Kyle Cooper
@KyleCooperMD
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Associate Director of IR and IR/DR Residency Program Director, Loma Linda University (#irad), cat 1 cyclist, husband and father of two. My tweets are my own.
Loma Linda, CA
Joined September 2014
Every time I am fixing a pseudoaneurysm or AVF caused by someone gaining femoral access without ultrasound, a little piece inside of me dies. It’s like me riding no handed on my bike through a crowd: sure, I probably could pull it off, but it’s 2020, bikes come w/ handlebars now.
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Excited to announce that I have been selected as the new IR/DR Residency Program Director @LLUMedSchool. @IRDocFuji, you will be missed. Hoping to bring some more @MiamiVasc flavor to the program! Thank you to those that helped foster my career along my journey. @SIRRFS #irad
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When the ECMO team on standby in the room GASP with the first clot haul, vitals return to normal 5 min later, and the CT surgeon says “looks like you don’t need me anymore” you know you’re doing something right. This right heart was on the brink of failure. Another life saved!
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Hot take: there are no uncrossable venous occlusions. Don’t condemn patients to a lifetime of femoral tunneled catheters or debilitating face and arm swelling without referring first to centers with appropriate equipment and experience to get these vessels open. #irad @LLUHealth
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Common retort: need to know how to do this in emergency situations like codes! Disagree. Like a glidescope, an ultrasound unit is a must-locate piece of equipment for a code and you are going to get the a line or CVC in much more efficiently with US, especially with BP of 0.
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@jimbog_76 @VASBImedia @RenalAssoc @VASAMD @KidneyAcademy This is bloody brilliant. Thanks for sharing, awareness is obviously still needed since I’ve never seen or heard about this and I treat fistulas nearly every day.
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New book for aspiring IRs, particularly aimed at the #MedStudent crowd, focusing on clinical care and the “why” of IR. Easily digestible in a four week rotation. @SIRRFS @SIR_ECS #irad #clinical #whitecoat
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Jim Benenati was the model of what an IR program director should strive for. He held us to a high standard, he pushed us constantly, he expected the impossible so we became our best selves and delivered amazing care. I am proud to count myself one of his former fellows. Congrats!
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Congratulations to my best friend and bro for life Shantanu Warhadpande for matching at his number one choice for Independent IR Residency - @MCW_VIR! I expect great things from you buddy. Congrats on nabbing this guy @paragpatel_IR 🎉.
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Third @InariMedical #ClotTriever case in the last 3 wks. This thing is a game changer. 40ish yo F with worsening severe symptoms after a week of AC - pop access, 4 passes with the device from IVC to knee, PTA and 14mm VICI to tx classic MTS. No ICU stay, no tPA!
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Yesterday began my 2(ish) year journey to get my mouth back to normal. Braces to straighten the teeth out, orthognathic surgery in 8-12 months to re-break and rotate left mandible back into place, then bone grafts (prob 2-3 of those), then implants. Sigh. One day at a time.
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Even worse when the pseudoaneurysm was caused by trying to gain femoral VEIN access without ultrasound - the equivalent of putting on a blindfold and having your friend stand next to a dartboard and yell in your direction so you know approximately where the bullseye is.
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Publication of sharp recan and #StentGraft reconstruction of surgically resected IVC - hardest but most rewarding case of my career thus far. @VIRkhaja @CHICKVIR @medravi @Jordan_Fenlon @SIRspecialists @SIRRFS @SIR_ECS @CVIR_Journal #IRad #NoCavaNoProblem
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Finally, after 14 years, you losers on Grey’s Anatomy mentioned the name of my specialty (you know, the specialty that ACTUALLY does all those sweet image guided procedures you misappropriate to surgery???). Oh well, better late than never!! #InterventionalRadiology #IRAD @SIRRFS
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Left renal artery thrombosis successfully managed with AngioJet from above, overnight lysis from below for segmental branches, and a little clean up AngioJet on day 2. #KidneyBackOnline @SIRspecialists @johnnysuh @mmkhayatmd @Indoventional @SDhandMD @keithppereira @ABhattMD
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Always amazed the amount of material the @Medtronic HawkOne can remove. Followed with a 6mm IN.PACT, worked like a charm! @johnnysuh @keithppereira @SriniTummala @VIRkhaja @ABhattMD @SDhandMD @LessneVIR @Watts_IR @CLI_Global @ISETNews #CLIfighters
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@brianchiong “What do you do?”.“I’m an interventional radiologist. It’s basically a combination of minimally invasive surgery and major league gaming.”.“. ”.“How many times do I have to explain this to you, Mom?!?!”.@SIRRFS @SIRspecialists @SIR_ECS @SDhandMD @VIRkhaja @keithppereira @kmadass.
