#RSNA2022 diaries
Conversations between MDCT & MP

MP: Hello buddy why are U groaning, CT techs called me to come & check u out

MDCT: What can I say doc? I feel “imposter syndrome”, even though I scan as many patients as they put through, I feel I am not appreciated
1/
@RSNA
MDCT: I feel that I am not appreciated, because of that I feel very inadequate.

MP: It is quite normal. I feel quite the same often. But we can’t let it dwell in our mind. BTW, glad you spill out what you feel, I am here to talk you through.

2/
MP: U have to be proud of Ur actions. U scan >50 patients in a day, only limited by how fast our techs can put patients through

MDCT: That is one thing, even though I scan >50 patients, but my cousin MRI gets all the credit

3/
MDCT: Even though my cousin MRI is ‘SO SLOW’ & ‘Can’t scan’ more than 10 patients.

MP: Well, let me tell u, u both are complementary & shouldn’t think as competitors. BTW, Ur cousin MRI has often shared his inadequacy w me comparing his work to yours

4/
MDCT: It is not just the daily grind doc. Flashes & others including me are worried about the new guy.

MP: Who is that bringing worries to y’all.

MDCT: You know about Photon Counting CT (PCCT) – they seem to take up all the air. BTW, are you heading to @RSNA mtg this year

5/
MP: Yes, I am going and looking forward to hearing all things about PCCT

MDCT: It is not fair doc, one does all the grind work, while other who is new, and few take all the flash and gets talked about everywhere

6/
MP: I agree, PCCT is new but is very costly and the studies done on PCCT is not reimbursed any higher than what they pay for your scan. Remember, when you came first time to RSNA, U were the “talk of the town”.

7/
MP: Remember, once u were the “talk of the town”, likewise, it is PCCT time & let him shine. "Whatever goes up, has to come down" – Law of Gravity still works on this earth.

MDCT: Thank doc. No matter what they say, you are quite comforting to talk about.

8/
MDCT: Thank doc. No matter what they say, you are quite comforting to talk about. I need to get out of this funk & keep smiling while scanning. I will do just that, I promise you. Have a nice visit & say hello to all the new bees in the exhibit hall.

MP: Ok, see u next week

9/

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More from @mmahesh1

Nov 28
#RSNA22 #RSNA2022 diaries:
Conversations between MP and IM (Imaging Modality)

IM: Hey doc, why do u guys insist on placing Aluminum (Al) or Copper (Cu) filters in front of my mouth?

MP: It is mainly to filter out some of the lower energy x-rays coming out of Ur mouth.
@RSNA
1/
MP: Lower energy x-rays only increases patient skin dose & do not contribute to the overall image quality. Hence, by placing certain thickness of filter materials, we shape x-ray beam coming out of Ur mouth.

IM: Well, then why do U use only Al or Cu, why not Pb?

@aapmHQ

2/
MP: Because Lead is used to stop all x-rays. In fact, Pb is used in collimator housing to shape the x-ray beam coming out of your mouth, so that it is within the desired region. On the other hand, Al or Cu is used to filter out lower energy x-rays, making beam harder.

3/
Read 6 tweets
Nov 27
#RSNA2022 diaries (#RSNA22 )

Conversations between MP & DBT

MP is in a zoom meeting w #breast radiologist but was interrupted by DBT

DBT: Hey doc, how is it going @RSNA
MP: Hi there, nice of you to interrupt our mtg, was it so important!

