#  @linemonkeymd Line Monkey MD Line Monkey MD posts on X about dr, future, we are, in the the most. They currently have [-----] followers and [---] posts still getting attention that total [-----] engagements in the last [--] hours. ### Engagements: [-----] [#](/creator/twitter::1153426312889061376/interactions)  - [--] Month [-----] +508% - [--] Months [-----] -43% - [--] Year [------] -8.50% ### Mentions: [--] [#](/creator/twitter::1153426312889061376/posts_active)  ### Followers: [-----] [#](/creator/twitter::1153426312889061376/followers)  - [--] Month [-----] -0.07% - [--] Months [-----] +3.60% - [--] Year [-----] +16% ### CreatorRank: [---------] [#](/creator/twitter::1153426312889061376/influencer_rank)  ### Social Influence **Social category influence** [finance](/list/finance) [stocks](/list/stocks) [technology brands](/list/technology-brands) [countries](/list/countries) [automotive brands](/list/automotive-brands) [luxury brands](/list/luxury-brands) [nfl](/list/nfl) [social networks](/list/social-networks) **Social topic influence** [dr](/topic/dr), [future](/topic/future), [we are](/topic/we-are), [in the](/topic/in-the), [money](/topic/money), [blog](/topic/blog), [based](/topic/based), [insurance](/topic/insurance), [$ci](/topic/$ci) #5, [image](/topic/image) **Top accounts mentioned or mentioned by** [@sirspecialists](/creator/undefined) [@sirrfs](/creator/undefined) [@oeisociety](/creator/undefined) [@shamitsdesai](/creator/undefined) [@bahetimd](/creator/undefined) [@sirecs](/creator/undefined) [@sandeepbaglamd](/creator/undefined) [@backtable](/creator/undefined) [@keithppereira](/creator/undefined) [@drcellini](/creator/undefined) [@alroubaiemd](/creator/undefined) [@vislamdscaip](/creator/undefined) [@sdhandmd](/creator/undefined) [@drcostantino1](/creator/undefined) [@chengazimd](/creator/undefined) [@cigna](/creator/undefined) [@jacobflemingmd](/creator/undefined) [@maryamboumezrag](/creator/undefined) [@kushshahmd](/creator/undefined) [@drmcumming](/creator/undefined) **Top assets mentioned** [Cigna Corp (CI)](/topic/$ci) ### Top Social Posts Top posts by engagements in the last [--] hours "@dr_cellini @kushshahmd So basically why advocate for less money and a worse lifestyle Is that what youre asking" [X Link](https://x.com/linemonkeymd/status/1674529740110086148) 2023-06-29T21:29Z [----] followers, [---] engagements "@dr_cellini @kushshahmd Abundance mentality Cellini. The issue here is realizing our impact as IRs not about limiting opps. The two can coexist but not as currently structured. Radiology is in for a rude awaking as it chooses the path of commoditization" [X Link](https://x.com/linemonkeymd/status/1674532966758842368) 2023-06-29T22:31Z [----] followers, [---] engagements "@dr_cellini @kushshahmd Any IR who chooses to have hospital privileges should share in the call burden. Remember in many states you need hospital privileges to operate outside of the hospital. There are many positives to separating IR and DR contractseven financially speaking" [X Link](https://x.com/linemonkeymd/status/1674534718258180099) 2023-06-29T21:46Z [----] followers, [---] engagements "@dr_cellini @kushshahmd Ill send you a copy of an upcoming AJR article I wrote then we can discuss perhaps on a video for your channel I get what youre saying but there is far more to this issue than satisfaction doing cases. Seriously I am happy you find satisfaction in a procedural radiology" [X Link](https://x.com/linemonkeymd/status/1674536146448048132) 2023-06-29T21:57Z [----] followers, [--] engagements "@dr_cellini @kushshahmd Im a clinical IR and I collect more trash per unit time than 95% of the field. I have a truck with my blog logo on it" [X Link](https://x.com/linemonkeymd/status/1674536385976344576) 2023-06-29T21:56Z [----] followers, [---] engagements "@thats_bone @dr_cellini Cant readily do it when IR falls under radiology services and many rad groups hold exclusive contracts. Has very little to do with the market" [X Link](https://x.com/linemonkeymd/status/1674540856383094787) 2023-06-29T22:10Z [----] followers, [--] engagements "@pparikhxr @Dr_Sudi @teleflex Agreed" [X Link](https://x.com/linemonkeymd/status/1677029595017539586) 2023-07-06T18:59Z [----] followers, [---] engagements "@drmcumming @AmerMedicalAssn @ahahospitals System doctors are essentially forced to refer within network. Simple things like having EMR prompted referrals make out of system referrals difficult for many employed docs. Oh I cant get you in epic. Heard that a million times before" [X Link](https://x.com/linemonkeymd/status/1702513046881468795) 2023-09-15T02:41Z [----] followers, [--] engagements "@drmcumming @AmerMedicalAssn @ahahospitals Furthermore many large systems have their own insurance products which can potentially dominate a market and effectively reduce patient choice and competition" [X Link](https://x.com/linemonkeymd/status/1702513208244715759) 2023-09-15T02:42Z [----] followers, [--] engagements "@AlanMatsumotoMD dismisses the DR/rad onc separation saying its not analogous to the potential for an IR/DR split. Thoughts @shamitsdesai @drochohan @SIRspecialists @RadiologyACR" [X Link](https://x.com/linemonkeymd/status/1728763353722434021) 2023-11-26T13:11Z [----] followers, [----] engagements "@drochohan @shamitsdesai Exactly" [X Link](https://x.com/linemonkeymd/status/1732833673492279511) 2023-12-07T18:45Z [----] followers, [---] engagements "Its Rank List time. Heres an unconventional perspective. Best of luck to those looking to match into IR. @WCVISociety @OEISociety @SIRspecialists https://linemonkeymd.com/how-to-rank-an-ir-program/ https://linemonkeymd.com/how-to-rank-an-ir-program/" [X Link](https://x.com/anyuser/status/1760558952431894580) 2024-02-22T06:55Z [----] followers, [----] engagements "@SandeepBaglaMD @MishaGinsburg @AriIsaacsonMD @IR_Doctor @IR_Nutt @SIRspecialists @uroegg @Kbaum_Uro @SBHATIAMD @TheRealDoctorOs @AmerUrological @TimMcClureMD Perfect description of point [--] in your response. Sweet private equity sale dreams to you Sandeep" [X Link](https://x.com/linemonkeymd/status/1787231507506987048) 2024-05-05T21:22Z [----] followers, [---] engagements "This is a huge issue which honestly informs a lot of what we see in modern healthcare: loss of autonomy moral injury turf battles consolidation private equity and generalized angst/unhappiness. As much as I want to be positive when talking to future physicians it wouldnt be fair to them unless they knew about these problems. It is possible to derive satisfaction from your chosen profession but still struggle with larger issues. Addressing these concerns should not be taboo. More on the blog soon. Medicare physician payment has dropped 30% over the last quarter century when indexed to" [X Link](https://x.com/anyuser/status/1803926385951674399) 2024-06-20T23:02Z [----] followers, 10K engagements "So many factors youre not considering here. Many radiology groups dont create carve outs. Many run a socialist system or some Ponzi scheme partnership. Many have sold out or will sell out to private equity. There is a severe supply/demand imbalance in radiology right now and will likely persist for a while. Being independent in the sense you have your own insurance contracts is much easier said than done. I dont blame anyone for leaving a bad situation to capitalize on whats hot right now" [X Link](https://x.com/linemonkeymd/status/1872838910839001281) 2024-12-28T02:56Z [----] followers, [----] engagements "I agree. And Im also sick of employed academic hospital IRs aka the SIR elite appropriating OBL content like its theirs and acting like hard working OBL owner-operators travel to work in their Maybach. This is medicine in its purest form. Clinic driven. Spending time with patients. Working hard to coordinate care and do the right thing. The procedure is simply the product of all the important work to get to that point" [X Link](https://x.com/linemonkeymd/status/1873948350971625517) 2024-12-31T04:24Z [----] followers, [---] engagements "@Subhash_Gutti @austin_gawa @WCVISociety @SIRRFS @CLIGlobalNews @ISETNews @_MCLIN_ @kmadass @SriniTummala @YsaAugust @ABhattMD @shamitsdesai VIR is essential in the CLTI space. Tremendous opportunity. Not enough interest. Unfortunate. Hoping the new generation can change that. Love this" [X Link](https://x.com/linemonkeymd/status/1896282509530591325) 2025-03-02T19:32Z [----] followers, [---] engagements "Sounds like there are a lot of folks out there who need help getting started in the world of independent IR. Im of course biased but we have a great resource for you. Let us know if we can help. @linemonkeymd @MStempniak @dr_cellini regarding IR locum work and we along with @nlradIR have created an independent contractor staffing agency due to high demand for non-traditional IR hospital based work. I spoke about this on a recent @SIRspecialists Business Institute webinar. (2/2) https://t.co/V9jZdH7MuJ @linemonkeymd @MStempniak @dr_cellini regarding IR locum work and we along with @nlradIR" [X Link](https://x.com/linemonkeymd/status/1898095237580701789) 2025-03-07T19:35Z [----] followers, [----] engagements "@RadiologyUSC @KECKSchool_USC @UCSanDiego @GWtweets @CUSMedicine @UTSWMedCenter @TCUBurnettMed @WesternU @TuftsMedicalCtr @GlobalGators @oaklandu Congratulations @ttalluri99" [X Link](https://x.com/linemonkeymd/status/1903242957840367770) 2025-03-22T00:30Z [----] followers, [---] engagements "Ah yes the transfer of power from one individual who has never personally paid for a device to another. A time honored tradition of self-congratulatory behavior. It would be much better if these companies took all that money spent advertising @Fly_Nashville perhaps in an effort to support @SIRspecialists and actually supported independent IRs trying to enhance and protect patient access in communities across America. Instead we pay out the nose relative to reimbursement compared to these bloated and inefficient healthcare systems that are riding a wave of artificially inflated HOPD rates and" [X Link](https://x.com/linemonkeymd/status/1906066291506528726) 2025-03-29T19:29Z [----] followers, [----] engagements "Being clinical is a start. Why Patient recognition physician recognition and ability to gain referrals. It does not change macro healthcare factors (namely regulatory capture mechanisms and poor reimbursement) pushing folks towards employment but it does allow those who are entrepreneurial a better likelihood of remaining independent. The end game is career longevity/satisfaction and better patient outcomes" [X Link](https://x.com/linemonkeymd/status/1921870662055907446) 2025-05-12T10:10Z [----] followers, [--] engagements "@BrianJStrife You can have just as much impact if not more during this next phase. Congratulations on making the move" [X Link](https://x.com/linemonkeymd/status/1926303746771787823) 2025-05-24T15:46Z [----] followers, [---] engagements "Im not personally threatened. Im just stating a fact. Healthcare systems are using advanced practice providers to deliver care ones delivered by physicians due to relative physicians shortage and due to the fact that the marketplace can support an APP being paid relatively less. In the future there will be more APPs in IR than physicians. Thats a reality. There are things that Interventional Radiologists can do that APPs simply cannot. What I am saying is that Interventional Radiologists are not taking advantage of this fact to promote their independence and career longevity. If we dont" [X Link](https://x.com/linemonkeymd/status/1946668669788119365) 2025-07-19T20:29Z [----] followers, [---] engagements "As reimbursement goes down you either need to produce more widgets or decrease costs. AI may help with the widget production part. Consolidation though allows leverage with commerical payers to increase average dollar/rvu produced in the practice. Costs though Need economies of scale. Like strategic rad. Which again is a form of consolidation whether or not we like that. Its necessary. Additionally Id argue your comment about small groups is also confounded by the fact that smaller groups with high pay tend to be in commerical insurance rich areas of the country with low population density" [X Link](https://x.com/linemonkeymd/status/1946735212467302777) 2025-07-20T00:53Z [----] followers, [--] engagements "@drmoneymatters @Stephenrblv Exactly. FAFO. I suspect many folks in my generation will be heading for an early retirement. Mass physician exodus" [X Link](https://x.com/linemonkeymd/status/1947437792197300526) 2025-07-21T23:25Z [----] followers, [---] engagements "@TheRealDoctorOs @Aetna @DonGarbettMD @SandeepBaglaMD @bonesz @pparikhxr @NaineshParikhMD @JafarGolzarian @SIRspecialists Aetna has always been a challenge for PAE. Sorry. Some BCBS and United plans are also a problem. Make sure you have good cash pay options. Many dudes are willing to pay" [X Link](https://x.com/linemonkeymd/status/1953278992124952962) 2025-08-07T02:16Z [----] followers, [---] engagements "What is the indication and what data can we point to which clearly indicates where it falls in the OA tx algorithm Its somewhere between inject the knees with roids and zap em with ablation probes. We are currently paid by Medicare because the embolization guidelines havent been updated since [----]. Why wouldnt Medicare ask for its money back when this procedure pays more in an ASC setting than a TKA We need quality data and we need it fast. I dont disagree with you. I just express significant concern regarding the future financial viability of this procedure as the vast majority of procedures" [X Link](https://x.com/linemonkeymd/status/1953546565647311338) 2025-08-07T19:59Z [----] followers, [---] engagements "I do that as is by joining a group of independent orthopedic surgeons. Now a multi specialty practice with over [--] physicians. Its not hard to find support for less than 10% of collections. For me the easy decision was leverage required for insurance contracts that arent a total insult and ability to add value to physicians in the community who work hard to avoid absorption by the large academic system. Harder thing is dealing with CMS and BUCA. The declining PFS and regulations from ACA and HITEC are what truly limit independence and make it an uphill climb. The more I learn the more" [X Link](https://x.com/linemonkeymd/status/1956857905078297010) 2025-08-16T23:17Z [----] followers, [---] engagements "I feel the same way but the moment you have to care for other beings such as kids with special needs and aging parents that math can change even if your lifestyle doesnt. Throw in a health problem or two in there and the math no longer checks out. I dont think I appreciated these things until I started seeing some of my peers go through it. I guess everyone is different and thats ok" [X Link](https://x.com/linemonkeymd/status/1967282440528891995) 2025-09-14T17:40Z [----] followers, [--] engagements "@drcostantino1 Notes can be powerful. Easy to lose perspective in the trenches so Im sure it must feel nice to see this" [X Link](https://x.com/linemonkeymd/status/1968399619882152416) 2025-09-17T19:40Z [----] followers, [---] engagements "@theblanketdog @Browns As a Cleveland Browns fan I both love this and hope your bet isnt much" [X Link](https://x.com/linemonkeymd/status/1970455165510811910) 2025-09-23T11:48Z [----] followers, [--] engagements "@t_intheleadcoat Thats very impressive" [X Link](https://x.com/linemonkeymd/status/1981539395430994382) 2025-10-24T01:53Z [----] followers, [---] engagements "@theblanketdog @ChengaziMD @farkomd @bahetimd @smbracewell @alexheatonmd @NevdeK @Adam_Swersky @BeauToskichMD @drochohan @JuliusChapiro @CHICKVIR @Dr_Sudi @ReneLizola @msran124 ChatGPT is your friend" [X Link](https://x.com/linemonkeymd/status/1982244717841498536) 2025-10-26T00:35Z [----] followers, [---] engagements "Love seeing this. I was an independent contractor from 2021-2024 before opening my own solo practice Business ownership isnt for everyone but the ability to shape your work environment define the kind of doctor you are and actively reduce barriers between you and your patients is critical. We need more physicians saying no to the status quo of employment by large healthcare systems which raise costs and burn us out. http://www.igsmissouri.com http://www.igsmissouri.com For anyone interested in being an independent contractor a message I just sent to Tyler Olson: "Fun fact for you advising any" [X Link](https://x.com/linemonkeymd/status/1990474220648747279) 2025-11-17T17:36Z [----] followers, [----] engagements "Medtronic reps are trained to demonstrate the same several (rare) cases of Jack migrations in osteonecrosis/AVM cases where these things can float and end up in weird places. Its funny because Ive worked in a variety of different markets and have encountered the same cases from different Medtronic reps. End of the day Jack is a tool. Works well when indicated such as the very nice case you displayed. Its not for everyone. I dont use it for my old osteoporotic ladies with small pedicles. I like it in junctional fractures in younger patients. Its also STUPID expensive and shame in Stryker for" [X Link](https://x.com/linemonkeymd/status/2003664811972800837) 2025-12-24T03:11Z [----] followers, [---] engagements "They exist. PPs are consolidating as well. The consolidation doesnt always have to involve PE. Lots of examples in ortho urology ENT GI and other procedural specialties. In clinical VIR we are way too early and poorly defined to have meaningful data. @PhysStaffSolns we help other IR practices navigate changing healthcare environments to maintain independence and autonomy. This is much needed as IR continues to define itself as a standalone medical specialty. Ive done this for myself with my own practice Image Guided Solutions of Missouri. Ill be sharing more info @SIRspecialists Business of" [X Link](https://x.com/linemonkeymd/status/2005381153226653793) 2025-12-28T20:51Z [----] followers, [---] engagements "I dont know who reads this anymore but am I the only one surprised @Cigna has approved GAE in addition to other MSK procedures as an approved treatment using CPT [-----] @SIRspecialists @OEISociety" [X Link](https://x.com/linemonkeymd/status/2022104567467721171) 2026-02-13T00:24Z [----] followers, [----] engagements "@alroubaieMD @Cigna @SIRspecialists @OEISociety Is there good enough data There are retrospective studies and a couple sham trials And who are the patients we should be treating Not trying to be negative but legitimately curious because my experience has been very hit or miss" [X Link](https://x.com/linemonkeymd/status/2022119943316418973) 2026-02-13T01:25Z [----] followers, [---] engagements "@ChengaziMD @alroubaieMD @Cigna @SIRspecialists @OEISociety I agree 💯 I honestly struggle with GAE. Not sure who is the right candidate exactly. Need better predictive tools. Need more data. Some Pts do great and are super happy. Technically simple. Going the way of vein ablation it seems. High utilization low reimbursement" [X Link](https://x.com/linemonkeymd/status/2022133824923349084) 2026-02-13T02:20Z [----] followers, [---] engagements "@ramposham @ChengaziMD @alroubaieMD @Cigna @SIRspecialists @OEISociety Only if RUC re-evaluates the [-----] code. Agree re comparison with PAE" [X Link](https://x.com/linemonkeymd/status/2022304949695312370) 2026-02-13T13:40Z [----] followers, [--] engagements "@ChengaziMD @alroubaieMD @Cigna @SIRspecialists @OEISociety Same. These guidelines basically seem to have been written by someone who may have integrated single service IR OBLs in large orthopedic or GI practices" [X Link](https://x.com/linemonkeymd/status/2022138228447621542) 2026-02-13T02:38Z [----] followers, [--] engagements "@alroubaieMD @Cigna @SIRspecialists @OEISociety Im just so stunned by this. It took both UFE and PAE nearly [--] years from initial randomized trials to widespread clinical acceptance including coverage on commercial guidelines. Even then we still struggle daily with coverage issues for both services. Something is up" [X Link](https://x.com/linemonkeymd/status/2022128100541387199) 2026-02-13T01:58Z [----] followers, [--] engagements "Does anyone not use AI to create their social media posts anymore Insert emoji insert dash etc. med students residents attendingsplease stop. Its so obvious. Use your brain" [X Link](https://x.com/linemonkeymd/status/2022487893089100216) 2026-02-14T01:47Z [----] followers, [----] engagements "First day of OBL cases at Image Guided Solutions of Missouri. Not pictured are the years of being an attending to get to this point in addition to the months of hard work building the clinic and setting the foundation for what I know will become a tremendous resource for our underserved community. Proud of our team and thankful for our patients and their referring physicians for trusting us. Special thanks to @lakeodom for his expertise and willingness to fly out to help us onsite today. I hope others reach out to him for help because very few can do what he can. Lucky to have worked with him" [X Link](https://x.com/anyuser/status/1899637517000884227) 2025-03-12T01:44Z [----] followers, [----] engagements "Just learned that my former interventional cardiology partner is offering GAE. No I did not teach him. And yes there are many like him offering embo. If this doesnt bother you then you are part of the problem. @SIRspecialists more independent IRs need a seat at the table" [X Link](https://x.com/anyuser/status/1667617150172033025) 2023-06-10T19:38Z [----] followers, 25.1K engagements "I try not to be political with my blog but I think universally we can agree that the ACA did a lot of harm with regard to physician independence. Understanding this legislation and the downstream effects are critical to understanding the current healthcare landscape consolidation of healthcare systems and physician services in addition to the increasing power of insurance companies. All of these factors play a key role in the future of interventional radiology and I encourage everyone who follows my account to understand both the good and bad of the ACA. History provides us a lot of valuable" [X