Hello world!

Did you ever wake up one morning and find that the things you believed for your whole professional life are no longer shared with others?  Do you still think there is a right and wrong in medical imaging or the practice of medicine?  If any of these things apply to you we may have something to talk about.  I am coming to blogging kind of late in my life, I am 68 years old.  So forgive me if this is not elegant, but I hope the words are right.  What do you think about what is going on in medical imaging right now?  How are the societies we belong to working?  Are they really working for us? 

It doesn’t matter if you are as old (or older) than I am or fresh and young.  I want to start a dialog about where we are going and how we should handle it.  I have strong opinions and I am sure some of you do as well.  Let’s hear them.

Before you go any further please read the rules for this blog on the “About” page

Bob H.

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5 Responses to Hello world!

  1. Mr WordPress says:

    Hi, this is a comment.
    To delete a comment, just log in, and view the posts’ comments, there you will have the option to edit or delete them.

  2. rhwagner says:

    I am not much of a blogger, but I will give it a try.

    I am not old enough to have experienced all of the history of Nuclear Medicine, but I have lived through a couple decades of it. I believe that NM is going through a transition phase. A metamorphosis if you will. The specialty started as physicians of many specialties (internists, radiologists, pathologists) found strength and versatility in using tracers for diagnostic and therapeutic purposes. The common bond was the science, physiology, and technology. Technologists, physicians and industry worked together sharing ideas and the field expanded allowing for the creation of a new specialty. The butterfly emerged from the cocoon.

    Today it seems like the process is in reverse. Technologists, physicians and industry seem to be going their own ways or are actively discouraged from interacting. Some procedures of Nuclear Medicine are being absorbed by other specialties. Those that practice dedicated NM are fewer and fewer.

    Can a butterfly return to the cocoon or is this just some intermediate larval stage that will show an even more magnificent creature emerging? If this is a true metamorphosis, only one thing can be said of it. The creature emerging often doesn’t resemble the creature going in.

    We can debate the causes for the metamorphosis and why it is occurring. We may even speculate on the results and what the end product will look like. Metamorphosis is however a dangerous process. Not all successfully complete the transformation.

    I for one am very curious to see what the next phase will look like.

    • oldnukedoc says:

      Well, being old means that I was there near the beginning. People were accusing us of stealing procedures from other specialties such as pathology and radiology. So it the wheel has come full circle. The more important question underlying this evolution is what lesson do we draw from all of this? I guess it prompts one to ask the question as to whether a speciality based on a technology can survive long-term. This has implications for both radiology and nuclear medicine. Can those in radiology who want to create a new specialty of interventional radiology expect to survive? Can “nuclear cardiology” survive? Is the lesson that medical specialties need to stick to organ systems? If so, I think it is going to be very confusing. What do you think?

  3. Pam Robinson says:

    I have been in nuclear med for about 15 years 10 of those spent in nuclear cardiology.
    It seems, and I may be quite jaded, that cardiologists are motivated more by the
    dollar they can make doing procedures in office than by the benefit to the patient doing the procedure at all. It seems CT is the “new” thing, ultarsound is preferred, and nuclear is an afterthought. My funding has been cut, my job eliminated, and at 46 where do I go? Back to school? What “new” has come out of nuclear since
    Sestamibi? Unless your in a PET facility I think nuclear is on its way out.

  4. oldnukedoc says:

    It is as I said 20 years ago. The cardiologists are in it for the buck and until the next new technology comes along that can make them some money. Sorry about your job, but what has happened is that private office cardiology siphoned off the well paying patients from the hospitals and hospitals cut back. If the cardiologists had not been there you would have a hospital job today doing what you like.

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