Eric Postal, MD

A proposed consumer reporting system for patient safety is the latest anti-physician stick. Where’s the reporting hotline for the besieged health care workers?

None of us radiologists have legitimate dissatisfaction with our careers. Let’s look at all of the wonderful things we encounter each and every day.

Medical games and TV shows are at their best when they are least relevant to the actual health care. And they let me imagine a more glamorous professional reality.

The common medical encounter with SOS - Some Other Sonographer, as opposed to your known and trusted technologist - can bring a harsh reality.

Several states require reports include breast density information. What’s next? Why rely on physician judgment when you can have a one-size-fits-all policy?

GIGO refers to getting less-than-useful results after supplying less-than-helpful input. Radiologists are exchange in similar mechanics with colleagues.

How do you end a conversation with the referring physician after calling in abnormal radiological results?

There’s another kind of hay to be made while the sun is shining, however-the sort that doesn’t show on a balance sheet. Simply put, live a little.

It’s just about time to sit down to your daily stack of cases. How primed are you for the work?

At times, image ordering by clinicians seems downright random. Courtesy of roulette and certain game shows, I propose the Wheel of Protocols.

The Supreme Court has now given us the means to strong-arm the citizenry into having better, cheaper care - whether they want it or not.

Radiology visits me in my sleep. My radiology dreams are bare-bones, no-frills affairs. There are no characters or situations in them - just imaging studies.

Clinical histories can help radiologists improve differential diagnoses. They also can help me avoid the misfortunes of those being imaged.

Batman works best in the dark and employs sonic gizmos; his alter ego Bruce Wayne could easily be rewritten as a radiologist. Here’s my reimagining of Batman as radiology’s hero.

Imagine taking radiology to the open seas in a medical cruise - escaping the day-to-day pressures in favor of a vacation atmosphere for doc and patient alike.

Radiologists are familiar with receiving lousy clinical histories for imaging studies, so when I get a case with a thorough history, I like to give kudos.

Serious bending of the cost curve could be accomplished by targeting the less mission-essential elements of our overburdened health care system.

Remember the cartoon Goofus and Gallant from Highlights? Introducing teleradiology’s version, Doofus and Valiant, with quite different approaches to their jobs.

From med-mal to reimbursement, radiologists have quite a few metaphorical guns to our collective heads.

Radiologists generally seek to have an impact on things. We want to know we are making a difference - in patient care and department protocol.

To sum up my previous thoughts regarding the state of voice recognition typically available to us in radiology: We’re not yet living in the days of Star Trek.

You don’t need to have had personal experience with voice recognition software to know it’s still a work in progress.

In the teleradiology field, I’m partial to working with larger, more established groups, but are there advantages of the smaller startup enterprises?

I get it. You’ve got some issues with this business model, and you feel the need to push back against it.

Previously, I addressed one of the major reasons why I would advise anybody considering telerad to work with a large, established entity as opposed to a smaller outfit: Support.

The government and insurance companies will eventually run out of ways to further complicate the system. Until then, I'd like to suggest some categories of diagnostic codes that we would actually find useful.

Working remotely inherently guarantees that you’ll never get called away from your desk to place an IV, operate a fluoro case, or spend five to 10 minutes in the sonography room because the tech is in over his head.

Whatever the reason, when I got my performance report for last quarter’s radiology work, I found myself musing about the stats used to measure us.

So I took the plunge, and became a teleradiologist.

In our bizarre world of getting paid not for what we do but rather why we did it, we often find ourselves holding the bag when a referrer ordered a study that the insurer decided was “inappropriate.”