Robert Ryu
@rkryu
Followers
6,196
Following
1,685
Media
1,151
Statuses
5,780
#IRad @IrColorado , academic healthcare veteran, #filterOUT advocate, happy mentor, excited about the next collab!
Denver, CO
Joined November 2010
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I'm very happy to share that I will be joining
@KeckMedUSC
this summer as the Chair of Radiology. I couldn't be more excited about the opportunities ahead for the USC DOR. I will miss my
@CURadiology
@ColoradoIR
family: TY!
@USC_Rads
@USC_IR
@USCneurorads
126
14
493
My mom is 88 today. Came to US w/ dad, dirt poor, 1949. Raised 3 doctors, a wealth advisor, & a federal judge. She’s a proud immigrant. Don’t even try to insult immigrants to her face unless you wanna get owned by an 88 yo badass. Happy birthday mom- I’m so proud to be your son!
12
14
257
This is me after 1 dose of Pfizer on 1/5/2021 in the hospital. I was a very healthy 45 year old who managed a surgery center. Two years later I am still having major issues
13
10
200
File under “talk the talk, walk the walk”:
@RustainMorgan
and I are NOT using
#Step1
scores to select interview candidates for
@curadresidents
(fail scores excepted) I’m 💯 confident we will recruit great
#radres
@jbcarmody
@DarelHeitkamp
@hsinghIR
#holisticreview
Who’s with us?
18
38
198
Super cool old school surgical gown with custom embroidery. Looks great but it gets pretty warm up in here!
#Tanzania
@Road2IR
@TherealDoctorJ
@muhimbiliuniver
8
16
180
One of my first MAJOR decisions and accomplishments as a new chair
@RadiologyUSC
: wipeboard installation! All kidding aside: it will be impactful as a collaboration tool/space for our entire department to use! Now if I can just find some markers....
9
4
158
1/2 David Kumpe STARTED
#IRad
@ColoradoIR
Colorado 43 years ago. He trained dozens of us (myself included) then built the neuroIR program
@uchealth
singlehandedly. Hard to watch a legend walk out the door on his last day; I already feel his absence.
7
10
149
Nice example of why the IVC bifurcation MUST be respected when stenting a May-Thurner lesion
@lahinchman
@LessneVIR
@Angiologist
@jmills1955
@kush_r_desai
@rustyhofmannMD
#IRad
16
18
147
The
#IRad
world lost Mike “Chappie/El Chapo” Chapman last week. He was a
@curadresidents
just a few months away from graduation. Mike was a terrific person, physician, and scientist. He had a huge heart, was funny as hell, and always kind. I miss you my brother.
#RIP
#heartbroken
19
11
142
#filterOUT
#filteroutfriday
#ForcepsFriday
“Thank you for your service, Mr. IVC Filter. You are excused.”
@SDhandMD
@swstav
@LessneVIR
@kmadass
@dnkazimirko
@ColoradoIR
@UCI_IR
@UChicagoIR
7
22
138
My son Holden is an amazing and inspiring young man. I just could not be more proud of him! Congratulations, my boy! I can’t wait to see how you go out and change our world!
@ColoradoAcademy
17
1
136
And a few thousand
#IRad
cases later....these Danskos served me long and well since I joined
@ColoradoIR
in 2014- I’m glad they (just barely!) made it to my last day. So long, old friends, enjoy the view!
10
2
124
“IVC FILTERS CAN BE SAFELY REMOVED REGARDLESS OF DWELL TIME. FRACTURED STRUTS, PERFORATION, EXTRACAVAL HOOKS…IT DOESN’T MATTER. ALMOST ALL IVC FILTERS CAN BE SUCCESSFULLY RETRIEVED BY OPERATORS WHO HAVE EXPERIENCE WITH ADVANCED TECHNIQUES”
9
15
119
2/2 in what is probably the greatest honor I’ve ever been given, I am deeply humbled to be named the inaugural Dr. David A. Kumpe Chair of Interventional Radiology. I will never equal the legacy that David has built, but I will always aspire to it.
20
4
119
Pro tip for
#IRad
trainees: your critical thinking/consultation skills will really impress your IR attending when you tell him/her why we should NOT intervene. 10 “yes” reasons can (and often should) be negated by a single “no.”
"Good surgeons know how to operate, better ones when to operate, and the best when not to operate.”
2
7
29
6
21
118
T -16 hours: about to start the drive to Los Angeles and get to work at
@RadiologyUsc
. I have a driving break scheduled so I can attend
@USC_Rads
Zoom Graduation tonight! Car packed, Spotify loaded, let’s roll!
#TouncesWatchOut
!