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SVC and left BCV occlusion with SVC syndrome and dysfunctional left arm AVF, immediately improved symptoms following stent reconstruction with preserved access for future lines or HeRO as needed. Venous work can be so rewarding! #ComprehensiveVascularCare @CHICKVIR @DrBTKatzen
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Previous PV recan, portomesenteric thrombectomy with AngioJet and TIPS. SMV rethrombosed after missing anticoagulation… this time we went with @InariMedical T16 thru the TIPS. AngioJet has its uses, but you need aspiration +/- mechanical to get this kind of chronic material out.
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I’ve joined a scooter gang! These things may be the funnest thing I’ve done this year #SIR19ATX! Wael Saad says it completes my image of looking like a 15 year old kid to go along with the removal of my beard. 🤣 @SIRspecialists @SIRRFS @SIR_ECS @LLUMedCenter @TheFuj @Chad_VIR
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No better way to send off a graduating resident than letting him solo a one-stick #TIPS! @jalilka87 Good luck @BWHRadEdu for your final year! #nailedit #irad @SIRRFS @SIR_ECS @IRDocFuji
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This is a brilliant idea for patients who are bleeding briskly from a fistula. don’t put a bandage on it, put a lid on it! Focal pressure and an autologous clot. Awesome. @SIRRFS @SIRspecialists.
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This is going to be one of the best SIR sessions I’ve attended, no doubt. @SIR_ECS @SIRspecialists @SIRRFS Mark your calendars for Monday 3/30 at 8:30am.
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FrankenCooper is on his way to #SIR24SLC after stage 2 of 3 of my nasal reconstruction on Friday delayed me by a couple days. Looking forward to seeing all my #irad friends! @SIRspecialists @SIR_ECS @SIRRFS @LLUMedSchool @LLUHealth
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ESRD patient w SVC syndrome w occluded BCV confluence at SVC origin & massive collaterals above & below. Sharp recan using balloon targeting and BRK needle, PTA, and kissing Wallstent reconstruction. Immediate clinical response! Cont’d below. @kiwilonghorn @SIRspecialists #irad
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Non-healing toe amp, multifocal severely calc AT CTOs. Partner crossed retrograde but couldn’t even pass a 1.5mm balloon over flossed wire because of calcs. Brought back, CSI 1.25 micro crown crossed all of them. 3.0–>2.5 tapered @Medtronic PTA. Palpable pulse, bleeding at wound!
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Future IR (?) Logan Cooper (my 11 year old son) is pumped for the last set of #ISET2020 live cases from @Mustapja and @MiamiVascularSp! He wanted to see the kind of things dad does at work. ❤️ @FadiSaab17 @docTPlive @DrBTKatzen #CLIFighters @SIRRFS
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Airing of Grievances: an overnight “heads up” page to IR (and probably many surgeons) for normal on call procedures (like “possible TIPS”) is NOT NECESSARY. It robs us of sleep so that if we do come in, we are less effective. It won’t make us come in any sooner. Please, stop.
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Two fempop CTOs, two successful back-to-back solo crossings by the fellow. Papa is proud! @kiwilonghorn @SIRRFS @omarsaleh66 @SDhandMD @Watts_IR @kmadass @clinIRpad @VISLAMDSCAIP #CLIFighters
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There is no better feeling than watching @AndrewNiekampMD - a current @MiamiVascularSp fellow that I had a hand in guiding into #irad years ago as a #MedStudent, now presenting a live case at #ISET2020. He seems less nervous than I was! 🤣 Full circle. @ISETNews @OSURadiology
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Mouth is getting a little closer to it’s old self, next surgery planned for Tuesday to remove the arch bars. Bone grafts, implants and braces are still in my future. Thanks to the astronomical number of people that reached out on my last post. You are all so kind.
