You Can't Hide Your Bottom Line
Dalai's note: There are a number of discussions on Aunt Minnie concerning the acquisition of radiology groups by predatory venture capital operations. And so, with apologies to the Eagles....Greedy rads just never get the messageThat guys in suits are not their new best friendsBig Venture CapAnd they won ’t have to worryThey ’ll dump their overhead and drive a BenzLate at night, the reading room gets lonelyI guess selling out young partners has its priceAnd it breaks your heart to see your talents goingTo a predator with soul as cold as ice.So you tell the junior kids that you ’ll protect themFrom the guy...
Source: Dalai's PACS Blog - June 26, 2019 Category: Radiology Source Type: blogs

To My Friends In India Who Happen To Be Affiliate Marketers...
I've never hidden the fact that I track the readership of this blog. It's not that I get all that much traffic, but I do get a big thrill knowing that I have reached people from around the world. Interestingly, in the past few days, DoctorDalai.com has been viewed several thousand times by someone in the Czech Republic. To that poor fellow, I can only say, " D ěkuji! "But as the title above might suggest, I continue to be plagued by " comments " that invariably originate from India. I put " comments " in quotes because these " comments " have nothing to do with the post they " ...
Source: Dalai's PACS Blog - June 25, 2019 Category: Radiology Source Type: blogs

IT STILL Doesn't Get It...
Image courtesy msbmax.comFrom the IT folks today...Good morning,    Due to the Data Center move to the new Data Center, Radiology Dictation will be down tomorrow starting at 11am. During this time, radiologists will need to:1, dial 800-xxx-xxxx2, enter site #3, enter dictation ID4, enter work type5, enter 2 to dictateThe Medical Transcriptionists can log into the website to listen the job and still type reports in.Please check this ahead of time to not delay patient care.We expect this to take 3-4 hours to get things up and running and back to normal.Warm Regards, Systems AnalystAt least the P...
Source: Dalai's PACS Blog - June 3, 2019 Category: Radiology Source Type: blogs

Some Amusing Musings About AI
Let us begin with a quote from Yogi Berra:“It's tough to make predictions, especially about the future. ”Yes, round and round and round we go, and where we stop, nobody knows. The contentious AI discussions on Aunt Minnie continuead nauseum.We've been having this very same discussion for YEARS now, with no real change, no resolution, no obvious final answer. And every time Google or some other NON-physician comes up with an algorithm they CLAIM will outdo a radiologist in detecting something somewhere on someone's scan, the sky is immediately declared to be falling. I'm beginning to wonder if I'm caught up...
Source: Dalai's PACS Blog - May 28, 2019 Category: Radiology Source Type: blogs

Generalized Anxiety?
Just a quickie post.In reviewing the blog's activity, I'm noticing a yuuuuuuggge increase in the number of hits looking for information about GE PACS, particularly the Universal Viewer. Is there something going on with GE that I'm missing? New PACS? The old one been recalled?Inquiring but retired minds want to know! (Source: Dalai's PACS Blog)
Source: Dalai's PACS Blog - May 17, 2019 Category: Radiology Source Type: blogs

Electronic Vindication
Dilbert by Scott Adams, courtesy www.dilbert.comMy very first blog post as Doctor Dalai went online on 1/29/2005, beginning with a rant about ScImage lifted from one of my early AuntMinnie.com entries. In the subsequent fourteen years, my writing has become slightly more sophisticated (emphasizeslightly), but my basic premise has not wavered: PACS interfaces by and large are not as user-friendly as they could be, in other words, theySUCK. Forgive the epithet, but that is a very accurate statement, and most would agree.Most, but not the vendors. In browsing through my years of navel-gazing, I came across several entries whe...
Source: Dalai's PACS Blog - April 15, 2019 Category: Radiology Source Type: blogs

The " Heart " Of Darkness?
Black holes are the stuff of science, science fiction, and even fantasy, but theyare real. Until now, however, no one has ever seen one. Until now:Image courtesy PBS.comFromPBS.com:On Wednesday, the Event Horizon Telescope released the first-ever image of a black hole — a historic moment shared by scientists spread across seven simultaneous news conferences around the world. As the PBS NewsHour reported Tuesday, the Event Horizon Telescope is a two-year-old, international collaboration bent on capturing direct pictures of black holes:Two years ago, an international collective of scientists joined forces to take pictu...
Source: Dalai's PACS Blog - April 10, 2019 Category: Radiology Source Type: blogs

