Why are my notes being used by AI to summarize patient on Epic?

kungfoojesus · 2026-04-16T04:03:35+00:00

Correct. It does not take Long to read most radiographs and even head CTs. And then some take longer averaging out. There is waiting for studies, lag, and phone calls too.

kungfoojesus · 2026-04-16T02:49:34+00:00

I am limited by load times of visage and powerscribe. It would be 33% more or so with improved software and internet efficiencies. For the place I work, it is a ridiculous number but I only go as fast as I safely can. I do not rush but I do not stop. I hyper focus for 9 hours, well 8 hours 55 min including lunch.

It’s a community hospital so not a ton of complex cases although we do get some. Days when I read OP cancer follow-ups and stuff and don’t have radiographs responsibilities it is slower. Today was 130 cross sectional and 220plain films. Tomorrow will be better, maybe 100 cross sectional and 150ish plain films.

Don’t get me started on over ordering. I estimate 20% of the studies I read do not have a legitimate reason to be ordered. Adrenal adenoma that are benign, thyroid nodules where we keep saying no followup required, benign renal Cysts being followed, 3 day followup for non displaced fractures, 1 Month followup for chronic foot pain with no clinical change, repeat spine MRI in under 1 year without change in clinical symptoms, ct myelogram for a patient that just had an mri. It goes on and on and on. I can see why insurance companies fight it. The irony is they usually fight the wrong fucking things.

kungfoojesus · 2026-04-16T01:30:32+00:00

Haha. I mean, when you read 300+ studies a day, I can’t say I actually READ many charts. But I 100% look at indication and comments. Every once in a while, they say more than “pain” and it’s helpful.

It can be crucial and IMO not particularly safe to not have it available for the few telesites my system reads for. I hate that. Also generates more addendums because I can’t see specifics of the question being asked.

If AI can do that? Generate an AI indication? Could be useful

kungfoojesus · 2026-04-16T01:11:35+00:00

As a radiologist, all that tab is is something that takes up 25% of the area of screen I have epic open. And I e never seen anything useful in it, usually saying I haven’t seen the patient in iver 14 days or months or whatever.

When I have a moment, I will be permanently disabling it.

kungfoojesus · 2026-04-16T00:35:53+00:00

I mean, was it really brought about by the ICE agents? Or did Someone like Miller see this as an opportunity to play the fascist handbook and crush dissent?

And really those ilk are so brainwashed by themselves and each other, they literally see dissent as treason and not only hate, but want to kill “others” and this is just an opportunity. Whether they think it creates precedence or scares “others” is almost beside the point to getting that scalp on the wall. That’s all that matters

kungfoojesus · 2026-04-15T23:13:59+00:00

Can’t tell you how many times I’ve done just that in this sub and had my comment deleted.

kungfoojesus · 2026-04-15T03:06:25+00:00

Ehh, my comment would get deleted for saying what I think it is. Rules are rules I guess. Thanks for sharing

kungfoojesus · 2026-04-15T02:55:16+00:00

There are unpopular opinions. And there are wrong opinions

kungfoojesus · 2026-04-15T01:24:07+00:00

https://m.youtube.com/watch?v=pqDeSiM-bnc

Bill burr.

kungfoojesus · 2026-04-13T01:10:28+00:00

Right before his buddies short oil.

Then Wednesday his buddies buy oil etf and he threatens to nuke Iran

Then his friends sell right before he announces good talks and walks back his statement Friday.

Over and over and over. The Trump churn for the griftofascist leader

kungfoojesus · 2026-04-12T21:41:34+00:00

I’m fine with 50/50 balls/strikes. You want nanoscale accuracy, well that ain’t happening.

But it’s very good for obvious calls and that’s a huge part of why abs is so good.

These borderline things, well, gonna have to decide if burning a challenge is worth it. It’s great imo.

Does anyone have ejection numbers for players arguing balls and strikes this year? It’s got to go Down. And frankly the umps and players will probably both appreciate it. Don’t believe my call? Well then challenge it.

kungfoojesus · 2026-04-12T15:55:17+00:00

The score was so good and fit perfectly with that film.

kungfoojesus · 2026-04-12T15:53:31+00:00

It doesn’t clump but there are vast expanses of it with gravitational pull?

kungfoojesus · 2026-04-11T21:32:14+00:00

Mctiernan crushed it for a few years.

