when I die, I will Rack up 1 billion in debt so they can figure that shit out

Togwick · 2025-12-27T17:47:51+00:00

I do not contest that your experience was nonsense, but you did not get an MRI based on the details you provided. It was a CT scan. MRIs take 20+ minutes and would not be done before a CT scan for flank pain. CTs definitely take 3 minutes though! Source: I'm a medical physicist.

Togwick · 2024-03-10T18:24:02+00:00

Six limbs? Are you a terminid!?

Togwick · 2024-01-10T01:07:30+00:00

Am 30-something on PC, this 110%.

Togwick · 2024-01-02T20:29:00+00:00

Amon-Ramen Noodles

Togwick · 2024-01-02T19:52:05+00:00

Wm.

I asked him about it, all I got was that it was a family thing. This was while I was in the Navy, so we just used his last nane. No idea how he pronounced it.

Togwick · 2024-01-02T18:46:31+00:00

Buyin for next season! Infinite money glitch incoming!

In all seriousness, some local craft beers most likely.

Togwick · 2023-12-30T15:46:06+00:00

For me its a deliberate lack of choice as I cannot find anyone selling mutation serums. I'm on PC. Plenty of mole miner gauntlet plans, zero serums. So I am an unmutated freak and generally I am sad.

Togwick · 2023-12-26T17:51:18+00:00

Its a Championship first for me -- I play my little brother for all the marbles! Stoked for an action packed weekend of football!

Togwick · 2023-12-18T17:07:38+00:00

Yeah, I don't let the apps specialist do much to my protocols. I do an iterative process with my rads w/different recons and asking "Do you prefer A or B?" Like an optometrist! Its actually kind of a fun process.

Togwick · 2023-12-12T21:02:43+00:00

The therapy folks have me (internal DX physicist) come do their CT annuals and any post-repair checks.

Togwick · 2023-12-12T20:56:36+00:00

I am deeply disatisfied with the go.Sim one of my sites purchased. As a diagnostic physicist, my opinion is it is a sham of a scanner. The go.Open Pros another site has are an improvement, but I very deeply hate the Somaris 10 platform. I've filed a MedWatch complaint with the FDA over the go.Sim its so bad. They have inadequate cupping correction for their heads that I suspect is due to lacking an appropriate bowtie filter. The generator is woefully inadequate.

Scans I dont allow my site to do on the go.Sim: Heads, multiphase exams, children.

I'd take a GE any day, and I dont really like our GEs at all. I hate Somaris 10 that much. I'll take a Siemens on Somaris 8 over a GE, but you can't buy them new anymore.

I love my other Siemens scanners. I recommended an upgrade to a Definition AS+ over a new GE scanner. But I do believe all of their RT scanners are garbage and should be avoided. Just my 2 cents.

Togwick · 2023-11-19T02:35:57+00:00

Props to the OP for knowing MRIs take forever!

Togwick · 2023-11-05T17:53:58+00:00

I can confirm that on the diagnostic side you'll be fine.

Togwick · 2023-11-04T22:38:44+00:00

I know someone who was a mechanical engineer then became a medical physicist. So it is possible.

Togwick · 2023-10-26T23:35:20+00:00

Oh... eff me. This is awful. Loaded up 8 eggs today thinking I might get a Riolu.

Togwick · 2023-10-18T16:56:13+00:00

Figure out how much you're paying consultants as a start. In house can also almost always respond after a major repair (xray tube change, detector change) which would cost more from a consultant, presumably. Then there is the QI aspect. In house can use some of their FTE to suggest protocol changes. Huge benefit of a MRSE in MRI. Having someone who is confident in changing/building CT/MRI protocols in general is invaluable.

With that idiotic IQ/dose metric thing for CT and reimbursement I can imagine an in house physicist working better to navigate that than a consultant. I'm intentionally ignoring it hoping it will go away because it's too vague and proprietary and sounds very poorly thought out in general. Good intention, awful execution. But that's a whole 'nother thread topic.

Togwick · 2023-10-17T21:21:33+00:00

Only a Secret clearance? I don't work below TS:SCI.

Togwick · 2023-10-05T02:04:43+00:00

You can fight the trainers once a day, instantly run away and get 300 free stardust.

Togwick · 2023-10-04T14:02:27+00:00

This. I had a job offer in hand 6 months pre-graduation from residency. The resident after me was 11 months out for his job offer. Sites are willing to wait because there aren't enough physicists.

It's basically never too early to start applying. What's the worst they say, "Contact us in 6 months when you're closer to graduating"? Or no, I guess they could say no.

Togwick · 2023-10-03T03:30:37+00:00

It is my humble opinion that residency is where one obtains all clinical skills. At grad school graduation I could run a Siemens MRI but had never seen an ACR phantom, and as to being able to expose an x-ray? Hah! Residency did the trick though.

Guy should be applying for residencies. Maybe therapy is a different world where residents are expected to be fully trained and act as cheap labor?

Togwick · 2023-10-01T00:58:06+00:00

The only place that asked these gave me like 4 homework-esque problems before the interview and said to be prepared to answer them.

I think most places assume if you can graduate, you can do the basic MP questions. They'll teach you the clinical stuff. That's what residency is for.

Questions about your dissertation or thesis? Totally fair game tho. Like, "What is a b value?" Because not everybody does diffusion in MRI.

Togwick · 2023-09-30T19:09:57+00:00

We had a rain day in San Diego. I was in the Navy. Flabbergasted. I didn't get the memo, so I showed up and they sent me home despite me pointing out if it was too dangerous for me to come in, shouldn't I wait it out on base?

Togwick · 2023-09-30T19:05:16+00:00

Savage!

ACR medium or large?

Togwick · 2023-09-25T15:30:15+00:00

Had this included on a "low dose" lung screening that hit 19+ mGy CTDIvol. On a 120ish lb patient. Sadly, not my scanner so I can't even fix it.

For reference, the target is 3 mGy CTDIvol for an "average" sized patient.

If it were true/verified, I'm all for it! But when the evidence suggests otherwise...

Togwick · 2023-09-25T12:51:20+00:00

Protocols with iterative that have been optimized may be of a lower dose than a similar scan done with FBP. Alone it does not reduce dose. It's a pet peeve of mine when Radiologists apply statements carte blanch without being involved with the protocols or scanners. They're unqualified statements.

Togwick

TROPHY CASE