1/ WHERE does ascites come from? HOW do diuretics treat ascites? ARE you ready for a #tweetorial? #livertwitter #medtwitter #MedEd

Challenging Cases: 84yo WM w/AS, did TAVR. Used single Proglide in LCFA. Proglide got stuck and foot plate mechanism would not disengage from Ca+. We deconstructed and safely removed from the arteriotomy. Fantastic tips & tricks, big credit to Dr Amy Daliman TAVR Bot⁩

My first thought when seeing this was wondering if we could treat Ogilvies this way They say no idea in medicine is new: Wonder why this fell out of favor lol 🙊💨 ajronline.org/doi/abs/10.221…

Dan Brown Throwback screenshot from Kris Schramm

The American Hospital Association is opposing removal of non-compete clauses “on behalf of 270,000 affiliated physicians.” Something tells me they didn’t ask for physician input on this. Feel free to let the AHA know your thoughts. FTC

Recurring thought: In a world where other specialties are increasingly doing the “chip shot” image guided procedures and referring the “difficult” procedures to IR - at what point does it become justified to lobby for a difficulty modifier to the CPT? (Ie surgical Modifier 22)

10,000 hours. Goodnight sweet prince(s) 😢

🧷 Nice example of the “hairpin” turn of a T10 radicular artery arising off the proximal intercostal with communication to the anterior spinal artery. Careful using particulate for embos here (+why liquid neurolytic is contraindicated for intercostal neurolysis) #irad #radres

Immunotherapy saves lives in merkel cell carcinoma, but use is inconsistent Great study and presentation by James Sun, MD who we are losing to Fox Chase Cancer Center very soon 😢 UH Surgical Oncology UH RISES UH Surgery Residents UH Research & Education Institute #SSO2023

Can't find ultrasound probe cover or sterile gel for an aseptic procedure? Want to learn a little trick to save time, hassle & money in ED? Use the waste bag in the sterile wound care pack, and optiLube...

Patient comes down for IVC filter. This is the initial venogram after some trouble getting wire into IVC. Then, a subsequent venogram is performed after a 30 second intervention (see next reply). What intervention was performed? SIR RFS

Not the most wild of pathologies but impressive example of a “nipple” or “daughter sac” sign on this AAA. RP blood but no extrav on pt presentation to ER w/back pain. Temporary tamponade. Angio shows blowing hole in the sac by time pt makes it to angio for emergent repair

One of the best experiences I had as a resident was going to DC to lobby for healthcare policy change. Thats where I realized how little those that decide healthcare policy know about healthcare practice This won’t stop street fentanyl- but it will take away a useful drug.

“Corona Backdoortis”?

Also a great block for folks presenting with lower extremity Chronic Regional Pain Syndrome flare. Have used these to get pts out of acute pain crisis before.

When you’re an #irad rounding on your post kypho patient in the ortho unit and floor staff is wondering who this non ortho surgeon is- but trying not to stare at you. Even their mascot is guilty

Your first case using US for access with your attending watching

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

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”