@WilliamRBlythe@noahkaufmanmd Ah yes. I know a plumber who let his toilet overflow and ruin his flooring because it was unethical for him to fix his own toilet. I hope to god that was sarcasm because some of you people make the entire profession look like complete patsies
@linemonkeymd@WCVISociety@OEISociety@SIRspecialists At the same time, IRs are blocked from competing with IC/VS/IN others due to pseudo exclusive contracts. It is a terrible position to be in. SIR needs to act instead of circle jerking each other with phony unwarranted accolades. This ship is going down and you’re having a toast
@linemonkeymd@WCVISociety@OEISociety@SIRspecialists Need a total moratorium on any recommendations to do IR until SIR takes concrete steps to promote IR independence, starting with either divorcing IR services from exclusive contracts or enforcing exclusivity of procedure and not of specialty. cont’d
@linemonkeymd@WCVISociety@OEISociety@SIRspecialists IRs routinely do two jobs, while DRs throw their services in for free to secure lucrative rads contracts, and IRs pick up the tab for their own labor thru extra DR work. Enough. Hosps need to subsidize any IR services provided as all the well paying cases are largely picked off
@linemonkeymd@WCVISociety@OEISociety@SIRspecialists IR exists in this weird no man’s land where you are delivered everyone’s low rvu/high risk/high inconvenience work for pro fees and then have to subsidize your own existence by cranking diag in “off” hours or “between cases”. contd
@shamitsdesai @DHidlayVIR @linemonkeymd@saherssabri@RadiologyACR@SIRspecialists@arslanmd@drcostantino1 Spinoza bragging about how they collaborate with VS and IC on endo work is precisely the mentality that has ruined this field. WAKE UP. Collaboration is a Trojan horse. You are training them to do the cases without you. Call me when IC collaborates w you on PCI or EP
@linemonkeymd Ultimate irony being that after losing high end procedures & maintaining low paying ones that no one wants to do, & Hosp won’t subsidize, we further entrench ourselves into IR/DR slavery as DR subsidizes our paycheck for spending days doing low paying, low satisfaction procedures
@linemonkeymd Everyone in the Hosp needs IR. IR needs hardly anyone save for the occasional closure device misadventure. You would think IR would have been at the top of the food chain by now. But by failing to launch, we have missed every opportunity to be king of the hill
@linemonkeymd Instead we watch as we hemorrhage turf & high paying procedures to other specialties, all to please DR and help keep the DR contract. At the same time, rad contracts prevent IR from breaking off & competing against IC, VS, IN while they can walk in & do them in the same hospital
@DHidlayVIR @SIRRFS Amazing. Sounds like it makes you more upset that he gets all the credit while you’re posting lines on Twitter. Take comfort in the fact that you’ve helped a generation of IC and VS learn those techniques