Deepak Sudheendra, MD, MHCI, RPVI, FSIR @Dr_Sudi Twitter profile

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

It’s a wrap! After 10+yrs @Penn_IR , I did my last case. It’s been an honor to be part of @PennMedicine family. No other #IRad program compares to @Penn_IR . Together we created one of the largest vascular practices, drawing pts from 4 continents & across US. I will miss Philly!

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Dear #interns #nurses #residents #hcw , Start wearing compression stockings early in career/ #residency . Yrs of prolonged sitting/standing leads to chronic venous insufficiency. Believe me, you’ll thank me one day! @somedocs #MedTwitter @jointdocShields @AANP_NEWS @physicianswkly

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

I’m so proud of work @Penn_IR alum @irdocnigeria is doing bringing #irad to #Nigeria . Many have tried unsuccessfully to cut thru red tape & bring advanced #medicine to their countries. Dr. Ninalowo did just that & is making a HUGE difference. He is America’s loss, Nigeria’s gain.

Hammed A. Ninalowo

@irdocnigeria

4 years

It was quite a show and tell this morning as we completed a Dual therapy tace and MWA for Liver cancer. For the first time we could actually tell a patient “we can offer you curative therapy for liver cancer. Yes in Nigeria and without a blade/cutting. #wearesimplyonamission

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

In PAD, you can often follow calcified artery to do recan. In chronic #DVT , the challenge is “seeing what’s not there”. This pt had unsuccessful iliac v recan at OSH. Don’t forget the cardinal rule, 1 view = NO VIEW! @Vascupedia_com #VS2020Virtual @VeinForum #IRad #MedTwitter

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

1 year

Happy Friday #MedTwitter ! In 3 wks, my practice will be opening in #Columbus . Please welcome & follow my #irad tech @irRTMal . She’s got a lot of #vascular & #stroke experience. We’re lucky to have her. She’s already written a paper w/me & loves @_backtable ! @SiemensHealth

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

9 months

1/n After 10+ yrs, I left the Ivory Tower to open my own #irad practice in a completely different state. Piece of 🎂! What I didn’t expect is the difficulty & bureaucracy of getting on insurance plans. Here’s what I learned from what the insurance companies told me… @somedocs

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

3yrs of late night studying while leading one of busiest complex venous practices in US finally culminated in Masters degree. Thx @DrPKSudi for unwavering support. Thx to superb faculty @PennMHCI @PennMedicine @Wharton for teaching how to improve #healthcare operations/efficiency

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

The CEAP classification has been revised for #venous dz. If you're treating #veins , share this w/staff in your practice. @VascularSVS @JVIRmedia @JVascSurg @cirsesociety @myAVLS @JobstVascular @ACCinTouch @centerforvein @VEIN911_ @RKTvascular @EVToday @RKolluriMD @Angiologist

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Not much more to say than this.... #COVID19 #FlattenTheCurve #StayHome @Covid19Docs @somedocs @CMichaelGibson @kevinmd @DrLindaMD @RichDuszak #SaturdayThoughts #EmergencyMedicine #medtwitter #hcwstaystrong @sanjum @gsabate

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Woke up to this Pt: Dr, I'm not your pt but got iliac stent for #DVT in Dec. Leg not better. Recs? Me: Politely told pt to contact vasc doc for f/u Pt: My #irad said no f/u needed after stent. Just see PCP. WTF! Not fair to pt/PCP. When will our specialty ever learn? @SIRRFS

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

The @PennMedicine leadership has been nothing short of OUTSTANDING! The more I hear of my colleagues & other #HCWs in diff parts of the US being told by hospital admin not to “worry” about working w/ #COVID19 pts w/o #PPE , the more thankful I’m working the frontlines here at UPenn

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

1 year

Last week #360Vascular opened its doors. After 18 mos of planning, I couldn’t have done it w/o ❤️ & support of @DrPKSudi . Her attn to detail & how things will affect #patientcare is unmatched. Our 1st pt was an angel! Thank you for trusting our team w/your #vascular health.

