Peder E. Horner, MD Interventional Physician

Dr. Dotter showing his revolutionary early angioplasty technique (aka “Dottering”). Later, balloons would be invented. #MedicalHistory #iRad

@WillyRontgen @francisdeng @northwoods1980 Indeed

@IR_Doctor @francisdeng Yes, the volume of “CODE STROKE” ordering has gone parabolic in the last few years. Drowning in CTA H/N exams. @northwoods1980 @francisdeng

@francisdeng Rad sued over missed vert clot but could just as easily have been athero plaque.

@panagis21 Timely post for new book promotion 👌

I have a patient who went into hospice a month ago. Every week she sends me a text to check in. She misses coming to our clinic and seeing the nursing staff who became like family to her over time. Well today, we are all going to visit her. We got her her favorite cake and some balloons. Even if medical treatments come to an end, caring does not. Invest in people.

@northwoods1980 sandbox!

It’s a strange phenomenon. Radiologists sitting in lowest percentile on production are so often the ones causing harm and patient stress by overcalling all day long. Same readers who later send you a supposed miss in retrospect, a case that was never prospectively callable to begin with. But their overcalls are a dime a dozen and nobody cares. No penalty. No retribution. When I get that feedback I want to send back a 7 page log of their overcalls and point out many are just as significant, or more, than supposed miss. These are also frequently biggest cherry pickers, skimming for fast easy studies and leaving hard cases to rot. They offload that risk onto whoever is conscientious enough to pick it up, then critique that person when something gets missed. Person who left case on list grades person who actually read it. you know who you are.

@morrisonMSK Life upgrade in these times!

@IR_Doctor Signed up to follow the culinary adventures of my son who is a Marine pilot newly stationed in Japan 😊

Just joined Instagram, having trouble gauging the vibe there… seems like an endless stream of people’s vacation pics Is there room for Radiology fun and education? Insta: bmorrisonmsk

@northwoods1980 @WillyRontgen Just work harder

Took the patient three months to get into oncology however the full body FDG pet or PSMA pet is now stat. Supposed to be read before the 10 AM appointment that day. You can either hand everything over including all medicolegal risk to AI and see how that works out or, change expectations to match the reality of 2026.

Radiology 2026. With thousands of studies on your list, you stress about outpt exams waiting a week to be read. Meanwhile days consist of drowning in nonstop ER and IP cases with no chance to ever make a dent in the backlog as the list only grows longer. Rinse and repeat.

@JillSommerset tackling all of our complex patients. My dreamboat! And moonrise - best swag ever

@TheRealDoctorOs @_backtable @AaronFrittsMD @_backtableMSK Added!

Ready for MSK Embo Bootcamp (podcast edition)? Some of my “top hits” if you’re looking to get in the MSK space. 🦴 Thank you to @AaronFrittsMD and @_backtable @_backtableMSK for this creative feature! 🪩 #irad backtable.com/playlists/d970…

@YaleRadiology @Yale_IR @StarTrek @JuliusChapiro @YaleMed @RSNA Fabulous suit, @JuliusChapiro !!

Did you know that a childhood fascination with @StarTrek & the idea of diagnosing a complex medical condition w/o touching the patient is one reason @JuliusChapiro of @YaleMed became a radiologist? Learn more about Dr. Chapiro in this article from @RSNA. bit.ly/4tpZmg7

@DutchRojas It’s so frustrating

Drive like Max Verstappen. Escalate like furniture. That is the American paradox. I grew up in the Netherlands. Went to school in Portugal, Germany, and England. Stand right, walk left is not advanced civilization. It’s basic public choreography. Somehow it didn’t make the boat.

@SDhandMD Oh I know

IYKYK

@cardiojaydoc02 The best

“Baby Jane Doe”

@jaynitx It’s hypomania. Not “hypermania”

