 What is going on everybody welcome back to my channel for those of you who are new around here? My name is Michael aka dr. Chalini and I am a fifth year interventional radiology resident now I am currently on my sixth out of seventh twelve hour night shift in a row And let's just say I'm a little tired and I apologize in advance for these bags under my eyes And since it's my first time taking overnight diagnostic call in a very long time I've quickly been reminded by a couple things that tend to annoy All-radiologists including myself so I kind of wanted to make a fun video going over all the things that annoy radiologists Because a lot of things tend to annoy us which you will soon see so don't take this video too seriously I just wanted to show you all some things that tend to annoy us and make kind of a funny video out of it So let's go ahead and get to it So the first thing that tends to annoy all radiologists is when you don't put the appropriate indication for the study you're ordering For instance if you order a CT abdomen pelvis on someone who is having acute abdominal pain and in the indication for the study You put other I don't really know what to be searching for what what I'm supposed to be focusing on So yes, I always look at CT abdomen pelvis is all the same way with the exact same search pattern But if I have an indication of other I don't really know how to correlate my findings with what the patient has on physical examination For instance if the patient's having the epigastric pain and they get a CT out of the pelvis and I see you know a small Hyoidal hernia which can cause GERD like symptoms I usually just mention in the findings and move on But if I did a CT scan with the indication of epigastric pain I'll actually put that hyoidal hernia I find in my impression to tell the clinician that there is a hyoidal hernia And maybe it can cause some of those epigastric type symptoms like GERD and whatnot So you can see how it's actually pretty useful if I have an indication for the study again Indication is everything the more specific the indication the better it is for us It helps us zone in on certain areas you all are concerned about and it ultimately helps the patient get a diagnosis So it's a win-win. All right So the next thing that annoys radiologist is when you order a stat study on a study that isn't stat Stat studies are reserved for patients who need imaging stat. I know it sounds crazy So we are required to read our stat studies within 60 minutes of them showing up on our list And when you abuse the stat function in the hospital The patients who actually need emergent studies read emergently get pushed behind and it could be problematic So please don't order a stat study if it's not stat. All right So the next thing that annoys radiologists is when anybody on the floor or at an outside facility Calls down to the reading room and asks for a wet read on a non-emergent patient Now I like to pride myself on my turnaround times And I promise to get everything out in an adequate amount of time or a reasonable amount of time for stuff That isn't emergent because after all we triage every single study Emergencies go first Urgencies go next then we follow that by just the routine outpatient kind of studies now I don't want you to think that I don't like helping you Because that is ultimately the job of a radiologist. We are the doctor's doctor and we are the consultants We are there to go to when you have any questions about any imaging However to call down to the reading room and wish to speak to a radiologist just because you are curious about something You know if it's not emergent it kind of Interrupts us and it's a huge interruption for us So we may be actually reading an emergent study and we have to stop in the middle of it to answer the phone call Pull up the other study go over that study with you Close it out try to find out where we were in the previous study and it just kind of interrupts the word flow All right So the next thing that annoys radiologists is when you accuse us of missing something now Don't get me wrong. We are all human we strive for perfection and radiology because missing something is Broadcasted to everybody and it's forever in text in an electronic medical record however We will inevitably miss something It's how the provider relays that information to us that annoys us So I'll give you an example that's happened to me and this is not how you should handle a situation When you think a radiologist has missed something so I was on by myself It was about two years ago overnight and I had a surgery attending Barge into my reading room didn't say anything and the first things out of their mouth was You miss free air so of course when someone says that I started to like freak out because as a second-year resident You should be missing free air especially on a CT and you know I thought I was gonna be like fired from my program and then I would hurt the patient and I was just gonna be a Terrible radiologist so then I pull up the scan and see where they thought there was free air Turned out it wasn't free air just air trapped within bow, which is what I thought originally And let's just say I was a little relieved and after that attending left I was like there has to be a better way than just barging in and accusing the radiologist that they missed something But can you imagine me just like barging into the OR and be like you're doing it wrong? I mean like just like that would have it's the same thing But for some reason they are allowed to do that to us So our preferred method is that