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cobette

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mimimithis

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What made you want to specialise in Radiology? Did you consider any other specialisms?
At what point do you specialise? Do you have the equivalent of foundation years in Germany?

Do you ever debate what type of imaging to use? Is an MRI ever the first port of call, or would you always do something else first? Why do MRIs take so long?
From my first year on, I enjoyed anatomy, both the theoretical as well as the practical parts, a lot, to the point where I applied for a job as supervisor for the dissections first year students do on deceased people who explicitly allowed their bodies to be used for science post-mortem. The body is fascinating in and by itself, not just the cellular/molecular part, but the gross anatomy, too, which coupled with physiology/pathophysiology and biomechanics, gives a whole other kind of understanding to the way the human body works, to diseases and human ailmants.

Initially, I wanted to be a trauma surgeon, but at my university, the trauma team went for 5am gym sessions, and were all kinds of obsessed with sports and outdoor activities, so I decided against trying to fit in, and looked for the next best thing. Radiology gave me choice of using the anatomy, pathophysiology and biomechanics as well as requiring a broad knowledge of all specialties (we need to know the diseases in all kinds of specialties, from newborns to geriatric patients, it's a vast field). It was a challenge, but I went for an internship early fourth year, and was instantly hooked. From then on, my path was set.

The physics of it all gave me a bit of a headache, because I'm all right, but not brilliant in physics, but in the end, it all worked out fine.

In med school, you mean?
In Germany, unlike the UK, we have six years of med school and no foundation years. Our last year, year 6, is basically your F1, only we don't really get paid, and work a lot more than in the UK. So we have 2 years of pre-med, our first state exam, 3 years of med and a year of internships (4 months surgical specialties, 4 months internal medicine specialties, 4 months of your specialty of choice, mine was radiology). I did my surgical internship rotation in Manchester, and the other 2 at my university hospital.
After the year of internships, you take your 2nd state exam (at least it was still like that, when I graduated, now it's one part of the state exam before internships, and the other part after), and you graduate as a doctor with an approbation/medical licence.

After this, you start your specialisation, which can take between 5 and 7 years, and become a resident during that time. Once you finished your specialisation training you take a board exam and become a fellow. And usually, you get to subspecialise afterwards. I did it before my board exam already, subspecialised in musculoskeletal radiology, and then subspecialised also in cardiac imaging after my board exams. Unlike in the UK, it doesn't mean that I work solely on such exams, I'm a diagnostic radiologist, and tend to work in my subspecialties, but not when I was still doing late, weekend and night shifts, or now on call.

So I still need to know and train in everything, and that's what I love about my profession. I go to work, and I have no idea what the day will bring, and there are always surprising cases to learn from, and things to take away from discussing cases with other colleagues or clinicians.

Do we ever? That's a big part of our day. Clinicians come to us with requests to perform an exams, because they suspect x or y, or even z, and we determine which exam is the best to use. For some diseases, MRI is the exam of choice, but very seldomly in an emergency setting. They do take too long, and CT is readily available, and a good alternative for just about everything.

The MRI taking so long has to do with how images are acquired. There's a lot of physics involved, but in layman terms, the MRI uses magnetic resonance, so waves, to get hydrogen atoms to swing and spin a certain way (longitudinal magnetisation), then it uses horizontal waves/pulses (that's why it's so loud) of sort to push the spinning atoms out of their rhythm. The difference it takes to get them back into the longitudinal spin can be "caught" in a matrix and translated into what will turn into an image at the end of the sequence.
 
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cobette

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Yes daddy HK looking fine
View attachment 1585515
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🥺 oh babies. Do they normally get a bit funny with you when you come back?

It's a funny FPL week because Chelsea and Liverpool are off, I'm sure a lot of people (me included) have a few players that won't be playing this game week
They are always funny until we open the suitcase then they must smell our stench and they know it is us 😂

Being trolled now:
 
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Just Drive

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Jet lag is pretty bad! I was out longer yesterday than I usually would be on first day so paying for it today. I'm fighting to stay awake a bit longer so I'm not awake too early tomorrow!

We're going to Animal Kingdom tomorrow. Breakfast at the Grand Floridian first and dinner later at Caribbean Beach Resort.

I was torn about whether to go for breakfast or try to watch the match! If he's starting I might switch up plans.
I’m the same - jet lag hits on day 2 or 3. I’m excited for your Animal Kingdom pics! Hope the weather is good. The match is nice and early for you tomorrow so hopefully you can watch all of it and still start your activities early enough.
 
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mimimithis

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I'm not a fan of peanut butter but I can see why this would be appealing.

What is everyone's favourite jam or spread? I love marmalade, especially lime flavour
Nutella? Works with just about everything. Also, Dulce de Leche / Manjar, which is caramel... too good. As for jams, I love quince. 🤤

Toast and salted butter is the food of the Gods 🤤
That is the absolute truth. This should be our new thread title.
 
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