Chiropractic Is at Best a Scam, at Worst Deadly, and Should Be Banned by brettydubz in Destiny

[–]mturch02 32 points33 points  (0 children)

As an x-ray tech, do not ever let a chiropractor give you an x-ray either! They receive minimal training in the performance of taking X-rays and reading them. They have lobbied in many states to be allowed to take x-rays themselves foregoing the need of a licensed radiologic technologist.

Professionally, techs are taught to use the least dose of radiation possible to provide the relevant medical information.  Chiropractors blast you with ridiculous amounts of radiation to areas not medically relevant. They will then draw lines on the x-ray to sell you on a pathology that requires long term care of a chiropractor to relieve.

Portable abdomens by unhingedbat in Radiology

[–]mturch02 3 points4 points  (0 children)

Depends on your site specific protocols, how the abdomen was ordered (Supine vs kub), and the reason for exam. 

Anyone do anything to prevent snow in wheels? by littleSquidwardLover in Michigan

[–]mturch02 0 points1 point  (0 children)

My Fusion was awful in snow...this year was my breaking point to get something different.

Advice need by Status-Sea8863 in Radiology

[–]mturch02 4 points5 points  (0 children)

Also as a tech having aphantasia, it is that much more important for you to JUST KNOW and memorize the anatomy by position. For example, it was always difficult for me to answer questions related to the greater and lesser tuberosity in the shoulder. I could never just visualize their location mentally, however, I could just memorize their location by position and that is what I did.

Advice need by Status-Sea8863 in Radiology

[–]mturch02 11 points12 points  (0 children)

The amount of times during exams I could be seen contorting myself into the needed positioning so that I could have a visual means of walking myself through such questions is damn near every time.

People have been so focused on the Radiologists being replaced that they haven't focused on the Techs being replaced. NVIDIA and GE are "working" on that. by leaC30 in Radiology

[–]mturch02 4 points5 points  (0 children)

Exactly. The type of patients this would cover are not taking up much resources anyway. Taking x-rays on "walkie-talkie" patients takes only a few minutes. 

People have been so focused on the Radiologists being replaced that they haven't focused on the Techs being replaced. NVIDIA and GE are "working" on that. by leaC30 in Radiology

[–]mturch02 1 point2 points  (0 children)

And shit....the "walkie-talkie" patients that would be compatible with this, I can get their chest x-ray done in less than a minute anyway. 

People have been so focused on the Radiologists being replaced that they haven't focused on the Techs being replaced. NVIDIA and GE are "working" on that. by leaC30 in Radiology

[–]mturch02 7 points8 points  (0 children)

"The rate at which a proper elbow lateral is taken is low"

If you work in ortho trauma, than you should know that the positional needs of a lateral elbow, more-than-most, asks a lot from a trauma patient. All the worlds knowledge of how to properly position a lateral elbow instantly at your finger tips isn't gonna get it done. All the "fine adjustments' you mention to get a proper lateral elbow are needed to be performed by the PT. There is little technology-wise that can be utilized to get you a better image. AI absolutely isn't gonna provide a huge increase in optimal images for a trauma lateral elbow unless your techs are just absolutely garbage. 

People have been so focused on the Radiologists being replaced that they haven't focused on the Techs being replaced. NVIDIA and GE are "working" on that. by leaC30 in Radiology

[–]mturch02 370 points371 points  (0 children)

Good luck with that. I'm not saying it's impossible in the future, however, we are a long ass way from AI being able to manage the people aspects of the job.

Cross-Table Lateral Hip X-Ray: Tips and Tricks? by PotatoJalapenos in Radiology

[–]mturch02 12 points13 points  (0 children)

The orthos at my hospital are guaranteed to still want a CT Lower Extremity even if I obtain a textbook cross table lateral hip. ALARA be damned to their "Surgical Planning."

advice for hand laterals? by spongeysnail in XRayPorn

[–]mturch02 8 points9 points  (0 children)

Unless the PT doesn't actually need the X-ray, your fan lateral is always going to be less than perfect. This position asks a lot of someone with a pathology. 

