 Alright welcome back to the channel everybody. Welcome back to the vlog. This is a different version of today's vlog and we are actually on the golf course as you can probably tell. But basically I'm on the first tee right now just at the first drive waiting for my friends to shoot and I'll tell you what we're doing today in just a second. Alright but before I go any further I just had probably like the best shot of my life there as my first or second shot of the first hole but let me show you real quick. I know it probably doesn't look like much but there we are on that little hill. Okay so basically here's the deal. I have been working a lot because we are a man down in my practice and I've also taken up this little sport called golf and the thing with golf is it takes up like four plus hours of your day when you're trying to play golf. So any extra free time that I would have had to do youtube videos I basically just stopped and played golf. Not because I hate doing youtube videos because I kind of want to enjoy my summer and enjoy my time here so the only way to do that is to actually enjoy it and how I enjoy it is by playing golf. So here's my tee shot of that first or the second hole here. There's my ball. There's a green. Getting better this is a par 4 hopefully we'll be on in 2 and I'll have a look for birdie but anyways the whole point of doing this video is to basically merge my youtube life with my other hobby life which is now golf and that takes a majority of my life. So that's what we're doing today. Stay tuned and for those of you who are new around here my name is Michael aka Dr. Shlini. I'm a board certified diagnostic and interventional radiologist in New Jersey and now an avid golfer. So I somehow ruined that awesome setup with a bogey. So part of the first hole of bogey the second onto part three. But I will wait in the shade here for a minute because it is so hot not to wait for the people in front of me to get off the green. So what's the point of this video you asked? Well today we're going to be talking about the five nos of my specialty and you're probably like what the hell is he talking about but there's a viral video theme circulating around Instagram and TikTok where doctors from each specialty say five things they wouldn't do in that specialty or five things I don't know. I don't really know the whole point of it honestly but basically they just named five topics or five things they've learned throughout the years that they wouldn't do according to their field. So that's what we're going to do today while I play around it off. Let me rephrase that because I just bogey that hole. So part of bogey bogey. So what I was going to say is the top five things I would never do after working in my specialty. Let's go. All right so the first thing I would never do after working in my specialty for over a year now and slash six years total. No wait seven years total. I would not get a gastrostomy tube or a stomach tube unless I absolutely had to. As in I had no other choice and I know this may be controversial but hear me out. Okay ended up pouring that hole because I had a disastrous drive lost it went out of bounds and had to take a drop. So if I did a drop I would have buried it. That's how well I played after it but you know what can you do. That's why I love this sport. So I seem to have found myself in some tree jail here on my drive but nonetheless I know people are going to come after me saying yeah but some people need it some people need it maybe they have Crohn's or maybe they have short gut syndrome or maybe they need it for nutrition. Yes yes yes they need it. That's the key there but if I didn't need it or needed it temporarily or for some other reason I just wouldn't want it. What I'm trying to say is I wouldn't want it unless I like absolutely had to have it because again there are nuisance they leap they're irritating there's always an issue with them you have to get them changed every six weeks or so for the rest of your life so if I was maybe had a couple weeks left to live I still probably want to get one because yeah they're terrible unless you need them but you know I don't know what else to say about that. Next ooh a ball almost hit me. The second thing I would not do as an interventional radiologist is I would not deliver a baby at a hospital that didn't have an interventional radiologist on call. Yeah I just played that whole so terribly. I ended up with a double bogey maybe it's because I was trying to uh think of what I was gonna say next I don't know but nonetheless what I was saying was the reason I wouldn't deliver at a hospital without interventional radiologists on call is because childbirth can have a number of consequences and complications related to bleeding. I can't tell you how many post-operative women I've taken to the IR suite after delivering or after c-section who have postpartum bleeding and they call us to control the bleeding. The reason I say IR is better to have at the hospital is because we can take a minimally invasive approach and embolize the uterus after delivery which can stop the bleeding. The other alternative is if there is no interventional radiologist on call at that hospital the other option is basically remove your uterus so what if you want to have another kid in the future or maybe you just want to keep your uterus. Those are all options if interventional radiology is in the house. Now this isn't a very common thing but the fact that I've personally done it many times on many different women post partum makes me want my wife and myself to deliver at a hospital with an interventional radiologist on call. All right so I've played a few more hauls now finished up decent 44 on the first nine so the front nine uh that's good for me you know you don't want to play my ball and uh talk a little more about why I want to deliver in a hospital without interventional radiology so now I'm not saying it's a must but I'm just saying if I'm going to deliver out of hospital I want all options available to me and especially if I could avoid a major surgery if I had a complication from childbirth I would want to do so that just makes sense to me but if I could handle bleeding in a minimally evasive approach versus a pretty decent operation which is hysterectomy I would choose to do so and I'm sure a lot of people would if they knew that was a possibility now before I get into the number three thing that I want to do having worked in my field I do want to take a minute and appreciate what all is going on here because I am currently on IR call I'm also playing golf and I'm also making a youtube video at the same time now if that is not maximum efficiency I don't know what is okay number three the number three thing I would not do after working in my field is have any procedure done on uterine fibroids or my prostate for BPH or benign prostate hyperplasia without consulting an interventional radiologist first and the reason being is because again kind of touching back to number two there are a lot of minimally invasive approaches to treating fibroids and men with BPH rather than going through with a surgical procedure first for instance if I was a female who had fibroids the options for them would be myomectomy or doing out and surgically scooping out those fibroids or another option would be the most definitive treatment which again would be hysterectomy or removal of the uterus if that patient would have gone to an enriched radiologist first they could undergo a uterine fibroid embolization which has shown significant results in decreasing size of fibroids and also diminishing symptoms related to fibroids such as bulk type symptoms like pelvic fullness constipation frequent urination etc on that same point if I were an older gentleman who had an enlarged prostate the options