Link](https://x.com/anyuser/status/1904278602964967461) 2025-03-24T21:06Z [----] followers, 10.5K engagements "The claim that the ACA was the "greatest piece of legislation ever passed" doesnt just strain credulity; it collapses under scrutiny. The Affordable Care Act enacted in [----] was less a bold reimagining of American healthcare and more a patchwork compromise that entrenched systemic flaws while papering over them with lofty rhetoric. First the ACA supercharged consolidation in healthcare a trend thats suffocated independent medicine. @DutchRojas nailed it: the reimbursement model skewed by CMS (Centers for Medicare & Medicaid Services) pays hospital outpatient departments (HOPDs) far more than" [X Link](https://x.com/anyuser/status/1903947232791122302) 2025-03-23T23:09Z [----] followers, 45.1K engagements "7 years of hard work. It takes dedication to build a robust longitudinal clinic. The strength of an IR practice is reflected in how robust the outpatient clinic is. The number one factor imo when it comes to determining jobs and training programs. Well done. In [----] a dedicated IR clinic should really be the Rule not the Exception for any clinical #IRad practice. Started with [--] patients in my first clinic in [----] and see where we are now 📈 #ClinicalIR @SLU_VIR https://t.co/iqI2aZmbgw In [----] a dedicated IR clinic should really be the Rule not the Exception for any clinical #IRad practice." [X Link](https://x.com/anyuser/status/1702752408789459105) 2023-09-15T18:33Z [----] followers, [----] engagements "In [----] a dedicated IR clinic should really be the Rule not the Exception for any clinical #IRad practice. Started with [--] patients in my first clinic in [----] and see where we are now 📈 #ClinicalIR @SLU_VIR" [X Link](https://x.com/anyuser/status/1702728125128249543) 2023-09-15T16:56Z 10.5K followers, 48.7K engagements "@TherealDoctorJ Thanks for taking the time to write this out. I suspect it will resonate with most docs. The sooner we collectively take control of our own lives starting with the ability to say no the better we will be. Im so sorry for your loss" [X Link](https://x.com/anyuser/status/1556482815625142272) 2022-08-08T03:29Z [----] followers, [--] engagements "IR can thrive without DR but in order to do so it has to function like a surgical service. You know you've made it as a CLINICAL Interventional Radiologist (#VIrad) when clinical encountersnot procedures top your wRVU CPT heat map. Embo's Revasc Thromb'mies n more: is #IRad THE more diverse specialty in modern day medicine @SIRspecialists @VISLAMDSCAIP https://t.co/qJYimBMw2k You know you've made it as a CLINICAL Interventional Radiologist (#VIrad) when clinical encountersnot procedures top your wRVU CPT heat map. Embo's Revasc Thromb'mies n more: is #IRad THE more diverse specialty in modern" [X Link](https://x.com/anyuser/status/1670958836176257031) 2023-06-20T00:56Z [----] followers, 18.5K engagements "You know you've made it as a CLINICAL Interventional Radiologist (#VIrad) when clinical encountersnot procedures top your wRVU CPT heat map. Embo's Revasc Thromb'mies n more: is #IRad THE more diverse specialty in modern day medicine @SIRspecialists @VISLAMDSCAIP" [X Link](https://x.com/anyuser/status/1670794054517366787) 2023-06-19T14:01Z 10.5K followers, 25.8K engagements "You have demonstrated that you do not understand how this works so I will demonstrate this for you and anyone who wants to read this: When CMS creates the fee schedule there are [--] components to each code: -wRVU -peRVU -mpRVU Additionally each code has a facility payment for services rendered in ASCs or hospitals (what CMS defined as facilities). The peRVU number for any given code is higher in a facility than it is in a physician office since overhead such as staffing and equipment is payed by the facility via facility fees. Global payment for services in an office (which is the combined" [X Link](https://x.com/anyuser/status/1922147235954897071) 2025-05-13T04:29Z [----] followers, [----] engagements "IR must become a standalone specialty. This is not about site of service. Its about culture and identity. Check out the @AJR_Radiology commentary and these blog posts if you havent already: @SIRspecialists https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/ https://linemonkeymd.com/defining-our-culture/ New @AJR_Radiology Accepted Manuscripts: "The Future of Interventional Radiology" 🟡PointStandalone Specialty By Drs @linemonkeymd & Julien 🟡CounterpointIR & DR Better Together By Drs @AdamTalenfeld & Min https://t.co/nBfb2d1hES" [X Link](https://x.com/anyuser/status/1679889502137987072) 2023-07-14T16:24Z [----] followers, 13.5K engagements "New @AJR_Radiology Accepted Manuscripts: "The Future of Interventional Radiology" 🟡PointStandalone Specialty By Drs @linemonkeymd & Julien 🟡CounterpointIR & DR Better Together By Drs @AdamTalenfeld & Min https://www.ajronline.org/doi/10.2214/AJR.23.29683 https://www.ajronline.org/doi/10.2214/AJR.23.29815 https://www.ajronline.org/doi/10.2214/AJR.23.29683 https://www.ajronline.org/doi/10.2214/AJR.23.29815" [X Link](https://x.com/anyuser/status/1679878418349916160) 2023-07-14T15:40Z [----] followers, 21.1K engagements "In the last week [--] different IRs have reached out to me asking about how to structure an arrangement with urology groups. These arrangements tend to have common themes: [--]. No ownership pathway in the new entity or group practice. [--]. Flat rate per PAE case [--]. Zero discussion of clinical care These are seeds that have been planted over the last decade and now the trees are sprouting everywhere. Urologists are searching for IR mercenaries. Im very sad to see this. It reflects a fundamental culture issue in IR. Collaboration can be a good thing but is only meaningful when we can operate on a" [X Link](https://x.com/anyuser/status/1931461967111438455) 2025-06-07T21:23Z [----] followers, [----] engagements "Being able to do DR well and efficiently could give you the **money** to build a 100% IR independent outpatient practice. Either capital for investment into the appropriate resources or money to float you while you build your clinical presence or both. Ive learned the hard way that there is no substitute for the requisite 3-5 years it takes to build reliable referral patterns and patient panels. DR provides nothing but perceived financial comfort until one realizes that the time it takes to read those studies is also time taken away from building a practice which is the end goal. It also" [X Link](https://x.com/anyuser/status/1775369558867501201) 2024-04-03T03:47Z [----] followers, [----] engagements "@rkryu Being able to do DR well and efficiently could give you the flexibility to build a 100% IR independent outpatient practice. Ask me how I know" [X Link](https://x.com/anyuser/status/1775222031400780179) 2024-04-02T18:01Z [----] followers, 11.6K engagements "Agreed. PE in healthcare is largely a mechanism for capital in order to generate scale and to create leverage in a dying fee for service environment. While the goals may seem admirable on the surface it comes at a significant cost. For every physician retirement PE funds it results in burnout moral injury and overall reduced career longevity for a younger physician. Healthcare finances cannot be divorced from patient care. Physicians are best suited to lead organizations tasked with care delivery not dudes in Patagonia vests. Physicians are capable of raising capital and doing all the things" [X Link](https://x.com/anyuser/status/1773185115453034950) 2024-03-28T03:07Z [----] followers, [----] engagements "@B_Madden4 @mcuban @costplusdrugs PE is an evil scourge on America. In healthcare they have driven up costs reduced quality and disenfranchised physicians. There isnt a single example of PE improving the value equation. The industry preys on physicians that cant see beyond the empty promises" [X Link](https://x.com/anyuser/status/1773074589112807560) 2024-03-27T19:48Z [----] followers, 11.2K engagements "There are many challenges in healthcare and IR but I am still bullish about OBLs and their positive impact on patients and IR physicians. Thank you to @bretwiechmann for the opportunity to contribute to this #TVIR issue. There are some outstanding contributions in this edition that are worth checking out. @FadiSaab17 @BobTahara @DrLipman1 @drcostantino1 @mjgar59. @OEISociety @angiowoman @VISLAMDSCAIP Related to this issue I wrote a related blog post over three years ago and realized it was probably too simplistic of a take in retrospect but I think some key points still apply today:" [X Link](https://x.com/anyuser/status/1818772097927127278) 2024-07-31T22:13Z [----] followers, [----] engagements "Nice poster @nathansimk @EmoryIRad Its good to see that most #irad are treating #UFE as an outpatient procedure. No reason for admission. Some people like their nerve blocks. Im a fan of IA lido and keeping things simple. #SIRSLC2024" [X Link](https://x.com/anyuser/status/1772363754035953894) 2024-03-25T20:43Z [----] followers, [----] engagements "IR is quite the startup. Working our way from a dusty garage (basement) to a floor with actual windows. The challenges are many but it's worth it to me. I hope it is to you too. https://linemonkeymd.com/the-ir-startup/ https://linemonkeymd.com/the-ir-startup/" [X Link](https://x.com/anyuser/status/1520899654405308418) 2022-05-01T22:55Z [----] followers, [--] engagements "4 years ago Bill Julien saved my medical career by introducing me to the idea of independent IR. I was ready to quit medicine. Everyone should listen to this episode. And @bahetimd lets not confuse controversy with denial. Too many IR Apologists are in denial. This week on BackTable: Dr. Bill Julien shares the evolution of the outpatient based lab from early days to present day challenges #medEd @bahetimd @SFVascular @drcostantino1 @DonGarbettMD @linemonkeymd @OEISociety @bretwiechmann @Watts_IR @JimGMelton https://t.co/pfAcgY6Kya This week on BackTable: Dr. Bill Julien shares the evolution" [X Link](https://x.com/anyuser/status/1665711641126739972) 2023-06-05T13:26Z [----] followers, [----] engagements "This week on BackTable: Dr. Bill Julien shares the evolution of the outpatient based lab from early days to present day challenges #medEd @bahetimd @SFVascular @drcostantino1 @DonGarbettMD @linemonkeymd @OEISociety @bretwiechmann @Watts_IR @JimGMelton https://cms.megaphone.fm/channel/BTL2696346991selected=BTL9335173116 https://cms.megaphone.fm/channel/BTL2696346991selected=BTL9335173116" [X Link](https://x.com/anyuser/status/1665662860641423362) 2023-06-05T10:12Z [----] followers, 22.7K engagements "Busy week at #SIR23PHX. I realized I dont have any great pictures but I thank @alialikhanimd for this one which perfectly captures the week. Great catching up with old friends and making new ones" [X Link](https://x.com/anyuser/status/1634620473806913536) 2023-03-11T18:21Z [----] followers, [----] engagements "Its Rank List time. Heres an unconventional perspective. Best of luck to those looking to match into IR. @WCVISociety @OEISociety @SIRspecialists https://linemonkeymd.com/how-to-rank-an-ir-program/ https://linemonkeymd.com/how-to-rank-an-ir-program/" [X Link](https://x.com/anyuser/status/1760558952431894580) 2024-02-22T06:55Z [----] followers, [----] engagements "https://linemonkeymd.com/what-matters-most/ https://linemonkeymd.com/what-matters-most/" [X Link](https://x.com/anyuser/status/1838415144000389393) 2024-09-24T03:08Z [----] followers, [----] engagements "This was a very powerful episode and a much needed one. Thank you @TherealDoctorJ and @SDhandMD for an excellent episode. There is a lot of unhappiness in medicine and it is true that there are many factors outside of our immediate control that not only lead to moral injury but potentially and tragically loss of life. I think its beyond important that we acknowledge this reality and not continue to brush it under the rug. Specifically in IR the issues being alluded to (and thank you for the shout out on this podcast) are not simple early career problems but rather existential issues" [X Link](https://x.com/anyuser/status/1797461774712607038) 2024-06-03T02:54Z [----] followers, [----] engagements "Today on BackTable: It's Mental Health Awareness month @TherealDoctorJ and @SDhandMD discuss the importance of open conversations about mental health struggles in care providers #medEd #VI450 @stuschroff @rkryu @MountSinaiIR @MinaMakaryMD @SIRRFS https://open.spotify.com/episode/3Tdhr5nhbsgriaI1VWWErOsi=31e493101bb44344 https://open.spotify.com/episode/3Tdhr5nhbsgriaI1VWWErOsi=31e493101bb44344" [X Link](https://x.com/anyuser/status/1796450346199617872) 2024-05-31T07:55Z [----] followers, 26.8K engagements "Its all gravy until reality sets in. Do you want this to be your future #irad https://linemonkeymd.com/the-ir-hospitalist-hospital-mvp-or-glorified-trash-collector/ https://linemonkeymd.com/the-ir-hospitalist-hospital-mvp-or-glorified-trash-collector/" [X Link](https://x.com/anyuser/status/1512400291131543559) 2022-04-08T12:01Z [----] followers, [--] engagements "Wrapping up an eventful [--] hours at #SIR25NASH. Few things Ive learned: [--]. IRs are not ready to leave DR including those who dont need DR. [--]. The academic power structure of SIR is actively curtailing the efforts of well-meaning non-academic IRs. [--]. @SIRspecialists has no clear answer for the increasing power of hospitals with multiple national sales leaders confirming the relative ineffective advocacy efforts and relative complacency compared to peer professional societies like SVS and SCAI. [--]. Major device companies could care less about OBLs and would rather push more money into the" [X Link](https://x.com/anyuser/status/1906557603905200627) 2025-03-31T04:02Z [----] followers, 10.2K engagements "#SIR23PHX We have some great speakers lined up for this session. Encourage all @SIRRFS to attend" [X Link](https://x.com/anyuser/status/1630317697023062017) 2023-02-27T21:23Z [----] followers, [----] engagements "This is a huge issue which honestly informs a lot of what we see in modern healthcare: loss of autonomy moral injury turf battles consolidation private equity and generalized angst/unhappiness. As much as I want to be positive when talking to future physicians it wouldnt be fair to them unless they knew about these problems. It is possible to derive satisfaction from your chosen profession but still struggle with larger issues. Addressing these concerns should not be taboo. More on the blog soon. Medicare physician payment has dropped 30% over the last quarter century when indexed to" [X Link](https://x.com/anyuser/status/1803926385951674399) 2024-06-20T23:02Z [----] followers, 10K engagements "Medicare physician payment has dropped 30% over the last quarter century when indexed to inflation yet patients demand for care has never been higher. Physician practices and their patients are dying while industry profiteers enjoy record windfalls. We are in crisis" [X Link](https://x.com/anyuser/status/1803228751959896531) 2024-06-19T00:50Z [---] followers, 12.1K engagements "When we choose how we want to practice good things will happen. But is that even possible #irad https://linemonkeymd.com/shaping-our-future-the-power-of-choice/ https://linemonkeymd.com/shaping-our-future-the-power-of-choice/" [X Link](https://x.com/anyuser/status/1514550906506956800) 2022-04-14T10:27Z [----] followers, [--] engagements "Why are people "stealing" our procedures No procedure is truly sacred. https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/ https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/" [X Link](https://x.com/anyuser/status/1519168649600413697) 2022-04-27T04:16Z [----] followers, [--] engagements "Congratulations to everyone who matched into Interventional Radiology Enjoy the day and your time before intern year" [X Link](https://x.com/anyuser/status/1903131815717769445) 2025-03-21T17:09Z [----] followers, [----] engagements "The IR Hospitalist returns. https://linemonkeymd.com/the-ir-hospitalist-revisited-a-closer-look-at-our-identity/ https://linemonkeymd.com/the-ir-hospitalist-revisited-a-closer-look-at-our-identity/" [X Link](https://x.com/anyuser/status/1523977398919876611) 2022-05-10T10:45Z [----] followers, [--] engagements "Appreciate the opportunity Starting day [--] with @linemonkeymd talking about the viability of #Locums work in IR and DR setting @futureradres @SIRRFS @PennRadiology #HTBAR2023 https://t.co/PR0aHDuxl9 Starting day [--] with @linemonkeymd talking about the viability of #Locums work in IR and DR setting @futureradres @SIRRFS @PennRadiology #HTBAR2023 https://t.co/PR0aHDuxl9" [X Link](https://x.com/anyuser/status/1645760221489274881) 2023-04-11T12:06Z [----] followers, [----] engagements "Starting day [--] with @linemonkeymd talking about the viability of #Locums work in IR and DR setting @futureradres @SIRRFS @PennRadiology #HTBAR2023" [X Link](https://x.com/anyuser/status/1645758353216520193) 2023-04-11T11:59Z [----] followers, [----] engagements "One of the biggest shortcomings of IR as a field is our ability to define our value. This is pretty clear in the outpatient OBL or ASC space but it has become more challenging in the hospital setting given increasing system employment and compensation out of proportion to direct professional services. Key things necessary for future success: [--]. Define who we are [--]. Grow our culture and community [--]. Understand our worth in the modern healthcare ecosystem and fight for that value. Every trainee needs to understand how we are compensated and fight for independence or our future will be written" [X Link](https://x.com/anyuser/status/1921639248446575059) 2025-05-11T18:51Z [----] followers, [----] engagements "Employed physicians frustrate me at times. They complain about autonomy and burnout yet stay silent on issues like Medicare reimbursement. They dont seem to see the irony. @HJYouga made a terrific point recently: Employed physicians are increasingly disconnected from how money flows. They often dont know what they generate. They dont see the billing. And theyre paid through hospital markups and system-level subsidies. But heres the problem: The less connected you are to direct revenue the less control you have. And once that control is gone youre just labor. Medicare reimbursement matters." [X Link](https://x.com/anyuser/status/1921568505452757387) 2025-05-11T14:10Z [----] followers, 19.3K engagements "Great job @Rahil_Patel25 and @_annahu Very proud of you guys. You did an excellent job and Im glad I got to play a small role in this important project @VISLAMDSCAIP @SIRspecialists @OEISociety" [X Link](https://x.com/anyuser/status/1906554728693023014) 2025-03-31T03:50Z [----] followers, [----] engagements "Very astute observation. When urologists find out they can bill for the procedure by hiring their own IR they all of a sudden become very interested. It coincidentally is the highest paying procedure in an office setting for BPH and happens to be the one procedure urologists do not have the training to do (excluding the small handful who are dual trained in IR and urology). When this phenomenon is packaged as collaboration it can sold to private equity investors at a hefty multiple. Those who raise concerns will be labeled as anti collaborative and anti innovation. The devil is in the details" [X Link](https://x.com/anyuser/status/1793098382115754361) 2024-05-22T01:55Z [----] followers, [----] engagements "Seems like suddenly every day urologists around the country are heavily investing in prostate artery embolization practices for #PAE. #Irads have been trying to make impact of its benefits for patients for years and were balked at. Did we miss a meeting where suddenly its recognized as great option for patients @AmerUrological Just happy More patients are at least given the option 🤷🏽" [X Link](https://x.com/anyuser/status/1793094265725133169) 2024-05-22T01:39Z [----] followers, 37.9K engagements "This one is for the residents and medical students. Take charge of your education. @SIRRFS https://linemonkeymd.com/how-to-maximize-your-ir-training/ https://linemonkeymd.com/how-to-maximize-your-ir-training/" [X Link](https://x.com/anyuser/status/1516772676026650630) 2022-04-20T13:36Z [----] followers, [--] engagements "I encourage every trainee and young IR to learn about private equity. Read about it ask questions and draw your own conclusions. You need to know about money. I have my personal opinions and you may not agree but do your due diligence. https://linemonkeymd.com/private-equity-and-the-obl-%EF%BF%BC/ @SandeepBaglaMD @Watts_IR @AgnesSolberg @eliebalesh @LessneVIR As physicians our altruism is an easy target for those to capitalize on. While its admirable to offload the financial aspect and focus on the patients it soon becomes a problem of control. That unfortunately translates to subpar patient" [X Link](https://x.com/anyuser/status/1523495546274541568) 2022-05-09T02:50Z [----] followers, [--] engagements "@SandeepBaglaMD @Watts_IR @AgnesSolberg @eliebalesh @LessneVIR As physicians our altruism is an easy target for those to capitalize on. While its admirable to offload the financial aspect and focus on the patients it soon becomes a problem of control. That unfortunately translates to subpar patient care dictated from the bean counters" [X Link](https://x.com/anyuser/status/1523494322829635585) 2022-05-09T02:45Z [---] followers, [--] engagements "While I disagree with this report this thread is clear. Many of our surgical colleagues dont expect us to be clinical. They question our competence outside of procedures. What are we doing as a field to prove them wrong Our training and focus must shift. @VISLAMDSCAIP STOP. This is not only not guideline based its unethical. @so_uro @SocietyofBPD https://t.co/yZNbXmw1Bh STOP. This is not only not guideline based its unethical. @so_uro @SocietyofBPD https://t.co/yZNbXmw1Bh" [X Link](https://x.com/anyuser/status/1604179681095213056) 2022-12-17T18:20Z [----] followers, 14.1K engagements "STOP. This is not only not guideline based its unethical. @so_uro @SocietyofBPD" [X Link](https://x.com/anyuser/status/1603779684671508480) 2022-12-16T15:50Z [----] followers, 