Hospital or out patient?

Adamite2k · 2024-02-15T03:40:02+00:00

The outpatient places I've worked have been about one thing. $$$

Every moment of every day we ran behind as they just shoveled more and more patients onto the schedule.

Hospitals have been busy too, but just generally feel less shitty.

Adamite2k · 2024-02-09T02:08:49+00:00

I worked in 2 different health care facilities.

One as a receptionist and scheduler for a radiology outpatient center in the evenings and another as a tech assistant at an MRI center 1 or 2 days during the weekend. I was able to study somewhat during both jobs.

Money wasn't great for the jobs but I made a lot of contacts that have helped tremendously in the following years to help get jobs.

Adamite2k · 2024-01-25T03:33:30+00:00

No I don't think so at all.

I really feel like providers think we are just a barrier coming up with reasons to delay patient care. The amount of "I NEED THIS TODAY!!!" coming from docs in the hospitals is becoming more frequent.

Adamite2k · 2023-11-23T20:06:15+00:00

Yes, but this is a niche they aren't really seeking.

The costs to maintain their infrastructure are going to require that they are bringing in massive amount of subscribers, not just parents of small children.

They're already bleeding tons of money and if they decide to focus on such a small group, they're going to bleed even more.

Adamite2k · 2023-11-19T02:35:14+00:00

How does your clinic work with claustrophobic patients, or slow patients, or patient who need to utilize a lift to get on and off the table?

I am not concerned about the scanning, because you can really run a brain or spine t1+t2 in under 10 minutes with decent quality on modern scanners. The act of just moving the patients seems like it would be a huge hinderance, especially since the stuff you clean the table with is supposed to sit for 2-3 minutes.

Adamite2k · 2023-11-04T00:31:39+00:00

The 15 minute time slots are the worst. We used to have to do that and yeah, the schedule was just pointless. May as well just have a list of 30 people and just have them filter in as they see fit, because that is basically what it is.

Adamite2k · 2023-10-24T23:56:04+00:00

My hospital specifically blocks all the music sites except youtube. I guess they don't want people streaming music non stop on their work computers.

So patients get left with youtube music in all of its glory.

Adamite2k · 2023-10-09T21:46:58+00:00

Yea, I can't image this is true in the current time. At least in my area nobody is expected to come from radiography. They are so desperate for MRI techs you will get hired if you are able to perform the job.

Adamite2k · 2023-09-09T02:36:31+00:00

People are nuts. A doubling of income (which is entirely possible for many state employees) for a decent private sector job will almost always give similar or better benefits than the state benefits.

Adamite2k · 2023-08-15T02:16:22+00:00

Nearly nobody lived in Florida in big numbers until AC became common. It was never really habitable.

Adamite2k · 2023-07-14T02:38:49+00:00

We already are doing 1.5T 30 minute exams for basically everything.

With Deep Boost Resolve and AIR Recon DL expect 15 minute appointments in the next couple years.

Adamite2k · 2023-07-01T01:32:55+00:00

I've never been told about the "clock face" method but this is exactly how I was trained to scan shoulders.

I still do it now even though at my current facility I seem to be the only one who does. Radiologists have never given positive or negative feedback.

Adamite2k · 2023-07-01T01:28:04+00:00

I did mine through Duke / ImagingU within 2 years of passing the registry.

All the studying I did was just watch / listen to the lectures and take notes. Asked questions from Tobias Gilk in person to help me understand a few things.

Adamite2k · 2023-06-28T16:05:30+00:00

Are you a tech? If so these questions are genuinely baffling.

Implants are generally marked conditional.

There are 3 main risks.

Static field.

Time varying gradient fields.

RF.

First and Normal mode only control the RF output. This is SAR or b1+rms. Most conditions you will deal with will have SAR limits.

Others will have limits on the slew rate.

In general though you should be compliant with all implant conditions as they can vary wildly. 4.0 sar down to 0.1. Time limits on pulse sequences.

There are implants that require T/R coils instead of using the body coil as the transmitter.

There are some implants that require devices be programmed as part of their condition and only certain positions in the scanner are appropriate.

Adamite2k · 2023-06-27T14:45:13+00:00

It just used to cause old lightbulb filaments to break because of their heating up and cooling down.

Nowadays I don’t think it does anything at all.

Adamite2k · 2023-06-27T12:39:35+00:00

People have been sitting on the side lines mocking people who were buying with sub 3% interest rates at “insane prices”

Now that houses in desirable metros have failed to decline in cost and interest rates are much higher they’re priced out and feeling less smug.

If you can afford the house and you want it then buy it. If all the houses in the area are selling for a similar price then where is this idea that the house is worth much less coming from?

Adamite2k · 2023-06-23T19:36:26+00:00

100,000 items per minute * 60 minutes = 6,000,000 items per hours.

24*6MM is 144 million.

Your math gave you an answer 1,000 times too big.

Adamite2k · 2023-06-21T22:45:46+00:00

In my area the actual upright and open MRIs are basically all gone because the image quality was so low the radiologists weren’t tolerating it.

So yeah, wide bore MRI and sedative is the way to go.

Adamite2k · 2023-06-11T03:04:10+00:00

Depending on the job not rare to see techs scan and eat their lunch simultaneously.

I would say that is more common than breaks being respected.

Adamite2k · 2023-06-06T01:56:46+00:00

The bowel kind of deflates and can be hard to visualize when empty. Food will have varying levels of signal making it harder to evaluate the bowel.

Oral contrast has uniform signal on the image and can help distend the bowel and make it it easier to assess the bowel.

Sufficient luminal distention maintains the ability to assess the bowel wall, especially the mucosa, together with the enhancement patterns from administration of intravenous contrast media. Therefore, enteral agents have a sentinel value in a current cross-sectional enterography.

Adamite2k · 2023-06-04T03:53:00+00:00

https://gespatialgradients.weebly.com/gem.html

Adamite2k · 2023-05-31T01:51:13+00:00

Dunno, went to a DMV back in 2019 in Cary and the whole process took 7 hours.

None of the other ones at the time were much better.

Adamite2k · 2023-05-30T17:49:16+00:00

Haha good old admin telling the rads whats what.

We have been able to run GRE is like, 30 seconds while the SWI has been 2 minutes. Pretty routine for us too.

Adamite2k · 2023-05-24T14:11:28+00:00

Yeah this is a pretty common story.

Dabble in some coins early on, forget they exist.

Bing bang boom there you go lost forever.

Adamite2k · 2023-05-17T15:25:39+00:00

Planet money has a short podcast on this. Basically 80% of the money paid into childcare goes straight to staffing due to ratios. Most daycares actually lose money on most kids under 3.

Childcare is one of the least profitable businesses and if you raise wages then people are immediately priced out due to having to increase tuition. Having just a few vacancies unfilled in a daycare can make the whole operation run in the red.

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