the weekly source for radiology professionals

You, Again?

Posted by: Bob Stott

My life is a towering mass of boxes, slightly skewed to the right, some appear almost toppling like the Tower of Pisa, but it holds its own. In the family room of the house I am gradually vacating day by day, I add a new box filled to the brim with knick-knacks, term papers from college I still consider pawning off on eBay, and the miscellaneous trinkets and scraps of paper I refuse to part with because "they will be needed someday." I have no misconceptions about my lot. I am my father's son – pack-rat extraordinaire.

True to my nature, the boxes of trinkets, papers, and notes to self number already in the tens, and cleaning out my room of these menial odds and ends is by far the hardest task of moving, which is probably why, on average, it takes me months to do so. However, the eccentricities of a pack-rat often open opportunities to delve into the past, even for a few moments, to look back at another version of yourself when this seemingly useless trinket meant something very important.

Yesterday, packed in between copies of some poetry that got published in a literary journal in San Francisco, an old movie ticket to Star Wars, and a single leather glove a homeless guy in Philly gave me in exchange for the two pairs of cotton ones I offered him, I found an X-ray film of my left arm. Just out of college, I received a nasty hairline fracture to my left forearm. Very clean and no visible distortions as far as the doctors could see, I simply received a Velcro strap-on arm stabilizer and was told to follow-up in two months. As usually is my luck, my insurance ran out about a month after the initial break, so instead of checking back, I simply allowed myself to forget about it and drink extra milk everyday (for the calcium, of course, because that obviously expedites bone growth tenfold).

Unwilling to return to my parent's house yet not quite invested in graduate school yet, I was sleeping on a rotary of couches and futons – a segment of my life I simply refer to as my 'Crashing' phase – and paying bills and school loans by working at a veterinary hospital. About four months after the fracture, and three months after my student insurance dried up, I started to have these painful flashes in my left forearm, which I attributed to lifting the heavier dogs or sleeping on it in my sleep.

The pain came and went, but unwilling – and financially unable because, despite what they say, working in the kennel of a veterinary hospital is not a lucrative career – to go back to a doctor, I simply asked one of the veterinary technicians if they could X-ray my arm to make sure I wasn't growing another arm bone out of the break. Aside from some calcification, I was all clear. Since then, the X-ray have gone with me from residence to residence, usually taped on the upper part of a window so I can look at the fracture anytime I want and reminisce about my time living "off the grid." Over-dramatic yes, but it remains something to tell the kids later in life, how their dad was such a bohemian scrapper, if only for a year.

In a time of the push towards EMR and EHR software technology, I wonder where people who made my transitional lifestyle a permanent one would end up. Will the digital resistance hold out just for them? Sometimes, I think that's more the reason that I hang onto the X-ray – so when my medical record is finally digitalized and computer accessible, I can pull out this X-ray film, a relic from another time, that completes the timeline of my medical encounters.

Paper or Plastic

Posted by: Haley Jestice

"Next customer, please...," booms a male voice amid a crowded waiting room of people. Stammering, he says,"uh, I mean...Next patient, please, come forward!" [A fictitious monologue to set the stage for the following question]

Is healthcare a business or a service to humanity?

I came across a similar question while searching for upcoming article ideas, relating to staffing issues in healthcare. As I scanned a few articles written along the lines of ethics and moral behavior in the workplace, I came across a few articles discussing this idea. So, I'm blogging for answers: Is healthcare a business or a service to humanity?

As healthcare professionals, what do you think? How does business and serving people's needs relate to the radiology field?

I’m Green… and it hurts.

Posted by: Bob Stott

Guzzling my second cup of ice water, I have just slumped into my chair at work, my Jell-O legs still twitching. Its 8:06 in the morning, and I've just done a marathon. In my steadfast pursuit of all things "green", I've joined the ranks of two million people in America who regularly bike to work – by regularly, I mean two to three days out of a given week. And, with summer heat not even in full swing yet here in the Keystone State, I'm beginning to realize why the other 97 million don't.

When I recently moved within four miles of work, I was happy both for the luxury of not sitting in highway traffic for the better part of an hour, as well as the possibility of being one of those glorified people who "bike to work". I can assure you that most days out of the week, the hype often overpowers the actual experience.

While the bike may mean one less car on the road in a congested urban setting, it is apparently the bane of any random driver's existence in the suburban sprawl I must traverse on the way to work. Unlike the city centers, there are long stretches of road that have no traffic lights and therefore drivers feel content to careen at speed of fifty miles an hour, two ton metal whizzing by me like a BB gun pellet.

Moreover, something you oddly don't notice as much when surveying a route to work via a car ride, seldom are there sidewalks. Again, this would not be so much of a problem if there also were no delineated bike lanes either. Essentially, for much of my ride my wheels are hugging the gutters, and even then, I am furiously honked at as family minivans and huge Semis alike swerve into the opposing lane to avoid coming within twenty feet of me at the curb.

Now, let's get down to the nitty-gritty for our young radiology professionals eager to avoid highway traffic, hide-and-seek parking, or contributing to the gasoline monster that is expected grow to Kracken-sized proportions by mid-summer. While biking does provide the chance for people to improve their fitness at a time when obesity is at record levels, it is first and foremost, exercise; and depending on how far you have to bike and what kind of terrain, it can be some rigorous exercise at that. And exercise means sweat. Lots of it.

While you may either enjoy the smell of your own natural musk or (like many women I know) believe they do not have a discernible "sweat smell", other people can and DO notice, even if it's on a subconscious level. A pungent body smell or oily glow of sweat post-exercise can undermine even the most professional of technologists or radiologists, especially when interacting with a patient. Although its more of a cultural taboo than actual hygiene, many people consider body odor to speak volumes about the professional themselves. Patients oftentimes want a super-professional, a calm, cool, collected encyclopedia of helpful information – its odd how a waft of good ol' fashioned "musk" can send that expectation toppling down.

While for hospital staff, a quick shower after getting to work can provide a good cool-down and "wake-up", many of us do not have the luxury of available showers at our facilities. For the morning hike to work, I picked up one of those exercise outfits from the sports store and make sure to pack my backpack with a change of clothes and some deodorant spray. I get to work a little early, cool down for a bit, drink plenty of water, change clothes in the bathroom, and by the time the day starts, no one can tell I just made a grueling bike ride to work and avoided becoming a pancake on a Semi's engine grill.

That's my story, so now I turn it over to you. How many of you professionals are making strides to get that extra bit of cardio in before and after work? Is your automobile ready to take a couple days off as you take a stab at living a "greener" way of life? Do you see any hiring changes at your hospital or imaging facility that might mean a big upswing for the bicycle revolution?

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