Michael Cellini

@EricTopol Increased sensitivity is great, but how specific was it in detection of imaging occult disease?

An AI that detects occult pancreatic cancer better than radiologists (73 vs 39%) via CT with external validation gut.bmj.com/content/early/…

@morrisonMSK I hope you aren’t paid per RVU…

A new personal best for me… day shift on MSK X-ray 🥇🩻

@benwhitemd Nothing like reading an ER CTA CAP on an 85yr old with 100 incidentals, for pennies on the dollar

We have numbers. Big bump to plain films at the expense of body CT and neuro CT/MRI as well as a general devaluing of ED work. On the breast side, a huge cut to screeners for a smaller increase for diagnostics. For IR, no delta. GI fluoro still isn’t fair. benwhite.com/radiology/rp-t…

@Itx_moana Hemiarthroplasty for a knee

The best indication I’ve seen in a while:

@northwoods1980 I used to think the same. Then I made the switch and questioning why on earth I didn’t do it years ago

Some days I do wonder why I'm not just doing tele

@IRDocFuji @northwoods1980 Haha this! Had a urologist get sued for running multiple ORs. Surprisingly, it wasn’t for pt safety, but for fraudulent billing…go figure

@dr_cellini @northwoods1980 It’s not technically illegal and I’m sure you were left alone plenty during your training. Is it ethical? Maybe not. Will it be scrutinized to heck if something goes wrong? Absolutely.

My younger brother just canceled his son's surgery for thyroglossal duct cyst removal. He had specifically requested only the attending surgeon perform it but then found out multiple cases were being run simultaneously and a fellow was actually going to be doing it. Thoughts?

@georgetolisjr Yeah but but how will device companies markup their products and make more money??

The biggest advantage of surgery vs PCI or TAVR is long term outcomes. Unfortunately, our field is trying to compete with IC by making incisions smaller and access more complex, often compromising the final product. Surgery will always lose the minimally invasive battle to IC.

@DrHarryDOesHep @ClarkJeffriesFP @averagemoneymd @olsonplanner It’s always been 6mo for me, but I’m conservative. Some say 3mo. Now my brokerage account is large enough where it doesn’t matter.

@ClarkJeffriesFP @dr_cellini @averagemoneymd @olsonplanner What is your number for a rainy day fund? 3 months monthly expense? 6? Does the number change with the type of industry? @dr_cellini as a radiologist can likely find a job reasonably quickly if he’s jobless for any reason.

Our investment brokerage account (~$500k) is our emergency fund. Prove me wrong @olsonplanner

@ClarkJeffriesFP @averagemoneymd @olsonplanner But that kind of decline has only happened like one time in 30+ yrs (Covid) and immediately shot up. The gains outweigh the risks

If you got laid off and markets were down 30-40%, then what? Eat the loss and sell to pay the bills? Use margin? Use a box spread? We live in a world of tradeoffs. There’s no silver bullet. I prefer to have a massive brokerage account and a big emergency fund. Not mutually exclusive at all.

@averagemoneymd Yeah I have them for both my young kids but no 529. Can’t decide if I want to do a 529 as well or what. Don’t really like how you can only rollover 35k into a Roth for unused funds.

@dr_cellini I haven’t yet and haven’t given it much thought to be honest, just the 529 for now. Are you doing them? What are your thoughts ???

Backdoor Roth IRAs x2 and Family HSA maxed for 2026. The 2026 Journey to save/invest $200k+ begins.

@cb_doge I’m willing to bet he didn’t see a doctor…if he went to any ER with abdominal pain, a CT scan would have been obtained.

WHEN GROK SAVED A MAN’S LIFE AFTER HIS DOCTOR MISSED A NEAR RUPTURED APPENDIX • A 49 year old man endured 24 hours of severe abdominal pain • An ER visit ended with antacids and dismissal due to a “soft” abdomen • Pain remained unbearable and worsened at home • He described his symptoms in detail to Grok in an ongoing chat • Grok flagged a perforated ulcer or atypical appendicitis • The AI warned that his symptom pattern was a red flag and urged immediate return • He went back to the hospital and requested a CT scan • Imaging revealed an inflamed appendix on the verge of rupture • Emergency laparoscopic surgery followed • The appendix was removed and the pain vanished Grok is saving lives ❤️

@doctors_squad Not sure but it looks like someone who has never used a three-way stopcock before…

Guess the procedure???

@MSharifpourMD Just bought a BMW. I had my kid with me. I told them I want to do nothing but drive the car off the lot. They handled literally everything, even calling my insurance to add the car. I went home put my kid for a nap, came back to pick up car and drove it off! It was perfect.

Purchasing a car is the 7th circle of hell! No matter what brand, no matter which dealership 🤦🏻‍♂️

@FranWalsh73 It’s a good option but definitely doesn’t move the needle substantially with limited annual contributions…

The HSA is the most underused wealth tool in the tax code. Triple tax-free. Portable. Never expires. Yet millions of eligible people still don’t take advantage who have the ability to. If you want to get ahead in 2026, here’s the playbook ↓

@averagemoneymd Yeah apparently every hotel these days is >$1200k/night

My wife and I are trying to book a spring break tropical vacation. The prices are now insane. Do people really spend $10k+ for a week vacation?