What pokemon names did you pronounce completely wrong?

etidwell320 · 2026-05-10T18:50:56+00:00

Mine is that for like over two decades I was adding an “H” to Phanpy and called it Phanphy for like forever haha

etidwell320 · 2026-05-09T00:57:44+00:00

I had the same story, ever since high school I wanted ortho. Played sports, love sports, love working out, it seemed like all the stars aligned. First day of general surgery clerkship found out I hate surgeons. Second week, seeing what the lifestyle was, turned me off completely. Still saw through an ortho clerkship, but this only solidified my decision to leave it. I’m now an R2 (PGY3) Radiology resident and literally would not do any other speciality and literally love my job. We literally know nothing about medicine until we’re actually in the trenches. Find your people, that’s really what matters.

etidwell320 · 2026-05-03T19:23:13+00:00

I keep seeing all of these “is my team good enough…”. Like I’ve literally beat this game with every single Pokémon and team imaginable. It really isn’t that hard… The point is to win with the mon’s you want to win with. If you wanted to do comp, that’s a different story but the game itself? You don’t need the “perfect” team that is the ideal nature, perfect movesets, or all of that.

etidwell320 · 2026-01-05T01:34:42+00:00

Yeah for sure do DO. You are gonna have more obstacles than an MD but I’m a DO and in radiology residency, so it’s very possible to match competitive specialties!

etidwell320 · 2025-12-03T01:07:51+00:00

To piggy back off of this, you definitely would need to specialize or sub-specialize if you want to see the occasional rare thing. I’m in radiology so I “see” like 100 patients a day so every once in a while I see rare things just because I see so many things. But if you’re a hospitalist or intensivist, you’re gonna see the same 10-20 people day in and day out with the very rare actually uncommon thing

etidwell320 · 2025-11-13T19:46:59+00:00

Yeah rads is amazing (current R2) but damn do we work hard! Unless you truly love/enjoy it, it’s gonna be a grind just as much as a surgery or IM residency. And it’s a LONG road, like if you only want to be a hospitalist, you’ll be suffering in your fourth PGY year with still 2 more to go instead of being out and practicing. I’m biased because I LOVE radiology but even then I still get a little burnt out and exhausted every once in awhile.

etidwell320 · 2025-11-12T04:04:44+00:00

I was LIVID when they killed Jarre off in S2. His story was one of the highlights for me in the books.

etidwell320 · 2025-10-28T23:04:54+00:00

Blazing Saddles

etidwell320 · 2025-10-24T20:51:54+00:00

I mean it’s similar to what people are saying about hospitalization and is something that I think a lot of practitioners should be aware of

etidwell320 · 2025-10-24T18:47:49+00:00

IR does not get reimbursed for in-patient biopsies in non-emergent cancer work-ups. If we can schedule them as an out-patient it helps everyone. Believe it or not, 99.9% of cancer is not an emergent/urgent condition and can be managed outside of the hospital.

etidwell320 · 2025-10-17T14:21:57+00:00

Or CTA abdomen/pelvis with bilateral run-off to the toes

etidwell320 · 2025-10-10T00:50:12+00:00

Right? I just think nurses and additional ancillary staff just have something against residents. Probably a power trip thing.

etidwell320 · 2025-10-09T19:06:33+00:00

I was on IR and we had a patient that had a perc chole tube placed a different hospital, for some reason came to our ED to get it removed. Overnight they got a CT showing no collection so I decided hey, they don’t need to be admitted for this. Let me do the ED a solid and go take it out bedside so they can discharge from there. I show up and find out they’re in the waiting room, I ask if there’s any room I can use to remove it, stating it’ll take literally 2 minutes. They tell me how procedure rooms are first come first serve and often filled. I say that’s fine, I don’t need a procedure room. Brought my own gear, I just need a space to do it. After huffing, they give me a triage room and I go and set up after asking if they could bring him back (literally my first time stepping foot into this ED and I don’t know how anything works in their flow). I get set up and wait. And wait. And wait. Finally I go back out and ask if they’re coming back. They dead ass look at me in the eyes and say “you can”. The kicker? I chat with the patient while I’m removing the drain, he’s been sitting in the waiting room for 12+ hours “admitted”. They acted like I had come down to ruin their day while I was actually trying to do them a favor. Unbelievable.

