BackTable Vascular & Interventional

In this special Innovation episode, Dr. Aravind Arepally tells us the stories behind what inspires him to shoot for big impact projects, how he built a startup device company with Jim Chomas, and the importance of working with people who give you energy and challenge you.---SHOW NOTESIn this episode, Dr. Aravind Arepally joins Dr. Bryan Hartley to discuss his development and innovation of medical devices. Dr. Arepally tells us how his childhood experiences influenced him to become a physician and how his mentors during fellowship inspired him to become an innovator. We discuss how a grant writing class opened up the world of research for Dr. Arepally and connected him with engineers.We talk about how important it is to have collaborative partners and why not to ignore any of the crazy ideas. Dr. Arepally shares his experience working in Germany for four months and how he started focusing on obesity and minimally invasive procedures. We discuss some of the challenges of trying to innovate while working in a private practice.We explain the origin story of Dr. Arepally’s company, SureFire and how he developed a business plan. We discuss fundraising, finding investors, and developing prototypes. Dr. Arepally tells us about his current projects, his future plans for innovation, and why he wants to focus on need based devices.

Dr. Chris Pittman, founder of Vein911 and expert in foam sclerotherapy, discusses the underutilization of foam sclerotherapy in treating varicose veins. He shares his journey into vein care and highlights misconceptions about vein disease. Amidst plans for his reality TV show, Dr. Pittman emphasizes the need for greater awareness surrounding venous treatments and the importance of proper patient evaluation. He also covers the intricacies of sclerosants and the challenges in providing effective care, advocating for enhanced training and collaboration in the medical field.

Interventional Radiologists Dr. Michael Barraza and Dr. Aaron Fritts talk about their early careers coming out of specialty training and hard lessons learned from their first jobs.---SHOW NOTESIn this episode, Dr. Michael Barraza joins Dr. Aaron Fritts to discuss his career path and what he has learned through different job experiences. We discuss how to be proactive during a job search, and Dr. Barraza tells us about his unique experience of getting a job offer while completing his radiology training.We discuss aspects of jobs that are not learned during training, such as partnership tracks and non-competes. We explain why partnership tracks may be long and what factors determine the intensity of a non-compete. We discuss how call responsibilities are different than during training and some of the advantages of working in a large group.Dr. Barraza shares his first job experience, why it was not a good fit for him, and how he learned what to look for in his next job. We discuss how to adjust a job search once you have a better idea of where you will fit in and the importance of networking and maintaining relationships with referring doctors. We give some advice to current trainees about how to continue working when you are not getting the opportunities you want and how to know when to switch jobs.

We check back in with Dr. Tim Yates one year after his transition into the OBL to discuss the pros and cons of practicing in the OBL setting.---CHECK OUT OUR SPONSORSRADPAD® Radiation Protectionhttps://www.radpad.com/Accountable Revenue Cycle Solutionshttps://www.accountablerevcycle.com/Accountable Physician Advisorshttp://www.accountablephysicianadvisors.com/---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/g0BFLd---SHOW NOTESIn this episode, Dr. Tim Yates joins Dr. Lincoln Patel again, after one year, to discuss his life in the outpatient based lab (OBL). Dr. Yates shares how his OBL practice has been going and how the COVID-19 pandemic affected the beginning of his transition. Dr. Yates gives an update on the expansion of OBL offices, and he explains the importance of building connections with other physicians and companies.We discuss how to meet partners in the community and build relationships within the market in some unique ways, and we mention how to adapt marketing methods during a pandemic. We talk about some challenges the OBL has faced while trying to grow in the endovascular and oncology world and while trying to incorporate Y90 into the practice. We discuss why having a fixed floor unit is helpful and how equipment limitations may change how the interventionist approaches some cases.We discuss the differences between working in a hospital and an OBL, and Dr. Yates shares what part of his new job has been the most fulfilling. We talk about the importance of learning to coach and manage personnel. Dr. Patel tells us about how he changed his career path and some lessons he learned along the way. We discuss which skills have been useful in the OBL setting, and we give some advice to those considering a transition to OBL.---RESOURCESDr. Tim Yates Interviews from February 2020:https://www.backtable.com/shows/vi/podcasts/55/transitioning-from-hospital-to-obl-practice-part-ihttps://www.backtable.com/shows/vi/podcasts/56/transitioning-from-hospital-to-obl-practice-part-iiISET; use discount code: BACKTABLEhttps://www.iset.org/

