I think you missed the point of his joke. Doc Glauc is an ophthalmologist. Rods aren't just for black and white and contrast, they're also for low-light vision. So because he spends all his time in the dark, his rod function has gone way up while his cone function has decreased. Meaning, he can see more contrast but is slowly going colorblind. Hence, the constant need for sunglasses outside of the radiology dept. because it's too bright. Great for radiology, bad for being a diurnal species.
So the radiologists adapt to become a species specialized in reading scans. I know Gloc has said his series doesn't have an internal lore (The psycharist won't face consequences for revealing the neurologists history to the orthopedic surgeon in that one video) but that does make the psycharist trying to get the radiologist to remove his sunglasses kind of cruel. He has a socially/situationaly defined disability and the sunglasses help with it.
@@AbsolXGuardian It would be occupational rather than social. But having lots of rods doesn't mean you can't function in daytime. You just get sensitive to light when you've been inside for a long time. Ask a basement dweller to go outside for a bit during the day and you'll see them squint. Radiology is just refusing to deal with that. So it's not cruel, dude is just stubborn. Besides, achromatopsic people live all around the world (most concentrated on Yap Island) and they can function during the day just fine. But I'm also wondering if HIPAA applies retroactively, since the neurologist's therapy session would have been decades ago.
@@slook7094 Hippa absolutely replies retroactively. My mom worked in HR when HIPPA was passed and one of her big projects was bringing the medicial records of employees the company had into HIPPA compliance, including things like old records of workers comp or medicial leave.
The fact that I, as a computer programmer, gasped at radiology’s set up and thought working from home with no pants in a dimly lit room with that many monitors is very telling and I can see how my colleagues would be lured into this field.
The no pants aspect of working from home is honestly best part. My office has a southern facing window and I never realized that 10 hours a day in florescent lighting was the cause of my headaches until I started working by natural light.
As a medical laboratory scientist, I also relate to so many of the radiology jokes he makes. Lab rats scurrying around running the tests doctors order, dim lights during night shift (I prefer nights, as well), and scattering like roaches when the lights are flipped on in the morning. His skits made me feel connected to radiologists. xD
I once worked in a Biohazard Level II lab. It was dark so the bacteria could fluoresce. I ended up staying late to get through some samples and it was midnight before I knew it. No windows fucks up your sense of time.
X-ray tech here. I'd say roughly 90% of my job is taking the one-word "reason for exam" from the clinician and then interviewing the patient so that the rad can actually put the image into context.
Literally all i do as a diagnostic radiographer. Orthopods are the worst at giving clinical history. Patient comes in with "?clavicle #" so we have to interview the patient to know if its trauma, if so we'll do our flat clavicle, and a 30° up. If not then we'll just flat it. I don't think they know just how much we go into justifying the exam and reducing the DAP as much as reasonably possible
No doc, "cxr" as a reason for a chest x-ray is not a valid reason. And my other favorite... When they order a "STAT" x-ray dated for tomorrow. Hello fello x-ray techs!
@@migjordanpayawal7856 that's my favourite. Or when they ask for a portable xray because the patient isn't able to get down to the department. You get up to the ward and the patient is walking around free as a bird Also hello fellow radiographer/xray tech
The ER stereotype is spot on. At my ER the order is that whenever something comes related to bones, Face/hand injuries, or coughing (pre C19) the first thing is to order an xray front and side views. THEN see the patient after the xray is done
Absolutely pissed us off during covid. The ER docs would ask us to portable the patient for a CXR without even checking the patient because it was in their exact words "too dangerous for us to go in". Yet they expected us to go into the room with less protection to take the xray
@@darkelemental even worse, when lockdown ended they stopped telling us on the requests that the patient was positive, they expected us to read their notes like theyre not supposed to give us a quick summary so we can yay or nay. So many patients we xrayed and later found out were positive - no wonder we were dropping like flies!
I believe Dr. G. is who started me in watching these types of videos. He kills it every time. As a CDI Provider Educator I see the personalities come through in a unique way. Radiology is fun because it gives MEAT for risk adjustment. Love you guys!!!
If I had gone into medicine, it would have been radiology. Instead I chose the impossible career of being an art historian. But visual analysis really gets my frontal lobe going.
Honestly the arts and philosophy are so underrated. People just don't understand why they are so important and prevalent in daily society and it's sad. My cousin got a dual doctorate in economics and philosophy. Some of my family members gave him such a hard time for the philosophy doctorate and said he was wasting time and money. They couldn't fathom how philosophy plays into and enhances ones understanding of economics. I'm getting my masters in business and I'm planning on getting a bachelors in philosophy. I was talking to one of my professors who used to be the corporate sales manager for Mercedes. She said having a degree in philosophy would enhance my business degree, give me an edge over the competition, and future employers would see it as an advantage. She Said they go hand in hand with each other.
Not from the Medical arm of the High-Energy spectrum, but retired as a welding inspector, and was a Radiographer for over 40 years. Evaluated a lot of film, and my secret power is my color-blindness. Gray scale is so normal in my world, but my family just shakes their heads at my wardrobe color matches (like they are important?) But actually, there are a lot of similarities betweed radiology and radiography. Only thing is my imaging often requires a fork lift to place my "patient" on the table...
Its weird how that works, all of our ER requests are vetted and justified by us, the radiographers. Our radiologists usually are the ones who do the reporting or interventional Radiology procedures
Oh, I love it so much when somebody actually puts the study abstract straight into the video! I'll be honest, when I'm taking the time to look up a study, that's usually what I read. My statistics are rusty and working my way through several pages is usually more than I'm willing to do to mentally check the "looked up the source" box. Thanks, having this commented by a radiologist is super informative fun!