13
2
113
6 years ago, I knew her as an eager
@CUMedicalSchool
student ready to start integrated
#IRad
@IrColorado
. On her last call weekend, I saw an absolute assassin who embo’ed, drained, and stent-grafted like an absolute Boss. I am so proud of
@AMagnowski
!
6
7
111
I asked Doug (president of >110 radiologist practice) what the most important “value add” skill set (outside clinical expertise) new
#Radiology
practitioners should obtain: AI? MBA? Informatics? None of the above. His answer: Interpersonal and communication skills.
Dr. Doug Reader from Riverside Radiology discussing Private Equity and Business of
#Radiology
for
@curadresidents
@CURadiology
#RadRes
1
1
19
5
23
108
Was this wine filtered before bottling?
@Watts_IR
@PascalJabbourMD
@SDhandMD
#filterOUT
#FilterOutFriday
#IRad
6
7
103
My second-to-last day at
@ColoradoIR
@CURadiology
(when we briefly broke social distancing rules). Kudos to Tawny and Travis in N95s behind the glass, assisting in a
#COVID19
case! I will miss you all!
@KMSchramm
@MBMD_IR
@CDoeVIR
@kimi_kondo
@radtrivedi
@pj_rochon
4
1
103
A relatively unusual
#filterOUT
for two reasons: 1. Perforation with actual symptoms (diaphragmatic crus irritation, pain w/ breathing) and 2. Strut in portal vein (1st time I’ve seen that). Pain now completely resolved.
@SDhandMD
@kush_r_desai
@LessneVIR
@TheRealDoctorOs
#IRad
10
10
101
With mom circa 2019- I spent yesterday with her reminiscing about coming to the US in ‘49. Her recollections are about gratitude and the good people and friends along her journey. I always learn something new from her- thanks, mom, for sharing your wisdom and love!
#MothersDay
3
0
101
2 cm liver lesion deep in segment 3, ready for US-guided biopsy with
@ButterflyNetInc
probe (see for yourself: imaging quality comparable to more expensive/less portable US units). Perfect for portable
#iPhone
#IRad
procedures!
8
33
99
If you have an
#IVCfilter
, ask your doctor if you still need it. Filters can be safely removed months/years/decades after placement! An interventional radiologist can help!
@SIRspecialists
#filterOUT
#DVT
#PE
#IRad
4
14
98
Postpartum hemorrhage is one of the most potentially devastating complications of an otherwise happy event.
#IRad
can help save the day (mom and baby doing fine!)
@SDhandMD
@kmadass
@LessneVIR
@vogelzang252
@ajgunnmd
@AgnesSolberg
@MaureenKohi
@AlexCVIR
@SandeepBaglaMD
3
14
93
I’m joining the choir:
#radiology
certification needs to be an oral exam. Image interpretation/ddx/management decision is required. More importantly: the exam needs to assess interpersonal communication skills! So many avenues for innovation here!
@LoriDeitte
@DarelHeitkamp
10
10
92
I'll take passionate/caring/engaged/motivated resident at 220, over entitled/careless/"lone wolf" resident at 275. Not to be too inflammatory, but doesn't STEP1 screening smack of an academic version of racial profiling? Intrinsically biased/unfair/mindless, based on stereotypes?
2
0
7
7
10
89
Using
#ButterflyIQ
probe during bedside perc chole placement: the "disappearing guidewire" sign confirms that the dilator is entering the GB lumen (which can be tricky with thick/inflamed GB wall
@ButterflyNetInc
#POCUS
#IRad
5
31
87
Looking forward to tonight's Midwest Virtual Angio Club hosted by the one and only
@kmadass
I get the feeling that he's got a few surprises up his
#IRad
sleeve...(in addition to
#LaserKumar
of course)
9
1
87
Just finished a CT lung bx and celiac block with
@AMagnowski
. 3 weeks into her
#IRad
residency, she's performing at a level I've never seen before. Truth: I had to hurry to keep up w/her. So impressed I'm speechless (and I'm not one to toss around superlatives about trainees)
9
1
85
New Springer textbook on
#IVCfilters
edited by
@TheRealDoctorOs
@kush_r_desai
and Thuong Van Ha
@UChicagoIR
Looks pretty sweet!
#filterOUT
@MichaelHongMD
4
11
88
Teaching is a privilege- I’m always very honored to give lectures & workshops. But being required to pay $100 reg fee for this honor feels unseemly.
@SIRspecialists
needs to rethink this policy- this isn’t the way to engage dedicated educators (who happily do it for free!)
6
6
83
Virtual farewell party hosted by
@curadresidents
I’m grateful for the gorgeous/enormous framed photo of Maroon Bells, but I’m truly proud to be the “okayest PD”
Thank you!
