The
@anals_of_IR
Editorial Office received numerous passionate notes from concerned readers notifying us of a supposedly “terrible” spelling mistake in our journal’s name. We wanted to reassure everyone that our journal’s name & distributed merchandise are correctly spelled. 🙏🏼
Most people are upset that Dr Fauci is making $417K a year. Do they want to know how much all the MBAs in healthcare make for absolutely no added value to the system? Should we tell them?
@DrLongissimus
If there’s a common femoral artery pseudoaneurysm, an interventional cardiologist did it.
Also, if there is non-indicated hardware and stents, an interventional cardiologist did it.
Listen up
#MedTwitter
: you can get your interventional radiologist to do anything for you, any time of the day as long as you add 5 magic words into the „reason for request“ field: „WE ALSO CONSULTED VASCULAR SURGERY“ -we, the
@anals_of_IR
editorial board. dare you!
Would you board an airplane with a pilot who isn’t qualified and didn’t pass the pilot test? No.
Then why would you trust an NP with something as serious as your life?
#MedTwitter
#StopScopeCreep
- a loud NO to
#NPleads
@AANP_NEWS
🧐🤨🤔...all of a sudden, the ICU fellows no longer are signed off to do triple lumen, the Nephrologists no longer do non-tunneled hemodialysis catheters, the thoracic surgeons no longer do chest tubes and hepatologists can’t do para...
#DueToCovid
#ConsultIR
#irad
The only rea$on why interventional cardiologi$t$ are attempting procedure$ they were never trained to do or qualified to perform i$ becau$e they genuinely want to help patient$!
Or, for GI endoscopy procedure indications, IR is standard of care after 5 PM on weekdays and during weekends. 8AM - 5 PM on weekdays, there is simply no evidence for
#irad
procedures being indicated as first line.
Major revisions requested. Per Anals guidelines, the results are inadequately presented. Please resubmit on blue-towel background, arranged according to anatomy
@jluka9
Another successful PE thrombectomy with
@InariMedical
Flowtriever. Minimal blood loss using FlowSaver. 24F venotomy closed with FlowStasis. Mean PA pressure 30 -> 18 mmHg
@JeffersonRads
@SIRspecialists
@drtedritchie
@anobelodisho
We can. Can you? Last time we checked, it’s usually urology calling IR to put NU tubes in, embolize your bleeds or drain your abscesses while you try to prevent patients from finding out about our therapies such as PAE.
Despite absence of blue towel background and industry COI, this is hard to beat. Pressures - with accurate hand writing - are a bonus. Our editorial board agrees: exceptional.
@anals_of_IR
January journal cover. Nicely done
@Yale_IR
“I am writing this letter of recommendation for the residency application of my FMG research fellow (insert name here) who did outstanding free labor for our elite institution for two years. Despite excellent scores and personality, we do not rank FMGs. But you should!”
@theAPDIR
Two mid-career session moderators trying to “reign in” a senior
#irad
who is asking the PGY2 abstract presenter “a commentary rather than a question” from his front row seat in the audience.
Accept without revision. Blue background and anatomic orientation per our society’s consensus statement and publication guidelines. This is what we it should look like. Please all in
#irad
- respect the rules. The rules are the rules.
How much is
@InariMedical
paying you,
@AugustinBourgeois
??? Shameful advertising. You are a shill for
#Inari
assisting them in robbing the hospitals and ultimately physicians and patients, $10k at a time per piece of plastic. Shame on you.
#irad
Dear academic employers, you can take your pompous and heartfelt 2-3% “raise” announcement emails and stick them where the sun don’t shine! In 2021, the 🇺🇸 inflation was 6.8%. And you all made major surplus on our backs. We don’t have an MBA. But we aren’t total morons, alright?
#Oncologist
on Friday night: “we need a port STAT, it’s discharge dependent.”
#IRAD
: “your lack of plan doesn’t make it our emergency”. This and other
#irad
comebacks will soon be published in an article series entitled: “Channeling your inner Trerotola - How I get away with it?”
This tweet is exploding. We think it’s because we channeled the collective dislike of our admin overlords. This is where
#irad
finally sees eye to eye with
#vascular
surgery and cardiology! The one bipartisan issue where we work hand in hand. First we defeat
#Covid
, then admins!
Most people are upset that Dr Fauci is making $417K a year. Do they want to know how much all the MBAs in healthcare make for absolutely no added value to the system? Should we tell them?
Per popular DM requests: The
#IRAnals
Ed Board consists of 3 IR faculty and 3 IR trainees across several institutions - all to remain incognito for now. All 6 of us are committed to the core mission of Anals: illuminating blind spots in
#irad
via high quality PC-free content. ❤️
👇🏻this cruelty is what separates our specialties at the end of the day. As
#irad
docs, we feel natural kinship with the hedgehog 🦔 . The only animal to naturally carry a supply of 21G needles. ~9 thousand of them to be specific.
#Brothers
#Sisters
@DrBTKatzen
@DrBTKatzen
we wanted to express our sincere admiration for your vision, willingness to take risks, build IR, explore unmet needs and create a pinnacle institution that will remain your legacy. You did it all in a tasteful, smart and sustainable fashion. We are big fans!
