Comments for Mad Rad http://madrad.wordpress.com Just another WordPress.com weblog Sun, 01 Mar 2009 07:44:46 +0000 http://wordpress.com/ hourly 1 Comment on Glossary by Mike http://madrad.wordpress.com/glossary/#comment-6031 Mike Sun, 01 Mar 2009 07:44:46 +0000 http://madrad.wordpress.com/glossary/#comment-6031 Just passing by.Btw, you website have great content! _________________________________ Making Money <a href="http://tinyurl.com/rich-quickly/1089287" rel="nofollow">$150 An Hour</a> Just passing by.Btw, you website have great content!

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Making Money $150 An Hour

]]> Comment on Unholy alliance by EleptReulty http://madrad.wordpress.com/2006/11/15/unholy-alliance/#comment-6030 EleptReulty Wed, 29 Oct 2008 22:40:03 +0000 http://madrad.wordpress.com/2006/11/15/unholy-alliance/#comment-6030 I read some of the posts and I think it is a great site. I am proud of my serious hobby I have a nice joke for you people! :) What weighs 909 kg (2,000 pounds for all of you inefficient, non-metric "people") and is bare to the bone? A skeleTON!!! I read some of the posts and I think it is a great site. I am proud of my serious hobby I have a nice joke for you people! :) What weighs 909 kg (2,000 pounds for all of you inefficient, non-metric “people”) and is bare to the bone? A skeleTON!!!

]]> Comment on Chinese whispers by Peng Hui LEE http://madrad.wordpress.com/2006/10/24/chinese-whispers/#comment-242 Peng Hui LEE Wed, 31 Jan 2007 18:42:48 +0000 http://madrad.wordpress.com/2006/10/25/chinese-whispers/#comment-242 If the CTPA had been done the same day, this have happened? I'm not saying that this is what happens where I work, but perhaps it should. Then, with the negative result, the patient would not have had to take Tinzaperin unecessarily. For a number of reasons, we've recently decided to stop doing VQ scans routinely, and do CTPAs unless contraindicated. I could discuss this further if you like, but the protocol is on my website. While I agree that tests sometimes seem to get ordered indiscriminately, pathologists will tell you that undiagnosed PE is a common cause of death (references available). None of this makes my work any easier, but it is important to see things from the other side. If the CTPA had been done the same day, this have happened? I’m not saying that this is what happens where I work, but perhaps it should. Then, with the negative result, the patient would not have had to take Tinzaperin unecessarily.

For a number of reasons, we’ve recently decided to stop doing VQ scans routinely, and do CTPAs unless contraindicated. I could discuss this further if you like, but the protocol is on my website. While I agree that tests sometimes seem to get ordered indiscriminately, pathologists will tell you that undiagnosed PE is a common cause of death (references available).

None of this makes my work any easier, but it is important to see things from the other side.

]]> Comment on Say that again? by Peng Hui LEE http://madrad.wordpress.com/2006/12/04/voice-recognition/#comment-240 Peng Hui LEE Wed, 31 Jan 2007 17:50:48 +0000 http://madrad.wordpress.com/2006/12/04/voice-recognition/#comment-240 Here are my experiences: http://pengrad.blogspot.com/2006/09/digital-dictation-and-voice.html However, some people find it works well, as you can see from the comment to my post, and the system I tried was bolted-on to a poor-quality RIS, that was not integrated to PACS. I'm still keen in principle and I'm planning to visit some places where the voice recognition is said to work properly. We will be installing a new Agfa PACS, to be integrated with an upgraded RIS, so fingers crossed. Here are my experiences:

http://pengrad.blogspot.com/2006/09/digital-dictation-and-voice.html

However, some people find it works well, as you can see from the comment to my post, and the system I tried was bolted-on to a poor-quality RIS, that was not integrated to PACS. I’m still keen in principle and I’m planning to visit some places where the voice recognition is said to work properly. We will be installing a new Agfa PACS, to be integrated with an upgraded RIS, so fingers crossed.

]]> Comment on More depressing reading by potentilla http://madrad.wordpress.com/2006/12/02/more-depressing-reading/#comment-54 potentilla Mon, 18 Dec 2006 22:01:54 +0000 http://madrad.wordpress.com/2006/12/02/more-depressing-reading/#comment-54 Hello, MadRad, belated thanks for the link to this fascinating document. I just had a look at the headcount figures. I can't actually make sense of the "NHS infrastructure support" number because it is smaller than the "Admin and clerical" number....... anyway, one reason for the increase in the number of people on the management payscale (which is what this is counting) is that job definitions get, um, creatively worded, in order to be able to recruit someone halfway good in competition with the private sector, or at least other bits of the public sector (eg local authorities). There are plenty of people on the NHS management payscale would would not be considered managers outside the NHS. Hello, MadRad, belated thanks for the link to this fascinating document. I just had a look at the headcount figures. I can’t actually make sense of the “NHS infrastructure support” number because it is smaller than the “Admin and clerical” number……. anyway, one reason for the increase in the number of people on the management payscale (which is what this is counting) is that job definitions get, um, creatively worded, in order to be able to recruit someone halfway good in competition with the private sector, or at least other bits of the public sector (eg local authorities). There are plenty of people on the NHS management payscale would would not be considered managers outside the NHS.

