Matthew Chiarello

@dr_cellini I got a call the other day “Your report for this rib XR says ‘No displaced rib fracture’, did you mean to say nondisplaced rib fracture?”… No. I did not

Burnout, moral injury, and wellness have been explored in Interventional Radiology. Please help us understand career satisfaction in Interventional Radiology with this brief survey. Thank you for your participation! docs.google.com/forms/d/e/1FAI…

It’s been a long road and not done…but it’s a great start! @riadsalemIR @SIRspecialists @SIRRFS @AriIsaacsonMD @UsaProstate @pryce227 @AlexPavidapha @NoLimitIR @UrologyUS @UrologyPractice

interrogate all vessels never know what you’ll find! Inferior vesical supply to penis and prostate (1st pic) required coiling of penile (2nd pic) and distal inferior vesical branch (3rd pic) so antegrade PA embo (4th pic) was safe May be we should redirect flow more often? #irad

@dr_cellini 😂 some of my favorite words to say “as long as theyre hemodynamically stable, lets continue conservative management”

Why do I always stumble on my words when I say “hemodynamically stable?” For some reason, I always say something like “is the pt him-o-dynam stable?” TELL ME I’M NOT THE ONLY ONE!!?

@dr_cellini Haha, only bc I often put in the comparison date before I even looked at the images, but it feels ridiculous to do so

If you read a normal study and don’t compare it to the prior, do you still mention a comparison in the report?

@satyamvmd Nailed it

@RealDayTrading Why do you choose shares vs options, for instance with BABA, options too expensive?

It’s pathetic to see Urologists who are still in the dark ages science and #medtwitter but guess @uarizona #Urology tolerates #disinformation. #Patients with #BPH in #Arizona know #BetterHealth is there with #Options, #Collaboration #Science unless of course u love #incontinence and lies to patients dictating their care….ala @jfunkmd

@SandeepBaglaMD @AriIsaacsonMD @NoLimitIR @UsaProstate @AlexPavidapha @SIRRFS @SIRspecialists @AbinSajanMD @jade_lerner So how did you treat in this situation? Assuming you cant reach the collaterals, are you comfortabe to gently embolize from here? I often see unreachable collaterals (usually pudendal), only on my firm injection and it can definitely throw me for a loop

Why is technique so much more important than device in PAE? Great example of the #haloeffect and light injection vs only slightly harder when the PA is from a MRA. Fill ant & post collaterals and it can very misleading on angio or worse cbct

So many students/residents with research publications actually hate research. They’ve done research because it’s obligatory for matching into competitive training programs. We are turning off a generation of trainees to scientific inquiry. Time to stop the insanity.

Non-compete clauses

How can we get ⁦@SIRspecialists⁩ to get our #Guidelines 2update ⁦@UpToDate⁩ to include the 8 #RCTs for PAE and include LEVEL 1 EVIDENCE? ⁦@UpToDate⁩ is NOT actually up to DATE🤦🏽‍♂️ ⁦@AriIsaacsonMD⁩ ⁦@NoLimitIR⁩ ⁦@SamMouli⁩ uptodate.com/contents/surgi…

ChatGPT explaining #irad in the words of Dr Seuss 🤠

@KprasMD @TheRealDoctorOs @drochohan @keithppereira @linemonkeymd @Drshiloh @shamitsdesai @SIRRFS @butrosIR @kmadass Nicely done! Are you doing pedal access in difficult/select cases or more routinely?

#GAE in post TKA can be a challenge but worth a shot for chronic pain!

Another #PAE follow up, another happy patient, #BPH with indwelling Foley for past 6 months. Now #FoleyOut Very grateful to @bonesz and @cashicus for teaching me how to treat these patients, and avoid common pitfalls…Many many more to come @SIRspecialists @MountSinaiIR @nyuVIR

Some highlights from a follow up visit from my first #PAE “Peeing like a champ” “Finally drinking coffee again, I avoided coffee for years” “Haven’t gotten up at night in weeks” “Im telling all my friends about this” Thats one happy patient! #IRad #BPH @SIRspecialists @SIR_ECS

It’s not about the money

@RealDayTrading “It’s not you, it’s me”

I get it - you don't trust the market. It just cheated on you. Again. All your friends are telling you to dump $SPY, find something better. But you just keep going back. Still, you know it won't work unless you truly forgive and give SPY a chance to make it right again.