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Author: Society of Interventional Radiology

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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.
23 Episodes
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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, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Katharine L. Krol, MD, FSIR, about how interventional radiologists can make sure that they’re getting appropriately reimbursed and what SIR has done to fight Medicare cuts.Related resources from the Society of Interventional Radiology:Value of IR white paper2021 Interventional Radiology Coding UpdateValue of IR toolkitSIR 2021 annual meeting session (March 22, 2021): Standing Up for IR: Conveying our value and moving the field forwardNote: This episode was recorded on  March 13, 2021.SIR thanks Boston Scientific for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, MSWarren Krackov, MD, FSIR, speaks with interventional radiologist Derek L. West, MD, MS, about the importance of addressing health care disparities, educating medical students on the promise of interventional radiology, and his ongoing research in cancer treatment.Note: This episode was recorded on  Feb. 7, 2021.SIR thanks BD for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Eric A. Wang, MD, FSIR, about how he got involved in ischemic stroke care, the specialized training other IRs need to do the same, and how the Society of Interventional Radiology (SIR) supports the IR community in this important effort. Note: This episode was recorded on  Jan. 31, 2021.Related resources:SIR training guidelines Stroke roundtable: Opportunities and challenges for IRs performing endovascular thrombectomies for strokeSIR 2019 on-demand stroke course Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, MDIn a special year-end review, Warren Krackov, MD, FSIR, and the Kinked Wire team (Editor Jaimin Shah, MD; Production Manager Jason Fisher, MD; and SIR Director of Publications Brian Haefs) discuss the top stories impacting interventional radiology in 2020:Impact of the COVID-19 pandemicRacial inequity and health care disparitiesWellness and burnoutVirtual SIR 2020 Annual Scientific MeetingAnd moreThe team concludes with a look ahead to what may come in 2021.Note: This episode was recorded on Dec. 24, 2020.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, DOIn 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 radiology, measures IRs should be taking to protect themselves, and what medical students considering a career in interventional radiology should keep in mind.Note: This episode was recorded on Oct. 20, 2020.SIR thanks Boston Scientific for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, MDWarren 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 in addressing gender bias, and about her new book, Save Lives, Enjoy Your Own. Learn more about Dr. Nickel Hamilton's book or order a copy at her blog, tiredsuperheroine.com.Note: This episode was recorded on Sept. 29, 2020.SIR thanks BD for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Paul J. "P.J." Rochon, MD, FSIR, about health care disparities, our own implicit bias, the minority tax and the importance of taking a stand against racism. Read Dr. Rochon's IR Quarterly article on health care disparities.Note: This episode was recorded on Aug. 20, 2020.SIR thanks Sirtex for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
"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, FSIRWarren 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 from interventional radiology practice.  Learn more about SIR's Residency Essentials curriculum program.Note: This episode was recorded on Aug. 18, 2020.SIR thanks Boston Scientific for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren 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 held for the Society of Interventional Radiology, and advice he gives today's interventional radiology residents.  Note: This episode was recorded on July 20, 2020.SIR thanks BD for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren Krackov, MD, FSIR, speaks with Akhilesh K. Sista, MD, FSIR, an interventional radiologist in New York, about the COVID-19 impact on his city and practice, changes in response since the early peak, and thrombosis trends in these patients.Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)May 8: Chicago, Ill. (George Behrens, MD)April 29: Palo Alto, Calif. (Raj Shah, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on July 7, 2020.  SIR thanks BD for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Matthew S. Johnson, MD, FSIR, about the evolution of IVC filters, the upcoming IVC filter clinical practice guidelines, and the status of the FDA-requested PRESERVE Study. Read the IVC filter clinical practice guidelines.Note: This episode was recorded on June 1, 2020.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren 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 resiliency in the face of the pandemic.Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)May 8: Chicago, Ill. (George Behrens, MD)April 29: Palo Alto, Calif. (Raj Shah, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on May 29, 2020.  SIR thanks Medtronic for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren Krackov, MD, FSIR, speaks with Constantino S. Peña, MD, FSIR, chair of the Society of Interventional Radiology 2020 Annual Scientific Meeting, about the decision to cancel the in-person meeting, shift to a virtual annual meeting, the role of the COVID-19 pandemic in the decision, and the evolution of education for medical professionals. Learn more about the virtual SIR 2020 annual meeting (June 13–14, 2020) at sirmeeting.org. Read a letter from Dr. Peña in a special section of IR Quarterly, SIR's interventional radiology magazine.Note: This episode was recorded on May 11, 2020.SIR thanks Sirtex for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, MDWarren Krackov, MD, FSIR, speaks with George Behrens, MD, an interventional radiologist in Chicago, about the COVID-19 impact on his city, changes his practice has made in response, and how his native Venezuela has been faring during the pandemic.  Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)April 29: Palo Alto, Calif. (Raj Shah, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on May 1, 2020.  Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren Krackov, MD, FSIR, speaks with Rajesh Shah, MD, FSIR, an interventional radiologist in the California Bay Area, about his region's experience with the pandemic and the role he played in the development of the Society of Interventional Radiology (SIR) COVID-19 Toolkit.  Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)May 8: Chicago, Ill. (George Behrens, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on April 22, 2020. Dr. Shah's opinions do not represent those of the federal government. Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRWarren Krackov, MD, FSIR, speaks with R. Torrance Andrews, MD, FSIR, a Seattle-based interventional radiologist, about the onset of COVID-19 in that area and the role that interventional radiology continues to play during this global health crisis. Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the Society of Interventional Radiology website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami (Costantino S. Peña, MD, FSIR)May 8: Chicago (George Behrens, MD)April 29: Pal Alto, Calif. (Raj Shah, MD, FSIR)Note: This episode was recorded on March 30, 2020.SIR thanks Varian for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, CFPWarren Krackov, MD, FSIR, speaks with Clint Gossage, CFP, from CMG Financial Consulting, about the unique personal financial circumstances that physicians find themselves in throughout their career. SIR thanks Varian for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, LMSWWellness 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 Krackov, MD, and Jaimin Shah, MD, talk with wellness expert Felicia Speed, LMSW, about how the busy interventional radiologist can achieve wellness and avoid the pitfalls of burning out. SIR thanks Varian for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, FSIRHot on the heels of the ATTRACT Trial results comes another exciting new trial on post-thrombotic syndrome (PTS): Chronic Venous Thrombosis: Relief with Adjunctive Catheter-directed Therapy (C-TRACT). According to private practice interventional radiologist Mary Costantino, MD, “I’m thrilled that people are researching these clinical questions, and it’s incredibly pertinent to those of us in non-university settings who are trying on a daily basis to do the right."Warren Krackov, MD, and Jaimin Shah, MD, talk with Principal Investigator Suresh Vedantham, MD, FSIR, on the importance of such research efforts, the potential for C-TRACT to help your patients, and how you can get them enrolled in the study.Learn more about C-TRACT.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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, MDIn 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 Shah, MD, talk with Dr. Hawkins about measuring value and with SIR coding consultant Stephanie L. Dybul, MBA, RT, about the tools IRs can use to get reimbursed appropriately.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show (https://www.sirweb.org/corporate)
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