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

To safely recan IVC atresia, mult obliquities key to success. Pt failed recan at OSH. RAO 30 degrees shows atretic IVC. After crossing CTO, confirm w/IVUS & look for renal v off of atretic IVC.💪 work by @Penn_IR fellow @DoCMcGlockz . @drmcumming #VENOUS2021 #DVTawarenessmonth

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

1 year

Nearly all hospital #DVT US protocols are flawed. The leg starts at CIV not CFV. Swollen leg w/neg US should lead to CTV abd/pelvis for iliac DVT. I bring this point up in every ER & IM grand rounds & it resonates w/many docs who just haven’t thought about the anatomy. #MedEd

Rob Orman MD | Physician Coach

@emergencypdx

1 year

You have a patient with a swollen leg & you strongly suspect DVT. D dimer elevated. Ultrasound negative. They have no chest pain or SOB. Vitals are normal. (no PE signs or sx) What would you do next?

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

3 tips to improve #venous recan 1. Mult views & strong hand injection of contrast helps find native vein 2. For long-term stent patency & max clinical results...eval inflow down thru bk pop 3. Aggressive AC/exercise regimen postop #IRad #MedTwitter @EVToday @_backtable #dvt

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Congrats to my dear colleague Dr. Susan Shamimi-Noori for receiving Scott Trerotola Teaching Award from @Penn_IR fellows. Extremely well deserved & testament to her dedication to teaching next gen of #IRad ! @PennRadiology @RadiologyChicks @somedocs @CIO_Oncology @SIRspecialists

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

#Disability from post thrombotic syn is profound. Current guidelines do NOT rec PCDT for fem-pop #DVT except select cases. IMO pop thrombosis can often be worse than iliac occlusion. Via RIJ, this pt got #QOL back & lower risk of developing severe PTS. #MedTwitter @SIRRFS #IRad

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Rotational venography CRUCIAL in IVC filter removal in determining filter hook wall adherence & other pathology. Chronic wall adherent clot seen here above filter. Filter out by @RadDrDuke w/o complication. #filteroutfriday #IRad @SIRRFS @keithppereira @RKTvascular @RKolluriMD

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

On #EasterSunday my son turned 6. No party bc #COVID19 but @Moorestown_PD , gr8 neighbors & @mfsfox classmates on @zoom_us wished him #HappyBirthday & made his day! Thankful to live in a community we love! @MoorestownSun #StayHome @MoorestownTwp @Justsaysj @somedocs #kidsathome

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Didn't match? Chin up, head high. Only fail if u stop trying. D/t PGY status after 4yrs #surgery , I got rejected from EVERY #radres in US! Got 1 courtesy interview by alma mater. Now I have gr8 #irad career. I found a way, you will too! #Match2022 #MedTwitter #SOAP2022

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

1 year

From academia to starting my own practice in a new state w/o referrers, what needs to be done today as a W2 to plan for your own practice tomorrow? What can you learn from being a W2? Join me & @SiemensHealth this Fri @OEISociety & learn about the launch of “OBL University”.

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

2 years

Doing locums @BonSecours hosp in VA & nurse-in-training says to head nurse that #irad book she’s reading is gr8. Told her to turn to venous chapter. Both nurses flipped out in excitement that I was in their cath lab. My 1 min of fame! @KyleCooperMD @SIRspecialists @UMichVIR

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

2 years

Pseudo exclusive contracts are the death of #irad . Until #irad can equally compete with #vascular surgery or IC, the field will not flourish. Publishing papers advances the academic side of IR & we’re doing gr8 in that dept. It’s the business side we need to work on. #SIR23PHX

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

My pt, a retired #conductor , & I often talked abt #music at office visits. Liver directed therapy bridged him to #transplant . Since I love #piano , he wrote a small #symphony for me as a #ThankYou after getting his new liver. Speechless! @SIO_Central @somedocs @pennsurgery #IRad

