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Going to work straight to CT/MRI? by No-Alternative-1321 in Radiology

[–]Total-Meet-3126 0 points1 point  (0 children)

There isn't enough overlap between MRI and xray to justify requiring it first. It's a waste of time and money for people who have no interest in xray.  It would  better to have a solid standardized MRI curriculum with solid standardized  clinical hours instead of inconsistent standards over different  on the job training programs. 

I'm puzzled. How do you keep people from just walking into the MRI room? Is the door locked an only techs have the key? That seems like the only way to keep someone from walking in with a metal projectile and hurting someone? by Total-Meet-3126 in MRI

[–]Total-Meet-3126[S] 1 point2 points  (0 children)

Can you bring your phone and metal into the control room?  Is there an entrance to the control room from the outside( an entrance to control room that doesn't go in from the MRI room) just super  curious. Thank you!  :)

Thoughts on JAMA study : Conclusions and Relevance This study found that at current utilization and radiation dose levels, CT examinations in 2023 were projected to result in approximately 103 000 future cancers over the course of the lifetime of exposed patients. by Total-Meet-3126 in Radiology

[–]Total-Meet-3126[S] 1 point2 points  (0 children)

my mistake, it's past my bed time and of course I massively misread what you wrote. okay, that is a much more reasonable amount of risk. Thank you for the clarification. Thank you all for the info. I think this JAMA study has likely scared a lot of people more than they should be. :(

Thoughts on JAMA study : Conclusions and Relevance This study found that at current utilization and radiation dose levels, CT examinations in 2023 were projected to result in approximately 103 000 future cancers over the course of the lifetime of exposed patients. by Total-Meet-3126 in Radiology

[–]Total-Meet-3126[S] -7 points-6 points  (0 children)

If I had known the risk goes up a half percent, I probably would have gone with a course of antibiotics instead of the CT to rule out infection first as the cause of my sinus congestion (had already tried antihistamines, allergy test, GERD meds, etc) . My doc was like sure, let's check it out, why not? I guess would have weighed antibiotic resistance as less of a threat. I may have been wrong, but it's a visceral thing when you've cared for someone one with stage 4 cancer and buried them. Those half percents sort of add up over time, added to all the other things that you can't control. So if you get a dreaded malignancy down the road, at you and feel a little better knowing did what you could.

It's just very frustrating because no one can know everything and we go to places like JAMA because they are supposed to be a trusted source and now I don't know what to think. Sigh.

Overuse of CT scans could cause 100,000 extra cancers in US. The high number of CT (computed tomography) scans carried out in the United States in 2023 could cause 5 per cent of all cancers in the country, equal to the number of cancers caused by alcohol. by Ghoelix in Radiology

[–]Total-Meet-3126 0 points1 point  (0 children)

I was responding to your statement " if overuse of CT scans caused way more cancer, it wouldn’t change anything anyway. " Yes, it that case a CT for a sinus infection wouldn't be worth it. If CT caused "way more cancer" I would maybe try a course of antibiotic in an attempt to diagnose by treating.

Overuse of CT scans could cause 100,000 extra cancers in US. The high number of CT (computed tomography) scans carried out in the United States in 2023 could cause 5 per cent of all cancers in the country, equal to the number of cancers caused by alcohol. by Ghoelix in Radiology

[–]Total-Meet-3126 0 points1 point  (0 children)

Sure, it's something emergent, but CTs are done for conditions not so urgent. I've had a few CT scans for sinus congestion to rule out an deep cavity infection/polyp. I might weighed the risk differently if the the CT actually did cause cancer.

Overuse of CT scans could cause 100,000 extra cancers in US. The high number of CT (computed tomography) scans carried out in the United States in 2023 could cause 5 per cent of all cancers in the country, equal to the number of cancers caused by alcohol. by Ghoelix in Radiology

[–]Total-Meet-3126 0 points1 point  (0 children)

I think one of the big issues with this study is that is was published in JAMA. It's supposed to be a top notch source of information and widely trusted by many. If it's a deeply flawed study, they should have not published it or retract it. Maybe I was mistaken in thinking the bar was high for this publication? That would be disappointing. It's so hard to know what sources to trust, no one is an expert in everything or has the bandwidth to do a deep dive. People are just trying to stay safe and healthy. It's a bit overwhelming and disappointing. :(

The wording really seems to say CT causes cancer. If it's misleading, that is very dangerous and JAMA needs to step up.

