Interventional Radiologist (#irad) who treats cancer, enlarged prostates (#PAE), and other diseases with minimally invasive techniques; Southwest Floridian

#SWFL Ft Myers/Cape Coral, FL
Joined June 2015
Big day for genicular artery embolization!!! Level I evidence supporting GAE for symptomatic knee osteoarthritis!
Replying to @SidpadiaIR
@SidpadiaIR @uclaVIR superstar delivers mic drop data GAE RCT yielding “unicorn event” standing ovation. Extraordinary clinician scientist. Foresight, commitment, flawless execution. Advancing the field for benefit of patients. He is @NorthwesternIR alum - we are incredibly proud
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"A weak person magnifies their problems. A strong person minimizes them."
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My favorite Charlie Munger story: In 1953, Munger was 29 years old. Recently divorced. Lost the house. Huge social stigma of divorce back then. His 8-year-old son, Teddy, was diagnosed with cancer. The leukemia was incurable. No medical insurance - Munger paid for all his medical care. Charlie would visit Teddy in the hospital every day -- and then walk the streets crying. Teddy died at the age of 9. Charlie was broke, divorced and just lost his child. 99.9% of people would've turned to alcohol, drugs, or suicide. (And you'd understand why) Munger never did. Fast forward to 52 years old, a failed surgery left him blind in one eye with the potential of going fully blind one day. Charlie was an obsessive learner who read every book he could get his hands on. When confronted with the possibility of going blind and no longer being able to read he said: "It's time for me to learn braille!" The only thing that might be more impressive than his intellect was his actions. RIP. --------- Munger on Self-Pity: "Generally speaking, envy, resentment, revenge, and self-pity are disastrous modes of thought. Self-pity gets pretty close to paranoia… Every time you find your drifting into self-pity, I don’t care what the cause, your child could be dying from cancer, self-pity is not going to improve the situation. It’s a ridiculous way to behave. Life will have terrible blows, horrible blows, unfair blows, it doesn’t matter. Some people recover and others don’t. There I think the attitude of Epictetus is the best. He thought that every mischance in life was an opportunity to behave well. Every mischance in life was an opportunity to learn something and that your duty was not to be immersed in self-pity, but to utilize the terrible blow in a constructive fashion. That is a very good idea."
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🤯 Hand embo for interphalangeal joint OA pain may become a viable treatment option. It’s such a prevalent problem for pts, and this is so simple of an intervention. IR always pushing the boundaries of what is possible! jvir.org/article/S1051-0443(…
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Dave Johnson retweeted
✅ Just published our RCT on pTIPS for bleeding from fundal varices in high risk pts ✅ Findings quite similar torbose in esofageal varices ⚠️ An early decision for TIPS may save lifes Vs waiting until failure of conservative therapy! #liverTweeter
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Insurance company medical directors denying claims without reviewing the charts
How is one doctor at Cigna possibly managing to deny over 60,000 health insurance claims in one month? propublica.org/article/cigna…
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Bats stay hot in Starkville. #VandyBoys | #AnchorDown
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NOW at #ACC2023 #FLAME high-risk #PE registry results 🔥@InariMedical FT pts w 1.9% in-hospital mortality 🔥Context arm consistent w hx data 29.5% in-hospital mortality 🔥Trial stopped early due 2 overwhelmingly meeting pre-defined PGs @ interim Unheard of. Practice changing
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Am I the only one who finds it hilarious that @InariMedical has a trial called FLASH and @PenVascular has a new version of its competing aspiration thrombectomy device with the same name? Please tell me it’s a coincidence!
Presented at #VENOUS2023: New results on the 63 high-risk PE patients in #FLASH presented LIVE by @jameshorowitzmd reinforces the excellent safety and mortality outcomes with the #FlowTriever System More #PE data coming soon with #FLAME | Mar. 5 at #ACC23
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@Uroweb @AmerUrological and @SIRspecialists need to come together for a joint statement on appropriate use of prostate artery embolization given the inconsistencies present between recommendations in their respective guidelines @SandeepBaglaMD @AriIsaacsonMD
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Ladies and gentlemen of the radiology and urology communities, I give you…the Circle of Willie! @SandeepBaglaMD @keithppereira @IR_juniors @matt_coward @Matt_Raynor_uro @angiesmith_uro @bonesz @SIR_ECS @SIRRFS @BDixonMD @JessieStewartMD
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Pre-PAE MRI and 3mo post #PAE MRI in a pt with prostate CA: gland volume reduction over 45%! Facilitating decreased toxicity when rad onc planning XRT and improving pt baseline LUTS (1/3)
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Prostatic Artery Embolization Obviates the Need for Androgen Deprivation Therapy prior to Stereotactic Body Radiation Therapy in Prostate Cancer - Journal of Vascular and Interventional Radiology jvir.org/article/S1051-0443(… (3/3)
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It’s been a wild week and it’s only Tuesday
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