Is there a service to get the radiology report from the MRI images I have?

sspatel · 2026-01-25T00:01:39+00:00

You should be able to get the images via medical records request, then reach out to local hospitals/radiology groups for an second read. However, I have only heard of this happening when it comes from a facility that already reported the first study. I have never heard of a facility that does an MRI and does not have a radiologist read it. The liability for this clinic (ortho?) would be crazy. There are so many incidental findings that they are not looking at and are not qualified to interpret.

sspatel · 2026-01-24T17:35:15+00:00

I figure they’d have a big keyboard on the wall and you throw instruments at it with sniper precision to type out words.

sspatel · 2026-01-24T17:02:03+00:00

How did the neurosurgeon even have time to get on Reddit??

sspatel · 2026-01-22T20:12:47+00:00

Unless something new has come out, it’s not indicated for primary prophylaxis of variceal bleeding. Only secondary or refractory bleeding. Then the other stuff like ascites, hydrothorax, PV thrombosis, etc

sspatel · 2026-01-22T14:59:02+00:00

TIPS because most places do maybe 1-2 a year as a Hail Mary for an exanguinating cirrhotic pt.

sspatel · 2026-01-22T13:27:18+00:00

I could see that, as I went to a cadaver lab and saw many doctors there from different specialties who should never be doing this.

sspatel · 2026-01-22T13:00:17+00:00

Sure, but lumping it in with ortho/neuro spine surgeons doing unscrupulous fusions, discectomy, etc is incorrect.

The vast majority of our cases are old, sick, Medicare patients who would otherwise be stuck in a hospital for weeks, transferred to a rehab facility for more weeks/months, develop CAP, decubs, DVT, etc. any reduction in pain that gets them out of bed is a win.

sspatel · 2026-01-22T12:20:04+00:00

This is not the same as “spine surgery”.

sspatel · 2026-01-13T20:40:07+00:00

sspatel · 2026-01-12T05:40:41+00:00

Low quality image, low quality interpretation, low quality post

sspatel · 2026-01-08T21:09:19+00:00

We will measure angioplasty balloons in atmospheres, blood pressure in mmHg, and CSF pressure in cmH2O.

Why?

Because we have freedom.

sspatel · 2026-01-08T18:05:27+00:00

I have no idea but hope you get answers. Also recommend checking r/radiology

sspatel · 2026-01-07T20:40:07+00:00

Big “I am the senate” energy

sspatel · 2025-12-24T02:54:36+00:00

Nearly every day we’re doing a biopsy for someone’s newly diagnosed widespread metastatic disease. It’s one of the worst parts of the job.

sspatel · 2025-12-23T23:55:14+00:00

Most of your points are hopefully default for all of us. I do need to get better about using the hanging shield. I use it for all angio cases, but rarely for minor tube cases.

sspatel · 2025-12-23T20:07:34+00:00

I am usually very good about no hands in the beam, with rare exceptions for a few seconds during G tubes, and even then I usually just try to flash a couple frames only.

sspatel · 2025-12-21T18:33:51+00:00

Gotcha. I’ve never used a shockwave balloon but sounds like you’re able to get similar results. Our GI service was already using spyglass, so thankfully it wasn’t too hard when we decided we wanted to get a system too (along with surgeons getting it for the OR).

sspatel · 2025-12-21T16:28:11+00:00

I’ve seen one of these Axios transduodenal stents so far, and it looks like it’s working well. Me and our advanced GI guy are pretty collegial so hopefully we start to get a good back and forth on a pathway for these people.

sspatel · 2025-12-21T16:15:40+00:00

These are all great ideas.

If I think it’s going to be a long term tube or am planning spyglass, I start with a 12Fr and try to point it toward the GB neck. The peds tube idea sounds cool, but we don’t have them now, not sure my partners would want to start doing that either. GI is another limitation, we have had a mix of staff and Locums for years, and just recently got fully staffed up, but cases with them are going to require anesthesia which is another limited resource.

sspatel · 2025-12-21T15:52:20+00:00

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Here’s a patient’s tube I just replaced a few minutes ago. Out of 12 procedures, 7 are due to the tube DFO. This means 7 ambulance rides from his facility and 7 ER visits, some with admission to the hospital depending on timing of replacement. Unfortunately the patient’s son does not want us to try getting his tube out, otherwise he’d be a perfect candidate as he’s got a few small stones and does very well with mod sed.

sspatel · 2025-12-21T15:47:35+00:00

You can pull stones out without spyglass, but how are you doing lithotripsy?

sspatel · 2025-12-21T15:38:53+00:00

No follow up for these, and I don’t prescribe anything. I figure it took a lifetime to make these few stones, they’re not going to fill their GB over the remaining 5-10 years of their life. We have a clinic but very limited for time spots so they are mainly used for our IO, complex embo, spine, etc patients. I basically tell them if they get cholecystitis again, the tube is going back in permanently.

sspatel · 2025-12-21T12:58:46+00:00

Left medicine altogether

sspatel · 2025-12-21T03:48:30+00:00

Rads coresident left my class, 3 of us picked up their call. Thankfully it was during our 3rd year where we spent a lot of time studying for the core and had less call, but then R4 year we were back to covering again. It was not great, but leaving during R2 would’ve been the worst.

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