Line Monkey MD
@linemonkeymd
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Image-Guided Surgery blog for the new generation brought to you by Kavi Devulapalli, MD. MPH. #IGSurg (formerly #irad).
Worldwide
Joined July 2019
RT @BrianJStrife: A sagittal MRI image of my patient with a significantly enlarged uterus due to multiple benign fibroid tumors. Daily pain….
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RT @HeathVeuleman: Could it be that individualized care was never meant to scale?.That the best outcomes and lowest costs always come from….
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RT @GeBaiDC: Happy 4th of July! With Joseph Puthumana & @RealJoeGrogan, our article @GJIA_Online: Improving the Return on Investment in US….
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Nice write up @MStempniak . Vertebral augmentation is one of the most satisfying procedures I do. At this is a large part of our practice. Many patients are incorrectly diagnosed and often go many months before receiving the appropriate care. This.
Medicare cost-cutting initiative targets "wasteful, inappropriate" interventional radiology services. @cmsgov @SIRspecialists @RadiologyACR @dougbeall @swamp_possum83 @linemonkeymd
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This is happening all over the country. Congrats @KPVISLA.
We are proud to announce that Vascular & Interventional is now an INDEPENDENT department at KP LAMC! Congrats to our chief Dr Ken Lam on this monumental achievement. This is yet another milestone in the continued evolution of EVIS as a distinct clinical and surgical specialty.
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Really nice job here. #kyphoplasty.
Amazing what uni- access allows us to achieve. 10/10 pain with no PT participation to 2/10 pain and off narcotics, participating in therapy 2 days later. @AmputationSuck - I think I’ve earned about 10 comment credits for this one?
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Total trash procedure, but very nice approach. Inferior endplate approach under Fluoro. Fast and easy. When it comes to trash, get in and gtfo. More time in clinic. Less time doing useless things.
Intimidated by disc aspiration- a very low yield and often difficult #IGI (image guided intervention)? . Lateral approach, methodical advancement AP and lateral, and use a biopsy device once in the disc space. Be wary of anterior and lateral margins. @SIRRFS @SIRspecialists
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Outpatient care is the future. Doesn’t mean that hospital based care is not important. It sure is, but even in hospitals we need to think about our global impact which is currently not being realized. @OEISociety.
@ChengaziMD @VEIN911_ @DoctorCliffyy @SIRspecialists These conversations are much better had in person. Hard to convey things on this dying app. I think when viewing this from the lens of having a practice where IR services are required for practice sustainability and revenue (ie outside of the hospital and outside of.
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RT @DoctorCliffyy: We need to focus on a high end integrated resident experience with clinics, rounding, consults, cross speciality trainin….
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I was lucky to spend some time working with Chris and his team at Vein 911 on a locums basis in 2022 and 2023. I learned a ton of stuff that I’m implementing at IGS, both medical and business related. Truly awesome mentorship. I think this could be a tremendous opportunity for.
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RT @FadiSaab17: Not surprising but additional evidence emphasizing the importance of volume and outcomes in centers treating CLTI patients.….
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RT @drmoneymatters: @linemonkeymd In a world where Non Physicians can market themselves in any subspecialty, IRs should not be timid. Get o….
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In the last week, 6 different IRs have reached out to me asking about how to structure an arrangement with urology groups. These arrangements tend to have common themes:. 1. No ownership pathway in the new entity or group practice. 2. Flat rate per PAE case .3. Zero discussion of.
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Good post.
EM training is almost done. A $300K income sounds sweet. But here’s the thing, doc - a $300K contractor gig is not the same as a $300K W-2 job. If you’re not careful, you’ll get played. Let’s break this down.
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RT @FadiSaab17: Welcoming our newest member to @OEISociety . @Sonyanoormd is a pioneer in the field of CLTI and a strong supporter of patie….
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RT @EdGainesIII: 1/Folks, let us not kid ourselves that the One Big Beautiful bill impacts on the Medicare physician fee schedule are a “wi….
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RT @HeathVeuleman: What you’re about to hear from health system CEOs and rural hospital administrators is a really old and tired song and d….
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Independence is still possible. It’s not easy but it can be had.
The only other options to this are:.• Direct patient care, which is excellent for Primary care. and less common for surgical specialties.• Directly contracting with employers and cutting out. The threatening, controlling, and corrupt middlemen.• A combination of the above.
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RT @ChengaziMD: Value of clinical #VIRad - consulted for chole tube placement - ended up reinterpreting imaging, tying together complex pat….
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Certainly a shortage of IR in the marketplace changes the dynamic!
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