I Made It…

SC35-MurraysMill-III-W

 

Well… The first semester has finally come to a close.  I finished my final exams for my classes on Tuesday, and I don’t return to school until January 7th.  It was a tough semester and I’m definitely ready for this break.  I got A’s in all of my classes, so my 4.0 GPA is intact for now.  I certainly hope that I can maintain that for another semester.  Sometimes I wish I would just get a B in a class so the 4.0 would be gone and I wouldn’t worry so much about it, but having a perfect GPA is certainly a worthwhile goal. 

When I return to class in January, I’ll be taking the second semester (RAD-112) of my positioning class, and we’ll be starting with positioning on the cervical and thoracic spine, followed by the lumbar spine.  I’ll also have my first clinical rotation in an orthopedic office, and should be able to knock out a lot of my comps for the semester.  As of Tuesday, I’m passed off in lab on the lower extremities, so those comp opportunities should come quickly in the ortho office.  My Patient Care & Intro to Rad (RAD-110) class is over, and I’ll be starting my Rad Imaging I (RAD-121) class.  Here’s the book for that class:

 

 

…yet another $52.00 paperback book.  I’ll never cease to be amazed at the cost of college textbooks!  I’m looking forward to this class though, because I should start to learn more of the technical side of radiographic imaging.  As a photographer, my interest in this material is quite high. 

I hope everyone has a safe and happy holiday!  I’ll see you back here in January…

I Survived Clinical

 

Well, I survived my first semester of Clinical.  I did get one more master comp today.  I was stoked when I pulled an order for an abdominal series first thing this morning.  I had a patient who was ambulatory for a change, so I was going to get to stand him up for the erect and then put him on the table for the KUB.  He was an older gentleman who walked with a cane.  He needed the cane to stand for the erect abdomen x-ray, so I positioned him and gave him his cane to steady himself.  The minor problem that got by me on this exam was that he managed to move about 3″ to the left before I got the picture made, so I had to re-shoot that and didn’t get the comp on the erect abdomen.  On a good note, I nailed the KUB.  I knew I would on the first chance I got to put a patient on the table.  So, I ended up with 3 of the 4 comps I needed for this semester, which gave me a grade of 93 on the comp section of my class.  After everything was said and done, I had a 96.6 grade for the clinical over the entire semester. 

I now have until Monday to prepare for my class and lab exams.  I’m going to be busy with that this weekend, so I’ll report back on those results sometime after Tuesday.  I’m still hoping that I can manage an A in both of those classes to maintain my 4.0 GPA, but it’s going to take some hard work this weekend to make that happen. 

The video here is my first attempt at shooting some simple video with a new camcorder I got this week…

Almost Done…

Cat Square Christmas Parade

 

We had our written test on positioning of the hip and pelvic girdle today.  I think I did fairly well on it, but I didn’t stick around to see what my grade was.  I’ll get that tomorrow.  Tomorrow is my last day of class before exams next Monday and Tuesday.  I have my last day of clinical for the semester on Thursday, and I’m still hoping to add at least one comp.  I still only have 2 of the 4 I need for the semester.  Getting one or two more comps on Thursday will probably make a difference between an A and a B in my clinical.  I can’t make exams happen though, so I’ll do what I can…

I’m not exactly sure how I will approach studying for my exams yet.  Our written exams are coming from questions on the previous tests this semester, and our instructors have given us those tests back to study with, so I’ll probably start working on that tomorrow.  I’m ready for almost 3 weeks off…  It has been a tough semester…

Coming to a Close

12/02/07 - The Southern Way

 

Wow… I have just not been able to keep my blog going here on a daily basis during the last 10 days or so.  I have been so busy lately that I just haven’t had time to do it.  The semester is coming to a close and I have exams coming up soon.  I’m gonna get back on a regular schedule now though.

I had my next to last day in my current clinical rotation today and I’m still lacking the desired number of master competencies for this semester.  I need four to get a grade of 100 on that section of my clinical class and I still only have two.  I have updated my “Goals & To Do List” to show where I stand in master comps and pre-comps for this semester.  There are a couple things that are just killing me on getting my four master comps.  I really wanted to knock out three master comps in my current rotation.  I wanted to get the KUB, Erect Abdomen, and Portable Chest.  I have all of the required pre-comps for these but haven’t managed to get the perfect master comp image yet.  I have had multiple attempts on the portable chest but, for some reason, I’m having an issue with that.  I’m going to ask my instructor for some advice on Monday about completing this competency.  The KUB and Erect Abdomen have just been bad luck for me during this 8-week rotation.  I have all of my pre-comps on both exams, but I haven’t seen either of these exams come up during my last 4 weeks at clinical.  These aren’t uncommon exams, but for some reason, they haven’t reared their ugly heads between 8am and 2pm on Thursdays lately.  I had a patient today who I thought I might be able to use, but I didn’t get the great image.  This was a stretcher patient, and ‘hypersthenic’ just begins to describe what I was dealing with.  I knew I was going to need two images for the KUB, so I shot the first one, concentrating on the bladder.  That image went off without a hitch.  I lined up for the second shot to get the kidneys, and was just a couple inches too low, so I had to make a third image and ruined the opportunity for a comp on that.  What’s bugging me the most on getting these four comps is that I have all my pre-comps completed for five different exams.  All I need is the opportunity to do the master comp exam, and they just haven’t come.  I’m ready to do the master comp on these exams:

