Shamit Desai MD
@shamitsdesai
Followers
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Following
837
Media
343
Statuses
2,898
Image Guided Surgery | Privademics faculty | IR advisor @RFUniversity | Go 🦅 | MedTech consultant/investor | husband/dad of 2| COI: education Cook & Inari
Chicago, IL
Joined April 2016
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@Sarah_Mojarad
Is this person a physician? Or a nurse/extender? Unprofessional and doesn’t understand that 24 year olds CAN have heart attacks. Foolish.
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105
4K
This includes undergrad. 6.5 years. 180k is as much as pediatricians and pediatric sub specialists make across the country (5-7 years post MEDICAL school) so 13-15 years of education.
Medical reimbursement is a joke and healthcare is extremely broken. All peds should be 2x.
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40
697
@ccardyDNP
One hundred percent need to expose who this is to
@acgme
as soon as possible. Also to
@NIH
and
@CDCgov
@CMSGov
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15
233
Radiologists uniquely see COVID en masse.
For months I hadn’t seen a single case. Tonight on a rare dx shift I saw 10/15 chest ct and more than half my 40 chest xr in the ED as typical for covid.
This patient is less than 30 years old ⬇️
#WearAMask
#COVID19
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@DrNasrien
To call this virtue signaling would be too respectful. This physician (thanks for your hard work) lives in a state with “restricted” practice of NP.
Waded into waters to “defend” people while missing entirely the point of the conversation of
#scopecreep
. Worst take on Twitter.
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“Chest port one week old doesn’t flush / aspirate”.
used GA, wasted OR time, and used additional staff. Most importantly, a pt with high grade cancer had a useless procedure/bad experience and outcome.
Seek expert care for port placement. Subclavian is not appropriate in ‘20
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@zachbraff
1/5 is much more important than 1/20. If dems don’t win the senate it doesn’t matter who’s in office. Get your fans to contribute to democratic senate candidates
@ossoff
and
@ReverendWarnock
, JD. THEY ARE DESERVANT!
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Honored to be a small part of this collective message - thanks for including me,
@RealDoctorMike
!
Everyone in this video and those who aren’t getting their voices across but who are dedicating every moment to their patients will inspire me forever!
#AlertNotAnxious
#COVID19
I interviewed 100+ Doctors on the
#coronavirus
Pandemic and it has turned into something truly special ⛑❤️👉🏼
#AlertNotAnxious
#COVID19
#StayHome
#MedTwitter
#GetUsPPE
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Clinical IR. 75 year old kidney transplant candidate. Incidental 3 cm gastroepiploic aa. pseudoaneurysm. History of MVA 1 year prior with abdominal discomfort (never imaged). 1 month follow up CTA included. Back door->front door- 1 stray in aneurysm. Transplant next week!
#irad
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The thing politicians don’t get. You can’t do ANY year without us. Yet you raise up a system which limits our autonomy and advances corporate greed over patient care.
I want to thank every health care and frontline employee who is working through the holiday weekend. We couldn’t have done this year without your tireless work to fight this pandemic.
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This was posted under IR on Vumedi this morning. Concerning that this is e-posted as educational in 2022. This is a masterclass on how not to retrieve. No way to protect the OPs here. Pls watch and think of patient before replies. 1/3
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@LucyModahlMD
Maybe physicians should unite to stop a crabs in a bucket mentality and be allies for all of our under compensated and devalued colleagues?
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To call this virtue signaling would be putting it lightly. This physician (respect your hard work) lives in a state with “restricted” practice of NP.
Waded into waters to “defend” people while missing entirely the point of the conversation of
#scopecreep
. Worst take on Twitter.
My opinion on nurse practitioners... my “PCP” is an NP and I wouldn’t trade her for any physician. Periodt ☺️
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62 yo M, active job. 2010 Optease related iliocaval occlusion (to b/l femoral) with b/l phlegmasia and Villalta >15. Single session therapy with
@drseedial
. 6-month follow up bottom R. Most imp, feeling better than ever!
@BostonPIMedEd
double barrel VICI FTW!
@bsc_pi
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@laceydurham
The content creator tag "americanincome" is clearly in the screenshot.
