Dylan Later, DO (@DylanLater) header
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PGY-5/R-4 Interventional Radiology Resident. UT ➡️ NC ➡️ TX. Lover of fitness, golf, and personal finance. Struggling Jazz fan.

Joined March 2021
Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)Photo by Dylan Later, DO (@DylanLater)
Total of 515 interventional procedures logged up until this point. 2 more years of training to go.
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Getting sick the night before call week is not ideal 😅
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Busy but rewarding day today: 2 pelvic bleeders embolized TIPS revision MAA mapping Liver stain and ablate Primary operator on all of them! 3 more nights of call to go!!
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Congrats to @ma5RN and the BCLC 2025 #HCC group. sciencedirect.com/science/ar… Take home: Managing #Hepatocellularcarcinoma is a patient customized and multidisciplinary effort (bclccuse.ai/#about). 🧩 #nocookbooks @SIRspecialists @SIO_Central
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Back on the IR service and it feels so good
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Nothing like transitioning to nights, waking up 8 hours before shift wide awake, and unable to fall back asleep...gonna be a loooooooong night
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Ortho -> anesthesia -> derm -> rad onc -> back to anesthesia -> radiology -> and then finally interventional radiology 😅 I changed my mind a few times
Applying to medical school I wanted to be an orthopedic surgeon Now: I am an anesthesiologist (doing regional anesthesia for orthopedic surgeries) Want far off!
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I may have just lucked out with the best seat on the plane.
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July 14-18 cases: Pulmonary AVM embo: 1 GDA embo: 1 PCNs/exchanges: 4 Port/tunneled lines: 3 Thyroid bx: 1 Bone marrow bx: 1 Abscess drain/aspiration: 5 Lymph node bx: 2 Renal mass bx: 1 Total cases: 407
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Coldplay Kiss Cam Scandal — Medical (IR) Edition 🎶🩺💉 My wife’s not worried I’ll cheat. She’s scared I’ll fall for a 7 p.m. add-on, and ghost dinner for the embolization suite 😜 😂 #MedTwitter #VIrad #InterventionalRadiology #Coldplay #cheating #AndyByron #CEOHRKissCam
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First pulmonary AVM case of residency!
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Busy week, but here are the cases: Liver bx: 11 Kidney bx: 3 Thyroid bx: 6 Lymph node bx: 3 Mass bx: 2 Bone bx: 3 Lung bx: 2 Abscess drains/aspirations: 9 Total cases to date: 388 Now on call for the rest of the week ✌️
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6 cases today CT guided bone bx Liver bx turned diagnostic angiogram Cervical LN FNA Thyroid FNA Renal bx Total cases: 349 I don't like liver biopsies anymore 😅
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Just started my R3/PGY4 year. Gonna start tracking my cases throughout my training. July 1: 7 cases Thyroid FNA x2 Txp kidney bx x2 US guided abscess drain Branchial cleft cyst sclerotherapy CT guided ureteral mass bx Total cases (since R1): 343
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Update...I caved early 😅
Replying to @DylanLater
Hell yes! Show us your build when you make that first attending paycheck!
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Dylan Later, DO retweeted
Thank you to @UChicagoMed for highlighting our work on GAE as a minimally invasive treatment for patients suffering from knee osteoarthritis - hoping this critical study will help place GAE within treatment guidelines 🙏🏽 #irad 🦴 uchicagomedicine.org/forefro…
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🚨 New Publication 🚨 Final post of 2024... let's talk about the rapidly evolving evidence around pregnancy after uterine artery embolisation, and the myths around UAE and pregnancy. rdcu.be/d4Epj "We now have level 1 evidence that shows pregnancy after UAE is not just possible, but outcomes comparable to myomectomy ... and similar rate to background age-matched population ... All IRs have a mandate to end the concept that we only treat peri-menopausal patients. In 2024, the pregnancy myth is busted". It is important that we, as IRs, stop talking about 20 year old concepts and data if we want the uptake of UAE to continue as we intend (see my recent @cvirendo blog post). #irad #interventionalradiology #fibroid #adenomyosis #pregnancy @MonashSTM @CVIR_Journal @cirsesociety @IRSA_IRs
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Dylan Later, DO retweeted
Relevant money and career facts about physicians: - They make $15-20/hour for 3-9 years (while they train ) AFTER graduating medical school. So after 8+ years of post high school education, they’ve got this next section of the path before making an above average income. - They’re first in line for professional liability risk on every case they’re involved in. This follows them for years. - They don’t have autonomy to practice. Outside of a cash pay arrangement, the insurance company involved ultimately decides what course of treatment is appropriate. - They can know an approximate range of cost for a given service or procedure, but don’t know exactly how much your bill will be because they can’t know. They have very little say in billing. - They spend many hours doing data entry in between patient visits. This action is what insurance companies and hospital systems require in order to authorize payment. This activity is the most important work of a physician in the eyes of the medical industry. They are the worker bees. The highest paid ones, yes. But definitely not the queen. They are very much willing to work hard for many years. Because they got into medicine to actually practice medicine and to care for their patients. And to most all docs are willing to train for their eventual skill development. But the way attending physicians must practice within the current environment? This system isn’t what they want either. They are on our side.
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Just another day in the office
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