@curadresidents
are the best. I’m so lucky to have been a part of it.
1
4
82
Please help an
#IRad
in need. A terrific person and an even better doctor. He needs our support
@EmoryRadiology
8
64
83
FIRE THE LASER!
@USC_IR
fellow Andrew Yaeger performs the 1st
@PhilipsHealth
Spectranetics laser-assisted
#filterOUT
@KeckMedUSC
The laser helps remove embedded
#IVCfilters
that can’t be retrieved using regular techniques
#IRad
@IR_RayRay
@TherealDoctorJ
3
7
82
Here’s something I haven’t seen very often (thankfully):
#IRad
#TIPS
for massive variceal hemorrhage.
@TherealDoctorJ
to the rescue
@USC_IR
@ZHaskal
@vogelzang252
@saherssabri
how often have you gents seen this?
7
11
80
“
#burnout
” is the wrong term: implies overwork/fatigue
is causative, and has a subtle implication that you’re weak & can’t work hard.
#moralinjury
is a better explanation for folks leaving medicine. HC orgs & leaders w/unaligned goals and perverse incentives bear responsibility
4
9
79
#filterOUT
extracaval hook, pushed with forceps from above, pulled a little from below- did multiple IVCgrams while manipulating filter (note elongation/torque) then went full
@MountSinaiIR
on it, after making sure it was safe!
#GTFO
13
25
79
A truly momentous day for
@KECKSchool_USC
:
@DeanMeltzer
is officially inducted as Dean! Celebrated along with
@alexnorbash
@PresidentFolt
and SVP Steve Shapiro. An inspiring and amazing occasion!
3
3
80
“I know the days are long; I don’t say ‘thank you’ often enough. We over-criticize you when you stop working. For that, I’m very sorry.
But do you really have to quit RIGHT IN THE FREAKIN’ MIDDLE of a dynaCT during an MAA? Couldn’t we talk about it BEFORE you shut down?!”
6
4
81
Malarone? ✔️
Visa?✔️
2 big bags stuffed w/
#IRad
gear?✔️
@Road2IR
here we go! Let’s do this!
@flyethiopian
@fabianmaxlg
@frankminja
(and thanks to all the generous folks
@RadiologyUSC
@USC_Rads
@USC_IR
who donated to
@Road2IR
)
@kjpacheco79
@TherealDoctorJ
6
5
79
All of Radiology mourns with the Gambhir family. We have lost a leader, visionary, and scientist. His legacy is something to which we should all aspire.
1
9
79
Life in Los Angeles yesterday: a calm beginning of my day, and a serene finish. I hope yours was too.
2
0
77
Here I am in “Hair & Make up,” getting some intensive touch ups before shooting
@KeckMedUSC
@RadiologyUSC
Healthy Lungs Healthy Life promo. Despite Miranda’s expertise, I don’t think it’s gonna help!
#lungcancer
#lungcancerscreening
6
4
78
Congratulations to our own
@pj_rochon
who was awarded Full Time Physician of the Year award on the
@uchealth
medical staff! Proud to have him as a
@ColoradoIR
@CURadiology
colleague!
12
3
74
Merry xmas and happy holidays!
#IRad
@SDhandMD
@SohailCmd
@SDhandMD
@Watts_IR
@LessneVIR
@ajgunnmd
@kush_r_desai
@kmadass
@TheRealDoctorOs
@TherealDoctorJ
@stuschroff
@denveremus
@vogelzang252
@saherssabri
@swstav
@MaureenKohi
(thank you to Lindsay Machan who sent me the image!)
3
2
76
1. I’m the only person in pre check line at LAX
2. In the men’s room, guys are washing their hands like they are scrubbing for a hip replacement
3. 40/140 seats occupied on
@SouthwestAir
(!!!)
4. Purell costs $100 in the gift shop (I kid! I kid!)
#NotBusinessAsUsual
11
4
74
It’s been a minute but it’s finally here: a new entry on my Roman Roads blog entitled “Trash IR.” Let the discussion begin!
#IRad
#radiology
#radres
12
12
70
I wasn’t ready to announce it but now that
@ajgunnmd
has spilled the beans: I’m pleased to say that I am the inaugural editor of the Journal of 2nd Hand Case Reports. All manuscripts must start with: “I haven’t done it but I heard about a dude who did this case....”
@rkryu
@JuliusChapiro
@junjian_huang
@ahmed_kamel_ir
@LessneVIR
That’s beside the point. The Journal of Second Hand Case Reports didn’t specify the font or color so not sure why Aqua Crayola is a problem.