Not a concern of mine nor will it ever be. Social media is a tool to be used. Any views this person gets from my post is what it is. If they have an issue with a screenshot they can sue me and I'll take down
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Another masterclass on how NOT to perform a procedure. These are major, novice errors being posted as "educational" to trainees. This happening under the same roof as a fellowship trained IR team at Methodist. 1/4
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Pain relief, all in 1 week! All
@SIR_ECS
IRad & trainees should offer
#interventionalspine
for
#painmanagement
. All image-guided in our scope, if willing to be
#clinicalIR
.
#consultnotorder
@StrykerIVS
@spine_jack
happy to discuss w u! Oncology post w
@Medtronic
#osteocool
soon!
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Doing a procedural fellowship makes you think you can handle any amount of sleep deprivation until you are a father of a 1.5 year old and your wife's 33 weeks pregnant.
Days off are way harder than even challenging work days. Stay at home parents deserve a salary.
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0
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52 y M; fall with back against counter corner during “wine night” with wife. Level II activated. Hypotensive 90/40 despite 6 units pRBC, 1 platelet, 1 FFP.
PseudoA, small AVF, extrav.
IR can help. 30 min skin to skin.
#callIR
#MedTwitter
#meducation
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6
50
Michigan remembers who saved the auto industry. Plain and simple.
Milwaukee disenfranchised saw Trumps response to
#Kenosha
.
Success and peace are winning. Grifting and hate are losing.
#notflyoverstates
#flipthesenate2022
@DoctorsForBiden
0
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Trainees: a must recognize event during attempted PA catheterization. Where is my catheter?
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One of the best parts of being VTE/PERT director at my hospitals is watching my IR partners performing DVT thrombectomy safely and efficiently.
#withoutascalpel
#techis7mopregnant
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Tip I picked up at locums. Keep one balloon inflated when achieving significant height restoration during initial cement fill. Maintains the height. Achieved ~25% height restoration here.
@dougbeall
@_backtableMSK
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6
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@domsisti
@eemoin
@Sarah_Mojarad
I have an MA in bioethics from NYU as well as an MD, and I can unabashedly say to you sir: you and your students need to chill... and stay in your lane. Trying to e-reprimand an ethical MD with perceived bias in a context you don’t understand is... lame.
@PennMEHP
@UPennEM
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@FollowingForFu2
@LeahHoustonMD
@Jabaluck
@Yale
classic academic. Mansplaining ethnosplaining why hospital administrators need 25$ million a year after two years of grad school and no skills of note. But a physician in a high risk field doesn’t deserve 1/20 of that. Entitled, white, ivory tower myopia here is your king.
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I met with our new in house GYN yesterday. So nice, so collaborative.
30 minutes dispelling the numerous perpetuated DATA PROVEN mistruths about UAE for fibroids and adenomyosis.
First question from her : "but I was told ufe only for single fibroid?"
Go talk to referrers.
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80 y F acute on chronic left DVT severely symptomatic (couldn’t walk), 2/2 IVUS confirmed MTS. distal pop access and
@bsc_pi
Angiojet cleanup.
@BardPV
#venovo
MTS stent and IVUS landing. Before judging stent on ☝️ image, IVUS confirmed didn’t cover contra 😂
@VeinForum
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6
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Watch this. And then tell me that administrators/corporations have doctors best interests in mind... what a joke. They sit at home and tell politicians all is well. This is real.
#GetUsPPE
Gov Cuomo asked why nurses saying they’re reusing N95 masks 20x “We ask every hospital everyday if they need anything. If there’s disconnect btw hospital admins & nurses, I can’t help with that now”
My rec to
@NYGovCuomo
: Please speak DIRECTLY to front line nurses and docs! 🙏
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Oncology-palliative
#IRad
#cryo
tx for painful destructive
#NSCLC
rib metastasis. Intractable pain 10 -> 1.
Tip: 1/ perpendicular 18g for off-axis planning. 2/ saline under skin prevents 🥶 3/ 🏄🏽 the rib
#iceball
@SIR_ECS
@SIRRFS
@SIO_Central
@BTGIO
@bsc_pi
@TraineesBSIR
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@KyrollosBarsoum
A tough decision , no doubt. You bring up valid points. If I may ask, for trainees' sake, what was the proverbial "last straw" (not to be too dramatic) where you decided it was time to act on your intent to pivot?
