The Kinked Wire

The Kinked Wire

The Society of Interventional Radiology (SIR) brings you a new podcast on all the topics that impact your practice of IR. In each episode, host Warren Krackov, MD, FSIR, and guests discuss new clinical opportunities, practice management tips, the latest trends and developments in the specialty, and more. Learn more on sirweb.org, sirweb.org/irq, and sirweb.org/kinkedwire.If you have any ideas for topics or guests, or have any other feedback, let us know at irq@sirweb.org. For corporate support opportunities, contact SIR at jnash@sirweb.org. The views and opinions expressed in podcast episodes are not necessarily those of the Society of Interventional Radiology. The society does not endorse any companies or products.

Episodes

March 22, 2021 23 min

The CPT code may have certain required elements, and if you don’t put all of those in the report, you don’t get credit for doing the procedure. Or if the coders go ahead and code it, you could get audited later. So if someone goes to jail for fraudulent coding, you’ll be on the line as well as the coder, as the interventional radiologist—because you are ultimately responsible for what you bill.—Katharine L. Krol, MD, FSIR

Warren Kra...

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The idea that we start a little earlier in getting our students acclimated to interventional radiology is going to be so important. And it already has made a difference—I think now, students have a much clearer sense of what it is, at a much earlier stage, than maybe I did. I think it makes a big difference in terms of getting more involvement in our profession.—Derek  L. West, MD, MS

Warren Krackov, MD, FSIR, speaks with interventi...

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I guess my take-home point is that by no means is staffing for a stroke program a small undertaking, so it really is important to have the support from the hospital as well as other medical specialties when developing the interventional stroke program ... which we’re very fortunate we have. —Eric  A. Wang, MD, FSIR

Warren Krackov, MD, FSIR, speaks with interventional radiologist Eric A. Wang, MD, FSIR, about how he got involved in i...

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January 6, 2021 20 min

At the very beginning of the pandemic, there was a big outpouring of support through social media outlets and other avenues online between training programs throughout the country. So it was kind of almost a national level of collaboration for continuing access to training in a way.  It will be good to see how we continue to use it in the coming year.   —Jason Fisher, MD

In a special year-end review, Warren Krackov, MD, FSIR, and th...

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If you follow good practices—you minimize the patient dose, you wear your protective clothing, you use the pull-down shields and you put the pull-down shields as close to the patient as you can—your exposures are going to be very low.  —Joseph Ring, DO

In recognition of Nov. 8, the International Day of Radiology, Warren Krackov, MD, FSIR, speaks with radiation safety officer Joseph Ring, DO, about radiation safety in interventional ...

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In our specialty, the stereotypes are ... you have to be a certain height. So I hear from women trainees and aspiring interventionalists that, "You know, you're too small ... You can't reach things." It's not true!
—Barbara Nickel Hamilton, MD

Warren Krackov, MD, FSIR, speaks with interventional radiologist Barbara Nickel Hamilton, MD, about gender disparities in IR, the role the SIR Women in IR Section has played...

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You see that it's appalling. What can you do, and what can we do as privileged human beings, to denounce this? To say that it's wrong? To not stand for it? To say, "You know what? That's not right and this is what I'm going to do about it."—Paul J. "P.J." Rochon, MD, FSIR

Warren Krackov, MD, FSIR, speaks with interventional radiologist Paul J. "P.J." Rochon, MD, FSIR, about health care dispari...

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"One of the big organizations that are groups of people/stakeholders that really change things, in terms of education for sure, are medical students, themselves .” —Jeanne M. Laberge, MD, FSIR

Warren Krackov, MD, FSIR, speaks with interventional radiologist Jeanne M. Laberge, MD, FSIR, about her role in the development of the IR Residency, the power of IRs-in-training to impact their future, and the pros and cons of retirement f...

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I wanted to practice clinically oriented IR. I thought, “If I go to a group and say that we should practice IR, then my group is going to say yes—you should go for it!” And as many people know, that’s not the way the world works.” —Raj Pyne, MD, FSIR

Warren Krackov, MD, FSIR, speaks with interventional radiologist Raj Pyne, MD, FSIR, about the development of IR services in his Rochester, New York, practice, leadership roles he's...

