Radiology 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.

Equally worrying, and far less recognized, medicine has been slow to confront the very changes that it has been responsible for—or to apply the knowledge we have about how to make old age better. Although the elderly population is growing rapidly, the number of certified geriatricians the medical profession has put in practice has actually fallen in the United States by 25 percent between 1996 and 2010. Applications to training programs in adult primary care medicine have plummeted, while fields like plastic surgery and radiology receive applications in record numbers. Partly, this has to do with money—incomes in geriatrics and adult primary care are among the lowest in medicine. And partly, whether we admit it or not, a lot of doctors don’t like taking care of the elderly.

Now picture a volume of human / Reduced to planes and fluttering / Under my thumb like a flipbook / Showing the disease in action

Nearly one in three of all the newborn babies have deformities, mostly internal,” said Alexander Vewremchuk, of the Special Hospital for the Radiological Protection

Whereas a physician used to do house calls, sit at the bedside, and touch the patient, we now offer 13-minute patient visits in a sterile white room where lab tests may take the place of a thorough patient history and radiological studies may even replace the hands-on physical exam. Without the healing power of listening, loving touch, nurturing care, and healing intention, what are we offering patients beyond straight technology?

Selah is the holy silence when the recipient of transformational words, music, and sketchily acquired information from radiology receptionists pauses long enough to be changed forever. Selah is the nothingness just before the big bang of a woman exploding into a new universe.

Military Annual Training Tests, which covered shooting; fitness; first aid; chemical, biological, radiological and nuclear warfare; navigation; and values and standards. One to five were pretty straightforward, bread-and-butter Army stuff, but values and standards incorporated the law of armed conflict, security, health and safety, substance misuse, and equality and diversity.

Every ward is full of doctors and nurses repeatedly honking a word into phone handsets in progressively posher voices. 'Theatre... thurta... thartaaaaah.' It's like an am-dam production of 'Gosford Park'. When you eventually manage to get switchboard's satanic robot to understand a word you've said, it's inevitably the wrong one. Today it would have been more efficient to get through to a radiologist with a couple of yoghurt pots and a length of string. 'Radiology.' 'Transferring you to Audiology. Or say: Cancel.' 'CANCEL!' 'Putting you through to the Cancer Ward.

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.

Tim Tigner began his career in Soviet Counterintelligence with the US Army Special Forces, the Green Berets. That was back in the Cold War days when, “We learned Russian so you didn't have to,” something he did at the Presidio of Monterey alongside Recon Marines and Navy SEALs. With the fall of the Berlin Wall, Tim switched from espionage to arbitrage. Armed with a Wharton MBA rather than a Colt M16, he moved to Moscow in the midst of Perestroika. There, he led prominent multinational medical companies, worked with cosmonauts on the MIR Space Station (from Earth, alas), chaired the Association of International Pharmaceutical Manufacturers, and helped write Russia’s first law on healthcare. Moving to Brussels during the formation of the EU, Tim ran Europe, Middle East, and Africa for a Johnson & Johnson company and traveled like a character in a Robert Ludlum novel. He eventually landed in Silicon Valley, where he launched new medical technologies as a startup CEO. In his free time, Tim has climbed the peaks of Mount Olympus, hang glided from the cliffs of Rio de Janeiro, and ballooned over Belgium. He earned scuba certification in Turkey, learned to ski in Slovenia, and ran the Serengeti with a Maasai warrior. He acted on stage in Portugal, taught negotiations in Germany, and chaired a healthcare conference in Holland. Tim studied psychology in France, radiology in England, and philosophy in Greece. He has enjoyed ballet at the Bolshoi, the opera on Lake Como, and the symphony in Vienna. He’s been a marathoner, paratrooper, triathlete, and yogi.  Intent on combining his creativity with his experience, Tim began writing thrillers in 1996 from an apartment overlooking Moscow’s Gorky Park. Decades later, his passion for creative writing continues to grow every day. His home office now overlooks a vineyard in Northern California, where he lives with his wife Elena and their two daughters. Tim grew up in the Midwest, and graduated from Hanover College with a BA in Philosophy and Mathematics. After military service and work as a financial analyst and foreign-exchange trader, he earned an MBA in Finance and an MA in International Studies from the University of Pennsylvania’s Wharton and Lauder Schools.  Thank you for taking the time to read about the author. Tim is most grateful for his loyal fans, and loves to correspond with readers like you. You are welcome to reach him directly at tim@timtigner.com.

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.

would not be a threat. From that point, our radiological Easter egg hunt could begin. It was likely if we found the correct signature,

lung nodule

A PET (positron emission tomography) scan is a tool used in radiology to determine the functioning of the body, specifically small areas the size of a grain of sand in tissues and organs. It is particularly useful in looking into organs, such as the brain, that are encased in bone. The PET scan is considered a functional rather than merely structural scan because it measures the functioning of the brain. Radioactive molecules that interact with the brain in specific ways are injected before the scan. They can be sugars, to measure the brain’s metabolism, or drugs that link to the receptors for various neurotransmitters, to measure the distribution of those receptors.