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Unpopular opinion: though brave, physicians who are “volunteering” to help in NY are devaluing our profession and making it seems docs are martyrs. We’re not. It’s dangerous. Nurses and PA’s and their lobbies have negotiated 10k+ / week. Docs, be smart.
@AmerMedicalAssn
@AOAforDOs
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“I’m between derm, interventional radiology, and ortho”.
#IRad
we’ve achieved peak status!
@SIRRFS
@SIRspecialists
@ajgunnmd
@keithppereira
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Subclavian Ports. Still running rampant. Still malfunctioning. Still adding to patient morbidity. Still being placed in the OR.
#communityhospital
. Before the academic twitterati talk about
#value
and what not, understand that $ drives 99% of decisions down here.
#IRad
@SIRRFS
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@medburnbook
This is the best
@BuzzFeed
style "comparison list" I've ever seen re: medical specialities. Great respite from tough times. You should be proud!!
#FOAMed
#InThisTogether
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@DrNasrien
Clear as day you said you’d choose an NP OVER a physician.
Backpedaling doesn’t work when we have written record.
Yet you chose to attack me separately for calling out specifically this issue. After I said I respectfully don’t think you understood
#scopecreep
.
#virtuesignaler
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Note of pure positivity:
Sometimes a colleague becomes a friend, and a friend becomes a brother.
@drseedial
and I started together as interns in Philly (1), residency and fellowship in Chicago
@NorthwesternIR
(4+1)
#stepbrothers
, and began our careers together. 1/
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As I head on paternity break, thinking about this young lady who wanted to try to conceive but was told only fibroid options are IUD & hyst to control menorrhagia & bulk.
One week post
#UFE
she feels great !
#IRad
dispelling medical myths as usual.
@_backtable
#clinicalIR
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2
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T1 left
#RCC
referred by fantastic uro. Mod sedation, 2 probe
@bostonsci
#VisualIce
biopsy/cryo.
#iceball
magic. 6 mo follow up,
#blackhole
no residual.
@AmerUrological
@SIRRFS
; plan to follow MRI out to 5 yrs.
#IRad
is medical magic.
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Despite
#Covid
, everyday diagnoses still need efficient life improving/saving treatment.
65F, braced, limited, narcotics. Height restored and feeling great. 5cc cement at T8 (posterior in Pedicles)
#spinejack
#VCF
@TheStrykerIVS
5
2
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90+ year old spry osteoporotic female. Clefts at acute L1 and acute on chronic L2 (severe) VCF's. Axioligamentous alignment improved via spinejack implant at L2 followed by kyphoplasty with excellent cleft fill. Pain 10/10 to 2/10 - back on her feet!
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@shailinthomas
Tried your code. It worked! The pocket on my scrub pants is gone and there’s a huge hole in my Top’s armpit. 20% off!
@shailinthomas
1
0
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37 yo male LLE venous ulcer. Local doctor without formal venous training eval 02/2020. CT of their tx below.
Anyone else tx this way? My opinion: no formal training in venous disease, stay away. Causing more problems.
Stents look patent, would you fix now or AC and leave?
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Calling anyone except a doctor for this medical clinic. A "doctor" will be provided.
Opening a medical clinic is easier for a plumber than owning a hospital is for interested physicians.
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With the advent of on label venous stents and many more dabblers in
#MTS
#PE
and
#thrombectomy
, we see more and more of this in the community setting.
@SIRspecialists
@VascularSVS
@VeinForum
@VenousNews
@VenousSymposium
@VEITHsymposium
@kush_r_desai
@Dr_Sudi
@rustyhofmannMD
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@Djrusinak
@AaronGilani
How much is the 31 year old “executive track” mba in the wood panel offices who got a 1 year masters in “healthcare admin” making, Dave?
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What is the purpose of arbitrarily looking at "academic research projects" as part of residency or fellowship training? Outside of academic jobs, this has 0 relevance. Also 99.9999% of this "research" is stat-padding nonsense.