70.3K engagements "Ive been approached several times in the last few months. My answer is always the same. I do not support ICs performing PAE. We have many opportunities to collaborate but this isnt one. https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/ https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/" [X Link](https://x.com/anyuser/status/1541161936410349568) 2022-06-26T20:50Z [----] followers, [--] engagements "I will be moderating the private practice panel. This is a great venue to learn more about our specialty and how amazing it is when practiced the right way. We encourage any interested medical student to tune in. Sign up now for the 3rd annual West Coast Vascular & Interventional Symposium This is a virtual clinically-oriented event for VIR trainees (medical students residents and premedical students) on Feb 11-12th Registration link: https://t.co/nF4ifRVsSB #VIRad #VIR #twittIR https://t.co/beJGACyTOj Sign up now for the 3rd annual West Coast Vascular & Interventional Symposium This is a" [X Link](https://x.com/anyuser/status/1620183023517057033) 2023-01-30T22:11Z [----] followers, [----] engagements "Sign up now for the 3rd annual West Coast Vascular & Interventional Symposium This is a virtual clinically-oriented event for VIR trainees (medical students residents and premedical students) on Feb 11-12th Registration link: #VIRad #VIR #twittIR https://wcvis.squarespace.com https://wcvis.squarespace.com" [X Link](https://x.com/anyuser/status/1614746165328728065) 2023-01-15T22:07Z 12.2K followers, 37.6K engagements "Im tired of people with vested interests who are threatened by my posts suddenly relaying personal advice and looking out for my professional and personal well-being. I will not live in fear and neither should anyone reading this. More content coming soon" [X Link](https://x.com/anyuser/status/1528527696363507717) 2022-05-23T00:06Z [----] followers, [--] engagements "Have to focus on specific disease states and build practices around those conditions or the past will repeat itself. This has to be done by folks who have a surgical mindset so it is important to attract the right people to the field which we are missing the mark on and we need to be free to structure our practices free of diagnostic radiology. The point that there may not be enough work in small communities for IR is true in that there may not be enough hospital trash to collect but if there is a cardiologist or vascular surgeon in town then there is absolutely enough work for an IR." [X Link](https://x.com/anyuser/status/1767934817792909800) 2024-03-13T15:24Z [----] followers, [----] engagements "One of the main problems the specialty of Interventional Radiology faces is that its a subspecialty characterized by the tools (tech and devices) it uses rather than an organ system or a small cohort of disease processes. This is fundamentally different than any other specialty. Our advances are for the benefit of other specialists who then can learn a better or new way to treat their same diseases. Not sure if a good way to solve this problem to be honest. Thoughts" [X Link](https://x.com/anyuser/status/1767374860366565671) 2024-03-12T02:19Z [----] followers, 24.8K engagements "Sometimes I feel like people who read my posts don't actually take the time to read every word. The goal of the blog isn't to complain that we don't do "idolized sexy things 100% of the time." The goal is to push for a better future for our specialty. #irad @SIRspecialists" [X Link](https://x.com/anyuser/status/1617368047391764480) 2023-01-23T03:46Z [----] followers, 11.7K engagements "Was a pleasure doing this with @vdkadakia who is a locums legend and @shamitsdesai who is the best podcast host ever. Appreciate the opportunity @AaronFrittsMD and hope others find it helpful. This week on The Podcast: @shamitsdesai talks with @DevulapalliKavi and @vdkadakia about locums opportunities in IR #medEd @linemonkeymd @JacobFlemingMD @SaudSAhmedMD @omarsaleh66 @MaryamBoumezrag @nlradIR @VenuVadlamudiMD @SIR_ECS @LocumTenens_com https://t.co/jCDJMA4Pzr This week on The Podcast: @shamitsdesai talks with @DevulapalliKavi and @vdkadakia about locums opportunities in IR #medEd" [X Link](https://x.com/anyuser/status/1549102490771226624) 2022-07-18T18:43Z [----] followers, [--] engagements "This week on The Podcast: @shamitsdesai talks with @DevulapalliKavi and @vdkadakia about locums opportunities in IR #medEd @linemonkeymd @JacobFlemingMD @SaudSAhmedMD @omarsaleh66 @MaryamBoumezrag @nlradIR @VenuVadlamudiMD @SIR_ECS @LocumTenens_com https://cms.megaphone.fm/channel/BTL2696346991selected=BTL5963662586 https://cms.megaphone.fm/channel/BTL2696346991selected=BTL5963662586" [X Link](https://x.com/anyuser/status/1548988070569168897) 2022-07-18T11:08Z [----] followers, [--] engagements "Interesting statistic. Im not sure most applicants know exactly what theyre signing up for. Things will be very interesting 5-10 years from now. IR applications up [--] % over last [--] years. We need more integrated IR/DR spots @SIRspecialists @SIRRFS @theAPDIR IR applications up [--] % over last [--] years. We need more integrated IR/DR spots @SIRspecialists @SIRRFS @theAPDIR" [X Link](https://x.com/anyuser/status/1849229506340340164) 2024-10-23T23:20Z [----] followers, 11.5K engagements "IR applications up [--] % over last [--] years. We need more integrated IR/DR spots @SIRspecialists @SIRRFS @theAPDIR" [X Link](https://x.com/anyuser/status/1849211788023456197) 2024-10-23T22:10Z [----] followers, 20.4K engagements "The Founder Mentality. Do you have what it takes to be successful https://linemonkeymd.com/the-founder-mentality/ https://linemonkeymd.com/the-founder-mentality/" [X Link](https://x.com/anyuser/status/1526393944543830023) 2022-05-17T02:47Z [----] followers, [--] engagements "Tomorrow at 8:30 AM. 229AB. Excellent talks in the private practice and outpatient IR session. I will be sharing my story pertaining to challenges and triumphs on the road to independent practice. #SIRPHX23" [X Link](https://x.com/anyuser/status/1632261587808698368) 2023-03-05T06:07Z [----] followers, [----] engagements "We must focus our collective efforts on fostering the development of a standalone specialty that supports future endovascular and interventional surgeons. That begins with defining a surgical practice pattern and culture. https://linemonkeymd.com/defining-our-culture/ The governance issues we face for #irad in ANZ are universal. But it is clear the worldwide IRs are united in the NEED for changes. Let's hope they are imminent @RANZCRcollege @IRSA_IRs #CIRSE2023 https://t.co/68W9buyI0o https://linemonkeymd.com/defining-our-culture/ The governance issues we face for #irad in ANZ are universal." [X Link](https://x.com/anyuser/status/1700878130494242937) 2023-09-10T14:25Z [----] followers, [----] engagements "The governance issues we face for #irad in ANZ are universal. But it is clear the worldwide IRs are united in the NEED for changes. Let's hope they are imminent @RANZCRcollege @IRSA_IRs #CIRSE2023" [X Link](https://x.com/anyuser/status/1700784724111724730) 2023-09-10T08:14Z [----] followers, [----] engagements "There are two types of IRs [--]. Image Guided Surgeons [--]. Trash Collectors Data proven practice patterns. The first is unstoppable and the second will be replaced by APPs at a fraction of the cost. @JoeTMarion @SIRspecialists @JVIRmedia Couple points: The absolute number of IRs doing clinical work is pretty pathetic. Over a [--] year span we increased the number of IRs who billed clinic visits from 11% to 14%. Across the entire cohort of practicing IRs the number of average billed clinic visirs a YEAR went from @JoeTMarion @SIRspecialists @JVIRmedia Couple points: The absolute number of IRs doing" [X Link](https://x.com/anyuser/status/1914668151406551079) 2025-04-22T13:10Z [----] followers, [----] engagements "Couple points: The absolute number of IRs doing clinical work is pretty pathetic. Over a [--] year span we increased the number of IRs who billed clinic visits from 11% to 14%. Across the entire cohort of practicing IRs the number of average billed clinic visirs a YEAR went from [--] to [--]. Thats a busy half DAY of clinic for most specialties. 86% of our field in [----] did not bill E&M. Also the studied time frame looked at [----] to [----]. Still reflecting older training paradigm and further more this was the time frame with increase in OBL work. I bet you most of the IRs studied billing E&M are" [X Link](https://x.com/anyuser/status/1914666830964158515) 2025-04-22T13:05Z [----] followers, [----] engagements "Thoughtful indeed 😔 Were reached a point where device reps make more per case than interventional radiologists. Physicians are having a tough time taking care of patients independently and are being pushed to render routine outpatient care for common ambulatory conditions in artificially high cost settings which hurt patients and contribute to physician burnout. And this isnt accounting for all the specialty specific challenges we face including IR related pseudo-exclusive contracts and global lack of specialty recognition. Our system wants us to be employed widgets in vertically integrated" [X Link](https://x.com/anyuser/status/1904943443136397797) 2025-03-26T17:08Z [----] followers, [----] engagements "Thank you so very much for recognizing us.on a Sunday So thoughtful. 😓 Maybe as an even better slight to us you can continue allowing RVU conversion rates to stay abysmal Quarter century ago we were doing better 🤷🏽.But the pin should help" [X Link](https://x.com/anyuser/status/1904940859574931535) 2025-03-26T16:57Z [----] followers, 11.6K engagements "https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/ https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/" [X Link](https://x.com/anyuser/status/1551447234130108416) 2022-07-25T06:00Z [----] followers, [--] engagements "@drmoneymatters Honestly he isnt being paid enough" [X Link](https://x.com/anyuser/status/1926333806304252266) 2025-05-24T17:45Z [----] followers, [---] engagements "This is one of the greatest threats to the future of IR and its sadly happening at scale. Sustainable practice models dont happen overnight. True collaborative care requires IRs to make educational and infrastructural investments in a clinical care model consistent with IR independence. When done right its possible to have a good working relationship with urologists without the financial incentives. @drmcumming @MishaGinsburg @SandeepBaglaMD @AriIsaacsonMD @IR_Doctor @IR_Nutt @SIRspecialists @uroegg @Kbaum_Uro @SBHATIAMD @AmerUrological Urologists are smarter than that - they can hire IRs to" [X Link](https://x.com/anyuser/status/1787150971732181007) 2024-05-05T16:02Z [----] followers, 12.2K engagements "@drmcumming @MishaGinsburg @SandeepBaglaMD @AriIsaacsonMD @IR_Doctor @IR_Nutt @SIRspecialists @uroegg @Kbaum_Uro @SBHATIAMD @AmerUrological Urologists are smarter than that - they can hire IRs to do the work and then take most of the profits 🥶" [X Link](https://x.com/anyuser/status/1787119553576575021) 2024-05-05T13:57Z [----] followers, 14.3K engagements "@SDhandMD giving an excellent talk on DVA in #CLI at #WINGS24. Great breakdown of data and technique. @FadiSaab17 @_backtable @keithppereira @VISLAMDSCAIP" [X Link](https://x.com/anyuser/status/1764058416665006167) 2024-03-02T22:41Z [----] followers, [----] engagements "True full-time clinical practice in IR can become a reality only if dual certification stops. Such a specialty would attract trainees with a surgical mindset who are understandably reluctant to spend several years away from clinical practice in diagnostic radiology learning to be imagers. Ive been saying this for a while now@SIRspecialists "True full-time clinical practice in IR can become a reality only if dual certification stops" - Interventional News editor-in-chief Andreas Adam writes in his Editorial Letter featured in our latest issue. Read the letter in full: https://t.co/J9OeeJjifK" [X Link](https://x.com/anyuser/status/1859078797917553024) 2024-11-20T03:38Z [----] followers, [----] engagements ""True full-time clinical practice in IR can become a reality only if dual certification stops" - Interventional News editor-in-chief Andreas Adam writes in his Editorial Letter featured in our latest issue. Read the letter in full: https://interventionalnews.com/interventional-radiology-a-play-in-three-acts/ https://interventionalnews.com/interventional-radiology-a-play-in-three-acts/" [X Link](https://x.com/anyuser/status/1858876685082390679) 2024-11-19T14:15Z [----] followers, [----] engagements "Working with @DrRAO_MD and @AlexDabrowiecki to create the best trainee and early career meeting content @OEISociety. Stay tuned. Students/trainees: free to join OEIS @FadiSaab17 @drmcumming @BobTahara" [X Link](https://x.com/anyuser/status/1595527261653983236) 2022-11-23T21:18Z [----] followers, [--] engagements "We must rebrand. We are not a subspecialty of DR. Must become a distinct ABMS recognized field independent of DR and rooted in longitudinal clinic. Begins with training and getting the right people to do this. Current academics need to wise up. #IGSurg https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/ Interventional Radiology (#IRad) should rebrand to Image-Guided Surgery (#IGSurg). Surely not because we wish to emulate surgeons but because its been 50+ years of redefining procedural medicine yet have no mindshare to show for it." [X Link](https://x.com/anyuser/status/1627511157564051457) 2023-02-20T03:31Z [----] followers, 13.1K engagements "Interventional Radiology (#IRad) should rebrand to Image-Guided Surgery (#IGSurg). Surely not because we wish to emulate surgeons but because its been 50+ years of redefining procedural medicine yet have no mindshare to show for it. https://www.jvir.org/article/S1051-0443(23)00122-7/pdf https://www.jvir.org/article/S1051-0443(23)00122-7/pdf" [X Link](https://x.com/anyuser/status/1627159124642344961) 2023-02-19T04:12Z [----] followers, 29.6K engagements "Thank you @_backtable and great job to both @Subhash_Gutti and Chris Zarour. Appreciate the invite and the opportunity to share my story. Building a clinical practice is hard but rewarding and impactful. There is hope for image guided surgery but we need more trainees and early career IRs to choose this path. @SIRspecialists @OEISociety @ImagingDoctor @shamitsdesai What kind of IR will you be @Subhash_Gutti sits down with @linemonkeymd and Dr. Christopher Zarour to discuss what to look for in your first IR gig the importance of owning patient care and insights from personal experience." [X Link](https://x.com/anyuser/status/1921168298810507534) 2025-05-10T11:39Z [----] followers, [----] engagements "What kind of IR will you be @Subhash_Gutti sits down with @linemonkeymd and Dr. Christopher Zarour to discuss what to look for in your first IR gig the importance of owning patient care and insights from personal experience. #VI542: #iRad @Radpad2020 https://open.spotify.com/episode/3oDofV8D1R0bvCF37YuOdvsi=afa8779812164610 https://open.spotify.com/episode/3oDofV8D1R0bvCF37YuOdvsi=afa8779812164610" [X Link](https://x.com/anyuser/status/1921143180356944067) 2025-05-10T10:00Z [----] followers, [----] engagements "Great case Glad you were there to help out. Access to IR services is a public health issue. We are trying to address that problem with Travelier @ImagingDoctor http://www.travelierir.com http://www.travelierir.com" [X Link](https://x.com/anyuser/status/1720451769266737288) 2023-11-03T14:44Z [----] followers, [----] engagements "Yes. And academic medical centers pay its physicians peanuts on top of this bogus regulatory capture. Trainees are conditioned to believe private practice docs only care about money. All a huge problem. @DutchRojas I think it would be powerful to use your platform to educate physicians employed by AMCs and to demonstrate how their genuine drive to teach research and care for patients is being used to take advantage of them erode physician autonomy and further create divison among physicians" [X Link](https://x.com/anyuser/status/1911598717053907328) 2025-04-14T01:53Z [----] followers, [----] engagements "https://linemonkeymd.com/the-ir-exodus/ https://linemonkeymd.com/the-ir-exodus/" [X Link](https://x.com/anyuser/status/1895070983175672223) 2025-02-27T11:18Z [----] followers, [----] engagements "Radiation exposure is definitely an issue in IR. There are ways to mitigate the risk but even with the approaches many of us are taught its still a problem and one we need to pay more attention to. The effects are real. Scattered Denial Episode 1: Interventional cardiologists like myself are exposed to more hazardous radiation than any other occupation. This can result in cancer cataracts & skin abnormalities like the permanent hair loss I have. This PBS special exposes the risks Scattered Denial Episode 1: Interventional cardiologists like myself are exposed to more hazardous radiation than" [X Link](https://x.com/anyuser/status/1845649650092482855) 2024-10-14T02:15Z [----] followers, [----] engagements "Scattered Denial Episode 1: Interventional cardiologists like myself are exposed to more hazardous radiation than any other occupation. This can result in cancer cataracts & skin abnormalities like the permanent hair loss I have. This PBS special exposes the risks via @YouTube https://youtu.be/T4vtv0xN_Dssi=j9HD9k1bTwGz-fmC https://youtu.be/T4vtv0xN_Dssi=j9HD9k1bTwGz-fmC" [X Link](https://x.com/anyuser/status/1845425401042010162) 2024-10-13T11:24Z 430.6K followers, 32.7K engagements "In general if someone promises you a low [--] figure pay day and opens up clinics in new markets with [--] pre-existing ties you need to be suspicious. Follow the money. Modern Vascular appears to have shuttered clinics after an investigation by @azcentral a complaint from the DOJ that quoted the story and Medicare suspending payments. https://t.co/bmlH2sUjex Modern Vascular appears to have shuttered clinics after an investigation by @azcentral a complaint from the DOJ that quoted the story and Medicare suspending payments. https://t.co/bmlH2sUjex" [X Link](https://x.com/anyuser/status/1629981911555645442) 2023-02-26T23:09Z [----] followers, 19.1K engagements "Modern Vascular appears to have shuttered clinics after an investigation by @azcentral a complaint from the DOJ that quoted the story and Medicare suspending payments. https://www.azcentral.com/story/news/local/arizona-investigations/2023/02/23/modern-vascular-closes-clinics-after-arizona-republic-investigation/69882369007/ https://www.azcentral.com/story/news/local/arizona-investigations/2023/02/23/modern-vascular-closes-clinics-after-arizona-republic-investigation/69882369007/" [X Link](https://x.com/anyuser/status/1628813209531748352) 2023-02-23T17:45Z [----] followers, 22K engagements "https://linemonkeymd.com/the-four-routes-to-profitability-in-ir-the-plight-of-the-ir-opportunist/ https://linemonkeymd.com/the-four-routes-to-profitability-in-ir-the-plight-of-the-ir-opportunist/" [X Link](https://x.com/anyuser/status/1594528268337795072) 2022-11-21T03:08Z [----] followers, [--] engagements "Very impressive. @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @IRKhalsa @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 Balloon assisted Thrombin for the proximal SMA pseudo aneurysm. https://t.co/Eb5Lq4NTp2 @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @IRKhalsa @linemonkeymd" [X Link](https://x.com/anyuser/status/1910743171320983893) 2025-04-11T17:14Z [----] followers, [----] engagements "@t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @IRKhalsa @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 Balloon assisted Thrombin for the proximal SMA pseudo aneurysm" [X Link](https://x.com/anyuser/status/1910710819043893407) 2025-04-11T15:05Z [---] followers, 10.4K engagements "If you are an IR in training and are not interested in growing a longitudinal practice do us all a huge favor and LEAVE IR 👻. By continuing the cycle of IR linked to DR finances we limit our potential public health impact including the treatment of vascular disease. If you are an IR or IR in training NEVER lose your diagnostic skills. Read diagnostic studies as part of your practice or pick up a side DR gig. If you are an IR or IR in training NEVER lose your diagnostic skills. Read diagnostic studies as part of your practice or pick up a side DR gig" [X Link](https://x.com/anyuser/status/1693456802250211389) 2023-08-21T02:55Z [----] followers, 22.7K engagements "If you are an IR or IR in training NEVER lose your diagnostic skills. Read diagnostic studies as part of your practice or pick up a side DR gig" [X Link](https://x.com/anyuser/status/1692626995861975550) 2023-08-18T19:58Z [----] followers, 61.1K engagements "I've always wanted to team up with some friends and start our own #irad practice. Why can't we all make that dream a reality #irad #obl @OEISociety @SIRRFS @SIR_ECS https://linemonkeymd.com/%ef%bf%bccreating-the-ideal-ir-private-practice/ https://linemonkeymd.com/%ef%bf%bccreating-the-ideal-ir-private-practice/" [X Link](https://x.com/anyuser/status/1496328657949888513) 2022-02-23T03:38Z [----] followers, [--] engagements "This is happening all over the country. Congrats @KPVISLA We are proud to announce that Vascular & Interventional is now an INDEPENDENT department at KP LAMC Congrats to our chief Dr Ken Lam on this monumental achievement. This is yet another milestone in the continued evolution of EVIS as a distinct clinical and surgical specialty. We are proud to announce that Vascular & Interventional is now an INDEPENDENT department at KP LAMC Congrats to our chief Dr Ken Lam on this monumental achievement. This is yet another milestone in the continued evolution of EVIS as a distinct clinical and" [X Link](https://x.com/anyuser/status/1938035018586046812) 2025-06-26T00:42Z [----] followers, [----] engagements "We are proud to announce that Vascular & Interventional is now an INDEPENDENT department at KP LAMC Congrats to our chief Dr Ken Lam on this monumental achievement. This is yet another milestone in the continued evolution of EVIS as a distinct clinical and surgical specialty" [X