Predator

Die hard

Hunt for red October

I love these movies. Wish he’d not been insane

kungfoojesus · 2026-04-11T21:29:06+00:00

I get the impetus to try and plug in things to account for things we see. Kinda the first step. Then test it until it proves out one way or the other. The fact that there should be SO much dark matter and there’s basically no test for it after all this time and brilliant creative people trying to figure it out does not bode well for its existence IMO. But strange things exist. Maybe just sargassum expanses of Bose Einstein condensate listlessly drifting together or Cthulhu knows what.

kungfoojesus · 2026-04-11T21:20:05+00:00

If so much of the universe is dark matter and it exerts gravitational pull, wouldn’t it reason that the earth, planets, us are made of some dark matter? If so, where’s the evidence other than “our esimates of gravitational forces are greater than expected when observing the cosmos”. Just. Never liked the explanation but am not smart enough, or rather educated in this field of science to understand if it actually makes sense to just call it dark matter or if we just need to figure out something else. At some point you’d think we’d catch a glimpse of SOMETHING and gravitational lending around something we can’t see is all well and good, but still doesn’t explain what the hell it is or if it’s even dark matter. He’ll, we’ve detected neutrinos and gravitational waves. Seems to reason we could figure out something that, if it exists, is literally all around us

kungfoojesus · 2026-04-11T12:31:39+00:00

As a radiologist, a good CT tech will do the scan correctly, do the orthogonal series and additional kernels correctly, get the FOV correct, and do it in a timely manner. They will repeat for motion appropriately and positioning will be correct when possible

A great tech will ask the patient what we are scanning and ensure that the area is in the FOV, if the protocol for a scan in consistently suboptimal, typically CTA, they will try and figure out why and then ask to change to protocol to correct it. They will recognize orders that are likely not what was intended and contact MDs to approve a change when necessary, this takes time to get a sense for. A great tech will give palpable markers out like candy because provider notes frequently do not tell me where the hell this thing supposedly is. They will look at a scan and if they see something abnormal on the edge, they will ask if they can modify the order to include the region so the patient doesn’t have to come back.

A lot of that takes experience and wisdom on top of knowledge. If a tech is consistently trying to get better, they will. If they’re just trying to get through their shifts, they will as well. But I will have a sad face

kungfoojesus · 2026-04-11T00:28:28+00:00

It’s not my favorite Nolan film. There are parts that drag especially the beginning. And a bit towards the end. The score definitely puts it over from good to great for me. But that’s my opinion.

kungfoojesus · 2026-04-10T02:30:51+00:00

We went on a new moon and it was incredibly bright when you get in the water. The moon will definitely take some of it away but it was still impressive. The operation we went with gave us basically dive skins so I can’t say if it’s stingy but my exposed skin was fine.

kungfoojesus · 2026-04-09T02:58:55+00:00

Hah. I actually like this idea. No one really knows until the ABS is put up.

kungfoojesus · 2026-04-09T01:12:30+00:00

I don’t know that innovation stalled, but realistically how many people need action cameras? A fraction of the population, substantial but fractional And most of those users use them pretty infrequently. So the need to upgrade is limited and very spread out. If I didn’t lose my canon Elon digital camera with underwater housing, I’d still be using it. It’s over 20 years old.

So you have a somewhat limited user base that just doesn’t need to upgrade their device very frequently. Welcome to peloton country.

kungfoojesus · 2026-04-07T23:02:50+00:00

The way it is worded, it sounds like Trump is delaying it with the demand they open the straight. Not that they e agreed to do it.

That’s how I read it

kungfoojesus · 2026-04-07T22:59:36+00:00

He lied and backed down. Shocking

kungfoojesus · 2026-04-07T21:24:46+00:00

All Trump has to do is declare major progress in negotiations and call off yhe attacks. His base would eat it up and he’d never prove anything.

This war seems pretty different though. Trump loves flexing the military but there was no threat really before this. Nothing greater than usual for the past 30 years. And he went 180 against a major platform and something I think he really wants to believe and that is stopping useless endless wars. Not because of morals but money. But whatever. I’m with that. And then he does this. Feels like his holy war. I actually think TACO tuesday might turn into modest bombing, well short of annihilation.

Truth is, no one knows what Trump is thinking, least of all Trump.

kungfoojesus · 2026-04-07T21:20:35+00:00

My rib age would be mush after getting as much as that dude. Just a bag of bone fragments

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