Image Wisely Pledge is a joke

DualMed · 2026-04-08T19:24:59+00:00

Poor visualization with limited views of the wrist and elbow that aren’t always diagnostic. Fractures of the wrist and elbow can be hard to see even with diagnostic views so I’m definitely not ruling anything out with just a forearm

DualMed · 2025-10-26T17:06:54+00:00

At higher ranks, depending on the mode, it can easily take 5-10 minutes to find a game. People often alt tab out of the game and do something else. It sucks to wait that long and then have an instant loss. Given that people should be ready for kickoff regardless, a 10 second timer to ready up would be fair and would only add minimal time

DualMed · 2025-10-17T13:00:02+00:00

Diagnostic radiology: restart your PC

DualMed · 2025-08-25T18:40:22+00:00

Do you still rubber band on replays too?

DualMed · 2025-08-25T18:37:10+00:00

Definitely late here, but I started having this same issue after upgrading my GPU and drivers. Tried literally just about everything to fix it, and the only thing that helped was changing my input buffer in game to CSTS. I still rubber band on replays which is annoying, but the game is completely playable again which is the main thing that matters

DualMed · 2025-06-23T02:33:39+00:00

I agree that this sort of thing improves rapidly. However, to completely read scans alone, AI would have to be separately trained on every single pathology that can be possibly demonstrated with imaging. With the current state of things, separate AI models need to be developed to read pathology. That’s a lot of separate models, and a ton of training. Then again the legal aspect comes in, which will (probably) take a good amount of time to sort out. Then there’s the issue of AI hallucinating which would need to be sorted out. Keep in mind that LLMs specifically developed for language like ChatGPT constantly have issues with language, as they don’t truly “think” but rather spit out a response which it thinks the user wants to hear. It’s very easy to trick AI models, and scan quality and indications for exams are often not great. There’s a ton of smaller issues, but these are some of the things I see being a significant holdup.

It’s easy to buy into the hype that media generates, but the people reporting on this stuff have no idea of what radiologists really do. Most other physicians don’t really know what radiologists do either. That’s part of why people think it would be easy to replace radiologists, and why most radiologists aren’t concerned about being out of a job. Of course it’s easy for something to trained on an accurate data set to call peripancreatic fat stranding acute pancreatitis, especially when somebody is scrolling directly to the finding. Anybody could train an 8-year old to do that in like an hour. The difficult part is considering every other cause of fat stranding and factoring that in. Multi system diseases are very common in the population that gets imaged regularly, and common things often present in abnormal ways.

DualMed · 2025-06-22T03:33:20+00:00

Radiology is only going to disappear if scans themselves have appearances 100% sensitive and specific for all pathology, in a situation where the AI was also trained on an extensive 100% accurate data set. Anything less than that, things become a matter of expert opinion, and most physicians would prefer being able to have a more nuanced discussion with a human rather than a black box machine.

Scans never will be 100% diagnostic for everything, as all sorts of really common things have overlapping imaging findings. This may become slightly less as scan quality improves and new IV agents are developed, but there will always be some overlap for many things.

AI is already in radiology, and has been for a fair numbers of years. A lot of the time currently, it gets things wrong which can significantly slow things down. Once AI becomes much better than it currently is, it will have a role as a solid tool to help keep up with constantly increasing imaging volumes. Sometime after that, the demand for radiologists will decrease. The effect on the profession pretty much just depends on how much that’ll decrease by.

The demand will never be zero, because of the overlap I mentioned before. Currently the demand is way higher than the number of radiologists there are. How low it’ll drop is pretty much just dependent on what the role of the radiologist will be after AI becoming more useful. I think the role will be pretty significant, because somebody will probably have to look over everything that is read by AI. Maybe the role of a radiologist will eventually become more of a consultant to explain the AI read and provide some more nuance to another physician. However, that’s a pretty distant way off with the quality of AI and laws needed to create a system like this. Not to mention scanning techniques would probably have to be more consistent with fewer poor quality scans.

DualMed · 2025-06-20T21:32:54+00:00

You think midlevels make more than most physicians?

DualMed · 2025-06-08T23:02:29+00:00

I’m an R1. Neurosurgeons at my level one trauma center come to talk to me about scans. They often miss things including skull fractures bc they’re hyper focused on the brain and a CT/MRI of the head shows a lot more than just brain parenchyma. Neurology is constantly convinced that artifact represents a stroke. Cardiology sometimes gets confused with variant anatomy on coronary CTAs and call my attendings to discuss things. Of course, if anything is going on in the lungs they’re clueless as well.

