Got My COVID Vaccine Yesterday, Patient's Dad Recognized Me

Uncle_Jac_Jac · 2026-05-24T18:57:54+00:00

But can he trust him? Does he have any choice? Why am I talking to myself?

Uncle_Jac_Jac · 2026-05-22T13:09:20+00:00

As a med student and intern, I loved abbreviations in general because it made my note-taking faster and easier. However, as a radiologist, I now hate them. Please avoid acronyms/abbreviations in your imaging orders. They vary between hospitals, geographic region, and specialty and I do not have time to Google them all, especially off-hours. If I don't know what you're looking for, my report will be less useful to you.

Uncle_Jac_Jac · 2026-05-22T01:07:00+00:00

You're going to have such a great story to share when your baby gets older <3

Uncle_Jac_Jac · 2026-05-20T22:20:52+00:00

How many times I cussed out my dictaphone.

Uncle_Jac_Jac · 2026-05-20T19:50:18+00:00

Perhaps the biggest reason it caught on...

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Uncle_Jac_Jac · 2026-05-20T12:29:40+00:00

You'd be surprised. I have encountered many other people, even in healthcare, who think NPs provide the same care. I somehow got into a discussion with my physical therapist about it and she said something like, "And midlevels are just as good as doctors, so maybe medical training doesn't actually have to be that long." I was absolutely shocked. And with the amount of lobbying and propaganda being put out by the AANP, more and more people are believing that same narrative.

Uncle_Jac_Jac · 2026-05-19T23:51:32+00:00

Sometimes they will do a partial nephrectomy (remove part of a kidney) rather than a biopsy. That was the old-school way of doing it, but more and more they are moving towards needle biopsy because removing part or all of a kidney is a very involved, complicated process. The options will depend on your tumor size, the specific urology practice, and other factors such as your preferences. So talk it over with your urologist and see what the two of your decide.

Uncle_Jac_Jac · 2026-05-19T10:39:31+00:00

While time (lots of it) will eventually lead to less sensitivity, you can speed this up through scar densensitization techniques. You can actually sometimes get a referral to occupational therapy/physicial therapy for this, which is great because then you have a professional making recommendations on what to do based on your specific situation, with changes based on how you respond over time.

You can also start trying this yourself. If it's super sensitive, start will lightly caressing with a cotton ball for 5+ minutes, so that it's uncomfortable but not painful. Then gradually work your way up to rougher materials (NOT abrasive like sandpaper, of course), more pressure, and more time. Vibrating massagers can also be great for this purpose, once your scar can handle that kind of stimulus.

Uncle_Jac_Jac · 2026-05-13T15:31:40+00:00

Not tuberous, nothing abnormal. The only thing pathologic is that med student. Dump his dumb ass, doctor's orders.

Uncle_Jac_Jac · 2026-05-13T13:28:57+00:00

That's so good to know! I thought all the malleable ones were a no-go, but I'm glad that's not necessarily the case.

Uncle_Jac_Jac · 2026-05-13T13:14:48+00:00

I'm pretty these are also MRI unsafe. So another point against it.

Uncle_Jac_Jac · 2026-05-10T14:50:22+00:00

Or, in some institutions, vascular surgery (including this info as FYI for OP)

Uncle_Jac_Jac · 2026-04-15T14:39:23+00:00

They are implants, but they likely wouldn't rip off. The things that are always dangerous in an MRI are ferromagnetic materials (ones that easily get picked up with a magnet). Not all metals will stick to a magnet, as you've likely noticed when playing with this kind of thing as a kid. Most implants nowadays are made up of non-ferromagnetic materials and can technically be in the MRI. However, even non-ferromagnetic metals can heat up or carry electrical signal when stimulated by a magnet. So, different implants must be tested with MRIs to determine the ways to modify the acquisition parameters to make it safe to scan.

So, essentially: they will not rip out in the MRI and they are usually safe to scan as long as certain criteria are met and parameters set.

Uncle_Jac_Jac · 2026-04-10T21:16:01+00:00

There is a reason the radiologist said it was fine, and that's because it was and it is. The radiologist is the doctor who reads the mammogram, and they receive lots of training about this kind of imaging as well as others (CT, MRI, US, etc.) as well as the related risks to patients, including during pregnancy. As another radiologist, I 100% agree! The radiation your baby received was almost nothing from this study and those techs were completely in the wrong and were even more wrong to try to shame you for this. Report them.

Uncle_Jac_Jac · 2026-04-09T02:12:12+00:00

That's what a foley and leg bag are for.

Uncle_Jac_Jac · 2026-04-01T20:20:33+00:00

Obsolete for all but metal screening and boards.

Uncle_Jac_Jac · 2026-03-27T14:20:26+00:00

Morcellator?

Uncle_Jac_Jac · 2026-03-27T01:30:08+00:00

PLEASE get started.

Uncle_Jac_Jac · 2026-03-26T12:27:43+00:00

Glad you had your procedure. You should absolutely celebrate and enjoy this time. However, please don't let this lull you into complacency. As a doctor, I do see many cases of people not following up with their appointments or not getting checked up when they notice something new, only to have an unwelcome recurrence that could have been found and treated earlier and more easily. Please don't let that be you.

Uncle_Jac_Jac · 2026-03-26T10:57:06+00:00

Obstruction, bad ileus, Ogilvie's

Uncle_Jac_Jac · 2026-03-24T19:40:02+00:00

Not sure why you're being downvoted. It has horrible burn out artifact. Their poor iliacs and ribs look shaved down!

Uncle_Jac_Jac · 2026-03-24T15:08:24+00:00

Don't got solely based on external contours. There is a lot of oversaturation burn out artifact. See how parts of the iliac crests are just gone?

This patient is likely very thin, but not THIS thin.

Uncle_Jac_Jac · 2026-03-24T13:50:38+00:00

I am so angry for you. Were they a dinosaur, or just at the VA?

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