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One of my favorite procedures to perform. @SIRRFS @TraineesBSIR what is going on here and why? #irad @LLUMedCenter @SIRspecialists @cirsesociety @BSIR_News @MiamiVasc @Saad_VIR @WLGoreMedical
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Despite all the sexy procedures we do, CT guided biopsies were the thing that sealed the deal for me as a student. The day I assisted an attending IR biopsy a hypermetabolic mass between the cava, aorta and spine was the day I finalized my decision. I still love doing them too!.
“Watch out! There are a lot of extremely important structures around that mass, don’t hit any of them!”. Interventional radiologists:
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This is a pretty good summary of current PAD antiplatelet recommendations. The paper is referenced and is worth a read. #CLIFighters #iRad @SIRspecialists @SIRRFS @SDhandMD @ABhattMD @SriniTummala @DanHan @keithppereira @keithppereira @drksterling @LessneVIR @VIRkhaja @kmadass
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Loma Linda University IR, CTS and VS to the rescue! #ImmaTakeMyBulletBack @ChrisRock @SIRspecialists @JVIRmedia @CVIR_Journal @SIRRFS @SIR_ECS @SDhandMD @VISLAMDSCAIP @ABhattMD @VIRkhaja @keithppereira @ajgunnmd @LessneVIR @kmadass.
Collaboration with Cardiothoracic and Vascular surgery @LLUMedCenter in #bullet retrieval from left pulmonary artery. #bulletretrieval #IRAD
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A free lecture from Benenati on CLI management is like getting a free ride in a Tesla with Elon Musk. Come learn from my mentor, the master, Dr. B!.
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🎶 Nothing’s gonna stop us. NOW!! 🎶 Networking / team building was on point at SIR this year. The enthusiasm the trainees have for our specialty is unmatched. Together we can conquer the world for IR! @iRadRock @BrycenDBodellMD @RobertPengMD @kkansagra7 @VISLAMDSCAIP @SIRRFS
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@keithppereira @AmirOlfat @SimaBanerjeeMD @IRKhalsa @pparikhxr @olgabrook @paragpatel_IR @JustinShafaMD @savedbyrad @IRguru I think we need a “simulated DR experience” for students to try it out for themselves. Less observational, more problem solving / puzzle-like. I think if more students tried DR rather than watched it, they would enjoy more than they expect. I’m 100% IR but still like imaging.
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Didn’t take long for the sharp recans to find their way to me. first few weeks have been pretty vascular-heavy, right up my ally! #irad @VIRkhaja @VISLAMDSCAIP @ABhattMD @CHICKVIR @medravi @SIRspecialists @SDhandMD
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How I Do It - Chronic Deep Venous Occlusive Disease. New article in Seminars in IR is worth a look. Looking forward to ramping up volume @LLUMedCenter #irad #allabouttheinflow #WeCanReCan @VV_VIRNIR @LLUHealth @VeinForum @SIRspecialists @SIRRFS @JVIRmedia @CVIR_Journal @ABhattMD
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It was truly an honor to be on a panel with these inspirational IRs. I think they just needed a token bald guy.
Don't miss our Program Director panel happening in 2 minutes on #WCVIS!. @VISLAMDSCAIP Dr. Conner @paragpatel_IR @KyleCooperMD @ArsalanSaleemMD
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Proud to have served for my 2nd year as an oral examiner for @ABR_Radiology IR oral boards. This is the last hurdle an IR must clear to become board certified. My LLU colleague @Roger_Tomihama and I spent 3 days grilling recent IR grads on clinical and procedural knowledge.
