Similar findings were also seen in the lumbar spine — the lower back region — when general population MRI studies were again performed on asymptomatic patients. When this happens, clarity becomes the first thing patients experience… not the last.
Name required. Email will not be published required. Johnson's candor and skill. He impresses me with his 'up-to-date' knowledge and practices, yet he completely shows genuine concern for making his patients better ASAP! You Rock Doc! Post surgery, I still had pain even with all the physical therapy afterwards.
I tried chiropractic, massage, acupuncture, physical therapy I did not get relief until receiving prolotherapy treatments from Dr Johnson. Thanks to him for helping me get my life back. For the past six years, I've had trouble sitting in a chair or driving a car due to a painful tailbone problem.
Prior to seeing him, I received chiropractic care and physical therapy, and have seen a number of competent and caring doctors, going through procedures at three different hospitals. And still, there was no change in my condition. Not only does the phrase lack pertinent meaning, it does not save radiologists in litigation cases for poorly interpreted studies. If a clinical correlation is required, it should be specific. For example, in the case of a presumed occult fracture, the radiologist should note, "correlate for point tenderness.
But what about the phrase "if clinically indicated? An year-old male with worsening metastatic colon cancer has an incidental small thyroid nodule on a staging CT. The radiologist's impression reads: Incidental low attenuation right thyroid nodule for which ultrasound can be done, if clinically indicated. While this is a true statement, consider if it provides much additional value.
Before using this vague phrase, ask yourself what it would mean to you if you were the clinician? This thyroid nodule is probably of little significance in an elderly patient with metastatic colon cancer. Clinicians may feel obligated to order additional imaging "if clinically indicated. The preferred dictation for the thyroid nodule is: I ncidental low attenuation right thyroid nodule is noted that is of doubtful clinical significance given the metastatic disease.
Unlike a report that includes "if clinically indicated," this dictation demonstrates the radiologist's expertise in image interpretation and patient management. The radiologist's impression is the most important component of the radiology report. Yet, a significant number of radiologists forgo an impression. In a recent study, 94 percent of polled clinicians believe that a radiology report greater than a few lines should have a separate conclusion.
Not only is an impression necessary, it should be concise and relevant, should not reiterate the findings and should answer the clinical question. Do not rest everything on the clinician.
Let us abandon the vague and ridiculed terminology and rather compose meaningful radiology reports that will help our referring clinicians and patients. This approach builds our status as valued clinical consultants. Around the web AI in Healthcare. Behavioral health AI predicts effectiveness of talk therapy.
Radiology Business.
0コメント