SIDECHICKVIR

@WilliamRBlythe @noahkaufmanmd Ah yes. I know a plumber who let his toilet overflow and ruin his flooring because it was unethical for him to fix his own toilet. I hope to god that was sarcasm because some of you people make the entire profession look like complete patsies

There is no debate or question about the first premise, which is that the expiration dates of most medication are meaningless. Reconstituted liquid medications and life-saving medication such as epinephrine are the rare exceptions to the rule that most medications expire orders a magnitude passed their listed date. However, you have displayed a classic breach of physician patient boundary. Treating your family members, friends, children, etc… at home and off the record is a stereotypical breach of physician-patient boundary that is taught in medical ethics. In my state, all physicians and advance practice providers are required to take a three hour course on physician patient boundaries and this is a very stereotypical case that is presented.

DOCTORS: Just sewed up a friend at home… just FYI when you do this. Lidocaine from 10 years ago still works plenty well. The expiration date thing is a total scam. They just need recurring revenue. Same with most medications. I have Norco from back then that works just fine also.

@DonGarbettMD @FarivarMD Don’t do hysterectomies if you can’t fix the ureters after.

@FarivarMD Don’t do bowel resections unless you also do CT guided abscess drains.

@linemonkeymd @WCVISociety @OEISociety @SIRspecialists At the same time, IRs are blocked from competing with IC/VS/IN others due to pseudo exclusive contracts. It is a terrible position to be in. SIR needs to act instead of circle jerking each other with phony unwarranted accolades. This ship is going down and you’re having a toast

@linemonkeymd @WCVISociety @OEISociety @SIRspecialists Need a total moratorium on any recommendations to do IR until SIR takes concrete steps to promote IR independence, starting with either divorcing IR services from exclusive contracts or enforcing exclusivity of procedure and not of specialty. cont’d

It’s Rank List time. Here’s an unconventional perspective. Best of luck to those looking to match into “IR.” linemonkeymd.com/how-to-rank-an… @WCVISociety @OEISociety @SIRspecialists

@linemonkeymd @WCVISociety @OEISociety @SIRspecialists IRs routinely do two jobs, while DRs throw their services in for free to secure lucrative rads contracts, and IRs pick up the tab for their own labor thru extra DR work. Enough. Hosps need to subsidize any IR services provided as all the well paying cases are largely picked off

@linemonkeymd @WCVISociety @OEISociety @SIRspecialists IR exists in this weird no man’s land where you are delivered everyone’s low rvu/high risk/high inconvenience work for pro fees and then have to subsidize your own existence by cranking diag in “off” hours or “between cases”. contd

@DutchRojas Easy to do? Please elaborate

Until physicians become the rainmakers, easy to do, this will continue. #healthcare

@drmcumming @rkryu @SDhandMD @TherealDoctorJ @kmadass @radtrivedi @TLHM_MD @Watts_IR If you play your cards right every biopsy can be a potential embo. *Rubs hands*

@rkryu @SDhandMD @TherealDoctorJ @kmadass @radtrivedi @TLHM_MD @Watts_IR The reimbursement for all biopsies suck. That’s why they all come to IR.

@Flendovasc @drmcumming @linemonkeymd @ImagingDoctor @SIRspecialists @IR_Doctor @Watts_IR Much needed. The word “radiology” mustn’t be in the name at all so as to steer clear of pseudo exclusive contracts.

Who would be interested in joining or helping to form a new medical society meant to represent the interests of Independent Interventional Radiologists? @drmcumming @linemonkeymd @ImagingDoctor @SIRspecialists @IR_Doctor @Watts_IR #IRad

@shamitsdesai @DHidlayVIR @linemonkeymd @saherssabri @RadiologyACR @SIRspecialists @arslanmd @drcostantino1 Spinoza bragging about how they collaborate with VS and IC on endo work is precisely the mentality that has ruined this field. WAKE UP. Collaboration is a Trojan horse. You are training them to do the cases without you. Call me when IC collaborates w you on PCI or EP

@DHidlayVIR @linemonkeymd @saherssabri @RadiologyACR @SIRspecialists @arslanmd @drcostantino1 Failed attempt at cattle herding. Really really bad look. 30 mins of intros and ppl falsely hyping up their "comprehensive" practices- the exact type of practices that have driven IR into the ground by sacrificing it to hospitals so other endo specialities could steal/thrive.

Informative town hall by @RadiologyACR and @SIRspecialists looking into the relationship of IR & DR. Interesting that IRs are split down the middle about separating from DR, while majority of DRs favor no separation. DR needs IR more than IR needs DR? Let the discussions begin

@independentMDs IR

What are the top 5 specialty locums rates? Numbers optional, just list what you think are top 5. May be some surprises. Many factors, especially geography. I'll start: 1. Neurosurgery 2. Trauma surgery 3. Oncology 4. Vascular surgery 5. Critical care

@linemonkeymd Ultimate irony being that after losing high end procedures & maintaining low paying ones that no one wants to do, & Hosp won’t subsidize, we further entrench ourselves into IR/DR slavery as DR subsidizes our paycheck for spending days doing low paying, low satisfaction procedures

@linemonkeymd Everyone in the Hosp needs IR. IR needs hardly anyone save for the occasional closure device misadventure. You would think IR would have been at the top of the food chain by now. But by failing to launch, we have missed every opportunity to be king of the hill

IR Apologists are back it. The TLDR of this article: shut up and “work together.” What do you think? jvir.org/article/S1051-…

@linemonkeymd Instead we watch as we hemorrhage turf & high paying procedures to other specialties, all to please DR and help keep the DR contract. At the same time, rad contracts prevent IR from breaking off & competing against IC, VS, IN while they can walk in & do them in the same hospital

@AJMeltzerMD @linemonkeymd Money going to everyone except to the ppl actually doing the surgeries

Device costs and reimbursement for complex AAA repair. Behold the power of the oligopoly! jvascsurg.org/article/S0741-…)%20of%20median%20reimbursement.

@DutchRojas How does this work? How does one get more information?

In the last 24 hours another 100,000 self-insured members signed onto our direct contracting platform for 1/1. We are on a roll. No copays No deductibles No co-insurances All-inclusive prices. I was happy 5 years ago when a 1,000 plan members added our benefit. Connecting patients remove barriers to care is a joy! #healthcare #health #care

@IR_Doctor For-profit AI company: Fat people more likely to have diabetes. Doctors: Amazing!! Take all our money.

I love this. What information is present on the scans we read everyday that we’re just not able to discern without the help of big data AI? Just think about what we’re “missing“ on advanced cross-sectional imaging such as CT and MRI?

@DHidlayVIR @SIRRFS Bold of you to assume my gender

@DHidlayVIR @SIRRFS Amazing. Sounds like it makes you more upset that he gets all the credit while you’re posting lines on Twitter. Take comfort in the fact that you’ve helped a generation of IC and VS learn those techniques

@DHidlayVIR @SIRRFS Tell them to hire a janitor atleast. Hope you’re billing for that