Link](https://x.com/anyuser/status/1938033467100741724) 2025-06-26T00:36Z [---] followers, [----] engagements "People point to procedural innovation in IR as being exciting but this is the unspoken innovation right here. Such a complex yet timely topic largely related to professional culture and identity. Look out for a blog post soon. @_backtable @drmoneymatters @bahetimd @JMichaelBarraza @DHidlayVIR @JimGMelton @drcostantino1 @DonGarbettMD @SDhandMD @OEISociety @SandeepBaglaMD @benwhitemd @DaveJohnsonMD Beyond @drmoneymatters insight on the rapidly changing healthcare landscape was the prediction on the widening DR - IR split with increased opportunities for IR in multispecialty OBL/ASC groups" [X Link](https://x.com/anyuser/status/1645173981505372166) 2023-04-09T21:16Z [----] followers, [----] engagements "@_backtable @drmoneymatters @bahetimd @JMichaelBarraza @DHidlayVIR @JimGMelton @drcostantino1 @DonGarbettMD @SDhandMD @OEISociety @SandeepBaglaMD @benwhitemd @DaveJohnsonMD Beyond @drmoneymatters insight on the rapidly changing healthcare landscape was the prediction on the widening DR - IR split with increased opportunities for IR in multispecialty OBL/ASC groups Hospital employment or coverage of underserved hospitals http://linemonkeymd.com http://linemonkeymd.com" [X Link](https://x.com/anyuser/status/1644535600626937857) 2023-04-08T03:00Z [----] followers, [----] engagements "https://linemonkeymd.com/everyone-is-replaceable/ https://linemonkeymd.com/everyone-is-replaceable/" [X Link](https://x.com/anyuser/status/1600007306279649281) 2022-12-06T06:00Z [----] followers, [--] engagements "Innovation and surgical practice patterns are not mutually exclusive. The need to innovate to remain relevant is a problem. There is data that shows the vast majority of IRs dont actually practice IR. The perceived safety net of diagnostics is just that-perception and not reality. Additionally observations made in academic environments are not reflective of the 80+% of us who serve community settings. At the end of the day there is nothing wrong with wanting to remain connected to DR but doing so whether intentional or not RESTRICTS the folks who want to practice 100% IR independent of" [X Link](https://x.com/anyuser/status/1771544614018945161) 2024-03-23T14:28Z [----] followers, [----] engagements "A resident's take on the IR/DR Split. https://teststation3.webnode.page/l/the-interventional-radiology-diagnostic-radiology-split%3b-a-resident%e2%80%99s-perspective/ https://teststation3.webnode.page/l/the-interventional-radiology-diagnostic-radiology-split%3b-a-resident%e2%80%99s-perspective/" [X Link](https://x.com/anyuser/status/1770845222596972867) 2024-03-21T16:09Z [--] followers, [----] engagements "@QNguyenMD @SIR_ECS @radtrivedi Femoral. Been burned enough by old dudes with type [--] arches and athero for one lifetime. Radial largely driven by industry or those paid by industry. Good solution for some patients but it isnt some magical fix" [X Link](https://x.com/anyuser/status/1661430131716415489) 2023-05-24T17:53Z [----] followers, [----] engagements "Attention @SIRRFS and med students interested in learning more about outpatient practices. Deadline for scholarships to @OEISociety annual meeting (5/18-20 in Orlando) has been pushed back to 4/1. This will be an excellent meeting. Come join us" [X Link](https://x.com/anyuser/status/1637813405888180225) 2023-03-20T13:48Z [----] followers, [----] engagements "Fantastic teaching point. Also relevant for prostate artery embolization. @danielveyg @tymattinson Be wary of superficial -deep external pudendal collateral loop when embolizing anterior pelvic bleed ( I had to look it up 🤪) Here is a good example- found back 🚪 & voila #irad @SIRspecialists @SIRRFS #MedTwitter @ElmasriFakhir @laronecampbell @keithppereira @kmadass https://t.co/tJILqHoNtX Be wary of superficial -deep external pudendal collateral loop when embolizing anterior pelvic bleed ( I had to look it up 🤪) Here is a good example- found back 🚪 & voila #irad @SIRspecialists @SIRRFS" [X Link](https://x.com/anyuser/status/1664803311097192449) 2023-06-03T01:16Z [----] followers, [----] engagements "Be wary of superficial -deep external pudendal collateral loop when embolizing anterior pelvic bleed ( I had to look it up 🤪) Here is a good example- found back 🚪 & voila #irad @SIRspecialists @SIRRFS #MedTwitter @ElmasriFakhir @laronecampbell @keithppereira @kmadass" [X Link](https://x.com/anyuser/status/1664793301902409729) 2023-06-03T00:37Z [----] followers, 20.7K engagements "https://linemonkeymd.com/renewed-focus-introducing-linemonkey-2-0/ https://linemonkeymd.com/renewed-focus-introducing-linemonkey-2-0/" [X Link](https://x.com/anyuser/status/1810382977408356621) 2024-07-08T18:38Z [----] followers, [----] engagements "Perhaps an unpopular opinion but I think there are too many Interventional Radiologists currently being trained. There are insufficient clinically oriented job opportunities for all trainees when they are out in the workforce. When given the choice most will tend to do a large component of diagnostic radiology especially in current market conditions. I think many who view the independent IR match as a way to consider their options later were never set on a surgical practice to begin with. Many are diagnostic oriented and in current market conditions will elect to do a DR fellowship or no" [X Link](https://x.com/anyuser/status/1936051428214112331) 2025-06-20T13:20Z [----] followers, [----] engagements "My official #SIR23PHX recap. We still have a lot of work to do. https://linemonkeymd.com/my-sir-2023-experience/ https://linemonkeymd.com/my-sir-2023-experience/" [X Link](https://x.com/anyuser/status/1635499242444791808) 2023-03-14T04:33Z [----] followers, [----] engagements "The truth is this is actually an excellent poll. One thing I realized is its not worth convincing radiologists to be something they arent. Most of the 25% (which Im a part of) would have been better off in a surgical discipline most likely but their views are valid and they need a distinct culture. This subset of IR is headed for a split but in order for it to happen more trainees need to demand it and more attending IRs practicing in this fashion including myself need to highlight what is possible. Im focusing more of my efforts on trainees and supporting early career folks trying to" [X Link](https://x.com/anyuser/status/1765935127954100465) 2024-03-08T02:58Z [----] followers, [----] engagements "Very fascinating excerpt. Key lessons: [--]. Medical Tribalism is real [--]. In IR we have to adapt. That means focus on longitudinal clinical care and leaving the diagnostic radiology umbrella. [--]. We didnt really learn any lessons. Why So what lessons if any did we in IR learn in the last [--] years @linemonkeymd @SIRspecialists @SIRRFS @SIR_ECS https://t.co/ruNs5OXcTf So what lessons if any did we in IR learn in the last [--] years @linemonkeymd @SIRspecialists @SIRRFS @SIR_ECS https://t.co/ruNs5OXcTf" [X Link](https://x.com/anyuser/status/1631779715504562176) 2023-03-03T22:12Z [----] followers, [----] engagements "So what lessons if any did we in IR learn in the last [--] years @linemonkeymd @SIRspecialists @SIRRFS @SIR_ECS https://www.kevinmd.com/2023/02/revolutionizing-vascular-surgery-how-embracing-endovascular-techniques-saved-the-specialty.html https://www.kevinmd.com/2023/02/revolutionizing-vascular-surgery-how-embracing-endovascular-techniques-saved-the-specialty.html" [X Link](https://x.com/anyuser/status/1631777003173969920) 2023-03-03T22:02Z [---] followers, 11.9K engagements "Wishing all my US-based friends a happy Independence Day. New blog post is up. https://linemonkeymd.com/defining-our-culture/ https://linemonkeymd.com/defining-our-culture/" [X Link](https://x.com/anyuser/status/1676356528876539904) 2023-07-04T22:25Z [----] followers, [----] engagements "As radiologists we have an uphill climb in any patient care endeavor. Similar example for those independent IRs seeking hospital privileges. I too am tired of being labeled as vitriolic. Lots of uncomfortable truths here. Personal real world example of how motivated & qualified radiologists become excluded from multidisciplinary cardiovascular patient care. The gatekeeper National Board of Echocardiography refused to even grant me the opportunity to write them a check & crush their board exam https://t.co/924tCh3B19 Personal real world example of how motivated & qualified radiologists become" [X Link](https://x.com/anyuser/status/1650529615310381056) 2023-04-24T15:58Z [----] followers, [----] engagements "Personal real world example of how motivated & qualified radiologists become excluded from multidisciplinary cardiovascular patient care. The gatekeeper National Board of Echocardiography refused to even grant me the opportunity to write them a check & crush their board exam so that I could be added to payer contracts. Just another restrictive trade practice masquerading as quality control" [X Link](https://x.com/anyuser/status/1650486309524307968) 2023-04-24T13:06Z [----] followers, 43.5K engagements "This is an important point for those in private practice. Healthcare is changing. The landscape is challenging but it does not mean we need to give up on independent practice especially in IR where system based care tends to box us into radiology. Independent practice is essential as we make the push to a future of image guided surgery and redefine who we are and what we do. Understanding the healthcare landscape means knowing the financial aspects of practice that matter and acting accordingly. There is still tremendous potential for us to create meaningful practices despite the headwinds." [X Link](https://x.com/anyuser/status/1913611303572164946) 2025-04-19T15:11Z [----] followers, [----] engagements "The Hidden Tax on Independence You wouldnt let your supply rep charge 30% more than what the clinic next door paysso why tolerate it with your insurance Across the country independent medical practices unknowingly pay a tax on independence. Not a government taxbut one created by inefficiency. Each practice shops for insurance alone like picking cereal at the supermarket: retail prices zero leverage and no coordination. The system encourages fragmentation. Its opaque broker-driven and designed to keep you flying solo. The result Tens of thousands in premium waste coverage gaps you discover" [X Link](https://x.com/anyuser/status/1913406731566174576) 2025-04-19T01:38Z 31.4K followers, [----] engagements "The future of IR is not about just doing cool procedures. No it has to be about developing meaningful longitudinal clinical practices. Innovation is great but we cannot keep surviving on innovation alone" [X Link](https://x.com/anyuser/status/1617369984375881728) 2023-01-23T03:53Z [----] followers, [----] engagements "Enjoyed hanging out with this crew today. Serious conversations. Serious faces. Appreciate the invite @Team_RISQCS @IR_Ethics @Fritz_Angle @VISLAMDSCAIP" [X Link](https://x.com/anyuser/status/1568794029847969793) 2022-09-11T02:50Z [----] followers, [--] engagements "We must ditch radiology. No offense to my DR friends but its time for us to move on. The future is not hospital based practice. The outpatient setting must be the economic engine to power our existence. Time to go the way of rad onc. Long overdue. @eliebalesh Couldn't agree more We are still in the early stages of our specialty perfect time to rebrand. Having 'Radiology' in the name is mis-leading and confusing to both patients and even primary care. Image guided surgery Interventional surgery Interventional medicine @eliebalesh Couldn't agree more We are still in the early stages of our" [X Link](https://x.com/anyuser/status/1627512179502063617) 2023-02-20T03:35Z [----] followers, 11K engagements "@eliebalesh Couldn't agree more We are still in the early stages of our specialty perfect time to rebrand. Having 'Radiology' in the name is mis-leading and confusing to both patients and even primary care. Image guided surgery Interventional surgery Interventional medicine" [X Link](https://x.com/anyuser/status/1627501489093545987) 2023-02-20T02:52Z 10.5K followers, 12.9K engagements "Great recording this with @RezaRajebi and @AaronFrittsMD This week on The Podcast: In Ep [---] @RezaRajebi and @DevulapalliKavi discuss the red and green flags to look out for when choosing a new job #MedEd @MaryamBoumezrag @shamitsdesai @SaudSAhmedMD @SIR_ECS @SIRRFS @JacobFlemingMD @IR_Ethics @bahetimd @iRadRock https://t.co/OoFcxba7Oe This week on The Podcast: In Ep [---] @RezaRajebi and @DevulapalliKavi discuss the red and green flags to look out for when choosing a new job #MedEd @MaryamBoumezrag @shamitsdesai @SaudSAhmedMD @SIR_ECS @SIRRFS @JacobFlemingMD @IR_Ethics @bahetimd @iRadRock" [X Link](https://x.com/anyuser/status/1516159384476397576) 2022-04-18T20:59Z [----] followers, [--] engagements "This week on The Podcast: In Ep [---] @RezaRajebi and @DevulapalliKavi discuss the red and green flags to look out for when choosing a new job #MedEd @MaryamBoumezrag @shamitsdesai @SaudSAhmedMD @SIR_ECS @SIRRFS @JacobFlemingMD @IR_Ethics @bahetimd @iRadRock https://cms.megaphone.fm/channel/BTL2696346991selected=BTL2094479866 https://cms.megaphone.fm/channel/BTL2696346991selected=BTL2094479866" [X Link](https://x.com/anyuser/status/1516006565417046024) 2022-04-18T10:51Z [----] followers, [--] engagements "IR Hospitalists you say I googled it and all I saw was a blog post 🤔 @MaureenKohi @robsheridanavir @angiowoman" [X Link](https://x.com/anyuser/status/1522911042350858240) 2022-05-07T12:07Z [----] followers, [--] engagements "YES. Though sadly 90+% of #SIRPHX23 programming is not based on true clinical care. Where are the workshops on non clinical management Lets build patient panels and act like surgeons. Thats how we get out of the gutter. Ill start. Clinic is a must. Being a technician is not sustainable. If you dont make time for clinic pretty soon those cases you want to do will end up going someplace else. It is not enough to be good at doing the case. We need to be able to manage diseases. Ill start. Clinic is a must. Being a technician is not sustainable. If you dont make time for clinic pretty soon those" [X Link](https://x.com/anyuser/status/1631780617758097410) 2023-03-03T22:16Z [----] followers, [----] engagements "Ill start. Clinic is a must. Being a technician is not sustainable. If you dont make time for clinic pretty soon those cases you want to do will end up going someplace else. It is not enough to be good at doing the case. We need to be able to manage diseases" [X Link](https://x.com/anyuser/status/1631778096587079680) 2023-03-03T22:06Z [---] followers, [----] engagements "This was a terrible town hall. Im so disappointed in what was said and the representation of the panel which is not reflective of the next gen IR trying our hardest to do honest work and take the best care of patients possible. Lack of IR services is a public health issue. And we choose to protect the status quo at the expense of taking the necessary steps to improve population health outcomes. Absolely disgusting. Shame on @SIRspecialists and @RadiologyACR. We can and should do better" [X Link](https://x.com/anyuser/status/1732640656588173413) 2023-12-07T05:58Z [----] followers, 17.4K engagements "💯 I have felt this way for a long time and unfortunately when stated as such the PR machine kicks in and one becomes labeled as being anti-collaboration selfish and anti-innovation. Unfortunately it doesnt sting or become real until you see your business affected by it. I have seen that personally and this physician has as well. All the academic leaders have their heads stuck in sand as they send their trainees off to practice in such settings. I think there are merits to an IR physician working with a surgical practice if they choose to but the question comes down to choice and how the" [X Link](https://x.com/anyuser/status/1898168165764399435) 2025-03-08T00:25Z [----] followers, [----] engagements "There is no partnering going on with this model. This model is taking clinical decision-making and control of patients out of the hands of independent interventional radiologists undermining the specialty and reducing interventional radiologist to nothing more than employed technicians. Employed by non-radiology and non-interventional radiology practices. This greatly undermines the future success of interventional radiologists diminishing their place in the healthcare marketplace and creating a scenario where their future will be one beholden to other specialities who will profit off of" [X Link](https://x.com/anyuser/status/1898159299064746323) 2025-03-07T23:50Z [---] followers, [----] engagements "Private Practice and OBL panel @WCVISociety Going live with @DrLipman1 and @bahetimd at 10:15 PST. Special appearance by @VEIN911_ Hope to see you there" [X Link](https://x.com/anyuser/status/1888627490513363217) 2025-02-09T16:34Z [----] followers, [----] engagements "So true. Inspiring words from @bahetimd @_backtable this morning at #WCVIS2025 #IamIR #VIR https://t.co/koMqGeAaOC Inspiring words from @bahetimd @_backtable this morning at #WCVIS2025 #IamIR #VIR https://t.co/koMqGeAaOC" [X Link](https://x.com/anyuser/status/1888672268521501006) 2025-02-09T19:32Z [----] followers, [----] engagements "Inspiring words from @bahetimd @_backtable this morning at #WCVIS2025 #IamIR #VIR" [X Link](https://x.com/anyuser/status/1888665306375065961) 2025-02-09T19:04Z [---] followers, [----] engagements "I think every young #irad and trainee needs to print this out and refer to it daily. After every @SIRspecialists meeting I come to the same conclusion: excellence is 90% mindset 10% skillset. Theres so much work left to do. After every @SIRspecialists meeting I come to the same conclusion: excellence is 90% mindset 10% skillset. Theres so much work left to do" [X Link](https://x.com/anyuser/status/1536188553922740224) 2022-06-13T03:27Z [----] followers, [--] engagements "After every @SIRspecialists meeting I come to the same conclusion: excellence is 90% mindset 10% skillset. Theres so much work left to do" [X Link](https://x.com/anyuser/status/1536187688877010949) 2022-06-13T03:24Z [----] followers, [--] engagements "Looks like Ive made it to Hawaii 🏝 @linemonkeymd made it to #WAIS2022 @SIRRFS #IR Trainees (including me) love your blog https://t.co/gdmISuUuCi @linemonkeymd made it to #WAIS2022 @SIRRFS #IR Trainees (including me) love your blog https://t.co/gdmISuUuCi" [X Link](https://x.com/anyuser/status/1575214888829714432) 2022-09-28T20:04Z [----] followers, [--] engagements "@linemonkeymd made it to #WAIS2022 @SIRRFS #IR Trainees (including me) love your blog" [X Link](https://x.com/anyuser/status/1575203079556767745) 2022-09-28T19:17Z [---] followers, [--] engagements "Thanks @_backtable Happening now in a secret corridor #SIR23PHX @shamitsdesai @linemonkeymd and @vdkadakia discuss the current locums market in [----] coming soon #meded @SIR_ECS @SIRRFS @MaryamBoumezrag @JacobFlemingMD https://t.co/zYj9fuMSny Happening now in a secret corridor #SIR23PHX @shamitsdesai @linemonkeymd and @vdkadakia discuss the current locums market in [----] coming soon #meded @SIR_ECS @SIRRFS @MaryamBoumezrag @JacobFlemingMD https://t.co/zYj9fuMSny" [X Link](https://x.com/anyuser/status/1632499556851290113) 2023-03-05T21:53Z [----] followers, [----] engagements "Happening now in a secret corridor #SIR23PHX @shamitsdesai @linemonkeymd and @vdkadakia discuss the current locums market in [----] coming soon #meded @SIR_ECS @SIRRFS @MaryamBoumezrag @JacobFlemingMD" [X Link](https://x.com/anyuser/status/1632488120003469313) 2023-03-05T21:07Z [----] followers, [----] engagements "@alexalevey I think we would be better off creating our own distinct culture and society. There are so many great IRs who care who just want to do the right thing. Time to organize" [X Link](https://x.com/anyuser/status/1732757201599504748) 2023-12-07T13:41Z [----] followers, [----] engagements "@drmoneymatters Transitioned to locums. Negotiated significant increase in pay. Work more than before. Multiple contracts=multiple income streams. Putting post tax dollars in cash flowing RE. Turned primary home into STR and have nearly eliminated living expenses" [X Link](https://x.com/anyuser/status/1538507215488929793) 2022-06-19T13:01Z [----] followers, [--] engagements "I think we need to do a better job at building clinical practices. It isn't easy but it's necessary. #mindset #irad #obl https://linemonkeymd.com/building-a-clinical-practice/ https://linemonkeymd.com/building-a-clinical-practice/" [X Link](https://x.com/anyuser/status/1510852303527587846) 2022-04-04T05:30Z [----] followers, [--] engagements "This is excellent" [X Link](https://x.com/anyuser/status/1674175722410196997) 2023-06-28T21:59Z [----] followers, [----] engagements "What does Evangelism have to do with IR Everything. What to look for in a training program and more. https://linemonkeymd.com/finding-an-ir-evangelist-the-search-for-the-ideal-training-program/ https://linemonkeymd.com/finding-an-ir-evangelist-the-search-for-the-ideal-training-program/" [X Link](https://x.com/anyuser/status/1574338041233260544) 2022-09-26T10:00Z [----] followers, [--] engagements "Want to know what a typical IR job looks like Celebrated by the folks at @RadiologyACR. Tolerated by leaders of @SIRspecialists. This is what strength in numbers looks like" [X Link](https://x.com/anyuser/status/1732860092595187748) 2023-12-07T20:30Z [----] followers, 18.6K engagements "Please read this" [X Link](https://x.com/anyuser/status/1556483182211497992) 2022-08-08T03:31Z [----] followers, [--] engagements "Nice post Thats the retropubic branch of the obturator. Can have gland supply in large glands and atherosclerotic disease" [X Link](https://x.com/anyuser/status/1732800478973460616) 2023-12-07T16:33Z [----] followers, [----] engagements Limited data mode. Full metrics available with subscription: lunarcrush.com/pricing
@linemonkeymd Line Monkey MD
Line Monkey MD posts on X about dr, future, we are, in the the most. They currently have [-----] followers and [---] posts still getting attention that total [-----] engagements in the last [--] hours.
