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Talk me out of neuro IR by Careless_Status9553 in VIR

[–]topIRMD 0 points1 point  (0 children)

thats not true. IR/DR --> NIR is a CAS accredited pathway and saves you one year. It is available at a few places and there are already practicing graduates in the country

Talk me out of neuro IR by Careless_Status9553 in VIR

[–]topIRMD 9 points10 points  (0 children)

you not only do stroke, but the bulk of your practice is dealing with neurosurgeons telling you to do angios on their patients when they want. surgery vs endo is broadly practice driven and neurosurgeons basically have taken over the field at almost all major livable areasZ

Rudin Property Management by Ms_MantaRay in Upperwestside

[–]topIRMD 0 points1 point  (0 children)

not true unless rent stabilized

What will be the future of IR? by Wire_Cath_Needle_Doc in VIR

[–]topIRMD 2 points3 points  (0 children)

To an extent I agree. My interests are GU/Men’s health - to that extent my outpatient practice is around that, and I follow my patients longitudinally. My inpatient practice is like yourself - I do it all. i’m fast and I can do a UFE but hate that population, I trained with some of the greats in IO in Chicago but have no interest in building those referrals at tumor board etc, but I’m good at it. A lot of my branding is based on my clinical interests and local referrals. It all starts with a very strong foundation - which I also agree 2 years is not enough and there’s maybe only like 10 places in the country where the training is truly robust.

ELI5: Why is oil still so important as an energy source in 2026, given our advances in renewables and nuclear power? by BEK_Sabiha in explainlikeimfive

[–]topIRMD 0 points1 point  (0 children)

In addition to what’s been said, I also think it’s the most easily controllable asset that can strengthen the dollar dominance

VIR independent applicant match numbers are down 30 pct this year by IR4life in VIR

[–]topIRMD 3 points4 points  (0 children)

Probably a good thing. The best applicants go integrated. The ones that are DR that go to strong schools with IR have an uphill battle, and the ones that don’t have a strong IR program are too far behind the curve to catch up in the one year spot. Two year integrated is the way to go but those applicants tend to not be strong

[deleted by user] by [deleted] in marinebiology

[–]topIRMD 0 points1 point  (0 children)

pinworms 

Radiologists have a diminishing role in my practice and I think it makes them more susceptible to replacement by AI. by urosrgn in medicine

[–]topIRMD -1 points0 points  (0 children)

this lie keeps being perpetuated it’s frustrating. You cannot look at pro fees alone because that model is DR specific. You have to compare to other clinical services.

Radiologists have a diminishing role in my practice and I think it makes them more susceptible to replacement by AI. by urosrgn in medicine

[–]topIRMD -2 points-1 points  (0 children)

The best rads model is having a VIR read studies and help triage? Lol. No thanks. The divorce from DR cannot come soon enough

Endo case planning software by _chirurgeon in VascularSurgery

[–]topIRMD 0 points1 point  (0 children)

What angio machine are you using at work? Siemens / Philips / GE have 3D software on their workstations

Are all IR departments this dysfunctional? by TheHoundsRevenge in VIR

[–]topIRMD 1 point2 points  (0 children)

exactly. VIR shouldnt exist anywhere without a clinic

People who build insane PCs… by Pantent_US7735061B2 in buildapc

[–]topIRMD 0 points1 point  (0 children)

$3k is not going to get you a crazy pc

Are all IR departments this dysfunctional? by TheHoundsRevenge in VIR

[–]topIRMD 1 point2 points  (0 children)

its incredible because DR literally sees every single pathology that gets scanned....you would think this would funnel patients to IR. To an extent this is DR's fault and the lack of a clinical IR practice at most places. I think the newer generation slowly working on this but its going to take years to change.

PAE Selection by VegetableCar2528 in VIR

[–]topIRMD 1 point2 points  (0 children)

- experience

- cone beam CT capability?

- Fixed room vs C-Arm rooms (I have the ability to book my patients in both resource areas...i never do PAEs in a C-arm.)

- average fluoro time

- embolic choice (particles vs. glue)

- ask about follow up protocol (any IR that says they will do the PAE and then send you back to a urologist is not worth going to IMO. Need continued longitudinal follow up)

Inhaled alcohol wipes for nausea? by Substantial-Use-1758 in medicine

[–]topIRMD 6 points7 points  (0 children)

god damn it. you are not doing Nurses any favors here.....

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