Russell Reeves

Interventional Radiologist and Director of Radiology at Samaritan Medical Center

[Mark Cuban @mcuban]

@DrDiGiorgio All doctors are underpaid.

[August Ysa @YsaAugust]

DESPERATE TIMES CALL FOR DESPERATE MEASURES
Extreme BTA revascularization
@_MCLIN_ @Vascupedia_com @_backtable

[Francis Deng, MD @francisdeng]

Tell me you’re not a doctor without telling me you’re not a doctor:

“frequently, radiologists spend hours on the phone getting approval”

[Wil @WillyRontgen]

If AI is going to replace radiologists, can it start with thyroid ultrasound?

[Rich Duszak, MD @RichDuszak]

Radiologist here. I'm ready to replace ill-informed hospital administrators with AI.

[American Board of Radiology @ABR_Radiology]

An interventional #radiology success story. @SIRspecialists @UCLAHealth
https://t.co/kwZQpgN4l5

[Radiology Business @RadiologyBiz]

UCLA interventional radiologist first to perform "breakthrough" procedure. @UCLAHealth @SIRspecialists https://t.co/Fi2ZcyCiql

[Wil @WillyRontgen]

Will any leaders at @SocietyAbdRad meeting this week have the guts to propose ending f/u MRCP until death for tiny IPMNs? We now know 50% of normal patients have these. End the madness. @VChernyakMD @YashantAswani @aartirad @AwanRad @LetDdiceFlyHigh @Jeanne_Horowitz @bodyradgal

[Francis Deng, MD @francisdeng]

The use of the word “redemonstrated” in a radiology report is associated with higher odds that the imaging study or its prior comparison study was inappropriate/unindicated/low-value/redundant.

[Bai Su Wong M.D. (Randy) 白龙 @RandySuWong]

This Rad always starts his Impressions with comparison studies. Randy's Pro Tip: Don't do this.

[Necio Lizola MD @ReneLizola]

Percutaneous Deep Venous Arterialization: some steps.

🔵⏩️🔴

[Russell Reeves @RadDoc24]

I'm heading to SIR this April in Toronto! Looking forward to advancing my knowledge for patients suffering from PAD and carotid disease.

https://t.co/kGlw6t8GXk
#SIR26TOR

[Austin Bourgeois @AustinBourgeois]

Healthcare will make you feel like you're taking crazy pills:

Precertification obtained for standard of care procedure.

Patient has 45 min outpatient procedure. Hospital bills patients insurance $304,713.97 --> roughly $6,700 per MINUTE of procedure time. Itemization is opaque and makes it impossible to understand cost.

Insurance arbitrarily reimburses $16,318.46 for the hospital portion but decides NOT TO PAY THE PHYSICIAN PORTION. No reason given, no mechanism to appeal.

@mcuban @MattHawkinsMD @RichDuszak @SandeepBaglaMD

[Kenneth Ziegler, MD, FACS, FSVS, RPVI @ziegler_md]

IVC Filter Recalled Due to Injury Risk: https://t.co/G1qScdSoWE: https://t.co/G1qScdSoWE

[Russell Reeves @RadDoc24]

On a population basis, there are very few interventional radiologists. This effect is only magnified in rural areas like upstate NY! We need more IR doctors.

https://t.co/mJ4dhrECfd

[SIR RFS @SIRRFS]

Pelvic Venous Disease affects millions of women worldwide and can lead to debilitating pain. IR can provide an effective minimally-invasive treatment option with faster recovery times compared to surgery. #PelvicVenousDisease #InterventionalRadiology #WomensHealth

[SIR RFS @SIRRFS]

Millions suffer from hemorrhoids—IR has a solution. Learn how Hemorrhoidal Artery Embolization treats bleeding hemorrhoids and restores quality of life. #SIR #SIRRFS #InterventionalRadiology #HAE

[Ronald Winokur, MD, FSIR, FAVLS, RPVI @RonaldWinokurMD]

EMBOLIZE Trial randomized controlled trial in CPP (chronic pelvic pain) is happening. Send any potential subjects to assess! @SIRspecialists @VIVAPhysicians

[Russell Reeves @RadDoc24]

@moisturizedRN Not only is this not recommended by guidelines because it is so low utility, it is just plain wasteful. Do not recommend.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

How can a doctor make money as a clinician without having any ownership of facilities or ancillary services?

Professional fees - where doctors get paid a centrally set rate for seeing patients and doing procedures.

Call coverage - where doctors get paid for taking ER and inpatient consults.

That’s about it. Now what about hospitals?

Facility fees - the facility, be it an ambulatory surgery center or hospital, gets paid substantially more for procedures than the physician does.

Ancillary revenue - labs, imaging, and therapies all generate revenue for hospitals.

340B, tax exemption, GME, local and state subsidies - these are all extra revenue streams for large hospitals that are unavailable to doctors.

Now if doctors want to own, they can buy into surgery centers and ancillary services, but then they must navigate stark and certificate of need laws. They can drop Medicare to open their own hospital, cutting themselves off from other revenue streams.

It’s easy to see how physicians are being locked out of capital and revenue streams. This is by design.