Engagements: [-----] #
- [--] Month [-----] +508%
- [--] Months [-----] -43%
- [--] Year [------] -8.50%
Mentions: [--] #
Followers: [-----] #
- [--] Month [-----] -0.07%
- [--] Months [-----] +3.60%
- [--] Year [-----] +16%
CreatorRank: [---------] #
Social Influence
Social category influence finance stocks technology brands countries automotive brands luxury brands nfl social networks
Social topic influence dr, future, we are, in the, money, blog, based, insurance, $ci #5, image
Top accounts mentioned or mentioned by @sirspecialists @sirrfs @oeisociety @shamitsdesai @bahetimd @sirecs @sandeepbaglamd @backtable @keithppereira @drcellini @alroubaiemd @vislamdscaip @sdhandmd @drcostantino1 @chengazimd @cigna @jacobflemingmd @maryamboumezrag @kushshahmd @drmcumming
Top assets mentioned Cigna Corp (CI)
Top Social Posts
Top posts by engagements in the last [--] hours
"@dr_cellini @kushshahmd So basically why advocate for less money and a worse lifestyle Is that what youre asking"
X Link 2023-06-29T21:29Z [----] followers, [---] engagements
"@dr_cellini @kushshahmd Abundance mentality Cellini. The issue here is realizing our impact as IRs not about limiting opps. The two can coexist but not as currently structured. Radiology is in for a rude awaking as it chooses the path of commoditization"
X Link 2023-06-29T22:31Z [----] followers, [---] engagements
"@dr_cellini @kushshahmd Any IR who chooses to have hospital privileges should share in the call burden. Remember in many states you need hospital privileges to operate outside of the hospital. There are many positives to separating IR and DR contractseven financially speaking"
X Link 2023-06-29T21:46Z [----] followers, [---] engagements
"@dr_cellini @kushshahmd Ill send you a copy of an upcoming AJR article I wrote then we can discuss perhaps on a video for your channel I get what youre saying but there is far more to this issue than satisfaction doing cases. Seriously I am happy you find satisfaction in a procedural radiology"
X Link 2023-06-29T21:57Z [----] followers, [--] engagements
"@dr_cellini @kushshahmd Im a clinical IR and I collect more trash per unit time than 95% of the field. I have a truck with my blog logo on it"
X Link 2023-06-29T21:56Z [----] followers, [---] engagements
"@thats_bone @dr_cellini Cant readily do it when IR falls under radiology services and many rad groups hold exclusive contracts. Has very little to do with the market"
X Link 2023-06-29T22:10Z [----] followers, [--] engagements
"@pparikhxr @Dr_Sudi @teleflex Agreed"
X Link 2023-07-06T18:59Z [----] followers, [---] engagements
"@drmcumming @AmerMedicalAssn @ahahospitals System doctors are essentially forced to refer within network. Simple things like having EMR prompted referrals make out of system referrals difficult for many employed docs. Oh I cant get you in epic. Heard that a million times before"
X Link 2023-09-15T02:41Z [----] followers, [--] engagements
"@drmcumming @AmerMedicalAssn @ahahospitals Furthermore many large systems have their own insurance products which can potentially dominate a market and effectively reduce patient choice and competition"
X Link 2023-09-15T02:42Z [----] followers, [--] engagements
"@AlanMatsumotoMD dismisses the DR/rad onc separation saying its not analogous to the potential for an IR/DR split. Thoughts @shamitsdesai @drochohan @SIRspecialists @RadiologyACR"
X Link 2023-11-26T13:11Z [----] followers, [----] engagements
"@drochohan @shamitsdesai Exactly"
X Link 2023-12-07T18:45Z [----] followers, [---] engagements
"Its Rank List time. Heres an unconventional perspective. Best of luck to those looking to match into IR. @WCVISociety @OEISociety @SIRspecialists https://linemonkeymd.com/how-to-rank-an-ir-program/ https://linemonkeymd.com/how-to-rank-an-ir-program/"
X Link 2024-02-22T06:55Z [----] followers, [----] engagements
"@SandeepBaglaMD @MishaGinsburg @AriIsaacsonMD @IR_Doctor @IR_Nutt @SIRspecialists @uroegg @Kbaum_Uro @SBHATIAMD @TheRealDoctorOs @AmerUrological @TimMcClureMD Perfect description of point [--] in your response. Sweet private equity sale dreams to you Sandeep"
X Link 2024-05-05T21:22Z [----] followers, [---] engagements
"This is a huge issue which honestly informs a lot of what we see in modern healthcare: loss of autonomy moral injury turf battles consolidation private equity and generalized angst/unhappiness. As much as I want to be positive when talking to future physicians it wouldnt be fair to them unless they knew about these problems. It is possible to derive satisfaction from your chosen profession but still struggle with larger issues. Addressing these concerns should not be taboo. More on the blog soon. Medicare physician payment has dropped 30% over the last quarter century when indexed to"
X Link 2024-06-20T23:02Z [----] followers, 10K engagements
"So many factors youre not considering here. Many radiology groups dont create carve outs. Many run a socialist system or some Ponzi scheme partnership. Many have sold out or will sell out to private equity. There is a severe supply/demand imbalance in radiology right now and will likely persist for a while. Being independent in the sense you have your own insurance contracts is much easier said than done. I dont blame anyone for leaving a bad situation to capitalize on whats hot right now"
X Link 2024-12-28T02:56Z [----] followers, [----] engagements
"I agree. And Im also sick of employed academic hospital IRs aka the SIR elite appropriating OBL content like its theirs and acting like hard working OBL owner-operators travel to work in their Maybach. This is medicine in its purest form. Clinic driven. Spending time with patients. Working hard to coordinate care and do the right thing. The procedure is simply the product of all the important work to get to that point"
X Link 2024-12-31T04:24Z [----] followers, [---] engagements
"@Subhash_Gutti @austin_gawa @WCVISociety @SIRRFS @CLIGlobalNews @ISETNews @MCLIN @kmadass @SriniTummala @YsaAugust @ABhattMD @shamitsdesai VIR is essential in the CLTI space. Tremendous opportunity. Not enough interest. Unfortunate. Hoping the new generation can change that. Love this"
X Link 2025-03-02T19:32Z [----] followers, [---] engagements
"Sounds like there are a lot of folks out there who need help getting started in the world of independent IR. Im of course biased but we have a great resource for you. Let us know if we can help. @linemonkeymd @MStempniak @dr_cellini regarding IR locum work and we along with @nlradIR have created an independent contractor staffing agency due to high demand for non-traditional IR hospital based work. I spoke about this on a recent @SIRspecialists Business Institute webinar. (2/2) https://t.co/V9jZdH7MuJ @linemonkeymd @MStempniak @dr_cellini regarding IR locum work and we along with @nlradIR"
X Link 2025-03-07T19:35Z [----] followers, [----] engagements
"@RadiologyUSC @KECKSchool_USC @UCSanDiego @GWtweets @CUSMedicine @UTSWMedCenter @TCUBurnettMed @WesternU @TuftsMedicalCtr @GlobalGators @oaklandu Congratulations @ttalluri99"
X Link 2025-03-22T00:30Z [----] followers, [---] engagements
"Ah yes the transfer of power from one individual who has never personally paid for a device to another. A time honored tradition of self-congratulatory behavior. It would be much better if these companies took all that money spent advertising @Fly_Nashville perhaps in an effort to support @SIRspecialists and actually supported independent IRs trying to enhance and protect patient access in communities across America. Instead we pay out the nose relative to reimbursement compared to these bloated and inefficient healthcare systems that are riding a wave of artificially inflated HOPD rates and"
X Link 2025-03-29T19:29Z [----] followers, [----] engagements
"Being clinical is a start. Why Patient recognition physician recognition and ability to gain referrals. It does not change macro healthcare factors (namely regulatory capture mechanisms and poor reimbursement) pushing folks towards employment but it does allow those who are entrepreneurial a better likelihood of remaining independent. The end game is career longevity/satisfaction and better patient outcomes"
X Link 2025-05-12T10:10Z [----] followers, [--] engagements
"@BrianJStrife You can have just as much impact if not more during this next phase. Congratulations on making the move"
X Link 2025-05-24T15:46Z [----] followers, [---] engagements
"Im not personally threatened. Im just stating a fact. Healthcare systems are using advanced practice providers to deliver care ones delivered by physicians due to relative physicians shortage and due to the fact that the marketplace can support an APP being paid relatively less. In the future there will be more APPs in IR than physicians. Thats a reality. There are things that Interventional Radiologists can do that APPs simply cannot. What I am saying is that Interventional Radiologists are not taking advantage of this fact to promote their independence and career longevity. If we dont"
X Link 2025-07-19T20:29Z [----] followers, [---] engagements
"As reimbursement goes down you either need to produce more widgets or decrease costs. AI may help with the widget production part. Consolidation though allows leverage with commerical payers to increase average dollar/rvu produced in the practice. Costs though Need economies of scale. Like strategic rad. Which again is a form of consolidation whether or not we like that. Its necessary. Additionally Id argue your comment about small groups is also confounded by the fact that smaller groups with high pay tend to be in commerical insurance rich areas of the country with low population density"
X Link 2025-07-20T00:53Z [----] followers, [--] engagements
"@drmoneymatters @Stephenrblv Exactly. FAFO. I suspect many folks in my generation will be heading for an early retirement. Mass physician exodus"
X Link 2025-07-21T23:25Z [----] followers, [---] engagements
"@TheRealDoctorOs @Aetna @DonGarbettMD @SandeepBaglaMD @bonesz @pparikhxr @NaineshParikhMD @JafarGolzarian @SIRspecialists Aetna has always been a challenge for PAE. Sorry. Some BCBS and United plans are also a problem. Make sure you have good cash pay options. Many dudes are willing to pay"
X Link 2025-08-07T02:16Z [----] followers, [---] engagements
"What is the indication and what data can we point to which clearly indicates where it falls in the OA tx algorithm Its somewhere between inject the knees with roids and zap em with ablation probes. We are currently paid by Medicare because the embolization guidelines havent been updated since [----]. Why wouldnt Medicare ask for its money back when this procedure pays more in an ASC setting than a TKA We need quality data and we need it fast. I dont disagree with you. I just express significant concern regarding the future financial viability of this procedure as the vast majority of procedures"
X Link 2025-08-07T19:59Z [----] followers, [---] engagements
"I do that as is by joining a group of independent orthopedic surgeons. Now a multi specialty practice with over [--] physicians. Its not hard to find support for less than 10% of collections. For me the easy decision was leverage required for insurance contracts that arent a total insult and ability to add value to physicians in the community who work hard to avoid absorption by the large academic system. Harder thing is dealing with CMS and BUCA. The declining PFS and regulations from ACA and HITEC are what truly limit independence and make it an uphill climb. The more I learn the more"
X Link 2025-08-16T23:17Z [----] followers, [---] engagements
"I feel the same way but the moment you have to care for other beings such as kids with special needs and aging parents that math can change even if your lifestyle doesnt. Throw in a health problem or two in there and the math no longer checks out. I dont think I appreciated these things until I started seeing some of my peers go through it. I guess everyone is different and thats ok"
X Link 2025-09-14T17:40Z [----] followers, [--] engagements
"@drcostantino1 Notes can be powerful. Easy to lose perspective in the trenches so Im sure it must feel nice to see this"
X Link 2025-09-17T19:40Z [----] followers, [---] engagements
"@theblanketdog @Browns As a Cleveland Browns fan I both love this and hope your bet isnt much"
X Link 2025-09-23T11:48Z [----] followers, [--] engagements
"@t_intheleadcoat Thats very impressive"
X Link 2025-10-24T01:53Z [----] followers, [---] engagements
"@theblanketdog @ChengaziMD @farkomd @bahetimd @smbracewell @alexheatonmd @NevdeK @Adam_Swersky @BeauToskichMD @drochohan @JuliusChapiro @CHICKVIR @Dr_Sudi @ReneLizola @msran124 ChatGPT is your friend"
X Link 2025-10-26T00:35Z [----] followers, [---] engagements
"Love seeing this. I was an independent contractor from 2021-2024 before opening my own solo practice Business ownership isnt for everyone but the ability to shape your work environment define the kind of doctor you are and actively reduce barriers between you and your patients is critical. We need more physicians saying no to the status quo of employment by large healthcare systems which raise costs and burn us out. http://www.igsmissouri.com http://www.igsmissouri.com For anyone interested in being an independent contractor a message I just sent to Tyler Olson: "Fun fact for you advising any"
X Link 2025-11-17T17:36Z [----] followers, [----] engagements
"Medtronic reps are trained to demonstrate the same several (rare) cases of Jack migrations in osteonecrosis/AVM cases where these things can float and end up in weird places. Its funny because Ive worked in a variety of different markets and have encountered the same cases from different Medtronic reps. End of the day Jack is a tool. Works well when indicated such as the very nice case you displayed. Its not for everyone. I dont use it for my old osteoporotic ladies with small pedicles. I like it in junctional fractures in younger patients. Its also STUPID expensive and shame in Stryker for"
X Link 2025-12-24T03:11Z [----] followers, [---] engagements
"They exist. PPs are consolidating as well. The consolidation doesnt always have to involve PE. Lots of examples in ortho urology ENT GI and other procedural specialties. In clinical VIR we are way too early and poorly defined to have meaningful data. @PhysStaffSolns we help other IR practices navigate changing healthcare environments to maintain independence and autonomy. This is much needed as IR continues to define itself as a standalone medical specialty. Ive done this for myself with my own practice Image Guided Solutions of Missouri. Ill be sharing more info @SIRspecialists Business of"
X Link 2025-12-28T20:51Z [----] followers, [---] engagements
"I dont know who reads this anymore but am I the only one surprised @Cigna has approved GAE in addition to other MSK procedures as an approved treatment using CPT [-----] @SIRspecialists @OEISociety"
X Link 2026-02-13T00:24Z [----] followers, [----] engagements
"@alroubaieMD @Cigna @SIRspecialists @OEISociety Is there good enough data There are retrospective studies and a couple sham trials And who are the patients we should be treating Not trying to be negative but legitimately curious because my experience has been very hit or miss"
X Link 2026-02-13T01:25Z [----] followers, [---] engagements
"@ChengaziMD @alroubaieMD @Cigna @SIRspecialists @OEISociety I agree 💯 I honestly struggle with GAE. Not sure who is the right candidate exactly. Need better predictive tools. Need more data. Some Pts do great and are super happy. Technically simple. Going the way of vein ablation it seems. High utilization low reimbursement"
X Link 2026-02-13T02:20Z [----] followers, [---] engagements
"@ramposham @ChengaziMD @alroubaieMD @Cigna @SIRspecialists @OEISociety Only if RUC re-evaluates the [-----] code. Agree re comparison with PAE"
X Link 2026-02-13T13:40Z [----] followers, [--] engagements
"@ChengaziMD @alroubaieMD @Cigna @SIRspecialists @OEISociety Same. These guidelines basically seem to have been written by someone who may have integrated single service IR OBLs in large orthopedic or GI practices"
X Link 2026-02-13T02:38Z [----] followers, [--] engagements
"@alroubaieMD @Cigna @SIRspecialists @OEISociety Im just so stunned by this. It took both UFE and PAE nearly [--] years from initial randomized trials to widespread clinical acceptance including coverage on commercial guidelines. Even then we still struggle daily with coverage issues for both services. Something is up"
X Link 2026-02-13T01:58Z [----] followers, [--] engagements
"Does anyone not use AI to create their social media posts anymore Insert emoji insert dash etc. med students residents attendingsplease stop. Its so obvious. Use your brain"
X Link 2026-02-14T01:47Z [----] followers, [----] engagements
"First day of OBL cases at Image Guided Solutions of Missouri. Not pictured are the years of being an attending to get to this point in addition to the months of hard work building the clinic and setting the foundation for what I know will become a tremendous resource for our underserved community. Proud of our team and thankful for our patients and their referring physicians for trusting us. Special thanks to @lakeodom for his expertise and willingness to fly out to help us onsite today. I hope others reach out to him for help because very few can do what he can. Lucky to have worked with him"
X Link 2025-03-12T01:44Z [----] followers, [----] engagements
"Just learned that my former interventional cardiology partner is offering GAE. No I did not teach him. And yes there are many like him offering embo. If this doesnt bother you then you are part of the problem. @SIRspecialists more independent IRs need a seat at the table"
X Link 2023-06-10T19:38Z [----] followers, 25.1K engagements
"I try not to be political with my blog but I think universally we can agree that the ACA did a lot of harm with regard to physician independence. Understanding this legislation and the downstream effects are critical to understanding the current healthcare landscape consolidation of healthcare systems and physician services in addition to the increasing power of insurance companies. All of these factors play a key role in the future of interventional radiology and I encourage everyone who follows my account to understand both the good and bad of the ACA. History provides us a lot of valuable"
X Link 2025-03-24T21:06Z [----] followers, 10.5K engagements
"The claim that the ACA was the "greatest piece of legislation ever passed" doesnt just strain credulity; it collapses under scrutiny. The Affordable Care Act enacted in [----] was less a bold reimagining of American healthcare and more a patchwork compromise that entrenched systemic flaws while papering over them with lofty rhetoric. First the ACA supercharged consolidation in healthcare a trend thats suffocated independent medicine. @DutchRojas nailed it: the reimbursement model skewed by CMS (Centers for Medicare & Medicaid Services) pays hospital outpatient departments (HOPDs) far more than"
X Link 2025-03-23T23:09Z [----] followers, 45.1K engagements
"7 years of hard work. It takes dedication to build a robust longitudinal clinic. The strength of an IR practice is reflected in how robust the outpatient clinic is. The number one factor imo when it comes to determining jobs and training programs. Well done. In [----] a dedicated IR clinic should really be the Rule not the Exception for any clinical #IRad practice. Started with [--] patients in my first clinic in [----] and see where we are now 📈 #ClinicalIR @SLU_VIR https://t.co/iqI2aZmbgw In [----] a dedicated IR clinic should really be the Rule not the Exception for any clinical #IRad practice."
