Personal account, mostly retweets and stuff. Occasional radiology gems

Joined September 2008
I don't know how many CTAs you have to read before you miss this vertebral artery variant, but its taken me 25 years and thousands to find one: Ascending Thoracic Vertebral Artery Variant. Nice paper in AJNR with description, cases, and diagrams. Talk about going around the thumb to get to the elbow. This case presumably incidental.
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A few controversial things I believe: 1) A grown man with a family has no business getting on a ladder to put up Christmas lights. 2) a larger vehicle is safer than a smaller vehicle. Put your family in an SUV. Period. Crash ratings are a scam. 3) Pitbulls are a public nuisance. 4) politics is a total waste of time. Putting energy towards it is inversely correlated to happiness. 5) earning money is hard. $100k a year is a lot of money. Twitter acts like it’s easy but it isn’t. 6) sports betting is a disaster for society. Quietly destroying a lot of men’s lives. 7) waiting till 35 to think about kids is a huge mistake. These folks are all going to regret not having more, earlier. 8) SEC and Big10 schools are the new Ivy League. Wealthy families want to send their kids there, not Harvard or Stanford. 9) religion is making a comeback. And the people who get serious about it end up with better lives. 10) marrying a doctor or a lawyer is high status, but low enjoyment. These folks live stressful lives with very little flexibility. 11) vaping and weed are better for your body than alcohol, but worse for your career and life. They remove ambition and energy and make you less social. 12) giving our kids 75 vaccines is going to go down in history as a net-negative on society. 13) technology won’t actually advance a lot from here. Our physical worlds will largely be the same 20 years from now. 14) driverless cars are 20 years away. Waymo won’t make it out of the major cities with 25 mile an hour speed limits. 15) Virtual reality won’t become a thing. Nobody has any use for it. 16) 99% of people have no use for AI and it has reached 90% of its potential utility. Massive waste of electricity on the whole. 17) Web3 is a joke. Crypto is worthless. Bitcoin is a fad and is 100% speculative. Massive waste of electricity. Solves a problem that doesn’t exist. 18) electric vehicles will not become mainstream. They do more harm to the environment than good. Creating them and disposing of them is an environmental catastrophe. 19) Starlink is a miracle and ads 10x more value to society than the previous 5 things on this list combined. Elon needs a Nobel prize. 20) the fed has done a great job over the last 3 years with rates. 21) nuclear power is the only way forward. Solar and wind are not sustainable and are a total waste of money. Oil and gas is the only viable solution today and America should invest heavily in more production. 22) Silicon Valley influencers and Tech titans are out of touch with the true needs of Americans. They could benefit by spending some time in a Walmart. Most people are trying to figure out how to put food on the table. They don’t need another app for their meta glasses. What’s something you believe that isn’t a common belief? Which one am I wrong about?
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Good provocative list. Don’t agree with all of it, but it’s good
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Some intriguing signals are already showing up along the West Coast for the end of October. This will be interesting to watch, because if this were to verify, it could mean an active early-season period for Sierra Nevada, and perhaps extending to Utah.
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❄️ UTAH SNOWPACK IS ALREADY WAY ABOVE NORMAL! 😂 Okay, before everyone gets too excited, snowpack season literally just started, and our average snow water equivalent (SWE) right now is essentially 0.0 inches. So these percentages don’t mean much yet. BUT… 😂 Bear River is sitting at 900% of normal, the Northeastern Uintas are at 600%, and Duchesne is at an absolutely ridiculous 1,625% of normal! 🤯 Technically, we’re crushing it! Ha! Let’s see if we can keep this going as we head into winter. I’ll take all the good snowpack vibes we can get! 🙌❄️ #UtahSnowpack #UtahWeather #WinterIsComing
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Here we go! 🔥 The first week of October is shaping up to be HOT across Utah. Northern Utah could see temperatures in the 80s, with 90s possible across southern Utah — roughly 10° above normal. High pressure will strengthen and build over the region, bringing plenty of sunshine and a stretch of unseasonably warm weather. ☀️
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Big-time formal complaint from patient family that this insufficiency or fatigue fracture should have been identified by supposedly sclerosis on this x-ray. 🤷‍♂️
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Not a miss. The sensitivity of XR for nondisplaced fractures is limited, obviously
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We added slope aspect and angle map overlays on OpenSnow. Raise your hand if you're nerdy enough to use this! ✋
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Where can I find the new overlays? Haven’t showed up in my app yet as far as I can tell
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Replying to @WasatchSnow
That’s amazing. Not sure I need the OnX app anymore
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Appears Alterra has canceled the Reserve Pass line cutting program at Crystal, Winter Park and several other mountains.
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Radiologist when they call a code in the radiology department
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Radiologist on the airplane when they ask if there’s a doctor on board
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A friend of mine works in AI and thinks bad things are about to happen. He sold his home and moved his family out the country. He said if you own a home in a walkable San Francisco neighborhood near a taqueria with good veggie options, you should sell your home right now.
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Good reminder to not ignore the prostate on those ER CTs.
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Picked up a very similar ER case recently at the VA. PSA was artificially low due to finasteride…
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AI finally solving the pervasive, error-inducing problem of terrible history provided to radiologists. "LLMs generated radiology-relevant indications from clinical notes that were more comprehensive and factual than clinician indications" doi.org/10.1148/radiol.25323… @sohn522
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Finally a use of AI (or at least LLMs) that is actually helpful
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You have to stay in one circle for the rest of your life. Which one are you picking?
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C contains nearly all of my favorite ski resorts - this is a no-brainer
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Don’t get worked up about it, but I’m loving this map.
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States that hate themselves the most…lol
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Hey @united - please give me back my iPad that is at your SFO terminal 3 lost and found. I walked up to the United lost and found desk at terminal 3 in SFO, showed the United employee at the desk that my iPad was right behind them inside the lost and found - and they refused to help me or let me have it back. They told me to file an online ticket. So I filed the ticket July 13th and here we are August 1st nearly a month later nothing has happened, as shown in the image I uploaded. This is absurd please give me back my iPad. Especially after I spend thousands on first class tickets for that flight
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@united is the worst. I will pay more for a ticket on any other airline to avoid flying with them
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When a @Ford gets hit by lightning. ⚡️ Miraculously, all occupants are alive. I-15 NB today.
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📍🗺️ While this may sound odd if you've never heard of the place, besides from excellent skiing, this resort may be most well known for its luxurious bathroom facilities. 🌟🚽 Can you guess the trail map? 🧐
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Haha I knew it had to be snowbasin from the description, even before I confirmed with the map
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I’m honestly jealous of people who enjoy this part of summer. I wish I was one of you. For me it’s just about getting through it at this point. This weekend will be brutal.
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It’s ok if you enjoy water sports. Also with the monsoon rains, mountain biking has been pretty great at high elevation and in the early morning - minimal dust! But yeah, I hear you - I am sooooo looking forward to cooler temps and snow…
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