Why Would You Ask Your X-ray Tech Something You Should Have Asked Your Doctor?

Have you ever seen the Christmas cult classic movie "A Christmas Story"? There's a scene where the main character 10 year old Ralphie is visiting a mall Santa at their local department store. When he finally gets to Santa, his mind goes blank and he's almost in a hypnotic state, frozen and unable to speak. Santa makes some suggestions to Ralphie about receiving some generic boy specific toy. Ralphie feebly responds in agreement and is prompty sent down the slide away from Santa. But it's at that point at the pennicle of the slide that Ralphie comes to his senses and blurts out what he really wants, the reason why he waited forever in line to request from Santa in the first place.

That scene is played over and over in my mind almost every day at my Radiology Department. I get questions everyday from patients that should have been asked while in the presence of their doctor, the whole reason for their visit in the first place. I imagine patients, like Ralphie, becoming entranced with what the doctor's opinion is in regards to their problem, illness, injury, etc.

But something happens between the doctor's exam room and my x-ray room. I get questions like,
"How long do you think it will be until I feel better?"
"Will I need surgery?"
"Do you think it's broken?"

Patients seem to think that we're on their side and are willing to give the "true story" while doctors are vague and tell them things they don't want to hear.

Truth is, most techs do know what's going on in an x-ray film, CT, MRI, Nuc Med scan, Ultrasound, Mammogram, Dexa scan, Angio, and Stereotactic Biopsy. But legally we our bound by law not to give out any interpretive results regarding a pathology finding. We have to use our best "poker face" and pretend nothing was seen. Evaluating, interpreting, or consulting is outside of our licensed scope of practice. If I give you the upward nod regarding your fractured wrist, even though you're going to hear it from your doctor in about 20 minutes, I loose my job and license to ever work again in my profession. At the pay rate and benefits I'm currently receiving, there's no way I'm sharing my secret with you, no matter how irrate and bugged you get. Tough, I want to keep my job. I'm not going to risk it just to make you happy or to help you win that bet with your wife.

I mean, how is this fracture information going to help you in the small moments before your doctor tells you? Do you not trust the doctor you're seeing in the first place? If that's the case then that's your issue to pursue, don't involve me in your doctor/patient situation. I'm providing a service to your doctor who then is providing a service to you. I'm the chef, your the customer and your doctor is the waiter. You don't bypass the waiter and ask the chef for more water, right?

Because I have some patients traveling to my clinic from long distances, I usually ask if they are supposed to bring the x-rays back to their doctor today. That opens up a whole bag of worms;
"Uh, do you think I should?"
"Why, did you see something? If you think I should then I will".

And then there's the classic, "Do you see anything on the x-ray?" This is the point where the whole patient and tech relationship has a tendency to get ugly. I once had a patient ask me directly;
Patient: "Did you see anything?"
Tech: "No, I can't read the x-rays".
Then the patient picked up a magazine, shoved it in my face and asked, "Well can you read THIS?"

I've even had patients tell me that they have a RIGHT to know what I saw. That's a good one. You want a scientific observation? Here's one; the louder the patient raises their voice to me is inversely proportional to their intellegence. It's all I can do to keep from laughing in their faces. People who don't really know their rights sure seem to KNOW their rights...in their minds anyway.

I have a more calm approach when it comes to these type of questions. Usually when I tell the patient I don't read the films, I get in response, "Ah, come on. You look at these films everyday." My response, "Hey, just because I look up and see clouds everyday doesn't make me a meteorologist". That comment usually puts a stop to the whole "let's see if I can get the tech to tell me" Q&A session.

Really Glad We Got More Rain!

I'm glad we're finally getting some more rain. I was starting to think that maybe we would start having an early Spring. Good thig because we need it.

Everything Is Moving Along.

So far at the Stewmade shop, we've got the ball rolling on about 3 projects; Orange Crate, 70's Appliance, and yet another "Stelly" sparkle finish guitar.

The Orange Crate has been somewhat of a challenge and has really required a lot of brain storming just figuring out how the wooden oranges are to be permanently fixed inside the guitar body. Plus figuring out wiring without any tell tale signs from any angle has been tough. But I'm going out today for a photo shoot to promote the guitar when it's done. I fear there won't be enough time before local oranges start falling off their branches. So I sort of completed the guitar enough that it would photograph well just in case. If I finish (est February 29th) and oranges are still hanging from the trees, then I'll take more pics.

Now for the others, I'm just waiting for wood and cases.

Effects Lineup for 2009: It's All About Change.

(Click on image).

Ok, so I'm armed with a variety of great overdrives and distortions and a new delay with tap tempo. Still debating using my digital reverb somewhere but I'll have to toy around with this for awhile.

Also new is the Planet Waves connector cables. Supposedly the gold plated plugs help with better fidelity. Or at least to justify the higher price. We'll see.

It's All Over! 30 Years of Guitar Playing Stops Today!