Sudbury Is Still Waiting...
Bill Crumplin, with photo of his late wife Donna Williams, image courtesy Sudbury.comYou might recall mypost of a few years ago about Sudbury, Ontario, Canada, a medium-sized town that turned to its citizens to fund a PET/CT facility when the much-touted Health Service would not provide it. The wait-time was not just an inconvenience; the health of Sudbury citizens was adversely affected by the lack of local scanning capability.The wait goes on, it seems.My friend Stacey discoveredanother such tragedy related to imaging, or rather, lack thereof. As reported onSudbury.com:Donna Williams ’ dying wish was to raise money...
Source: Dalai's PACS Blog - April 4, 2019 Category: Radiology Source Type: blogs

How IBM Watson Overpromised and Underdelivered on AI Health Care
My friend Phil Shaffer, a fellow retired Nuclear Radiologist, is an avid poster on Aunt Minnie. His AM post today about AI in general and Watson in particular is worthy of a wider audience, and here you are. It is based on an Engineering article in the IEEE Spectrum:How IBM Watson Overpromised and Underdelivered on AI Health Care. This is a cautionary tale for all who have anything to do with AI...If IBM stumbled in this venue, if IBM could fall victim to hype and hubris...  Well, we all knew that. Big hype, zero output.I wouldn't bother to post this non-news, if it were not for the other questions it brings up.I...
Source: Dalai's PACS Blog - April 3, 2019 Category: Radiology Source Type: blogs

Rad-PAss: The Robot Radiology Physician Assistant
For the past many years, radiologists have lived in fear of AI. There are those who complain as well about radiological mid-levels, nurse-practitioners, physician assistants, etc., thinking that they, too, will encroach upon our territory. As you know from my previous entries on the subject, I personally don't buy into those fears. Artificial Intelligence and human helpers represent nothing more than assistants for us, ways to do our jobs better and faster. They will not replace us, I promise you.As with most things in this business, technology marches on, and we see progress of a sort we could not even imagine a few years...
Source: Dalai's PACS Blog - April 1, 2019 Category: Radiology Source Type: blogs

A Capitalist Went To Cuba...
Mrs. Dalai and I continue to travel to weird and wonderful places, and with me being officially retired, we hope to do so even more often. Cuba has always intrigued me, and I had even strongly considered joining a religious mission trip here some years ago. Yes, there is a very small, but very vibrant Jewish community in Cuba. We never did makethat trip, but we are now circumnavigating the island nation on a very nice cruise ship. While other ships have made the run, this is the first visit for our particular liner, and I feel a bit like a pioneer. Our first stop was in Santiago, very near Guantanamo, then to Cienfuegos wi...
Source: Dalai's PACS Blog - March 27, 2019 Category: Radiology Source Type: blogs

" Ramblings On Radiology And The Job Market "
Image courtesy HoustonMethodist.comDalai's note: Daniel Corbett is a Radiology business consultant who has posted incredibly useful information on Aunt Minnie as long as I've been there. This opinion piece should be mandatory reading for all in the field.There has been much posted lately about the robust job market for radiologists.  There has been wide ranging discussion about the quality of the jobs available with regards to corporate practices and teleradiology.  The potential to join a group without knowing about " discussions " the group may be having with other entities is very real.  As for ...
Source: Dalai's PACS Blog - March 27, 2019 Category: Radiology Source Type: blogs

Senior Discounts
On January 1, 2019, I officially retired from the position I held for 28.5 years. Let the new era begin!In the interest of transparency, I have to tell you that was not entirely my choice; my departure was necessitated by " business reasons " , and, I am assured,not by any problem with my work. The metamorphosis from practicing physician to private citizen (and eventually, I suppose, topatient) is a process I had started a few years ago, when I cut back to working 26, and then 22 weeks per year, dumping call in the process. There were those who couldn't understand my action at that time, those who said I was not ...
Source: Dalai's PACS Blog - January 14, 2019 Category: Radiology Source Type: blogs

The Abscopal Effect
In the waning years of my career as a Nuclear Radiologist, I have become somewhat more jaded than I was as a younger doc. When you see cancer and other diseases fifty times a day, sometimes getting better, sometimes getting worse, that's bound to happen. Of course, I'm far prefer reporting improvement, but relapses are also part of this job. The oncologists wander into the reading room every few minutes, or so it seems, anyway, to look at their patients'scans (the gantry is generally still warm). If the news is bad, I will tell them in all honesty that I admire the strength it will take to deliver the bad news. On those oc...
Source: Dalai's PACS Blog - August 19, 2018 Category: Radiology Source Type: blogs

