Interventional Radiologist in Ft. Collins, CO @MCW_VIR and @ColoradoIR trained. Passionate about palliative IR , Ohio State Athletics, and vintage trucks
Columbus, OH
Joined October 2015
- Tweets885
- Following662
- Followers1.1K
- Likes1.6K
If any med schools are seeing this, I’m available for hire for my 12 second lecture:
“Buy your groceries from the outer square of the grocery store. Only go into the isles for coffee, spices, and a water filter for your Brita”
Kris Schramm retweeted
Physician conversion factors:
2000: $36.6173
2003: $36.7856
2006: $37.8975
2009: $36.0666
2012: $34.0376
2015: $35.7547
2018: $35.9996
2021: $34.8931
2024: $32.7442
UHC stock up 8,556%
Insurance premiums up 342%
Inflation up 86%
Physician pay down 10%
We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.
Average US family health insurance premium...
2000: $6k
2003: $9k
2006: $11k
2009: $13k
2012: $16k
2015: $18k
2018: $20k
2021: $22k
2024: $26k
That's a 342% increase since 1999 (6.1% per year).
(Note: US CPI inflation has increased 2.5%/year)
youtube.com/channel/UCRoWRnX…
Kris Schramm retweeted
Challenging Cases:
84yo WM w/AS, did TAVR. Used single Proglide in LCFA. Proglide got stuck and foot plate mechanism would not disengage from Ca+. We deconstructed and safely removed from the arteriotomy. Fantastic tips & tricks, big credit to Dr Amy Daliman @TAVRBot
Kris Schramm retweeted
1/
WHERE does ascites come from?
HOW do diuretics treat ascites?
ARE you ready for a #tweetorial?
#livertwitter #medtwitter #MedEd
When you’re an #irad rounding on your post kypho patient in the ortho unit and floor staff is wondering who this non ortho surgeon is- but trying not to stare at you. Even their mascot is guilty
Also a great block for folks presenting with lower extremity Chronic Regional Pain Syndrome flare. Have used these to get pts out of acute pain crisis before.
Several great #Irad posts about celiac plexus lately. It’s southern cousins, the Lumbar Sympathetic ganglia, are important for any who treat critical vascular pts. EtOH neurolysis at L2-3 via CT. Can relieve rest pain, bridge to recasc. Bilat works best even for unilat sx
“Corona Backdoortis”?
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
One of the best experiences I had as a resident was going to DC to lobby for healthcare policy change. Thats where I realized how little those that decide healthcare policy know about healthcare practice
This won’t stop street fentanyl- but it will take away a useful drug.
Not the most wild of pathologies but impressive example of a “nipple” or “daughter sac” sign on this AAA.
RP blood but no extrav on pt presentation to ER w/back pain. Temporary tamponade.
Angio shows blowing hole in the sac by time pt makes it to angio for emergent repair
Kris Schramm retweeted
Patient comes down for IVC filter. This is the initial venogram after some trouble getting wire into IVC. Then, a subsequent venogram is performed after a 30 second intervention (see next reply). What intervention was performed? @SIRRFS
Kris Schramm retweeted
Can't find ultrasound probe cover or sterile gel for an aseptic procedure?
Want to learn a little trick to save time, hassle & money in ED?
Use the waste bag in the sterile wound care pack, and optiLube...
Kris Schramm retweeted
Immunotherapy saves lives in merkel cell carcinoma, but use is inconsistent
Great study and presentation by @jamessunmd who we are losing to @FoxChaseCancer very soon 😢
@UHSurgOncology @UHRISES @UHSurgeryRes @UH_RE_Institute #SSO2023 – at Boston, MA
Recurring thought:
In a world where other specialties are increasingly doing the “chip shot” image guided procedures and referring the “difficult” procedures to IR - at what point does it become justified to lobby for a difficulty modifier to the CPT? (Ie surgical Modifier 22)
Kris Schramm retweeted
The @ahahospitals is opposing removal of non-compete clauses “on behalf of 270,000 affiliated physicians.” Something tells me they didn’t ask for physician input on this. Feel free to let the AHA know your thoughts. @FTC
My first thought when seeing this was wondering if we could treat Ogilvies this way
They say no idea in medicine is new: Wonder why this fell out of favor lol 🙊💨
ajronline.org/doi/abs/10.221…