Btw: whoever at
@InariMedical
came up with this little ruler with the company logo on that we keep seeing with each post suction shot, y’all deserve a major salary bonus for this not so subtle shameless little plug for yourselves. Well done!
Might as well be an
#irad
who ablates tumors and cures patients. But then again...this car is really expensive and the person likely does all sorts of non-indicates stuff so our guess is an interventional cardiologists.
The Supreme Court voted 7:2 against interventional cardiologists performing procedures they weren’t trained, certified or qualified to do. Thomas and Kavanaugh to co-author the dissenting opinion.
Port placed by vascular surgery. Standard issue with built in PE Thrombectomy function.
Our
#VascularSurgery
colleagues are - once again - a step ahead.
#irad
where are you?
🤣🤣🤣 “US guided access was key”. Yeah, to an interventional cardiologists this is a true novelty. Let us tell ya a lil’ secret: you can use US for the artery too and guess what, if you hold pressure properly or use closure devices, you CAN avoid the usual pseudoaneurysm! 🤯 ?
Three symptomatic DVTs today, all different stages, all different strategies. The acute treated with FlowTriever, the subacute treated with venoplasty, the chronic with ClotTriever Bold. Making strides with this pathology. St Johns fellows US guided access was key!
💥 Last minute, ACGME accredited Independent
#IRad
Residency Position at Saint Louis University 💥
Start date July 1, 2022. (Out of ERAS match this year), Seeking applicants who are completing ESIR.
No. Those of us at
@MountSinaiIR
know that not to be true. ICs trying to do procedures they don’t understand and never trained for represent a real threat to patients, first and foremost. Selecting a coronary is about the easiest vascular thing one can do. Stick to it.
#irad
@anals_of_IR
Cardiovascular intervention = all cardiac and vascular intervention. If you can do cardiac intervention which is by far the highest risk… you can honestly do any other vascular intervention. It should be a team work. Not all IC or IR created equally. It’s how they were trained.
Thanks for the well wishes. If anyone curious, I'm still feeling pretty decent. Just did morning push-ups, sit-ups, pull-ups. Minimal scratchy throat and that's about it for symptoms. Time to make coffee and face the existential dread of isolation. Happy Monday, y'all.
#COVID19
We kindly ask the interventional cardiology community on
#MedTwitter
not to tag us on their cases. We would like to not have our name associated with malpractice, theft and poor outcomes. Thank you!
We as an editorial board voted to punish every
#irad
#IC
#vascular
professional who defends the massacre, mass murder and rape perpetrated by Hamas terrorists against civilians. While we firmly support the right for self-determination of Palestinians, we reject Hamas.
🙏🏻🇮🇱❤️
Good question and the answer is we should. Our editorial board sees no reason not to aggressively pursue all patients with vascular disease - from heart to toe. These illiterate charlatans from IC are no match for us technically, we would do the patients a favor anyway.
@hkangaslcswc
@anals_of_IR
You can tell the difference when any clinician with an MHA comes into the chat versus non. Every healthcare entity needs to take note.
-signed MHA, BSN, RN
@aleberlin2
@anobelodisho
The audacious lawyers should rather tackle RadOncs for treating patients inappropriately, off guideline and at disease stages where outcomes can’t be tracked - with $ / RVU as your sole incentive. Stop bashing things you don’t understand. You are filled with envy and greed.
“Percutaneous Needle Infusion versus Topical Manual Application of Herbed Lipids for Basting of Poultry: A Single Institutional Experience.”
@JVIRmedia
#IRad
🦃
It has come to my attention that
@Medtronic
Academy doesn’t think that
#iRad
exists as they don’t even have a speciality dropdown option to select when signing up for educational content. Guess they forgot who invented the this field. Way to go.
#YesItsTrue
#ItsUS
New interns on
#MedTwitter
and particularly those in Emergency Medicine:please physically examine your patients before ordering a scan or consulting
#irad
for procedures.
CLI does "NOT" need a Multidisciplinary approach. A "Fully Equipped Vascular Unit" should be able to provide -
1- Best Medical T/t
2- Unbiased- Open/ Endo/ Hybrid intervention
3- appropriate wound care
4- Foot Prosthesis and rehab
"Vascular Surgeons Should OWN CLI"
@BEST_CLI
Neurovascular surgeons and NeuroIR will be entertained to read this garbage here, published by interventional cardiologists claiming that they are “non-inferior” in stroke intervention despite worse indicators, underpowered and ill-designed study. But lie & try is the IC mantra.
Proportion of TICI 2b-3 was significantly lower in procedure done by cardiologist than other specialists ( 55.7% vs 71.7%). mRS was the same (nonsense)
Starting PGY-28 today. Good luck to all those of you joining the club. Vascular and Interventional Radiology remains the best choice of my life. Yours truly, Editor-in-Chief
@anals_of_IR
#irad
This tweet must have done it! Thank you for >800 followers. We will continue to speak the unfiltered truth. We consider ourselves the Larry David of
#irad
- social assassins. But we do feel the love. 🥰
Dear academic employers, you can take your pompous and heartfelt 2-3% “raise” announcement emails and stick them where the sun don’t shine! In 2021, the 🇺🇸 inflation was 6.8%. And you all made major surplus on our backs. We don’t have an MBA. But we aren’t total morons, alright?
