Peter Bream

Interventional Radiologist, Owner of Endovascular Education and Excellence PLLC. Hopeless foodie, amateur chef, father, avid tennis player. Posts are my own

[Peter Bream @mcbreamy]

@ahmed_kamel_ir @UTHouston_IR @arslanmd @marabi2004 @pkitrou @YousofAlZahrani @IR_Juniors @ETF_IRtrainees @UTKidney @d_r_waguespack @OJaffer2 Why not just access the external jugular seen on that first venogram? Now that you have the catheter when is the HeRO going in?

[Peter Bream @mcbreamy]

Lisbon 2022

[Rowtography | Jason Row Photography @Rowtography_]

Today’s photography theme is TRAMS

Show me your best TRAM image

👉Reposting favs - Like and Repost your favs

📷ONE PHOTO ONLY - NO LINKS - OWN PHOTO ONLY

#rowcase #photooftheday

[Peter Bream @mcbreamy]

Fantastic line up for our 50th Anniversary!!!

[AJ Gunn @ajgunnmd]

Register for the upcoming Southeastern Angiographic Society meeting in Hilton Head, SC on Oct 7-10!

Register here: https://t.co/67elS2NrU1

Looking forward to programming on oncologic interventions from @kiremagarciamd, @GabGabrielMD, @kavikrishVIR, & more!

[Peter Bream @mcbreamy]

@ReneLizola @FutureVascSurgn Nice job!

[Peter Bream @mcbreamy]

@dr_cellini Dude you are like three years out. Wait until you are an old geezer like me 🙄

[Peter Bream @mcbreamy]

@kaitlyn_mcsurdy Thank you for this post. My chief year was full of challenges and it was almost 30 years ago. Don’t listen to the vitriol replies about how it doesn’t matter anymore. It does and it will serve you well going forward.

[Peter Bream @mcbreamy]

@LessneVIR @SIRspecialists Yes.

[Peter Bream @mcbreamy]

@ChengaziMD @drochohan @t_intheleadcoat @VascularForum @SIRspecialists @AmputationSuck @farkomd @kmadass @SDhandMD @keithppereira @_backtable @LessneVIR @roblookstein @limbsalvagedr @kush_r_desai Excellent job! Let’s hope it’s not too late. Beautiful images in a lost art!

[Peter Bream @mcbreamy]

@RadDrDuke @northwoods1980 IFYKYK

[Peter Bream @mcbreamy]

@drochohan @ChengaziMD @t_intheleadcoat @VascularForum @SIRspecialists @AmputationSuck @farkomd @kmadass @SDhandMD @keithppereira @_backtable @LessneVIR @roblookstein @limbsalvagedr @kush_r_desai Hand surgeon with expertise in revascularization.

[Peter Bream @mcbreamy]

@MoonJustaniah @KFSHRC_J @KFSHRC @AshourMD @zerghamzia @AshjanAhmedVIR @sirs_ksa @SaudiMOH @SchsOrg First topic: don’t put it in the subclavian like the poster.

[Peter Bream @mcbreamy]

@dr_cellini @smbracewell To live in your world!!

[Peter Bream @mcbreamy]

@dr_cellini @smbracewell The fact that I don’t Mynx 🤣🤣🤣 and unfortunately do not have access to fellow seal anymore.

But seriously the high bi can be seen but not always land where you want. And DSA will pick up plaque not seen with fluoro save

[Peter Bream @mcbreamy]

@smbracewell @dr_cellini Yes. What is the downside. Catch that 1/100 case of high bifurcation or inadequate artery that won’t accommodate a closure device. Groin complications should be avoided with this simple practice.

[Peter Bream @mcbreamy]

BEST MEETING WITH REALLY COOL PEOPLE

[AJ Gunn @ajgunnmd]

Register for the upcoming Southeastern Angiographic Society meeting in Hilton Head, SC on Oct 7-10!

Register here: https://t.co/67elS2NrU1

There will be a whole morning of programming on #IRad pain interventions from @jdprologo, @junjian_huang, & @Gina_Landinez_ & more!

[Peter Bream @mcbreamy]

@LEBassett Find an Interventional Radiologist near you and ask about embolization for plantar fasciitis. New treatment that shows incredible promise! @SIRspecialists

[Sabeen Dhand @SDhandMD]

@kmadass Well there was this!!

[Line Monkey MD @linemonkeymd]

I think the fundamental question IRs need to reconcile is: can we obtain our own referrals or do we need to depend on other sub specialties to exist? I feel strongly that it is possible to build stand-alone IR practices and appropriately collaborate with other specialties by engaging in a strong clinical models not unlike like other surgical subspecialties. My perspective is a minority and likely has to do with the culture of our specialty being tethered to radiology and the associated doctor’s doctor mindset. I’m hopeful the next generation of IRs sees these issues and acts accordingly.