Sole operator: Owning and Operating an Independent Office-Based Lab.

Owning and operating an Office-Based Lab (OBL) creates a unique career, combining the privilege of practicing Interventional Radiology (IR) with the creativity and excitement of running a complex business. No business is more complicated than the American Healthcare system, with a combination of necessary operational systems, government and commercial reimbursement, local and national regulations, an ever-changing landscape, and various patient populations; the business is always shifting. No field is as complex and exciting as Interventional Radiology, with advanced clinical and technical expertise, device development, rocedural ingenuity, and the ability to solve complex medical problems with elegant solutions.

Treatment of inadvertent pericardial placement of a tunneled dialysis catheter by direct thrombin injection.

An inadvertent case of pericardial placement of a central venous catheter was successfully treated by direct thrombin injection.