milkyboy🔺

Stay caffeinated.

[milkyboy🔺 @LaidbackLiftr]

Can One Kettlebell Replace A Whole Gym? https://t.co/9YCrGJVSB6 via @YouTube

[milkyboy🔺 @LaidbackLiftr]

@noelontheroad “Empowering your brand with the power of storytelling”

Good job mang rage bait.

[milkyboy🔺 @LaidbackLiftr]

Weili versus Nunes anyone? #UFC312

[milkyboy🔺 @LaidbackLiftr]

@TrollFootball You cant spell arsenal without arse..

[milkyboy🔺 @LaidbackLiftr]

@JonnyBones Alex!

[milkyboy🔺 @LaidbackLiftr]

@patpat_tricia I didnt know you could use a phone inside a sauna, nice

[Dan Go @CoachDanGo]

A fit body is the ultimate status symbol.

It must be created through good habits, years of hitting the gym & controlling what you eat in the kitchen.

You can't fake having a fit body. It must be earned.

[Ryan Holiday @RyanHoliday]

Be quiet, work hard, and stay healthy. It’s not ambition or skill that is going to set you apart but sanity.

[Dr. Ameya Kawthalkar @ASK_MSK]

10 tips for radiology residents to get the most out of residency

I have made my fair share of mistakes during residency. I was lucky to have wise mentors, people who taught us by example. Tips to help you make the most out of your residency:

1. Be the person who picks out the toughest and most complex cases in the department to report: if there is one thing you implement from this post, let it be this. You will get sufficient exposure to the regular bread and butter radiology cases. Given a choice between reporting an easy and difficult case, always choose the latter. It might be an MRI for a brain tumor, CT complex craniofacial trauma, CECT for a laryngeal malignancy, an HRCT thorax with 10 different things going on in the lungs, complex congenital heart disease CT, the dreaded ICU radiograph, an MRCP of a hepatobiliary malignancy, a complex gynaec ultrasound, a foot MRI of a complex pathology, etc. It will be difficult initially but it is absolutely worth it in the long run. You get a very deep sense of professional satisfaction from handling complex cases well, whether diagnostic or interventional.

2. Develop rapport with referring physicians and surgeons. Be friends with them. You will learn more from a 10 min talk over coffee / tea with a top physician / surgeon than you will by spending 2 hours with any radiology textbook. Get to know the things they want you to mention in the report. Take follow ups of your cases from them.

3. Be approachable. Be the radiologist who the physicians and surgeons know they can trust to give an opinion on the complex and emergency cases for which they come to the department to discuss. You will also learn a hell of a lot.

4. Learn to report radiographs. Ignore radiographs at your own peril, master the art of reporting them well.

5. Seek to master all organ systems, all modalities: unless you are a subspecialist working in a tertiary orthopaedic / neuro / gastro hospital, you need to be an excellent general radiologist. Read up and keep reporting all organ system cases. You owe it to your patients.

6. Respect your craft. Read, report, work hard, be on time. Good old fashioned stuff, never goes out of fashion.

7. Respect the machines. Learn to optimise ultrasound, MRI, CT protocols. Learn optimum patient positioning for radiographs.

8. Never stop reading and learning. Don't stop reading even after you finish residency. A senior consultant at one of my previous hospitals read 1 radiology article from a journal every single day. Done day in, day out for more than a decade leads to phenomenal compounding. He also embodied a lot of the tips mentioned here. No surprise he was the most sought after radiologist in the hospital whose opinion was considered the final word.

9. Go above and beyond the call of duty. Spend as much time in the department as you reasonably can and see as many cases as you can, read reports of seniors and consultants. Might not be possible for everyone and am not advocating stressing yourself out, that is a recipe for burnout. But every little bit goes a long way. I did this in Grant Medical College as an assistant professor when my wife would be on her cardiology residency on call in Sion hospital. The physicians and surgeons would know more often than not I would be available in the department in the evenings for a quick opinion on in-patient and emergency cases. Again, you learn a lot!

10. Always keep in mind the patient behind the image. What is an 'interesting' or 'beautiful' case for you is horrible for the patient.

[RJ @northwoods1980]

A radiologist who is a clinical wizard among most subspecialties but then, is also an MRI physics wizard, an MRI super user among all vendors, can go into a radiology dept and overhaul protocols, work with MRI techs(and other modalities), monitor quality of various platforms and various systems... pretty much an entity you can't put a price tag on. On flipside, anyone or almost anyone, can be trained to interpret high-quality images. The other stuff is what's really difficult, requires a nuanced skill set that is not easy to acquire and generally not part of training programs. Any rad with that skill set and particularly with a deep MRI physics and tech superuser skill set, is just priceless. Priceless!! Only rads seem to truly appreciate this fact. It amazes me how other specialties think that techs just "push buttons" and there you go!everything(images, procedures) just sort of happen. Hospital administrators often the worst offenders at times (MBA programs don't usually require you to do the inside, low level grunt work we all do day and a day out behind the scenes). I assume this concept is, ditto for pretty much every specialty out there. The assumptions we all make....

[Ryan Holiday @RyanHoliday]

One of the best pieces of advice from Seneca was actually pretty simple.

“Each day,” he told Lucilius, you should, “acquire something that will fortify you against poverty, against death, indeed against other misfortunes, as well.”

One gain per day. That’s it.

[milkyboy🔺 @LaidbackLiftr]

Louder

[Dan Go @CoachDanGo]

People who don’t put their weights away at the gym they need to get their memberships cancelled.

[milkyboy🔺 @LaidbackLiftr]

@patpat_tricia Very busy din but what the hell, worth a shot 😝

[Dan Go @CoachDanGo]

Instead of snacking → Drink water

Instead of sitting → Go outside for a walk

Instead of doom scrolling → Read a chapter

A big key to improving your life is replacing your bad habits with good ones.

[Sam Ghali, M.D. @EM_RESUS]

Hi, ER Doc here.

When a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.

[Dr. OMID BANDARCHI @OBandarchi]

These 4 conditions may be confusing.

♦️SPONDYLOSIS(vertebral arthritis)= degenerative OA of the spine.

♦️SPONDYLOLYSIS(pars interarticularis Defect)= Stress Fx.

♦️Spondylolisthesis: explained in detail.

♦️Spondylitis=inflamed spine :
Pott's Disease, Ankylosing Spondylitis

[Dr. Longissimus @DrLongissimus]

In every radiology department, radiologists' understanding of how an MRI machine works ranges from "profound knowledge of fundamental concepts and their application to every day practice" to "donut goes bing-bong makes pretty picture"

[milkyboy🔺 @LaidbackLiftr]

@RadiologyACR TOF, arch appears right-sided

[Oren Gottfried, MD @OGdukeneurosurg]

Easy instrument Tie… needle driver in center, wrap long end around twice, & pull short end to other side. Then repeat with one wrap to lock. Source: Dr. Zenn

[Richard Heydarian @RichHeydarian]

THIS IS UNACCEPTABLE! We got BILLIONS for MAHARLIKA and whatever fund, and millions for LOGO and rebranding campaigns, but leave our WEST PHILIPPINE SEA positions like this??? #Ayungin via @NYTimes