X Link 2023-09-15T18:33Z [----] followers, [----] engagements
"In [----] a dedicated IR clinic should really be the Rule not the Exception for any clinical #IRad practice. Started with [--] patients in my first clinic in [----] and see where we are now 📈 #ClinicalIR @SLU_VIR"
X Link 2023-09-15T16:56Z 10.5K followers, 48.7K engagements
"@TherealDoctorJ Thanks for taking the time to write this out. I suspect it will resonate with most docs. The sooner we collectively take control of our own lives starting with the ability to say no the better we will be. Im so sorry for your loss"
X Link 2022-08-08T03:29Z [----] followers, [--] engagements
"IR can thrive without DR but in order to do so it has to function like a surgical service. You know you've made it as a CLINICAL Interventional Radiologist (#VIrad) when clinical encountersnot procedures top your wRVU CPT heat map. Embo's Revasc Thromb'mies n more: is #IRad THE more diverse specialty in modern day medicine @SIRspecialists @VISLAMDSCAIP https://t.co/qJYimBMw2k You know you've made it as a CLINICAL Interventional Radiologist (#VIrad) when clinical encountersnot procedures top your wRVU CPT heat map. Embo's Revasc Thromb'mies n more: is #IRad THE more diverse specialty in modern"
X Link 2023-06-20T00:56Z [----] followers, 18.5K engagements
"You know you've made it as a CLINICAL Interventional Radiologist (#VIrad) when clinical encountersnot procedures top your wRVU CPT heat map. Embo's Revasc Thromb'mies n more: is #IRad THE more diverse specialty in modern day medicine @SIRspecialists @VISLAMDSCAIP"
X Link 2023-06-19T14:01Z 10.5K followers, 25.8K engagements
"You have demonstrated that you do not understand how this works so I will demonstrate this for you and anyone who wants to read this: When CMS creates the fee schedule there are [--] components to each code: -wRVU -peRVU -mpRVU Additionally each code has a facility payment for services rendered in ASCs or hospitals (what CMS defined as facilities). The peRVU number for any given code is higher in a facility than it is in a physician office since overhead such as staffing and equipment is payed by the facility via facility fees. Global payment for services in an office (which is the combined"
X Link 2025-05-13T04:29Z [----] followers, [----] engagements
"IR must become a standalone specialty. This is not about site of service. Its about culture and identity. Check out the @AJR_Radiology commentary and these blog posts if you havent already: @SIRspecialists https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/ https://linemonkeymd.com/defining-our-culture/ New @AJR_Radiology Accepted Manuscripts: "The Future of Interventional Radiology" 🟡PointStandalone Specialty By Drs @linemonkeymd & Julien 🟡CounterpointIR & DR Better Together By Drs @AdamTalenfeld & Min https://t.co/nBfb2d1hES"
X Link 2023-07-14T16:24Z [----] followers, 13.5K engagements
"New @AJR_Radiology Accepted Manuscripts: "The Future of Interventional Radiology" 🟡PointStandalone Specialty By Drs @linemonkeymd & Julien 🟡CounterpointIR & DR Better Together By Drs @AdamTalenfeld & Min https://www.ajronline.org/doi/10.2214/AJR.23.29683 https://www.ajronline.org/doi/10.2214/AJR.23.29815 https://www.ajronline.org/doi/10.2214/AJR.23.29683 https://www.ajronline.org/doi/10.2214/AJR.23.29815"
X Link 2023-07-14T15:40Z [----] followers, 21.1K engagements
"In the last week [--] different IRs have reached out to me asking about how to structure an arrangement with urology groups. These arrangements tend to have common themes: [--]. No ownership pathway in the new entity or group practice. [--]. Flat rate per PAE case [--]. Zero discussion of clinical care These are seeds that have been planted over the last decade and now the trees are sprouting everywhere. Urologists are searching for IR mercenaries. Im very sad to see this. It reflects a fundamental culture issue in IR. Collaboration can be a good thing but is only meaningful when we can operate on a"
X Link 2025-06-07T21:23Z [----] followers, [----] engagements
"Being able to do DR well and efficiently could give you the money to build a 100% IR independent outpatient practice. Either capital for investment into the appropriate resources or money to float you while you build your clinical presence or both. Ive learned the hard way that there is no substitute for the requisite 3-5 years it takes to build reliable referral patterns and patient panels. DR provides nothing but perceived financial comfort until one realizes that the time it takes to read those studies is also time taken away from building a practice which is the end goal. It also"
X Link 2024-04-03T03:47Z [----] followers, [----] engagements
"@rkryu Being able to do DR well and efficiently could give you the flexibility to build a 100% IR independent outpatient practice. Ask me how I know"
X Link 2024-04-02T18:01Z [----] followers, 11.6K engagements
"Agreed. PE in healthcare is largely a mechanism for capital in order to generate scale and to create leverage in a dying fee for service environment. While the goals may seem admirable on the surface it comes at a significant cost. For every physician retirement PE funds it results in burnout moral injury and overall reduced career longevity for a younger physician. Healthcare finances cannot be divorced from patient care. Physicians are best suited to lead organizations tasked with care delivery not dudes in Patagonia vests. Physicians are capable of raising capital and doing all the things"
X Link 2024-03-28T03:07Z [----] followers, [----] engagements
"@B_Madden4 @mcuban @costplusdrugs PE is an evil scourge on America. In healthcare they have driven up costs reduced quality and disenfranchised physicians. There isnt a single example of PE improving the value equation. The industry preys on physicians that cant see beyond the empty promises"
X Link 2024-03-27T19:48Z [----] followers, 11.2K engagements
"There are many challenges in healthcare and IR but I am still bullish about OBLs and their positive impact on patients and IR physicians. Thank you to @bretwiechmann for the opportunity to contribute to this #TVIR issue. There are some outstanding contributions in this edition that are worth checking out. @FadiSaab17 @BobTahara @DrLipman1 @drcostantino1 @mjgar59. @OEISociety @angiowoman @VISLAMDSCAIP Related to this issue I wrote a related blog post over three years ago and realized it was probably too simplistic of a take in retrospect but I think some key points still apply today:"
X Link 2024-07-31T22:13Z [----] followers, [----] engagements
"Nice poster @nathansimk @EmoryIRad Its good to see that most #irad are treating #UFE as an outpatient procedure. No reason for admission. Some people like their nerve blocks. Im a fan of IA lido and keeping things simple. #SIRSLC2024"
X Link 2024-03-25T20:43Z [----] followers, [----] engagements
"IR is quite the startup. Working our way from a dusty garage (basement) to a floor with actual windows. The challenges are many but it's worth it to me. I hope it is to you too. https://linemonkeymd.com/the-ir-startup/ https://linemonkeymd.com/the-ir-startup/"
X Link 2022-05-01T22:55Z [----] followers, [--] engagements
"4 years ago Bill Julien saved my medical career by introducing me to the idea of independent IR. I was ready to quit medicine. Everyone should listen to this episode. And @bahetimd lets not confuse controversy with denial. Too many IR Apologists are in denial. This week on BackTable: Dr. Bill Julien shares the evolution of the outpatient based lab from early days to present day challenges #medEd @bahetimd @SFVascular @drcostantino1 @DonGarbettMD @linemonkeymd @OEISociety @bretwiechmann @Watts_IR @JimGMelton https://t.co/pfAcgY6Kya This week on BackTable: Dr. Bill Julien shares the evolution"
X Link 2023-06-05T13:26Z [----] followers, [----] engagements
"This week on BackTable: Dr. Bill Julien shares the evolution of the outpatient based lab from early days to present day challenges #medEd @bahetimd @SFVascular @drcostantino1 @DonGarbettMD @linemonkeymd @OEISociety @bretwiechmann @Watts_IR @JimGMelton https://cms.megaphone.fm/channel/BTL2696346991selected=BTL9335173116 https://cms.megaphone.fm/channel/BTL2696346991selected=BTL9335173116"
X Link 2023-06-05T10:12Z [----] followers, 22.7K engagements
"Busy week at #SIR23PHX. I realized I dont have any great pictures but I thank @alialikhanimd for this one which perfectly captures the week. Great catching up with old friends and making new ones"
X Link 2023-03-11T18:21Z [----] followers, [----] engagements
"Its Rank List time. Heres an unconventional perspective. Best of luck to those looking to match into IR. @WCVISociety @OEISociety @SIRspecialists https://linemonkeymd.com/how-to-rank-an-ir-program/ https://linemonkeymd.com/how-to-rank-an-ir-program/"
X Link 2024-02-22T06:55Z [----] followers, [----] engagements
"https://linemonkeymd.com/what-matters-most/ https://linemonkeymd.com/what-matters-most/"
X Link 2024-09-24T03:08Z [----] followers, [----] engagements
"This was a very powerful episode and a much needed one. Thank you @TherealDoctorJ and @SDhandMD for an excellent episode. There is a lot of unhappiness in medicine and it is true that there are many factors outside of our immediate control that not only lead to moral injury but potentially and tragically loss of life. I think its beyond important that we acknowledge this reality and not continue to brush it under the rug. Specifically in IR the issues being alluded to (and thank you for the shout out on this podcast) are not simple early career problems but rather existential issues"
X Link 2024-06-03T02:54Z [----] followers, [----] engagements
"Today on BackTable: It's Mental Health Awareness month @TherealDoctorJ and @SDhandMD discuss the importance of open conversations about mental health struggles in care providers #medEd #VI450 @stuschroff @rkryu @MountSinaiIR @MinaMakaryMD @SIRRFS https://open.spotify.com/episode/3Tdhr5nhbsgriaI1VWWErOsi=31e493101bb44344 https://open.spotify.com/episode/3Tdhr5nhbsgriaI1VWWErOsi=31e493101bb44344"
X Link 2024-05-31T07:55Z [----] followers, 26.8K engagements
"Its all gravy until reality sets in. Do you want this to be your future #irad https://linemonkeymd.com/the-ir-hospitalist-hospital-mvp-or-glorified-trash-collector/ https://linemonkeymd.com/the-ir-hospitalist-hospital-mvp-or-glorified-trash-collector/"
X Link 2022-04-08T12:01Z [----] followers, [--] engagements
"Wrapping up an eventful [--] hours at #SIR25NASH. Few things Ive learned: [--]. IRs are not ready to leave DR including those who dont need DR. [--]. The academic power structure of SIR is actively curtailing the efforts of well-meaning non-academic IRs. [--]. @SIRspecialists has no clear answer for the increasing power of hospitals with multiple national sales leaders confirming the relative ineffective advocacy efforts and relative complacency compared to peer professional societies like SVS and SCAI. [--]. Major device companies could care less about OBLs and would rather push more money into the"
X Link 2025-03-31T04:02Z [----] followers, 10.2K engagements
"#SIR23PHX We have some great speakers lined up for this session. Encourage all @SIRRFS to attend"
X Link 2023-02-27T21:23Z [----] followers, [----] engagements
"This is a huge issue which honestly informs a lot of what we see in modern healthcare: loss of autonomy moral injury turf battles consolidation private equity and generalized angst/unhappiness. As much as I want to be positive when talking to future physicians it wouldnt be fair to them unless they knew about these problems. It is possible to derive satisfaction from your chosen profession but still struggle with larger issues. Addressing these concerns should not be taboo. More on the blog soon. Medicare physician payment has dropped 30% over the last quarter century when indexed to"
X Link 2024-06-20T23:02Z [----] followers, 10K engagements
"Medicare physician payment has dropped 30% over the last quarter century when indexed to inflation yet patients demand for care has never been higher. Physician practices and their patients are dying while industry profiteers enjoy record windfalls. We are in crisis"
X Link 2024-06-19T00:50Z [---] followers, 12.1K engagements
"When we choose how we want to practice good things will happen. But is that even possible #irad https://linemonkeymd.com/shaping-our-future-the-power-of-choice/ https://linemonkeymd.com/shaping-our-future-the-power-of-choice/"
X Link 2022-04-14T10:27Z [----] followers, [--] engagements
"Why are people "stealing" our procedures No procedure is truly sacred. https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/ https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/"
X Link 2022-04-27T04:16Z [----] followers, [--] engagements
"Congratulations to everyone who matched into Interventional Radiology Enjoy the day and your time before intern year"
X Link 2025-03-21T17:09Z [----] followers, [----] engagements
"The IR Hospitalist returns. https://linemonkeymd.com/the-ir-hospitalist-revisited-a-closer-look-at-our-identity/ https://linemonkeymd.com/the-ir-hospitalist-revisited-a-closer-look-at-our-identity/"
X Link 2022-05-10T10:45Z [----] followers, [--] engagements
"Appreciate the opportunity Starting day [--] with @linemonkeymd talking about the viability of #Locums work in IR and DR setting @futureradres @SIRRFS @PennRadiology #HTBAR2023 https://t.co/PR0aHDuxl9 Starting day [--] with @linemonkeymd talking about the viability of #Locums work in IR and DR setting @futureradres @SIRRFS @PennRadiology #HTBAR2023 https://t.co/PR0aHDuxl9"
X Link 2023-04-11T12:06Z [----] followers, [----] engagements
"Starting day [--] with @linemonkeymd talking about the viability of #Locums work in IR and DR setting @futureradres @SIRRFS @PennRadiology #HTBAR2023"
X Link 2023-04-11T11:59Z [----] followers, [----] engagements
"One of the biggest shortcomings of IR as a field is our ability to define our value. This is pretty clear in the outpatient OBL or ASC space but it has become more challenging in the hospital setting given increasing system employment and compensation out of proportion to direct professional services. Key things necessary for future success: [--]. Define who we are [--]. Grow our culture and community [--]. Understand our worth in the modern healthcare ecosystem and fight for that value. Every trainee needs to understand how we are compensated and fight for independence or our future will be written"
X Link 2025-05-11T18:51Z [----] followers, [----] engagements
"Employed physicians frustrate me at times. They complain about autonomy and burnout yet stay silent on issues like Medicare reimbursement. They dont seem to see the irony. @HJYouga made a terrific point recently: Employed physicians are increasingly disconnected from how money flows. They often dont know what they generate. They dont see the billing. And theyre paid through hospital markups and system-level subsidies. But heres the problem: The less connected you are to direct revenue the less control you have. And once that control is gone youre just labor. Medicare reimbursement matters."