100% agree that more clinical history is better than none. I work in pathology, and 9/10 times we only get things like "Pain" or "Fever" if they've given us anything at all
It's great to have input from the actual practitioners depicted in GF's videos. They all seem to be spot on. Love the insights you give. Thanks, Radiology /Dr Parisis
Im a diagnostic radiographer here in the UK, one of our radiologists started working from home since covid and now they're allowed to continue to work from home. Im hoping to move onto something known as a reporting radiographer role at some point in my career, it means we will move into the reporting of radiographic images like you guys do
@@darkelemental Hi may I ask how you’d be qualified to report on images. Would you have to go to medical school? If not would your readings be looked over by a physician?
Much better than the Ortho response, not defensive. Good to see a dark adapted physician with a sense of humor. I was just left wondering if you made the video with or without pants.
Much better than the Ortho response?!?! An orthopaedic specialist also reacted to these skits from Dr Glaucomfleckin?!? I guess I’ve not found that yet, but definitely need to, as I very much enjoy Dr Glaucomfleckin!! Can you point me in the right direction?? PS: I agree with OP - were you wearing pants?
I'm a CT/ MRI tech and yes I wish they would be more specific on orders! brains for r/o stroke, MS, seizure, mass.... just pick one those all have different protocols! and stop ordering contrast for strokes and then not ordering contrast for osteomyelitis. if you don't know if it needs contrast just ask.
As someone who has had a fair number of CT's in his day - I can tell you that a good Radiologist an overlooked diagnostic treasure by the general population. Keep us updated on how your journey progresses as I would be delighted to see your first video out of fellowship when you are in full practice.
Much love from the Respiratory Department! We love our imaging folks! I'm pretty basic but my favorite thing about CTs is seeing a deviated trachea! Or even seeing subcutaneous emphysema on CXR. Do you have a favorite thing to see on any of the imaging modalities? If so, you should do a video on it!
@@drparisis i would be very careful with that one, some people might start thinking they can actually read a chest radiograph. Looking at you ortho. I spend all week staring at chest x-rays so it would be useful to know what you see compared to what i do as a radiographer vs radiologist. Looking forward to seeing your image appraisal technique ;)
One of the coolest things to see on xray is situs inversus because when we first look at the images and it looks flipped but we are sure we marked it correctly we are like uhhhh sir are your organs on the opposite side of your body lol
There is a Japanese TV serie that is called Radiation House and it's a hospital drama about radiologists. The serie itself is based on a Japanese comic book that is quite good. Sadly I don't think either are legally available in the west, but I think it might interest you too take a look.
As a Radiographer. The clinical history is spot on!! Cough = chest. Pain = anything else. So many times Iv spoken to a Dr to re-request things with an actual history!
@@HansImWald our Radiology/reporting radiography stations aren't that great in the UK either. The actual PACS monitors cost a fortune so they skimp out everywhere else. I suppose that's probably the benefit of an extortionate healthcare system. They get more than enough money to pay for good things
As an ex-administrative assistant to radiologists (dental), we would get physical disc's with scans on them that'd would have to be manually be entered. On top of that, residents take classes, so they have to be on campus anyways.
I don't have any sort of medical training but I do schedule radiology appointments at a small hospital. One of my job responsibilities is to enter radiology orders we get faxed from outside clinics into EPIC and so I thought it was interesting to hear your thoughts on the information included in the orders. Some of the doctors are definitely a lot more specific with the diagnosis codes then others.
ER patient admin here. No med training, but my dad was an Ortho PA, and whenever I’d visit him @ work, he’d often show me films and ask me to tell them what was wrong (never could, of course, but did manage to pick up a thing or two) and/or let me look at some of the more gnarly fractures that’d come in. Working in the ER (night shift, Whaddup!), we see the radio techs all the time and yeah, a lot of times they’ll just go straight there after triage. Maaaaybe if they complain of chest pains they’ll get an EKG first (kidding, that always happens first), but a lot of times they’ll get imaging done before the MD sees the PT if it’s busy.
Thanks for sharing this video. 😊👍 As a life long patient myself, I've had a lot of x-rays, but without a trained eye, things can seem lumped together. Thank you for including education along with the laughs. 😊
Thanks radiology for never finding anything wrong with me. Was reassuring despite the severe pain and uncertainty i was in. Just having something to look at and definitely prove the pain is not caused by some catastrophic joint failure or smth. (Turns out my brain is a little bit of a pos, especially when im stressed. Took a few years and some very confused doctors to find that out. They should really teach more about the sheer power your brain holds over your body)
I love radiology reports and how there are so many differentials provided. My neurosurgeon had me take a brain MRI to a radiologist colleague for a second opinion on the scan. He looked at it and said “It’s recurrent tumor.” And I asked what else, he said “there is nothing else to call it”. I also love the standard “correlate with clinical findings”.
33 years in Radiology and Nuclear Medicine and we definitely love TeleRadiology because of the swift reads. I remember the bad old days of calling a Radiologist out at 3:00AM to read Stat CT's from nasty MVC's and the poor Doc dragging in and cheerfully doing it. Hell, I recall one staying for hours down in the ER doing wet reads as fast as I could process films. And honestly, TeleRad is cool and all, but the whole department just feels better knowing one or all of the Radiologists are just down the hall, available for a quick word to keep us on target. Love Radiologists!
I got to meet one of mine while I was in the hospital a couple of times. He was a fun guy and we got along great because he was went to LSU and I am big LSU fan so he made it a point to come see me. He is also from Louisiana as well. Naturally he was one of my favorites from my team of doctors!