  • KUB
  • Portable Chest
  • Erect Abdomen
  • Portable Abdomen
  • Pediatric Upper Extremity

One more opportunity on any of these should give me a master competency.  The pediatric exams don’t happen very often for me, but I’m hoping I will see some more of those next semester.

My clinical instructor popped in on me today and I discussed my status with her.  She told me not to worry too much about it.  My master comp grade is only a percentage of my total grade in clinical for the semester.  If I get all four comps, I get a grade of 100 in that section.  If I get three, I get a 93, but if I finish with only two, I will get an 85 in that section.  I feel fairly confident that I’m going to get an A in my clinical class even if I only get two comps, but I would obviously rather maximize my opportunity by getting all four.  If I fall two short, I have to get two above the requirement next semester, which shouldn’t be too difficult since we are doubling our time in clinical next semester.   I don’t know what the required comp numbers are next semester, but it’s a lot more than this semester.  

I have to take the ‘final exam’ test for the clinical class online sometime tomorrow.  I think I’ll do well on that, and it will be a relief to get it out of the way.  I have a written test in the positioning class on Monday that covers the proximal femur / hip / pelvic girdle.  I’ll be spending most of the weekend studying for that.  Once that test is completed, I’m free to start preparing for exams that fall on the 17th and 18th.  The 18th is my last day of exams this semester, and I get a nice break from then until January 7th.  That’s almost 3 weeks off and I’m ready for it!

End of Semester Pressure

Daisy

 

This is the first time since I started this blog that I have skipped any school days when it comes to writing entries here.  After the Thanksgiving break, I just decided to take a couple days off of the blogging so I could focus on the tasks I have at hand.  We don’t have any tests this week, but I have two next week and at least two more before our final exams.  That being the case, I’m going to be covered up for the next three weeks or so.  I have clinical tomorrow where I am going to do my best to get at least one more comp completed.  After thinking about it, I am going to talk to the techs and see if I can’t get them to help me get my KUB, Erect Abdomen, and Portable Chest completed as soon as possible.  I really need to get these knocked out because I’m most likely going to be in an orthopedic office on my next rotation in January.  I’m really looking forward to that because I’ll have completed my lower limb lab tests before I go there.  I hope to complete a lot of master comps when I find my way into the ortho office.  This lower limb study is dragging out.  We have completed the actual training on it, but we can’t test off in lab until exam time, because it’s our final exam in lab.  We can’t knock it out early, so we get to simply practice it in lab until mid December.  The pace of the positioning class seems slow sometimes, but in a case like this where we are getting a LOT of practice time, I should be able to easily ace the positioning test.

On a side note…

I was out photographing a high school wrestling match last night, and I was witness to a rather severe injury.  It appeared that one of the wrestlers received a severe dislocation of the scapulohumeral joint.  His shoulder was a complete mess and I thought I could see the lump on his shoulder where the head of the humerus was trying to protrude.  They didn’t move him from the wrestling mat until the EMS people arrived.  I felt bad for the kid receiving that kind of injury, but I would love to see the x-ray.  Even though I’m working in a hospital environment right now, I’m not seeing a lot of trauma, especially more severe examples of it. 

Oh well… such is life… I’ll be back tomorrow to talk about any comp advancements I should make at clinical… ;)

The Ultimate Steal


Visit Radiography Students

 

I just wanted to take a moment to let you know about a rather nice bargain I was introduced to this week.  If you are using the Microsoft Office software suite, or any part of it as a student, Microsoft is offering a promotion where you can purchase the Microsoft Office Ultimate 2007 software suite for $59.95.  Here is the link to the site:

 

The Ultimate Steal

 

This is a legitimate offer from Microsoft, and I have taken advantage of it myself.  I have been using Microsoft Office 2000 since it was first introduced, so I think now is a good time to upgrade.  The end-user license agreement also allowed me to install the software on my home desktop computer as well as my laptop system. 