X Link 2025-05-11T14:10Z [----] followers, 19.3K engagements
"Great job @Rahil_Patel25 and @_annahu Very proud of you guys. You did an excellent job and Im glad I got to play a small role in this important project @VISLAMDSCAIP @SIRspecialists @OEISociety"
X Link 2025-03-31T03:50Z [----] followers, [----] engagements
"Very astute observation. When urologists find out they can bill for the procedure by hiring their own IR they all of a sudden become very interested. It coincidentally is the highest paying procedure in an office setting for BPH and happens to be the one procedure urologists do not have the training to do (excluding the small handful who are dual trained in IR and urology). When this phenomenon is packaged as collaboration it can sold to private equity investors at a hefty multiple. Those who raise concerns will be labeled as anti collaborative and anti innovation. The devil is in the details"
X Link 2024-05-22T01:55Z [----] followers, [----] engagements
"Seems like suddenly every day urologists around the country are heavily investing in prostate artery embolization practices for #PAE. #Irads have been trying to make impact of its benefits for patients for years and were balked at. Did we miss a meeting where suddenly its recognized as great option for patients @AmerUrological Just happy More patients are at least given the option 🤷🏽"
X Link 2024-05-22T01:39Z [----] followers, 37.9K engagements
"This one is for the residents and medical students. Take charge of your education. @SIRRFS https://linemonkeymd.com/how-to-maximize-your-ir-training/ https://linemonkeymd.com/how-to-maximize-your-ir-training/"
X Link 2022-04-20T13:36Z [----] followers, [--] engagements
"I encourage every trainee and young IR to learn about private equity. Read about it ask questions and draw your own conclusions. You need to know about money. I have my personal opinions and you may not agree but do your due diligence. https://linemonkeymd.com/private-equity-and-the-obl-%EF%BF%BC/ @SandeepBaglaMD @Watts_IR @AgnesSolberg @eliebalesh @LessneVIR As physicians our altruism is an easy target for those to capitalize on. While its admirable to offload the financial aspect and focus on the patients it soon becomes a problem of control. That unfortunately translates to subpar patient"
X Link 2022-05-09T02:50Z [----] followers, [--] engagements
"@SandeepBaglaMD @Watts_IR @AgnesSolberg @eliebalesh @LessneVIR As physicians our altruism is an easy target for those to capitalize on. While its admirable to offload the financial aspect and focus on the patients it soon becomes a problem of control. That unfortunately translates to subpar patient care dictated from the bean counters"
X Link 2022-05-09T02:45Z [---] followers, [--] engagements
"While I disagree with this report this thread is clear. Many of our surgical colleagues dont expect us to be clinical. They question our competence outside of procedures. What are we doing as a field to prove them wrong Our training and focus must shift. @VISLAMDSCAIP STOP. This is not only not guideline based its unethical. @so_uro @SocietyofBPD https://t.co/yZNbXmw1Bh STOP. This is not only not guideline based its unethical. @so_uro @SocietyofBPD https://t.co/yZNbXmw1Bh"
X Link 2022-12-17T18:20Z [----] followers, 14.1K engagements
"STOP. This is not only not guideline based its unethical. @so_uro @SocietyofBPD"
X Link 2022-12-16T15:50Z [----] followers, 70.3K engagements
"Ive been approached several times in the last few months. My answer is always the same. I do not support ICs performing PAE. We have many opportunities to collaborate but this isnt one. https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/ https://linemonkeymd.com/a-sunday-conversation-with-an-interventional-cardiologist/"
X Link 2022-06-26T20:50Z [----] followers, [--] engagements
"I will be moderating the private practice panel. This is a great venue to learn more about our specialty and how amazing it is when practiced the right way. We encourage any interested medical student to tune in. Sign up now for the 3rd annual West Coast Vascular & Interventional Symposium This is a virtual clinically-oriented event for VIR trainees (medical students residents and premedical students) on Feb 11-12th Registration link: https://t.co/nF4ifRVsSB #VIRad #VIR #twittIR https://t.co/beJGACyTOj Sign up now for the 3rd annual West Coast Vascular & Interventional Symposium This is a"
X Link 2023-01-30T22:11Z [----] followers, [----] engagements
"Sign up now for the 3rd annual West Coast Vascular & Interventional Symposium This is a virtual clinically-oriented event for VIR trainees (medical students residents and premedical students) on Feb 11-12th Registration link: #VIRad #VIR #twittIR https://wcvis.squarespace.com https://wcvis.squarespace.com"
X Link 2023-01-15T22:07Z 12.2K followers, 37.6K engagements
"Im tired of people with vested interests who are threatened by my posts suddenly relaying personal advice and looking out for my professional and personal well-being. I will not live in fear and neither should anyone reading this. More content coming soon"
X Link 2022-05-23T00:06Z [----] followers, [--] engagements
"Have to focus on specific disease states and build practices around those conditions or the past will repeat itself. This has to be done by folks who have a surgical mindset so it is important to attract the right people to the field which we are missing the mark on and we need to be free to structure our practices free of diagnostic radiology. The point that there may not be enough work in small communities for IR is true in that there may not be enough hospital trash to collect but if there is a cardiologist or vascular surgeon in town then there is absolutely enough work for an IR."
X Link 2024-03-13T15:24Z [----] followers, [----] engagements
"One of the main problems the specialty of Interventional Radiology faces is that its a subspecialty characterized by the tools (tech and devices) it uses rather than an organ system or a small cohort of disease processes. This is fundamentally different than any other specialty. Our advances are for the benefit of other specialists who then can learn a better or new way to treat their same diseases. Not sure if a good way to solve this problem to be honest. Thoughts"
X Link 2024-03-12T02:19Z [----] followers, 24.8K engagements
"Sometimes I feel like people who read my posts don't actually take the time to read every word. The goal of the blog isn't to complain that we don't do "idolized sexy things 100% of the time." The goal is to push for a better future for our specialty. #irad @SIRspecialists"
X Link 2023-01-23T03:46Z [----] followers, 11.7K engagements
"Was a pleasure doing this with @vdkadakia who is a locums legend and @shamitsdesai who is the best podcast host ever. Appreciate the opportunity @AaronFrittsMD and hope others find it helpful. This week on The Podcast: @shamitsdesai talks with @DevulapalliKavi and @vdkadakia about locums opportunities in IR #medEd @linemonkeymd @JacobFlemingMD @SaudSAhmedMD @omarsaleh66 @MaryamBoumezrag @nlradIR @VenuVadlamudiMD @SIR_ECS @LocumTenens_com https://t.co/jCDJMA4Pzr This week on The Podcast: @shamitsdesai talks with @DevulapalliKavi and @vdkadakia about locums opportunities in IR #medEd"
X Link 2022-07-18T18:43Z [----] followers, [--] engagements
"This week on The Podcast: @shamitsdesai talks with @DevulapalliKavi and @vdkadakia about locums opportunities in IR #medEd @linemonkeymd @JacobFlemingMD @SaudSAhmedMD @omarsaleh66 @MaryamBoumezrag @nlradIR @VenuVadlamudiMD @SIR_ECS @LocumTenens_com https://cms.megaphone.fm/channel/BTL2696346991selected=BTL5963662586 https://cms.megaphone.fm/channel/BTL2696346991selected=BTL5963662586"
X Link 2022-07-18T11:08Z [----] followers, [--] engagements
"Interesting statistic. Im not sure most applicants know exactly what theyre signing up for. Things will be very interesting 5-10 years from now. IR applications up [--] % over last [--] years. We need more integrated IR/DR spots @SIRspecialists @SIRRFS @theAPDIR IR applications up [--] % over last [--] years. We need more integrated IR/DR spots @SIRspecialists @SIRRFS @theAPDIR"
X Link 2024-10-23T23:20Z [----] followers, 11.5K engagements
"IR applications up [--] % over last [--] years. We need more integrated IR/DR spots @SIRspecialists @SIRRFS @theAPDIR"
X Link 2024-10-23T22:10Z [----] followers, 20.4K engagements
"The Founder Mentality. Do you have what it takes to be successful https://linemonkeymd.com/the-founder-mentality/ https://linemonkeymd.com/the-founder-mentality/"
X Link 2022-05-17T02:47Z [----] followers, [--] engagements
"Tomorrow at 8:30 AM. 229AB. Excellent talks in the private practice and outpatient IR session. I will be sharing my story pertaining to challenges and triumphs on the road to independent practice. #SIRPHX23"
X Link 2023-03-05T06:07Z [----] followers, [----] engagements
"We must focus our collective efforts on fostering the development of a standalone specialty that supports future endovascular and interventional surgeons. That begins with defining a surgical practice pattern and culture. https://linemonkeymd.com/defining-our-culture/ The governance issues we face for #irad in ANZ are universal. But it is clear the worldwide IRs are united in the NEED for changes. Let's hope they are imminent @RANZCRcollege @IRSA_IRs #CIRSE2023 https://t.co/68W9buyI0o https://linemonkeymd.com/defining-our-culture/ The governance issues we face for #irad in ANZ are universal."
X Link 2023-09-10T14:25Z [----] followers, [----] engagements
"The governance issues we face for #irad in ANZ are universal. But it is clear the worldwide IRs are united in the NEED for changes. Let's hope they are imminent @RANZCRcollege @IRSA_IRs #CIRSE2023"
X Link 2023-09-10T08:14Z [----] followers, [----] engagements
"There are two types of IRs [--]. Image Guided Surgeons [--]. Trash Collectors Data proven practice patterns. The first is unstoppable and the second will be replaced by APPs at a fraction of the cost. @JoeTMarion @SIRspecialists @JVIRmedia Couple points: The absolute number of IRs doing clinical work is pretty pathetic. Over a [--] year span we increased the number of IRs who billed clinic visits from 11% to 14%. Across the entire cohort of practicing IRs the number of average billed clinic visirs a YEAR went from @JoeTMarion @SIRspecialists @JVIRmedia Couple points: The absolute number of IRs doing"
X Link 2025-04-22T13:10Z [----] followers, [----] engagements
"Couple points: The absolute number of IRs doing clinical work is pretty pathetic. Over a [--] year span we increased the number of IRs who billed clinic visits from 11% to 14%. Across the entire cohort of practicing IRs the number of average billed clinic visirs a YEAR went from [--] to [--]. Thats a busy half DAY of clinic for most specialties. 86% of our field in [----] did not bill E&M. Also the studied time frame looked at [----] to [----]. Still reflecting older training paradigm and further more this was the time frame with increase in OBL work. I bet you most of the IRs studied billing E&M are"
X Link 2025-04-22T13:05Z [----] followers, [----] engagements
"Thoughtful indeed 😔 Were reached a point where device reps make more per case than interventional radiologists. Physicians are having a tough time taking care of patients independently and are being pushed to render routine outpatient care for common ambulatory conditions in artificially high cost settings which hurt patients and contribute to physician burnout. And this isnt accounting for all the specialty specific challenges we face including IR related pseudo-exclusive contracts and global lack of specialty recognition. Our system wants us to be employed widgets in vertically integrated"
X Link 2025-03-26T17:08Z [----] followers, [----] engagements
"Thank you so very much for recognizing us.on a Sunday So thoughtful. 😓 Maybe as an even better slight to us you can continue allowing RVU conversion rates to stay abysmal Quarter century ago we were doing better 🤷🏽.But the pin should help"
X Link 2025-03-26T16:57Z [----] followers, 11.6K engagements
"https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/ https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/"
X Link 2022-07-25T06:00Z [----] followers, [--] engagements
"@drmoneymatters Honestly he isnt being paid enough"
X Link 2025-05-24T17:45Z [----] followers, [---] engagements
"This is one of the greatest threats to the future of IR and its sadly happening at scale. Sustainable practice models dont happen overnight. True collaborative care requires IRs to make educational and infrastructural investments in a clinical care model consistent with IR independence. When done right its possible to have a good working relationship with urologists without the financial incentives. @drmcumming @MishaGinsburg @SandeepBaglaMD @AriIsaacsonMD @IR_Doctor @IR_Nutt @SIRspecialists @uroegg @Kbaum_Uro @SBHATIAMD @AmerUrological Urologists are smarter than that - they can hire IRs to"
X Link 2024-05-05T16:02Z [----] followers, 12.2K engagements
"@drmcumming @MishaGinsburg @SandeepBaglaMD @AriIsaacsonMD @IR_Doctor @IR_Nutt @SIRspecialists @uroegg @Kbaum_Uro @SBHATIAMD @AmerUrological Urologists are smarter than that - they can hire IRs to do the work and then take most of the profits 🥶"
X Link 2024-05-05T13:57Z [----] followers, 14.3K engagements
"@SDhandMD giving an excellent talk on DVA in #CLI at #WINGS24. Great breakdown of data and technique. @FadiSaab17 @_backtable @keithppereira @VISLAMDSCAIP"
X Link 2024-03-02T22:41Z [----] followers, [----] engagements
"True full-time clinical practice in IR can become a reality only if dual certification stops. Such a specialty would attract trainees with a surgical mindset who are understandably reluctant to spend several years away from clinical practice in diagnostic radiology learning to be imagers. Ive been saying this for a while now@SIRspecialists "True full-time clinical practice in IR can become a reality only if dual certification stops" - Interventional News editor-in-chief Andreas Adam writes in his Editorial Letter featured in our latest issue. Read the letter in full: https://t.co/J9OeeJjifK"
X Link 2024-11-20T03:38Z [----] followers, [----] engagements
""True full-time clinical practice in IR can become a reality only if dual certification stops" - Interventional News editor-in-chief Andreas Adam writes in his Editorial Letter featured in our latest issue. Read the letter in full: https://interventionalnews.com/interventional-radiology-a-play-in-three-acts/ https://interventionalnews.com/interventional-radiology-a-play-in-three-acts/"
X Link 2024-11-19T14:15Z [----] followers, [----] engagements
"Working with @DrRAO_MD and @AlexDabrowiecki to create the best trainee and early career meeting content @OEISociety. Stay tuned. Students/trainees: free to join OEIS @FadiSaab17 @drmcumming @BobTahara"
X Link 2022-11-23T21:18Z [----] followers, [--] engagements
"We must rebrand. We are not a subspecialty of DR. Must become a distinct ABMS recognized field independent of DR and rooted in longitudinal clinic. Begins with training and getting the right people to do this. Current academics need to wise up. #IGSurg https://linemonkeymd.com/the-ir-apologist-examining-our-relationship-with-diagnostic-radiology/ Interventional Radiology (#IRad) should rebrand to Image-Guided Surgery (#IGSurg). Surely not because we wish to emulate surgeons but because its been 50+ years of redefining procedural medicine yet have no mindshare to show for it."
X Link 2023-02-20T03:31Z [----] followers, 13.1K engagements
"Interventional Radiology (#IRad) should rebrand to Image-Guided Surgery (#IGSurg). Surely not because we wish to emulate surgeons but because its been 50+ years of redefining procedural medicine yet have no mindshare to show for it. https://www.jvir.org/article/S1051-0443(23)00122-7/pdf https://www.jvir.org/article/S1051-0443(23)00122-7/pdf"
X Link 2023-02-19T04:12Z [----] followers, 29.6K engagements
"Thank you @_backtable and great job to both @Subhash_Gutti and Chris Zarour. Appreciate the invite and the opportunity to share my story. Building a clinical practice is hard but rewarding and impactful. There is hope for image guided surgery but we need more trainees and early career IRs to choose this path. @SIRspecialists @OEISociety @ImagingDoctor @shamitsdesai What kind of IR will you be @Subhash_Gutti sits down with @linemonkeymd and Dr. Christopher Zarour to discuss what to look for in your first IR gig the importance of owning patient care and insights from personal experience."
