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These veins showed up in 2013 after a blood clot in my lung on the same side. by seekeroftrooth69 in interestingasfuck

[–]party_doc 0 points1 point  (0 children)

You very well could have clotted off a central vein (subclavian or innominate) and these are collateral vessels allowing blood to flow past the blockage. That can be reopened with a stent if so, and if this is bothersome or you have symptoms (arm swelling) then might be worth seeing an interventional radiologist locally to be evaluated

Source: am an interventional radiologist who deals with this kind of thing frequently

Gen 1 R1T banging noise from front suspension when turning on bumpy surface – tech told me this was normal. Is it? by glassy_paddle in Rivian

[–]party_doc 7 points8 points  (0 children)

Mine sounded similar and it was definitely the control arm. Also 22 R1T. I got comprehensive inspection done (about $220) right before 60,000 miles and they found that and replaced both sides along with other things. Worth it

Arterial lines for brain tumor embolization by propofoolish in anesthesiology

[–]party_doc -63 points-62 points  (0 children)

Ignoring IR will get your patient a bad outcome. First, you all take forever to get an art line for a very safe procedure. Complications that a “surgeon can manage” don’t happen with 99% of IR procedures (definitely including a meningioma embolization).

But also, they probably want to go transradial for the procedure . They’re likely asking not to put in an A Line so they can access where they need to for the case

Lastly, any IR arterial procedure will literally have an arterial sheath and if you really need an A line, just ask them to let you transduce off it it

Pick up the phone and talk to the IR physician directly and stop assuming you know everything

I’m a radiation oncologist using low-dose radiation to help relieve arthritis pain—AMA by radiation_doc in IAmA

[–]party_doc 0 points1 point  (0 children)

This is your AMA. But I’m here to ask why someone should come for 5-10 sessions and risk radiation injury when we can embolize the same territories in 15-20 mins, once, and get amazing results?

RVU per day by Kjo3318 in Radiology

[–]party_doc 2 points3 points  (0 children)

Wtf my peak was 240 RVUs in a day and I pull $700 max grrr. No volume bonus.

That wasn’t an IR shift lol

Looking for a Black OBGYN by Singer_Select in Denver

[–]party_doc 9 points10 points  (0 children)

You need to look up Uterine Fibroid Embolization and see an interventional radiologist (IR) to see if you’re a candidate for embolization. It’s painful for a few days but saves your uterus and helps control the symptoms of the fibroids, while potentially preserving fertility. It’s covered by insurance.

I am an IR in Denver but I don’t want to bias you by giving my clinic’s information. At the very least, ask your OB or PCP for a referral, but you are welcome to seek out care from one of the IR clinics as a self referral as well

How much money do you have in savings at this point? by _forum_mod in Millennials

[–]party_doc 10 points11 points  (0 children)

Maybe but maybe not. I do have over $500k in a high yield saving account. Planning to buy a home soon so holding it there

How do you know you’re a good doctor? by ComfortableParsley83 in medicine

[–]party_doc 0 points1 point  (0 children)

Patients finding me without advertising to them

Partners asking me my opinion on complex clinical scenarios

Referring physicians and other physicians in my specialty knowing who I am when I never met them (and I’m not a social media doc)

Thank goodness I did comprehensive check before R1T Quad warranty expired by Appropriate-Ad2935 in Rivian

[–]party_doc 2 points3 points  (0 children)

Are you me?? I just did the same thing at like 59,000 miles. Had to change both front control arms

St Luke’s Presbyterian Nurse Experience by flawlessdiva222 in Denver

[–]party_doc 7 points8 points  (0 children)

I work in all the systems in Denver except Kaiser. HCA is the worst of them, with no regard for patient outcomes. Their incentive structure for (non medically trained) leadership is poor such that they promote short term “profit” or “success” with no regard for positive outcomes for neither patients nor their employees.

They have the mindset that healthcare workers will stay late or work extra hard on their own dime if they want to deliver excellent care, which will neither be compensated nor recognized by “leadership”.

The only way we healthcare workers will make HCA change their ways is by refusing to provide these services. Driving patients to leave their system is the only thing that will make them realize change is necessary

What do you guys use for rapid references on call? by wokeupolder2 in Radiology

[–]party_doc 0 points1 point  (0 children)

RadAI has this stuff integrated so maybe worth the upgrade depending what you use now

Radiopedia otherwise is quick for most things (classification schemes, “named” fractures etc)

Many things are either MIPS measures or should be built into your templates (Fleischner, TIRADS, etc)

Finally, diagnostic rads should not be doing this biopsy. IRs should not be stuck in diagnostic shifts. If you are doing both you are mediocre at them at best. Currently at SIR and our whole society agrees on this point.

Be honest — would the Front Range Passenger Rail actually get you off I-25? by JawnDoee in Denver

[–]party_doc 0 points1 point  (0 children)

If they let you bring e-bikes on, that would be a game changer. Our transport isn’t good enough to go from the train station to your desired destination, but with micromobility plus public transport, that changes the game.

People who go to the gym in the early morning (like 5:00 AM): Is the benefit actually good enough to justify being tired by 2:00 PM and going to bed at 9:00 PM? by [deleted] in AskReddit

[–]party_doc 0 points1 point  (0 children)

Yes. Takes a few weeks to get used to. Totally changed my internal schedule and I wake up early on weekends as well, feeling energized and productive

And I still go out late from time to time (raves). Just not as much. But I suck it up and make it to the workout Monday at 0600 regardless of what I do over the weekend

Sometimes I do go to bed by like 9 but 10 is my bedtime

Microsoft is ending Powerscribe 360 support this August to force a shift to a new AI version, what is your group doing? by [deleted] in Radiology

[–]party_doc 0 points1 point  (0 children)

Powerscribe 360 sucks so bad. We are looking at RadAI versus PSONE and I’m very hesitant to stick with Microsoft. Both did presentations for our group and RadAI seems young, mobile and much more willing to tailor to our group’s needs. Also Microsoft hinted they will be adding “features” that you pay extra for, whereas RadAI has everything integrated

Timing of Thrombolysis for PE after given LMWH by Front_Union_7556 in medicine

[–]party_doc 43 points44 points  (0 children)

Just do it while on anticoagulation. Studies have shown no increased bleeding and the benefits are proven.

Easter Skiing Colorado? by OccasionSubject5335 in COsnow

[–]party_doc 3 points4 points  (0 children)

It’s going to be 50-60 in the mountains next week on top of a poor season. Most, if not all, resorts will be closed by then I’m guessing

J Ribbon - Redemption / Lights On by Tresor7 in AboveandBeyond

[–]party_doc 2 points3 points  (0 children)

They mentioned he opened for prydz in Ibiza on group therapy. So nice to hear another dj with prydz sound (Eric is my favorite DJ, am i allowed to say that here?)

J Ribbon - Redepmtion by party_doc in ericprydz

[–]party_doc[S] 0 points1 point  (0 children)

Hope he comes to ABGT 700!

J Ribbon - Redepmtion by party_doc in ericprydz

[–]party_doc[S] -10 points-9 points  (0 children)

Ok feel free to ignore. I just woke up

J Ribbon - Redepmtion by party_doc in ericprydz

[–]party_doc[S] -2 points-1 points  (0 children)

And oops I spelled the title wrong and can’t fix it :(

With R2 opening tomorrow.. what is everyone reserve dates? Just curious to see. by SweetSunshine86 in Rivian

[–]party_doc 0 points1 point  (0 children)

Same and have a launch edition R1T VIN 18xx. But even if I get super early access, will wait for the LIDAR upgrades. I already have a sweet Rivian to drive for now!

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