@@drparisis I'm thinking the doctor that did the TEE on my heart and sent that report back to my cardiologist and cardiolthoracic surgeon was probably more than a radiologist then, huh? I wish I could remember his name and I would google him and see exactly what kind of doctor he is. He was a fun guy and avid LSU Alum and fan....I remember that much!
If i had a pound for every time i rang a doctor for a request saying broken ribs and asked them to either amend it or cancel it i would be able to go part time lol
Hello doc..I just discovered your channel..ive been wanting to be a radiologist but kind of intimidated to follow the path because they say the residency application is more competitive..i hope you also make videos on giving tips on how to pass the application especially in US, if you have time..thank you and more power :)
Oh wow, I've never seen the HU scale before. I've had chronic migraines for a little over a decade so I've had a lot of MRIs with contrast. From the name I'd guessed what it did but seeing it in a scale puts it into perspective for me. Very cool! Subscribed ❤️
I have a cousin who is a radiologist and thankfully he and his wife have many sons to keep him busy. He has a church that also keeps him busy and social!
Radiologist with a med. school faculty position called me to describe a mediastinal tumor in a pt. referred for suspected pneumonia. It was a heterotopic heart transplant with a pacemaker in the "tumor". The heart transplant was stated on the request but ignored by the attending radiologists AND the residents!!!!
I'm an MRI technologist. We joke about this when they have a lot of orders on a patient! "Looks like we're going on a fishing expedition!" "Yeah, we need to do a whole body workup to see if the patient needs a physical exam."
Theres a manga i got really into, called "Radiation House". I found it very interesting. unfortunately i think its been discontinued but it was still a good read.
Ah yes, radiologists beingt introverts, I have a nice story to that :) Phone rings, I answer it after seeing it's a hospital intern number: "Hello oncology, this is (my name)" "uh... Yes, dr (his name) here, is... Is dr. * there?" "No this is the medical documentary, his number has 01 not 10 at the end" "oh god *hangs up*" I don't know why he called, the radiologists normally don't call us directly but that was such a wtf moment for me, I laughed so hard afterwards :')
I work in a nuclear medicine department and we are very strict about not accepting requests without sufficient clinical indication. We'll just call or email the doctor and say we won't do it until they give us more. But to be fair we rarely do anything emergency so they have time to send us everything.
To be fair in xray we have to call the doctor (if they can be found!!) and tell them to either amend or cancel it because it is not being done like that lmao. Wish we could give requests scores for how good they are
I work for a company that produces medical x-ray film. I can sympathize with the bright lights! Whenever I accidentally feed a QC sample through the imager upside down and throw them on the light box after it prints, it's almost like looking at the sun.
@@xisotopex There are countries that require patients to keep and handle their own medical records rather than doctor's offices or hospitals. We and the other companies that still produce it sell to those countries.
Young man. My brother got in on the ground floor of MRIs around your age. At home he had a tiny dark office with monitors and a dictating machine. While he was hosting our family reunion, he had to step in a read some spinal MRIs. So, think about that in your future home office. You are so lucky to read the imaging at home. You chose well.
Usually it's the original video that is being reacted to which has the too low audio level, here it's the reactor's video that has a too low audio level. Basically they should match.
As an IT Specialist for a VA hospital, there are definitely drawbacks to you all working from home. Now bring in your GFE laptop, I can't connect to it remotely.
@@drparisis I was given tPA and life flighted to a stroke center. I have virtually no deficits. A different specialist radiologist had to do a special MRI on my brain with contrast. Discovered that I only had one artery going to my brain instead of 2. Y'all are underrated.
Hi! Radiographer here haha. The images come up on screen as they are being taken and often we can see something when it is coming through, especially bleeds as they look so irregular compared to the rest of the brain. Then we will scroll back through to double check and if it is what we thought flashed up we call the docs STAT lol, sometimes before the patient is off the scanner Often as well in serious trauma cases the ED docs and nurses will be in the control room with us just in case and we can tell them straight off theres a bleed and we’re getting an urgent report. Really makes a difference to those patients
FM/EM doc here, I definitely hate the vague radiology reasons and always try to add more. Usually reasons default to the patient triage complaint in EMRs, so if you are barely keeping up... or the nurse gives you a verbal report that sounds concerning and your stuck with a critical patient that's what goes in. Definitely less than ideal, but more of systems problem.
4:00 The radiology reports on ortho x-rays in my hospital all just say: "The diagnosis of the examination will be performed by the requesting department themselves." So yeah, ortho surgeons are a weird bunch.
CT tech here... still my very favorite clinical history for an exam was "????????" ... literally not joking.. I thought the clever "sick" or "very sick" was bad enough ... but not even bothering giving any words was next level ... no backing at that hospital by the rads so we scanned it anyway .... I'm amazed I lasted a year there
One thing I just thought about considering grayscale. I know someone who is exceptional in differentiating between different shades of gray. The main reason for that is that he sees his entire environment in grayscale as he is colourblind. Would that be beneficial or a hindrance for radiology?
Just met my first interventional radiologist as a patient. I couldnt underdstand him and he kept asking for feedback he was so tiny. Fina,ly after discovering i had 2 renal arteries on the one kidney, he was trying to kill blood supply to a growth..i was getting nauseous. I asked for something. Next thing i know hes poking me and when i opened my eyes he says oh good you are still alive, we overdosed you with wrong drug, so sorry. Naloxone worked. Cackle. I dont ever want to return to that cave...too scary.