Currently a billion people lack access to safe drinking water, and 2.6 billion lack access to basic sanitation. As a result, half of the world’s hospitalizations are due to people drinking water contaminated with infectious agents, toxic chemicals and radiological hazards. According to the World Health Organization (WHO), just one of those infectious agents—the bacteria that cause diarrhea—accounts for 4.1 percent of the global disease burden, killing 1.8 million children a year. Right now more folks have access to a cell phone than a toilet. In fact, the ancient Romans had better water quality than half the people alive today. So what happens if we solve this one problem? According to calculations done by Peter Gleick at the Pacific Institute, an estimated 135 million people will die before 2020 because they lack safe drinking water and proper sanitation. First and foremost, access to clean water means saving these lives. But it also means sub-Saharan Africa no longer loses the 5 percent of its gross domestic product (GDP) that’s currently wasted on the health spending, productivity losses and labor diversions all associated with dirty water. Furthermore, because dehydration also lowers one’s ability to absorb nutrients, providing clean water helps those suffering from hunger and malnutrition. As a bonus, an entire litany of diseases and disease vectors gets wiped off the planet, as do a number of environmental concerns (fewer trees will be chopped down to boil water; fewer fossil fuels will be burned to purify water).

The Skull Valley reservation is ringed by toxic and hazardous waste facilities (Figure 1). To the south lies the Dugway Proving Grounds, where the US Army tests chemical, biological, radiological, nuclear, and other weapons and trains elite members of the US armed forces in their use. To the west is the Utah Test and Training Range, a vast swath of desert the US Air Force uses for target practice by bombers, the testing of cruise missiles, and air-to-air combat training for fighter jets. North and west of the reservation a private company, Enviro Care, landfills 93 percent of the nation's Class A, low-level nuclear waste. East of the reservation sit the Tooele Army Depot, one of the largest weapons depots in the world, and the Deseret Chemical Depot, which until recently was home to nearly 50 percent of the nation's aging stockpile of chemical weapons. From 1996 to 2012 the US Army worked around the clock to incinerate over a million rockets, missiles, and mortars packed with sarin, mustard gas, and other deadly agents.

By the century’s end, all doctors had to have a college degree, a four-year medical degree, and an additional three to seven years of residency training in an individual field of practice—pediatrics, surgery, neurology, or the like. In recent years, though, even this level of preparation has not been enough for the new complexity of medicine. After their residencies, most young doctors today are going on to do fellowships, adding one to three further years of training in, say, laparoscopic surgery, or pediatric metabolic disorders, or breast radiology, or critical care.

I estimate this kind of from-the-ground-up disruption will affect about 10 percent of the workforce in the United States. The hardest hit industries will be those that involve high volumes of routine optimization work paired with external marketing or customer service: fast food, financial services, security, even radiology.

Cloudex healthcare private limited Started in 2008 and incorporated as a limited company in 2012, Cloudex today is one of the industry leaders, by initiating pioneering efforts to establish teleradiology in India. and one of the award-winning startups from Kerala State.

donated skeletal collection; one more skull was just a final drop in the bucket. Megan and Todd Malone, a CT technician in the Radiology Department at UT Medical Center, ran skull 05-01 through the scanner, faceup, in a box that was packed with foam peanuts to hold it steady. Megan FedExed the scans to Quantico, where Diana and Phil Williams ran them through the experimental software. It was with high hopes, shortly after the scan, that I studied the computer screen showing the features ReFace had overlaid, with mathematical precision, atop the CT scan of Maybe-Leoma’s skull. Surely this image, I thought—the fruit of several years of collaboration by computer scientists, forensic artists, and anthropologists—would clearly settle the question of 05-01’s identity: Was she Leoma or was she Not-Leoma? Instead, the image merely amplified the question. The flesh-toned image on the screen—eyes closed, the features impassive—could have been a department-store mannequin, or a sphinx. There was nothing in the image, no matter how I rotated it in three dimensions, that said, “I am Leoma.” Nor was there anything that said, “I am not Leoma.” To borrow Winston Churchill’s famous description of Russia, the masklike face on the screen was “a riddle wrapped in a mystery inside an enigma.” Between the scan, the software, and the tissue-depth data that the software merged with the

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On June 9, 2021 President Biden dutifully reiterated the US government’s commitment to procure approximately 1.7 million courses of the NIAID-funded drug from Merck.81 BARDA collaborated with a confederacy of other shady Defense Department operatives, including the DoD Joint Program Executive Office for Chemical, Biological, Radiological and Nuclear Defense (JPEO-CBRND) and the Army Contracting Command, on the $1.2 billion purchase. Not only was the drug developed with taxpayer money, but its $712 per dose price to the taxpayer is forty times more than Merck’s $17.64 cost of production. Merck, which expects to make $7 billion per year on the new blockbuster, saw its stock price spike on news of the government contract and after President Biden’s televised plug.

But laboratory, radiology, and pathology results were computerized relatively early (many hospitals and clinics did so in the 1990s), and some healthcare systems began experimenting with giving patients access to them.21 While this information was less fraught than doctors’ notes, many in the medical establishment still worried about how patients might handle seeing such results unfiltered.