you call us and say hey this was not commented on could you please review it? For example say I was reading a lumbar spine MRI And I missed a small fracture and say a neurosurgery attending was looking at their images like they always should and they saw a fracture That I didn't comment on so then they would call me and say hey I noticed that you did a comment on this fracture and then I would go add the denim to the report So there are certain ways of handling it the motto and radiology is if you're not missing anything You're not reading enough films But there's always a correct way to deliver us the bad news that we miss something and it is not like that attending did to me So the next thing that annoys radiologists is when you order a study with IV contrast and the patient is an acute renal failure The problem is yes I can just cancel the order But I also have to call the ordering provider and kind of talk to them through and say do you really need a study? Can we do the study without contrast blah blah blah and sometimes you know It takes me like 20 minutes to page them and to get called back. It's just the pain So if they would just call me in the first place We could kind of sort it out before and it'd be a lot easier the next thing that annoys radiologists is when you hover over us While we're trying to read a study and what I mean by this is when we first open a study We haven't seen it and some of them can be very complicated and take us many minutes 10 maybe 20 minutes to read or interpret And when you're hovering over us asking us questions You're kind of getting us out of our search pattern and just making it a little harder than it should be I don't want to give you wrong information and when you're hovering over me Sometimes you say things quickly and you move too fast outside of your search pattern And you may get something incorrect and give the provider false information rather than just waiting for the study to be read Correctly. Alright, so the next thing that annoys radiologists is when you have a whole bunch of providers come into a room to kind of go over Studies a lot of medical teams in the hospital will come down to our reading room and go over a couple studies on their patients But then there's always that one doctor or usually an intern who will get like multiple pages when we're in the reading room And they will constantly be Yeah, go ahead and put the order in for the x-ray Yeah, I'll be right there the family's there if you're great So say my co-resident is going over imaging with the medicine team And I'm over here trying to focus on my studies and I have that person in the background Driving me crazy. So of course you can use my phone and answer a page, but be quiet about it So by now you probably sensed a common thread amongst all these things that annoy radiologists And that is that anything that interrupts us tends to annoy us I always equate radiology to taking a very difficult exam One that you cannot screw up on one that your life depends on it almost like step one did in med school Or any other board examination when you're taking a serious examination like a board examination The last thing you want done to you is someone to come over and interrupt you because you're in deep thought and any Interruption can actually result in a negative consequence or Can allow you to miss a question or in my instance can cause me to hurt a patient So any interruption leads me to the possibility of making an error and any error in radiology can be detrimental to the patient So interruptions are no bueno All right So I'm going to save the best for last on this one because this happens so often and I think it's so hilarious So one of the most annoying things for us is when someone on the floor orders an imaging study And they just tack on additional imaging studies just because the patient's down there and they might as well I can't tell you how many times we have say a CT abdomen pelvis ordered on the patient and either while the patient's in Transport or just before the patient is called for the team will call me and say hey Can we also add a CTP study on there as well now? Obviously? I don't mind reading the extra study Well depending on how busy I am but it's just funny like does the patient actually need that study or do you? Just want to go ahead and do it while the patient's down there I experienced this a lot when I was rotating in the surgery ICU just last month Can't tell you how many times we ordered out of the pelvis imaging and then the team was like well You might as well get the chest bother down there No reason just You might as well get it so only order imaging study on what you need There's no reason to expose someone to additional radiation. Just you know for your own curiosity All right, so that officially concludes this video and all of the things that annoy me as a Radiologist or a radiology resident This is by no means a complete list and I may think of others and do an additional video in the future If you are a radiology tech or a radiologist or working anything related to radiology Leave a comment below and tell me what you think is annoying for you And if you're not in radiology, I would love to hear how radiologists annoy you in your day-to-day operations So on that note make sure you smash that like and subscribe button and follow me on Instagram If you don't already leave a comment below if I like it I'll respond to it Make sure you turn on that post notification so you get notified when I post new videos Which is usually about once or twice every week. Otherwise, I'll see you all