Discussion on peripartum and postpartum hemorrhage, its impact on quality of life. Expertise of Dr. Dan Sheeran. Categorization and management strategies for hemorrhages. Technical details of balloon occlusion. Prophylactic embolization and future pregnancies. Potential of transient aortic occlusion in high-risk pregnancies.

In this episode of the BackTable Podcast, host Dr. Ally Baheti and Dr. Paramjit “Romi” Chopra discuss the processes involved in successful interventional radiology practice management. Dr. Chopra is an interventional radiologist practicing in Chicago, IL. He is the founder and CEO of Midwest Institute for Minimally Invasive Therapies.Dr. Chopra advises young IRs against going solo, and he suggests finding people who’ve done it before, to avoid “reinventing the wheel.” Dr. Chopra emphasizes the importance of adopting a patient-centered approach, building systems, developing business sense, and understanding risk. He shares his own experiences of building systems using Salesforce and explains the concept of ‘omni-channel healthcare delivery’. He particularly discusses the importance of patient, provider, and payer relationships, and he offers solutions for dealing with inherent complications. The episode also covers identifying the right electronic health record and developing an effective inventory management system.---CHECK OUT OUR SPONSORSMedtronic IN.PACT 018 DCBhttps://www.medtronic.com/018Reflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction05:41 - Shift from Academic Medicine to Entrepreneurship09:40 - Patient-Centered Care in Interventional Radiology11:13 - Challenges of Starting an Independent Practice17:49 - Role of Electronic Health Records (EHRs) in Modern Healthcare26:15 - Challenges of Implementing EHRs in Interventional Radiology35:30 - Misconceptions about Outpatient Based Labs (OBLs)37:01 - Understanding the Payer System38:19 - Challenge of Insurance Coverage51:43 - Practice Management Companies---RESOURCESMIMIT Healthcare:https://mimithealth.com/physicians-executivesThe E-Myth Revisited: Why Most Small Businesses Don't Work and What to Do About It by Michael E. Gerber:https://a.co/d/2TuGpTnAdvancedMD Cloud Based EMR:https://www.googleadservices.com/pagead/aclkAthena Cloud Based EMR:https://www.athenahealth.com/landing/athenaclinicalsCIMSS Management Services Organization (MSO):https://www.cimss.com/Salesforce:https://www.salesforce.com/

Dr. Jamil Muasher, interventional radiologist, discusses the potential for radiologists to offer prostate biopsy work. He emphasizes the importance of MRI guidance and understanding grading systems. The doctors talk about various biopsy techniques, post-procedure care, and the future of biopsies.

Dr. Tony Das, an interventional cardiologist, discusses atherectomy, laser technologies, and their use in vessel treatment. He shares insights on the PATHFINDER registry, explores the role of atherectomy in reducing stent usage and enhancing thrombus removal. Dr. Das also provides recommendations for building a successful atherectomy program and discusses future applications for AI and remote monitoring.

In this episode, Dr. Ally Baheti talks with Ingrid Harm-Ernandes, a pelvic floor physical therapist and author. They discuss the importance of holistic and interdisciplinary approaches in physical therapy and the need for earlier interventions. They also touch on common misconceptions around pelvic therapy issues and the significant role of interventional radiologists in treatment. Ingrid shares insights from her book, aiming to demystify pelvic floor issues for both patients and practitioners.

Dr. Rehan Quadri, practicing interventional radiologist at UT Southwestern in Dallas, Texas, discusses the impact of a new arterial sheath technology that enables real-time blood pressure monitoring in trauma, GI bleeds, stroke, and other emergent arterial interventions. They break down the specs of the sheath and its accuracy, cost, and value. They also discuss advancements in the technology, including improved warmup times and a radial-specific sheath.

Exploring the use of prostatic artery embolization (PAE) in the treatment of prostate cancer. Discussing the benefits of PAE in different clinical scenarios and its potential as a last option treatment. Also, addressing the challenges and approach to prostatitis cases. Emphasizing the importance of regular follow-up and the potential utility of PAE in the treatment of prostate cancer.

Dr. Robert Lookstein, interventional radiologist, discusses the PERT approach for acute pulmonary embolisms. They cover PERT activation, risk stratification, endovascular PE interventions, and advancements in technology. They also explore challenges in diagnosis and post-procedure care.

Dr. Omar Saleh, interventional radiologist, and Dr. Syed Hussain, vascular surgeon, discuss new innovations in closure devices. They highlight the advantages of consistent closure devices, patient preferences, and introduce the CELT ACD closure device. The ease of deployment and reliability of results using CELT are discussed, along with its potential drawbacks. The doctors also cover time to ambulation/discharge, closure-site complications, good outcomes with calcified arteries, and ease of bailout options. They conclude by discussing how physicians can obtain CELT.