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The media portrayed scenes of just terror, frankly, particularly at Elmhurst Hospital. You see these lines of people that are waiting outside with so much anxiety and you know where that place is, you’ve driven past, you’ve seen with your own eyes that this is in your backyard. Then it starts hitting very close to home. —Akhilesh K. Sista, MD, FSIR

Warren Krackov, MD, FSIR, speaks with Akhilesh K. Sista, MD, FSIR, an interventional ...

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You don’t just put a filter in and forget about it—but that’s what used to happen. And when you put a filter in, it’s like anything else. We are clinical physicians in IR and vascular surgery, and when we put these filters in your patient, you need to follow them. That means clinical follow-up, and it may mean imaging follow-up.
—Matthew S. Johnson, MD, FSIR

Warren Krackov, MD, FSIR, speaks with interventional radiologist Matthew S....

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We may not have had everything we wanted, but we had most of the things we needed. And most of the things we needed were our own ingenuity, our own innovativeness, that comes from practicing our own specialty, interventional radiology. 
—Janice Newsome, MD, FSIR

Warren Krackov, MD, FSIR, speaks with Janice Newsome, MD, FSIR, an interventional radiologist in Atlanta, about the COVID-19 impact on her city and practice, and the role of...

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It’s kind of been a roller coaster ride. We’re all excited about everything that was gong to happen with the annual meeting … And then at the beginning of the year we started to get reports and that’s when we started saying, “What are we going to do? How is this going to happen?”
—Constantino S. Peña, MD, FSIR

Warren Krackov, MD, FSIR, speaks with Constantino S. Peña, MD, FSIR, chair of the Society of Interventional Radiology 2020 An...

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I am originally from a third-world country. When I moved to the United States, I couldn’t believe all the resources that were being wasted in America. And I feel that, for the first time in America, we are learning that. We are learning that we have to be cautious about wasting resources.
George Behrens, MD

Warren Krackov, MD, FSIR, speaks with George Behrens, MD, an interventional radiologist in Chicago, about the COVID-19 impact ...

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One thing I was recognizing very quickly was that, at that time, there was very little guidance from the CDC. A lot of the information was coming from publications from the Chinese experience and the changes that needed to be put in place were really things that hadn’t been done before.
Rajesh Shah, MD, FSIR

Warren Krackov, MD, FSIR, speaks with Rajesh Shah, MD, FSIR, an interventional radiologist in the California Bay Area, about ...

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There was a report that several people had been sick, and several were transported to hospitals. The next thing we heard was that all of the ambulance crews and firemen who had been involved in the transfer were in quarantine … and it really seemed kind of crazy.
R. Torrance Andrews, MD, FSIR

Warren Krackov, MD, FSIR, speaks with R. Torrance Andrews, MD, FSIR, a Seattle-based interventional radiologist, about the onset of COVID-19 i...

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Figure out your targets and then automate as much as possible, be it through automatic transfers, automate your savings, move it to a separate account that you're not going to touch. And do as much of that through automation as possible, because really when it's left up to our willpower, all of us are pretty bad at it ... and so what we want is to have good systems in place. 
Clint Gossage, CFP

Warren Krackov, MD, FSIR, spe...

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If you put yourself in a place where you say, "Oh, that will never happen to me because I'm strong, and I'm stoic, and I have it under control and I have all the answers," then you already have made yourself susceptible to burnout.
Felicia Speed, LMSW

Wellness and burnout are increasingly important topics in today's fast-paced culture, and we all want to achieve wellness on the job, at home, in our lives. 

Warren...

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ATTRACT essentially found that, really, it's the people with iliofemoral deep vein thrombosis (DVT) who are the ones most likely to benefit and that, in fact, quality of life was improved in the iliofemoral patients. And so that certainly suggests that we're barking up the right tree with the C-TRACT Trial.
Suresh Vedantham, MD, FSIR

Hot on the heels of the ATTRACT Trial results comes another exciting new trial on post-throm...

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Without being able to articulate what that value is, I’m sure many IRs across the country can relate to the struggle that might ensue when you’re trying to [explain it]. You know you’re valuable, but you have trouble quantifying it and articulating it.
—Matt Hawkins, MD

In December 2019, SIR Foundation hosted a Research Consensus Panel on the Value of Interventional Radiology, led by Matt Hawkins, MD.

Warren Krackov, MD, and Jaimin ...

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