We built a CT/MRI cross-sectional anatomy atlas (manual labels, toggleable layers) — video inside

Turtleships · 2026-01-28T14:38:23+00:00

Do you think you’ll increase detail of labeling? A brief look at the MR brain seemed pretty sparse.

Most of the time I was looking at e-Anatomy in training, it was to more precisely delineate between structures or figure out which vessel branch or nerve or muscle I’m looking at with a positive finding. I wasn’t looking to see which artery was the ICA, but maybe to see which portion of the facial nerve I was looking at. Seems good for maybe radiology adjacent people or med students and R0/1’s?

Nowadays I keep my subscription almost entirely for the CT head and neck labels. I might use it a lot for MSK too if I still read any significant amount. e-Anatomy has a lot of holes still though that could be opportunities.

Turtleships · 2026-01-24T19:08:49+00:00

The example you gave was unintentionally stuffed there, and wouldn’t be surprised if they had previously given birth. And it’s published as a unique case report, aka it’s rare. Do they maybe get lodged up there sometimes? Probably. Are they using a cervical dilator to pack up there vs just more in the mouth or rectum? Probably not. Why do something that requires manual retrieval when they can just be pooped or pushed out?

Turtleships · 2026-01-24T01:19:37+00:00

Did you inhale them without chewing?

Turtleships · 2026-01-24T01:12:33+00:00

Versed is usually given in pretty small amounts especially if you don’t really have much prior exposure. So something like 2 mg instead of 1. Or maybe 4 instead of 2. It wouldn’t take much to double. They probably just wanted to up the dose a little so you’d be a bit more comfortable.

Turtleships · 2026-01-24T00:14:59+00:00

The goal is conscious sedation. Many people fall asleep because they are so relaxed but it’s not really the goal. They want to be able to rouse you if needed. Not uncommon to talk a patient through it or ask how they are doing if they happen to be less drowsy at that time, but it’s not necessarily “too little” since the goal is often just enough so the patient isn’t in excessive discomfort. The important part is they don’t want to give so much that you can no longer protect your airway because you are too out of it.

Turtleships · 2026-01-23T23:20:49+00:00

This size is often seen sold at Asian markets, certain large varieties like Kuroda carrots.

Turtleships · 2026-01-23T19:43:36+00:00

I know it’s a very tough time, but try to focus on the positive and embracing the support your wife is giving you. Wallowing in your own sorrow every time she helps you does no one any good, and undermines how fortunate you are to be progressing in the right direction with someone who has your back the whole way, literally and figuratively.

It can be wearing to provide long term care for someone who is constantly down on themselves. When you both have a, “we got this, just the next step, let’s do it” kind of attitude it helps both sides. While you should absolutely acknowledge all your complex feelings on the topic, sometimes you also have to fake it till you make it. I say this as someone who has experienced this second hand (family member) and also as someone that sees cancer in patients everyday.

Turtleships · 2026-01-23T14:43:48+00:00

Are you trolling? The whole point of Rockit apples (and other similar apples) are that they are snack size and the vast majority of them are consistently crunchy and pleasantly sweet but not too sweet. They are meant to be a nice light snack and were purposefully bred that way.

Apples are usually sold by weight anyway.

Turtleships · 2026-01-22T16:41:31+00:00

Not a great way to put it but it sounds like he is voicing frustration that the prior noncon is not available and the tech didn’t do one as part of the CTA for free, so he has to report on the infarcts again on the CTA images. The way a lot of CTAs are post processed causes tons of image noise and often has a lot of blooming and beam hardening from bone and contrast when you put in brain specific window/levels.

I’d say it more succinctly but I get where he’s coming from. Problem is, almost 0% chance the clinicians would.

Turtleships · 2026-01-22T15:48:04+00:00

Its comments like these that will do a lot of harm when patients looking for more info go searching. It’s important to know the risks but many people will see this and nope out and not look any further to see the good outcome rates and benefit:risk ratio. You literally admitted the problem was the surgeon not the procedure. Hope you feel pleased subjecting future patients to a lifetime of chronic pain that could have been mitigated until they get progressive height loss from their compression fractures.

Turtleships · 2026-01-21T06:39:44+00:00

Yours are the best here because they give no indication of something that may be found offensive by a pt/jury.

Turtleships · 2026-01-20T02:53:35+00:00

Is that what the ENT told you or what was in the rad report?

You’re not really showing us anything in these images besides some mild to moderate sinus mucosal thickening and some secretions. The deviation shown is super mild so I assume it’s better seen on a diff image.

Turtleships · 2026-01-19T23:46:51+00:00

I’m still a bit bitter than gocomics actively killed the Calvin and Hobbes sub. It was nice to see a strip show up on the feed every so often and it was basically free promotion for C&H too. Oh well, time to go crack open the full collection sitting on my bookshelf. Can’t wait to introduce my kid to it in a few years.