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The fact that physicians have not lobbied and fought (hard) for universal credentialing and licensing highlights EXACTLY what’s wrong with it all. Bureaucracy, redundancy, and waste (of time, particularly) - without set endpoints or reasons why.
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@yourheartdoc1
It’s very simple but harsh. Stand your ground and tell them you quit if not able to live freely.
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#UFE
works! No symptoms at 6 months.
AA female patient's mom and 4 sisters had hyst for fibroids. GYN offered hyst or nothing. No mention of UAE.
Found us (me and
@SaudSAhmedMD
) after researching online!
"Telling everyone about you guys!"
@WeCan_WearWhite
@HazelCrestIL
3
1
28
@atheendar
@AllisonRBond
@meridalebaggett
@RaoStrobert
It’s so sad, but in a dual doc household I have to remind my wife of this all the time. Women face this challenge much more than men, and minorities more than whites. her bosses tend to be old white men.
#impostersyndrome
ps: she’s smarter and more talented than I am.
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0
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Little
@onepeloton
and keeping the vibe alive with 2 months of
#irad
catch-up. When do you find time to stay up to date?
@JVIRmedia
@_backtable
@SIR_ECS
@SIRRFS
1
1
26
@mariozmd
So.. most pediatricians, peds Su specialists, academic medicine, and fam med docs should find other jobs?
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@DrNasrien
NPs are our allies. We rely on them. We function great as a team. Independent practice is NOT teamwork.
That is the only truth our patients can accept. Our patients deserve
#physicianledcare
Don’t backpedal. Own what you said. And choose whether it was a mistake or not.
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0
24
@DGlaucomflecken
@embasic
@MDaware
@movinmeat
@GoodishIntent
@wonkyhealthcare
@MidlevelCare
@RayneKThomanRN
@DrQuinn15
@FacerollerMD
@PPA_USA
@pppforpatients
@JillianNegri
@NoctorNews
@NPMismanagement
Imagine if this "provider" was the one taking care of you as the only "provider" in the ED during your cardiac event,
@DGlaucomflecken
. How would
@LGlaucomflecken
feel today?
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Make sure you check any availabile cross sectional imaging or confirm a conventional left iliac vein before placing
#ivcfilter
.
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0
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@screamingmd
Crazy thought... go downstairs (or upstairs) and TALK to the radiologist who read it or another radiologist and look at the pictures with them. That’s how real medicine is practiced.
#teamwork
#getoutofyoursilo
rads work much harder mentally than you could ever even imagine.
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@DrPayItBack
Soooo. Do the bare minimum and make smart investments/spend extra time on your side gig? Sounds like a plan.
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@DissanaikeMD
Respectfully ma’am, how many APP in your department refer to themselves as “doctor” and have online doctoral degrees? I doubt any.
But this is happening elsewhere. Their leaders/lobbies are making decisions many know is far above their education. It’s driven by corporate greed.
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Between
@_backtable
&
@linemonkeymd
intelligent, new-gen
#IRad
grads can leave the academic cocoon ready to make an impact in whatever space they choose to practice. Important resources; can't be understated.
1) know your value, you are the irreplaceable asset
2)
#clinicalIR
Binging
@linemonkeymd
this afternoon 👀 lots of interesting perspectives buried in these blogs. Thank you for pouring so much effort into this resource - gold mine of information that will impact how I approach training (especially CLINIC)
Future
#irads
check it out!
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25
These videos are RIDDLED with conflicts of interest, poor endovascular technique, the wrong tools, virtually absent intraprocedural thought process, and abysmal execution. They are indefensible and no embolization specialist would ever defend these techniques in court or M&M. 4/4
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That's almost 25% of the total # of deaths on 9/11. Due to the ego of a sitting
#POTUS
. As he insults doctors on the stage (multiple times now, not a fluke), I urge a SINGLE doctor to give me a good reason he's earned the right to stay in office.
Eighteen Trump campaign rallies "ultimately resulted" in more than 30,000 incremental confirmed COVID-19 cases and "likely led to more than 700 deaths," researchers at Stanford University concluded in a study published yesterday.
