Shamit Desai MD
@shamitsdesai
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Image Guided Surgery | IR advisor @RFUniversity | MedTech consultant/investor | co-founder Physician Staffing Solutions
Chicago, IL
Joined April 2016
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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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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Ethanol:lipiodol for AML. I get referred about 10-15 annually. Great results and such a satisfying experience for patients compared to partial nephrectomy. 45 yo female with > 4cm incidental AML that she was very nervous about.
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RT @PhysStaffSolns: IRs: Got a few extra weeks off or full-time independent?. Sick of bombardment by pushy locum recruiters who skim 30% of….
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We have the ACA to blame as accelerant on the tinder and a bloated inefficient administrator class fueled and propped up with backdoor dealings with insurance meagalopolies and buying off Washington.
Bigger is not always better. Multi billion dollar gleaming hospitals look great from the outside but these big organizations are a breeding ground for gross inefficiencies and burdensome bureaucracy. A doctor needs privileges at a huge hospital like this and it can take months.
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Two approaches to an impactful IR experience. Kavi and I are helping lead the charge in IR autonomy and proving the worth of IR - with our work at @PhysStaffSolns . Humbly, Kavi has mentored more graduating fellows than anyone out there, without an ask.
Thank you @_backtable and great job to both @Subhash_Gutti and Chris Zarour. Appreciate the invite and the opportunity to share my story. Building a clinical practice is hard, but rewarding and impactful. There is hope for image guided surgery, but we need more trainees and.
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RT @RepGregMurphy: The greatest threat to American healthcare is the insurance company industry. They abuse the honor of helping patients a….
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RT @DrDiGiorgio: I celebrated the ACA when it passed. Thought it was a big win. But I was young and naive. But the more I saw it in pra….
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RT @RepGregMurphy: There is absolutely no reason that physicians should not be able to own hospitals. Period.
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There are people who get it, and people who don’t. Insurance companies could pay Cuban millions to “work with them”, but he’s genuinely telling the American people why it’s important to eliminate value extractors from healthcare. Physicians being paid means better health.
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RT @cookvascular: LEVEL UP YOUR EMBO SKILLS AT #SIR25NASH MONDAY: Pelvic trauma and visceral aneurysm with Shamit Desai, MD and visceral a….
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Should be a great time! Learn from realistic case simulation and try a lot of different approaches to embolic therapies. #SIRNASH25 @SIRRFS
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How to eliminate epidemic levels of pediatric specialists scaling back or leaving workforce entirely?. Cap admin salary (including CEO/CFO), institutional admin sharing (Medicaid specialists etc), and 75% price reduction on EMR. $ redirected to ped MD/DO. @drdanchoi.
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RT @drdanchoi: I turned 40 a few days ago. @elonmusk reposting the collective frustrations of my patients and many practicing physicians is….
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Blame it on the e-e-e-e-ethanol…. 53 y F with 8 cm bleeding AML centered at renal hilum. Superselective & 100% coverage confirmed with CBCT. Tx 3:1 EtOH:lipiodol, if you’re experienced with liquids there’s no sub for this combo. #justacommunityhospital. @SaudSAhmedMD .@SIRRFS
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Meanwhile on SIR connect, 🦕 🦖 arguing that changing our name and branding from interventional radiology will cost too much as it will require changing the signs in the hospitals and our business cards.
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RT @EmpireStateBldg: I’m sorry I have to do this. Shining in @Eagles colors in honor of their NFC Championship win
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Entire aneurysm sac still filled with contrast. Yet another phenomenal example of how not to do it.
Here is what we did: VBX lower pole, sacrificed upper pole, coil packing. Very hostile abdomen - no open surgery. Neck too wide for coils alone. Normal contra kidney and function. @doc_ponraj Full video to follow on YouTube.
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One of the biggest scams of the many that beat down the middle class in America. People lose more money working and govt wonders why productivity is decreased?.
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