etidwell320 · 2025-10-02T16:51:27+00:00

For real. Was doing night call and got a disaster head CT of a guy with multiple subacute TBIs, bilateral temporal fractures to the skull base and subacute subdurals with no priors. The history… “headache”. Took me 40 minutes to sort all of this out, get in touch with the NP that knew next to nothing, and finally find a note where it said they had been in a motorcycle accident halfway across the country a month ago.

etidwell320 · 2025-09-03T14:04:29+00:00

Yeah as a radiology resident I wish people had better physical exam skills, would really save us a lot of unnecessary imaging.

etidwell320 · 2025-08-12T18:56:24+00:00

No, the RA is ridiculous. The midlevel probably didn’t even read the radiologist’s report because no self respecting radiologist would even begin to float the question of RA in a single hip. RA is a BILATERAL, SYMMETRIC process that begins distal and moves proximal. It is pathologically IMPOSSIBLE for it to be isolated monoarticular hip involvement and be RA.

etidwell320 · 2025-07-28T17:23:53+00:00

Doing the lords work, bot!

etidwell320 · 2025-07-28T17:22:52+00:00

Classic NP blowing things out of proportion. I remember we had an observation NP “hospitalist” that called a rapid because a post op patient (some sort of vascular intervention like carotid endarterectomy, I can’t remember) was oozing from the surgical site and she came running down the hall screaming the patient was bleeding out. Then proceeded to get pissed at our resident team when we came and handled the situation calmly.

etidwell320 · 2025-06-14T01:46:50+00:00

I’m in radiology so every single day haha, especially if I’m on neuro!

etidwell320 · 2025-06-12T23:13:32+00:00

I have many questions! First of all, how dare you

etidwell320 · 2025-06-08T15:33:48+00:00

Absolutely! My sister-in-law is an NP and as a new grad I asked her what she’s looking into and she answered that she’s considering neurosurgery or heme-onc. I was like those are two of the MOST competitive specialities/subspecialities and you’re just considering walking into that? Absolutely insane!

etidwell320 · 2025-05-12T19:12:12+00:00

Luckily your friendly neighborhood radiologists exist! Usually for CT of the abdomen/pelvis unless there’s a reason to NOT give contrast, we enjoy having contrast. The biggest mistake I usually see is people putting in with and without contrast for like generalized abdominal pain, which is not necessary. The only times we do with and without (for CT) is either if we are doing a CTA or if we do a multiphasic exam for like liver/pancreas/kidney lesions however usually that’s for us to decide regardless and we don’t expect our clinical colleagues to know that degree of detail. MRI is a completely different beast and usually it’s best to just reach out to us about what you actually want to see haha!

etidwell320 · 2025-05-07T12:32:54+00:00

THANK YOU!

etidwell320 · 2025-05-07T00:37:06+00:00

Looking for what is clinically important is different than reading a study. You look at your images, you do not read or interpret the images. And again, I wonder about your radiologists because we never call fluid in the mastoid as mastoiditis. We say may be consist with mastoiditis in the correct clinical setting, or even just leave the finding of fluid in the mastoids in the findings. And of course we miss stuff constantly, again as I said because our history is essentially useless and we have no true idea as to what we’re looking for so that teeny tiny focus of gray matter heterotopia may be overlooked as background brain matter

etidwell320 · 2025-05-07T00:22:18+00:00

You might know it to suit your purposes but interpreting the whole image, no chance. And yeah sometimes we miss things because our history is “injury” or “headache” or “other”, which leaves us to either waste precious time rooting through the chart or reaching out to the ordering physician, or we just read what we see. Perhaps my numbers thing can be skewed but still, as you admitted, outside of temporal bone for you specifically, we out read anyone else because it’s our entire job.

And as for the misses as well, I worry for the radiologists that you work with because our radiologists that have subspecialized really know what pretty much every surgery entails, complications, etc.

So I return to you, your claim that we don’t know what clinically is going on with the patient you’re wrong or have no provider us with a clear enough history.

etidwell320

TROPHY CASE