The Kinked Wire
Episodes
Episode 39: Stories of interventional radiology: Saving life and limb
05 Mar 2023
Contributed by Lukas
"They were able to remove the filter, repair the damage, and get full blood flow ... for the first time in almost 2 years."—Sheila Ehlert,...
Episode 38: 2022 in review + top IR Quarterly articles of the year
22 Feb 2023
Contributed by Lukas
"IamIR" is starting to really reflect the population that we serve, and that is very uplifting for me and a lot of people in the URM Sec...
JVIR audio abstracts: March 2023
21 Feb 2023
Contributed by Lukas
This recording features audio versions of March 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Endovascular Assessment of Live...
Episode 37: IRs in focus | Guest: Alda Tam
26 Jan 2023
Contributed by Lukas
“There was a big shift from the government perspective about professional societies needing to write and look at evidence in a way that the public c...
JVIR audio abstracts: February 2023
25 Jan 2023
Contributed by Lukas
This recording features audio versions of February 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:A Review of Professional Lia...
JVIR audio abstracts: January 2023
30 Dec 2022
Contributed by Lukas
This recording features audio versions of January 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Racial and Ethnic Disparities...
Episode 36: New credentials in IR stroke care | Guest: Marty Radvany
22 Dec 2022
Contributed by Lukas
“I look at it kind of like the RPVI, in a sense. That, you know, all of us are interventional radiologists, we all have completed our vascular ultra...
JVIR audio abstracts: December 2022
29 Nov 2022
Contributed by Lukas
This recording features audio versions of December 2022 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Healthcare Disparities in ...
IRQ audio 10: Staying power: The tangled path from innovation to clinical application
29 Nov 2022
Contributed by Lukas
“In a field like interventional radiology, innovative new devices and procedures are created with regularity. But with so many new approaches being ...
IRQ audio 9: Degrees of separation: How additional advanced degrees can open new doors in your IR career
27 Oct 2022
Contributed by Lukas
“After college, there’s medical school. And after medical school comes additional training with a residency and (for now) fellowship—but not all...
JVIR audio abstracts: November 2022
27 Oct 2022
Contributed by Lukas
This recording features audio versions of November 2022 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Inferior Vena Cava Filter ...
JVIR audio abstracts: October 2022
29 Sep 2022
Contributed by Lukas
This recording features audio versions of October 2022 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Percutaneous Hemodialysis F...
Episode 35: IRs in focus | Guest: Geogy Vatakencherry
27 Sep 2022
Contributed by Lukas
“I don't personally love going too far down the roots of any subspecialty, because then you lose the forest for the trees. And I think ultimate...
Episode 34: Finding success with an office-based lab in interventional radiology
13 Sep 2022
Contributed by Lukas
“So in general, an office-based lab might be more easy to stand up. There might be less cost associated with an OBL and fewer hurdles from the regul...
JVIR audio abstracts: September 2022
30 Aug 2022
Contributed by Lukas
This recording features audio versions of September 2022 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Uterine Artery Embolizati...
Episode 33: A victory for women's health
23 Aug 2022
Contributed by Lukas
“I went to my Legislative Council and said, ‘Listen, I need to make an adjustment to the original bill. I think it’s important that, if we’re ...
JVIR audio abstracts: August 2022
28 Jul 2022
Contributed by Lukas
This recording features audio versions of July 2022 Journal of Vascular and Interventional Radiology (JVIR) abstracts:IN.PACT AV Access Randomized T...
IRQ audio 8: That's negotiable: 8 tips for negotiating contracts and salaries
28 Jul 2022
Contributed by Lukas
“The collaboration between surgeons and interventional radiologists has been at the center of many great advancements in trauma care.” —Jack Sav...
JVIR audio abstracts: July 2022
30 Jun 2022
Contributed by Lukas
This recording features audio versions of July 2022 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Polyethylene Glycol Drug-Eluti...
Episode 32: How interventional radiologists can mitigate the contrast media shortage
24 Jun 2022
Contributed by Lukas
"We were no longer using iodinated contrast for nonemergent cases. We started using a lot of gadolinium, air, CO2, IVUS, Gastrografin, Cystografi...
Episode 31: Interventional radiology and postpartum hemorrhage response teams
07 Jun 2022
Contributed by Lukas
"The people that you interact with emergently—critical care doctors, the transplant doctors, the trauma doctors—they can speak for you. And I...
JVIR audio abstracts: June 2022
26 May 2022
Contributed by Lukas
This recording provides audio versions of featured abstracts from the June 2022 Journal of Vascular and Interventional Radiology (JVIR), the Society...
