Eric DePopas

Vascular & Interventional Radiologist

[Eric DePopas @edepopMD]

@AustinBourgeois Great case! I’ve had a similar experience albeit with less of a clot lollipop. I similarly retracted 24F catheter into IVC just above sheath then infused TPA through the sheath. TPA dissolved some of corked clot which allowed entire clot to then be ingested.

[Eric DePopas @edepopMD]

@rkryu @bostonsci You loved that wire Bob. And in doing so, you passed on that love to many of your trainees who now use that magical wire in their practice. This is very sad news…did you ask Boston Sci to start a bereavement group?

[Eric DePopas @edepopMD]

@S_CharlesNFL If he can’t read, his wonderic score may be an entirely inaccurate reflection of his actual intelligence.

[Eric DePopas @edepopMD]

@IR_Doctor You’d make an excellent bike cop Dr. Horner

[Eric DePopas @edepopMD]

@farkomd @smbracewell @DonGarbettMD @saherssabri @JayMathewsMD @SDhandMD @AmputationSuck @canuc_57 Great result. Question: if dissection had developed that required intervention how would you have handled? Stent with close follow up? Bail out stent with plan for open revision? Same session endart? Thanks for sharing Frank.

[Eric DePopas @edepopMD]

@IR_Doctor Filter + Central line?

[Eric DePopas @edepopMD]

@monteromiguel No question this can be the case. It all comes down to "why am I performing this procedure?" If motivation is financial, then don't do it. If motivation is meaningfully improving patient's life/clinical outcome AND it's best tx option (this is important distinction), go for it.

[Eric DePopas @edepopMD]

#IRAD question on PAE reimbursement for higher volume operators. Is private insurance coverage for PAE increasing? Are there any private insurance companies that blanketly will not authorize PAE?

[Eric DePopas @edepopMD]

@BaoGTran @thats_bone In private practice diagnostic radiology, you generally have to CRANK volume in order to be productive. I don't think the American health care system is the reason he's stating that he enjoys medicine.

[Eric DePopas @edepopMD]

@farkomd Gonna go with good, mildly divisive

Likes: addresses need for appropriateness and calls to light article biases

Dislikes: feels like VS > all other vasc. specialists (trying to remove my ego here)

I hope pts realize there are other vasc specialist that devote career to CLTI

[Eric DePopas @edepopMD]

@farkomd Me too. It's too bad I'm not very good at it.

[Eric DePopas @edepopMD]

Diagnostic radiologists who read MRI.

How helpful do think AI will be in this endeavor?

Seems like a stretch to me in the medium term, both in terms of AI or humans reading full body MRI. Who reads neuro, MSK, body, and breast?

https://t.co/fWnjJHV1Pf

[Amy Faith Ho, MD MPH @amyfaithho]

Dear house of medicine,

Happy (academic) new year.
Here’s your annual paycut.
This one will bring you to a total 23% decrease since that whole “pandemic” thing.

Love,
The US Government

PS: We have shortage of healthcare workers and deep health access issues in this country. Could you help with that? kthxbye.

https://t.co/fMjKcV1Ntf
@AmerMedicalAssn @CMSGov @ACEPAdvocacy

[Eric DePopas @edepopMD]

@sweatystartup For me, the job is genuinely fun. I get to perfect a skill set that involves using my hands and brain at a high level.

In my specialty, most partners get 9-12 weeks off/year. It's a lot of hrs when you're on but a lot of time off.

The debt...sucks...bad...

[Eric DePopas @edepopMD]

@drmcumming Awesome technique. Mike is celt your primary closure device?

[Eric DePopas @edepopMD]

Where do you think AI would be more helpful?

1) Prior Auth Automation (ensuring appropriate documentation for procedure and right CPT/ICD10 codes selected) or

2) Billing Automation (automated CPT code selection based on procedure notes)?

#irad #CardioTwitter #vasctwitter

[Eric DePopas @edepopMD]

@drcostantino1 Interesting...has to be related to increased negotiating power due to large market share, right?

[Eric DePopas @edepopMD]

@IR_Doctor @PolestarCars @spotbikes Build the IR Montana mecca!

[Eric DePopas @edepopMD]

@dr_cellini @thats_bone Btw I do think it's totally possible to negotiate better payment models for IR in joint IR/DR groups. But it requires IRs to quantify their value to hospitals!

[Eric DePopas @edepopMD]

@dr_cellini @thats_bone There's no question that hospital IR needs to exist. The problem with IR/DR working under same payment model is hospitals are getting an essential service line at minimal cost. This is not how most surgical sub PPs negotiate contracts (they get sig higher $/RVU, call pay, etc).