 All right, and we are live. I wonder if people are like, we'll see what happens. Whatcha gonna teach me, doc? I wonder if people are actually going to be joining as I've been streaming a lot lately, so hopefully people are joining. We'll see. All right, let's kick this. Let me make sure everything's working properly. All right, connection's good. Let's wait for some people to join. What's going on today? Happy Wednesday, by the way. Yeah, here, the medical dreamer always wants a shout out. All right, so I just got off work, by the way. It's 4.57 our time, I just got home, and I figured, you know, I got this new mic. I might as well do a little live stream. Might as well. The other screen is not loading. What other screen? We'll see, it looks good on my end. I don't know why. Let me know when it unfreezes. If it's frozen, still let me know, but it should be fine. Also, I need you to tell me how good the volume is with this mic. Is it pretty good? Because you know, we got some good buttery audio now. All right, good, good. So one of the real reasons I wanted to get on here is because obviously we gotta go over some current events because some big things happen today, and let me pull those up real quick, if I can. You know, I can do this now. I'm like a professional streamer now. So let me pull, hold on a sec. Let me get this going, then I'll get this going. I'm like a legit professional streamer, guys. All right, so the audio's crisp. Even when I talk really close to the mic. Does that room get hot with all the monitors? Surprisingly not, it's pretty cold in my apartment. So it doesn't really get that cold, or that hot. Still recovering from my cold here. All right, so let's go over some stuff here. What do you say? Stream it up here. So some good things happen today. Before we get into the whole teaching stuff, I wanted to show you all, I don't know if it's gonna be on here, but a lot of things are going on. So the flu is obviously propagating here. The new cases with Omicron, however you wanna call it, are insanity, by the way. I forgot what the, let's see. Yeah, so the good thing is they appear less severe. And in my hospital, currently, it is, I mean, it's insane. So I actually had to have like health officials come in today to see what's going on because so many people at our hospital were getting COVID. And realistically, it's really just that it's so contagious. It spreads like wildfire. One person gets it. They have a little infection. You know, the next thing you know, the whole town has it. Let me adjust this real quick. All right, so let me see. So I wanted to tell you all, so the, all right, I can't find it on here, but I can't find it. But nonetheless, the student loans, the pause on student loan repayment has been completely paused yet again, which is a big deal, by the way. Because you don't have to pay your student loans until May now. I was supposed to go, not going to effect, I was supposed to go back to paying your student loans in February, February 1st, but they stopped it. So that's good. And so what that, what does that mean? Essentially, those who are on the public service loan forgiveness, let me see if I have, I thought I had a document here, but I guess not. So those who are on the public service loan forgiveness. Oh wait, I do have a, I do have it here. Let's pull this up here. What do you say? So those who are on the public service loan forgiveness still don't have to worry about paying their loans, which is fantastic. It still counts towards the 10 years, which is, I mean, you really can't do any better than that. You don't have to pay your loans and it still counts towards the actual public service loan forgiveness, which is amazing. What else here? So, and also for those who are on the income-based repayment plan, it doesn't matter. All your payments still count, which is also incredible. So you're basically getting like free payments and interest-free large loan at a 0% interest rate for almost two years now, which is incredible. In an economy that has a 6.8% inflation rate, you're basically getting free money. So, you might as well take advantage of it. But I know a lot of people don't care, but I thought it was, you know, kind of cool, interesting to talk about. And so yeah, so let me answer some questions here. See what's going on in the world. All right, I don't have that many people tuning in probably because I didn't schedule this, I just kind of went on to it randomly. The volume is excellent. So wait, so on a scale of one to 10, you have to write one to 10. How buttery does my voice sound on this microphone compared to how it used to sound when I used my AirPods? Plus I'm like, you know, I have a little, a seven, 11, 10, okay, okay. I think I worked with this. We're getting some good stuff here. All right, great. So I'm glad the audio sounds good. If I'm getting too close or like yelling too loud, let me know. I am going to get the arm, the boom arm that like comes out like all the streamers do because I'm a freaking streamer now guys. Like I stream. So, all right, so, oh, you know, when I get these super chats, you know, I take notice. A pre-med here, all right. Dr. Chilini, I'm a pre-med, can I shadow you? So this is the deal with the shadowing. So one, during the COVID times, it's like almost impossible to shadow people. I don't know when they're going to open it