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

7 years

Gr8 example of how even nonocclusive acute on chronic #DVT can cause pain & swelling. Sig reduction in swelling 48 hrs later after #Angiojet & stent. Or maybe it was the #stocking that fixed the problem? Nah! @JVIRmedia @interventionalI @ACPinternists @bostonsci @PennMedicine

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Pt w/30 yr h/o #postthromboticsyndrome had 1 failed surgical attempt at recan & told 2nd opinion futile because nothing more can be done. The hardest part of chronic #dvt work is “seeing what’s not there”. @somedocs @RKTvascular @RKolluriMD #IRad @Interventional2 @SIRspecialists

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

#HappyDoctorsDay to a superdoc who fights #breastcancer by day & disciplines & comforts a 5 & 3 yo at night (& during the day between pts). While I do long cases in the cath lab w/20 lbs of lead, @DrPKSudi carries much more than I do & does it with a smile! #luckyguy @somedocs

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

1/5 My 5 pearls of wisdom to #residents starting their careers: 1. Medical training will push your limits. Don’t neglect your physical/emotional #health . Eat right/exercise. Nowhere in #Hippocratic oath does it say to sacrifice ur health to help others #MedEd #MedStudentTwitter

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

1/2 Recent college grad h/o mult #dvt & PTS. Couldn’t run as a child due to SOB/nausea. Found to have IVC agenesis from right hepatic v to iliac bifurcation. Sharp recan w/Triforce, IVUS, Wallstent, Vici .... @PennMDForum @PennRadRes @SIR_ECS @JVIRmedia @somedocs

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Pt seen by #medicine #orthopedics #infectiousdiseases #dermatology #allergy #rheumatology . Even got skin biopsy! She has classic C4 venous dz. Pt thinks I’m a #Genius . Why is it that a conditioning affecting > 1 Billion people worldwide is unknown? @somedocs #irad #Medtwitter

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

6 years

90 MILLION people listened to #podcasts in 2018! Great way to build your #brand . Maybe start your own podcast? @AaronFrittsMD @somedocs #SIR19ATX @_backtable @CHICKVIR @Drshiloh @mmaneevese @AgnesSolberg @svmehtamd @DrCorriel @RadiologyChicks #irad

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Minimally invasive procedures push boundaries in #medicine . Both #IRad / #laparoscopy are here to stay & will only get better/safer as #technology improves. @bretwiechmann @IUIRad @aslmsedu @SLSorg @pennsurgery @Interventional2 #SLS @ASMBS @websurg @PennRadiology @RadiologyBiz

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

2 years

Recently spoke to early career docs on practice bldg. Whether academics/pp, practice building skills are vital. Don't assume bc you're in ivory tower you will develop busy practice. Best marketing is good outcomes, referrals from pts, & educating community. #irad #MedTwitter

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

6 years

Think it’s not important to be involved with social media? Think again! @Drshiloh #SIR19ATX #mhealth #IRad #Marketing @CHICKVIR @mmaneevese @somedocs @AgnesSolberg @svmehtamd @SIRspecialists #healthcare @HealthcareExecN @DrPKSudi @DrCorriel @SashaShillcutt

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

The impact #IRad has is more profound than many realize. B4 starting @Penn_IR , a hepatobiliary surgeon pleaded w/me to take a job at the 350 bed hosp I was moonlighting at. When I asked why, he said “I can’t operate if I don’t have IR! I take my pts to another hosp” @SIRRFS

Monica Matsumoto

@MonicaMatsumoto

4 years

"IR is everywhere" - Med students in the SICU after discussing a possible PBD placement (3rd patient in 5 days) 😍 @Penn_IR making an impact!