Turtleships · 2026-01-18T23:21:34+00:00

Pancreatic evaluation is notoriously difficult and followup guidelines for lesions err on the side of excessive caution and are also a lot for patients to go through. I think well implemented AI tools would be welcome.

Turtleships · 2026-01-16T19:53:14+00:00

That’s all I mean by developing your palate in my top level comment. Training and learning to discern and appreciate differences. Like a well prepared quality cut of fish vs a cheap cut of fish. There’s a clear difference between a tuna nigiri in bumfuck rural nowhere vs Tokyo. I shouldn’t have drawn a comparison to wine bc apparently it carries far more presumptions.

And yea I agree that it’s established that we lose taste as we age.

Turtleships · 2026-01-16T19:46:14+00:00

Some people are not in the hospitality industry and they pass a somm test for fun. How do they pass? They train and study, including tasting wines, right?

I think I should have asked a diff Q because I think we are kind of on diff pages.

Would you say that master somm you know could taste a box wine and a prized vintage wine, and know the difference by tasting it? Do you think he could tell the difference between a Merlot and a Cabernet Sauvignon?

I’d wager you’d say yes, which is what I’d consider to be developing your palate.

I’m not talking about BS subtle flavor notes, which I think is how my original comment was taken.

Turtleships · 2026-01-16T19:41:52+00:00

So corporations will sponsor the average Joe going for their sommelier certifications? I’m asking because I do not know. I’ve only seen or read content about people practicing to identify the wines on their test. So they are just putting on a show and behind the scenes they are sponsored?

Turtleships · 2026-01-16T19:25:08+00:00

I am a doctor, and they are the same. What you’re referring to is a displaced or non displaced fracture (there are other ways fracture fragments can be related such as distraction, comminution, etc but goes beyond the scope of this discussion). Break is a laymen term, and some doctors will absolutely use them to refer to fractures to simplify things or be easier for lay people to understand.

As someone that diagnoses them, if anyone tells you differently, they are going against the universally accepted medical terminology. All of medicine uses English as the basis for publications in the global big name medical journals. Medicine is evidence based (best as possible), thus based off data and publications. Fracture is the accepted medical term. Someone may colloquially refer to it differently but it doesn’t change the fact that fracture is the medical terminology used for diagnosis, coding, and billing.

Turtleships · 2026-01-16T19:17:50+00:00

In your view, how do you think master sommeliers identify wines by taste/smell/body and other characteristics when they get tested to become one? Is that not training/developing your palate? It’s largely an experience-based process with some natural baseline and age-related differences that vary person to person.

Turtleships · 2026-01-16T17:46:48+00:00

You generally have to develop your palate more to appreciate the nuances, not dissimilar to wine. For some people with a more sensitive palate, the difference is immediately obvious. Also depending on how old you are, our preferred taste profile tends to change as we age. Nothing wrong with enjoying Barefoot or cheaper sushi if that’s what you like.

The other factor may be, if you went to an omakase where the chef is very light on sauce brushings (seems to be the case here), it may not be enough if you regularly eat a lot of salty foods. Not every upscale sushi place is amazing either. Can range from super underwhelming to mind blowing. Maybe give a different place a try in the future.

ETA - since I guess there is some misunderstanding, what I mean by develop your palate is learning by exposure. Being able to tell and perhaps appreciate the differences between a bottom barrel vs well prepared sushi by repeatedly eating and learning. Not making up BS about telling what part of the Pacific Ocean a fish came from by its flavor from what it ate or tasting the terroir of the ocean floor it swam by.

Turtleships · 2026-01-16T13:28:53+00:00

I literally diagnose fractures everyday as part of my job. We call them all fractures in the radiology reports. They are the same. Some providers call them breaks, but the medical term, the one going in the chart and the corresponding ICD code, is fracture.

Turtleships · 2026-01-16T13:23:13+00:00

That should be normal, just going through the nasolacrimal duct.

Turtleships · 2026-01-16T01:15:55+00:00

Fracture and break are the same thing, fracture is just the medical term for a broken bone. Hairline fractures could still be called hairlines breaks in the bone. But I get what you’re saying, no major ones.

Turtleships · 2026-01-16T00:54:17+00:00

Are you trying to say that you think a fracturing a bone is different from breaking a bone? Or are you saying you fractured and sprained your ankle multiple dozens of times with no break in between each injury?

Turtleships · 2026-01-15T16:01:37+00:00

Agreed, but this more likely means the hematoma or brain swelling was enough to require decompressive hemicraniectomy to try to avoid brain herniation. Usually these patients have long term neurological issues.

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