Jordan Peterson on Elon Musk: "My mind is a storm… I don’t think most people would want to be me" "There was a recent interview with Elon Musk where he said something... 'My mind is a storm. I don't think most people would want to be me. They may think they would want to be me... but they don't. They don't know. They don't understand.'" Peterson explains: "One of the downsides to high-level genius is what you might describe as hypermania." On verbal fluency and creativity: "Here's a simple test. Write down as many four-letter words as you can in three minutes that begin with 'T.' Or write down as many words as you can in three minutes that begin with 'S.' There's quite a powerful correlation between the sheer number of words you produce and your lifetime creative achievement... especially in the artistic and verbal domains." He distinguishes: "That's different than vocabulary. Vocabulary is how many words you understand. Fluency is how many words you can produce in a given amount of time." The variance is staggering: "People vary to a degree you can hardly imagine. Some people... if you get them to do the four-letter test in three minutes... they'll write down 12 words. Some will write down 150. The ones writing down 150... their minds are going at a hypomanic rate. They're just thinking five times as fast. Without any remission whatsoever." On when it goes too far: "When that gets completely out of control, you have someone who's manic. There's nothing fun about manic. That's where the word 'maniac' comes from. Someone who's manic has a thousand different plans... each of which are one sentence long... that they're hyper-enthusiastic about. They'll spend every cent of their money pursuing them. And things just go immediately to hell." He applies it: "That's the outer limit of pathology on the creative front. Someone like Musk who's clearly a genius... that's what he's contending with in his internal landscape. I'm not saying he's manic because I see no signs of that. But someone that creative is on that edge." On minds that move too fast: "Take someone like Ben Shapiro. It's very interesting to talk to Ben... Russell Brand is the same way. Shapiro speaks more rapidly than anyone I ever met. But if you're with him, you see very clearly that he's probably thinking five times that fast. And that's a lot." Peterson shares his own experience: "When I was writing Maps of Meaning... my first book... I had a very difficult time shutting off my mind. I was obsessed with that book. I was writing about 3 hours a day. Then I was thinking about the material for like 12 hours. And the thoughts came way faster than thinking. They probably came about as fast as I can read... about 1,200 words a minute. It was just nonstop thought for 16 hours a day." How he coped: "That's part of the reason I started lifting weights. If I was lifting heavy... thinking at 1,200 words a minute while I've got 100 pounds on my back... it was enough to shut it down. It was also one of the reasons I drank. That was another thing that would shut it off." On the price of genius: "The price that people pay to be the person they admire is such an interesting frame. 'My mind is a storm. I don't think most people would want to be me.' The price you would have to pay in order to be me is not one you would want to pay." The interviewer pushes back: but you're one of the richest men on the planet, you get to release bulletproof cars and put rockets in space... Peterson: "Yeah, but what about all the baggage? He also appears to me to be hyper-conscientious. Musk isn't just a creative genius... he's also an extremely conscientious engineer. Really conscientious engineers have very interesting minds. When they understand something... they understand how to build it out of atoms. They understand it at every single level." On the rare combination: "Musk appears to me to be someone who's this rare combination of hyper-creative but also hyper-conscientious. And I know he works all the time." The interviewer asks: does that hypertrophied executive function help wrangle some of the diffuse creative energy? Peterson: "Yes. Definitely. Eric Weinstein is a good example... Eric is unbelievably creative but he's not particularly conscientious. I think he found an occupation where that works extremely well... he worked with Peter Thiel for quite a long time as his idea man." He contrasts: "Musk is hyper-creative and as far as I can tell hyper-conscientious. The conscientiousness does focus it. Lots of creative people aren't conscientious. There's no correlation between creativity and conscientiousness." The math: "If you're the most creative person in a thousand... and you're the most conscientious person in a thousand... you're one person in a million. Musk is probably more like one person in 100 million. Maybe more. Maybe a billion."

The state of our world now

@wynrosei Just go to the box office, you’ll see a real human and save all the exorbitant fees too.

I’m curious : Before the digital era, how did people get concert tickets? 40 thousand people lining up outside the stadium????

@TheRealDoctorOs Wild thing

Forget about the curve ball Ricky, give him the heater ⚾️ 🤓

@CanesDavid @noahkaufmanmd Given a longish runway, I think you’re wrong

@noahkaufmanmd Surgeon here. Call me nuts then. Comparing ping-pong to Surgery is actually nuts

If you think surgery won’t be replaced by AI/robotics in the next decade, I think you’re actually nuts. 🤯 instagram.com/reel/DXuxGGRFU…

@baobui99 @DRARN93 Wrong

@DRARN93 AI will NEVER replace radiologists

Radiologists are the smartest doctors I know, but with all due respect, AI will hit them the most. Attended a lecture by a top gastro from AIG on how AI has been diagnosings CTs and MRCPs better than world renowned Radiologists. Mind blown

@RakanINazer And that is in the basement, far away from the family room. Family room is for conversation, games, reading. No TV there.

@RakanINazer Excellent! We have one for movies only

6 months in, no Amazon Prime. Life is good! It can be done!