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Trainees: I removed this port as pt done w/chemo. Rarely is there a need to place a subclav port. More disturbing is that nothing done about catheter tip location despite outside X-rays commenting on it. @SIRRFS @ACRRFS #IRad #MedTwitter @futureradres @AuntMinnie

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Honored to give #Obgyn Grand Rounds at Pennsylvania Hosp, the nation’s 1st #hospital . There was so much interest in the topic that I was asked to give it again at Hosp of UPenn. @SIRspecialists @acog @aafp @PennMedicine @somedocs @ACPinternists #medtwitter #WomensHealth

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

If you had a #heartattack & instead of being eval for #pci you went straight to #CABG , you’d be upset! It’s the same w/ #UFE . While it’s not for everyone, neither is #hysterectomy needed for every woman w/ #fibroids . @SIRspecialists @physicianswkly @MariSchaefer #WomensHealth

Left Beth

@LeftBeth12

4 years

@thefibroidlady I’m 48 hours post op from my UFE; can’t believe how I feel! Never needed prescribed opioids; have to remind myself to take it easy. Why do women have to research to find this alternative?Why don’t insurance companies evaluate when surgery requests are submitted?

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

1/2 To be successful, a practice MUST have ❤️ & soul. @Penn_IR I owe that to my admin asst Joan Brown who retired Fri on my last day. Joan’s the face of my practice, an extension of me, the 1st exposure pts have to me. @PennRadiology #humanresources @PennMDForum #medtwitter

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

College athlete h/o Ewing sarcoma resection c/b iliac v injury requiring ligation & resulting in IF #DVT . Pt unable to compete. Sharp recan thru clips. PTA = iliac blowout. Balloon tamponade + stent graft reinforced w/Abre. @Medtronic #IRad @JVIRmedia #medtwitter #VAM2021 #MedEd

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Can’t think of better way to start #2021 than w/ #CovidVaccine ! 🙏 scientists/docs/researchers who made this happen. I’m getting this for my family/friends/colleagues & also for my pts so that I can keep doing what I do best! #GetVaccinated @somedocs @physicianswkly #IRad

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Today I launched my new blog . Millions struggle w/ #vein disease that’s overlooked by med community. While still a work in progress, I hope this site provides useful info to pts & docs so we can improve venous #health in society.

Get Healthy Veins

@GHVeins

4 years

Announcing the launch of a new blog that explains the complex world of #vein disease, #DVT , & #pelvicpain in a simple way. @physicianswkly #IRad #medtwittter @SIRRFS #DVT @thrombosisday #bloodclots @PelvicPainOrg @pelvicpainpt @ClotConnect

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

“Once INR < 2, no benefit in plasma” according to @JeannieCallum How many of us do this daily for one reason or the other? @SIRspecialists @cirsesociety @SIRRFS #irad @AmCollSurgeons @PennMDForum @PeterCyganMD

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

1/2 After #VIVA21 , arrived in CO w/family for #vascular mtg & vacation. Tonight had horrific fall down stairs w/open comminuted fxs of L radius/ulna + lunate & scapula fxs. CT also found incidental acute appy! 🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏 #irad @myAVLS @somedocs @Penn_IR

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

With stress of #COVID2019 , it’s nice to get good news for a change! March is #DVT Awareness Month & it’s an honor to be 1st #IRad ever to serve on this #NCCN committee that develops guidelines for VTE in #cancer patients. @SIRspecialists @thrombosisday @somedocs @cirsesociety

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

7 years

47yo unexplained leg swelling for 1yr no dvt. IVUS shows #maythurner . 18x9 Wallstent. @PhilipsHealth @bostonsci @JVIRmedia @SIRspecialists

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Pt h/o #SickleCell & IVC recan at OSH w/rethrombosis 8x! Why? No inflow. We opened inflow from post tib vein to CFV but failed at sharp recan of left iliac stents. What next? Get alongside stent, confirm w/IVUS, crush iliac stent w/Wallstent. @cirsesociety #dvt @bostonsci #irad

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

1 year

There’s more than one way to do iliocaval recon. I like single barrel approach but if you prefer double, read paper by @dotter_IR in @JVIRmedia with gr8 teaching pearls. @RCobbMD_IR @MinaMakaryMD @RamChadalavada #irad @MountSinaiIR @kush_r_desai @irRTMal @Kendel_Browning

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

This week, I saw pt 3 yrs s/p IVC recan for atresia at 18yo. He looks phenomenal! The date his life forever changed is tattooed on🦵! An emotional visit for all of us. He 🙏 me for helping him & I 🙏 him for what he taught me. #IRad #VAM2021 @SIRRFS #medtwitter @PhillyInquirer

