue in IR. Collaboration can be a good thing, but is only meaningful when we can operate on a similar clinical playing field as those we collaborate with. We have the power to change that. It is mandatory that we work hard and shift our culture in our training programs. In the community we need strong leaders to develop sustainable practice models rooted in ownership both clinically and financially. When we are clinically strong and can derive referrals from beyond a single surgical subspecialty, and prove competence in managing these patients, this only strengthens bonds with other specialties. New doors open and our value beyond technical wizards/revenue generating assets is revealed. I am living this existence and I encourage others of my vintage to do the same. Own what you do. The road is tough but we are built to do tough things. @SIRspecialists

@AustinBourgeois I paid the extra money at my last renewal so I wouldn’t get caught up in this circus. Paid off.

@AustinBourgeois Please post. I haven’t had anything interesting lately and my feed is filled with political trash