DBT:Digital Breast Tomosynthesis
1/
DBT: No doc, but our 2Dmammo were sharing Ur tweets of Chicago yesterday w #Biopsy & me, so I wanted to ask if u are working hard or hardly working
MP: Well “all work no play makes Jack (in my case ‘a Desi’) a dull boy”, so yesterday was fun but today was all work
@aapmHQ
2/
DBT: I heard @DrLizMorris who came to @Hopkins_Rad was a key note speaker today
MP: Hi ‘Rad’ excuse us. Yes, I just returning from her talk. Girl, you would have loved it. She really talked about what Y’all do for breast cancer detection

3/
Read 6 tweets
Nov 27
#RSNA2022 diaries
Conversation between MP & O-arm

MP walking with x-ray output measuring devices

O-arm: Hey doc, what is “Air-KARMA”? Until now I heard ‘Good Karma’ or ‘Bad Karma’, & am sure you doc have lot of ‘Good Karma’, then why introduce a new term ‘air-kerma’?

@RSNA
MP (smiling): Dude, it is not “Air-Karma”, it is “Air- KERMA (Kinetic Energy Released per Unit Mass)”. If you asked any of my residents, they would have told U.

Air-Kerma is measure of x-ray beam intensity measured w ion-chamber which aides to estimate patient risk.
@ICRP
MP: In fact, I am here to measure the ‘air-Kerma’ for Ur system

O-arm: Thanks! then why “air-Kerma” is always expressed in “milli-Gray”?

@aapmHQ @NCRP_USA
Read 5 tweets
Nov 26
#RSNA2022 diaries:
Conversations between C-arm & MP
C-arm: Hey doc! I see that you are heading to @RSNA mtg.
MP: How did u know buddy?
C-arm: Well my cousin in Chicago told that they are expecting a large crowd coming to town. Also I see you humming & running

MP:Correct

1/
C-arm: when you are there doc, check out the #AI lane of exhibits
MP: why are you interested?
C-arm: it’s a long story doc. First we heard that they are putting on #AI in our new cousins telling it will make them less noisy
MP: why do you think it is bad?

2/
MP: Doesn’t it allow you to less #radiation which will help our patients & bring y’all good name?
C-arm: Doc, if it was only that, we are happy. But #AI guys have gone too far
MP:How?
C-arm: Doc, didn’t you see recent study from #Finland
MP: Yes, I read it

3/
Read 6 tweets
Nov 26
#RSNA2022 diaries:
Conversation between MP & MRI
MRI (3T): Hey doc! U seem excited, r u heading to @RSNA meeting?
MP: Yes, u know its my yearly pilgrimage time
3T: I am kind of jealous doc
MP: Why?
3T: I read your comments about scarcity of Helium, which we need a lot

1/
3T: We need lot of helium, but I heard they are showing new MRI scanners that uses much less or almost no #helium than us. Both 1.5T and I are worried that we will soon become extinct
MP: I wouldn't worry much about that buddy. I am looking forward to checking new things...

2/
MP: But they are years to come. Only very low field MR scanners (<0.5T) are rolled out that have permanent magnet & not strong like u guys!
3T: Either way let me know what you think when you return. I need to update my MRI Union people
MP: Ok, I will sure do
3T: Good trip doc!
3/
Read 4 tweets
Aug 12
Friday Night Dish:
Pumpkin Palaya (ಕುಂಬಳಕಾಯಿ ಪಲ್ಯ)
With:
A: Pumpkin (1/2 of medium size)
B: Seasoning items: Mustard, Cumin seeds, Urad dal, Red chillies
C: Jaggery (sugar), Asteofitida (Hing/ ಹಿಂಗು)
D: Ginger, Curry leaves & finely chopped coriander

1/
Process:
1.Skin the pumpkin (ಕುಂಬಳಕಾಯಿ) carefully – remove any seeds and residues
2.Cut pumpkin into small cubes (1”x1”x1”)
3.Steam for softness (make sure not to overcook-check by piercing the pieces)
4.Season w mustard, cumin seeds, urad dal, red-chillies

2/
5.Add green-chillies to your taste & ginger
6.Pour the soft cut pumpkin pieces & mix
7.Add pinch of Asteofitida (ಹಿಂಗು) powder & red-chilli powder (for more spice)
8.Add salt – T-spoon of lemon juice
9.Sprinkle finely chopped coriander

3/
Read 5 tweets

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