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Congrats to @Penn_IR Matthew Hung & alum @DennisKwonMD on their #EJVESforum case report on IVC atresia in 18yo who after 3 yrs has had no stent thrombosis or needed additional procedures. Special thx to our stellar #IRad team & @PennAnesthesia . @EJVES_ESVS @PhillyInquirer #MedEd

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

30yo w/PTS from chronically occluded IVC d/t filter. Pt embarrassed to go swimming or w/o shirt d/t abd wall varicosities. #Summer2020 will be different! @ACRRFS @SIRRFS @VascularSVS @FutureVascSurgn @thrombosisday #hematology @HemOncWomenDocs @somedocs @_backtable #MedTwitter

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

2 years

From a former academic #irad , Exclusive #radiology contracts prevent solo #irad from getting hosp privileges but VS/IC get them w/o issue. Tell me @SIRspecialists how my dues are helping me. There are more pp than academic #irad in US & we need your help! #SIR23PHX @OEISociety

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Pt w/LLE IF #DVT tx w/lysis at OSH. Found to have congenital IVC atresia. No PTS sxs. Referred for IVC recan. Would you treat this mom of 2 young kids? Why? What ?s/risks would you discuss? #IRad @SIRRFS @PERTConsortium @physicianswkly @lahinchman @RKTvascular #MedEd #MedTwitter

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Millions of people start their day w/ #coffee . W/stress of #Covid_19 ☕️is even more vital. Special thx to @Wawa for supporting & helping me & all #HCWs start our day off right as we fight to #SaveTheWorld from this #pandemia #coffeeaddict @PennMedicine @somedocs @Covid19Docs

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

During vein ablation as w/any procedure, knowledge of superficial venous anatomy AND surrounding structures is important. 1. What vein is being ablated? 2. What structure is red arrow pointing to? @ACRRFS @SIRRFS @SIR_ECS @SVM_tweets @FutureVascSurgn @VEIN911_ @TheVEINSatVIVA

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Dear #IRad , VS, IC colleagues Clincal f/u after vein stent no diff than PAD/CAD. Three 2nd opinions this wk got iliac v stents in past yr w/ZERO f/u. Dr told 1 pt they don’t know what there is to f/u. Clearly this Dr has no business stenting. #VENOUS2021 #stentresponsibly

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Finally, a reflux US performed CORRECTLY! Full standing preferred, upright if can’t stand. For CVI, pt often gets supine US, ends up neg. Pt then gets iliac stent. This shows 2 things: 1. No knowledge of how to eval venous dz 2. Pts getting unnecessary stenting #IRad @SIRRFS

VascularMedicine

@VMJ_SVM

4 years

#Vascular Disease Patient Page: Venous reflux testing A noninvasive ultrasound-based test to look at the valves in the veins and determine if they are functioning normally Learn more here:

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

1/2 #endometriosis is MCC of #pelvicpain . But what about pelvic congestion syn (PCS)? Ovarian v reflux plays role but if coil embo done & there is undiagnosed iliac vein compression (May Thurner), pt often gets worse IMO. If MTS treated, rarely coil embo needed. @theveinlady

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

IVUS helpful tool in dx of iliac v compression. What if IVUS not avail? What venographic signs help make dx? 1. Lack of contrast at compression point 2. Asc lumbar/pelvic collaterals 3. Retrograde filling of int iliac v @SIRRFS @VascularSVS @VIVAPhysicians @CAIRads @pairsmedia

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

March is #DVT #Awareness month! Did u know untreated chronic venous insufficiency raises #bloodclot risk? DVT survivor? Your risk of CVI is also increased. If u have painful varicose veins, ankle swelling, skin discoloration or ulcers, see a vein specialist today. @thrombosisday

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Teaching pearl: During a case this week, I realized I didn’t have proper stent. I could’ve put diff stent that was less ideal & gotten job done but I aborted & am bringing pt back. Pt sent thank you note today for not just putting “anything” into her. #IRad #VAM2021 @SIRRFS