up and I thought they were going to open it up to shadowing recently, but then this new variant comes out and the next thing you know, we're back to no shadowing. So that's an issue. And I feel bad for all the pre-med students out there who are like really looking for people to shadow and stuff because it's hard right now. But nonetheless at my hospital, I don't think you can yet. And I don't know when they will. The other answer to that question is, you know, I don't know if I'd be a good person on the shadow. Today would be a good person because I did some pretty bad ass cases, which you guys would probably like. I wish I could show them to you, but maybe I'm going to find something similar. And yesterday I did a pretty awesome case. But when I'm in between doing cases, I'm also reading a lot of studies. And so like the IR portion is great, but I'm also doing diagnostic stuff while I'm doing IR. So if you wanted to shadow me, it's kind of like awesome. And then a dash of boring and then awesome and a dash of boring. So, you know, but I guess, you know, we have a lot of PA students actually who rotate through and a lot of med students. But I think they're like credentialed through the hospital, through their schools and stuff. So, all right. Hopefully that answered your question. KM. All right, you guys are cranked down with these questions here. How am I supposed to keep up with all this? Are you streaming on Twitch? I'm not streaming on Twitch. I use the same Streamlabs OBS that a lot of people on Twitch use. So it's going to be very similar to Twitch. And it'll be that way until I can figure out what the hell I'm doing on this platform. Because I still don't know and I'm just trying to win in it. All right. You can come on the virtual shadow. And you know, I did a lecture for a med school, the NICOM medical school recently and I freaking loved it. And I'm going to do more med school lectures. Not all the time, because obviously, I mean, I don't have free time to just like do lectures all the time. My time is valuable. But I'm going to start doing more when I can. All right. So I'll answer a few more questions here. KM, thank you so much for your super chat and your question. I really appreciate it. But I do feel like I need the boom arm because I'm like kind of bending over a little bit. You know, maybe I can like put it on something. I don't know. But so yeah, I'm going to go from there. I love how Emperor Palpatine is always in here. I always recognize his name because the Star Wars reference. Plus my older brother was like a Star Wars nerd. All right. What are the questions you got guys? You need to do something to stand out here because all these questions are coming in. Hey, actually, how are you feeling? I'm feeling great. I'm feeling great. Never been better, actually. I wonder if Andrana's in the room somewhere. She was like filming some videos today and working from home. Maybe she'll stop in here and say hello. We'll see. KM, back to dealing with that. KM's the only one doing some super chats today. Let's see. It'll pop up on the screen in a second, I believe. There it is. Do you guys see this little man? Looks like an alien running around here. KM, have you seen the new Spider-Man movie yet? No. I haven't seen any of the Spider-Man movies and I'm not a real big Marvel fan. Just, it's never intrigued me that much. My brothers are obsessed with it and they see all that stuff but I don't really watch them to be honest with you. It's never been an interest to me. Oh yes, misopinionated. This is the favorite question of the day here. I wish I could highlight this and put it on the screen here. Why aren't women told about fibroid embolizations from IR? Wow. This, I could go on like a 20, I could go on like a two day rant of how this kind of upsets me, misopinionated. But I'll kind of touch on it shortly. So one, a lot of people in practice don't know about embolization procedures of the uterine fibroid embolization which I performed yesterday, by the way. And a lot of people don't know about them. So I've actually called a doctor in my hometown or my town here and he was like, I told him like we had a patient that was bleeding from fibroids and I was like, well, I'll just embolize it. It'll be like a 20 minute procedure through the wrist and she'll be fine. And he was like, he's like, what do you mean you just embolize it? What does that mean? I'm like, I just drove through the wrist. He's like, what do you mean you drove through the wrist? I was like, I was like, if you've never heard of embolization, he's like, I mean, I've been practicing a long time but I've never heard of embolization. And I was like, oh, a lot of people don't even know this is an option. But so that's one option. Two, think about it from an OBGYN standpoint. So OBGYN did a lot of their business from five board patients where they do myomectomies, laparoscopic surgeries, all that stuff. And it's a pretty good return on their investments, their patient population is a surgery, outpatient surgery, good results, baseball. So why would they give that up to send it to someone like us? Because that's their business, you know? And that's the unfortunate part but that's the reality of medicine. So the other thing about it is, I think the interventional radiology community as a whole does a poor job of marketing this kind of stuff. We