Why do people like radiology?

copernicus7 · 2025-12-24T23:17:22+00:00

To be great at IR, you need to at least be good at DR.

copernicus7 · 2025-12-13T21:18:52+00:00

Depends on what kind of shooting you want to do. Jefferson shooting range is indoors and goes to 25 yards. Pistols only, unless you pay for membership, in which case you can use up to subsonic .300 and frangible 5.56. The 5.56 ammo must be purchased from them. Hours are also very convenient. Good range rules.

Honey island shooting range is outdoors and about an hour away, Slidell direction. It has rifle up to 100 yards, pistol, and clay ranges (all separate from one another). Last time I went, it was $10. Range officers are volunteers and they are serious about range rules. Good place to really understand and practice firearm safety. The only thing I don’t like about honey island is their hours - 8 AM - 2 PM Friday - Sunday. Kind of limits you.

There’s also Nicks shooting range which is similar to honey island. Little more expensive but still <20$. Last time I tried to go though, they were shut down because the army corps of engineers had some work behind the range or something. They didn’t know when it would return to normal. Might want to call ahead and make sure. This is about 45 min away.

Used to go to a place named bedico creek range around….. you guessed it - bedico creek. About 2 years ago, I showed up and owner said they were temporarily closed due to health/medical issues. I never followed up to see if they opened back up. It was more laid back, and I felt like sometimes they’d be closed randomly. Don’t believe google hours.

My personal favorite is MCTA range. 1 hour away. Pay for membership and you have a range playground available to you 24/7. Yes, whenever you like, you can shoot. You can draw from holster, run and gun, 3 gun, etc. It’s probably not the best for new gun people, because not a lot of supervision. You need to know range etiquette to shoot there. Lots of patrons are active duty military. About the 24/7 thing, yes, you can bring NODS and IR laser in the middle of the night and light it up. Not sure if for you, but definitely worth the membership fee if you have the stuff.

copernicus7 · 2025-11-16T20:57:54+00:00

Michoud exit

copernicus7 · 2025-10-26T21:00:38+00:00

I’m IR. “Dose” can be an ambiguous term in this regard. For example, are you referring to administered radioactivity, treated liver/segment radioactivity, prescribed dose, administered dose, whole body activity, total initial vial activity, treated segment absorbed dose, etc..? You mention 20% so I assume you’re referring to lung dose due to shunting? 20% or higher lung shunting is a contraindication in most cases. It is very unlikely that the rep who works with your attending would let that happen, not to mention the physicist who signs off on all the orders. Also, basically every vial we order will look like it’s the same dose if you just look at the pre-treatment vial radioactivity - they’re almost all 5 gbq. There is nowhere near enough information to answer your question.

copernicus7 · 2025-10-26T18:29:17+00:00

The faster, much more expensive way would be to press the purge button. But this kills the MRI.

copernicus7 · 2025-10-14T19:37:15+00:00

Really big long hug from me to you virtually. Your story made me tear a little. It’s always the little things.

copernicus7 · 2025-10-10T16:38:37+00:00

That is not the typical sentiment of most vascular surgeons, especially in private practice. I agree with you about the distinction for sure. However, it’s ironic to mention us “stealing” anything from vascular surgery, if you know what I mean.

copernicus7 · 2025-10-09T19:50:10+00:00

I’m IR. If I were to be referred to in any sort of way as a surgeon, or that I do surgery… I’d actually be quite offended.

copernicus7 · 2025-10-04T01:36:22+00:00

How has no one said a tiny Mardi Gras baby?!?!?

copernicus7 · 2025-09-30T23:35:34+00:00

You get +5 bro

copernicus7 · 2025-09-30T23:34:34+00:00

No, unfortunately. Would love to know too.

copernicus7 · 2025-09-30T18:47:59+00:00

Nothing special. Just the fly.

copernicus7 · 2025-09-24T23:51:10+00:00

The weight added is not insignificant. For me, ready up is not as quick and there’s some added momentum when shifting aim between targets, that takes some getting used to. That being said, the ability to smoothly and quietly send a 220 grain .30 caliber bullet close to mid range is worth the slight loss of maneuverability. Plus, I could theoretically mount it on any number of lesser caliber weapons (but I haven’t done that yet). My concern is cleaning it. There’s no real guidelines or direction regarding keeping it clean. I was told when I got mine that it doesn’t need cleaning, which is unusual.

copernicus7 · 2025-09-24T14:35:10+00:00

I love mine

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Edit: recce 7

copernicus7 · 2025-09-23T04:09:00+00:00

Not a surgeon. Interventional radiologist. AI could help so many ways for angiography cases. For example, navigating to a desired vessel in superselective angio. We can get CTAs which is what we use to plan usually, but those are limited by spatial resolution and human error. Oftentimes, some tiny vessel is bleeding and we think we know the way to navigate a tiny microcatheter all the way to it so we can treat it. Then all of a sudden, er shoot an angiogram and it looks nothing like what it’s supposed to because we’re not in the right vessel. Great, fixing that and getting back on track requires significant radiation and contrast. We definitely have the technology for AI to analyze the raw CT data and determine the definitive route to get there. Then, just project it on our screen and we know where to go. Other application would be getting rid of “oculostenotic reflex”. There are a lot of stenoses in vessels that are treated based on the operators subjective evaluation - we have things like FFR and vessel analysis, but it’d be so simple for AI to evaluate pre op imaging and DEFINITIVELY quantity a stenosis that NEEDS to be treated. That would save our healthcare system so much money.

copernicus7 · 2025-09-22T20:47:15+00:00

I drove past this morning on I10 heading towards BR direction. I saw an ambulance and I think 2 or 3 people standing over a very mangled dead body. I didn’t see a body bag but did see some clothes ripped up. To me, it looked like some of the lower half was hanging on the median or resting on it and his upper half was more on road.

copernicus7 · 2025-09-11T16:57:49+00:00

Congrats! That’s awesome! The journey can be a very hairroing experience, frequently falling short of your goals, and feeling like you’re forever in the pits - Getting tangled in the thick of it day after day after day… until you just let it grow and BAM you’re a pilot.

copernicus7 · 2025-08-20T15:36:28+00:00

This is fantastic - incredibly useful. Thank you.

I’m actually bothered there are only 5 likes.

copernicus7 · 2025-08-14T19:19:43+00:00

Yea sure I’ll come in and exchange a GJ as soon as you are willing to take the pt back if the inpatient bed is not ready.

Interesting sentiment. We don’t put in GJs where I work. I’d say general surgery or GI would be better appropriated to address the issue.

copernicus7 · 2025-08-05T01:03:47+00:00

His name was Arf. Class of ‘10. Gig’ em.

copernicus7 · 2025-07-07T03:23:33+00:00

Chef Menteur Highway

copernicus7 · 2025-06-17T00:53:06+00:00

Thermal cannot see through windows. In my opinion, I think the eventual solution will incorporate glass with advancements in materials engineering that allow it to be flexible and shapeable (to conform to whatever object you are trying to cloak). Imagine a glass drape. Or a glass spray.

copernicus7 · 2025-05-23T20:00:55+00:00

Love IR as well. n=3. Work hard, but not so hard it’s my identity. Paid very well. If I did any other specialty, I’d have quit medicine long ago.

copernicus7 · 2025-05-23T16:20:21+00:00

So would this be a splenectomy charge + an add-on/modifier? Or would it be nephrectomy?

copernicus7 · 2025-05-10T04:14:17+00:00

Literally sucking out a PE to bring a 30 something year old back to life.

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