We talk with Interventional Radiologists Dr. Robbie Morrison and Dr. Srini Tummala about the pros and cons of adding a wound care services to your endovascular practice.---SHOW NOTESIn this episode, Dr. Robbie Morrison and Dr. Srini Tummala join Dr. Aaron Fritts to discuss adding wound care to a practice. Dr. Morrison and Dr. Tummala tell us about their work and why they, as endovascular specialists, wanted to include wound care at their practice. We discuss some examples of the benefits of wound care, and Dr. Tummala shares why he thinks wound care is the future of the vascular speciality.We explain how the referral process works and how it may vary from practice to practice. We discuss why it is important to be well-rounded in wound care and how a background in IR can help with this. Dr. Morrison tells us how he collaborates with a nurse practitioner to elevate his care and we explain why it can be difficult to differentiate patients at the referral level.We discuss how to get wound care training and certification and Dr. Morrison talks about the learning curve during training. We review some of the pearls of wound care and give some advice on how to present yourself to other physicians when getting started.---RESOURCESBackTable Podcast Episode 86: Building a PAD Practice with Dr. Srini Tumalahttps://www.backtable.com/shows/vi/podcasts/86/building-a-pad-practiceDr. Tummala’s Vascular Channelhttps://www.youtube.com/channel/UCAbrKSywIzcobBpp0FUo34wDr. Tummala’s Twitter@srinitummalaMedtronic Abre Stenthttps://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/deep-venous/abre-venous-stent.html

Dr. Theresa Caridi, Section Chief of Interventional Radiology at UAB School of Medicine, discusses the pathophysiology and treatment of Pulmonary AVM's, as well as the importance of multidisciplinary management of patients with Hereditary Hemorrhagic Telangiectasia (HHT).---SHOW NOTESIn this episode, Dr. Theresa Caridi joins Dr. Christopher Beck to discuss management and treatment of pulmonary arterial venous malformations (AVMs). We explain what pulmonary AVMs are, why they can be dangerous, and how patients are referred to Hereditary Hemorrhagic Telangiectasia (HHT) Centers of Excellence. We discuss the clinical manifestations of HHT and why it is important to screen for HHT when diagnosing a patient with a pulmonary AVM.Dr. Caridi tells us about the imaging and how to plan treatments for different types of pulmonary AVM patients. We review the pre-procedural steps and the intricacies of using anesthesia for PAVM treatment. We discuss catheters, access sites, and how to get the images needed. Dr. Caridi shares her advice on working closely to the feeding artery and some of the challenges when using coils.We discuss what care looks like post-procedure and when to follow up patients. We talk about some of the common side effects that occur after pulmonary AVM treatment. We explain how to decide the number of lesions to treat at one time, and Dr. Caridi gives some advice for those who do not work at an HHT Center of Excellence, but want to perform this procedure.---RESOURCESImage Guided Interventions: Expert Radiology Series (IR Textbook by Matthew A. Mauro)https://www.elsevier.com/books/image-guided-interventions/mauro/978-0-323-61204-3https://www.amazon.com/Image-Guided-Interventions-Matthew-Mauro-FACR/dp/0323612040/ref=sr_1_1?dchild=1&keywords=Image-Guided+Interventions%3A+Expert+Radiology+Series&qid=1612320492&s=books&sr=1-1PAVM Embolization: An Updatehttps://www.ajronline.org/doi/10.2214/AJR.10.5230Treated pulmonary arteriovenous malformations: patterns of persistence and associated retreatment successhttps://pubmed.ncbi.nlm.nih.gov/23912618/Medtronic Peripheral Embolization Productshttps://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/peripheral-embolization.html