@@theshadowfax239 I didn't know there were US techs, were I will practice MDs do the US (basic like for pregnancy) if they have a certification or the radiologyst... We only have techs for radiography or tomography
Not even a Dr, just RT. But I appreciate the Radiology Dept, I look at the CXR or the CT or MRI and I still get confused at what I’m looking for. Even reading the radiology report, I’m like: HOW DID YOU SEE THAT?!
experience, experience, experience…seriously you start out being awed by senior residents’ & attendings’ ability to glance at various diagnostic images & make a quick & accurate assessment. Then something just clicks (for me it happened during my 2nd year in residency) it’s the closest to a “religious” experience I’ve ever had LOL
my son is a spine surgeon, his friend in ortho residency decided to change to radiology because ortho was too physically difficult for him.....6 mo later his wife left him......lol
I did a chest xray on a top level nurse (matron). She considered herself such an expert that she demanded she was able to see it right away, and stuck her head around the glass screen to peer at my monitor. "OH NO!", she exclaimed, "WHAT'S THAT GREAT BIG WHITE THING ON MY LUNG?!?"... ...That's your heart. This happens far too often, with various other doctors and health professionals.
The joke about the surgeon putting pain as the history is because he is getting pre op imaging done and insurance doesn't cover pre op imaging so they put pain or cough on the order to get it approved.
I found it interesting that my urologist always wants to see the actual films (as well as the reports of course). But he is also a surgeon so I don't know if that makes a difference.
Hey doc, please it would be nice if you teach xrays basics and advance levels and also CT and MRIs. I am a final year med student and still cant get hang of the images please!
I'm a patient that has been dealing with Xrays, CT Scans, MRI's etc... for decades and I like to tease the Radiologists that I should have had a dulcimeter considering how many xrays I've had throughout my life.
Love Dr Glockenfleckem! I’m cracking up over this one! But…. I’m mostly trying to figure out if those legs are edited in or they are his actual legs….. 🤔🤔 Whoever’s legs they are, they took time to shave! Most man legs are woolly mammoth 🦣 status! 😂
I think you missed the point of his joke. Doc Glauc is an ophthalmologist. Rods aren't just for black and white and contrast, they're also for low-light vision. So because he spends all his time in the dark, his rod function has gone way up while his cone function has decreased. Meaning, he can see more contrast but is slowly going colorblind. Hence, the constant need for sunglasses outside of the radiology dept. because it's too bright. Great for radiology, bad for being a diurnal species.
👍🏼
I need more rods. I want to see in the dark like a cat.
So the radiologists adapt to become a species specialized in reading scans. I know Gloc has said his series doesn't have an internal lore (The psycharist won't face consequences for revealing the neurologists history to the orthopedic surgeon in that one video) but that does make the psycharist trying to get the radiologist to remove his sunglasses kind of cruel. He has a socially/situationaly defined disability and the sunglasses help with it.
@@AbsolXGuardian It would be occupational rather than social. But having lots of rods doesn't mean you can't function in daytime. You just get sensitive to light when you've been inside for a long time. Ask a basement dweller to go outside for a bit during the day and you'll see them squint. Radiology is just refusing to deal with that. So it's not cruel, dude is just stubborn. Besides, achromatopsic people live all around the world (most concentrated on Yap Island) and they can function during the day just fine.
But I'm also wondering if HIPAA applies retroactively, since the neurologist's therapy session would have been decades ago.
@@slook7094 Hippa absolutely replies retroactively. My mom worked in HR when HIPPA was passed and one of her big projects was bringing the medicial records of employees the company had into HIPPA compliance, including things like old records of workers comp or medicial leave.
The fact that I, as a computer programmer, gasped at radiology’s set up and thought working from home with no pants in a dimly lit room with that many monitors is very telling and I can see how my colleagues would be lured into this field.
Yeah our workstation setup is legit 🙂
Radiologist and bioinformatician look at each other setup be like: ayyyyyyy nice
as a mathmatician i totally agree.
The no pants aspect of working from home is honestly best part. My office has a southern facing window and I never realized that 10 hours a day in florescent lighting was the cause of my headaches until I started working by natural light.
used to work in a lab and yes I aggree
As a medical laboratory scientist, I also relate to so many of the radiology jokes he makes. Lab rats scurrying around running the tests doctors order, dim lights during night shift (I prefer nights, as well), and scattering like roaches when the lights are flipped on in the morning. His skits made me feel connected to radiologists. xD
Definitely some similarities 😎
I once worked in a Biohazard Level II lab. It was dark so the bacteria could fluoresce. I ended up staying late to get through some samples and it was midnight before I knew it. No windows fucks up your sense of time.
Hahah. I'm a graveyard MT too (CLS in California) I 100% agree
@@drparisis I like producing my star trek medical tricorder and telling the radiographer that my scanner is better than his scanner!
That’s so funny, I chuckle every time the night crew comes on, the first thing they do is turn off the office lights! They want low light.
X-ray tech here. I'd say roughly 90% of my job is taking the one-word "reason for exam" from the clinician and then interviewing the patient so that the rad can actually put the image into context.
We appreciate that
Literally all i do as a diagnostic radiographer. Orthopods are the worst at giving clinical history. Patient comes in with "?clavicle #" so we have to interview the patient to know if its trauma, if so we'll do our flat clavicle, and a 30° up. If not then we'll just flat it. I don't think they know just how much we go into justifying the exam and reducing the DAP as much as reasonably possible
No doc, "cxr" as a reason for a chest x-ray is not a valid reason.
And my other favorite...
When they order a "STAT" x-ray dated for tomorrow.
Hello fello x-ray techs!