do some crazy stuff. Same for prostate artery embolization, same thing for BPH, urologists don't tell their patients about it because they don't want us to take any of their turps. So the short answer is there's a lot of things or a lot of reasons why a lot of women don't know about it but I plan on, if I kind of build up my fiber business a little bit, my goal is to do a video on here. Like I'm gonna push uterine fiber embolization pretty hard because I think people should know about it. It's pretty important. I mean, the patient I did yesterday, she was like, I mean, literally just a band-aid on the wrist and it stopped all the bleeding. She was like so happy. It was amazing. Yeah, misopinionated. Again, I keep seeing this question because I'm so passionate about it but same thing, a lot of patients have hysterectomies, especially young patients that shouldn't. And yeah, it kind of drives me crazy and my colleague and former co-fella, we work together now at the same practice and we kind of feel the same way. There's young people going for hysterectomies when they should just be coming to us. So, and we don't get paid by the embolization, like the hospital gets all the payment. So, I get paid regardless if I do no embolizations or 20. So, it's just more work for me really but deep down I'm like, oh, I should be doing this because this is a better option for the patient, obviously. All right, what are the questions here? All right, KM with another super chat. KM's the only one doing a super chat today. This is pretty crazy. So, top crypto pick for 2022. You want me to show you what I invest in currently on crypto? I won't show you my account but I'll show you my, where is it? Let's see. Let me see if I can pull this up here. You know, I'm like a streamer now. I can just drag stuff. All right, so, you guys can probably see this stuff. All right, so currently, I don't invest in Cardano. I invest in Natcheeb, although it's doing pretty well lately. I invest in Solana. I have average around like 160-ish, something like that. I invest in Ethereum and I invest in Bitcoin. Those are my three cryptos. I don't really invest too much in crypto because I don't know what the heck is gonna go on with it. So, we'll see what happens. So hopefully, I was saying, minus Shiba. Well, at least you invest in Shiba. One of my friends wants to go hard in Shib but I might too, so we'll see. All right. What other questions we got here? Do you want me to answer some questions or do you want me to show you? Wait, the real question is, who follows me on Instagram? Because if you follow me on Instagram, you would see all the crazy cases I post over there and I teach so much and you learn quite a bit over there if you just look at my stories like today. So I was thinking about going through my story and just trying to go on over it but I'll answer some questions first. Mate, you need a coffee? I'm not tired. I just look tired all the time. This is what happens. I have deep, Italian set eyes. What can I do? I can only do so much. Maybe I'd get Andromeda to fill me up. Let's see here. I think I just didn't pause this. All right. And we're back here. John Wood, you follow me on Instagram. Who else follows me on Instagram here? Because if you follow me on Instagram, I want you to tell me what case I put up today. I want to see if you know. No Instagram for you. No Instagram. Who doesn't have Instagram? Shah knows what's up. Shah Noor. A mental lapse, yep. So. William Bowie said, yeah, you suffer from the same thing. Yeah, I did it. Wow. Wow. Eloteman. I mean, I have to say, I don't even know what to say to that but I appreciate it. And I will say, huge shout out to you for such a generous super chat there. 1999 super chat, that's pretty incredible. You definitely beat the record so far for the highest super chat and all of the three live streams I've done so far. So thank you very much. And I will say, so if any of you guys watched my Paris vlog, we pretty much had a croissant every single day in like 47 trophies because, anyway, it was freezing out there and we still wouldn't have trophies in croissants because those damn almond croissants we had in Veyna and Vegas in Paris were unbelievable. So Eloteman, Eloteman, however you say your name, thank you very much. And you're on eye, we'll get some croissants and coffee in your honor. Eloteman, $500 from Creebs. I don't see a $500. I'm sorry. There's so many damn questions up here. They're like growing a mile a minute here. I can't keep up. But they're super chat. So I guess the more you pay, the longer they stay up. Oh, look, and I can click on them too so I can see them so I don't miss them. Good. All right, what else? So should I go over the case from today that I posted on Instagram? So you guys can see it. I can just pull up my, can I put my Instagram stories on here? Let's see. Give me a sec. But it kind of stops. I can't pause it though. Oh, I can pause it. Sweet. It's amazing. Zee, thank you very much for the super chat, $2. Stepping it up here. IR for someone only into procedures, but not DR. You have a ton of options if you're not interested in DR. Although I will say a lot of IR folks become more interested in diagnostic in residency. Just, I mean, because they go hand in hand, right? I love diagnostic. I thought I was gonna be like, oh, I'm only doing IR, I'm only doing