Tad Maguire

@MCW_VIR ‘22 |@MCWRadiology ESIR ‘21 | @UICCOM ‘16 / worse at twitter than @gaurav_gadodia / fmr @SIRRFS Clin Ed Chair / #IRad / Views own

[Tad Maguire @IRtmke]

@ladydatadoc @YounisJoseph Oncology, perhaps. Pediatric Oncology? I find that # a bit suspect w/o a source.

She’s not on social media by choice. Bare bones info: Midwest academic training center, full clinical (does research, but institution gives no protected time as of this year)

[Tad Maguire @IRtmke]

@ladydatadoc @YounisJoseph I’ll have to break the news to my wife- a full time pediatric oncologist- that her gross annual salary (less than $200K) is so officially so low it isn’t even in the range of numbers social media armchair experts pull out of their ass anymore.

[Tad Maguire @IRtmke]

@IR_Doctor @WillyRontgen Never merge & never synapse

[Tad Maguire @IRtmke]

@ChengaziMD Thanks man! This is definitely something you can learn and apply. Did this w/ SI-Bone iFuse Torq screws, take a look at their stuff. They have great clinical support and easy to see how to translate their system for fracture stabilization

[Tad Maguire @IRtmke]

Elderly pt, previously ambulatory, admitted w/ intractable pain following a fall. Bedridden, immobilized, requiring IV narcotics. Unable to work with PT/OT.
+SIJ provocative tests.

Complex sacral fx, spanning Denis zones 1-3 out to SI joints, with areas of offset and impaction.

[Tad Maguire @IRtmke]

@BobTahara @ChengaziMD @TobyRichardsUEL @Dr_Sudi @CHICKVIR @VenousForum @_backtable @keithppereira @LessneVIR @IR_Doctor @iRadRock @kmadass Personally think there’s a sweet spot for patient care in community systems that are big enough to have the resources but small enough for collegiality and collaboration to prevail over egos and turf. Thats a tide that raises all ships

[Tad Maguire @IRtmke]

@BobTahara @ChengaziMD @TobyRichardsUEL @Dr_Sudi @CHICKVIR @VenousForum @_backtable @keithppereira @LessneVIR @IR_Doctor @iRadRock @kmadass Rural wasn’t really the operative word. I work in a rural setting, so I see rural patients & that’s where they have gotten the bulk of their historic care. Some great, thorough and thoughtful care, some not so much. Same as anywhere else.

[Tad Maguire @IRtmke]

@BobTahara @ChengaziMD @TobyRichardsUEL @Dr_Sudi @CHICKVIR @VenousForum @_backtable @keithppereira @LessneVIR @IR_Doctor @iRadRock @kmadass 😂 been there

[Tad Maguire @IRtmke]

@BobTahara @ChengaziMD @TobyRichardsUEL @Dr_Sudi @CHICKVIR @VenousForum @_backtable @keithppereira @LessneVIR @IR_Doctor @iRadRock @kmadass But I’ve also yet to see isolated florid GV reflux in the scenario you’re describing. I’ve seen to/fro flow & antegrade flow when it’s the site of escape. If you have that’s really interesting, definitely still learning about this spectrum of disease

[Tad Maguire @IRtmke]

@BobTahara @ChengaziMD @TobyRichardsUEL @Dr_Sudi @CHICKVIR @VenousForum @_backtable @keithppereira @LessneVIR @IR_Doctor @iRadRock @kmadass It’s definitely a trickier w/u in some patients. In my practice I’ve more often seen the opposite unfortunately, iliac stents placed hastily out in rural cath labs that made pts no better, without an assessment for GV reflux. Those probably didn’t get IVUS either to your point.

[Tad Maguire @IRtmke]

@IR_Doctor @douglakemd Yeh it’s a decent screening tool. No idea how much we pay for it. We’re updating to something that will alert on suspicion for more acute findings. Out here helping train SkyNet

[Tad Maguire @IRtmke]

@IR_Doctor @douglakemd We use Riverain for the past year or so. Added to McKesson. It’s ok, the volumetrics are nice. Best part is hilar region stuff that hides in the vasculature. But fooled by mucous plugs and motion, frequently misses legit nodules even a humble needle jockey like myself can find.

[Tad Maguire @IRtmke]

@BobTahara @ChengaziMD @TobyRichardsUEL @Dr_Sudi @CHICKVIR @VenousForum @_backtable @keithppereira @LessneVIR @IR_Doctor @iRadRock @kmadass But if gonadal is the route of pelvic egress, you won’t see reflux, you’ll see opposite. Wouldn’t embo in that case.

Sx often tell what the main problem is.

Have seen several GV insufficiency pts have what appeared to be a CIV stenosis on imaging that was not symptomatic

[Tad Maguire @IRtmke]

@dougbeall In reading through this my mind can only go one place.

[Tad Maguire @IRtmke]

Recent onset nightly rest pain w/o tissue loss or discoloration.

Focal calcific popliteal occlusion. 014 crossing through tiny channel, 2 mm PTA, 5 mm shockwave, 6 mm PTA/DCB at nominal.

Sx resolved.

Tibial/pedal stenoses not touched in absence of wound. Cont followup

[Tad Maguire @IRtmke]

@IR_Doctor @radfugee The pending Senate budget proposal reportedly has defense cuts though. So we’ll see 🤷

[Tad Maguire @IRtmke]

@IR_Doctor @radfugee MIC is not being pruned in the slightest unfortunately. House budget passed for 2026, understood to be dictated by Trump’s priorities, increases defense spending $100B. It will just go to clearing land for Trump Gaza Hotel/Casino, rather than helping Europe

[Tad Maguire @IRtmke]

@ReneLizola

[Tad Maguire @IRtmke]

@ReneLizola Very nice, had you just coiled the gonadal there? I feel like I see this and other odd renal vein collaterals pretty often in cases of gonadal vein insufficiency