@@migjordanpayawal7856 that's my favourite. Or when they ask for a portable xray because the patient isn't able to get down to the department. You get up to the ward and the patient is walking around free as a bird
Also hello fellow radiographer/xray tech
Exactly! When did X-rays in the ER, I constantly had to expand “reason for exam” note and add arrows to the images to indicate where the pain was.
He so calmly explains away the sheer frustration he must feel at the time. I have never met a nicer radiologist! Maybe he is too early in his career!
😂
The ER stereotype is spot on. At my ER the order is that whenever something comes related to bones, Face/hand injuries, or coughing (pre C19) the first thing is to order an xray front and side views. THEN see the patient after the xray is done
Absolutely pissed us off during covid. The ER docs would ask us to portable the patient for a CXR without even checking the patient because it was in their exact words "too dangerous for us to go in". Yet they expected us to go into the room with less protection to take the xray
@@darkelemental even worse, when lockdown ended they stopped telling us on the requests that the patient was positive, they expected us to read their notes like theyre not supposed to give us a quick summary so we can yay or nay. So many patients we xrayed and later found out were positive - no wonder we were dropping like flies!
oh man so the beef with the ER docs just ordering something with just one word in the Dr. G skits is real?? geez...
@@katierasburn9571 im so sorry to hear that thank u for your service
@@workingtunafish yuuuup.
A possible neumonia gets a 'RX tx F&S' and thats it (Rx thorax, front and aide view) no reason for it, no nothing.
I believe Dr. G. is who started me in watching these types of videos. He kills it every time. As a CDI Provider Educator I see the personalities come through in a unique way. Radiology is fun because it gives MEAT for risk adjustment. Love you guys!!!
Dr. G is incredible
I do the same thing (CDI), and this is the reason I also appreciate Dr. G content.
If I had gone into medicine, it would have been radiology. Instead I chose the impossible career of being an art historian. But visual analysis really gets my frontal lobe going.
Carreer of an art historian? As an art historian myself, I would say: those two words don't go together.
@@ankavoskuilen1725 ?
Honestly the arts and philosophy are so underrated. People just don't understand why they are so important and prevalent in daily society and it's sad. My cousin got a dual doctorate in economics and philosophy. Some of my family members gave him such a hard time for the philosophy doctorate and said he was wasting time and money. They couldn't fathom how philosophy plays into and enhances ones understanding of economics. I'm getting my masters in business and I'm planning on getting a bachelors in philosophy. I was talking to one of my professors who used to be the corporate sales manager for Mercedes. She said having a degree in philosophy would enhance my business degree, give me an edge over the competition, and future employers would see it as an advantage. She Said they go hand in hand with each other.
Radiology is the best kept secret in medicine
Not from the Medical arm of the High-Energy spectrum, but retired as a welding inspector, and was a Radiographer for over 40 years. Evaluated a lot of film, and my secret power is my color-blindness. Gray scale is so normal in my world, but my family just shakes their heads at my wardrobe color matches (like they are important?)
But actually, there are a lot of similarities betweed radiology and radiography. Only thing is my imaging often requires a fork lift to place my "patient" on the table...
😂
I love the reactions to Dr. Glauc videos. It's fun to see people with such serious jobs laughing at themselves.
We love our Rads. Thanks for vetting the pointless scans from the ER ☢️ -love a CT tech
Literally couldn’t do a thing without our techs!
All those pointless ER scans are job security, lol.
Its weird how that works, all of our ER requests are vetted and justified by us, the radiographers. Our radiologists usually are the ones who do the reporting or interventional Radiology procedures
Oh, I love it so much when somebody actually puts the study abstract straight into the video!
I'll be honest, when I'm taking the time to look up a study, that's usually what I read. My statistics are rusty and working my way through several pages is usually more than I'm willing to do to mentally check the "looked up the source" box.
Thanks, having this commented by a radiologist is super informative fun!
100% agree that more clinical history is better than none. I work in pathology, and 9/10 times we only get things like "Pain" or "Fever" if they've given us anything at all
It's great to have input from the actual practitioners depicted in GF's videos. They all seem to be spot on. Love the insights you give. Thanks, Radiology /Dr Parisis
Im a diagnostic radiographer here in the UK, one of our radiologists started working from home since covid and now they're allowed to continue to work from home. Im hoping to move onto something known as a reporting radiographer role at some point in my career, it means we will move into the reporting of radiographic images like you guys do
Good luck!
@@drparisis thank you! We're slowly stealing a little bit of your job, sorry
@@darkelemental Hi may I ask how you’d be qualified to report on images. Would you have to go to medical school? If not would your readings be looked over by a physician?
@@bookmaniac7992 lol he's not taking anybody's job. Unless you are a radiologist based in USA soil you can't make the final read on any images.
@@jaehongsong4904 Yeah he's from the UK that's why I asked. Things might be different. Thanks for the reply!
Much better than the Ortho response, not defensive. Good to see a dark adapted physician with a sense of humor. I was just left wondering if you made the video with or without pants.
😂
Much better than the Ortho response?!?! An orthopaedic specialist also reacted to these skits from Dr Glaucomfleckin?!? I guess I’ve not found that yet, but definitely need to, as I very much enjoy Dr Glaucomfleckin!! Can you point me in the right direction??
PS: I agree with OP - were you wearing pants?
@@theladyinblack3055 ruclips.net/video/YqaCPvc-c1I/видео.html
Fifty shades of grey could theoretically originally also have been a story about radiologist, I see. :D
I'm a CT/ MRI tech and yes I wish they would be more specific on orders! brains for r/o stroke, MS, seizure, mass.... just pick one those all have different protocols!
and stop ordering contrast for strokes and then not ordering contrast for osteomyelitis. if you don't know if it needs contrast just ask.
