RJ @northwoods1980
musculoskeletal radiologist USA Joined February 2011-
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Give this little avulsion the respect he deserves. Because as you know, he portends pathology
This new retiree got lucky. Picked up his pancreatic tail adenocarcinoma which remained confined to the tail and spleen thankfully with a clean resection. He was CT'd for his life-saving diverticulitis. Luckily he may go on hopefully to still enjoy retirement.
Young patient. diagnosis of psoriatic arthritis. I'm not sure I've seen this level of destruction and pannus with psoriatic. Any thoughts? Clearly the ligaments are destroyed and findings of instability.
Nice! I'm stealing these for my techs
Somewhat unusual. The low energy lateral compression type 1 insufficiency injury skipping to the contralateral side due to altered biomechanics?
Six weeks later. What's take-home point? For primary care? An x-ray does not substitute for a competent history and physical exam.
First of all, when you see this in a 60-year-old you really question the whole "intelligent design theory". Second, you understand/can appreciate why this person has paraspinal sarcopenia no fault of their own!
Well, that is one way to dictate adrenal CT mass protocol when you check the pre-contrast and don't need the multi phase. Short to the point.😂
What do y'all think about this retro study? This 18% reference seems insanely high. I feel like this cannot be even close to accurate. We would be referring hundreds of patients every week. cambridge.org/core/journals/…
I would be very curious to hear from new attendings or fellows planning on becoming, employees of groups like Rad partners and Rayus. What were your primary motivating factors aside from geographic location, that drew you to these groups?
Always searching for more classic body type findings on MSK pelvic exams- colorectal cancer, GYN malignancies, etc. Diagnosis here? "By the way Ortho surgeon, I HAVE been having dribbling and dysuria for many years!!
It’s all sickening.
Almost 200 years later, his legacy lives on. In my voice recognition, dictations.
I'm proud of my instruction and proud of my technologists now I would say getting 80 to 90% of lateral knee x-rays to look like this. Now when I see outside x-rays I become irritated. The norm is rotation.
"segmental motion palpation abnormality" HVLA attempts- 💁-Congenital block vertebrae segmentation disorder in which the chorda dorsalis fails to form nucleus pulposus, resulting in rudimentary fibrous junction or the complete absence of disk-like structure
Point of care Ultrasound. A nice way to boost billing potential in primary clinics! I think there should be minimum standards of what images have to be saved, documented for proof. It would be like a cardiologist doing an echo and then saving no images for proof--"we just take…
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They should make an NSAID that doesn’t hurt your kidneys. All other medical research should be directed to this cause.
@panscan27 @northwoods1980 I came from one of those oppressive regimes, a country who had that very line of thinking. I refuse to ignore people’s (students) suffering because others have it worse. Residents have some of the highest suicide rates. The high cost & predatory debt of med school is absurd.
@panscan27 @northwoods1980 Maybe there can even be a tiered system. First 2 years free for all to allow those who hate it to quit so they’re not trapped. Then tiered cost depending on specialty. But there has to be a better way out of the ridiculous 100s of thousands of dollar debt students have now.
@northwoods1980 As an immigrant who worked her butt off to become successful, I’m disgusted by that behavior and the implications of that article. They’re not only false but intentionally stirring up vitriol against other doctors. The worst kind of virtue signaling grifter.
@GoGruentzig @northwoods1980 I live in NYC and even I struggle with cost of living… as a surgeon and main provider with young children. It’s 5x more expensive than when I was in PA. But I’m lucky. What PCPs make here is insultingly low. My PAs in Pennsylvania made more than PCPs in NY. They had houses etc.
@Xangrydocs Okay so you’re just being weird. Got it.
@northwoods1980 But also a standard trauma wrist series should include ulnar deviation, angulated scaphoid, and clenched fist views IMO, to increase sensitivity for subtle injuries
@northwoods1980 @IR_Doctor I mean there's a lot of sanctioned baby murder in the Bible so if you're hoping to win an argument with these people you're sorely mistaken.
Smallest residual fluid I’ve seen. Would probably overlook it if I didn’t know the leak was at that level/foramen.
@northwoods1980 Didn’t need that last image. Just by the text I knew where that was going.
@northwoods1980 For this reason, I have a macro that says “If there is persistent pain, recommend repeat radiographs in 7-10 days to evaluate for a radiographically occult fracture”
@northwoods1980 I'm likely to agree with you... many things potentiate the loss.
@northwoods1980 @HeadNeckRads The review includes mostly older (pre-2010) literature. I'd argue referral patterns have drastically changed in the past 10-20 years.
@MichaelAlbertMD @hjluks @northwoods1980 @VPrasadMDMPH Wow they found an arachnoid cyst and a mucus retention cyst. Another life saved by Prenuvo.
@northwoods1980 Each DIP and PIP in the hand and foot gets a chapter.
@northwoods1980 U mean to say its more to scoring synovitis than 👇 1: Glass empty 2: Glass full 3: Glass overflowing 4: Glas VERY MUCH overflowing 😂
@northwoods1980 We have been so accustomed to having oblique instead of strict lateral x-rays, it’s rare when you get it correctly done the first time, i always end up sending the patients again with the word ‘lateral’ underlined and marked 😂😂😂
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