JVIR audio 2: Mitigating the contrast media shortage
19 May 2022
Contributed by Lukas
"Interventional radiology practices are faced with instituting urgent changes in patient care to preserve contrast media for use in procedures fo...
JVIR audio abstracts: May 2022
27 Apr 2022
Contributed by Lukas
This recording provides audio versions of featured abstracts from the May 2022 Journal of Vascular and Interventional Radiology (JVIR), the Society ...
IRQ audio 7: IR in the ER: The role of interventional radiology on the trauma team
22 Apr 2022
Contributed by Lukas
“The collaboration between surgeons and interventional radiologists has been at the center of many great advancements in trauma care.” —Jack Sav...
Episode 30: Improving patient care through the VIRTEX Data Registry
01 Apr 2022
Contributed by Lukas
If you think, "You know, I do what other people do but I do it a little bit better," you really should know whether that is indeed the cas...
Episode 29: Owning Success: Paths into leadership
22 Mar 2022
Contributed by Lukas
To be a good volunteer and make a real difference, you need to do a lot of listening to what themes are around you and what people are struggling wi...
Episode 28: 2021 in review + top IR Quarterly articles of the year
15 Feb 2022
Contributed by Lukas
Just as the specialty is innovative, we foster a culture where we want to be innovative. And we want to be nimble, just as our members are nimble. A...
Episode 27: Owning Success: The power of partnering with industry
04 Feb 2022
Contributed by Lukas
If you are in the device world and you have a whole bunch of engineers, if you don't give power to your physicians to help you design, what you&a...
IRQ audio 6: Pain killers: The healing role of interventional radiology in the U.S. opioid epidemic
18 Jan 2022
Contributed by Lukas
“The application of the interventional radiology skill sets to pain has created a new reservoir for alternatives to opioids. There are brand-new opt...
Episode 26: EPOCH Trial results suggest promising treatment for metastatic colorectal cancer patients
03 Jan 2022
Contributed by Lukas
I think this is actually a model that can in fact be propagated across multiple types of centers, as long as that communication is there. —Riad Sale...
IRQ audio 5: Career-long retirement planning for the interventional radiologist
21 Dec 2021
Contributed by Lukas
As with most any career path, interventional radiology provides more than its share of challenges and joys—and many years of hard but rewarding work...
IRQ audio 4: Crossing the interventional radiology desert
01 Dec 2021
Contributed by Lukas
Data have demonstrated that individuals living in many parts of the country not only lack access to an IR but also lack access to any radiologist with...
IRQ audio 3: The business case for diversity in interventional radiology
23 Nov 2021
Contributed by Lukas
The impact of diversity on finances makes perfect sense when you think of the workforce like a toolbox: Every tool has a purpose and design that makes...
Episode 25: Owning success: SIR Gold Medalists
16 Nov 2021
Contributed by Lukas
I try to present myself as mild-mannered, quiet and very nice, which wins a lot of battles, but deep inside there’s this fierce sense of “right.”...
IRQ audio 2: Breaking down histotripsy
09 Nov 2021
Contributed by Lukas
With ever-evolving technologies, cancer treatments will almost certainly become more effective and less invasive in the future. A new procedure that w...
IRQ audio 1: Patient frailty and IR
02 Nov 2021
Contributed by Lukas
With an increasing number of geriatric patients seeking IR services, identification of patients at higher risk for complications will allow for improv...
Episode 24: IRs in focus | Guest: Elsie Koh
01 Oct 2021
Contributed by Lukas
What I wanted to do is really focus in on physicians, because I feel like we're sometimes not the ones in the forefront in making decisions in ho...
Episode 23: Launching and running an office-based lab | Guest: Bret Wiechmann
03 Sep 2021
Contributed by Lukas
While I do understand that there may be this idea out there, that the OBL is some magical place, the truth is that I think the ideal scenario is what ...
Episode 22: IRs in focus | Guest: Vishal Kumar
04 Aug 2021
Contributed by Lukas
Dialysis, stroke, peripheral arterial disease, oncology, …these affect patients of all races. We know there are health care inequities—Black and B...
Episode 21: IRs in focus | Guest: Dan Sze
06 Jul 2021
Contributed by Lukas
When we show each other these extreme cases, there's a lot of cheering and high-fiving. That's a really fun part of IR, but that is not what...
Episode 20: Interventional radiology and the potential of GAE to treat osteoarthritis of the knee | Guest: Sandeep Bagla
04 May 2021
Contributed by Lukas
I think we’re really at the tip of the iceberg. I think this is very early—in my mid stage of the career, I will probably not be practicing as thi...