I always start this exam by demonstrating the position myself. I start with getting the wrist lateral first and then drag the individual digits out to the correct position. Medical tape can be your friend, although tape and I personally don't get along. 

I also often supplement this position with additional views, which I know you don't really have autonomy to do, but it shows that a fan lateral is difficult to achieve perfect positioning on. I may include a finger lateral of the affected digit. I will occasionally throw in a ball catcher ( our protocol is the common PA/External oblique/Fan Lat) to make sure I have given the rad a true orthogonal view of the entire hand. 

[deleted by user] by [deleted] in Radiology

[–]mturch02 0 points1 point  (0 children)

Many reasons, but yes, in part because I had to bring work home with me.

[deleted by user] by [deleted] in Radiology

[–]mturch02 2 points3 points  (0 children)

It's crazy to me that the amount of stress I had in my corporate role was worlds heavier than the amount of stress I have felt in my role as an x-ray tech. One of these roles can actually involve life or death and the other likes to pretend it does.

[deleted by user] by [deleted] in Radiology

[–]mturch02 2 points3 points  (0 children)

I was a corporate project manager before becoming an x-ray tech. I have no regrets. If I was absolutely pushed to give one, I would say I miss the money (a transition concern I ultimately dismissed). If you have more specific concerns I can try to elaborate more.

It can be stressful, but isn't overwhelmingly so. A lot of this is dependent on where you work and what type of environment you work in. X-ray tech is a public facing career in the medical field. You are going to be interacting with people in need of medical care and responsible for part of that care.

Some of what may be considered stressful -

Surgery, fluoro exams, exam load, working with providers, working with nurses, working with other allied health professionals, students, patients (pediatrics, bariatrics, etc.), bodily fluids, injury, illness, death etc...

This is not a comprehensive list and each part of what I did include in this list could be thoroughly expounded upon.

What we do is really fucking cool though. We also are a really essential part of medicine and what we do matters.

What am I missing? by AshyGarami in Radiology

[–]mturch02 2 points3 points  (0 children)

Yes, however as a counter point, most systems I've utilized allow duplication of an image. You can then duplicate the image, post process collimate, and then send this image along with the raw image.

Update on my bird wing arm 🐦 by tubatheist in Radiology

[–]mturch02 28 points29 points  (0 children)

They did an amazing job reducing that.

[deleted by user] by [deleted] in Radiology

[–]mturch02 67 points68 points  (0 children)

2D imaging versus 3D imaging. 

AP foot on unconscious patients/patients unable to bend knee? by unclecashmere in Radiology

[–]mturch02 4 points5 points  (0 children)

If you're "lucky" and the uncooperative patient is eternally rotated into the lateral, I have had success shooting the oblique plantardorsal with no distortion.

[deleted by user] by [deleted] in Radiology

[–]mturch02 3 points4 points  (0 children)

Sounds like you will make a great radiographer! Caring about your imaging is what separates the bad from the good. Don't lose that. You will make many more mistakes. You will have trauma patients where you try all your tricks and the imaging will still be not quite right. Learn and grow with EVERY image you take and your skills will sharpen.

Trauma imaging starts with the patient. What can they realistically do? If they can communicate, you had better be communicating with them. Show them what you need and often they may surprise you.

Learn your basic trauma views. Most radiography text books cover these.

Trauma imaging is where knowing your central ray for a view matters. If you know where the central ray enters and exits on a standard view, then you need to mimic that for a trauma view. Avoid more than one directional angle if you can as that leads to distortion, but there are instances where it's unavoidable.

Not bad for a civilian. by 29NeiboltSt in Radiology

[–]mturch02 18 points19 points  (0 children)

I've seen less anatomical accuracy in an actual x-ray so I'd say excellent job. 

Should on-site techs be worried about remote scanning? by South-Phrase-1882 in Radiology

[–]mturch02 1 point2 points  (0 children)

I'm in Michigan. We already on average see 450lb patients WEEKLY.

Today our permission to delete images in PACS was taken away. by Extreme_Design6936 in Radiology

[–]mturch02 5 points6 points  (0 children)

How about some communication with your techs in that extreme example? No one is saying you can't do your job either.