The Kinked Wire

I wanted to practice clinically oriented IR. I thought, “If I go to a group and say that we should practice IR, then my group is going to say yes—you should go for it!” And as many people know, that’s not the way the world works.” —Raj Pyne, MD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Raj Pyne, MD, FSIR, about the development of IR services in his Rochester, New York, practice, leadership roles he's held for the Society of Interventional Radiology, and advice he gives today's interventional radiology residents.  Note: This episode was recorded on July 20, 2020.SIR thanks BD for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

The media portrayed scenes of just terror, frankly, particularly at Elmhurst Hospital. You see these lines of people that are waiting outside with so much anxiety and you know where that place is, you’ve driven past, you’ve seen with your own eyes that this is in your backyard. Then it starts hitting very close to home. —Akhilesh K. Sista, MD, FSIRWarren Krackov, MD, FSIR, speaks with Akhilesh K. Sista, MD, FSIR, an interventional radiologist in New York, about the COVID-19 impact on his city and practice, changes in response since the early peak, and thrombosis trends in these patients.Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)May 8: Chicago, Ill. (George Behrens, MD)April 29: Palo Alto, Calif. (Raj Shah, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on July 7, 2020.  SIR thanks BD for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

You don’t just put a filter in and forget about it—but that’s what used to happen. And when you put a filter in, it’s like anything else. We are clinical physicians in IR and vascular surgery, and when we put these filters in your patient, you need to follow them. That means clinical follow-up, and it may mean imaging follow-up. —Matthew S. Johnson, MD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Matthew S. Johnson, MD, FSIR, about the evolution of IVC filters, the upcoming IVC filter clinical practice guidelines, and the status of the FDA-requested PRESERVE Study. Read the IVC filter clinical practice guidelines.Note: This episode was recorded on June 1, 2020.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

We may not have had everything we wanted, but we had most of the things we needed. And most of the things we needed were our own ingenuity, our own innovativeness, that comes from practicing our own specialty, interventional radiology.  —Janice Newsome, MD, FSIRWarren Krackov, MD, FSIR, speaks with Janice Newsome, MD, FSIR, an interventional radiologist in Atlanta, about the COVID-19 impact on her city and practice, and the role of resiliency in the face of the pandemic.Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)May 8: Chicago, Ill. (George Behrens, MD)April 29: Palo Alto, Calif. (Raj Shah, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on May 29, 2020.  SIR thanks Medtronic for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

It’s kind of been a roller coaster ride. We’re all excited about everything that was gong to happen with the annual meeting … And then at the beginning of the year we started to get reports and that’s when we started saying, “What are we going to do? How is this going to happen?”—Constantino S. Peña, MD, FSIRWarren Krackov, MD, FSIR, speaks with Constantino S. Peña, MD, FSIR, chair of the Society of Interventional Radiology 2020 Annual Scientific Meeting, about the decision to cancel the in-person meeting, shift to a virtual annual meeting, the role of the COVID-19 pandemic in the decision, and the evolution of education for medical professionals. Learn more about the virtual SIR 2020 annual meeting (June 13–14, 2020) at sirmeeting.org. Read a letter from Dr. Peña in a special section of IR Quarterly, SIR's interventional radiology magazine.Note: This episode was recorded on May 11, 2020.SIR thanks Sirtex for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

I am originally from a third-world country. When I moved to the United States, I couldn’t believe all the resources that were being wasted in America. And I feel that, for the first time in America, we are learning that. We are learning that we have to be cautious about wasting resources. —George Behrens, MDWarren Krackov, MD, FSIR, speaks with George Behrens, MD, an interventional radiologist in Chicago, about the COVID-19 impact on his city, changes his practice has made in response, and how his native Venezuela has been faring during the pandemic.  Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)April 29: Palo Alto, Calif. (Raj Shah, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on May 1, 2020.  Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

One thing I was recognizing very quickly was that, at that time, there was very little guidance from the CDC. A lot of the information was coming from publications from the Chinese experience and the changes that needed to be put in place were really things that hadn’t been done before. —Rajesh Shah, MD, FSIRWarren Krackov, MD, FSIR, speaks with Rajesh Shah, MD, FSIR, an interventional radiologist in the California Bay Area, about his region's experience with the pandemic and the role he played in the development of the Society of Interventional Radiology (SIR) COVID-19 Toolkit.  Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the SIR website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami, Fla. (Costantino S. Peña, MD, FSIR)May 8: Chicago, Ill. (George Behrens, MD)April 20: Seattle, Wash. (R. Torrance Andrews, MD, FSIR)Note: This episode was recorded on April 22, 2020. Dr. Shah's opinions do not represent those of the federal government. Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology. Support the show

There was a report that several people had been sick, and several were transported to hospitals. The next thing we heard was that all of the ambulance crews and firemen who had been involved in the transfer were in quarantine … and it really seemed kind of crazy.—R. Torrance Andrews, MD, FSIRWarren Krackov, MD, FSIR, speaks with R. Torrance Andrews, MD, FSIR, a Seattle-based interventional radiologist, about the onset of COVID-19 in that area and the role that interventional radiology continues to play during this global health crisis. Find IR resources for COVID-19 planning, staffing, personal protective equipment and more at the Society of Interventional Radiology website, sirweb.org.Listen to more interventional radiologist perspectives on COVID-19:July 21: New York, N.Y. (Akhilesh K. Sista, MD, FSIR)June 9: Atlanta, Ga. (Janice Newsome, MD, FSIR)May 20: Miami (Costantino S. Peña, MD, FSIR)May 8: Chicago (George Behrens, MD)April 29: Pal Alto, Calif. (Raj Shah, MD, FSIR)Note: This episode was recorded on March 30, 2020.SIR thanks Varian for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

Figure out your targets and then automate as much as possible, be it through automatic transfers, automate your savings, move it to a separate account that you're not going to touch. And do as much of that through automation as possible, because really when it's left up to our willpower, all of us are pretty bad at it ... and so what we want is to have good systems in place.  —Clint Gossage, CFPWarren Krackov, MD, FSIR, speaks with Clint Gossage, CFP, from CMG Financial Consulting, about the unique personal financial circumstances that physicians find themselves in throughout their career. SIR thanks Varian for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

If you put yourself in a place where you say, "Oh, that will never happen to me because I'm strong, and I'm stoic, and I have it under control and I have all the answers," then you already have made yourself susceptible to burnout. —Felicia Speed, LMSWWellness and burnout are increasingly important topics in today's fast-paced culture, and we all want to achieve wellness on the job, at home, in our lives. Warren Krackov, MD, and Jaimin Shah, MD, talk with wellness expert Felicia Speed, LMSW, about how the busy interventional radiologist can achieve wellness and avoid the pitfalls of burning out. SIR thanks Varian for its support of this episode.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show