X Link 2025-05-10T11:39Z [----] followers, [----] engagements
"What kind of IR will you be @Subhash_Gutti sits down with @linemonkeymd and Dr. Christopher Zarour to discuss what to look for in your first IR gig the importance of owning patient care and insights from personal experience. #VI542: #iRad @Radpad2020 https://open.spotify.com/episode/3oDofV8D1R0bvCF37YuOdvsi=afa8779812164610 https://open.spotify.com/episode/3oDofV8D1R0bvCF37YuOdvsi=afa8779812164610"
X Link 2025-05-10T10:00Z [----] followers, [----] engagements
"Great case Glad you were there to help out. Access to IR services is a public health issue. We are trying to address that problem with Travelier @ImagingDoctor http://www.travelierir.com http://www.travelierir.com"
X Link 2023-11-03T14:44Z [----] followers, [----] engagements
"Yes. And academic medical centers pay its physicians peanuts on top of this bogus regulatory capture. Trainees are conditioned to believe private practice docs only care about money. All a huge problem. @DutchRojas I think it would be powerful to use your platform to educate physicians employed by AMCs and to demonstrate how their genuine drive to teach research and care for patients is being used to take advantage of them erode physician autonomy and further create divison among physicians"
X Link 2025-04-14T01:53Z [----] followers, [----] engagements
"https://linemonkeymd.com/the-ir-exodus/ https://linemonkeymd.com/the-ir-exodus/"
X Link 2025-02-27T11:18Z [----] followers, [----] engagements
"Radiation exposure is definitely an issue in IR. There are ways to mitigate the risk but even with the approaches many of us are taught its still a problem and one we need to pay more attention to. The effects are real. Scattered Denial Episode 1: Interventional cardiologists like myself are exposed to more hazardous radiation than any other occupation. This can result in cancer cataracts & skin abnormalities like the permanent hair loss I have. This PBS special exposes the risks Scattered Denial Episode 1: Interventional cardiologists like myself are exposed to more hazardous radiation than"
X Link 2024-10-14T02:15Z [----] followers, [----] engagements
"Scattered Denial Episode 1: Interventional cardiologists like myself are exposed to more hazardous radiation than any other occupation. This can result in cancer cataracts & skin abnormalities like the permanent hair loss I have. This PBS special exposes the risks via @YouTube https://youtu.be/T4vtv0xN_Dssi=j9HD9k1bTwGz-fmC https://youtu.be/T4vtv0xN_Dssi=j9HD9k1bTwGz-fmC"
X Link 2024-10-13T11:24Z 430.6K followers, 32.7K engagements
"In general if someone promises you a low [--] figure pay day and opens up clinics in new markets with [--] pre-existing ties you need to be suspicious. Follow the money. Modern Vascular appears to have shuttered clinics after an investigation by @azcentral a complaint from the DOJ that quoted the story and Medicare suspending payments. https://t.co/bmlH2sUjex Modern Vascular appears to have shuttered clinics after an investigation by @azcentral a complaint from the DOJ that quoted the story and Medicare suspending payments. https://t.co/bmlH2sUjex"
X Link 2023-02-26T23:09Z [----] followers, 19.1K engagements
"Modern Vascular appears to have shuttered clinics after an investigation by @azcentral a complaint from the DOJ that quoted the story and Medicare suspending payments. https://www.azcentral.com/story/news/local/arizona-investigations/2023/02/23/modern-vascular-closes-clinics-after-arizona-republic-investigation/69882369007/ https://www.azcentral.com/story/news/local/arizona-investigations/2023/02/23/modern-vascular-closes-clinics-after-arizona-republic-investigation/69882369007/"
X Link 2023-02-23T17:45Z [----] followers, 22K engagements
"https://linemonkeymd.com/the-four-routes-to-profitability-in-ir-the-plight-of-the-ir-opportunist/ https://linemonkeymd.com/the-four-routes-to-profitability-in-ir-the-plight-of-the-ir-opportunist/"
X Link 2022-11-21T03:08Z [----] followers, [--] engagements
"Very impressive. @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @IRKhalsa @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 Balloon assisted Thrombin for the proximal SMA pseudo aneurysm. https://t.co/Eb5Lq4NTp2 @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @IRKhalsa @linemonkeymd"
X Link 2025-04-11T17:14Z [----] followers, [----] engagements
"@t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @IRKhalsa @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 Balloon assisted Thrombin for the proximal SMA pseudo aneurysm"
X Link 2025-04-11T15:05Z [---] followers, 10.4K engagements
"If you are an IR in training and are not interested in growing a longitudinal practice do us all a huge favor and LEAVE IR 👻. By continuing the cycle of IR linked to DR finances we limit our potential public health impact including the treatment of vascular disease. If you are an IR or IR in training NEVER lose your diagnostic skills. Read diagnostic studies as part of your practice or pick up a side DR gig. If you are an IR or IR in training NEVER lose your diagnostic skills. Read diagnostic studies as part of your practice or pick up a side DR gig"
X Link 2023-08-21T02:55Z [----] followers, 22.7K engagements
"If you are an IR or IR in training NEVER lose your diagnostic skills. Read diagnostic studies as part of your practice or pick up a side DR gig"
X Link 2023-08-18T19:58Z [----] followers, 61.1K engagements
"I've always wanted to team up with some friends and start our own #irad practice. Why can't we all make that dream a reality #irad #obl @OEISociety @SIRRFS @SIR_ECS https://linemonkeymd.com/%ef%bf%bccreating-the-ideal-ir-private-practice/ https://linemonkeymd.com/%ef%bf%bccreating-the-ideal-ir-private-practice/"
X Link 2022-02-23T03:38Z [----] followers, [--] engagements
"This is happening all over the country. Congrats @KPVISLA We are proud to announce that Vascular & Interventional is now an INDEPENDENT department at KP LAMC Congrats to our chief Dr Ken Lam on this monumental achievement. This is yet another milestone in the continued evolution of EVIS as a distinct clinical and surgical specialty. We are proud to announce that Vascular & Interventional is now an INDEPENDENT department at KP LAMC Congrats to our chief Dr Ken Lam on this monumental achievement. This is yet another milestone in the continued evolution of EVIS as a distinct clinical and"
X Link 2025-06-26T00:42Z [----] followers, [----] engagements
"We are proud to announce that Vascular & Interventional is now an INDEPENDENT department at KP LAMC Congrats to our chief Dr Ken Lam on this monumental achievement. This is yet another milestone in the continued evolution of EVIS as a distinct clinical and surgical specialty"
X Link 2025-06-26T00:36Z [---] followers, [----] engagements
"People point to procedural innovation in IR as being exciting but this is the unspoken innovation right here. Such a complex yet timely topic largely related to professional culture and identity. Look out for a blog post soon. @_backtable @drmoneymatters @bahetimd @JMichaelBarraza @DHidlayVIR @JimGMelton @drcostantino1 @DonGarbettMD @SDhandMD @OEISociety @SandeepBaglaMD @benwhitemd @DaveJohnsonMD Beyond @drmoneymatters insight on the rapidly changing healthcare landscape was the prediction on the widening DR - IR split with increased opportunities for IR in multispecialty OBL/ASC groups"
X Link 2023-04-09T21:16Z [----] followers, [----] engagements
"@_backtable @drmoneymatters @bahetimd @JMichaelBarraza @DHidlayVIR @JimGMelton @drcostantino1 @DonGarbettMD @SDhandMD @OEISociety @SandeepBaglaMD @benwhitemd @DaveJohnsonMD Beyond @drmoneymatters insight on the rapidly changing healthcare landscape was the prediction on the widening DR - IR split with increased opportunities for IR in multispecialty OBL/ASC groups Hospital employment or coverage of underserved hospitals http://linemonkeymd.com http://linemonkeymd.com"
X Link 2023-04-08T03:00Z [----] followers, [----] engagements
"https://linemonkeymd.com/everyone-is-replaceable/ https://linemonkeymd.com/everyone-is-replaceable/"
X Link 2022-12-06T06:00Z [----] followers, [--] engagements
"Innovation and surgical practice patterns are not mutually exclusive. The need to innovate to remain relevant is a problem. There is data that shows the vast majority of IRs dont actually practice IR. The perceived safety net of diagnostics is just that-perception and not reality. Additionally observations made in academic environments are not reflective of the 80+% of us who serve community settings. At the end of the day there is nothing wrong with wanting to remain connected to DR but doing so whether intentional or not RESTRICTS the folks who want to practice 100% IR independent of"
X Link 2024-03-23T14:28Z [----] followers, [----] engagements
"A resident's take on the IR/DR Split. https://teststation3.webnode.page/l/the-interventional-radiology-diagnostic-radiology-split%3b-a-resident%e2%80%99s-perspective/ https://teststation3.webnode.page/l/the-interventional-radiology-diagnostic-radiology-split%3b-a-resident%e2%80%99s-perspective/"
X Link 2024-03-21T16:09Z [--] followers, [----] engagements
"@QNguyenMD @SIR_ECS @radtrivedi Femoral. Been burned enough by old dudes with type [--] arches and athero for one lifetime. Radial largely driven by industry or those paid by industry. Good solution for some patients but it isnt some magical fix"
X Link 2023-05-24T17:53Z [----] followers, [----] engagements
"Attention @SIRRFS and med students interested in learning more about outpatient practices. Deadline for scholarships to @OEISociety annual meeting (5/18-20 in Orlando) has been pushed back to 4/1. This will be an excellent meeting. Come join us"
X Link 2023-03-20T13:48Z [----] followers, [----] engagements
"Fantastic teaching point. Also relevant for prostate artery embolization. @danielveyg @tymattinson Be wary of superficial -deep external pudendal collateral loop when embolizing anterior pelvic bleed ( I had to look it up 🤪) Here is a good example- found back 🚪 & voila #irad @SIRspecialists @SIRRFS #MedTwitter @ElmasriFakhir @laronecampbell @keithppereira @kmadass https://t.co/tJILqHoNtX Be wary of superficial -deep external pudendal collateral loop when embolizing anterior pelvic bleed ( I had to look it up 🤪) Here is a good example- found back 🚪 & voila #irad @SIRspecialists @SIRRFS"
X Link 2023-06-03T01:16Z [----] followers, [----] engagements
"Be wary of superficial -deep external pudendal collateral loop when embolizing anterior pelvic bleed ( I had to look it up 🤪) Here is a good example- found back 🚪 & voila #irad @SIRspecialists @SIRRFS #MedTwitter @ElmasriFakhir @laronecampbell @keithppereira @kmadass"
X Link 2023-06-03T00:37Z [----] followers, 20.7K engagements
"https://linemonkeymd.com/renewed-focus-introducing-linemonkey-2-0/ https://linemonkeymd.com/renewed-focus-introducing-linemonkey-2-0/"
X Link 2024-07-08T18:38Z [----] followers, [----] engagements
"Perhaps an unpopular opinion but I think there are too many Interventional Radiologists currently being trained. There are insufficient clinically oriented job opportunities for all trainees when they are out in the workforce. When given the choice most will tend to do a large component of diagnostic radiology especially in current market conditions. I think many who view the independent IR match as a way to consider their options later were never set on a surgical practice to begin with. Many are diagnostic oriented and in current market conditions will elect to do a DR fellowship or no"
X Link 2025-06-20T13:20Z [----] followers, [----] engagements
"My official #SIR23PHX recap. We still have a lot of work to do. https://linemonkeymd.com/my-sir-2023-experience/ https://linemonkeymd.com/my-sir-2023-experience/"
X Link 2023-03-14T04:33Z [----] followers, [----] engagements
"The truth is this is actually an excellent poll. One thing I realized is its not worth convincing radiologists to be something they arent. Most of the 25% (which Im a part of) would have been better off in a surgical discipline most likely but their views are valid and they need a distinct culture. This subset of IR is headed for a split but in order for it to happen more trainees need to demand it and more attending IRs practicing in this fashion including myself need to highlight what is possible. Im focusing more of my efforts on trainees and supporting early career folks trying to"
X Link 2024-03-08T02:58Z [----] followers, [----] engagements
"Very fascinating excerpt. Key lessons: [--]. Medical Tribalism is real [--]. In IR we have to adapt. That means focus on longitudinal clinical care and leaving the diagnostic radiology umbrella. [--]. We didnt really learn any lessons. Why So what lessons if any did we in IR learn in the last [--] years @linemonkeymd @SIRspecialists @SIRRFS @SIR_ECS https://t.co/ruNs5OXcTf So what lessons if any did we in IR learn in the last [--] years @linemonkeymd @SIRspecialists @SIRRFS @SIR_ECS https://t.co/ruNs5OXcTf"
X Link 2023-03-03T22:12Z [----] followers, [----] engagements
"So what lessons if any did we in IR learn in the last [--] years @linemonkeymd @SIRspecialists @SIRRFS @SIR_ECS https://www.kevinmd.com/2023/02/revolutionizing-vascular-surgery-how-embracing-endovascular-techniques-saved-the-specialty.html https://www.kevinmd.com/2023/02/revolutionizing-vascular-surgery-how-embracing-endovascular-techniques-saved-the-specialty.html"
X Link 2023-03-03T22:02Z [---] followers, 11.9K engagements
"Wishing all my US-based friends a happy Independence Day. New blog post is up. https://linemonkeymd.com/defining-our-culture/ https://linemonkeymd.com/defining-our-culture/"
X Link 2023-07-04T22:25Z [----] followers, [----] engagements
"As radiologists we have an uphill climb in any patient care endeavor. Similar example for those independent IRs seeking hospital privileges. I too am tired of being labeled as vitriolic. Lots of uncomfortable truths here. Personal real world example of how motivated & qualified radiologists become excluded from multidisciplinary cardiovascular patient care. The gatekeeper National Board of Echocardiography refused to even grant me the opportunity to write them a check & crush their board exam https://t.co/924tCh3B19 Personal real world example of how motivated & qualified radiologists become"
X Link 2023-04-24T15:58Z [----] followers, [----] engagements
"Personal real world example of how motivated & qualified radiologists become excluded from multidisciplinary cardiovascular patient care. The gatekeeper National Board of Echocardiography refused to even grant me the opportunity to write them a check & crush their board exam so that I could be added to payer contracts. Just another restrictive trade practice masquerading as quality control"
X Link 2023-04-24T13:06Z [----] followers, 43.5K engagements
"This is an important point for those in private practice. Healthcare is changing. The landscape is challenging but it does not mean we need to give up on independent practice especially in IR where system based care tends to box us into radiology. Independent practice is essential as we make the push to a future of image guided surgery and redefine who we are and what we do. Understanding the healthcare landscape means knowing the financial aspects of practice that matter and acting accordingly. There is still tremendous potential for us to create meaningful practices despite the headwinds."
X Link 2025-04-19T15:11Z [----] followers, [----] engagements
"The Hidden Tax on Independence You wouldnt let your supply rep charge 30% more than what the clinic next door paysso why tolerate it with your insurance Across the country independent medical practices unknowingly pay a tax on independence. Not a government taxbut one created by inefficiency. Each practice shops for insurance alone like picking cereal at the supermarket: retail prices zero leverage and no coordination. The system encourages fragmentation. Its opaque broker-driven and designed to keep you flying solo. The result Tens of thousands in premium waste coverage gaps you discover"
X Link 2025-04-19T01:38Z 31.4K followers, [----] engagements
"The future of IR is not about just doing cool procedures. No it has to be about developing meaningful longitudinal clinical practices. Innovation is great but we cannot keep surviving on innovation alone"
X Link 2023-01-23T03:53Z [----] followers, [----] engagements
"Enjoyed hanging out with this crew today. Serious conversations. Serious faces. Appreciate the invite @Team_RISQCS @IR_Ethics @Fritz_Angle @VISLAMDSCAIP"
X Link 2022-09-11T02:50Z [----] followers, [--] engagements
"We must ditch radiology. No offense to my DR friends but its time for us to move on. The future is not hospital based practice. The outpatient setting must be the economic engine to power our existence. Time to go the way of rad onc. Long overdue. @eliebalesh Couldn't agree more We are still in the early stages of our specialty perfect time to rebrand. Having 'Radiology' in the name is mis-leading and confusing to both patients and even primary care. Image guided surgery Interventional surgery Interventional medicine @eliebalesh Couldn't agree more We are still in the early stages of our"
X Link 2023-02-20T03:35Z [----] followers, 11K engagements
"@eliebalesh Couldn't agree more We are still in the early stages of our specialty perfect time to rebrand. Having 'Radiology' in the name is mis-leading and confusing to both patients and even primary care. Image guided surgery Interventional surgery Interventional medicine"
X Link 2023-02-20T02:52Z 10.5K followers, 12.9K engagements
"Great recording this with @RezaRajebi and @AaronFrittsMD This week on The Podcast: In Ep [---] @RezaRajebi and @DevulapalliKavi discuss the red and green flags to look out for when choosing a new job #MedEd @MaryamBoumezrag @shamitsdesai @SaudSAhmedMD @SIR_ECS @SIRRFS @JacobFlemingMD @IR_Ethics @bahetimd @iRadRock https://t.co/OoFcxba7Oe This week on The Podcast: In Ep [---] @RezaRajebi and @DevulapalliKavi discuss the red and green flags to look out for when choosing a new job #MedEd @MaryamBoumezrag @shamitsdesai @SaudSAhmedMD @SIR_ECS @SIRRFS @JacobFlemingMD @IR_Ethics @bahetimd @iRadRock"
X Link 2022-04-18T20:59Z [----] followers, [--] engagements
"This week on The Podcast: In Ep [---] @RezaRajebi and @DevulapalliKavi discuss the red and green flags to look out for when choosing a new job #MedEd @MaryamBoumezrag @shamitsdesai @SaudSAhmedMD @SIR_ECS @SIRRFS @JacobFlemingMD @IR_Ethics @bahetimd @iRadRock https://cms.megaphone.fm/channel/BTL2696346991selected=BTL2094479866 https://cms.megaphone.fm/channel/BTL2696346991selected=BTL2094479866"
X Link 2022-04-18T10:51Z [----] followers, [--] engagements
"IR Hospitalists you say I googled it and all I saw was a blog post 🤔 @MaureenKohi @robsheridanavir @angiowoman"
X Link 2022-05-07T12:07Z [----] followers, [--] engagements
"YES. Though sadly 90+% of #SIRPHX23 programming is not based on true clinical care. Where are the workshops on non clinical management Lets build patient panels and act like surgeons. Thats how we get out of the gutter. Ill start. Clinic is a must. Being a technician is not sustainable. If you dont make time for clinic pretty soon those cases you want to do will end up going someplace else. It is not enough to be good at doing the case. We need to be able to manage diseases. Ill start. Clinic is a must. Being a technician is not sustainable. If you dont make time for clinic pretty soon those"
X Link 2023-03-03T22:16Z [----] followers, [----] engagements
"Ill start. Clinic is a must. Being a technician is not sustainable. If you dont make time for clinic pretty soon those cases you want to do will end up going someplace else. It is not enough to be good at doing the case. We need to be able to manage diseases"
X Link 2023-03-03T22:06Z [---] followers, [----] engagements
"This was a terrible town hall. Im so disappointed in what was said and the representation of the panel which is not reflective of the next gen IR trying our hardest to do honest work and take the best care of patients possible. Lack of IR services is a public health issue. And we choose to protect the status quo at the expense of taking the necessary steps to improve population health outcomes. Absolely disgusting. Shame on @SIRspecialists and @RadiologyACR. We can and should do better"
X Link 2023-12-07T05:58Z [----] followers, 17.4K engagements
"💯 I have felt this way for a long time and unfortunately when stated as such the PR machine kicks in and one becomes labeled as being anti-collaboration selfish and anti-innovation. Unfortunately it doesnt sting or become real until you see your business affected by it. I have seen that personally and this physician has as well. All the academic leaders have their heads stuck in sand as they send their trainees off to practice in such settings. I think there are merits to an IR physician working with a surgical practice if they choose to but the question comes down to choice and how the"
X Link 2025-03-08T00:25Z [----] followers, [----] engagements
"There is no partnering going on with this model. This model is taking clinical decision-making and control of patients out of the hands of independent interventional radiologists undermining the specialty and reducing interventional radiologist to nothing more than employed technicians. Employed by non-radiology and non-interventional radiology practices. This greatly undermines the future success of interventional radiologists diminishing their place in the healthcare marketplace and creating a scenario where their future will be one beholden to other specialities who will profit off of"
X Link 2025-03-07T23:50Z [---] followers, [----] engagements
"Private Practice and OBL panel @WCVISociety Going live with @DrLipman1 and @bahetimd at 10:15 PST. Special appearance by @VEIN911_ Hope to see you there"
X Link 2025-02-09T16:34Z [----] followers, [----] engagements
"So true. Inspiring words from @bahetimd @_backtable this morning at #WCVIS2025 #IamIR #VIR https://t.co/koMqGeAaOC Inspiring words from @bahetimd @_backtable this morning at #WCVIS2025 #IamIR #VIR https://t.co/koMqGeAaOC"
X Link 2025-02-09T19:32Z [----] followers, [----] engagements
"Inspiring words from @bahetimd @_backtable this morning at #WCVIS2025 #IamIR #VIR"
X Link 2025-02-09T19:04Z [---] followers, [----] engagements
"I think every young #irad and trainee needs to print this out and refer to it daily. After every @SIRspecialists meeting I come to the same conclusion: excellence is 90% mindset 10% skillset. Theres so much work left to do. After every @SIRspecialists meeting I come to the same conclusion: excellence is 90% mindset 10% skillset. Theres so much work left to do"
X Link 2022-06-13T03:27Z [----] followers, [--] engagements
"After every @SIRspecialists meeting I come to the same conclusion: excellence is 90% mindset 10% skillset. Theres so much work left to do"
X Link 2022-06-13T03:24Z [----] followers, [--] engagements
"Looks like Ive made it to Hawaii 🏝 @linemonkeymd made it to #WAIS2022 @SIRRFS #IR Trainees (including me) love your blog https://t.co/gdmISuUuCi @linemonkeymd made it to #WAIS2022 @SIRRFS #IR Trainees (including me) love your blog https://t.co/gdmISuUuCi"
X Link 2022-09-28T20:04Z [----] followers, [--] engagements
"@linemonkeymd made it to #WAIS2022 @SIRRFS #IR Trainees (including me) love your blog"
X Link 2022-09-28T19:17Z [---] followers, [--] engagements
"Thanks @_backtable Happening now in a secret corridor #SIR23PHX @shamitsdesai @linemonkeymd and @vdkadakia discuss the current locums market in [----] coming soon #meded @SIR_ECS @SIRRFS @MaryamBoumezrag @JacobFlemingMD https://t.co/zYj9fuMSny Happening now in a secret corridor #SIR23PHX @shamitsdesai @linemonkeymd and @vdkadakia discuss the current locums market in [----] coming soon #meded @SIR_ECS @SIRRFS @MaryamBoumezrag @JacobFlemingMD https://t.co/zYj9fuMSny"
X Link 2023-03-05T21:53Z [----] followers, [----] engagements
"Happening now in a secret corridor #SIR23PHX @shamitsdesai @linemonkeymd and @vdkadakia discuss the current locums market in [----] coming soon #meded @SIR_ECS @SIRRFS @MaryamBoumezrag @JacobFlemingMD"
X Link 2023-03-05T21:07Z [----] followers, [----] engagements
"@alexalevey I think we would be better off creating our own distinct culture and society. There are so many great IRs who care who just want to do the right thing. Time to organize"
X Link 2023-12-07T13:41Z [----] followers, [----] engagements
"@drmoneymatters Transitioned to locums. Negotiated significant increase in pay. Work more than before. Multiple contracts=multiple income streams. Putting post tax dollars in cash flowing RE. Turned primary home into STR and have nearly eliminated living expenses"
X Link 2022-06-19T13:01Z [----] followers, [--] engagements
"I think we need to do a better job at building clinical practices. It isn't easy but it's necessary. #mindset #irad #obl https://linemonkeymd.com/building-a-clinical-practice/ https://linemonkeymd.com/building-a-clinical-practice/"
X Link 2022-04-04T05:30Z [----] followers, [--] engagements
"This is excellent"
X Link 2023-06-28T21:59Z [----] followers, [----] engagements
"What does Evangelism have to do with IR Everything. What to look for in a training program and more. https://linemonkeymd.com/finding-an-ir-evangelist-the-search-for-the-ideal-training-program/ https://linemonkeymd.com/finding-an-ir-evangelist-the-search-for-the-ideal-training-program/"
X Link 2022-09-26T10:00Z [----] followers, [--] engagements
"Want to know what a typical IR job looks like Celebrated by the folks at @RadiologyACR. Tolerated by leaders of @SIRspecialists. This is what strength in numbers looks like"
X Link 2023-12-07T20:30Z [----] followers, 18.6K engagements
"Please read this"
X Link 2022-08-08T03:31Z [----] followers, [--] engagements
"Nice post Thats the retropubic branch of the obturator. Can have gland supply in large glands and atherosclerotic disease"
X Link 2023-12-07T16:33Z [----] followers, [----] engagements
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