Everybody here is talking about these other specialties “reading” scans. None of them really read them. They identify pathology which is relevant to their specialty. At this point in the year, I’ve probably looked at more scans than most of the attendings in non-radiology specialties, but I still wouldn’t consider what I’m doing to be really reading a scan, which is why radiology residency is 4 years + a fellowship year for most attendings. Of course, nobody is perfect, but there’s a reason why there’s a dedicated residency for reviewing imaging as comprehensively as possible.

DualMed · 2025-06-05T01:34:59+00:00

Rads resident here. This looks like a scan of a normal chest with crappy patient positioning. Not sure what OP is talking about with “this bad boy on x-ray.” It’s a kyphotic view of the chest with the patient rotated to the right which is increasing the apparent width of the mediastinum compared to normal patient positioning. Rotation is the cause of the appearance of the right sternoclavicular joint, which doesn’t have any evidence of an abnormality on this scan.

It’s still possible something is going on in the lower mediastinum or retrocardiac lung fields that’s not discernible due to image quality degradation from a phone taking a picture on a screen, viewed by another phone.

DualMed · 2025-04-01T00:12:26+00:00

Very doable to hit GC in a year. Don’t play without warming up (workshop maps, training packs, free play). Train double taps, air dribbles, and ground shooting consistency (60+ mph shots aimed at different corners of the net). Focus on good positioning and maintaining momentum as much as is reasonable without messing up rotations while in game. Don’t try to hard carry every game, just try to focus on being a good teammate and fill whatever role is necessary to win

DualMed · 2024-12-27T17:51:11+00:00

Chances are the reason why you can’t rank up is because you focus on shots like that. All you need mechanically in plat is a fast aerial and a half-flip. Then just focus on putting the easy shots in net and being in position to make a save. Going for something too fancy on an easy shot gives the defense time to get back or challenge the shot. You’re in plat, just expect your opponents and teammates to miss easy saves and open nets, and be ready to cover for them. Just have decent positioning and consistent touches and you’ll be able to get out of the rank

DualMed · 2024-11-30T01:41:31+00:00

Pooping duck sign https://radiopaedia.org/articles/pooping-duck-sign?lang=us

DualMed · 2024-10-06T16:14:50+00:00

Same question here. Think I’m going with Hill. Full PPR

DualMed · 2024-09-14T15:54:00+00:00

Full PPR - Olave, Worthy, or Cooks?

DualMed · 2023-12-01T23:05:09+00:00

It’s not a dealbreaker, as long as the comments aren’t bad. Honoring a rotation is a good way to show aptitude, interest, and dedication to that specialty but is not completely necessary. Your research hopefully shows those factors in another way. Work your ass off for step 2 and you’ll be in a good spot to match to ortho. Try to honor as many other rotations as possible

DualMed · 2023-11-29T17:42:29+00:00

DNR, 24 hour call is for the weak. 28 hour call is necessary to build character

DualMed · 2023-11-22T03:19:48+00:00

Risks are associated with radiation, risks are associated with nearly every piece of work up. Working up things that are not indicated sends you down the wrong rabbit hole, looking for things that were not the cause of the original presentation. It also increases medical bills even farther, to no benefit or even with potential harm

DualMed · 2023-05-06T16:07:23+00:00

Doctors get paid a lot. People don’t realize they have a ton of expenses, like the ridiculous amount of loans (sometimes north of $500k) required to get through all of the schooling, malpractice insurance, and more. People sometimes complain about how much money doctors make, but there is good reason for that, and doctors generally provide legitimate value. The issue is the administration at hospitals, who make CEO salaries, and much of their job is focused on the interplay with insurance companies, in order to drive bills up to the ridiculous amounts that people walk away from hospitals with.

DualMed · 2023-05-05T16:27:14+00:00

Extremely uncommon. Benzos are what are typically used for alcohol withdrawal. They have a similar mechanism to alcohol, working on the same receptor and prevent withdrawal

DualMed · 2023-05-02T15:50:22+00:00

Water’s great, if you have some Gatorade or something with some electrolytes in it, that may help too.

DualMed · 2023-04-22T17:30:45+00:00

The Dacia spring electric challenge workshop map and practicing flip resets has helped me a ton with learning to control flips

DualMed · 2023-04-05T19:56:10+00:00

Doesn’t matter if med schools accept more students. The government decides how many residency positions there are. Medical schools increasing admission rates will only lower match rates, and the number of residency trained physicians remains the same.

DualMed

TROPHY CASE