4
0
16
4
1
74
“Is
#filterOUT
necessary if the filter isn’t causing problems?” An excellent question:
#IVCfilters
don’t cause problems, until they do: placed >10 yrs ago for prophylaxis and forgotten, until the entire IVC/bilateral legs clotted. Always
#filterOUT
when no longer needed!
1
22
70
Central venous access isn’t sexy like PAE UFE y90 etc. But in terms of impact on patient care/outcomes,
#IRad
management of CVC is unparalleled. Take the time to do it well- patients count on us. NO other service line has the expertise. Period.
SVC syndrome related to 2 year old subclavian port (severe arm and neck swelling, unable to lay flat). Two additional near-identical consults in the same week. Refractory to angioplasty -> Stent reconstructed the SVC and left brachiocephalic vein, moved port to right IJ
#iRad
4
10
51
3
12
68
Today I watched Gemma play in her last collegiate rugby game, at the National Championships- where
@BrownWRFC
won the Bowl in the Gold division! So proud of this resilient team- and especially our girl! 4 years and one broken nose later, finishing with a huge win!
#GoBruno
2
0
69
An incredible day for
@KECKSchool_USC
and I’m thrilled to welcome a transformative leader to
@RadiologyUSC
Big news! A tremendous loss for us but what an incredible honor and opportunity for
@brainbanker
! Please join us in offering loud and joyous congratulations to her and to
@KeckMedUSC
.
#radiology
@EmoryMedicine
31
8
224
0
5
67
How awesome is
@RadiologyUSC
@USC_Rads
graduation party? Pretty frickin’ awesome! To our exceptional chief residents
@Mike_JS_Lee
@stephanievst
@DrShawdi
who were amazing leaders during THE MOST CHALLENGING YEAR IN MODERN HEALTHCARE HISTORY
#radres
4
8
67
First day back in the office in two weeks and look what’s waiting for me: a very thoughtful (and much appreciated) gift from
@wadhwa_rad
A nice example of gratitude and the culture that makes
#IRad
so great to be a part of!
4
4
68
3
2
67
Big year for
@pj_rochon
just got bigger: the
@uchealth
full time MD of the year was just named as a Fellow of
@SIRspecialists
- a great honor for a great MD and person! Congrats!
@CUMedicalSchool
@ColoradoIR
@CURadiology
12
14
67
Sometimes you have to be good to yourself, maybe more often than not. Thank you
@manKrankl
(this is so delicious) and peace to all this holiday season!
#SQN
@PascalJabbourMD
@Watts_IR
@jwalkermobile
@So_mmel_ier
@jebdunnuck
9
2
65
File under: “I hate when that happens!” Or “didn’t see that coming” Luckily, Captus to the
#filterOUT
rescue, followed by a much more uneventful
@ArgonMedical
Option
#IVCfilter
deployment
#GonadalVeinNemesis
7
14
65
My annual affirmations, as
@curadresidents
rank order list is painstakingly assembled: 1) this year's candidates are exceptional, better than last year, 2) I'd have NO chance of matching into
#radiology
if I were applying, and 3) our specialty is in good, no great, hands
2
6
66
When this
#IVCfilter
was placed: Hurricane Katrina had devastated NoLa,
@YouTube
was brand new, and “Hollaback Girl” was
#2
on the Billboard charts: Excimer laser assisted
#filterOUT
in 2019. Buh bye!
#IRad
@AbhiKumar47
@ZagumBhatti
@TheRealDoctorOs
@kmadass
@kush_r_desai
5
13
66
A career highlight: giving the Dr. Yoram Ben-Menachem Memorial lecture at
@RutgersIR
. Having my name associated with his is an honor! Thanks
@SohailCmd
for both inviting me and the kind hospitality- you’ve built a terrific group of young
#IRad
@AbhiKumar47
@prat_shuk
2
11
66
Besides the ridiculously amazing aromatics of this wine, what made it truly phenomenal was sharing it with dear friends (p.s. I could not care less what some might say about the ‘93; to me, it was delicious!)
@Watts_IR
@jwalkermobile
@LongeneckerBob
@So_mmel_ier
@PascalJabbourMD
5
1
65
Getting kicked off (appropriately/respectfully of course) of the
@ColoradoIR
WhatsApp chat group made me feel really sad- gave me a sense of finality that I didn’t get when I physically left my CU office! Such a great group of friends!
7
0
64
A great way to spend Father’s Day: playing tennis with a brother, a niece, and a daughter! Our dad would’ve loved to have seen us play! HFD to all!