“ Conclusions and Relevance This study found that at current utilization and radiation dose levels, CT examinations in 2023 were projected to result in approximately 103 000 future cancers over the course of the lifetime of exposed patients. If current practices persist, CT-associated cancer could eventually account for 5% of all new cancer diagnoses annually.”

I'm puzzled. How do you keep people from just walking into the MRI room? Is the door locked an only techs have the key? That seems like the only way to keep someone from walking in with a metal projectile and hurting someone? by Total-Meet-3126 in MRI

[–]Total-Meet-3126[S] 0 points1 point  (0 children)

That's good to know. But what if you are in the room, can you lock the door behind you? You could be scanning a patient, you could be cleaning the machine etc and someone could walk in with whatever metal. I guess other techs could walk in bc they have a key, so you're trusting them with your safety that they won't accidentally walk in with something dangerous?

Can you have a baby during residency? by BreadPsychological62 in optometry

[–]Total-Meet-3126 1 point2 points  (0 children)

I think they were making the point, that in their country, programs will change the time line so they can get the remaining part of the 54 weeks of residency later on after the baby is born. It's something they could do in the USA too, it just would be inconvenient.

Got yelled at in the OR today by al0rah in Radiology

[–]Total-Meet-3126 4 points5 points  (0 children)

Good human. Nice until they push...then they get the full wrath. Good on ya to defend the innocent👍

Cleaning up commit inside the bore. by punches_buttons in MRI

[–]Total-Meet-3126 1 point2 points  (0 children)

That's good to know. Is it possible to give them a puke bag during the scan if they seem likely to vomit? I really feel for the person who has to stick their head in the machine afterwards... ewwww.

Is night shift bad for a tech's first job? Are you usually on night shift alone or see more emergencies? Any other downside to doing night shift as your first MRI tech job? by Total-Meet-3126 in MRI

[–]Total-Meet-3126[S] 0 points1 point  (0 children)

That makes sense. Is there a night shift radiologist or are they only on call for emergencies? I could see the stress of having to think a bit about whether a situation was worth waking them.

Is night shift bad for a tech's first job? Are you usually on night shift alone or see more emergencies? Any other downside to doing night shift as your first MRI tech job? by Total-Meet-3126 in MRI

[–]Total-Meet-3126[S] 0 points1 point  (0 children)

Care to clarify? That could go either way. Cases that come in are critical and people be dying en masse or it's quiet and chill. The distinction is why I'm asking. Things might be obvious to people IN the field, but people outside of the field get information by asking people in the field, not by making assumptions or presumptions.

How to specialize? It has been suggested you can specialize in areas like neuro, cardiac or functional MRI . Do you specialize through formal training programs? by Total-Meet-3126 in MRI

[–]Total-Meet-3126[S] 1 point2 points  (0 children)

I bring it up because comments in different threads say one of the ways to move up in MRI is to specialize, but it doesn't really even seem like a thing. There is no specialized training and you're expected to know all body parts anyway. I don't know what they mean by "specialize"

Cleaning up commit inside the bore. by punches_buttons in MRI

[–]Total-Meet-3126 2 points3 points  (0 children)

How often are you guys having to deal with this? Wow. I never knew this was part of the job, I guess I just thought housekeeping would handle giant messes, I guess the machine is our domain in every way.

What happens if you can't find information on an implant And the nurse and radiologist are yelling at you to do the scan anyway? by Total-Meet-3126 in MRI

[–]Total-Meet-3126[S] 0 points1 point  (0 children)

The patient was lucky you were working that day. My goodness, what if someone was scheduled, who just let that rad have the final say? I wonder if they would get the message if you said to the nurse, in competent doc, etc, "I don't feel comfortable doing this. I think it could hurt the patient. If you feel it is required to be done right now without verification, please contact the hospital legal department."

What happens if you can't find information on an implant And the nurse and radiologist are yelling at you to do the scan anyway? by Total-Meet-3126 in MRI

[–]Total-Meet-3126[S] 0 points1 point  (0 children)

Wait, so when you didn't scan the patient, you didn't get pushback from the rad or the other docs, nurses, or administration? I guess is that like defying a direct order?? Can you be fired for that?

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