Kris Schramm

Interventional Radiologist in Ft. Collins, CO @MCW_VIR and @ColoradoIR trained. Passionate about palliative IR , Ohio State Athletics, and vintage trucks

[Kris Schramm @KMSchramm]

@DrDiGiorgio @drsxr Patient side is ironically far less detailed. This is for a cystoscopy, 16.5k charges for <30min of OR time.

Called billing and asked how these charges are generated - 0 clue, explanation, or ability to get an explanation. Strong suspicion the deductible covers 100%total cost.

[Kris Schramm @KMSchramm]

@PulmCrit I have a pretty bad type IV allergy to certain deodorants…

I can say with certainty hospital
laundered scrubs are not washed as well as they claim to be.

[Kris Schramm @KMSchramm]

@dysclinic @SpineNeuro Curious then that IRs also dont perform every epidural for regional anesthesia… similar needle and anatomic access. One is just 1cm deeper than the other.

[Kris Schramm @KMSchramm]

@DrCasteelEM

[Kris Schramm @KMSchramm]

@DoctorCliffyy @nickgerli1 Bought a home built in 1978 built out of real brick and wood in a neighborhood w/ mature shade trees.

The alternative was a new build built out of spit and sticks for the same price with no natural barrier for the 300+ days of sunshine we get here

Noone wants these new homes

[Kris Schramm @KMSchramm]

@AustinBourgeois 😢

[Kris Schramm @KMSchramm]

If any med schools are seeing this, I’m available for hire for my 12 second lecture:

“Buy your groceries from the outer square of the grocery store. Only go into the isles for coffee, spices, and a water filter for your Brita”

[Kris Schramm @KMSchramm]

@satyamvmd 🫡

[Kris Schramm @KMSchramm]

@satyamvmd Was on the fence - then you tweeted this and I ended up longing TQQQ at 35.

[Kris Schramm @KMSchramm]

@IRKhalsa @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 Also the original case posted is awesome

[Kris Schramm @KMSchramm]

@IRKhalsa @t_intheleadcoat @farkomd @JayMathewsMD @kmadass @LessneVIR @CraigMWalkerMD @SDhandMD @keithppereira @limbsalvagedr @roblookstein @saherssabri @docTPlive @HadyLichaaMD @laronecampbell @IR_Doctor @linemonkeymd @baijazvascular @_backtable @DrJayMohan @jmills1955 https://t.co/UERwZYMg8s

Companion treated perc as you described with other embolics - used the 3F inner of a micropuncture set here for access

[Kris Schramm @KMSchramm]

Older pt with active vasculitis, extensive inflammatory change in bl iliac vessels, high risk for access/conventional embolization of a mesenteric pseudoaneurysm. Perc stick, coil emo of inflow and nbca glue embo of outflow with complete resolution on followup CTA #irad

[Kris Schramm @KMSchramm]

@benwhitemd @IR_Doctor If AI really thinks we get a windowed part of the hospital its got a long way to go before it replaces us

[Kris Schramm @KMSchramm]

@AmineKorchiMD Phillips made ultrasounds without cords. Used them in IR suites.

Techs hated them because theyd get thrown away in the surgical trash

[Kris Schramm @KMSchramm]

@DutchRojas https://t.co/2R845IC5Sg

Structured in their bills as “Doctor/Facility” reimbursement. In this case, wRVU for double lung transplant is 137 - or about 5k of the 900k cost. Structured verbiage makes it seem that the docs reap most of that cost.

[non aesthetic things @PicturesFoIder]

Cost of a double lung transplant- USA 2023

[Kris Schramm @KMSchramm]

@hkmccullough @IR_Doctor 👆came here to say exactly this.

[Kris Schramm @KMSchramm]

@KyleCooperMD Im in a 70%IR/30% WFH DR private practice. Worked in both 100% IR acad and pvt practices.

That 30% DR isn’t quite a vacation but the stress levels of a DR day are magnitudes lower than IR. Pay is identical, some cases better.If you have a family/kids the appeal is very real.

[Kris Schramm @KMSchramm]

@theblanketdog @UMNVascularSurg

[Adam Bruggeman, MD @DrBruggeman]

Physician conversion factors:
2000: $36.6173
2003: $36.7856
2006: $37.8975
2009: $36.0666
2012: $34.0376
2015: $35.7547
2018: $35.9996
2021: $34.8931
2024: $32.7442

UHC stock up 8,556%
Insurance premiums up 342%
Inflation up 86%
Physician pay down 10%

We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.

[Kris Schramm @KMSchramm]

@AustinBourgeois Heavy on the ice but I’ll allow it

[Kris Schramm @KMSchramm]

@pparikhxr @BijoyTelivala @farkomd @omarsaleh66 @drochohan @CoffeeBlackMD @11Blade @txsportsdoc @hjluks @VPrasadMDMPH @NaineshParikhMD @SandeepBaglaMD Answer is always get outside.