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For a change of pace. here are some pictures of our new llama. You’re welcome. #ComprehensiveCamelidCare #irad @uhaul @SIRRFS @SIRspecialists @LLUHealth
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15 year old Trapease causing IVC and CIV chronic thrombosis, C5 disease; filter removed with dueling forceps, iliocaval segment reconstructed with Wallstents. Next day:”I haven’t felt this good in a decade!” @AlexCVIR @CHICKVIR @JonnyMoriarty @Drshiloh @SIRRFS @VenousNews #irad
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OTW to Austin for #SIR19ATX! I look forward to this meeting from the moment the previous one ends. So thankful to be in a career I love with an international group of colleagues and friends better than I could have ever asked for. See you all soon!! @SIRspecialists @Indoventional
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Was fantastic catching up with my friends and co-authors for the Pocketbook of Clinical IR - the audience feedback we received was invaluable and the kudos were very much appreciated! Hope the raffle winners enjoy their copies! @SIRRFS
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Young diabetic / ESRD pt with heel ulcer, false+ biphasic high thigh Dopp led me to go up & over to rule out inflow dz (there was none). Pop and tibial x3 tx with new wound blush at margin. May bring back antegrade and tx pedal loop if TcPO2 <40. #CLIFighters #StopTheChop #irad
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@CamillePane @LLUHealth @SIRspecialists @_backtable @LLUMedCenter @SIRRFS @womeninomfs @traumadoctors @BIKELAWcom @AAOHNS @JAMAOto A mixture of outstanding ER/Trauma/SICU/Anesthesia care in the ER, ENT/Facial Reconstruction surgeon Dr. Cherine Kim working through the night on me, outstanding care from @LLUHealth top to bottom, so much support from so many, and my wife Alisha at my side throughout. 🙏🏼.
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Fellow-attending nonverbal communication system. #grumpycat #irad @TheFuj @kiwilonghorn @arianik @johnnysuh @SIRRFS @SIRspecialists @CHICKVIR @JVIRmedia @medravi @jhussainMD @Indoventional @NRomano @IRadNAP @EJJohnsonMD @iRadRaj
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Just wanted to take this moment to officially congratulate one of my closest friends and advisors on his selection as FSIR. @VIRkhaja, you are a rock star, and I miss working with you buddy. We will have to celebrate at next years SIR! @SIRspecialists.
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This one put up a fight, but ultimately, yet another perforated and occluded “permanent” Simon Nitinol filter bites the dust. #irad #filterout #filterfriday #wecanrecan
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This patient gets to keep their leg for Christmas. :) @LLUMedCenter @LessneVIR @keithppereira @ABhattMD @VISLAMDSCAIP @Watts_IR @kmadass @SDhandMD @SIRspecialists #CLIFighters #NothingLeftBehind #iRad #Christmas
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2022 was a banner Match year for @LLUMedSchool Department of Radiology! It was an honor to be part of both the DR and IR interview faculty and to meet so many awesome students. I am happy with literally EVERY match - 8 DR, 1 ESIR-linked DR, and 2 IR spots filled with superstars!
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@AlanAlperMD @LLUHealth @SIRspecialists @_backtable @LLUMedCenter @SIRRFS @womeninomfs @traumadoctors @BIKELAWcom @AAOHNS @JAMAOto Thank you. I will say that shock / adrenaline are an amazing combination which kept me fairly pain free until the next day… and allowed me to suction my own airway and communicate with ER staff using google translate app on my phone up until they intubated me. Crazy.
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Winning in front of the home crowd for a third year in a row! I love this community and I’m lucky to practice medicine in a place where a legendary stage race has taken place since the year I was born. Winners at the @redlandsClassic have gone on to win the @giroditalia. 🤔 🤣
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Several opportunities to snag a free copy of the Pocketbook of Clinical IR at #SIR19ATX - come to Thieme booth to see why this essential companion to #medstudent & junior resident #irad rotations earned the @SIRspecialists endorsement on the cover! @SIRRFS.
