Ryan Christie

Viewing a problem from multiple perspectives can often be helpful before finalizing you impression.

@sethmhardy One can always dream

So timely by Dr. Gunderman academicradiology.org/article/S1076-…

#WetreadCoW Hx: MVA Do you see the pathologic finding(s)? 🤔 Safe for work gif responses only please😀#FOAMrad #FOAMed #Radres #errad #bodyrad @RyanBPetersonMD @StefanTigges @ER_Rad_Hanna @RadioGyan wetread.org/s10c23/

@ScottTruhlar @cjeverett

@cjeverett @RyanChristieMD I ask because once you have sold your group, generations of Rads after you are locked out of the benefits of private practice that you & I had & don’t get the benefits of working those extra hours. So extra work hours = filling wallets of private equity. Maybe I’m wrong?

Radiologists: see below, and recognize that taxes take 30-50% of it anyway as you work harder and harder to make more and more. To accept that trade for the limited days you have in life is a monkey trap.

@ScottTruhlar @cjeverett Different strokes for different folks. I love what I do as well but I also love a lot of things that provide non-economic value to me, such as posting #wetreadCow Rad cases here on #MedTwitter. The point was that if the $$ is your goal, the return is diminishing. ow work away!😀

@bevo1212 @ScottTruhlar

@RyanChristieMD @ScottTruhlar wish I was.. I’m employed for a PP…Always a gamble, but take same gamble with 401k, unless you are doing a roth

@ScottTruhlar @kpmd2000 Don't forget the 8th wonder of the world, compounding interest.$ when younger are more valuable in the future (assuming invested and not spent) All about balance. Work extra when you're young to work less in the future, but don't forget to enjoy youth since the future is unknown

@kpmd2000 @RyanChristieMD I *think* your point is that taxes are the cost of a civilized society. I agree with that. My point was about the marginal utility of working harder & harder to make more & more income only to give more & more in taxes. It’s a bad trade given our limited lifespans.

@AdamSingerMD @CQuirkMSK @RyanBPetersonMD @ER_Rad_Hanna @StefanTigges Thanks

#WetreadCow Hx: Dementia, poor food intake Safe for work gif responses please @CQuirkMSK 😉 #FOAMed #FOAMrad #errad #mskrad #Neurorad @RyanBPetersonMD @ER_Rad_Hanna @AdamSingerMD @StefanTigges #Boomercheck 🤣 wetread.org/s10c22/

@ScottTruhlar @bevo1212 I'd guess you're max optimized. 😀But every extra $ is taxed at the higher/est rate so the avg tax rate per dollar asymptotically approaches the max tax rates (albeit slowly). Deferring income is a gamble that your future tax rate for those $$ will be less than now... maybe

@bevo1212 @RyanChristieMD I’m self-employed in private practice. Don’t have a cash balance plan, but have optimized every other way to save on taxes and I still have an effective tax rate of 30%. And that’s only county state and federal taxes.

At least we have muscles

@northwoods1980 @twloehfelm @SF_Red You mean the salaried Radiologist 😉. Radiology still sees $$$

@twloehfelm @RyanChristieMD @SF_Red Wow. We’ve not qualified this sort of data within our systems but I can guarantee you it’s far, far lower positive rate than that. The consequences of overutilization seem to be nil for everyone except Radiology

The iodinated contrast shortage situation is going to be lots of fun. So many noncon exams on their way.

@twloehfelm @northwoods1980 @SF_Red That actually is better than I expected. I usually see it closer to 10%. Wonder if COVID caused a bump in +.

@Webpuppy45 @CQuirkMSK @RyanBPetersonMD @ER_Rad_Hanna @AdamSingerMD @StefanTigges Apparently there is a gif for everything!

@RyanChristieMD @CQuirkMSK @RyanBPetersonMD @ER_Rad_Hanna @AdamSingerMD @StefanTigges en.wikipedia.org/wiki/Gurn

@StefanTigges Yoda you are like. Yoda likes macaroons 🤣

@RyanChristieMD Misspelled "osteoporosis" what a maroon!

Want to expand your differential diagnosis of cavitary lung nodules beyond metastases & infection? Have a look at this case. If you’d like to learn more about how to read chest X-Rays, check out my comic: radiopaedia.org/courses/chest-…

@TLHM_MD @UflRad @hochhegger @farouk_dako @DrAndrewDixon @FOAMrad @LucyModahlMD @OBandarchi @ShravSridhar @marcosmestas @JoannaEscalonMD @svweisman Great case. I almost did the same diagnosis this week!

@FriedbergEric @PyattBob @ER_Rad_Hanna @suzchongmd Big picture. Things are different when you don’t have a neurointeventionalist

2/2 “Strikingly-found that rural patients had significantly👇neuroimaging utilization than their urban counterparts, with the gap increasing over time” @PyattBob @ER_Rad_Hanna @suzchongmd @RyanChristieMD

1/2 Study Found 250%☝️in CTA & 428% ☝️in CTP for Ischemic Stroke Patients from 2012 - 2019 “CT-based imaging was not uniform across all sociodemographic groups-CTA & CTP utilization were👇in older (≥80 years), female, &Black patients” @rstraxMD neimanhpi.org/press-releases…