The advent of low temperature scanning EM led to a study by Bill Wergin and colleagues from NASA in which they collected samples from different types of snow cover found in the prairies, taiga (snow forest), and alpine environments. With snow depths up to a metre, various layers occurred in which the crystals underwent a change in their microscopic shape from the original freshly fallen crystals, to the development of flat faces and sharp edges. It is this metamorphosis of lying snow that determines the likelihood of avalanches, which can be predicted from the crystal structures at various depths. Although scanning EM (electron microscopy) is hardly available as a routine assay in distant mountain regions, this work helped in the use of microwave radiology investigation of the snow water equivalent in the snow pack, as large snow crystals scatter passive microwave more than small crystals. Smaller and more rounded crystals of snow do not interlock, and can slide more easily over each other, increasing the risk of avalanches.

By the end of the year, X-ray burns were front-page news in virtually every prominent electrical, medical, and scientific journal. No one, however, paid a greater price than the men and women on the front lines of this new technology: radiologists and radiology technicians, most of whom saw themselves as noble warriors, “martyrs to science,” in their quest to save lives with X-rays. In November 1896, Walter Dodd, a founding father of radiology in the United States, suffered severe skin burns on both hands. Within five months, the pain was “beyond description” and his face and hands were visibly scalded. When the pain kept him awake at night, Dodd paced the floor of Massachusetts General Hospital with his hands held above his head. In July 1897, he received the first of fifty skin grafts, all of which failed. Bit by bit, his fingers were amputated. Dodd waited as long as he could before amputating his little finger because, as he said, “I needed something to oppose my thumb.” On August 3, 1905, at the age of forty-six, Elizabeth Fleischmann, the most experienced woman radiographer in the world, died from X-ray-induced cancer after a series of amputations. Fleischmann had gained international renown for her X-rays of soldiers in the Philippines during the Spanish-American War. Upon her death, almost every major newspaper published eulogies about “America’s Joan of Arc.

Lev Ivanov, and despite no longer officially entertaining links between the strange orange orbs in the sky and the hikers’ deaths, he still privately pursued such a possibility, and four days before the hikers were to be buried he ordered radiological tests on their organs and clothing.

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.

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Tacoma and Calibrisi remained at Cosgrove’s house as two teams of CIA forensics experts and a six-person sanitization crew made it look as if nothing had happened at the house. The plaster wall where the bullet that had passed through the Russian’s thumb was embedded had been sanitized and patched up. All traces of blood upstairs and down were gone. Even an experienced investigator would have found nothing more than some molecular-level DNA. The cleaning process had included a thorough cataloging of all fingerprints in the house, followed by a methodical washing of every surface, followed by a radiological burst, in which every room in the house was exposed for a brief time

ABOUT THE AUTHOR Tim Tigner began his career in Soviet Counterintelligence with the US Army Special Forces, the Green Berets. That was back in the Cold War days when, “We learned Russian so you didn't have to,” something he did at the Presidio of Monterey alongside Recon Marines and Navy SEALs. With the fall of the Berlin Wall, Tim switched from espionage to arbitrage. Armed with a Wharton MBA rather than a Colt M16, he moved to Moscow in the midst of Perestroika. There, he led prominent multinational medical companies, worked with cosmonauts on the MIR Space Station (from Earth, alas), chaired the Association of International Pharmaceutical Manufacturers, and helped write Russia’s first law on healthcare. Moving to Brussels during the formation of the EU, Tim ran Europe, Middle East and Africa for a Johnson & Johnson company and traveled like a character in a Robert Ludlum novel. He eventually landed in Silicon Valley, where he launched new medical technologies as a startup CEO. In his free time, Tim has climbed the peaks of Mount Olympus, hang glided from the cliffs of Rio de Janeiro, and ballooned over Belgium. He earned scuba certification in Turkey, learned to ski in Slovenia, and ran the Serengeti with a Maasai warrior. He acted on stage in Portugal, taught negotiations in Germany, and chaired a healthcare conference in Holland. Tim studied psychology in France, radiology in England, and philosophy in Greece. He has enjoyed ballet at the Bolshoi, the opera on Lake Como, and the symphony in Vienna. He’s been a marathoner, paratrooper, triathlete, and yogi.

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.

In medicine, there is something known as the ROAD specialties, which is an acronym for the four specialties that have the best reimbursement to hours ratio. Basically, great lifestyle with lots of money. ROAD stands for: Radiology Ophthalmology Anesthesiology Dermatology Naturally,

Over the last decade, the standard criteria for relapse, or biochemical failure, after radiation has been the consensus definition of the American Society for Therapeutic Radiology and Oncology

Charles Regis Perrone was a biologist by default. Medical school had been his first goal--specifically, a leisurely career in radiology. The promise of wealth had attracted him to health care, but as a devoted hypochondriac he was repelled by the idea of interacting with actual sick people.

(1) ribs, vertebrae, and sternebrae; (2) soft tissues of the thoracic wall; (3) pleural space; (4) mediastinum; (5) heart; (6) trachea and principal bronchi; (7) pulmonary vessels; and finally, (8) the pulmonary parenchyma