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An #irad armed with percutaneous endoscopic techniques can expand the treatments available to patients for stones, FB retrieval, fistula closure, tube placement, etc to patients, esp those with no other access - sky is the limit! @theairsymposium @hsinghIR @medravi @CHICKVIR
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Excited to be starting my new job today @LLUHealth @LLUMedCenter - a new chapter with many new opportunities ahead. But first. paperwork. 😬 #irad
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4) Finished up with PTA of stenotic left jug confluence, made sure both jugs and both subclavians were patent. Very happy with result! @IRadNAP @mmkhayatmd @EJJohnsonMD @jhussainMD @iRadRaj @rosh810 @DanHan @quienlam @Watts_IR @RonaldWinokurMD @ZHaskal #irad #WithoutAScalpel
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@van_bever_derek @LLUHealth @SIRspecialists @_backtable @LLUMedCenter @SIRRFS @womeninomfs @traumadoctors @BIKELAWcom @AAOHNS @JAMAOto I was treated at my very own @LLUMedCenter by people I work with every day. They took remarkable care of me, and the amount of support I’ve gotten has been nothing short of miraculous. I’m healing like Wolverine! I’ve been given a second chance and I won’t waste it….
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Journal club this morning and star resident Bjorn Harboldt BUSTS OUT STORY BOARDS when discussing the new SIR Anticoagulation Agent guidelines! Well played, sir! @LLUMedCenter @LLUHealth @SIRRFS @TheFuj @JVIRmedia @LukeWilkins_UVA
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The future is looking very bright with match results like these! Congratulations to the newest IR/DR residents at Loma Linda - and welcome to the family! @LLUMedSchool @LLUHealth @LLUMedCenter
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Now you see it, now you don’t! Non-resolving symptomatic femoral AV #fistula treated with careful catheterization and @Medtronic Concerto coil #embolization. Often can get to resolve with prolonged balloon inflation, but this was profunda branch to branch. #WithoutAScalpel #irad
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Perfect way to end a fantastic day of @SIRspecialists leadership development - by enjoying a meal and conversation at my favorite restaurant with so many great people! #irad @SIR_ECS @SIRRFS
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Challenging patient with aortic-tumoro-enteric fistula treated first with stent graft, with persistent bleeding. #cryo to the rescue! @medravi @CHICKVIR @joeyg132513 @SIRRFS @SDhandMD @uclaVIR @MichiganVIR @AlexCVIR #miips #cancer #irad @SIRspecialists @SIR_ECS @SriniTummala
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This type of innovative thinking is what continues to make #InterventionalRadiology the best specialty in medicine! @jdprologo @TODAYshow @EmoryRadiology @SIRspecialists @SIRRFS @SIR_ECS @SDhandMD @MichiganVIR @mmkhayatmd @DMaldowMD @NiekampAndrew #IRad.
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Patient pulling lines from the neck and infecting AND pulling them in the groin? Fluoro targeting of existing femoral line for placement of a translumbar catheter with a short tunnel is quick & easy & can decrease the risk of both! @SIRRFS @AlexCVIR @arianik #irad #canttouchthis
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Preach! I agree as a doctor & as a former fat guy w/ horrible vitals and labs. Cal counting, 90 lbs lost and a cycling addiction took me from stage 2 HTN, prediabetes & a cholesterol panel of an 80 year old to someone with a resting heart rate of 40, BP 100/60, HDL 70. It works!.
We do not need RCTs to appreciate the power of lifestyle interventions: . E.g., I made wholesale changes to my life: .-lost 30 lbs.-stopped 2 BP meds (and BP is 110/60-70s).-symptoms of depression and anxiety are gone.-LDLc 127->79; HDL 42->48. Name a drug that could do this?.
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Working late moderating a webinar on the board certification process for Interventional Radiology. New testing system means lots of questions and confusion - change is often difficult! #academiclife #webinar #doctorlife #irad @SIR_ECS @SIRspecialists @SIRRFS @ABR_Radiology
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Excess drooling (sialorrhea) afflicts many patients with developmental and degenerative disorders, causing skin breakdown, aspiration, and social difficulties. US-guided salivary gland Botox injections by #irad can be life changing! Minimal side effects, lasts up to 6 months.
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We matched two of my favorite candidates today for #irad residency @LLUHealth - and this ray of sunshine was much needed during this bleak time. Congrats to Justin and Josh, and to all the amazing candidates I met and didn’t meet this year! Finish line in sight!!! @IRDocFuji
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Always good to remember the past. What’s the point of having an x-ray illuminator in your office without having some unknown x-rays on it? #irad #MedTwitter #MedEd #radiology
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@jfunkmd @so_uro @SocietyofBPD Unethical like vascular surgeons and cardiologists ordering and then interpreting the same Duplex or echo they ordered in an imaging lab they own and then performing an intervention on the patient based on the imaging? Many specialties do this. You notice because it affects you.
