Neuroradiologist. Dog dad. He/Him. Tweets are my own.
Joined April 2017
- Tweets 278
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47 Photos and videos
2 Oct 2023
Just read a soft tissue neck CT with the indication “ingrown hair”….. please god stop the madness.
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12 Sep 2023
There is maybe nothing I hate more than calling the ED with imaging results and finding out the provider has not even seen the patient….
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27 Aug 2023
Me choosing to fix a typo in my radiology template every single time I use it, rather than taking the 4 seconds it would take to fix the template itself, is a great way to sum up what is fundamentally wrong with me as a person.
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1 Aug 2023
This is all I can think about after I just read the fifth negative CTA H&N on the same patient within a one month span…..
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14 Jul 2023
I am convinced that the most dangerous thing you can do after the age of 65 is get up to go to the bathroom in the middle of the night.
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3 Jun 2023
Can someone please tell me how many points “patient feels floaty” is worth on the NIH stroke scale?
Cause apparently it’s enough to get a CTA…..
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15 May 2023
Me, a telerad who works from home and hasn’t seen a patient in 3 years, going to get my annual PPD for hospital credentialing….
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11 May 2023
Me: Hi I see you ordered a brain MRA to “evaluate the cavernous malformation…” ?
Hospitalist: yes the neurosurgeon wants to see the flow rate.
Me: ….The flow rate…. In the cav mal….By doing an MRA….?
Them.: Yep
Me:
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21 Mar 2023
ER: Hi, you didn’t mention the pts left ear on your head CT report. He complains of “nodules”
Me: the history i was given was “headache”…. So no I did not mention his normal ear skin
ER: Well can you addend it?
Me: Nope. If you want specific reports, give specific histories
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3 Mar 2023
Can an ED doc somewhere, anywhere, please explain how:
Patient transferred in with a known, nonruptured MCA aneurysm and an NIHSS of 0, gets a full STROKE ALERT head ct, cta, and perfusion?
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26 Jan 2023
What I think should happen when someone orders a head & neck MRA on a patient who just had a completely normal CTA.
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25 Jan 2023
How I wish I could write my reports:
Impression
Shockingly, this patient with no new focal neurological deficits has no vessel occlusion. The cta is unchanged from cta done 9 days ago, which was unchanged compared to the cta 1 month before that, and the one 6 months before that
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20 Jan 2023
You might think you’re having an easy night as an ER rad… but I promise that you’re really always just one post-op, post-radiation, head and neck cancer with active bleeding, emergent trach, and disease progression away from being 45 minutes behind.
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19 Dec 2022
Whenever I read a prior radiology report and think “wow, what idiot said that?”…. There’s about a 75% chance that I, myself, was that idiot.
Just another fun example of this job instantly humbling me on a daily basis.
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25 Sep 2022
It should be illegal to order a CTA for “dizziness” without first calling the radiologist to specifically tell them why you hate them so much.
But seriously, please stop with the CTAs.
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8 Sep 2022
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9 Aug 2022
Me calling the ER:
Me: hi, this patient has a large brain bleed and is herniating and has hydrocephalus
ER: ok. Do you think they need an mri or a cta?
Me: umm… I think they need a neurosurgeon.
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9 Jun 2022
Does anybody know the actual stats on how many old people fall on a nightly basis?
Anecdotally, as a radiologist, my guess is that it is all of them.
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1 May 2022
Got an entire “stroke alert” last night for the indication: “the patient doesn’t know todays date”
General rule of thumb, if the radiologist reading the scan has the same symptom as the patient, it’s probably not a good enough reason to call a stroke alert.
#NIHSSzero
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3 Apr 2022
Every time I ask a CT tech to send me bone algorithm images and they just send me the same images I already had, but in a bone window, I die a little inside.
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