Tuesday: MP passing by CT, hears a loud sigh!

MP: Hey buddy, why are you sighing!

CT: Doc, what else can I do. I am ready to go round & round our patients, however, it pains me when tech had to turn away a patient who needed me to scan w contrast for her abdominal pain

1/
MP: Are u talking about #iodinecontrast shortage that is causing all these postponements or cancelations?

CT: Yes doc, as u know some diagnoses do require Iodine contrast, so that I can highlight diseases. BTW, I wonder, why u guys have not found other contrast agents yet?

2/
MP: Well there is considerable research going on to find other contrast agents. Probably this shortage may shine some light on other possible agents.

CT: Didn’t I hear once @RSNA that ‘milk’ can serve as an oral-contrast agent?

3/
MP: Yes, I did hear (bit.ly/3lZoj1B), & I wish it was simple. If it had worked like Iodine, we wouldn’t be in this conundrum

CT: BTW doc, I am glad ur society @RadiologyACR has put out recommendations on how to manage available contrast & even talking with @US_FDA

4/
MP: Yes, that is correct, I am proud of @RadiologyACR for the timely statement (bit.ly/3m3IVWy) & also for @radiology_rsna publishing recommendations (bit.ly/3M6CVXA)

CT: Doc, how long do you think this shortage going to remain?

5/
MP: Well, I hear that by end of this month it should ease out since, one of the vendor’s manufacturing center is reopening.

CT: Well doc, I feel sad that I can’t help that mom who was turned away from CT scan – not because of me but because of Iodine shortage.

6/
MP: Hopefully this will open up more vendors and possibility of new contrast agents. Especially with your new cousin (#PhotonCountingCT), new contrast agents are examined for potential clinical use (bit.ly/3PQB109).

7/
MP: BTW, instead of feeling bad, take this opportunity to rest, because you are always going round and round the patients.

CT: Thanks doc for that comforting suggestion. Have a good evening!

8/

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr M. Mahesh (ಮಹೇಶ್) (he/him/his)

Dr M. Mahesh (ಮಹೇಶ್) (he/him/his) Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @mmahesh1

May 29
Weekend
Beautiful weather, MP sitting in park working on talks. Notices slight movement in grass & see an ‘Eastern Box Turtle’, staring at him

Conversation between Turtle and MP

Turtle: What are you doing here in my neighborhood doc? Aren’t you supposed go to beaches?

1/
MP: Well, I am not a ‘beach kind of guy’, I am more of ‘park kind of guy’. As weather is great, I thought I would be inspired to finish my talks for the conference.

Turtle: Can I ask you a question? Are you the guy who did CT scan on my cousin from National Aquarium?

2/
3: Not directly, however, I remember being at the CT scanner when your cousin was scanned.

Turtle: He told me that they had difficulty imaging him on an old CT scanner and that is why he went to Hopkins, as you guys have the latest CT scanner, correct?

3/
Read 11 tweets
May 22
Conversation between O-arm (IM) and Medical Physicist (MP) about Indian Dish

IM: Hey Doc, now that you are back from meeting, what’s cooking?

MP: Well, I am making my favorite rice dish – Chitranna!
IM: (smurking) Doc, I didn’t mean for u to reply w what u are cooking. It's an American slang, where buddies ask, “what’s happening?”

MP: Sorry, I got carried away, since the dish is so good.

IM: What is it doc?

MP: It is called “Chitranna”

IM: English doc, English…

2/
MP: It means “Colored Rice”

IM: Let me take a look at the dish and try to decipher what’s in it.

MP: Ok, looks like you really understood projection imaging, go ahead.

IM rotates around the dish by taking multiple images

3/
Read 7 tweets
May 22
Sunday Special:Simple Rice Recipe
Mysore style Avarekalu-Carrot-Beans Chitranna ಮೈಸೂರು ಶೈಲಿಯ ಅವರೆಕಾಳು-ಬೀನ್ಸ್-ಕ್ಯಾರೆಟ್ ಚಿತ್ರಾನ್ನ

With:
A: Freshly cooked rice (1 large cup)
B: Green beans (10-12)
C: Carrot (1)
D: Averekalu (1 cup) (Field Beans)

1/
F: Seasoning items: Mustard, Cumin seeds, Urad dal, Red-chillies
G: Curry leaves & finely chopped coriander

Process:
1.Start with microwaving Averakalu, cut beans and carrots (to soften)
(softening can be done by steaming also)

2/
2.Start with seasoning w mustard, cumin seeds, urad dal, red chillies
3.+ green chillies to your taste, & curry leaves
4.+ softened averekalu, green beans and carrot pieces & roast for a minute
5.+ pinch of yellow (turmeric) powder to color the rice

3/
Read 5 tweets
May 21
Mysore-Seeme Uppittu Template ಮೈಸೂರು ಸೀಮೆ ಉಪ್ಪಿಟ್ಟು ಟೆಂಪ್ಲೇಟ್
With:
A: Rava (1 cup) (cream of wheat)
B: Vidala onion (1/2 large size)
C: Tomato (1)
D: Green beans (10-12) (replace w any vegetable you like)
E: Carrot (1) (replace w any vegetable you like)

1/
Uppittu Template:
F: Seasoning items: Mustard, Cumin seeds, Urad dal, Red chillies
G: Ginger, Curry leaves & finely chopped coriander

Process:
1.Start with seasoning w mustard, cumin seeds, urad dal, red chillies
2.Add green chillies to your taste, ginger & curry leaves

2/
Uppittu Template:
3.Add onion & fry for a min, then add green beans and carrot pieces (any vegetable cut into small pieces) & keep roasting till it is semisoft
4.Add Tomato pieces
5.+ water (2: 1 cup of rava)
6.+ salt – T-spoon of lemon juice
7.+ finely chopped coriander

3/
Read 6 tweets
May 18
MP: You asked me “why I need to look at patients. from multiple angles, isn’t that waste of energy?”
IM: Yes doc, it’s been bothering me, the math didn’t help me much.
MP: That’s why when I was visiting @SaguaroNPS & saw so many varieties of 🌵, it dawned on me how to tell

1/
IM: Go ahead doc, how?
Don’t waste my time.
I have “X-rays to take places to go”

MP: Ok, look at the attached #Saguaro #Cactus

2/
IM: Ok, I see it
MP: how many arms this giant cactus has?
IM: I see 5 arms
MP: Ok, now see attached set of 3 images taken from different directions
IM: Hey doc, r u trying to fool me. These have more arms?
MP: No, it is just that same plant is seen from 3 different directions
3/
Read 6 tweets
May 4
May 4th conversation

7 am: Surgical corridor: Medical Physicist walking by the O-arm resting place

O-arm: Doc, do you know what day it is?

MP: It’s 4th of May, why?

1/
O-arm: Doc, remember when I came here, you used to call me, “R2-D2”. I loved it. It gave a me so pride among the other c-arms who can only operate in fluoroscopy mode.

MP: That’s true, I do remember calling you “R2-D2”. Do you know why?

O-arm: Why doc?

2/
MP: You have dual capability, you “Radiate in 2 modes & Detect in 2 modes”, hence R2-D2. What I mean is you can operate as a fluoroscopy unit and also as CBCT.

O-arm: Thanks doc. I need to brag with my buddies. BTW, May the Force be with You!

3/
Read 5 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(