hey im a new tech just graduated from my program and passed the test last month. i was just curious if you ever had to use the Clements nakayama method for someone who had a bilateral hip fracture
@@Samson-dn4eo I personally have not as I work in a busy Ortho clinic and all of my patients are at least somewhat able to walk and get around. . my instructor showed us a few tricks for that one back in school.
Hey Rey! I'm a member of yours here in Brazil and I'm a recently graduated radiology technician, but I haven't arranged anything yet... But I'm still fighting and not getting discouraged. Man your videos are a great inspiration, I ended up finding your channel by chance, but I love every video, and I'm always inspired and I always learn a lot from them, you're an excellent professional and you're doing a great job, Thanks man!
I just wanted to say I love the intro, style and information you got going on here Hope you continue to make videos again in the future for advanced trauma x-rays
Hi! I’m working on enrolling into class for RT. I found your videos. Just watched a good one about school and time management etc. Thank you for that! Can you do a video explaining your first job after graduating.. How you chose, negotiate pay and hours expected to work in this field etc. How is your life after your career started? More time for fitness, friends, fam etc? Thank you for the motivation!!
could you do a video on how to properly but an IR behind a patient that cant move in a gurney for a chest x-ray when you are by yourself and have no one to help you move. I was in this situation the other day and it was not pretty. Where i work we dont have inflatatble mattresses or side pockets to put them thru. I ended up just trying to pull their shoulder forward and sliding it behind their head and push it down there back which i had to do pretty hard. im worried im going to hurt myself or even the patient accidentally, any tips would be helpful.
Which book did you get to learn all these positions and reasons? Thinking about getting into a program btut would love to get a head start studying. Or if you have any old Powerpoint PDFs from school is there somewhere we can download those? Great instructional man.
Can you show how you would do a hip with a portable on a patient in a gurney with a broken hip and wrist who cant lift or move either leg with no assistance and no props?
Just had this happen the other day. Did the Clements on both sides… dusted the shoulders off and dropped the gloves in the trash from about 7 feet with the walk off 🔥🤌🏽🤙🏽
Never include all the pelvis and iliac crest in a hip projection. It is unacceptable to include direct exposure to testes or even take an exposure without further lead protection from scatter radiation. You don't have to include the skin edge in any of these projections. Just accurately collimate to the cassette then use the illuminated field as your guide. The radiography shown do not relate to the images produced partly due to being different people and partly due to masking. If you ever need to mask an image, it means you didn't collimate correctly. The shoot across lateral was bizarre. Never have a 3 foot distance between patient and collector unless you are using an air gap technique which is never used for shoot across lateral hips. It is a massive exposure and body dose could be reduced to 1/3rd if accurate collimation is used. It is possible to tilt a focused grid if you know the geometry. That will mean you can send your beam horizontal to the table surface. This will require a slight up tilt to match the slight angling of the grid if the grid lines are horizontal. To find out how to use a grid properly without any grid cut off at all, please look at my video. th-cam.com/video/mZPD_gLs5Dw/w-d-xo.html The main faults with the video are in collimation which could have cut the body dose to half and the gonadal dose to 1/1000th for men and 1/100th for women
Rey im strongly considering changing my major to rad tech will my disabilities affect my eligibility for employment i use a cane and have hip back and knee pain with a bit of arthritis though out
ive been a tech for 4 years now. still love watching the videos for self checks to make sure im not slippin. thank you for all your work.
hey im a new tech just graduated from my program and passed the test last month. i was just curious if you ever had to use the Clements nakayama method for someone who had a bilateral hip fracture
@@Samson-dn4eo I personally have not as I work in a busy Ortho clinic and all of my patients are at least somewhat able to walk and get around. . my instructor showed us a few tricks for that one back in school.
@@NexIpsum lucky, my instructor didn’t show us and I know one day I’m going to need to do it. I can’t find anything on TH-cam
@@Samson-dn4eo one thing i have found is if i just use what i know about anatomy and imaging i can usually figure positions out nicely. you got this
@@NexIpsum true. Thanks man
Hey Rey! I'm a member of yours here in Brazil and I'm a recently graduated radiology technician, but I haven't arranged anything yet... But I'm still fighting and not getting discouraged. Man your videos are a great inspiration, I ended up finding your channel by chance, but I love every video, and I'm always inspired and I always learn a lot from them, you're an excellent professional and you're doing a great job, Thanks man!
