Luke Toh

[Luke Toh @LukeTohHW]

@MothershipSG There are a few chaps with bikes emblazoned with police colours too

[Luke Toh @LukeTohHW]

@Murthy_CS_ @IRSA_IRs @AosprCom @ISVIRIndia @indian_spr @cirsesociety @SocPedRad @SIRspecialists @SIRRFS See you later!

[Luke Toh @LukeTohHW]

@irhkch @socpedsir @FredBertinoMD @BarnacleAlex @Dtepl @apaezcarpio @Eric_Monroe_MD @LeahBraswellMD @AnneGillMD @AnneMarieCahil5 @Murthy_CS_ @ElaineYLKan Stay on the course

[Luke Toh @LukeTohHW]

@BrownJHM Prune belly

[Luke Toh @LukeTohHW]

@IN_publishing @paragpatel_IR @DrHulsbeck @BarnacleAlex @IRguru @AmandaSmolockMD @fermgmez @myESR @cirsesociety @RSNA @SIRspecialists Totally agree. Patients must always be at the heart of all we do as doctors.

[Luke Toh @LukeTohHW]

@vicenteramosir @socpedsir @spir2022

[Luke Toh @LukeTohHW]

@MurphysIceCream

[Luke Toh @LukeTohHW]

@spir2022 The President still hard at work

[Luke Toh @LukeTohHW]

SPIR 2022 with the President, former presidents and future president.

[Luke Toh @LukeTohHW]

Catching up with friends and mentors & SPIR 2022

[Luke Toh @LukeTohHW]

#SPIR2022 another great meeting of brilliant Paediatric IRs! Congratulations to Charles recognizing his lifetime achievements and contributions to Pediatric IR! “Family matters most”

[IR Juniors @IR_Juniors]

9) Lastly, see it as a referral to another specialty, not an admin task.

➡️Use your slick OSCE skills to present the case.

➡️Or, visit the on-call radiologist in person. It's lonely in the reporting room, but we'd love to answer your Q's and sell you on the best specialty ☢️

[IR Juniors @IR_Juniors]

8) Ask yourself - what actions will I take based on the results?

➡️This is the best way to focus your thinking down to a clinical question

[IR Juniors @IR_Juniors]

7) Is there relevant previous imaging?

➡️Radiologists will compare a new and old scan ie to assess if a cancer has grown or shrunk.

[IR Juniors @IR_Juniors]

6) Know the urgency of your request

➡️For example, chronic symptoms such as weight loss, abdominal mass, and loss of appetite may warrant a CT.

➡️However, this would not usually be performed out-of-hours, when the imaging department needs to focus on emergencies.

[IR Juniors @IR_Juniors]

4) How stable is the patient?

➡️Do they need an urgent portable ultrasound or xray?
➡️ If they come to the radiology department, do they need a medical escort?

[IR Juniors @IR_Juniors]

3) Pre-empt what the radiologist will ask you

CT/MRI
➡️ Pregnancy?
➡️contrast allergy?
➡️renal function?

MRI
➡️Pacemaker or other metal implants?
➡️Claustrophobia?
➡️ Is the patient able to keep still, or do they require sedation?

Ultrasound
➡️ Last meal? (for abdo US)

[IR Juniors @IR_Juniors]

2) Have a clinical question

"PE or not PE" is a much easier question for a radiologist to answer with a CTPA rather than "chest pain ?cause".

Radiologists can suggest the type of scan to best answer your question, with the lowest radiation dose.

[IR Juniors @IR_Juniors]

1) Know your patient and summarise effectively

If a colleague asks you to "just arrange a scan" and you aren't sure why...ask them!

[Luke Toh @LukeTohHW]

https://t.co/qXYkOg1iXf