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Another innovative technique similar to geniculate art embo. This area is an exciting frontier for #IRad . @SandeepBaglaMD @SIRspecialists @SIRRFS #medtwitter #MedEd @physicianswkly @ViveVascular @_backtable @Interventional2 @LifeofMedstudnt

Dr Mohal Banker

@drmohalbanker

3 years

Treated first case of planter fasciitis, total pain relief within 3 hours. thanks to @keishi_729 for guidance

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26

146

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33

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

We all do cases in our career that we didn’t get trained for. It’s ok if we have good judgement & know when to bail. I got this referral for pt w/severe PTS. Makes my ❤️ sink. @lahinchman @SIRRFS @VascularSVS @FutureVascSurgn @SVRaoMD @docTPlive @ACRRFS @gloviczki @theveinlady

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4

32

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Drs spouse w/LLE PTS since 2001 d/t #dvt . Venous HTN/pooling affected ADLs. Told NTD but stockings/AC. 6 wks after recan, QOL improved. Building awareness is 🔑. If Drs family can’t find tx, difficult for avg pt to find tx. @physicianswkly #IRad @somedocs @VEIN911_ @PennMDForum

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5

32

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

2/2 And now @Penn_IR & @PennAnesthesia have him a new IVC for Christmas! @SIR_ECS @PERTConsortium @myAVLS @EVToday @BostonPIMedEd @cookvascular @TheSHCI @VeinForum @RKolluriMD @RCobbMD_IR @physicianswkly

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31

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Can’t stress enough importance of INFLOW! Pt w/MTS stented 4 yrs ago for LLE #dvt . Notice below knee swelling. Stents occluded same week! I don’t understand why we think about inflow w/PAD but ignore it w/venous. @SIRspecialists @RKTvascular @heatherlgornik @CLI_Global @SIRRFS

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31

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

#VTE is 3rd leading cause of #vascular death & #1 cause of #hospital death! Learn the risks! If u have prob after #dvt & been told there’s no tx, get 2nd opinion. @CaitlinLander was her own advocate & got the help she needed after 15 yrs. #WTDay19 @PennMedicine @somedocs @kevinmd

Society of Interventional Radiology

@SIRspecialists

5 years

Interventional radiology gets ‘patients back up on their feet’ when other treatments for #bloodclots fail. #knowthrombosis #keeplifeflowing #visiontoheal

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32

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

6 years

There is no such thing as a benign #procedure or #surgery . Complications occur even in experienced hands. We do NOT have an #epidemic of #MayThurnerSyndrome but rather of iliac vein stenting. #StentWisely @JVIRmedia @cirsesociety #NCVH2018 @RKolluriMD @LessneVIR

JVIR

@JVIRmedia

6 years

Contralateral Deep Vein Thrombosis after Iliac Vein Stent Placement in Patients with May-Thurner Syndrome | #irad

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18

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31

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

If you’re not using #IVUS bc you’re uncomfortable or can’t recognize anatomy, ask @Philips rep for this atlas. Nothing beats hands-on experience & cross referencing w/fluoro but this atlas has some good images. #irad @Penn_IR #MedTwitter #MedEd @AmputationSuck #CardioTwitter

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4

31

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

“Compared w/other #cancers GI malignancies are assoc w/higher risk of #VTE ” How should GI cancer associated VTE be managed? @ASCO @SIRRFS @thrombosisday @PERTConsortium #CIRSE2020 @_backtable #medtwitter @SIO_Central @lahinchman @VESurgery @ThrombosisUK @aakonc @PeterCyganMD

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12

31

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

1/3 Dear #primarycare docs, Does this pt look familiar? Middle-aged M h/o LLE popliteal #DVT 5 yrs ago p/w b/l leg heaviness/fatigue, itching, cramps, healed ulcer, skin changes, & #varicoseveins . Next step? @PennMDForum @physicianswkly @somedocs @FutureDocs @MissFNP #MedTwitter