Thank you for your 9:49 funny but informative content. I respect the radiologist in my work as an ICU nurse.
As someone who has had a fair number of CT's in his day - I can tell you that a good Radiologist an overlooked diagnostic treasure by the general population. Keep us updated on how your journey progresses as I would be delighted to see your first video out of fellowship when you are in full practice.
Much love from the Respiratory Department! We love our imaging folks! I'm pretty basic but my favorite thing about CTs is seeing a deviated trachea! Or even seeing subcutaneous emphysema on CXR. Do you have a favorite thing to see on any of the imaging modalities? If so, you should do a video on it!
Good idea! Thinking of doing a “how to read a chest x ray” video
@@drparisis i would be very careful with that one, some people might start thinking they can actually read a chest radiograph. Looking at you ortho. I spend all week staring at chest x-rays so it would be useful to know what you see compared to what i do as a radiographer vs radiologist. Looking forward to seeing your image appraisal technique ;)
One of the coolest things to see on xray is situs inversus because when we first look at the images and it looks flipped but we are sure we marked it correctly we are like uhhhh sir are your organs on the opposite side of your body lol
There is a Japanese TV serie that is called Radiation House and it's a hospital drama about radiologists. The serie itself is based on a Japanese comic book that is quite good.
Sadly I don't think either are legally available in the west, but I think it might interest you too take a look.
Thanks for the tip!
Subbed, i love to see the radiology community represented on ytube.
Love that
As a Radiographer. The clinical history is spot on!! Cough = chest. Pain = anything else. So many times Iv spoken to a Dr to re-request things with an actual history!
got a foot order, reason? fever
I schedule outpatient radiology appts. The STAT answer cracked me up. A lot of docs want routine stuff STAT when it can wait the next day.
as a german radiologist i am really jealous about your workstations. we do diagnostics on donkey-asses
You do diagnostics on the gluteals of donkeys in Germany? Is that a European thing?
@@whitetomato actually not, our workstations look more like a hobo-home
@@HansImWald I doubt it's worse than where I live
@@HansImWald our Radiology/reporting radiography stations aren't that great in the UK either. The actual PACS monitors cost a fortune so they skimp out everywhere else. I suppose that's probably the benefit of an extortionate healthcare system. They get more than enough money to pay for good things
@@darkelemental this! We have rx 660 from eizo, other than that it‘s hobo Home
As an ex-administrative assistant to radiologists (dental), we would get physical disc's with scans on them that'd would have to be manually be entered. On top of that, residents take classes, so they have to be on campus anyways.
The Radiologist Goes to Therapy is hilarious
Ikr
I don't have any sort of medical training but I do schedule radiology appointments at a small hospital. One of my job responsibilities is to enter radiology orders we get faxed from outside clinics into EPIC and so I thought it was interesting to hear your thoughts on the information included in the orders. Some of the doctors are definitely a lot more specific with the diagnosis codes then others.
ER patient admin here. No med training, but my dad was an Ortho PA, and whenever I’d visit him @ work, he’d often show me films and ask me to tell them what was wrong (never could, of course, but did manage to pick up a thing or two) and/or let me look at some of the more gnarly fractures that’d come in.
Working in the ER (night shift, Whaddup!), we see the radio techs all the time and yeah, a lot of times they’ll just go straight there after triage. Maaaaybe if they complain of chest pains they’ll get an EKG first (kidding, that always happens first), but a lot of times they’ll get imaging done before the MD sees the PT if it’s busy.
Nice casual stab at the dermatologists, "what are you even doing here, it's friday" xD xD xD
So funny
This was great.
8:49 cracks me up lmaooo
Lol all jokes are half true
That’s for realz..ED doctors loves it..cxr doc? Pt just had a pe exam..you still want it?
😂
Hi five from a senior radiologist 🙌
İ wish dr G makes more videos of us in the Future :)
Same here!
Thanks for sharing this video. 😊👍
As a life long patient myself, I've had a lot of x-rays, but without a trained eye, things can seem lumped together. Thank you for including education along with the laughs. 😊
I sent these videos to my sister, the radiologist. She loved them.
I wore skeleton socks to an ankle scan a few years ago, my radiologist loved them! Lol
Thanks radiology for never finding anything wrong with me. Was reassuring despite the severe pain and uncertainty i was in.
Just having something to look at and definitely prove the pain is not caused by some catastrophic joint failure or smth.
(Turns out my brain is a little bit of a pos, especially when im stressed. Took a few years and some very confused doctors to find that out. They should really teach more about the sheer power your brain holds over your body)
I haven't even watched this yet, I just needed you to know that the image for this video made me want to watch it. I cant wait.
Glad you liked the thumbnail
I got discharged by an ED after they told me my ankle was just sprained. Radiology had to call me back because it was infact very broken.
I love radiology reports and how there are so many differentials provided. My neurosurgeon had me take a brain MRI to a radiologist colleague for a second opinion on the scan. He looked at it and said “It’s recurrent tumor.” And I asked what else, he said “there is nothing else to call it”.
I also love the standard “correlate with clinical findings”.
33 years in Radiology and Nuclear Medicine and we definitely love TeleRadiology because of the swift reads. I remember the bad old days of calling a Radiologist out at 3:00AM to read Stat CT's from nasty MVC's and the poor Doc dragging in and cheerfully doing it. Hell, I recall one staying for hours down in the ER doing wet reads as fast as I could process films. And honestly, TeleRad is cool and all, but the whole department just feels better knowing one or all of the Radiologists are just down the hall, available for a quick word to keep us on target. Love Radiologists!
