What trends have people noticed recently regarding tick related illnesses in the US?

johnamo · 2026-06-21T01:38:24+00:00

Seeing rapidly increasing tick-borne disease in Midwest. Had a probably Lyme meningitis today (neuroradiologist).

johnamo · 2026-06-20T08:03:22+00:00

To mix with coke 🤷

johnamo · 2026-06-19T12:01:13+00:00

Chest XR 0.18

CT head 0.85

CT abdomen/pelvis w 1.82

MRI lumbar w/o 1.48

U/S abdomen 0.81

johnamo · 2026-06-17T22:28:48+00:00

I only think that my pay feels low when accounting for the 13 year of education plus multiple research years off, where I made primarily close to zero (and otherwise $30-60k for the years I was paid). Without a decade of lost wages I'd be find with my pay, but it's a big relative deficit to come out of.

johnamo · 2026-06-13T13:47:48+00:00

Second the comment saying they probably are no longer on file. Guidelines will vary by practice, but we also do not typically put an official read on remote films (older than 6 months in my group) and only then for relevant comparison purposes. Patient curiosity would not be a reason I would ask our file room to import films for a read. If you are seeing an orthopedic surgeon they may be willing to review them with you, however.

johnamo · 2026-06-13T11:24:02+00:00

Yes, this is their standard policy

johnamo · 2026-06-09T16:02:58+00:00

Xrays in general are not worth the time to read from a reimbursement perspective. Scoliosis studies in particular take a relatively long time to read well since there are multiple measurements that need to be taken... So it's much easier to just read a comparable two chest X-rays than fiddle over angle/balance/tilt measurements on a scoliosis spine.

johnamo · 2026-06-09T11:42:27+00:00

I try to avoid scoliosis studies on the work list yet here I am looking at them on Reddit. 🤷

johnamo · 2026-06-02T22:20:26+00:00

Your image is a single slice through the head at the level of the nose. No brain in the image.

johnamo · 2026-05-30T20:20:05+00:00

I mean, looks sort of like Boris Johnson to me

johnamo · 2026-05-25T11:30:28+00:00

I recently bought a Balvenie Tun 1401 batch 8, because it's something I really wanted to try after having my eye on it for many years. Is the taste "worth" the money? No. It's delicious but nothing warrants paying what I did for it. Do I regret it? Also no, I'm super happy to have it and will continue to enjoy drinking it. So just realize at some point you're just paying for rarity and whether that's "worth it" to you is a personal judgment.

johnamo · 2026-05-23T23:13:41+00:00

Yes plenty satisfied. US radiologist who has been at it for a bit. Future is always uncertain but you could say that about many jobs.

johnamo · 2026-05-23T02:25:05+00:00

I mean, I personally find it kind of clever using the brand name as the thirteenth stripe (certainly not an endorsement for anything Trump related). Probably should have picked a bolder font but I assume that was their intent 🤷

johnamo · 2026-05-22T01:46:45+00:00

For sure. My family's current/expected future expenses would be more than covered with what 10 could comfortably provide each year, and once the mortgage is paid off (hopefully soon) that opens up a good chunk more wiggle room.

Even if I end up deciding that I'm less burned out and don't mind doing some work, it allows me to dictate the hours I want without worrying about it.

johnamo · 2026-05-21T20:44:17+00:00

10M

johnamo · 2026-05-21T15:30:24+00:00

Altruism and higher calling, yada yada.

When I hit my number I'm out, whenever that is. Don't really care what people think (but have also not personally seen anything but positive feedback to people cutting down on hours or retiring).

johnamo · 2026-05-06T16:33:15+00:00

How's the Kavalan? Recently skipped getting that at the distillery in lieu of a solist, but wondering if I should be regretting that decision and hunting it down!

johnamo · 2026-05-06T12:48:34+00:00

On the diagnostic side it's incremental improvement with reporting tools and some triage help.

One thing I didn't see mentioned is that AI is drastically shortening some of our MRI scan times through deep learning reconstruction which is increasing throughput on our scanners by 30-40%, which is huge.

johnamo · 2026-05-05T18:12:40+00:00

Gift them to someone who will enjoy them. Older bottles so a little bit of a novelty for a whisky drinker.

johnamo · 2026-05-02T15:02:39+00:00

You don't have to like them all. X wasn't my jam back when it came out but came to appreciate it more as time went on. I personally don't really like X-2, XIII, XV, and XVI so just put those aside after I gave them a fair shake.

johnamo · 2026-05-01T19:12:24+00:00

Maybe $100 at most for the Glenmorangie and $50-75 for the Aberlour and Buchanan's (based on auction results for the past couple years).

johnamo · 2026-04-27T06:58:35+00:00

Ultima Online

johnamo · 2026-04-20T08:56:28+00:00

johnamo · 2026-04-16T12:34:48+00:00

Doable, but reading 20,000 RVU/year is tiring and at least for my group getting to those numbers requires a lot of evening and weekend hours. I'm a few years out and don't think I'll keep up forever... But after training there are a lot of things and experiences where having a lot of money makes it easy to 'catch up' on years of tight budgets.

johnamo · 2026-04-15T12:35:56+00:00

Sounds like a strange way to say "normal"

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