@PatrickMuckMD

🚨 New EVAR radiation safety data 🚨 Drs. Joshua Meredith, Kody Kasten, and @patrickmuckmd report the first #EVAR performed entirely lead-free using the Rampart System: 📉 Operator dose: 0.3 mRem 🛡️ ~99% scatter reduction ⚡ 20x greater protection vs lead aprons ⏱️ Fluoro time: 6.5 min With 1mm lead equivalency and total-body, total-team protection, Rampart enables providers to safely operate without wearable lead—and without the orthopedic burden. It’s time to rethink radiation protection. It’s time to #ShedTheLead. #RadiationSafety #VascularSurgery #InterventionalMedicine #ALARA #RampartSystem #ERPD

Our last 18 #EVARs 11 with @RAMPARTic ‘s Guardian and 7 without. The reduction in radiation ☢️ exposure is unbelievable. We presented @TriHealth’s experience to Dr. Barry Katzen at his meeting #ISET @VascularSVS @ESVSmembership

I’m excited to be part of the 3rd Annual Pegasus Endovascular Virtual Conference and wanted to personally invite you to attend! 📷 February 28, 2026 | 7:00 AM – 5:00 PM 📷 Free Registration | Virtual Conference @PegasusEndovasc

@CryptoNobler Very Helpful, Thank you!

🚨 HERE’S WHY BITCOIN IS NONSTOP DUMPING RIGHT NOW If you still think $BTC trades like a supply-and-demand asset, you MUST read this carefully. Because that market no longer exists. What you’re watching right now is not normal price action. It’s not “weak hands.” It’s not sentiment. And it’s definitely not retail selling. Most people are completely unaware what’s happening. And by the time it becomes obvious, the damage is already done. This move didn’t start today. It’s been building quietly under the surface for months. And now it’s accelerating. Here’s the truth: The moment supply can be synthetically created, scarcity is gone. And when scarcity is gone, price stops being discovered on-chain and starts being set in derivatives. That is exactly what happened to Bitcoin. And it’s the same structural break that already happened to: → Gold → Silver → Oil → Equities Once derivatives took over. The original Bitcoin thesis is broken. Bitcoin’s valuation was built on two ideas: → A hard cap of 21 million → No rehypothecation That framework died the moment Wall Street layered this on top of the chain: → Cash-settled futures → Perpetual swaps → Options → ETFs → Prime broker lending → Wrapped BTC → Total return swaps From that point forward Bitcoin supply became theoretically INFINITE. Not on-chain. But in price discovery, which is what actually matters. Synthetic Float Ratio (SFR). The metric that explains everything. Once synthetic supply overwhelms real supply, price no longer responds to demand. It responds to positioning, hedging, and liquidation flows. Wall Street can now trade against Bitcoin. They’re not guessing direction. They’re doing what they do in every derivatives-dominated market: 1⃣ Create unlimited paper BTC 2⃣ Short into rallies 3⃣ Force liquidations 4⃣ Cover lower 5⃣ Repeat This isn’t “betting.” It’s inventory manufacturing. One real BTC can now simultaneously back: → An ETF share → A futures contract → A perpetual swap → An options delta → A broker loan → A structured note All at THE SAME TIME. That’s six claims on one coin. That is not a free market. That is a fractional-reserve price system wearing a Bitcoin mask. Ignore it if you want, but don’t pretend you weren’t warned. I’ve been calling Bitcoin tops and bottoms for over a decade now, and I’ll do it again in 2026. Follow and turn on notifications before it's too late.

@cobraalerts Trade

I’ve only seen this setup 1 time in 6 years 👀 I’m putting $500k in this SINGLE stock Very similar to $RR that made millionaires •$100 → $100,000 overnight •$300 → $300,000 in a single day This is the third time. Comment “TRADE” and I’ll send it. 🔥

@cobraalerts Trade

I’ve only seen this setup 1 time in 6 years 😱 I’m putting $500k in this SINGLE stock Very similar to $OPEN that made millionaires •$100 → $100,000 overnight •$300 → $300,000 in a single day This is the third time. Comment “TRADE” and I’ll send it. 🔥

@clintoptions Stocks

I turned $1000 into $340,000 in 3 days last week with my strategy I charge $0/month for these analysis I made a FREE PDF file which retired many and teaches you my exact strategy Like + Comment “Stocks” and I’ll send it you! (must be following to DM) $SPY $SPX

☢️ Protection must evolve. Enhanced Radiation Protection Systems(ERPS) are needed in all labs. Thanks ⁦@bibamedical⁩ ⁦@VascularNews⁩ for covering this topic! ⁦⁦⁦@RAMPARTic⁩ linkedin.com/posts/rampart-… issuu.com/bibapublishing…

@cobraalerts Trade

I’ve only seen this setup 1 time in 6 years 🤯 I’m putting $500k in this SINGLE stock Very similar to $OPEN that made millionaires •$100 → $100,000 overnight •$300 → $300,000 in a single day This is the third time. Comment “TRADE” and I’ll send it. 🔥

@Schwerreich @TheGladiatorHC Where do you buy $KS and $AAZ?

@TheGladiatorHC Let's go!... Now waiting for different TSX / TSXV-small caps to awaken: $CBI $SSE $BARU $BHS $SWLF $EFF $PER $SVB $AGA $AGAG, $IPT and the risky but interesting title $KS and many, many more like the undervalued Uranium-Wildcard $AAZ

Legendary mining investor, Doug Casey, says 1000 baggers are coming in 2026. "In major bull markets when the scrappy little stocks go up 10 to 1 as a group and some stocks to 100 to 1 and occasionally you get a 1000 to 1". I've said this before but I'll say it again, I believe we are entering a dot com boom type run in mining stocks in 2026.

Share the gift of CME education! Register online at venous-symposium.com Wishing everyone a safe and happy holiday season! #vein #vascular #surgery #ultrasound #compression #DVT #alliedhealth #APP #nurses #nursing

Learn from experts about the hazards of radiation and lead-related strain, and what to do now to protect your health and career long term. W/Drs. Melissa L. Kirkwood, Lakshmi A. Ratnam, Patrick Muck (@patrickmuckmd), & Kenneth Rosenfield (@krosenfieldMD) evtoday.com/articles/2025-…

Thanks @VEITHsymposium for the opportunity! Our exposure the last 5 #EVARs =0.2,0.6,0.9,0.1 & 0.5 mRems. All added together are still less than a coast to coast ✈️ Of course MORE research needed but @RAMPARTic’s Guardian appears very effective in Total Team ☢️ Protection. #dosimeter

If you are working in this interventional space it’s time to pay attention to radiation mitigation for yourself and your team. The new barrier protection systems from @RAMPARTic are game changers. @VascularSVS @SIRspecialists @ESVSmembership @VEITHsymposium

Join us TOMORROW, Nov 12 at 5 PM PT | 7 PM CT | 8 PM ET for Evolving Data & Innovative Approaches for PE Management with CAVT™. Hear from leading experts in PE care! Register Now: buff.ly/WFO4UYi #AVFwebinar #PEManagement @PERTConsortium @penumbrainc @PenVascular

There is no better physician, mentor, leader, friend and family man. Thanks for what you do buddy.

Thank you Bryan & Jocelyn for bringing to light the topic of Radiation ☢️ Mitigation! We Vascular Surgeons need to protect our team and our trainees, it’s our responsibility. It starts with @RAMPARTic’s Guardian #shedthelead @ORSIForg