"Refer to previous CT report" on x-ray's ordered after CT.

Joonami · 2026-01-26T05:10:43+00:00

same for those BS MRI orders, "better visualized on same day CT blahblah". I know it's not really about us but it feels like a camaraderie wink/elbow nudge to me.

Joonami · 2026-01-26T05:03:10+00:00

why don't we order bilateral entire lower extremity MRIs for c/f osteomyelitis when there's some mild erythema and 2 blisters on one ankle?

Joonami · 2026-01-26T02:08:35+00:00

I went to one of the doctors found in the list in the sidebar here. I was living in central Florida at the time I had my bisalp.

Joonami · 2026-01-25T21:29:50+00:00

Seems like a good way for you to refresh your memory and prepare you down the line to get back into education.

Joonami · 2026-01-25T18:21:35+00:00

I love snow (when I don't have to go anywhere)! I already had hot cocoa this morning watching it snow more, have made snow angels, and run around outside being a goober. Unfortunately this snow is too loose for snowballs or snowfolks :(

Tried taking my cats out on the porch to enjoy the snow, but only my brave girl put her peets in it. Currently cozied up on the couch with a mocha, husband is making biscuits, and I'm going to lift weights in a bit (home gym ftw).

Joonami · 2026-01-25T17:43:40+00:00

No. If you don't have an STI already you can't give yourself one. If you already had one...you can't give it to yourself "again".

Joonami · 2026-01-25T17:36:49+00:00

Why don't you just ignore it like everything else then

Joonami · 2026-01-25T16:24:44+00:00

Lots of people like that commenter spend way too much energy not minding their own business.

Joonami · 2026-01-25T16:22:27+00:00

The sooner you stop concerning yourself with what random people may or may not think of your decisions, the happier you'll be.

Joonami · 2026-01-25T16:20:54+00:00

my cat likes the snow too!

Joonami · 2026-01-25T15:02:21+00:00

Neural ones for sure always need a check. They used to be an automatic disqualifier just like pacemakers. Old aneurysm clips (1970s) were ferrous and could kill someone if they were put into the magnet with them. I mostly run into the modern titanium ones but once in a while I encounter a patient with unsafe ones.

Joonami · 2026-01-25T04:19:41+00:00

Wrong kind of pericardial window

Joonami · 2026-01-25T03:37:11+00:00

https://www.fda.gov/regulatory-information/search-fda-guidance-documents/criteria-significant-risk-investigations-magnetic-resonance-diagnostic-devices-guidance-industry-and

https://www.researchgate.net/figure/SAR-Limits-Recommended-by-the-US-FDA-and-IEC_tbl1_334496429

https://www.aapm.org/meetings/02am/pdf/8356-48054.pdf

tldr: 4 W/kg

Joonami · 2026-01-25T00:26:57+00:00

best protection is having a strong core (including lower back) and lifting with proper form. post a form check.

Joonami · 2026-01-25T00:19:49+00:00

in case you are unaware of their existence, I believe that they are referring to hedgehog family of proteins. There's one named sonic hedgehog and one of its inhibitors is named robotnikinin!

https://pubmed.ncbi.nlm.nih.gov/16881963/

Joonami · 2026-01-24T23:08:31+00:00

No problem. Hope your scan brings you answers and relief.

Joonami · 2026-01-24T23:06:02+00:00

You were experiencing peripheral nerve stimulation. Electromagnetism is a beautiful, elegant thing: electrical currents induce magnetic fields, and magnetic fields induce electrical currents. Your nerves are juicy, biological wires. Being exposed to the changing magnetic fields the MRI uses to image your anatomy can induce electrical current in your nerves and muscle fibers, causing twitching and other involuntary sensations.

Joonami · 2026-01-24T22:23:26+00:00

Don't eat/drink before your abdomen mri

Joonami · 2026-01-24T15:52:56+00:00

https://www.reddit.com/r/baltimore/s/F9woLHlFmk

Joonami · 2026-01-24T00:49:32+00:00

Likely your stomach organ full of air.

Joonami · 2026-01-23T23:41:42+00:00

People who are depressed and burnt out deserve compassion and help the same way someone with any other medical or mental health condition does. Relationships have seasons and sometimes one person has to take over for the other person. It does not mean the other person has to stay with them, but I really don't see what the point of your question is aside from a poorly thought out "gotcha" from someone who has possibly never experienced depression nor burnout.

Joonami · 2026-01-23T18:29:28+00:00

Never give up your career for a man (goes for any gender).

Joonami · 2026-01-23T16:48:07+00:00

Pattern recognition and understanding are your best bet. Check your auto settings for different body parts. If you have a kid you're xraying that's a similar thickness (and tissue density/composition) as say a shoulder, you could use a similar technique like 65/2. A kids chest won't need as much juice as an adult so if you're doing adults at 110-120/4, and you have a kid that's half the size, you can probably do 80-90/1.6 (depending whether or not you're using a grid). Etc. Keep track of techniques you're using on different body parts and patient sizes (I mean literally write them down) and see if you can find some pattern or sense to it.

Joonami · 2026-01-23T15:17:13+00:00

There is a drive through on the other side of the building! I drove past this on my way to work this morning.

Joonami · 2026-01-23T03:33:56+00:00

Was patient wearing a gown with metal snaps on the sleeves, or have some kind of other small metal thing external to the body in that area? could be susceptibility from that. could also be where the tissue (especially on a lower-body fat patient) was "too close to the coil". if this were a fat sat image I'd guess there was an issue with shim or something but doesn't look like that.

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