I wish the patients got to meet the radiologists. We need to see you guys!
I got to meet one of mine while I was in the hospital a couple of times. He was a fun guy and we got along great because he was went to LSU and I am big LSU fan so he made it a point to come see me. He is also from Louisiana as well. Naturally he was one of my favorites from my team of doctors!
We’re always in the reading room 🙂
@@drparisis I'm thinking the doctor that did the TEE on my heart and sent that report back to my cardiologist and cardiolthoracic surgeon was probably more than a radiologist then, huh? I wish I could remember his name and I would google him and see exactly what kind of doctor he is. He was a fun guy and avid LSU Alum and fan....I remember that much!
Hilarious, I’m an x ray tech in ED and we see weird orders from physician and we have to kinda correct them just to be in compliance.
Techs always got our backs
If i had a pound for every time i rang a doctor for a request saying broken ribs and asked them to either amend it or cancel it i would be able to go part time lol
Great review, thanks!!
👍🏼
Hello doc..I just discovered your channel..ive been wanting to be a radiologist but kind of intimidated to follow the path because they say the residency application is more competitive..i hope you also make videos on giving tips on how to pass the application especially in US, if you have time..thank you and more power :)
This video I made might be helpful - ruclips.net/video/hNcBKnmT4kc/видео.html
Oh wow, I've never seen the HU scale before. I've had chronic migraines for a little over a decade so I've had a lot of MRIs with contrast. From the name I'd guessed what it did but seeing it in a scale puts it into perspective for me. Very cool! Subscribed ❤️
FYI The Hounsfield unit scale is used in CT, not MRI
Joined cuz I giggled. New perspectives are good
I have a cousin who is a radiologist and thankfully he and his wife have many sons to keep him busy. He has a church that also keeps him busy and social!
This is great reaction content
One of my favorites: CT or MRI "LOWER" Extremity.
Radiologist with a med. school faculty position called me to describe a mediastinal tumor in a pt. referred for suspected pneumonia. It was a heterotopic heart transplant with a pacemaker in the "tumor". The heart transplant was stated on the request but ignored by the attending radiologists AND the residents!!!!
I'm an MRI technologist. We joke about this when they have a lot of orders on a patient!
"Looks like we're going on a fishing expedition!"
"Yeah, we need to do a whole body workup to see if the patient needs a physical exam."
😂 omg that’s hilarious !
The radiologist is my spirit animal. The world is too bright and scary, give me cozy sunglasses any day
Hey there Ophthalmic Tech here for 20ish yrs , your understanding is correct !!!
Theres a manga i got really into, called "Radiation House". I found it very interesting. unfortunately i think its been discontinued but it was still a good read.
Doc Glauc is hilarious and informative.
Good reaction 😊
Ah yes, radiologists beingt introverts, I have a nice story to that :)
Phone rings, I answer it after seeing it's a hospital intern number:
"Hello oncology, this is (my name)"
"uh... Yes, dr (his name) here, is... Is dr. * there?"
"No this is the medical documentary, his number has 01 not 10 at the end"
"oh god *hangs up*"
I don't know why he called, the radiologists normally don't call us directly but that was such a wtf moment for me, I laughed so hard afterwards :')
Emergency Med Resident here. Funny to see everyone have nearly same issue
Welcome to the channel
@@drparisis thanks Sir.
Thank you for your work Radiology😀
👍🏼
I work in a nuclear medicine department and we are very strict about not accepting requests without sufficient clinical indication. We'll just call or email the doctor and say we won't do it until they give us more. But to be fair we rarely do anything emergency so they have time to send us everything.
Yeah nucs is def a little different
To be fair in xray we have to call the doctor (if they can be found!!) and tell them to either amend or cancel it because it is not being done like that lmao. Wish we could give requests scores for how good they are
Only stat nuc med study is lung perf and vent for PE and that is usually because the patient has anaphylaxis to idonine contrast
😂 how did i even miss this
Hilarious "radiology goes for therapy" xD
It’s good stuff
I work for a company that produces medical x-ray film. I can sympathize with the bright lights! Whenever I accidentally feed a QC sample through the imager upside down and throw them on the light box after it prints, it's almost like looking at the sun.
who is it that still uses film?
@@xisotopex There are countries that require patients to keep and handle their own medical records rather than doctor's offices or hospitals. We and the other companies that still produce it sell to those countries.
As a retired rad tech I concur with many points.
Young man. My brother got in on the ground floor of MRIs around your age. At home he had a tiny dark office with monitors and a dictating machine. While he was hosting our family reunion, he had to step in a read some spinal MRIs. So, think about that in your future home office. You are so lucky to read the imaging at home. You chose well.
I don't know if someone mentioned It i but he had a cardiac arrest probably actually does have a pacemaker
Oh yeah, I did see that video where he talked about that!
Nice video… good vibe!
Thanks!
Usually it's the original video that is being reacted to which has the too low audio level, here it's the reactor's video that has a too low audio level.
Basically they should match.
As an IT Specialist for a VA hospital, there are definitely drawbacks to you all working from home. Now bring in your GFE laptop, I can't connect to it remotely.
A radiologist caught my stroke while I was IN the CT machine.
Yeah sometimes we go straight to the scanner to do a “wet read” as the images are acquired
@@drparisis I was given tPA and life flighted to a stroke center. I have virtually no deficits. A different specialist radiologist had to do a special MRI on my brain with contrast. Discovered that I only had one artery going to my brain instead of 2. Y'all are underrated.