procedures. Ended up loving diagnostic and I do pretty good at diagnostic now. But if you wanna do just procedures, you can go into academics or you can go into like a very high in private practice, like one of my buddies at Charlotte Radiology, they do a lot of high in cases down there. So I mean, anything that academic folks are doing, they're doing down there in private practice and they hardly do any diagnostic ever. So, yeah, you have plenty of options, trust me. All right, so let's, if any of you have any other super chats or, oh, by the way, forgot to mention, there's been a couple of people joined my channel now. If you just go to my channel and click the join button next to subscribe, you can join the channel. You get like your own badge. You can post with forever. You'll be like the unique one with a badge. Emojis you can use, you get access to me. Priority comments require, I respond to comments priority for my members because I know by their little badge by their name. And then what else? You get to watch my videos before they come out before anybody. And you can get some members only live streams. And yeah, so if you just go join my channel, hit the little button next to the subscribe button. Join it, it's pretty cheap, pretty inexpensive and you'll probably learn a lot and you get access to me. Priority. So go join the channel and support the channel. Just like you guys throwing up these super chats, I really appreciate it. It helps me keep going, it helps me create content and it's fun. I enjoy it. All right. What else we got over here? Should I go over my case of the day now and then we'll go back to answering other questions? I think that's a pretty good idea, right? I wish I knew how much, how long I was streaming for so far. I have no idea. You want me to go to Reddit? KM, I love these chats. So you want me to go to Reddit and react to meme live from our pre-med or our med school. Should I do that? Or do you want to see my stories? Do you want me to go to Reddit and do that? Or do you want me to see my stories and explain it? Or do you want me to do both? I mean, I can do both. Let me see. I don't even know if memes. Of course you guys say do both. Like, I don't even know why I asked that. You're like, yeah, do both. Stay on here for five hours. No problem. Let's see. In the meantime, let me find, so what was it? Pre-med and medical school. Are there memes on there? Like, how do you find the memes? I haven't been to Reddit in so long. I'm in your sink. Thank you for the $10 Super Chat. Much appreciated. So I'll answer your question before I go to the memes on the Reddit. Someone asked my salary. You're gonna have to give me a huge Super Chat to know my salary. I'm in your sink. Here we go. Does IR utilize registered nurses? 100%. They're amazing in our field and like my best friends. Just graduated and really interested in your field. Also congratulations actually. I've been watching you since your early residency days. Thank you very much. That really means a lot. You know, sometimes I forget like I've been doing this three years and how much I've kind of grown through this whole medical training thing is kind of crazy. And I'm sure you all have seen it too. You see me at like my worst. You see me on call at 2 a.m., 4 a.m. after being up for 72 hours straight or whatever. You guys see me through it all. So I really appreciate it. It means a lot. And it makes me like more excited to do this and I'm glad I'm doing it for that reason. Because I want people to see what it's really like and hopefully I'm portraying that well. So, do IR utilize nurses? IR is like the best place for nurses. Don't tell anybody. But I mean, first of all, all of IR, all of us are awesome. So we got that going for you. Secondly, all the nurses, I can't do a procedure without the nurses sedating my patient, doing the pre and post-op monitoring of my patient. I mean, everything. They monitor the patient during the procedure. I can't monitor the patient during the procedure because I'm doing the procedure. So we have IR nurses who are doing that. They sedate the patients. They monitor them the whole time, make sure they're safe and talk to them if they're in pain. They do them pain meds. And we are very closely related and practice very close with one another between the nursing staff, the PAs and PEs and the doctors. So nurses and IR, we're like this. Trust me. And I mean, I like texts with my nurses all the time. We're very close. All right, you guys are cranking out these super chats. I'm trying to keep up. I don't even have time to do anything else. This is amazing. I love how you guys are supporting everything. So William Boisa. Your content is great. Keep up the good work. Thank you so much. I like hearing this stuff because, you know, I worked so hard at this stuff and I get some comments in the videos or stuff and I just keep it going, keep it going, keep it going because so many people reach out to me and they're like, you helped so much and you like, you know, I did, I got a message today that was like, oh, I just passed my radiology boards or whatever and like they tell me how well they've done and or they tell me when I, they got into med school and like they really appreciate it because I was inspired by my videos and all that stuff. So I love it. So thank you guys. That really means a lot. CJ with a $10 