Well I just got back from my hand specialist tonight. I have been battling a painful left index finger for about a year now. The surgeon ordered x-rays of my left hand and then gave me the news.

Now, what I was expecting was something along the lines of "wear this splint for 5 weeks followed by a series of anti inflammatory medication. Nope, it was arthritis. Significant arthritis to the point that the doctor recommend that I stop playing guitar. Unfortunately playing guitar is the only activity that aggravates my finger pain.

The doctor then said that by continuing to play guitar that I would further degrade the joint causing increasing pain and decreasing range of motion. Then the arthritis pain would eventually start to interfere with other every day activities. The doc said, "be lucky that you have an isolated activity that you can eliminate vs something that affects your daily activities, simple activities, like buttoning your shirt or typing."

Cortisone shots will only mask the problem. I'll be pain free for a bit but then when the shot wears off, I'll be right back in the surgeon's office for another shot. I'm only allowed so many shots per year. Surgery would only be a cleaning of arthritic debris and would not really help my pain or range of motion.

Ok, I'll be honest. This news was devastating. I have worked so hard for years to get "my tone". Playing music is the connection between my being and life. I've used my talent to play for the Lord for almost 5 years. Now I have to stop?

So bands are out for good. Worship service out for good. I'm able to still build guitars but then I'm faced with the dilemma of testing out the guitars when I'm done. The guitars I own. The guitars I've recently acquired, all for nothing. I really don't want my hand to ache like this on any given day because I didn't know when to call it quits.

My plan: To take Glucosamine Chondroitin for two months (a recommendation from my surgeon), continue taking my anti inflammatory, and plan to play one last time this year. I'll reserve 3 last opportunities; one last performance with the band De-Tension, reserve a date to sit in with QBS if the opportunity arises (not a hint), and perform one last time with the worship band at church. And then I guess that will be it. I'll take the place of audience from here on out. In the meantime I'll be praying heavily and asking God what he wants me to do regarding this news.

Tendonitis is curable, arthritis is not. If I don't stop playing guitar now, it will start me on a road to constant arthritis medications for life due to the increased deformity from the arthritis.

Anyone need some guitar gear?

The Holy Grail of X-rays.

Oh yeah, I did it! The ultimate lateral knee x-ray ever. I've yet to see this in Merrill's. Yeah, I was pretty proud. I can usually get this 7 times out of 10. It's an eyeball sort of thing as far as the patient's positioning but the key is a 7 degree cephallic angle from the x-ray tube. This is my average. Skinny people straight 0 degree beam, larger patients, anywhere from 10 to 15 degrees. There, my first X-ray Tech Geek blog ever!

Out With The Old, In With The New: Reassesing My Guitar Effects Pedalboard.

Ok, now that 2009 is here, there are a few changes in order. I'm parting with a few old friends only because they no longer serve their purpose. Time to switch things up a bit.

I'll still keep my Seymour Duncan Twin Tube Classic pedal, Boss TU-2 Chromatic Tuner, Boss CH-1 Super Chorus (for now) as well as my Barber LTD low gain pedal and Dunlop Wah/Volume pedals. So those are still my key tones for what I need when I return to playing guitar on a more regular basis.


T-Rex Replica Delay Pedal
I've been doing some research and I'm impressed with the products from T-Rex Engineering. They are a step up from Boss pedals and a little on the high dollar side. But I've been tolerating my Boss RV-3 Digital Delay/Reverb pedal to the point where it just doesn't make sense to keep anymore. I like the more modern ability to tap tempo the delay. This saves me from contstant on stage adjustments in which I have to hear the delay (echo) rate audibly in order to set. The T-Rex Replica is just what I've been looking for. I don't really use Reverb these days since the places I play already have inherant reverberation in the room. Adding more just adds clutter to my sound. This would be different if I played more outdoor gigs. Plus I have reverb effects in my amplifiers.


T-Rex Moller Overdrive/Clean Boost Pedal
I love the control that you get from this pedal. I've been sort of hunting for an in between "grey area" overdrive pedal. The Barber LTD is great for low gain tone but it's not enough "umph" or "to push over the cliff" factor. Plus it sort of lacks low end bass, kind of like the TS-808's. The SDTTC pedal takes care of what the LTD wants to do, but still there's a wide gap between the channel 1 and channel 2 overdrives. It would be nice just to have something soaring SRV/Hendrix stuff while still retaining my Strat sparkle. What's cool is the mix control. This way I can blend as much or as little affected signal to my desire.

I hear that John Mayer, David Gilmour, Pete Townsend, Mark Tremonti, and Steve Lukather use these pedals (brand not necessarily the actual pedals mentioned). Not that this has any affect on my using these pedals but as stompboxes go, that's saying something as opposed to using some rack effects.

I'm keeping my Boss Chorus pedal only because I can't justify spending over $200 for a chorus pedal, especially when I use this effect sparingly. I like the my chorus pedal only because I can mix my dry-chorus effect. So it's not an all or nothing pedal.