Amazing
Hi! Radiographer here haha. The images come up on screen as they are being taken and often we can see something when it is coming through, especially bleeds as they look so irregular compared to the rest of the brain. Then we will scroll back through to double check and if it is what we thought flashed up we call the docs STAT lol, sometimes before the patient is off the scanner
Often as well in serious trauma cases the ED docs and nurses will be in the control room with us just in case and we can tell them straight off theres a bleed and we’re getting an urgent report. Really makes a difference to those patients
There's this manga called Radiation House, it's about Radiologists. Would be interesting to see how accurate you find it
FM/EM doc here, I definitely hate the vague radiology reasons and always try to add more. Usually reasons default to the patient triage complaint in EMRs, so if you are barely keeping up... or the nurse gives you a verbal report that sounds concerning and your stuck with a critical patient that's what goes in. Definitely less than ideal, but more of systems problem.
4:00 The radiology reports on ortho x-rays in my hospital all just say: "The diagnosis of the examination will be performed by the requesting department themselves." So yeah, ortho surgeons are a weird bunch.
CT tech here... still my very favorite clinical history for an exam was "????????" ... literally not joking.. I thought the clever "sick" or "very sick" was bad enough ... but not even bothering giving any words was next level ... no backing at that hospital by the rads so we scanned it anyway .... I'm amazed I lasted a year there
Thank you for sharing. I am currently premed but I have interest in radiology.
It’s the best specialty in medicine 👍🏼
Good video, I’m interested in what made you decide to go with radiology?
Efficiency vs objectivity, where staff is overworked so you often need to default with efficiency, if you can. It's a tough one.
One thing I just thought about considering grayscale. I know someone who is exceptional in differentiating between different shades of gray. The main reason for that is that he sees his entire environment in grayscale as he is colourblind. Would that be beneficial or a hindrance for radiology?
Probably a hindrance because we have colored images like Doppler ultrasound and PET-CT
As a spinal patient I’m curious how Radiologists view the dreaded neurosurgeon
Just met my first interventional radiologist as a patient. I couldnt underdstand him and he kept asking for feedback he was so tiny. Fina,ly after discovering i had 2 renal arteries on the one kidney, he was trying to kill blood supply to a growth..i was getting nauseous. I asked for something. Next thing i know hes poking me and when i opened my eyes he says oh good you are still alive, we overdosed you with wrong drug, so sorry. Naloxone worked. Cackle. I dont ever want to return to that cave...too scary.
Being able to understand the cortical bone joke was an unexpected outcome.
Have any abdominal US recomendations or "what am I seeing" guide that can help med students? Please?
I’ll see what I can come up with
Ask your US tech 😜
-from an US tech
@@theshadowfax239 I didn't know there were US techs, were I will practice MDs do the US (basic like for pregnancy) if they have a certification or the radiologyst... We only have techs for radiography or tomography
What you said about orthpedic surgeons... I now love you. (Maybe orthopaedic in english?).
Also the most important organ is the bone.
"We don't use Hounsfield units to describe light in casual conversation!" 😎 🤣
Not even a Dr, just RT. But I appreciate the Radiology Dept, I look at the CXR or the CT or MRI and I still get confused at what I’m looking for. Even reading the radiology report, I’m like: HOW DID YOU SEE THAT?!
That’s why we do residency for 6 years 😉
experience, experience, experience…seriously you start out being awed by senior residents’ & attendings’ ability to glance at various diagnostic images & make a quick & accurate assessment.
Then something just clicks (for me it happened during my 2nd year in residency) it’s the closest to a “religious” experience I’ve ever had LOL
my son is a spine surgeon, his friend in ortho residency decided to change to radiology because ortho was too physically difficult for him.....6 mo later his wife left him......lol
The only thing missing from this was the apparent radiologists incapability of reading patients notes.
What kind of chairs do you use? I’m in the market.
I did a chest xray on a top level nurse (matron). She considered herself such an expert that she demanded she was able to see it right away, and stuck her head around the glass screen to peer at my monitor. "OH NO!", she exclaimed, "WHAT'S THAT GREAT BIG WHITE THING ON MY LUNG?!?"...
...That's your heart.
This happens far too often, with various other doctors and health professionals.
The joke about the surgeon putting pain as the history is because he is getting pre op imaging done and insurance doesn't cover pre op imaging so they put pain or cough on the order to get it approved.
I found it interesting that my urologist always wants to see the actual films (as well as the reports of course). But he is also a surgeon so I don't know if that makes a difference.
It does because imaging can help guide the surgical approach
Hey doc, please it would be nice if you teach xrays basics and advance levels and also CT and MRIs. I am a final year med student and still cant get hang of the images please!
For sure I will work on it
I'm a patient that has been dealing with Xrays, CT Scans, MRI's etc... for decades and I like to tease the Radiologists that I should have had a dulcimeter considering how many xrays I've had throughout my life.
Always wondered about this, so how do you prevent bias then with clinical info
How come black and white why not green?
aren't there push and pull between surgeons and every other department?
Probably
As a homeless man, i can totally relate to this video. I too have cones and rods.
I love this :)
Thanks!
Him missing part of the joke is so in line with the whole "radiologist" joke...
Love Dr Glockenfleckem! I’m cracking up over this one! But…. I’m mostly trying to figure out if those legs are edited in or they are his actual legs….. 🤔🤔 Whoever’s legs they are, they took time to shave! Most man legs are woolly mammoth 🦣 status! 😂
🤣🤣
Can you go over the difference between an actual radiologist and a radiology tech? My aunt likes to walk around claiming she's a doctor. 🙃
Great idea for a video