surgically are a terp or transurethral resection of the prostate which is where they go through your urethra and resex a part of your prostate that's kind of blocking off your urethra if I had an option I would not go that route first I would go speak with an interventional radiologist because we can treat the prostate minimally invasively through something called prosthetic artery embolization which you have heard me talk about a ton on my channel again we have had enormous success with this procedure I don't know why you want to try these procedures first before you go into a surgical option I think many people don't try these procedures first because they aren't really aware that they exist and that's what I'm here for so the question you have to ask yourself is if you're going to have one of these procedures you want to go with the surgical option with a rigid scope through your urethra or just a small incision in your wrist that you receive a bandaid afterwards and life is good I don't know about you all but I don't want a rigid scope going up my urethra unless I have to so if it were up to me I would probably try a minimally invasive approach where we just access the radio artery in your wrist or from our artery in your groin go up and over embolize the uterus or prostate and since we do have good success rates with this procedure it'll most likely be successful if you are a good candidate for the procedure that is worst comes the worst if it fails at least you try the minimally invasive part first rather than going straight to surgery or an invasive cystoscope that you'll be in the hospital for versus an outpatient procedure it just it just makes sense to me the problem is a lot of people don't know about these procedures which again that's what I'm here for on a side note I just hit a bomb of a drive and trying to do it on the green and two on this part five here wish me luck also side note these two guys I'm playing with are so nice all the pictures of me driving they're the ones that are actually taking the vote or the videos of me on the t-box and stuff they're super nice all right so a little update I'm on hole 18 currently had a few breakdowns I took a break from filming because it was getting in the way but my friend who I'm playing with is walking up somewhere over here I don't know if you can see him and he's been awesome because he's been literally giving me lessons just me and him the last couple holes he basically changed my golf game 100% now I'm just like hitting so much better it's incredible how much a lesson can do anyways all right we'll get to number four in just a second I'll probably finish out this hole and get to number four I don't know if you can see but that is my ball right next to the pin there let me drive forward a little bit not bad we'll take it okay it's legit like 105 right now so uh I'm going to cool off in my steaming hot car and then we'll get to number four and five when I get back on sound good okay good okay so you may have noticed that things are a little different currently than they were on the golf course because today is the next day because I was too tired and got too into my rounded off yesterday to finish filming but today is Sunday we're going to the beach right now say hello hi we're going to the beach right now still on call and yeah let's get into the number four thing I would never do having worked in my field number four is I would never not go into radiology thinking that AI is going to replace us and the reason I say that is because I mean you've probably seen a million of my videos at this point talking about why I would still go into radiology even though AI is a concern and my main thing or main focus with that is that AI just isn't going to replace radiologists any time in the near future I'm so sorry I couldn't hold that here I knew it was coming okay anyways um where was I so I've done a million videos on this and the reason is is because AI just isn't what everybody thinks it is there are so many different problems with AI and actually we've been using AI for quite some time now in radiology and it only ever helps us just a smidge but it's not really close to being a hundred percent accurate and we can't really utilize something that isn't even remotely near a hundred percent accurate for a number of different reasons again I've done a whole video on this topic up here linked up here why AI is not replacing radiologists actually I've done two videos on this topic I'll link both of them up there if you want to go into a little further detail or want to know a little more about that topic but AI is not replacing us anytime soon we are still needed we will forever be needed and and John would really want me to read her studies rather than a computer correct a moondo correct okay so I was gonna film on the beach but it's exorbitantly hot out so let me get some air conditioning hold on a second so the fifth and final thing that I would not do as an international radiologist working in practice now for years is go to the chiropractor and have neck manipulation and if you follow my Instagram which if you don't I mean you should link up here I've been posting a lot about chiropractors and especially the neck manipulation portion of chiropractors I don't see any benefit from it but there have been many cases reported of vertebral artery dissections from it and basically a vertebral artery dissection is damaged to one of the main four arteries that supply your brain so you can imagine if you damage one of those arteries it can cause a catastrophic injury to the brain also known as a stroke there has been cases of people getting paralyzed after going to the chiropractor and the reason this is so fresh in my mind is because I just posted on Instagram about an event that happened in Georgia where a young female in her 20s went to the chiropractor had a neck manipulation and ended up paralyzed in a coma for like two weeks or so and still hasn't recovered so there really is no benefit from going to the chiropractor but there are risks involved so I just wouldn't do it at all and that's just one of a few stories I've seen throughout my training I've read many CTAs of the neck to look for dissections after going to the chiropractor and just to end this I'll give you a little bonus one or bonus thing that I would never do as an intervention radiologist and that is I would never ever ever smoke cigarettes or anything for that matter and the reason being is because you know in my field we treat a lot of progressive diseases and a lot of times if you come to me as an inpatient it's because you're probably not in too good of shape and a lot of this stuff that we treat like atherosporotic disease, lowered scrimmage, occlusions, abdominal regret, aneurysms, cancers all this kind of stuff that I treat in my line of work could be avoided potentially by just not ever smoking so don't ever smoke I do not understand how young people these days can start smoking cigarettes when we know what we know almost every single cancer and a lot of disease processes are caused directly by smoking anyways that officially concludes this video let me know if you like this kind of vlog style I was trying to do both enjoying my life and also vlogging and maintaining my youtube career let me know what you think of the style video and I'll do more and also you know I'll do the occasional sit-down videos as well but uh otherwise leave a comment below if you have any questions and I'll get to it and I'll see you all on the next video bye oh subscribe to my channel and I put the link in my description so you get six free stocks from Weeble all you have to do is deposit one cent you get six free stocks and so I mean if you don't like free money then I think everybody likes free money but just click the link in my description bye