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5

31

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Thx @UHC for denying lovenox for a pt w/recurrent #DVT , post thrombotic syndrome, & PE who underwent 6 hr complex vascular procedure. In honor of your hospitality, I told him to seek legal counsel. You’re welcome. @physicianswkly @somedocs @NYTHealth @ConsumerHDigest @ZDoggMD

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

This shows that #Radiology should be a CORE rotation in every #Medschool . No other specialty interacts w/EVERY field of #medicine the way DR does. @DrGMcGinty @RasuShrestha @RadiologyACR @ACRRFS @PamelaJohnsonMD @DrAliceChong @RadiologyChicks @cekahn #irad

Ian Weissman, DO

@DrIanWeissman

4 years

Imaging-led medical rounds improved cross-specialty collaboration, and patient care. @Jenny_Writer @AKrishnarajMD @grebeccahaines @RasuShrestha @rstraxMD @asset25 @jennybencardino @JenniferKempMD

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9

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Amazing the stuff that collects in office over 10+yrs. I never know what to do w/books as I read mostly articles but hate to give away these classics. Here are 3 great reads for venous work. #medtwitter #MedEd @SIRRFS @SIR_ECS @venousedge @radlkf @joevein @helanefronekmd #irad

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2

30

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

2 years

Had an awesome day visiting @drmcumming , @rwolfemd , Dr. Peter Bretzman & their wonderful staff at VIE! This OBL is how #irad should be practiced & they’re a perfect example of how #irad can flourish w/o DR or PE. Felt like I was @Disney & didn’t want to leave.

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30

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

More data showing value of treating venous reflux for ulcers. IMO wound ctrs should refer EVERY pt w/ulcers for venous reflux eval. Ulcer tx requires multidisc approach & it’s time to stop the endless yrs of constant wound debridement. @physicianswkly @EVToday @VEIN911_ #IRad

JAMA Surgery

@JAMASurgery

4 years

Long-term findings from EVRA RCT showed lower overall incidence of ulcer recurrence and cost-effectiveness with early endovenous ablation of superficial reflux in venous leg ulceration. This is in addition to the accelerated ulcer healing shown at 1 year

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Pre- #COVID waitlist for new pts to my #DVT practice ~ 6 mos w/many out-of-state pts. Pts rescheduled w/ #Telemedicine . No prob, right? Wrong! I need license in state pt LIVES! Appts cancelled AGAIN! Docs need national license NOT 50 medical boards! @kevinmd @DrLindaMD @somedocs

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7

28

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Severe #postthromboticsyndrome in calf s/p #DVT . No improvement after 5 yrs of #bloodthinners . Compression stockings too small for 🦵 this size. CTO distal fem/pop recanalized. #wecanrecan @thrombosisday @RKolluriMD @SIRspecialists #irad @PennRadiology #SoMeDocs

0

3

30

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

1 year

Exciting day at #360Vascular as we get delivery of #irad equipment. Can’t wait to try out the @SiemensHealth Cios Alpha & #Stille table. This table is AMAZING with nice T & reverse T! @irRTMal @OEISociety @SIRspecialists

1

0

30

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

6 years

#teen w/o PMH presents w/massive bilat #DVT & failed thrombolysis. Transfer @Penn_IR & found 2 have IVC agenesis & undergoes #lifechanging IVC reconstruction & thrombectomy to post tib veins. Gr8 #teamwork @PennAnesthesia ! @JVIRmedia @RKolluriMD #SoMedDoc #TFT #4patients

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7

28

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

2 years

If there’s one basic tenet to learn about PAD it’s to remember the words of @adityasharmamd “Don’t forget the statins!” If PCP has not started pt on them, then you as the vascular specialist should start the pt on them. #SIR23PHX @physicianswkly @uvamedicine @SIR_ECS @SIRRFS

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7

30

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Happy #StPatricksDay ! A naughty #leprechaun broke into our house last night, left candy for kids, & used 🚽 on the way out. Kids are telling all their friends! @DrPKSudi #Parenthood @somedocs #luckoftheirish

