Short video for surgeons navigating challenging landscape of surgical complications. What is the emotional, mental and physical cost on a surgeon? What strategies we can develop together in a health care system to support surgeons? Beside M&M where else we discuss complications? Thank you to Houston Methodist Shlomit Schaal, MD, PhD, MHCM for starting the conversation.

The referring physicians have spoken. Given the medicolegal climate and the increasing numbers of cases they are asked to manage, particularly in the ER, they need to order more imaging studies to promptly diagnose and treat their patients. "The American College of Radiology and others have pushed for legislation that would require referrers to consult appropriate-use criteria before ordering exams, hoping to curb defensive medicine and radiologist burnout. However, other physician societies have pushed back against the proposal." https://lnkd.in/gMY4nz_u

So many lives ruined by those who drew parallels to ME/CFS. 2022 Jul 18 In SARS-CoV-2, astrocytes are in it for the long haul https://lnkd.in/gcPMwZY7 2023 Apr 10 Enhanced inhibition of MHC-I expression by SARS-CoV-2 Omicron subvariants Akiko Iwasaki https://lnkd.in/eVNTywz4 "We also included HIV Nef as a positive control for downregulating both MHC-I and MHC-II (30, 31), and SARS-CoV ORF8a/b proteins as a negative control." 2021 Nov 16 Blockade of beta adrenergic receptors protects the blood brain barrier and reduces systemic pathology caused by HIV-1 Nef protein https://lnkd.in/gEWuFDUP "Results suggest that interruption of the beta adrenergic signaling reduces the peripheral organ inflammation caused after Nef expression in astrocytes of the brain." The date is ironic, isn't it? Published: 15 November 2021 SARS-CoV-2 inhibits induction of the MHC class I pathway by targeting the STAT1-IRF1-NLRC5 axis "20. Schwartz, O., Maréchal, V., Le Gall, S., Lemonnier, F. & Heard, J. M. Endocytosis of major histocompatibility complex class I molecules is induced by the HIV-1 Nef protein. Nat. Med 2, 338–342 (1996)." Why do you never question the faith of victims of legalized child abuse, suffered at the hands of those who drew parallels to ME/CFS? They are just "dying" to see Jesus on a daily basis, DUH.

Patient safety optimization within diagnostic efficacy remains a core tenet of modern radiology practice. In managing the obstetric or potentially pregnant patient, medical radiation technologists face a complex clinical imperative: minimizing fetal radiation burden while acquiring necessary diagnostic data. Achieving this balance requires an evidence-based clinical workflow centered on early screening for individuals of reproductive age, rigorous justification of exams, and a clear preference for non-ionizing first-line modalities like ultrasound and MRI. When ionizing X-ray, CT, or fluoroscopy is clinically unavoidable, radiographers must transition from passive compliance to active dose optimization by applying an expanded ALARA framework—justifying indications, limiting doses, adapting technical factors, restricting the beam area via tight collimation, and critically assessing images to eliminate repeat exposures. This approach must account for trimester-specific biological sensitivities, strict evaluation of contrast agents that cross the placenta, and compassionate, respectful patient communication. By synthesizing robust demographic screening and post-exposure dosimetry protocols with state-of-the-art technological parameter modulation, radiography professionals successfully mitigate stochastic risks to the fetus while upholding the highest standards of diagnostic precision. #MedicalPhysics #RadiationSafety #Radiography #PatientSafety #DiagnosticImaging #ALARA #ClinicalExcellence #MedicalImaging

What matters most to patients? Clinical decisions often involve more than imaging findings and surgical indications. They require understanding a patient's goals, values, and definition of success. In this issue of SpineLine, Editor in Chief Jason Friedrich explores how serious illness conversations, shared decision-making, and measuring outcomes that matter to patients can help guide care in complex spine cases. Read more: https://lnkd.in/eJhxer99

The DISTALS trials results presented by Dr. Saver combined with the guidance released earlier this month (Endovascular Thrombectomy in Medium and Distal Vessel Occlusions: A Focused Guideline From the Society of Vascular and Interventional Neurology Guidelines and Practice Standards Committee https://lnkd.in/g9xKnCVE) shows that MEVO frontier is breaking wide open. Rapid Medical is clearly positioning itself as an early mover in the MEVO space.

🚨 WILL THE DISTALS TRIAL RESHAPE YOUR TREATMENT ALGORITHM? 🚨 For a long time, treating distal medium vessel occlusions (DMVOs) felt like choosing between a rock and a hard place: ❌ Stick to medical management and risk a disabling deficit? ❌ Or take a traditional stent retriever/large-bore aspiration catheter into an M3/M4 segment and risk an intracranial hemorrhage? The full data presented at #ESOC by Dr. Jeffrey Saver might have just broken that deadlock. The randomized data for Rapid Medical’s Tigertriever 13 showed an undeniable signal: 🧠 3x IMPROVEMENT in successful reperfusion without sICH compared to medical management (86.3% vs. 27.7%). 🩸 0% sICH in the randomized treatment arm. 📈 2x AS MANY PATIENTS reporting a full return to normal quality of life at 90 days. The clinical efficacy is clear. But the operational reality in the cath lab is where it gets interesting... ⚡ THE SETUP PARADOX ⚡ Over the last few years, many stroke trays were optimized for rapid, large-bore aspiration. It’s clean, fast, and elegant. However, a pure aspiration setup is fundamentally different from a micro-stent retriever setup. Incorporating dedicated, adjustable low-profile micro-retrievers means a shift back to microcatheter-driven techniques (0.0165" to 0.017" IDs) capable of navigating past the sylvian fissure without damaging fragile vessel walls. This raises a massive question for the neurointerventional community: 1️⃣ Are you moving toward a combined distal approach? (Using local aspiration via a companion catheter paired with a micro-stent retriever). 2️⃣ Or will aspiration-first remain your default, utilizing the micro-retriever purely as a bailout strategy when suction fails to achieve TICI 3? The technical feasibility of treating distal stroke has officially caught up to our clinical ambitions. 👉 How will this affect your practice? Is this something that you are looking at in 2026? #Neurointervention #StrokeCare #EndovascularSurgery #MedTech #Neurovascular #DISTALS2026 #PatientCare #Driven #Focus

💙Protecting Your Lifeline: Why Routine Dialysis Access Monitoring Matters For patients receiving hemodialysis, a healthy vascular access is essential to successful treatment. Routine monitoring can help identify potential concerns before they become more serious, allowing for timely intervention that may help maintain reliable access and reduce interruptions in care. Our experienced interventional radiology team works closely with patients and referring providers to evaluate and maintain dialysis access using minimally invasive techniques whenever appropriate. Preventive care isn't just about treating problems—it's about helping patients stay on track with the care they depend on. 👉Learn more about our dialysis access evaluation and maintenance services or contact our team to schedule an appointment: https://zurl.co/E9yBL #DialysisAccess #KidneyHealth #InterventionalRadiology #PreventiveCare #VascularInstituteOfVirginia #HealthcareLeadership

Incidental findings often lead to overdiagnosis and overtreatment. Learn how to reduce patient harm as imaging volume rises with this Journal of the American College of Radiology report. Link in the comments! #Radiology #PatientSafety

Tissue valve uptake hinges on data and diagnosis Longer-term tissue valve data is shifting how surgeons assess younger heart valve patients, with durability findings and future valve-in-valve options broadening treatment choices. See full story here: https://bit.ly/4v8VT6c  The Royal Melbourne Hospital