Nishant Patel

#IRad at Radiology Imaging Associates, electronic music enthusiast. Tweets are my own.

[Nishant Patel @IRadNAP]

@t_intheleadcoat @kmadass @AmputationSuck @LessneVIR @vascularIR @YsaAugust @linemonkeymd @monteromiguel @FadiSaab17 @drcostantino1 @MisraMD @keithppereira @SDhandMD @laronecampbell @jmills1955 @canuc_57 @westleyohman @sternvascular @butrosIR @baobui99 Feel like I do this more often than not 😂

[Nishant Patel @IRadNAP]

@IR_Doctor See if AI can top THAT, boom!

[Nishant Patel @IRadNAP]

@rkryu As one of the first IR residency graduates in a “100% IR” job, I fully appreciate the value of DR. MANY great cases, rapport with my DR partners, moonlighting opps come from reading. Theres a difference between an “endovascular surgeon” and an IR; DR skills make us better IRs.

[Nishant Patel @IRadNAP]

@dr_cellini That’s a lot for sure but on diagnostic shifts I regularly break 200 RVUs so would hit nearly 40k for the year. Luckily I mostly do IR though :)

[Nishant Patel @IRadNAP]

@MikeJHsu @SDhandMD Essentially never. In that scenario for me it’s tPA then CTA. You’ll find either another cause for the clinical decompensation, or often distal PE, which probably lysed because of the tPA. But you could avoid patient coding on your table too…

[Nishant Patel @IRadNAP]

@Warren_IR @pparikhxr Totally

[Nishant Patel @IRadNAP]

@dr_cellini Glad I’m not the only one that feels like this, although I knew I couldn’t be :)

[Nishant Patel @IRadNAP]

@t_intheleadcoat @kmadass @keithppereira @farkomd @RKTvascular @drcostantino1 @drochohan @DrJayMohan @JayMathewsMD @LessneVIR @IRKhalsa @RexRayMD @iRadRock @SDhandMD @westleyohman @vascularIR Usually select with catheter (sometimes Mpa sometimes longer Bern through MPA) then use 035 Rosen to help get the guide Cath in position (sometimes need to advance over a balloon). Then switch for V18 (carefully) for delivery

[Mamdouh Khayat @MamdouhKhayatMD]

Sometimes a wound needs our help to heal. Be it a celebrated college football coach or a beloved blue-collar neighbor, options exist to prevent unnecessary amputation.

[Nishant Patel @IRadNAP]

@dr_cellini 60-90 seconds for a normal CT chest or CT AP can easily get you 10 CTs an hour. In PP there are tons of normals (e.g., <2% positive rate PE studies). Add streamlined templates and 80 CT in 8-9 hour shift is easy. I’ve read 280 studies (all modalities) in a day on my best day.

[Nishant Patel @IRadNAP]

@dr_cellini Maybe they shouldn’t HAVE to, but volume makes a better radiologist, as long as it comes with the appropriate teaching. If they can’t support that volume, count them out of my group.

[Nishant Patel @IRadNAP]

Here’s one for #RadRes. 80 yo presents with syncope, shock. CT shows hemoperitoneum and splenic artery rupture. No aneurysm on prior CT. No trauma prior, no signs of infection.

#justglueit does the trick!

Classic presentation. Diagnosis?

@SIRspecialists @SIR_ECS @thegestgroup

[Nishant Patel @IRadNAP]

@SandeepBaglaMD @UHC The highest paid CEO in the US, I believe

[Sandeep Bagla MD @SandeepBaglaMD]

The single worst insurance scam is @UHC hence why so many large organizations are dropping them! The city of #Raleigh is doing it en mass. More to come as I hear many other large platforms are doing the same. They just rip off their subscribers and at the same time health care workers for large bonuses to their execs

[Nishant Patel @IRadNAP]

@kmadass @SIRspecialists @SIR_ECS @CHICKVIR @MamdouhKhayatMD @iRadRaj @medravi @EJJohnsonMD Kissing 14 abres into a 20 abre and right external iliac extension with 12 abre

[Nishant Patel @IRadNAP]

Optease #filterout with iliocaval reconstruction. Patient refused to be admitted because they felt so well afterwards. We can do amazing things while having fun! @SIRspecialists @SIR_ECS

[Nishant Patel @IRadNAP]

@SriniTummala @SIRspecialists @SIR_ECS @CLIfighters Thanks, and for your advice as I started doing these a few years ago! Podiatrist sees them as wound heals weekly-monthly. Imaging either thru us or vascular surgery minimum 3 months, earlier if there are concerns. Seeing about 30% occlusion, we only reintervene if still wounds.

[Nishant Patel @IRadNAP]

That feeling when your friendly podiatrist said he had 600 mL blood loss when working on your DVA patient 🩸 👍🏽 @SIRspecialists @SIR_ECS @CLIfighters

[Nishant Patel @IRadNAP]

@ChengaziMD @SIRspecialists @SIR_ECS @CLIfighters We only have regular balloons, I dilate to 5 mm. Sometimes requires really high pressure. Cutting balloon would be better, or a valvulotome.

[Jeffrey F. B. Chick, MD, MPH @CHICKVIR]

@IRadNAP @SIRspecialists @SIR_ECS @CLIfighters Your work is so impressive, @IRadNAP! You’re the DVA expert! @JVIRmedia @CVIR_Journal @SIRspecialists