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#irad
trainees
@SIRRFS
-
Post mechanical thrombectomy, what explains that “residual” filling defect near the femoral head? Will post complete case later but good teaching point.
@VenousForum
2
4
22
@chrissyfarr
@Sarah_Mojarad
In northwest Indiana being told not to delay elective cases and by other physicians to “wait for admin to approve changes”. Uhhhh, no, not on my watch. I’ll die before an admin tells me my scope of practice and patient safety in this trying time. Medical expert > suit and tie
1
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40s M with perfed ileitis. Hx crohns. ^WBC and temp. <1 cm window? No problem!
No such thing as “just a drain”.. IR is the best kept secret in medicine. We don’t mind; can dx and treat same imaging modality!
#precisioncare
#nosubstitute
#imageguidedexperts
#IRad
#dualthreat
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Proud to make private practice and technical education possible. Highlighting venous disease is an honor.
#justacommunityhospital
@linemonkeymd
@nlradIR
@SaudSAhmedMD
@eliebalesh
@AdeelShahidMD
Don't miss out! Tomorrow, join us for AVIR's "Keeping it all Straight" series and learn more about the venous field from the expertise of Dr.
@shamitsdesai
!
#AVIR2024
#FindCookRed
@AVIRnews
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Honored to take part in this important topic for future and current
#IRad
. We love and support academics but wanted to highlight the beauty of training in a "privademics" model. Most will practice this way after training finishes- nice to get insider vantage!
@SIRRFS
@_backtable
This week on The Podcast:
@shamitsdesai
and
@SaudSAhmedMD
discuss privademics and the upside of lesser known community programs
#medEd
@SIRRFS
@SIR_ECS
@ABrandisMD
@SDhandMD
@IR_Doctor
@CHICKVIR
@Pandarock5
@IRVikBhatnagar
@DR_Radz
@MaryamBoumezrag
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4. in the era of laser and forceps, dragging a filter with strut tines exposed through both vena cavae + right atrium is by far the most risky/barbaric method of retrieval possible
5. there is 0 expertise here. 0. To do this and then to post is peak Dunning-Kruger
3/3 (end)
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@DissanaikeMD
If they aide in faculty selection, as interviews are 2 way streets, it allows candidates opp to evaluate APPs too.
Residents don’t sign off on APP work. They have limited role in formal supervision of APPs, nor APP formally educating them. So why would APP interview residents?
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#SIR24SLC
like all prior SIR (this is my 7th) is all about the PEOPLE. Great talks, programming needs a little help, and awesome events- but it’s about the connections and realizing the world is small, and exponentially getting smaller due to technology.
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Happy Diwali to those who observe and those who don’t! May this year bring lots of light to all your lives.
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Why
@JoeBiden
/
@KamalaHarris
2020?
1. My wife & daughter > my 401K
2. COVID plan
3. Healthcare plan
4. Climate plan
5. Gun control, address school shootings as a problem
6.
#BLM
7. Don’t insult military
8. Honest, show tax returns
9. Unite, don’t divide
10. No Kushner
#vote
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@DrNasrien
You know nothing of my practice but engaged in an ad homeneim attack. I’m sure your NP Practices thoroughly. But she/he carries no liability in your state.
Which is our point. Independent practice is dangerous. Not practice itself.
Your “defense” is sad.
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Very glad I will be able to make
@SIRspecialists
annual conference this year and will be able to attend the Gold Medal ceremony for an all time favorite mentor/teacher, Ultrasound King, former JVIR editor-in-chief, and
@NorthwesternIR
@NURadiology
legend , Dr. Al Nemcek.
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1
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@DrCasteelEM
However, through academics you can parlay into selling out to industry, speaking gigs, cushy self congratulatory societal roles, or a popular monetize or Twitter account more easily because you can throw your *Hospital X* clout around.
Plus residents do all your scut work.
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Plea: don’t attempt procedures you are less than familiar with, out of speciality training for what appears $. Ask for help. Experience matters.
Sad for us and patient. Limited pulm reserve, this put over the edge.
Bad practitioners make kypho seem dangerous; it isn’t!