This week we’re learning femur, hip, and pelvis so perfect timing! Thanks 🙏🏽
Perfect timing! I’m getting ready to comp on cross table hip! Thank you
I just wanted to say I love the intro, style and information you got going on here
Hope you continue to make videos again in the future for advanced trauma x-rays
Omg yay I just notice you’re back! 🤩Just on time too! I’m in my first semester and we’re on lower extremity😁
Us too! What campus are you from?
update? hows it going
top-notch video! keep them coming Rey!
thanks rey. We miss your vidz
Love the positioning videos, thanks for sharing!
How could I perform a danielus miller if my tube stand only permits 90* angles?
Hi! I’m working on enrolling into class for RT. I found your videos. Just watched a good one about school and time management etc. Thank you for that! Can you do a video explaining your first job after graduating.. How you chose, negotiate pay and hours expected to work in this field etc. How is your life after your career started? More time for fitness, friends, fam etc?
Thank you for the motivation!!
could you do a video on how to properly but an IR behind a patient that cant move in a gurney for a chest x-ray when you are by yourself and have no one to help you move. I was in this situation the other day and it was not pretty. Where i work we dont have inflatatble mattresses or side pockets to put them thru. I ended up just trying to pull their shoulder forward and sliding it behind their head and push it down there back which i had to do pretty hard. im worried im going to hurt myself or even the patient accidentally, any tips would be helpful.
Are you talking about the clements nakayama for bilateral femoral fractures???
Needed this for my comp tomorrow!
hows the program going? im finding out soon if i got selected
Any more videos?
Which book did you get to learn all these positions and reasons? Thinking about getting into a program btut would love to get a head start studying. Or if you have any old Powerpoint PDFs from school is there somewhere we can download those? Great instructional man.
I'm a new subscriber from Maryland amazing video 🎉
Excelent recording skills,.Thanks for sharing...a new follower here..
can you do a video on how to do a y view ina gurney for a trauma patient
i wish that stand for the ir was in every xray room. i used it once at a clinical site
This is great! Thank you! Can you do one of a trauma shoulder and humerus in a gurney?
Can you show how you would do a hip with a portable on a patient in a gurney with a broken hip and wrist who cant lift or move either leg with no assistance and no props?
Haven’t seen a recent upload from you!! Hope everything is well, I’m just started my program today
sir what is Patch w
Answer to question in video: Clements-Nakayama is alternate method if both hips are injured and cannot be flexed/moved.
What up Rey? Got any surgery tips with the C-arm? I think that would be a good video! Im on my last couple semesters of my program!
Hope all is well man!
"Are you able to lift your knee at all?"
"Yeah."
"Your left knee?"
Can you do orbits routine .. love ur videos
I’m like a year late, but if they’re unable to move both legs, then you do the Nakayma ( definitely spelled that wrong) method for a trauma hip
plan b is Clements-Nakayama method
Just had this happen the other day. Did the Clements on both sides… dusted the shoulders off and dropped the gloves in the trash from about 7 feet with the walk off 🔥🤌🏽🤙🏽
Yep!
Clements-Nakayama for if you can’t elevate the unaffected leg 😁
i am from pakistan rey you make very good X-ray position
Wya!? My teacher just shouted your channel out to the class lol
Never include all the pelvis and iliac crest in a hip projection. It is unacceptable to include direct exposure to testes or even take an exposure without further lead protection from scatter radiation. You don't have to include the skin edge in any of these projections. Just accurately collimate to the cassette then use the illuminated field as your guide. The radiography shown do not relate to the images produced partly due to being different people and partly due to masking. If you ever need to mask an image, it means you didn't collimate correctly. The shoot across lateral was bizarre. Never have a 3 foot distance between patient and collector unless you are using an air gap technique which is never used for shoot across lateral hips. It is a massive exposure and body dose could be reduced to 1/3rd if accurate collimation is used. It is possible to tilt a focused grid if you know the geometry. That will mean you can send your beam horizontal to the table surface. This will require a slight up tilt to match the slight angling of the grid if the grid lines are horizontal. To find out how to use a grid properly without any grid cut off at all, please look at my video. th-cam.com/video/mZPD_gLs5Dw/w-d-xo.html The main faults with the video are in collimation which could have cut the body dose to half and the gonadal dose to 1/1000th for men and 1/100th for women
Friend, I am from Pakistan, I want to do X-ray job and I am X-ray technician in Pakistan.
hello? are you ok?
Rey im strongly considering changing my major to rad tech will my disabilities affect my eligibility for employment i use a cane and have hip back and knee pain with a bit of arthritis though out
Hope all is well man!