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Medical device industry: we haven’t forgotten about you. We are busy with other stuff, or deliberately ramping down our procedures that use your products to minimize exposure risk to us and our patients. Stop. Hassling. Us. #ThereISaidIt #StillLoveYou #EmailOverload.
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My favorite part of @ISETNews each year is meeting with the incoming @MiamiVasc fellows to give them tips to survive their upcoming year (and freak them out a bit 😂). Not pictured: our own Loma Linda resident David Wilding who couldn’t make it to the meeting. Bright future!
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Chronic supra-filter thrombosis extending through the popliteals. Filter sequestration, iliocaval stent reconstruction, fempop recanalization into the stents and PTA. One of the hardest of these cases I’ve done because inflow was so difficult to get! @LLUMedCenter @SIRRFS #IRad
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Our paper was mentioned in IVC filter session this afternoon. “White whale” of filter retrievals 🤣 @rkryu @LessneVIR @kush_r_desai @swstav #SIR19ATX #filterout
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Happy to say I turned a Twitter friend @ahmedkayssi into a real friend today. I hope to do the same with a few more people I’ve sparred with electronically before the end of this meeting! @AMPSymposium @CLI_Global #AMPCLI2019 @TimYatesMD @kmadass @SDhandMD @PenVascular
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I spotted a unicorn recently - a focal short segment occlusion in the fempop segment! Can’t remember last time I had a case like this. True lumen recan with vert catheter and Bentson wire (no Newton LLT available), then DCB. #nothingleftbehind @Watts_IR @keithppereira @SDhandMD
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M&M sessions are always my favorite at EVERY conference. @CharlesBurkeMD hits the nail on the head: “the second victim in a horrendous complication is the physician!” Understanding the effect it has on those in the room prevents one complication leading to more. @theairsymposium
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@orthofacts You think you have it rough? Try IR. Since we have radiology in the name people think they can just click a button on Epic and get a procedure.
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All these amazing cases at Extreme IR but the most impressive thing I’ve seen yet is that there are BATHROOMS in the actual exhibit hall!. #IRad.#SIR19ATX.#TwittIR.#IAmIR.#PatientCentered.
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I am a fan of the new MOC process. The OLA website is polished, questions seem relevant, and we get a weekly reminder email to do the questions. I give a solid two 👍🏼 to @ABR_Radiology on this one. @SIRspecialists @SIR_ECS @SIRRFS @IRDocFuji @LLUHealth @LLUMedCenter.
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Michigan #irad attendings departing for #SIR17DC - many talks to give, many colleagues to greet! @MichiganVIR @SIRspecialists @SIRRFS
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Severe abdominal pain p/w exploded filter - struts everywhere - two in bowel, one in the aorta, two completely extravascular. Forceps to the rescue! Aortogram/cavogram both fine afterward. @johnnysuh @JonnyMoriarty @CHICKVIR @medravi @trerotolas #irad #surgerynottheanswer
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First TCAR I’ve seen at an ISET Live Case. Fantastic technique from the experts at @WeillCornellb. Looks like our #iset2020 #TCAR poster from Millie Liao, myself and several vascular surgeons @LLUHealth @LLUMedCenter was a timely one! @SIRRFS @ISETNews @MiamiVascularSp
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Slo mo makes everything look cooler 👀 I’m the one with the pink sleeves and black vest that the camera follows. The Pro race was a hard one this week!! #iradsthatbike @IR_Doctor @doctorhammond
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This is me after running three rooms solo all day and still having two cases to go in each room at 6pm. #irad
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Overview article in CDT covering endovascular management of acute aortic dissection. Great work team! #irad @VIRkhaja @mmkhayatmd @MichiganVIR @SIRRFS @SIRspecialists @AorticDissectUS @UMiamiIR @JVIRmedia @CVIR_Journal
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