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@NeedSomeReality
I'm happy they're "getting their bag". It's not about them, though. That's exactly what corporate/admin/insurance class has persuaded legislators to make us physicians worry about. And we've succumbed to it every time.
It's about asserting OUR value, end of story.
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@MDaware
“Spitballing” versus science is considered a debate in America. Sheeple are the science deniers not the scientists. Where did we get it so wrong?
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Trainees: many products out there with lots of "free" exposure on twitter/X. I use coils haven't encountered a rzn not to.
Detachables: incredible conformity and precise placement.
Pushables: fibered, cost peanuts.
For this crashing patient - 4 pushables 1 detachable.
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@RogueRad
This is quite possibly the most British video of all time:
- Telling others what to do
- Scolding with a smile
- Disinterested in these 2 min clips being a salve of levity in otherwise terrifying times 24/7
- Ending it all with a “thank you very much, indeed”
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@Jabaluck
@FollowingForFu2
@LeahHoustonMD
@Yale
The explosion of administrative glut, directly tied to governmental and insurance legalease making the pt-doctor relationship distant and diff to attain, has led to profound rise of administrative pay leading to inefficiency. Doc salaries haven’t event kept up w inflation.
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@SHumphreyTV
@KOAA
@patel_doctor
@SHumphreyTV
please expound on the differences in training between “doctorates” in nursing theory (non regulated “degree”) versus heavily regulated and stringent medical degrees for physicians aka doctors of medicine or osteopathy.
PATIENTS thank you for exposing this FRAUD.
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Proud to be launching an innovative course where I coach physicians on how to coach other physicians who are physicians of football coaches.
Payment accepted in form of CC, Venmo, or coach bags.
You can sign up on my calendly below.
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Rendezvous with GI last week, and WTF is all I have to say. Every aspect makes me realize how precise and delicate
#IRad
technique is.
More power to my endo colleagues, but I'm glad I do what I do and you do what you do.
#precisionmedicine
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Laughably unnecessary waste of time and resources posted by a non expert in the field of IVC filter management.
How we ensure that all pieces of fractured IVC filter were removed. Reassembled ex vivo, then CBCT.
@ISEVSonline
@VascularSVS
@VEITHsymposium
@cxsymposium
@bavaremd
@VascularSpecia4
@VascularOnline
@farkomd
@vasculargirl
@VesSurgery
@trisharoymd
@gaescobarmd
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Today: Adrenal vein sampling, IVC filter placement
#ALN
, 3 biopsies,
#radialfirst
UFE, native ureteral stent and PCN, G Tube placement, and a few minor cases. Thankful for the awesome
@NorthwesternIR
attendings.
#IRFELLOWSHIP
@SIRRFS
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@drmoneymatters
Imagine 2 facilities with no IR staff.
No one knows how much they need IR, until they need IR (which is every day)
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@RogueRad
Sonographers are. But no one else is even close. Particularly when it comes to the procedural use of ultrasound.
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A trainee in an integrated IR residency sent me this "IR" job posting:
"Ideal candidate will have the ability to perform procedures in Venous access, GI/GU, biopsies and drainages, PICC lines, Para/thora, LPs, myelograms and arthrograms"
Q 3call...
lol.
@SIRRFS
@linemonkeymd
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Future
#IRad
,
#ImageGuidedSurgery
1) your years in DR are essential - be the most curious in your class; take tough cases
2) analyze every patient and consult as a unique case, no "cookie cutter" answers; read without the report
3) YOU are the biggest asset in any hospital
Trainees, as
@linemonkeymd
says, important to get great diagnostic training. Pt with h/o malignancy & pelvic radiation & chronic nephroureteral stents p/w unilateral left hematuria. Had 5 CT/CTAs that missed the uretero-arterial fistula. Resolved with a Viabahn
#IRad
@SIRRFS
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53
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@marklewismd
Would have, but...
#surprisebilling
, and alas, you were not within your network
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#irad
@keithppereira
@rads99md
@KyleCooperMD
@SDhandMD
@t_intheleadcoat
@KprasMD
@NorthwesternIR
@MountSinaiIR
@SIRspecialists
we are ALL in this together.
@JVIRmedia
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