Lower Limb Written Test

11/17/2007 - Zoua Lor

 

Tomorrow is our written test on the lower limb anatomy and positioning techniques.  I started studying for this yesterday, but I still feel overwhelmed with the amount of information I need to know in the morning.  I’m going to be grinding on this until the wee hours of the morning in hopes of getting a great score on the test.  I need a good grade on this one since I got an 84 on the last test.  I’m going to keep things short today and keep on studying.  Tomorrow is my last day this week before our Thanksgiving holiday.  I get the rest of the week off, including clinical day…

Almost Productive

10/28/2006 - The Sigmon Stringers

 

Today was clinical, once again.  I’m really growing fond of Thursdays and starting to look forward to next semester when I’m in clinical 2 days per week instead of one.  I’m still stuck at 2 of the 4 master comps I need for this semester, but I’m on the edge of a couple comps.  I have all the pre-comps completed for the KUB, Portable Chest, and Pediatric Upper Extremity.  I am struggling with portable exams right now.  I may need to ask one of the techs to spend a little extra time with me on those.  I have made a couple attempts at comping the portable chest and haven’t gotten an image that I’m totally satisfied with to turn in for a master competency.  These portable exams are difficult.  I’m still making progress though.  I’m getting a few pre-comps here and there, so the comps will start to come more quickly.  I really wish I could start pre-comping my lower extremity exams, but we won’t test off in lab on those until December unfortunately.  I have done a lot of foot, ankle, and knee exams, and I’m quite comfortable with those, but I can’t count them as pre-comps yet.  I suspect that I’ll be rotating to an ortho office in January, so I should get a ton of opportunities to comp upper and lower extremities, as well as the spinal exams.  We start learning the spinal stuff at the beginning of January, and those exams are very common everywhere I go. 

I did a foot and ankle exam on a patient today who was complaining about pain in her foot, and her ankle was visibly swollen, but not extremely swollen.  When I looked at the radiographs, I immediately noticed a bone spur that was hook-shaped and approximately 1.5cm long, with the hook pointing toward the toes.  I don’t know if that was the cause of her problems, but it certainly didn’t look comfortable. 

I’m glad I get to sleep in tomorrow…

Ethics

6/04/2005 - HMS 55th Anniversary

 

Our Patient Care & Intro to Radiography lab today consisted of a 3-hour round-table discussion about ethics in healthcare.  We were presented with lots of scenarios regarding ethical decisions that we will be faced with in this field.  A lot of these scenarios were based on situations where the patient asks you questions that you can’t really answer easily.  Here’s a summarized example of one of the scenarios:

 

Mrs. Smith shows up in the radiology department for a post-op abdominal x-ray.  She starts asking you questions like “What do you think of Dr. Jones (the surgeon) because I have heard he’s not so great and that he has a history of leaving surgical instruments inside patients?  After you do her abdominal x-ray and view the images, you see a hemostat and a couple sponges that were left behind in the patient’s abdomen.  You show these images to the radiologist and he requests lateral views to go along with the AP views you have already made.  When you return to Mrs. Smith, she wants to know why you are having to do different views and what is wrong that you are having to do that?

 

The first dilemma in this scenario is how to answer Mrs. Smith’s first question about performance issues with the surgeon.  It’s really a no-win situation for the tech.  Lengthy discussion about this issue didn’t really lead to a definitive answer either.  If you agree with Mrs. Smith, you are possibly guilty of slander.  You also can’t easily tell her that Dr. Jones is working in her best interest and that he’s a great surgeon.  You also can’t tell her that you saw a hemostat and sponges in her abdominal x-rays.  There are some reasonable solutions to providing a response to her second set of questions though. 

These situations are just difficult to handle.  As a tech, our ‘tongues’ should be sort of ‘tied’ here, but you can’t just ignore a patient’s questions.  Learning how to deal with this is part of the learning process…

Positioning Lab

Newton-Conover vs East Rutherford

 

We started learning the physical positioning of the lower extremity in lab today.  We covered these procedures:

AP Foot

AP Oblique Foot

Lateral Foot

Calcaneus (Axial)

Calcaneus (Lateral)

AP Ankle

Ankle (AP - Mortise)

AP Oblique Ankle

Lateral Ankle

AP Tibia-Fibula

Lateral Tibia-Fibula

I think I’m going to create an Excel Spreadsheet on positioning technique for my own use in studying, and I’ll probably share it via this website as well.  I’m planning to use the following columns:

PART/VIEW - FILM SIZE - TT/BUCKY - CR & DIRECTION - POSITIONING TIPS

I’m not sure what the best way to break this down will be… maybe I need to add some columns… your suggestions would be appreciated :)  If I come up with something I like, I’ll go back and add all my previous positioning to it, and continue it throughout my program…