hitter. All right. So CJ says, please do a video on tele radiology. Is it more profitable than working at a hospital in pros and cons on starting a radiology private practice? Have you ever considered starting a private practice? Man, that's a loaded question, CJ, but I'll answer it because you hit me with them $10. So tele radiology isn't more profitable than working for a hospital. The two of them are not necessarily separate. So I do tele radiology and I'm an interventional radiologist. So usually about one day a week, maybe less, maybe one day or two weeks I read studies from home at this setup. So technically that's tele radiology, right? And the other day is I'm in the hospital and I work for a private practice that's contracted to the hospital. So you don't necessarily have to work for a tele radiology group like Rad Partners or RadNet or whatever. If you wanted to, you could because they are the ones who only read tele radiology. And we actually have someone in my practice who lives on the West Coast and does 100% pure tele radiology for our practice in New Jersey. The pros and cons of doing that, it's just work-life balance. Some people don't wanna ever go to the hospital or ever see anybody. So they may read from home and it's great. I love my days when I read from home. I wake up at 7.30, I put on my sweatpants, I sit here till like one or two o'clock and I'm done. It's amazing. All right, what else? So the pros and cons of starting a private practice to start a private practice by yourself is, it's not impossible, but it's quite the feat because you have to have connections with the hospital. You have to start this whole thing from scratch, build it. It's a lot to do. I don't even know how you would go about doing it to be honest with you. Have you considered starting a private practice? No, but I've considered, before I took this job, I considered just going and working like a couple of my buddies started a private practice and just get a CRM, OBL is what we call it, outpatient-based lab, and just start hammering out procedures. So hopefully that answered your question, CJ. That's a good question, tough to answer though. It's very in-depth, but let me know if I did a good job there if you want something else. Z, join the family. Thank you, Z, for joining the family. I appreciate it, man. Or a woman, I don't know what Z is, huh? Z, who are you? Show yourself. So thank you very much for joining the family. He joined, and now he's gonna get access to all the membership perks, like his badge, which is an X-ray man, or just a skeleton, whatever. Dustin Butler, hi, welcome back. Thanks, you must have watched my prior stream in which I'd done one, when did I do streams? I did one randomly last week and then I did one scheduled on Sunday. So hopefully you all, you know, I'm on here all the time now. And now that I got this microphone, I'm ready to go. I'm like, I'm basically ninja. And thank you for the 4.99. Misopinionated hits again. Let's see if our questions are good as last time. Do you have any relationships with people who do lives? If no recommend contacting Airline Videos or Emily D Baker, AV and EM, lives three days a week. Do you mean like YouTubers who do lives, or like are you saying I should do lives with other people, or like what do you mean? Do you have relationships with people who do lives? Airline Videos or Emily D Baker? Are those like people who do lives? I don't know. My new member, Z, doesn't need a super jam because they're a member. Does IR also perform interventional pain procedures similar to anesthesia and PM and R? Yes, I do. I do pudendal nerve blocks, CT guided. I do in their alkox canal blocks. I do piriformis Botox injections under CT guidance. So I do those procedures as well. And just remember, IR did all these procedures for everybody. Everybody else just kind of took it from us. All right, let's see if I miss opinion of the answer down here. YouTubers who do lives. Yeah, content creators. Yeah, I need to reach out to them. I'm gonna write those names down. So Emily D Baker, let me find Emily D Baker. Oh, it's like a podcast. Oh, so she does lives all the time, huh? Oh, I like that. I'm gonna start watching her see what she's doing. Get some tips from her. All right, my daddy's super chats are cranking in here. I can't even keep up. Michael Gallamore, I'm a radiography student in West Virginia. Thank you for all your videos. They've been really helpful for me. Thank you so much for that kind words. I really appreciate it. I do that because I wanna help everybody, especially those who are interested in radiology because it's the best field medicine, even though people don't think so. But it is. And hopefully I've been doing a good job helping you guys out and getting you interested in this field. Gotta be the face of interventional radiology on the internet. And diagnostic radiology, I guess. What does he say now? Dang, that's insane. Seems like IR is the future. IR is the future. We're on the cutting edge of all procedures in all medicine. I mean, if IR's not the future, I don't know what is. We do, again, like I told you earlier, I don't know if who was on the chat earlier, but I've spoken to some older doctors and they thought I was crazy when I told them what we do. Some of the embolizations through the wrist. Crazy. CJ Ninja, doctor of disrespect is way better. I