“We have a consult for radiation oncology regarding a 60-year-old gentleman with a history of lung cancer and is currently admitted. His oncologist is Dr. Heme Onc.” As a new radiation oncology resident, I was surprised to hear the consulting physician refer to the patient’s medical oncologist as “his oncologist.” What about the patient’s radiation oncologist? Indeed, I remembered the patient well: he was diagnosed with Stage IIIB non-small cell lung ...

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Transformation of health care is underway: The landscape is filled with innovation, and the horizon is dotted with technological possibilities of “Star Trek” ilk. In a recent New England Journal of Medicine Catalyst article, there was a compelling argument for how artificial intelligence (AI) of the future will help deliver us from a high cost, high variability, poorly resourced state and help deliver the IHI triple aim quest we in ...

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A male interventional radiologist who is active in the #HeForShe campaign recently told me that he is being pressured to stop advocating for women. My first instinct was the biggest sigh and eyeroll of my life followed by thoughts of locker room peer pressure and boys' club type discussions. But the criticism did not just come from men; many women are asking him to stop. That they don't need a knight ...

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One of the great teaching experiences in a young medical student or resident's life is to be placed in front of his or her peers with an attending physician quizzing him or her on the spot about a particular patient. Often, when radiology imaging is involved, the said victim will be asked to interpret the study and point out any salient features. I have been subject to this numerous times in my ...

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I think one of the biggest frustrations I have as a doctor is being at the mercy of people who either have no medical training or are so detached from medicine that they have lost touch with those on the front line. The American Board of Radiology (ABR) essentially governs over radiologists who typically need the important board-certified designation to find a place of employment. I have always played by the rules ...

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Patient access to care is a high priority for all neurosurgeons. Unfortunately, many of our practices are thwarted in these efforts from unwarranted insurance denials. Know, you are not alone. Take this common scenario:

When Ms. Mary Smith (not the patient’s real name) started her new job several years ago, she purchased the premium insurance policy that her company provided. Recently, she developed severe neck and left arm pain. Imaging of ...

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My dad flew to California in the spring to meet his grandson, who was about five months old at the time. He wasn’t that interested in baby care. He mostly wanted to sight-see and spend the evenings watching TV. One weekday morning, he ventured out on a hike alone, while I was at work. He left at 9 a.m. and never came home. We live at the base of a dusty ...

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In the United States, any person who has tried getting their own (or their patient’s) radiology images from another hospital or practice will find the practice painful. Here are several obvious reasons why the CD-ROM — briefly the darling of large data transfer — is a truly terrible way to share radiology images in 2018: They require physical transfer. Remember the term “snail mail”? Do people still say that? They are slow. When you bring a ...

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Sometimes things go just the way you want them to, and sometimes they don't. Compare and contrast the case of two different patients, and how things went trying to get them the care they needed. The first patient, let's call him Mr. Smith, called up one day last week with a brand-new symptom, which after a phone call was ultimately determined to be disturbing enough that he was offered a same-day appointment. After ...

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As a radiologist, I interpret thousands of imaging studies every year. Of the millions of medical images that have crossed my screen, they all have one thing in common. They were all acquired by a technologist in the radiology department. Imaging technologists perform a vital role in medicine. All have specialized training that is unique and critical to patient care. Truth be told, many of them have a greater knowledge base ...

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