@kimcoffmanmd
The Anals editorial board would like to offer you the position as our GU section deputy editor. You have demonstrated outstanding skill in navigating tight arenas with the help of lubricant.
#irad
Unmitigated and complete truth. Please spread the word of
@SandeepBaglaMD
blessed be he. Don’t let the insurers get away with denying care. Be equipped for peer to peer combat. Be an
#irad
matador. Be like Sandeep.
The sad thing is that it’s exactly those greedy MBAs void of any background or experience in clinical patient care who advocate for salary cuts for doctors/nurses amidst a pandemic to „optimize“ finances. Almost all cover it up pretending they want „affordable care for all“.
Most people are upset that Dr Fauci is making $417K a year. Do they want to know how much all the MBAs in healthcare make for absolutely no added value to the system? Should we tell them?
👇🏻respect for our young journal by the legendary
@AriIsaacsonMD
- thanks bud for being one of our staunchest supporters from day 1. Such high honors are more so valuable, coming from such a high carat perineal expert. You know your Anals! And so do we.
Just discovered the
@anals_of_ir
Twitter account. There are at least 15 good jokes here…and some of them probably have to do with hemorrhoid embolization. I’m going to rely on
@LessneVIR
to show us how it’s done, but feel free to show him up.
@keithppereira
@IR_Doctor
@Drshiloh
Metastatic
#breastcancer
to the mediastinum occluding the superior vena cava resulting in neck, arm, and facial swelling. This was treated by interventional radiology (
#IRad
) in a single session with lysis, thrombectomy using
@PenVascular
Lightning 12, and stent placement.
Our tip is to get your filter out by a properly trained interventional radiologist rather than by a hobby physician who thinks of basic procedures as “terrifying” and wants to “change the game” for a moment of thrill. What a joke!
#irad
#Cardiotwitter
#MedTwitter
IR and Surgeons: we call upon all followers to submit complications caused by interventional cardiologists who maliciously try to steal your cases. PM us their name, institution & key image. We will keep your name confidential. Our mission is to attach price tags for bad behavior
I’d call an interventional radiologist. That’s what I would do. And then publish this as a case report in our journal under the title: “How consulting IR saves lives and prevents SICU admission”
Many new followers over the last few weeks. Thank you! This trend reinforces our mission to defend integrity, truth and honesty in
#irad
and to keep toxic individuals in check.
@drvasimlala
@DrJayMohan
@DrAmirKaki
If you want to do these things why don’t you get proper training? Want to do complex aortic interventions? Be a vascular surgeon. Want to do GI bleeds and tumor embolizations? Train in
#irad
… would you approve if your colleague
#irad
starts doing coronaries & EP ablations?
Editorial Board convened. We decided to pursue new and previously unheard of avenues in our professional community by actually promoting people according to merit and ability. Yes, it’s controversial but we’re a young journal & think outside the box.
We just LOVE to watch how all the “single” female residency applicants on twitter have all of a sudden publicly revealed their fiancés and boyfriends after finding out they’ve matched on Monday. Women on the
@anals_of_IR
ed board find this “honey trap” practice distasteful. 🤥
To all the
#irad
applicants: Philadelphia is the place to be. Some of us lived in NYC and all across the country but we strongly endorse
#Philly
#PA
for training, residency and career.
Please enjoy this humorous thread by an “Interventional” nephrologist, enriching us on all bells and whistles of tunneled hemodialysis catheter removal. 😂😂😂
For the general nephrologists, fellows and residents that take out permcaths: What do you do next when only half comes out? 💩 Catheter was hubbed so cuff was far from the exit site. Placed one year ago out of country.
#nephtwitter
#vasctwitter
#medtwitter
#permcath
@ASDINNews
Congrats to Prof. Lawrence H. Schwartz on his move across town to become Chairman of the
@MSKCancerCenter
Department of Radiology! Extremely well deserved.
Per our editorial board decision, we adopt the extended Bush doctrine towards other specialties: forgive vascular surgery, ignore gastroenterology and punish interventional cardiology. Therefore,
@VascularSVS
, we forgive you this atrocity 👇🏻👇🏻👇🏻 - carry on guys/gals!
Placing ports in patients with large breast tissue can be difficult. In general best to minimize length to venotomy. This placement shows how long extravascular length + mobile tissue can cause loop + potential for kinking. Worst case would be retraction of intravascular portion
This guy
@AlanLumsdenMD
is not only a complete zero, posting horribly performed cases all the time, he also has poor hands on skills. All the industry reps know and share the horrible stories. Human experimentation going on at Methodist, unpunished.
@CMSGov
@US_FDA
I also see this as a competitive advantage Vs other specialties: big open - Endovascular - robotic minimally invasive-- Cards and IR cannot take this on.
#SVStweetchat