looked him up. Who is that? I don't know who that is. I didn't even watch Ninja. He was just the only YouTuber or streamer that I knew. Doctor of disrespect. Let me see who that is. Oh, wait, is this a H3 podcast? I subscribe to the H3 podcast, but I don't know who this guy is, though. He looks hilarious. All right, what else? So should I go over my Instagram from today? Let's do that, and then I'll get back to the questions. Oh, before I do that, I spoke about this on my last live stream. Can you talk about your thoughts on Hasan Minhaj's bit on DO Doctors? I mean, he's a comedian. Excuse me. He's a comedian, so that's his job to make jokes. And I don't know why people really take what he says seriously, that's the goal of comedians. They're supposed to make fun of people and we're supposed to laugh about it. So I don't take things too seriously, and I really don't care if he hates DOs or he hates me. I don't care. I mean, he's just trying to be funny and make people laugh, so that's what comedians do. So I don't get down to shape or stuff like that. I have a long lineage of comedians, not in my family, but I grew up around a comedy club, so I kind of know how comedians are, and that's pretty much the only people in the world that can speak freely. So I think they should speak freely too. I mean, who cares, you know? They're just trying to be funny, make a buck, make people laugh. All right, hopefully I answered your question. Thoughts on residency, oh yeah, Rob Hornberger. So thoughts on residencies, health care systems in North Jersey area, Hackensack, Atlantic, RWJ. So I'm new to New Jersey. I do work for a health system in New Jersey, a smaller one that I don't know if you guys would even know about. But the North Jersey area I'm not too familiar with, but I have a few buddies that work up at the Hackensack health system up there, they love it. Robert Wood Johnson is obviously fantastic. A couple of my buddies work down there as well, and I train with them and I know how good they are, and I actually interviewed at RWJ for residency, and at the time I was living in the South and I wasn't sure I wanted to make them move up to Jersey and fast forward 10 years later here I am, but yeah, Hackensack, I love RWJ and I love the radiology group there, but I think all those are good hospitals. I don't know about Atlantic though. Everything I've seen so far up here has been pretty good. I'd probably go here over somewhere in New York City to be honest with you. Especially if you lived in Jersey. But Atlantic City, there's a radiology group that covers down there. I don't know them very well, but yeah. So hopefully that answers your question, Rob. All right. Bay to O protege, you actually got me interested in IR and now I'm on the SIR Medical Student Council and trying to get the word out about the field too. Thanks. Yeah, I've been trying to get the word out for like years now, and I don't know why the SIR has, they've never contacted me to like do a joint venture, even though obviously I'm the interventional radiologist of social media over here. But if they wanted to, we could do something together, but they never do. So that's that. All right. So let me go over this thing for today. If you guys wanna get my attention, you can super chat me and also join the channel while you're at it. I don't know why you guys haven't joined the channel. I mean, come on guys. All right. So let me pull this up. So this was my, for those of you who don't follow me on Instagram, so these are my stories from today. Let me see if I can pull this up here and put that there. And actually let me see if I can do this that way. Can cover that. All right, so it doesn't matter actually, but I'm trying not to show my followers or anything. We'll see if I can follow. Let me see if I can fix this. Give me a second. We're just trying to fix it. So we can get this working again. All right, Z, what does Z say while I'm getting this set up? Z says, does IR deal along with other specialties like OBGYN, URO cards, et cetera? If IR seen as taking over. Yeah, we actually do deal along pretty well. It depends on every hospital, by the way. But I mean, at the end of the day, a lot of specialties really need us, especially surgical specialties, because we help them out a lot and it's a mutually beneficial thing. We help them out, they help us out if something happens with us. We need them very badly and sometimes they need us to help out on some complications and whatnot. So it's a mutual friendship and we're pretty friendly at our hospital. I know some that aren't, but we're pretty friendly at ours. All right, let me see if I can fix this. Give me a second. Try to see if I can cover up. I guess I can't really, but it doesn't matter. Roberto Medina again. I didn't forget you with the $5. I really appreciate it. You buy me coffee. You don't know it, but you buy me coffee. So I really appreciate it. You're very kind. So let's go over this stage from today. I'm just going to switch over because I don't care. All right, so this is my Instagram. For those of you who don't follow me, DR Chalini. This is my Twitter, DR underscore Chalini. You can find me, guarantee it. Watch this ice coffee podcast, ice coffee hour podcast. It's about investment and stuff and I thought this was a pretty good quote. But then let's go to the next one. All right, so this