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29

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

1/5 Middle-aged pt h/o MVA 1998. Trauma CT showed infrarenal IVC atresia. Pt seen 4+ vascular specialists over the yrs but told NTD as “asymptotic”. Pt had recent PE & only other sx is worsening🦵discoloration. What ?s would you ask? @SIRRFS @VascularSVS @somedocs @PennTrauma

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8

30

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

1/3 Longest & one of my most challenging cases...Pt w/28 yr h/o IVC & bilateral LE occlusion down to below knee popliteal. 400 lbs, nonhealing ulcers & s/p failed open IVC to iliac venous bypass. @SIRspecialists @VascularSVS @RKolluriMD @RKTvascular @somedocs #IRad @veinandlymph

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27

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

7 years

ATTRACT showed lysis did NOT prevent PTS. But major finding is that lysis did REDUCE SEVERITY of PTS. In my opinion, the moment #DVT occurs, vein damage starts. Lysis can't reverse damage but can quickly improve sx & prevent PTS from worsening. #ASH17

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16

29

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

Pt h/o PTS s/p lysis w/stent graft 18yrs ago that quickly occluded. Plan A: Recan but unable to get thru last 5 mm of stent despite sharp recan. Plan B: Wire next to stent, punctured thru graft, PTA thru interstices, then 14mm Vici. #irad #VENOUS2020 @VeinForum @VascularSVS

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

5 years

My awesome partner @SusanShamimi highlights comprehensive #cancer care. IO is not just about treating tumors but many other things associated w/cancer. #irad is the perfect solution for many cancer-associated needs. @PennRadiology @CIO_Oncology @PennCancer #oncology @RSNA

NJIRS

@NJIRSociety

5 years

Cutting edge interventional oncology talk by Dr. Shamimi Noori @SusanShamimi on procedures and instruments! #NJIRS2020 #Irad @SIRRFS

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3

14

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29

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

“I’m sorry but there is nothing that can be done for you” vs “I’m sorry there is nothing I can do for you but I know someone who may be able to help you.” It may not seem like a big diff but the latter statement can mean the world to a pt. @somedocs @physicianswkly

Mark Lessne, MD

@LessneVIR

4 years

Elderly pt w severe #PTS . 4 specialists say "nothing can be done" If YOU can't help pt, that's ok... PLEASE find someone who can #NoShame2Refer #ptsfirst Double barrel #Vici & ~9 months later, CT & legs look gr8! @CLTRadiology #IRad @Dr_Sudi @lahinchman @SIRspecialists

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103

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Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

4 years

Gr8 article! More work needed to show pp #radiology groups that if their #IRad partners supported w/clinic & APPs, no reason can’t have 100% IR practice. Private groups would be more powerful/profitable & less likely to be a commodity. Can’t outsource IR! @RadiologyBiz @SIR_ECS

Vibhor Wadhwa MD EBIR

@wadhwa_rad

4 years

Analysis of IR jobs - Highlights: - Almost half of all opportunities offer 100% IR practice - Only 15% private practice jobs offered 100% IR - Majority of jobs concentrated in Midwest and Southeast #IRad @HageIRad @CHICKVIR @UWRadiology @CI_Journal

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26

111

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28

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

Why #recan small stent when you can’t make it bigger? Original stent 8mm; native vein 14mm. Contrast flowed around stent, insufficient to drain leg w/tight stenosis in distal EIV. Crushed 8mm stent w/14mm stent. Don’t forget inflow! @_backtable @JVIRmedia #IRad @lahinchman

Deepak Sudheendra, MD, MHCI, RPVI, FSIR

@Dr_Sudi

3 years

“Veins ≠ arteries. Veins are BIGGER!”Let’s repeat that 10x. 10 mm CIV/EIV stent placed in 2008 & thrombosed in 1st month. Pt w/PTS for 13 yrs. My ❤️ sinks when I see these cases as pt would have been better off with no tx at all. #MedTwitter #IRad @_backtable @FutureVascSurgn

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