A Cold-Call Email From A Headhunter
I HATE SPAM. HATE it. With a passion. Almost as much as I hate robocalling telemarketers. I REALLY hate them. It would be nice if the Feds would send just one little bitty cruise missile into a Bangalore call center. I do believe that would solve the problem.But back to email SPAM.In among the various advertisements for incredible products (that don't exist), emails from Russian women (written by burly gentlemen who probably aren't in Russia), and offers from Nigerian princes (who probablyare Nigerian but are unlikely to be royalty), I often find messages from radiological headhunters, middle-men trying to either get me to...
Source: Dalai's PACS Blog - July 9, 2018 Category: Radiology Source Type: blogs

" Despicable " GE Spins Off...Minion Healthcare?
I couldn't let an occasion as momentous asGeneral Electric spinning off its Healthcare division go without mention. As yet, the new division has no name other than GE Healthcare, which is what it used to be called before being spun. Off, that is. So I guess it's up to me to figure this out.We all know that Siemens performed a similar excision of its Healthcare Division back in March of this year, although this was announced back in November, 2017. You may know that Siemens had a sponsoringrelationship with Disney......until October of 2017, and I have to wonder if that had something to do with the unfortunate moniker "...
Source: Dalai's PACS Blog - July 7, 2018 Category: Radiology Source Type: blogs

The Wedding Speech
Dalai's Note: My daughter " Dolly " got married last week to an incredible guy whom we'll call " Lama " . Forgive the awkwardness of these false names in the following piece, but I did want to share my " Father of the Bride " speech with everyone. If you were wondering, this might have something to do with my lack of posting lately...If I could have your attention for just a few moments …I want to welcome all you, our good friends, old and new, and family, old and new, to this celebration for Dolly and Lama! We are thrilled to have you here on this wonderful occasion! I can ’t beg...
Source: Dalai's PACS Blog - June 3, 2018 Category: Radiology Source Type: blogs

Driving " Miss Taxi "
As my second trip to Ghana winds down, I think of what I've seen and accomplished. The people I've met, the places I've visited. The mark I've left on this wonderful nation, and that it's left on me. One returns from a trip like this a better person, and that growth is enhanced by those who touch your life during the brief sojourn away from the known.I have literally met royalty this trip (long story, won't talk about it for privacy reasons.) I've worked and played with someveryfine physicians, IT people (yes they are!), technologists, and and so forth. Neither an abundance nor a lack of resources can dictate the someone's...
Source: Dalai's PACS Blog - April 1, 2018 Category: Radiology Source Type: blogs

April's Fool
Good morning. Happy Easter, and Happy Passover, and Happy Whatever to those to whom the first two don't apply.Having been hard at work in Ghana the past two weeks, and trying to get back onto Eastern Time this weekend, for the first time in the history of DoctorDalai.com, there will not be an April Fool's Day post.Sorry to disappoint. I know you wait for this with great anticipation every year, but I'm going to have to let you down. In the meantime, tryGoogle's version.Rest assured,next year's edition will be YUUUUGGGEEE!Dalai (Source: Dalai's PACS Blog)
Source: Dalai's PACS Blog - April 1, 2018 Category: Radiology Source Type: blogs

I Bless The Rains Down In Africa...Again
Some of you might have noticed that I haven't posted for a while. Did you call? Did you write? Did you check to see if i was still alive?Sorry...just the Jewish mother in me coming out. I'm sure you all knew that the hiatus was justified, and you simply decided that my next missive would be well worth the wait. And I certainly hope to rise to your expectations.Many things have indeed been happening. Doctor Dolly is getting married in a few months, and you can imagine theturmoiljoy that has brought to the Dalai household. In the midst of plans for that amazing(ly expensive) event (JUST KIDDING, DOLLY!!) I received a promoti...
Source: Dalai's PACS Blog - March 21, 2018 Category: Radiology Source Type: blogs

I Bless The Rains Down In Africa...Again
Some of you might have noticed that I haven't posted for a while. Did you call? Did you write? Did you check to see if i was still alive?Sorry...just the Jewish mother in me coming out. I'm sure you all knew that the hiatus was justified, and you simply decided that my next missive would be well worth the wait. And I certainly hope to rise to your expectations.Many things have indeed been happening. Doctor Dolly is getting married in a few months, and you can imagine theturmoiljoy that has brought to the Dalai household. In the midst of plans for that amazing(ly expensive) event (JUST KIDDING, DOLLY!!) I received a promoti...
Source: Dalai's PACS Blog - March 21, 2018 Category: Radiology Source Type: blogs

