Thursday, April 5, 2012

Wanted: Pictures of X-ray Equipment












Having worked at several hospitals and imaging centers, I always find it interesting to see the variation between the x-ray equipment that is used.  One facility I worked at had a Picker x-ray tube from 1958, and to my knowledge, it is still being used at that facility (although I'm certain the original tube inside the housing is probably long gone).  Some places have brand-spanking new equipment, and most have something in between.

I would LOVE to get a library of images of different faces of x-ray tube controls... would anyone be willing to contribute some images to this library?  If I get enough, I plan to create a dedicated page to display them all on this blog.  Just send me a quick picture of the x-ray tube controls similar to the ones above.

Wednesday, April 4, 2012

Bad Clinical Experiences

For the most part, the clinical experience during school can be somewhat stressful, and definitely uncomfortable, but occasionally we run into a particular person who simply makes your life difficult. They might not purposefully mean for this to happen, but for one reason or another, you clash. I'm sure we've all had those particular Instructors or Technologists in our lives and in our education, but for some reason, we rarely speak about those individuals. Let me introduce you to the elephant in the room.

When I was in school, there was one staff Technologist in particular who made my clinical experience very difficult. Public humiliation and threats of being thrown out of the clinical site happened all too often.

I remember performing a cross-table lumbar spine for localization as a student (on film/screen). I hung up my image to place a date sticker on it and write "portable" with my sharpie. The images was slightly underexposed, but there was enough density and visualization of the anatomy to clearly make out the vertebral bodies and visualize trabeculae, as well as the spinal needle that the Surgeon wanted the Radiologist to confirm that he was cutting at the correct level.

This Technologist (with about 5 other Technologists standing in the room looking at my image) saw my image on the light box and said, "Oh my God... What the hell do we pay you for? That's unacceptable!" This was toward the end of my clinical experience, so I had gradually built up enough bravery (and stupidity) to compose my response, which I don't recommend using... I replied in a calm, collected tone, "you don't pay me." I think I actually saw steam coming out of her ears... if I only had an egg to crack on her head, I'm sure it would have cooked instantly. Infuriated, she yelled, "Go repeat that right now!"

The tech I was assigned to walked me out of the room and led me straight into the reading room. He told me he thought that I didn't really need to repeat it, but we would ask the Radiologist just in case. When the Radiologist said it wasn't necessary, he also suggested I alter my technique for the rest of the procedure once the hardware was inserted.

I thought I was through the woods until about an hour later, when I found out that she had followed up to see if I repeated the image, and began ridiculing me in front of her staff again. I don't remember her exact words, but she mentioned the word "insubordination" and "do that again and you're out of here." She knew very well that we showed the image to the Radiologist as well, and I found myself on transport duty for the next two weeks.

She liked to do this to me because the hospital was always short on transporters, and she knew I transported for a different hospital on the weekends. I was a victim of my own initiative because I was usually done with my competency evaluations for the semester early, so the school couldn't necessarily say my education was being hindered, although I still disagree. I should also mention that the dress code for male Radiography Students was slacks, dress shoes, long-sleeved shirt, tie and lab coat, so it meant two straight weeks of dripping sweat in my nice clothes and lots of laundry. For some reason, the female students were allowed to wear scrubs... never understood that.

This was just one event from one day of almost two years worth of dread. If you don't know me, I usually find it easy to get along with most people, so it goes to show that no matter what kind of personality you have, you are going to encounter someone like this in your career eventually that just seems to have it out for you. I hear of other stories similar to mine that seem to make people question whether or not they could handle their clinical rotation, as it did for me. I only got through it by constant evaluation of my progress... this person, whether she had a grudge against me, men in general, or was just really unhappy, managed to motivate me to make as few mistakes as possible. I paid attention to detail and tried to learn as much as possible as quickly as possible so that I could attend a day while flying under her radar.

I questioned whether or not to write this post because I did have plenty of good experiences during my clinical rotation, and I don't want to sound negative. There is something therapeutic when you know that others have experienced what you're going through, and have persevered through the thick of it, but it was not until many years after these experiences that I have found anyone willing to open up about it.

I would love to hear similar experiences from anyone willing to post, and please DO NOT mention names - the last thing I want to do here is call anyone out directly, so I also recommend posting anonymously. I would also be interested in hearing how you think the person in your experiences could have handled themselves differently that would have created a more valuable learning experience. No matter how much experience we all build, we still have things to learn too.

Looking for tips on success through Radiography school?  Check out my book coming Summer 2012... more info HERE

Saturday, March 31, 2012

A Defined Scope of Ethics

In case you have not read my post on kVp, mAs and density (and its comment thread), I want to refine the scope of Topics in Radiography based on a couple of my most recent comments.  I have been increasing traffic to this blog a lot lately, and I have also increased the amount of private messages and emails I am receiving.  I am glad that these posts came anonymously because I don't wish to point the finger, publicly humiliate or embarrass anyone at all.