is the case of the day. So I showed a picture of me biopsying to something on my Instagram stories the other day, which is why you should follow me if you want to see stuff like this. And basically what we were, I was biopsying was the momentum. And it's one of those things you don't really talk about that much. Like no one really knows or cares about the momentum per se. And let me, let me pull this chat box up. Do, do, do, do. I don't know why this is up here. That's weird. So yeah, so the momentum, it kind of drapes over all the bowel and it's kind of anteriorly in the abdomen, kind of just hangs down like this and people overlook it quite a bit because they're like, what the heck is that? So let me show you what I'm talking about here. So can't really see the momentum on a normal person because it's just a thin layer of fat on CT scan. But if there's perineal carcinomatosis, nodularity of the momentum, there's cancer everywhere in the abdomen. You can see it a lot better. Exactly. The momentum can move to help protect parts of the bowel. It's basically like a fat pad that protects the front part of your bowel. So if I were to make an incision along my abdomen and open up the abdomen, the first thing you see is a giant layer of fat that you have to move out of the way to get to the bowel. A lot of people don't know that. They think your intestines just like spill out. So if there's carcinomatosis of the momentum, it's a very thick, nasty-looking nodular and sometimes you're gonna have to biopsy it. So right here, this is a CT scan of the abdomen. So thick, nodular momentum right here. Looks nasty. Looks biopsiable. So I highlighted it here. Did a better job highlighting it here. So what I would do is probably just come in here and just biopsy it. Takes a few seconds. But if it's not this thick and nodular, then it'd be harder to biopsy it as you risk bowel injury. But yeah, so that's that. It's called a mental caking. I put a little picture of a cake there because it's funny. This is the normal. As you can see, it's really thick over here. Nothing over here, normal. And yeah, that's why we biopsy it. So, and that's my video from today. Oh, did you guys watch my video from today? I hope you all watched my video from today. You're watching this stream but you haven't seen my video from today. I just don't know if I can trust you all. All right, so I'll answer a few more questions before I get out of here. What else did someone say? I saw someone ask something about Andriana. Oh, Brenda did. Brenda goes, why is my wife commenting from the other room? So stupid. Who asked something? Someone asked a question for Andriana. Who asked that? I can't find it. Where the heck is it? I saw it. I was like, oh. Technically, your wife is in such great shape. What kind of workout does she do? Hey, what kind of workouts do you do? You wanna come join the chat? Come join the chat. You can make a guest appearance. This chair is the Urdo chair from Autonomous. Why, you have to see the chat. We have a very special guest coming in here. Where do I look? Oh, here. Hi. We're streaming. What else here? Do you wanna answer any questions? I think there were more for you. Okay. She doesn't wanna answer your questions. All right, any more questions before we wrap this up? And two things before we wrap this up. And three things. One. What test? Oh, people are asking about texts. I don't even see that. She's looking at all my, Oh, texts? I mean, the texts I work with literally, I can't do my job without the texts. It's funny how people, they're like, how do you interact with the nurses? Can't do my job without them. How do you interact with the texts? Literally can't do my job without them. An IR text shrubs in with me for every single procedure. They help prep the patient. They help get the patients in and out of the room. Make sure I have all of our supplies that we need. We do the procedure together. They help me out. And yeah, they work the X-ray machine that I don't know how to operate. And yeah, I mean, we're good friends too. It's a very tight knit community, tight knit family and IR. So that's why I liked it. Roberto Medina. I mean, you keep cranking out some big money here. You need to save some money for yourself to get a cup of coffee yourself. You bought me like five cups of coffee now. Incredible, incredible. You're very, very nice, very generous. I really appreciate it. I'm glad you watched the channel. Z says, difficulty getting into integrated IR fellowship after DR. I don't know why you would want to do that. You could just do an ESIR pathway. There's no sense doing a whole IR residency over again. I think that's what you meant. So just do a ESIR fellowship. And no, it wasn't different. That's what I did. But you have to go somewhere that has an ESIR program so it's kind of easier to transition over. But Roberto Medina, I still can't get over you gave me $25 for Super Chat, plus earlier as well. Crazy. All right, what else? Any other questions for me before I wrap this up? Oh, I know what I'm talking about. Where's your coffee? It's 5.45, I'm not, if I have a coffee right now, I'm not going to sleep. So I know what I wanted to say. Geez, I mean, you guys keep cranking out these Super Chats. I can't even, I just can't end the video if you cranked out these Super Chats. Geez, always. So CJ with the $10 hitter says, I