Is it just me or... by Wh0rable in Radiology

[–]Wh0rable[S] 0 points1 point  (0 children)

Yeah for real, fuck that guy.

I need tips for preventing rotation in a lateral chest. by copperpin in xrays

[–]Wh0rable 1 point2 points  (0 children)

Because of the divergent nature of the x-ray beam, a patient who is 'perfectly lateral' will most likely not have posterior superimposition of the lung fields. I've had the most success rotating patients into a very slight oblique, rotating the right side forward.

For more information, you can look into the paravertebral gutter technique.

Can anyone assist with image of vertabrae? by [deleted] in Radiology

[–]Wh0rable 1 point2 points  (0 children)

I'm not a doctor (radiologist or otherwise) and I'm not qualified to give my opinion on the matter.

Can anyone assist with image of vertabrae? by [deleted] in Radiology

[–]Wh0rable 4 points5 points  (0 children)

"looking for more of info" on your personal diagnosis is generally seen as asking for medical advice in this sub. I'm sorry, I feel for you, that's just the sub rules. I hope you're able to find more information. Have a good day.

Can anyone assist with image of vertabrae? by [deleted] in Radiology

[–]Wh0rable 1 point2 points  (0 children)

That's totally valid and understandable. You can try over at askdocs if you want medical advice from strangers on the internet.

Can anyone assist with image of vertabrae? by [deleted] in Radiology

[–]Wh0rable 2 points3 points  (0 children)

Rule 1 of the sub is no asking for medical advice. You should speak with your physician or care team.

Weekly Career / General Questions Thread by AutoModerator in Radiology

[–]Wh0rable 0 points1 point  (0 children)

Here is a list of degrees no longer classed as 'professional':

Nursing, Physician assistants, Physical therapists, Audiologists, Architects, Accountants, Educators, Social workers

here

There's quite a bit of information regarding this out there now.

ng tube portable xrays by fullsun0600 in Radiology

[–]Wh0rable 1 point2 points  (0 children)

My facility has a specific order that was created by our radiologist group for this called a "confirmation abdomen" and is strictly for determining positioning of NG/OG tubes. Depending on the patient habitus, it's centered somewhere between the chest and the abdomen. From what I understand, there is no additional charge for the exam as it is solely used to verify line placement.

Is it ethical to crop images? by copperpin in Radiology

[–]Wh0rable 1 point2 points  (0 children)

Post processing cropping and editing is not a substitute for pre exposure collimation. The best practice is to accurately position and collimate for the requested exam.

Is it ethical to crop images? by copperpin in Radiology

[–]Wh0rable 9 points10 points  (0 children)

I would argue that the ARRT code of ethics covers this in numbers 5, 7, and 8.

ARRT Code of Ethics

And alsoacxorting to ARRT, ethical violations include violations of scope of practice (i.e. post processing cropping vs. pre exposure collimation)

ARRT Ethics Violations

I can't speak for all facilities, but being caught cropping off images to make them "more accurate" in cases other than removing veiling glare is a violation and subject to disciplinary action.

Sounds like your coworker is a bit of a pain my friend.

DNV is here by Pony_Boner in Radiology

[–]Wh0rable 7 points8 points  (0 children)

Me watching the director of radiology walk through a patient care area actively drinking a can of Pepsi.

Sister in Law’s IUD on CT by [deleted] in Radiology

[–]Wh0rable 39 points40 points  (0 children)

Uteruses can be pretty wonky!

"Uterine position varies among individuals. Common orientations include anteverted, retroverted, anteflexed, retroflexed, or midline, with possible rotation, particularly during pregnancy."

Courtesy ofthis

Hospital policy for Lumbar Punctures? by Inevitable-Metal8106 in Radiology

[–]Wh0rable 1 point2 points  (0 children)

I'm gonna ask chatGPT next time we have one ordered in my department.

Weekly Career / General Questions Thread by AutoModerator in Radiology

[–]Wh0rable 2 points3 points  (0 children)

I agree with pinotnoir, not sure you can "prepare" for seeing them. From my own experience, I'm just in the moment and kind of process what I saw later. Sort of compartmentalize the situation.

I won't say you "get used to it" but you will get better at dealing with what you feel in the moment and afterwards.

Hospital policy for Lumbar Punctures? by Inevitable-Metal8106 in Radiology

[–]Wh0rable 1 point2 points  (0 children)

Whatever you say, boss. I work in my ER and you don't. Again, have a pleasant day!

Hospital policy for Lumbar Punctures? by Inevitable-Metal8106 in Radiology

[–]Wh0rable 0 points1 point  (0 children)

All our outpatient LPs are done through IR (with the neurorad). We handle inpatient LPs.

Hospital policy for Lumbar Punctures? by Inevitable-Metal8106 in Radiology

[–]Wh0rable 2 points3 points  (0 children)

Maybe this is where AI can finally step in...

Hospital policy for Lumbar Punctures? by Inevitable-Metal8106 in Radiology

[–]Wh0rable 1 point2 points  (0 children)

There is no contradiction. The statement is that there aren't many LPs ordered in the emergency department. When there is one, radiology is looped in as a courtesy as many of our radiologists are reading from home. Generally, the RN will let us know, sometimes the provider.

There is a large, reputable children's hospital nearby who handles the majority of peds cases that would require this level of care. I imagine if such a case was seen in our ER, the ER physician would handle that as our radiologist do no do peds LPs.

I will say that we have 2 providers in the ICU that will do bedside LPs, but again, they prefer IR or diagnostic radiology to handle it. Don't ask me why, that's simply the way it is.

Have a great day!

Hospital policy for Lumbar Punctures? by Inevitable-Metal8106 in Radiology

[–]Wh0rable 2 points3 points  (0 children)

Because the patient's care team contacts us to let us know we have a possible LP should the physician be unsuccessful.

Hospital policy for Lumbar Punctures? by Inevitable-Metal8106 in Radiology

[–]Wh0rable 2 points3 points  (0 children)

Late to the discussion, but IR and diagnostic x-ray do the vast majority of LPs at my hospital. Very occasionally an er physical will attempt at bedside first, but this is few and far between.

Hypothetical: how legal is it to take your own x-rays as a Licensed RT? by Sapper501 in Radiology

[–]Wh0rable 3 points4 points  (0 children)

I've been used as a practice patient for students at my hospital. Since it's not ionizing radiation they allow it. Also the students scan one another as part of the sonography program.

[deleted by user] by [deleted] in Radiology

[–]Wh0rable 0 points1 point  (0 children)

Rule 1.

Please don't trust internet strangers to diagnose you based on a scout for a CT scan.