There has been a growing number of student responses from across the world, and I am re-learning foreign geography when I look up where some of these students are from.  This is all great, and I would like to thank everyone who reads and especially those who leave comments.  I want this to be a place where we can openly and freely discuss ideas, ask questions, and learn from one another... but I have to draw the line somewhere.

Though I credit any student who finds information here from an internet search (I use google for my searches), the questions I am receiving are becoming more vague and broad.  In other words, I am getting questions like "what should I do my project about?" and "can you help me find a research topic?"  I will not answer these questions for you.  I don't mind answering specific questions about a topic like "how does increasing kVp increase scatter radiation?".  I can even help you brainstorm ideas, but there is a teaching concept called "spoon-feeding" that I do not subscribe to.

This reminds me of something that used to annoy the heck out of me as a child... when my mother used a word that I didn't know the meaning of, I would ask her what it meant.  She would always reply "look it up."  If I said, "that's okay, never mind," (because I didn't want to get up off the couch) she would make me get up and grab the Webster's Dictionary on the shelf that sat next to my Encyclopedia Brittanica.  I would begrudgingly walk, shoulders slumped and pouting, and grab the dictionary, look the word up and go over it with my mom.  I hated this!  But I did engage in a valued habit after doing this so many times... it taught me that I was empowered with the ability to find out new information, and it gave me a set of tools to accomplish the task.  I stopped asking her what words meant when I got a little older and automatically looked them up - self-reliance/independence.

These days, there seems to be a growing void with the amount of information available at anyone's fingertips, and the amount of work people will consider to find information that is not "instantly accessible" on a search engine.

Today, I can look up a word and find its meaning in about 10 seconds with the internet... something that I'm now teaching my mother how to utilize more productively - touche.  The point is that if you have the tools to get the job done, you're setting yourself up for failure if you constantly rely on someone else to do the job.

I don't know the scope of your project or research paper, nor do I know the guidelines in which you were given to produce the paper, and to be honest, I don't want to know.  It was meant to be an exercise that YOU perform for the improvement of your knowledge and skills in school.  If you have trouble understanding the reason for something, please ask me, but don't expect me to locate a source for your research (and no, you should not be using my blog as a sited source for your research). 

I truly hope that my readers understand this perspective and respect the integrity of our profession that I am attempting to uphold by posting this.  Some people get by all their lives by having someone else do their work for them, but how far can they really get in life, and at least claim credit for it themselves?  What kind of Technologist will you become by asking someone to do all of your difficult tasks?  Once out of school, and especially in a tough economy, there will not be anyone to do your work for you, go the extra mile for you, get that promotion for you, or take care of your patient for you.  We are in a time and place within our profession when it is increasingly important to promote ethical and professional standards, and that has to start in school, where your habits and learning methods are being molded.

All of this being said, I challenge the posters of the comments I mentioned to refine your questions... get the ball rolling and ask more specific questions.  I would also like to encourage other readers to respond as well.  This blog isn't here so that I can lecture to the public and expect people to sit there quietly and just listen.  I want your input and I need dialogue to want to continue posting.  There are lines of thought I'm sure I haven't considered and many ideas out there that I certainly will not think of, as I know background and experience of my readers vary widely.  As I said in my very first post back in 2007, "I encourage anyone reading to offer advice or simply state what works for you. After all, I have definitely not seen it all, and it seems as if I learn something new every day in the Radiology department."

Sunday, March 25, 2012

How to Maintain Density for Changes in Power Supply

Use this method for maintaining density when you change from one x-ray machine to another that have differing generators and power supplies.




Similar posts: 








How to Maintain Density for Changes in Screen Speed

We may not need to convert between film/screen speeds to maintain density in most major hospitals, but there may be some places to work that still require this kind of adjustment. In any case, you still need to know how to do this on the ARRT registry exam as well... for now:


Similar posts:  Percent of Increase or Decrease Density Maintenance Formula, Inverse Square Law









Wednesday, March 21, 2012

Carestream Blog

Hey everyone!  I've had quite a busy week, and I know it looks like I haven't been writing much, but I took some time this week to answer some questions from the good people over at Carestream.  You can check out my answers here: http://blog.carestreamhealth.com/2012/03/21/qa-with-lead-radiologic-technologist-at-scripps-health/


Saturday, March 17, 2012

Radiograph of the Week

Can you say "ouch"?  Pre-op and Intra-op images:



























Related Posts:
Radiograph of the Week


Here's a Quick Way to Speed Up Your Xray Exams

Beginning your clinical rotation in x-ray school can be overwhelming.  Not only are you plunged into a new environment, you are expected ...