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!!
Dylan Later, DO retweeted
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
Nothing like transitioning to nights, waking up 8 hours before shift wide awake, and unable to fall back asleep...gonna be a loooooooong night
Ortho -> anesthesia -> derm -> rad onc -> back to anesthesia -> radiology -> and then finally interventional radiology 😅 I changed my mind a few times
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
Dylan Later, DO retweeted
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
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 ✌️
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 😅
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
Update...I caved early 😅
Dylan Later, DO retweeted
MSK embolization has transformed #irad and the future direction of the specialty. Here’s another example from our experience of where it may be applied --> MSK 🤝🏾 oncology 🧩 jvir.org/article/S1051-0443(…
@walsterIR @AbinSajanMD
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…
Dylan Later, DO retweeted
🚨 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
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.













