Radilologist

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

[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

[Radilologist @Radil0logist]

@mlkytee Unpopular opinion but this should extend to training programmes wherby UK trained docs, IMG or not should get priority

[Radilologist @Radil0logist]

@morrisonMSK

[Radilologist @Radil0logist]

@pwhitakerwriter @ABarotchi1 The union jack flags are threatening

[Radilologist @Radil0logist]

@drbejoy2002 @drmankad @doctor_radio78 @MarionSmits @MohitAgNeurorad @nirmalregency @drvenkimdrd Cavernous sinus thrombosis?

[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

[Radilologist @Radil0logist]

@MStott88 Cancer kills innit

[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

[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.

[Radilologist @Radil0logist]

@MStott88 Hence why some are destined to be academic surgeons 😉

[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

[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!!”

[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.

[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.

[Radilologist @Radil0logist]

@veggieequallife “You know” - No I don’t please tell me more

🤮

[Radilologist @Radil0logist]

@ronansetron @Xeon4f145d96s1 @DrGoblin3 @DrLindaDykes #oneteam

[Radilologist @Radil0logist]

@PMccoubrie Also helps if you can read the mind of the examiner occasionally 😉

[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.

[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.