]]> Comment on Patsy talks more bollocks by Scientist http://madrad.wordpress.com/2006/12/07/patsy-talks-more-bollocks/#comment-25 Scientist Sat, 09 Dec 2006 16:57:59 +0000 http://madrad.wordpress.com/2006/12/07/patsy-talks-more-bollocks/#comment-25 "Tell me how I’ll take their x-rays when I go to them." With one of these, of course!: http://www.medekit.com/controller/Catalogue/product/10012/DragonMobile/Semi-PortableDigitalX-RayUnit.html?source=x-ray-news “Tell me how I’ll take their x-rays when I go to them.”

With one of these, of course!:
http://www.medekit.com/controller/Catalogue/product/10012/DragonMobile/Semi-PortableDigitalX-RayUnit.html?source=x-ray-news

]]> Comment on Time to go by The Angry Medic http://madrad.wordpress.com/2006/11/22/34/#comment-24 The Angry Medic Sat, 02 Dec 2006 03:39:23 +0000 http://madrad.wordpress.com/2006/11/22/34/#comment-24 Heh. That gave me a chuckle. An aircraft carrier would raise a few eyebrows at the DoH, especially if you're cheeky and name it the HMS Hewitt :) Heh. That gave me a chuckle. An aircraft carrier would raise a few eyebrows at the DoH, especially if you’re cheeky and name it the HMS Hewitt :)

]]> Comment on Unholy alliance by Scanners « Mad Rad http://madrad.wordpress.com/2006/11/15/unholy-alliance/#comment-23 Scanners « Mad Rad Thu, 23 Nov 2006 17:04:45 +0000 http://madrad.wordpress.com/2006/11/15/unholy-alliance/#comment-23 [...] [1] I have lost count of the times I have been asked “Can I have it done quicker if I go private?”. The answer is ‘No’. It will always be ‘No’. I do not have the luxury of keeping empty slots for a PP just in case one comes along. I book cases by clinical urgency. Most scans have a 2 week wait anyway. [2] You will note I refer to Alliance as an example. There are, of course, other companies such as Lodestone, fulfilling similar roles or aiming to do so in future contracts. I am however particularly worried about Alliance. That’s another story. Please refer to the posting entitled ‘Unholy alliance‘ for further details. [3] Including advertising. shortlisting and interviews. CRB checks are currently taking two months or so and no one in their right mind would give notice until all checks are through. AfC requires 2 months notice. [...] [...] [1] I have lost count of the times I have been asked “Can I have it done quicker if I go private?”. The answer is ‘No’. It will always be ‘No’. I do not have the luxury of keeping empty slots for a PP just in case one comes along. I book cases by clinical urgency. Most scans have a 2 week wait anyway. [2] You will note I refer to Alliance as an example. There are, of course, other companies such as Lodestone, fulfilling similar roles or aiming to do so in future contracts. I am however particularly worried about Alliance. That’s another story. Please refer to the posting entitled ‘Unholy alliance‘ for further details. [3] Including advertising. shortlisting and interviews. CRB checks are currently taking two months or so and no one in their right mind would give notice until all checks are through. AfC requires 2 months notice. [...]

]]> Comment on Unholy alliance by Saving it all up « Mad Rad http://madrad.wordpress.com/2006/11/15/unholy-alliance/#comment-22 Saving it all up « Mad Rad Thu, 23 Nov 2006 16:53:40 +0000 http://madrad.wordpress.com/2006/11/15/unholy-alliance/#comment-22 [...] If nothing else this seems pretty mendacious and stupid (and as for venal we only have to go to the Alan Milburn posting). [...] [...] If nothing else this seems pretty mendacious and stupid (and as for venal we only have to go to the Alan Milburn posting). [...]

]]> Comment on Dying alone, among strangers by HospitalPhoenix http://madrad.wordpress.com/2006/10/27/dying-alone-among-stranger/#comment-21 HospitalPhoenix Mon, 13 Nov 2006 12:26:38 +0000 http://madrad.wordpress.com/2006/10/27/dying-alone-among-stranger/#comment-21 Excellent posting! I'll be back... Excellent posting! I’ll be back…

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