read that radiologists can make up the $300,000 a year. How would someone who just graduated work his way up to that? Is it seniority? Let's see, how can I say this? You will likely make more than that regardless of what you do. So most physicians make more than that in private practice, radiologists included. So you don't have to do anything in particular or just have to join a practice that offers you that salary. You don't have to do anything differently. That's just kind of what it is. In terms of seniority, so if you have like a partnership practice, the partners share a portion of the pie. So they make substantially more money than the associates. But that's pretty much how it's structured. So yeah, you do have to work hard to make sure you did, sorry, I'll turn my phone off. You do have to work hard to make sure you are a good candidate for partner because obviously they're not gonna want someone who doesn't work. But yeah, I think that's pretty feasible. I can't get into too many details. But I think you get the hint. Roberto, you tracked me up. Z said, things I meant more so should someone do DR and then find a fellowship or the internet. Oh, I see what you're saying. It depends. I think you should try both. I think you'd be surprised how much you like DR even if you're don't know IR. And what I always say is what do you wanna do when you're 55 years old on the edge of retirement? Do you wanna do diagnostic studies? Do you wanna read from home like I do sometimes? Or do you wanna be like wearing heavy lead for 10 hours a day every single day when you're 50 years old, you know? So if you don't use your diagnostic skills over the course of your life, you're definitely gonna lose them and they're gonna be hard to get back. So I tend to like to do most diagnostic, most IR plus diagnostic. Yeah, K&M hit me with another $2 Super Chat. I probably didn't even come up on the screen yet. No, there it is. I'm going to do, that was the whole point of this. I meant to do the meme review and I just like completely got sidetracked. I don't know why. How long have I been doing this for an hour? I just have so much fun doing this. I just keep going. I don't even care. I'll do a meme review, but you have to be on the next one. Maybe I'll do one like Friday night. Should I do one Friday? No, that's Christmas Eve. I can't do it Friday. But I'll do one and we'll do over meme reviews. We'll do a live meme review of Reddit, I promised him. You just have to remind me because I never really have much plan when I come on here. I just do some stuff. CJ hit me with another $5 header. Please do a video on passing an interview for radiology. Pass the interview. Oh, you know I was gonna do a video on how I got every job or how I got interviewed or how I got every interview or whatever. I was gonna do something similar to that, but I wrote down some stuff for a script for that video. I couldn't really make it work, but I'll try to see if I can come up with something. Maybe if you are a member, CJ, you could've been a member by how many super chats you got. Now, maybe I would've done a live stream on how I got every video. So before we close this out, three things you need to do for me. One, subscribe to my channel if you don't already. Most of you probably are. Two, follow me on Instagram. Three, what's three? Oh, join my channel. Hit the little join button. It's right next to the subscribe button on my homepage, on my YouTube channel. Super easy. You get cool badges by your name. As you can see by Z, you have a little skeleton badge and the longer you're subscribed to my channel, it goes up like Call of Duty. So the final badge will be a shiny gold skeleton badge. You can use an emoji, Z. See if you can use one of the emojis. There's a special emoji. Only you can use. You get access to priority comment responses from me on every video, comment, or post idea, whatever. And I'm gonna do some member only live stream once we get more. See Z hit with the emoji. Only Z can use that. And now KM officially. KM is now a member. Thank you guys for joining the official club here. I appreciate it. So we'll give you some cool perks. You get access to all this kind of stuff and hit the join button and become a Dr. Chalini family member. So that's pretty much it. And if you have any other questions, hit me now or forever hold your peace and I'll see you all. KM got it now too. I have to do some more emojis. I'm trying to think of more IR related emojis I can throw out there. But the syringe, I mean, that's what I use for a living. That's like my tool. That's my hammer. So I had to throw that on there for now. So go watch my video for today. That was my other thing. Go watch the video I posted earlier today and learn something. We'll go from there. All right. As always, gently press the subscribe button. I'll see you all on the next video. Hopefully you all enjoyed this buttery, buttery microphone today. And maybe I'll bring an intro on it for a couple's live stream soon. That'll be fun. Holiday couple live stream? Let's go. All right, I'll see you all on the next one. Bye. Oh, turn on post notifications because I do these like randomly. Today I finished work and I was like, I'm going to stream today. Wasn't even planned. Just did it. I posted a video today too. I'm crazy. I do crazy things. So I'll see you all on the next one, everybody. Bye.