I've heard the Go Local refrain, but I lean toward Go Expert instead, along with simply Go Go Go.
Some previous advice from Dr. Sclafani:
If I was an interventional radiologist without any experience in CCSVI,interested to start performing balloon angioplasty, what would be the most important pieces of advice you would give me?
What would be typical mistakes and perhaps harmful mistakes I could make and how can I best avoid making them?
First I would be an interventional radiologist, because that would give me the most experience to prepare me for this work.
then i would read everything i could about this entity because the technical side is not the most difficult. it is getting into a zen with the disease. understanding what problems the veins could have
then i would determine for myself whether this made sense and whether i would be good at this and would be doing good for the patient because PRIMUM NON NOCERE......or first do no harm
then i would find a neurology partner because someone has to prove the diagnosis, and treat the patient's MS
then i would read some more, this time about MS, maybe join TIMS to learn from patients how to deal with their concerns and issue
because there is a human being on the other side of the catheter
then i would look for a seminar where this is taught, and hear from those with experience because people have already learned a lot
then i would really get to know my first patient very well, to make sure that person was courageous, knowledgeable and a true partner because there are political issues, etc that need support
Then i would get an IRB to avoid getting shut down
because getting shut down is NO FUN and causes emotional distress for everyone and because we owe it to humanity to document and report the results and to protect patients
and share with administration because if they do not understand, they will never support this
then i would do my first case because there is a patient on the other side of the catheter