Radilologist

122 posts

Radilologist

Radilologist

@Radil0logist

UK trainee. Like sticking needles into things. Here for the laughs.

Katılım Aralık 2022
136 Takip Edilen27 Takipçiler
Radilologist
Radilologist@Radil0logist·
@Suburbanbella @pppforpatients Lol someone came into my reporting room the other a day, nurse practitioner and said “can you teach me chest x rays today, I know about MSK its easy I just need some chest experience before starting my new role tomorrow” wasnt sure whether to laugh or cry
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Taz
Taz@Suburbanbella·
This s**t just gets more and more ridiculous. Crowdsourcing to get someone to read left rib X-rays(while showing the right ribs) in real time because she has no ability to read an XR. She doesn't trust the expert MD/DO read though. I can't with this s**t. @pppforpatients
Taz tweet media
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Radilologist
Radilologist@Radil0logist·
@mlkytee Unpopular opinion but this should extend to training programmes wherby UK trained docs, IMG or not should get priority
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Bejoy Thomas
Bejoy Thomas@drbejoy2002·
Elderly woman, blind from childhood, complains of very recent onset severe bitemporal headache. DX please?
Bejoy Thomas tweet mediaBejoy Thomas tweet media
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Radilologist
Radilologist@Radil0logist·
@northwoods1980 Surely all you do is say possible LVO if you see any minor abnormality and leave at the seat of an interventionalist
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RJ
RJ@northwoods1980·
Think of this lawsuit next time you look at the new professional compensation rate for interpreting CTA head and neck. How long until radiologists simply refuse? Also, if AI reads this, who are the attorneys going after if rads refuse in future?
Francis Deng, MD@francisdeng

One of the largest malpractice awards ever just dropped: "Hospital on the hook for $120M jury verdict after residents miss signs of stroke on CT" radiologybusiness.com/topics/healthc… Always interested in learning from diagnostic error, I looked up the court documents.🧵pt1 (names redacted)

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Martyn Stott
Martyn Stott@mstotty88·
The whole of biochemistry, microbiology, virology, infectious diseases, pathology and oncology in 4 weeks. It’s the same. 🤡
Martyn Stott tweet media
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Radilologist
Radilologist@Radil0logist·
@neurosurgerySpR Havent mainly worked at teaching hospitals recently dgh experience has taught me that a little nudge as a radiologist is vital for the patient to get a look in, even if be an e referral with an appropriate clinician
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Radilologist
Radilologist@Radil0logist·
@neurosurgerySpR Honestly fine if the patient has an urgent finding in the same way you would be happy to field a call scrubbed for a 30 yo SAH from another site. All CXR will get reported anyway in the same way non urgent NS referrals dont need to be dealt with immediately.
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THEneurosurgerySpRoncall 🇵🇸☮️🦀
THEneurosurgerySpRoncall 🇵🇸☮️🦀@neurosurgerySpR·
Radiologist please can you stop putting ‘neurosurgical opinion advised’ on your reports! Clinicians can make up their mind if referral is required. Once it’s documented people feel obliged to refer. 🤷🏼‍♀️
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Radilologist
Radilologist@Radil0logist·
@MStott88 Hence why some are destined to be academic surgeons 😉
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Martyn Stott
Martyn Stott@mstotty88·
One thing that annoys me is when physicians say “soon all surgeons will be is technicians” like the operating isn’t hard, and surgeons who live up to this and say “anyone can be taught to operate”. Decision making is paramount but I’m sorry, not everyone can operate!
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Radilologist
Radilologist@Radil0logist·
@neurosurgerySpR Also with more and more inexperienced clinicians and MAPs managing patients I think any guidance or nudge is important to ensure patients get the right opinion
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Radilologist
Radilologist@Radil0logist·
@neurosurgerySpR Playing devils advocate I can imagine you tweeting in 6 months - “80m with sdh and focal seizures, treated at local with AED and discharged as thought not to be a surgical candidate - we could have done something why were they not referred!!”
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Radilologist
Radilologist@Radil0logist·
@MStott88 @OllieW_217 You can definitely diagnose appendicitis on US in the right hands and I would always do that first in someone less than 25. If you had a teenager/young adult relative yould want an US first from a good operator.
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Radilologist
Radilologist@Radil0logist·
Only those with a rudimentary understanding of the management of SAH and intracranial aneuysms would think this is a good idea. If you think the patient had an SAH, treat it is such. Are we going to do a repeat CTA in one week if -ve or a catheter angiogram without an LP….
Tim Coats@TJCoats

Should an LP be used in headache? Discussion at #ACEP23 as practice in USA changing to use CTA rather than LP after plain CT. Seems to be a good idea to avoid ‘admission for LP’ - but increase radiology load and probably needs experienced reporter.

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Ronan
Ronan@ronansetron·
@DrGoblin3 @DrLindaDykes sooooooo many big Medtwitter names who tone policed and gaslit any juniors who spoke out about this, and tried to paint us as angry incels or whatever. Some of them have now changed their tunes or at least, blessedly, fallen silent on the issue. But I haven’t forgotten.
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Dr Linda Dykes has moved to Bluesky
Dr Linda Dykes has moved to Bluesky@DrLindaDykes·
A phenomenal letter that expresses what so many doctors feel. How did we - and many dedicated current PAs - end up in this mess? Was it just because social media allowed mass sense checking that was previously only site based? Did rotating juniors see the problem well b4 seniors?
Benoy Shah MD@dr_benoy_n_shah

I have just written to the #RCP to provide feedback on the NHS Long Term Workforce plan, the RCP's response to it & the College's recent Shape of Medicine report Please consider writing as well, especially if you have concerns about the workforce proposals... #MedTwitter

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Radilologist
Radilologist@Radil0logist·
@PMccoubrie Also helps if you can read the mind of the examiner occasionally 😉
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Paul McCoubrie
Paul McCoubrie@PMccoubrie·
In the last 20 years, 95% of those who fail when the reflect on what went wrong haven't worked hard enough. I cannot stress this enough. It is a monster exam in terms of content. If you work hard enough, you will pass. It is that simple Good luck! /End
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Paul McCoubrie
Paul McCoubrie@PMccoubrie·
A lot of registrars ask me for advice on passing the FRCR 2a exam Given that is it is coming up in 5 weeks time, here is my standard advice: /1
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Radilologist
Radilologist@Radil0logist·
@Xeon4f145d96s1 I personally think onstructive radiologists are in the minority nowadays and teleradiologists will say yes to anything… onus is on Dr X to not allow a PA to illegally request studies under their name, they’re only devaluing the responsibilty they’ve earnt.
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Radilologist
Radilologist@Radil0logist·
@Xeon4f145d96s1 Whatever you think about PAs in general if they don’t have the legal right to request ionising radiation they need someone who does to review the patient and make the referral. This is non negotiable until the legal framework changes.
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Keşfet

@Suburbanbella @pppforpatients @mlkytee @morrisonMSK @ABarotchi1 @drbejoy2002 @drmankad @doctor_radio78