4
0
63
Thanks to the nice folks at
@SCPAuctions
I got to hold an amazing piece of history: this is the glove that Willie Mays used in 1957
#SayHeyKid
1
0
64
Calling all
@SIRspecialists
members, at every level: please take a look at my SIR Open Forum post Let's advocate together: NO registration fees for ALL
#IRad
trainees!
#NoFeeTrainees
7
13
64
Look what I found! I think the Easter Bunny left it for us! Can’t wait to unwrap it!
@RadiologyUSC
@KeckMedUSC
2
3
64
CT lung biopsies should be wRVU-equivalent to adrenal vein sampling, at least.
Unless you 💯 agree with me (or you think that lung biopsies should be valued even higher), we can’t be friends anymore ☹️
#IRad
@SDhandMD
@TherealDoctorJ
@kmadass
@radtrivedi
@TLHM_MD
@Watts_IR
13
4
61
Congrats to
@kush_r_desai
whose article made the cover of
@RadioGraphics
: a rare
#IRad
achievement!
#CoverBoy
3
10
62
Congrats to
@MeritMedical
on
@FDADeviceInfo
“breakthrough device designation” for embosphere for
#GAE
. A very important achievement for
#IRad
everywhere!
#TwittIR
@SIRspecialists
@SandeepBaglaMD
@SidpadiaIR
2
6
60
IVC anastomosis stricture w/ post-op LFT dysfunction and 10L ascites.
@CookMedical
30 mm\5 cm Gianturco stent to the rescue,
#liver
#transplant
saved!
#IRad
@kmadass
@SDhandMD
@saherssabri
@LessneVIR
@ajgunnmd
@kush_r_desai
7
8
59
#MatchDay2019
@curadresidents
@CURadiology
We are all THRILLED to welcome our newly matched
#radres
and
#IRad
residents! Congratulations and welcome to Colorado!
3
7
60
My new Wellness initiative, Nap with the Chair, kicks off today! I’ll read some choice passages from Abrams Angiography while
@TherealDoctorJ
has some milk and cookies. Warm blankets, sterile pillows...what else does a weary
#IRad
need?
@USC_Rads
@USC_IR
6
4
60
I'm thankful for all of my
@RadiologyUSC
and
@USC_Rads
colleagues who are caring for the sick and vulnerable today- thank you for your dedication!
@USC_ERad
@USC_IR
@ImagingUsc
@USCneurorads
0
6
61
Q: is there any physician who has contributed more to the scientific/clinical validation of TheraSphere y90 for HCC than
@riadsalemIR
@NorthwesternIR
?
A: No.
Exciting new PR via
@bostonsci
announcing FDA approval of the TheraSphere™
#Y90
Glass Microspheres for the treatment of patients with
#hepatocellularcarcinoma
#HCC
spearheaded by
@NorthwesternIR
and
#NURad
@riadsalemIR
0
3
28
2
8
60
Not exactly
#filterOUT
but close enough! B. Braun Convertible filter converted to a stent after 6 weeks
@kmadass
@LessneVIR
@ajgunnmd
@MCW_VIR
@vogelzang252
@SDhandMD
@saherssabri
@Angiologist
@AlexCVIR
6
10
56
#TwittIR
was originally started a few years ago, to encourage
#IRad
to recruit other
#IRad
to get on
#twitter
- a potentially powerful platform- let's get recruitment started again. There's so much for us to share and learn!
“Twitter is an ideal forum for open exchange of ideas from around the world.”
#TwittIR
#IRad
#IRadRes
@ABrandisVIR
@vaibhav_manu
@kmadass
@IR_Doctor
@SDhandMD
@mcbreamy
@Drshiloh
@LessneVIR
@rkryu
2
8
30
6
17
59
Is it just me or does the cracked screen of my
#iPhone
look a lot like an
#IVCfilter
?
#filterOUT
#CrackOUT
?
10
3
58
A very important message published by
@kush_r_desai
and Nicos Labropoulos: with advanced techniques,
#filterOUT
successful/safe retrieval rates should be >96% regardless of dwell time Rec: referral to experienced centers if overall retrieval rates are <95%
1
15
57
@SScott2024
Please don’t normalize or internalize this. Find a good therapist who can help you work your way through. I believe this is the (mental) healthiest way for you in the long term. Moral injury and residue are real (despite the ROSC). Nice work helping to save a life. Good luck!
2
0
57
If I had known they were going to show my feet, I would've gotten a pedicure.
8
0
56
Delighted to welcome
@RichDuszak
as
@RadiologyUSC
Virtual Professor today! His lecture is on the need for radiologist’s understanding of costs. There’s no one more expert on this important topic!
#radiology
@EmoryRadiology
1
3
57