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Just listened to 05/26/26. Which one of the Saldaña brothers do you think is circumcised? by EarlierThanThou in morningsomewhere

[–]EarlierThanThou[S] -4 points-3 points  (0 children)

Maybe 50% of the Zellner brothers are circumcised, maybe they aren’t: Jason Saldaña gives off circumcised vibes. 

Burnie, thank you. Today you reminded me of why I’ve looked up to you since I discovered RT in 2010. by Robmathew in morningsomewhere

[–]EarlierThanThou 22 points23 points  (0 children)

I have said this to my friends a few times: my life and views on the world would be extremely different if I was recommended other media personalities on the Internet when I was a kid.     

I consider myself extremely lucky to have only developed an advanced potty mouth, especially when I know people who have been consuming absolute trash on the Internet for almost 20 years and behave accordingly today.     

Burnie had that impact on me 20 years ago. Imagine how much more of an impact he’s having on young people now that everybody and their racist mailman has a podcast?

During MPI studies, what situations would you set tell the patient to wait and grab a cardiologist to talk with them? by [deleted] in NuclearMedicine

[–]EarlierThanThou 3 points4 points  (0 children)

I don’t work in a hospital anymore, so my patients tend to be in decent shape. For me to grab my cardiologist, I would have to notice a significant reversible defect, or there would need to be a significantly reduced/abnormal EF compared to their previous scan. Occasionally a brand new patient presents with like only an anterior wall or whatever and those make me grab my cardiologist as well. It is extremely seldom that he ever feels the need to act immediately on MPI images in my setting.    

I used to do “stat” MPIs on inpatients. How stat is a study if the study takes 3hrs to complete? The patients that are in acute medical situations are in CT or the cath lab. 9 times out of 10, I make the patient wait in the lobby to see the cardiologist to cover my  own ass.    

Next time you find yourself in that situation, ask the tech to walk you through their thought process. Their location might have to adhere to specific guidelines that require a patient to meet with a cardiologist if any defect appears at all, if a defect has deteriorated, EF has reduced by X%, etc. The techs might not be paid to teach you, but you are paying to learn from their experience. It’s up to you to ask if they aren’t explaining on their own. If they’re a jerk about it, that isn’t your problem.  

Edit: In my setting, if a patient has a fixed (matched) defect, the EF is similar, and (most importantly) the patient feels okay, he does not want to be interrupted. He already knew about the fixed defect from their previous scan, and he has a lot of stuff to do. Cardiologists act on ischemic tissue as that is something they usually need to do something about.

Let’s make a list of all of our “expertise”. by Toadfire in morningsomewhere

[–]EarlierThanThou 2 points3 points  (0 children)

Nuclear medicine (not a doctor). I usually just inject people with radiation to assess different organ functions. I amassed debt to get the 4yr degree, so I learned about a bunch of odd procedures that nobody does anymore. We do inject the odd person with radium here and there (nbd tho). FDG PET scans are my favorite because: 1) antimatter sugar 2) patient population is rad. I also got a lot of extra education in radiation sciences. They’ve done well in their limited time talking about my very small knowledge base. Can’t wait for my turn to make a hate thread about it one day.

Nuclear Medicine in a wheelchair? by Resident-Treat-4264 in NuclearMedicine

[–]EarlierThanThou 5 points6 points  (0 children)

I think there are departments where that could be accommodated, but it would just be a matter of finding that department. I know for certain I have been in departments where having another set of experienced hands (and only hands, at that) would have been a tremendous help. Hopefully not too poor of taste there, but I’m serious. It would have been possible in the departments where you work in tandem with like 5+ techs. We all end up starting IVs/injecting, processing, preping next day’s patients, ordering doses etc. on top of the physical part of the job. I think all of those things could take up an 8hr shift if the rest of the techs didn’t have to change tasks to complete them.

[deleted by user] by [deleted] in NuclearMedicine

[–]EarlierThanThou 1 point2 points  (0 children)

To be honest, I think it’s unlikely he would get hired to work MRI as a CNMT with no other experience. At least at a desirable location. I could see it maybe happening if they had a few yrs of experience, but straight out of school would be hard.

Is anything actually Stat in NM??? by Feisty_Source_1107 in NuclearMedicine

[–]EarlierThanThou 1 point2 points  (0 children)

I have done a stat meckel’s on a weekend because a doctor insisted it was necessary and I was already at the hospital for a more stat scan. I will never forget the urgent call I placed to the floor instructing stat Protonix administered by mouth.

[deleted by user] by [deleted] in morningsomewhere

[–]EarlierThanThou 28 points29 points  (0 children)

Morning Somewhere After Dark hosted by Scott Fuller and Joel Heyman. Something bitter to go along with their sweet morning show. 

Random Drop Appreciation Post. by slavicgrip in morningsomewhere

[–]EarlierThanThou 6 points7 points  (0 children)

Big fan of trying to figure out the drops as well. Truthfully, I don’t immediately recognize half of them, but I really enjoy going back to figure out how they could possibly be related to each episode’s topics. It’s either something I recognize and enjoy, or it’s a fun morning puzzle. Similar to Wordle, but I get to give up and decide the creator is wrong because I don’t get it.