Dr. Steven Yevich from MD Anderson Cancer Center talks with us about his approach to Treatment and Management of Painful Extra-spinal Bony Metastases.---SHOW NOTESIn this episode, Dr. Steve Yevich joins Dr. Michael Barraza to discuss treatment of extraspinal painful bony metastases. Dr. Yevich tells us about his training in interventional oncology at Gustave Roussy Cancer Campus in Paris, and we discuss how he adjusted to identify the individual needs of the hospital when he came back to the US.We explain how to go into a case with either curative or palliative intent. Dr. Yevich shares when he would do soft tissue ablation around nerves and the location of the metastases he commonly treats. We emphasize the anatomic considerations to determine if ablation for the extraspinal bony metastases is feasible.We discuss some of the advanced techniques Dr. Yevich learned in Paris and the two types of cases that may need pre-ablation embolization. We discuss advancements in technologies and devices that have allowed for more creative solutions in IR.

Society of Interventional Radiology (SIR) President Dr. Michael Dake tells us stories of the Aortic and Endovascular Innovations he participated in throughout various stages in his career.---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/e1zsGc---SHOW NOTESIn this episode, Dr. Michael Dake joins Dr. Bryan Hartley to discuss his career of innovation as a clinician, teacher, and researcher. Dr. Dake tells us how he shifted from working in internal medicine to interventional radiology with the help of his mentors.We discuss the challenges of starting a new residency, and Dr. Dake shares how he knew he wanted to follow a different career path in vascular work. We review the different types of cases that came up from working with cardiac surgeons and other specialties outside of IR. We discuss some lessons learned from working on the clinical side and the industry side of IR.Dr. Dake explains which failures have stuck with him and touches on why relationships and collaboration are so important. We discuss his current work on a liquid embolic and how involvement in innovative opportunities has shaped Dr. Dake’s career.---RESOURCESISET; use discount code: BACKTABLEhttps://www.iset.org

Dr. Fabian Laage Gaupp tells us the origin story of Road2IR.org, an initiative to build self-sustaining IR training programs in East Africa. In collaboration with Yale and Emory Departments of Radiology, Road2IR has helped establish East Africa’s first accredited IR training program in Tanzania!---SHOW NOTESIn this episode, Dr. Fabian Laage Gaupp joins Dr. Aaron Fritts to discuss his work in The Road2IR training program. We discuss the beginnings of the program and how they worked to build the first generation of interventional radiologists as well as nurses and technologists in Tanzania. We discuss the types of procedures that the program offers and how they have adapted to the needs of the communities they work with.We explain how the training measures have changed during the COVID-19 pandemic, and we examine the importance of having a certain mindset while working in this program. Dr. Laage Gaupp tells us about the sedation certificate nurses can train for and their plans for expanding the program to Rwanda.We discuss some of the challenges of shipping imaging equipment and other disposable equipment. Dr. Laage Gaupp explains why he thinks IR will gain popularity in Africa, and we talk about how to get involved in the Road2IR program.---RESOURCESTanzania IR Initiative, Training the First Generation of Interventional Radiologistshttps://www.clinicalkey.com/service/content/pdf/watermarked/1-s2.0-S1051044319306876.pdf?locale=en_US&searchIndex=Road2IR websitehttps://www.road2ir.org/Social Media AccountsInstagram: @road2irTwitter: @Road2IRFacebook: https://www.facebook.com/road2IR/

Dr. Mary Costantino interviews the BackTable Team in honor of hitting the 100th episode mark. We had a great time telling the origin story of BackTable, reminiscing the early days of the podcast, and where we hope to go in 2021. It doesn't happen without all the amazing guests and guest hosts along the way.---SHOW NOTESIn this special episode, Dr. Mary Constantino interviews Dr. Aaron Fritts, Dr. Christopher Beck, and Dr. Michael Barraza to discuss the journey of the BackTable Podcast. Co-founder Dr. Aaron Fritts tells us why he wanted to start BackTable and how it transformed from an app to a podcast. Dr. Beck and Dr. Barraza share their experiences getting involved in the podcast.We discuss some of the early challenges they faced while trying to get started, and we explain the lessons learned from these experiences. We discuss plans to expand to ENT and urology topics as well as other plans for 2021. Dr. Fritts touches on the learning process of editing audio and creating a podcast. Dr. Fritts, Dr. Beck, and Dr. Barraza share their goals and hopes for the BackTable podcast. We discuss the work that goes on behind the scenes and the team that makes it all possible.