Episode 19: Demystifying interventional radiology reimbursement | Guest: Kathy Krol
22 Mar 2021
Contributed by Lukas
The CPT code may have certain required elements, and if you don’t put all of those in the report, you don’t get credit for doing the procedure. Or...
Episode 18: IRs in focus | Guest: Derek West
23 Feb 2021
Contributed by Lukas
The idea that we start a little earlier in getting our students acclimated to interventional radiology is going to be so important. And it already has...
Episode 17: The role of interventional radiology in stroke care | Guest: Eric Wang
09 Feb 2021
Contributed by Lukas
I guess my take-home point is that by no means is staffing for a stroke program a small undertaking, so it really is important to have the support fro...
Episode 16: 2020 year in review
06 Jan 2021
Contributed by Lukas
At the very beginning of the pandemic, there was a big outpouring of support through social media outlets and other avenues online between training pr...
Episode 15: Radiation safety and the interventional radiologist | Guest: Joseph Ring
10 Nov 2020
Contributed by Lukas
If you follow good practices—you minimize the patient dose, you wear your protective clothing, you use the pull-down shields and you put the pull-do...
Episode 14: Addressing gender disparities in male-dominated medical specialties | Guest: Barbara Nickel Hamilton
13 Oct 2020
Contributed by Lukas
In our specialty, the stereotypes are ... you have to be a certain height. So I hear from women trainees and aspiring interventionalists that, "Y...
Episode 13: Implicit bias and health care disparities | Guest: P.J. Rochon
22 Sep 2020
Contributed by Lukas
You see that it's appalling. What can you do, and what can we do as privileged human beings, to denounce this? To say that it's wrong? To no...
Episode 12: IRs in focus | Guest: Jeanne Laberge
01 Sep 2020
Contributed by Lukas
"One of the big organizations that are groups of people/stakeholders that really change things, in terms of education for sure, are medical stude...
Episode 11: IRs in focus | Guest: Raj Pyne
04 Aug 2020
Contributed by Lukas
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—...
Special update: IR perspectives on COVID-19: New York | Guest: Akhi Sista
21 Jul 2020
Contributed by Lukas
The media portrayed scenes of just terror, frankly, particularly at Elmhurst Hospital. You see these lines of people that are waiting outside with so ...
Episode 10: The ongoing evolution of IVC filters | Guest: Matt Johnson
30 Jun 2020
Contributed by Lukas
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 a...
Special update: IR perspectives on COVID-19: Atlanta | Guest: Janice Newsome
09 Jun 2020
Contributed by Lukas
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 in...
Episode 9: Connecting everywhere: SIR 2020 goes virtual | Guest: Tino Peña
20 May 2020
Contributed by Lukas
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 be...
Special update: IR perspectives on COVID-19: Chicago | Guest: George Behrens
08 May 2020
Contributed by Lukas
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 Americ...
Special update: IR perspectives on COVID-19: Palo Alto, California | Guest: Raj Shah
29 Apr 2020
Contributed by Lukas
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...
Episode 8: IR perspectives on COVID-19: Seattle | Guest: Torre Andrews
20 Apr 2020
Contributed by Lukas
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...
Episode 7: Financial planning for the interventional radiologist | Guest: Clint Gossage
27 Mar 2020
Contributed by Lukas
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...
Episode 6: Wellness and burnout in interventional radiology | Guest: Felicia Speed
24 Feb 2020
Contributed by Lukas
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 ...
Episode 5: The potential of C-TRACT to help PTS patients | Guests: Suresh Vedantham and Mary Costantino
29 Jan 2020
Contributed by Lukas
ATTRACT essentially found that, really, it's the people with iliofemoral deep vein thrombosis (DVT) who are the ones most likely to benefit and t...
Episode 4: Demonstrating the value of interventional radiology | Guests: Matt Hawkins and Stephanie L. Dybul
10 Jan 2020
Contributed by Lukas
Without being able to articulate what that value is, I’m sure many IRs across the country can relate to the struggle that might ensue when you’re ...
Episode 3: A path to leadership in interventional radiology | Guest: Laura Findeiss
02 Dec 2019
Contributed by Lukas
That could actually create a really big void if we’re not in communities taking care of patients. We’re the “go-to,” we’re necessary in thes...
Episode 2: Building referrals through video-based marketing | Guest: A.J. Gunn
29 Oct 2019
Contributed by Lukas
It’s not me trying to do five more so that you guys do five less. It’s my trying to work with you to reach out to these women who are suffering in...
Episode 1: Fostering D&I in interventional radiology | Guest: Alan H. Matsumoto
23 Sep 2019
Contributed by Lukas
During that time period, many of the Japanese Americans, like my parents who were born in the United States, were a quiet bunch of people ... and so m...