Radiology Good Quotes

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN = Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

We are entering an age of super-intelligent computers that can take any complex data set—every legal precedent, radiology film, asset price, financial transaction, actuarial table, Facebook like, customer review, résumé bullet, facial expression, and so on—synthesize it, and then perform tasks and make decisions in ways that are as good as or better than the smartest human in the vast majority of cases.

For starters, of the four so-called weapons of mass destruction, three are far less massively destructive than good old-fashioned explosives.272 Radiological or “dirty” bombs, which are conventional explosives wrapped in radioactive material (obtained, for example, from medical waste), would yield only minor and short-lived elevations of radiation, comparable to moving to a city at a higher altitude. Chemical weapons, unless they are released in an enclosed space like a subway (where they would still not do as much damage as conventional explosives), dissipate quickly, drift in the wind, and are broken down by sunlight. (Recall that poison gas was responsible for a tiny fraction of the casualties in World War I.) Biological weapons capable of causing epidemics would be prohibitively expensive to develop and deploy, as well as dangerous to the typically bungling amateur labs that would develop them.

I anticipate diagnostic AI will exceed all but the best doctors in the next twenty years. This trend will be felt first in fields like radiology, where computer-vision algorithms are already more accurate than good radiologists for certain types of MRI and CT scans. In the story “Contactless Love,” we see that by 2041 radiologists’ jobs will be mostly taken over by AI. Alongside radiology, we will also see AI excel in pathology and diagnostic ophthalmology. Diagnostic AI for general practitioners will emerge later, one disease at a time, gradually covering all diagnoses. Because human lives are at stake, AI will first serve as a tool within doctors’ disposal or will be deployed only in situations where a human doctor is unavailable. But over time, when trained on more data, AI will become so good that most doctors will be routinely rubber-stamping AI diagnoses, while the human doctors themselves are transformed into something akin to compassionate caregivers and medical communicators.

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN=Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

following limitations: 1.    These are AP films therefore; the cardiac size cannot be accurately assessed. 2.    Pleural fluid lies posteriorly creating a denser hemithorax. 3.    A pneumothorax lies anteriorly and so can be missed. 4.    Upper lobe vessels will be prominent even in the absence of cardiac failure. 5.    Good inflation of the lungs is difficult, even if the volumes are normal.