Kris Schramm

@PulmCrit I have a pretty bad type IV allergy to certain deodorants… I can say with certainty hospital laundered scrubs are not washed as well as they claim to be.

I’m a proud brand ambassador for generic hospital scrubs™️ Hospital scrubs are washed at higher temperatures than your home washer, making them cleaner. Hospital scrubs: ✅ Easy ✅ Clean ✅ Make your body look like a human blimp

@dysclinic @SpineNeuro Curious then that IRs also dont perform every epidural for regional anesthesia… similar needle and anatomic access. One is just 1cm deeper than the other.

@SpineNeuro As technology evolves, so should procedures: you don't need to go in blindly if you can get exact location with visualization. It's safer for the patient.

Why did lumbar puncture go from being a med student procedure (bc it is extremely low risk) to a procedure that can only be done by an interventional radiologist?

Had a shift straight out of an episode of The Pitt. apollomd.com/clinician-spot…

@DoctorCliffyy @nickgerli1 Bought a home built in 1978 built out of real brick and wood in a neighborhood w/ mature shade trees. The alternative was a new build built out of spit and sticks for the same price with no natural barrier for the 300+ days of sunshine we get here Noone wants these new homes

@nickgerli1 Sub analysis - more expensive to insure older homes because the materials were of higher quality If the price is similar - pic the older home, control any renovation yourself with quality builders and materials

The housing market has flipped on its head. New houses are now significantly cheaper than old houses. $392k for new v $420k for existing as of Oct 2025. Which is strange. Because normally new houses sell for nearly 20% more than existing houses over the last three decades. What's driving this historic divergence? Builder price cuts. Builders have cut prices by 15% from peak in order to drive sales. Dropping the median sale price from $460k in 2022 to $392k today. The result is that new houses are cheaper for the first time in history.

@AustinBourgeois 😢

It’s 2 am… based on this image, what procedure am I doing? #iRad

If any med schools are seeing this, I’m available for hire for my 12 second lecture: “Buy your groceries from the outer square of the grocery store. Only go into the isles for coffee, spices, and a water filter for your Brita”

@satyamvmd 🫡

@satyamvmd Was on the fence - then you tweeted this and I ended up longing TQQQ at 35.

@IRKhalsa @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 Also the original case posted is awesome

@IRKhalsa @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 x.com/kmschramm/stat… Companion treated perc as you described with other embolics - used the 3F inner of a micropuncture set here for access

Not sure if this qualifies for a wide neck #PSA but balloon assisted thrombin injection can save a 🔪 When do you consider it? @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive

@benwhitemd @IR_Doctor If AI really thinks we get a windowed part of the hospital its got a long way to go before it replaces us

@IR_Doctor I guess when OpenAI's GPT4o thinks about an aging radiologist with a hunched back in the style of a specific nonsensical 1940s children's book, this is what it sees.

If only my kids were still young enough for them to enjoy an update to Goodnight Moon.

@AmineKorchiMD Phillips made ultrasounds without cords. Used them in IR suites. Techs hated them because theyd get thrown away in the surgical trash

We can land rockets back on their launch pad with centimeter precision, yet we’re still stuck with wired ultrasound probes and radiologists’ Dictaphones. Funny world—from a radiologist’s perspective.

@DutchRojas x.com/picturesfoider… Structured in their bills as “Doctor/Facility” reimbursement. In this case, wRVU for double lung transplant is 137 - or about 5k of the 900k cost. Structured verbiage makes it seem that the docs reap most of that cost.

A physician I know performed a complex surgery at a hospital. Health System billed: $78,000 Health System Paid: $40,000 Physician Reimbursement: $1,100 Health Systems take the lion’s share. Physicians take the hit. No physician wants to be employed. #healthcare

@hkmccullough @IR_Doctor 👆came here to say exactly this.

@IR_Doctor The short answer is, do both. Any funds that you have in a tax advantage account like a 401(k), IRA or Roth IRA can go into the bitcoin ETF. Directly purchasing bitcoin is more like savings and you absolutely want to have that as well.

Buy bitcoin or bitcoin ETF? Pros and cons please!

@KyleCooperMD Im in a 70%IR/30% WFH DR private practice. Worked in both 100% IR acad and pvt practices. That 30% DR isn’t quite a vacation but the stress levels of a DR day are magnitudes lower than IR. Pay is identical, some cases better.If you have a family/kids the appeal is very real.

Not sure I understand the wave of attrition from #irad back to DR with the current rate of AI development… hang on to your procedural skills, DR, you’re gonna need em

@theblanketdog @UMNVascularSurg

If you're going to give a grand rounds please do not make sarcastic jokes about complications for a service you rely heavily upon. If you are going to make jokes make sure it doesn't go to YouTube. @UMNVascularSurg

Physician conversion factors: 2000: $36.6173 2003: $36.7856 2006: $37.8975 2009: $36.0666 2012: $34.0376 2015: $35.7547 2018: $35.9996 2021: $34.8931 2024: $32.7442 UHC stock up 8,556% Insurance premiums up 342% Inflation up 86% Physician pay down 10% We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.

@AustinBourgeois Heavy on the ice but I’ll allow it

19 hour workday yesterday, including: 7 embolizations 3 neph tubes Biliary drain / stent DVT 3 drains 2 ports 2 paras Filter Here’s what we’re up to tonight … #iRad

@pparikhxr @BijoyTelivala @farkomd @omarsaleh66 @drochohan @CoffeeBlackMD @11Blade @txsportsdoc @hjluks @VPrasadMDMPH @NaineshParikhMD @SandeepBaglaMD Answer is always get outside.

Docs, tell me one thing you’ve done lately to feed your soul. @BijoyTelivala @farkomd @omarsaleh66 @drochohan @CoffeeBlackMD @11Blade @txsportsdoc @hjluks @VPrasadMDMPH @NaineshParikhMD @SandeepBaglaMD

@ohiotate 3C and reclining straight back into Jesuses knees.

College Football Fans: You have an 8 hour flight. Where are you sitting?