Life REALLY Imitates Art! More on Apple's EMR
To welcome myself back after a two-month absence, I'll brag a bit about my prescience. You'll recall my April Fool's Day mock-up of an Apple EMR:No, it wasn't real, for those who didn't realize this.But as with " The Simpsons " predicting an unlikely candidate (some say this isn't true, but go with it),Apple has finally come around. I alluded to this in arecent post, but it seems to be coming to pass quickly. Here's the latest, fromWired of all places...IN LATE JANUARY, Apple previewed an iOS feature that would allow consumers to access their electronic health records on their phones. Skeptics said the move was a...
Source: Dalai's PACS Blog - February 25, 2018 Category: Radiology Source Type: blogs

Dalai's XIIth Law
Some years ago, I created Dalai's Laws of PACS, a distillation of my observations of PACS over time. I managed to insult most everyone involved in imaging, including vendors, IT, radiologists, hospital administrators, and probably His Holiness, the Dalai Lama Himself. Ah, those were the days.Perhaps my favorite among the Laws was number XII:Which is graphically illustrated by this photo meant to remind us of some radiologists we know:This Law was inspired by interactions with one of my former partners, now bosses, who happens to be a superb interventional rad. However, not long before I codified the Laws, he called me from...
Source: Dalai's PACS Blog - December 26, 2017 Category: Radiology Source Type: blogs

RSNA 2017: 2016 Redux...Centaurs Will Make Radiology Great Ag-AI-n!
In readinglast year's RSNA report, I was struck with just how little has changed.Here I am this year, 2017, and here's how I looked at RSNA 2016:A little grayer, perhaps a pound or two more. But otherwise same ol'Dalai. And same ol'RSNA. I even manned the RAD-AID booth again:Yes, I tied the bow-tie all by myself.This is a model housed at the Bayer booth of the airship RAD-AID hopes to use to bring imaging to underserved areas; I think the official rendering is much more impressive, and maybe even a little, well,buxom:I'm still lobbying for a seat on the first flight. Did I saybuxom? I meanthandsome!I did attend the requisi...
Source: Dalai's PACS Blog - December 17, 2017 Category: Radiology Source Type: blogs

AI WILL Displace Radiologists...
....in about 100 years!Sorry, couldn't resist! (Source: Dalai's PACS Blog)
Source: Dalai's PACS Blog - November 15, 2017 Category: Radiology Source Type: blogs

Traveling At The Edge Of Life Expectancy
Allow me to deviate a bit from the worlds of Imaging and PACS...I'm straying way out of my wheelhouse on this one.This starts off with a happy occasion, a Mediterranean cruise. Mrs. Dalai and I recently joined some friends for a two-week trip through various European cities and towns. We had a great time and enjoyed some beautiful sights and wonderful food. I won't bore you with every little detail, but suffice it to say the ship was very comfortable, and the destinations were spectacular.Mrs. Dalai and I have travelled extensively over the years, often by sea. Until recently, we were generally the youngest people on the s...
Source: Dalai's PACS Blog - November 12, 2017 Category: Radiology Source Type: blogs

Interventional SPAM
I've been out of the country for several weeks, which is the usual explanation for by lack of posting. I was on a pleasure trip, or I would have posted from off. There will be an article about that later.Blogs are easy targets for spammers, if you didn't know. That " Comment " field is a magnet to the unscrupulous who somehow think that bloggers will gleefully allow advertisements to appear on their site. Wrong, buffalo-breath. All but the least experienced bloggers maintain control over their comments and never, ever, EVER allow this trash to reach their readers. Most of this seems to come from a concept ca...
Source: Dalai's PACS Blog - November 8, 2017 Category: Radiology Source Type: blogs

No One Gets To See The Wizard!
No doubt you ’ve heard of the “Peter Principle”; it’s been around for quite a while. Dr. Laurence J. Peter is a former professor who published a satirical book based around his theory that " In a hierarchy, every employee tends to rise to his level of incompetence, " and that " In time, every post tends to be occupied by an employee who is incompetent to carry out its duties. " Or, basically: We do a job well, we're promoted. We do that job well, we're promoted again. Eventually, we rise to a position that we can no longer do well -- our level of incompetence. There, we either st...
Source: Dalai's PACS Blog - September 28, 2017 Category: Radiology Source Type: blogs

Giving Back: RAD-AID
Question: What do airships, 747 ’s, William Shatner, Radiology, and giving back have in common?Answer: RAD-AID International!Let me explain …A few years ago, I decided to bail out of the rat-race of private practice. My original goal was to retire altogether, but it seemed more reasonable to ease out slowly, maintain health insurance and some shred of income, and have something to do, at least periodically. And so I started out working 26 weeks per year, and now I ’m down to 22 weeks. Which leaves 30 weeks that need to be filled. I had originally thought I would ramp up my writing, but somehow that hasn&...
Source: Dalai's PACS Blog - September 18, 2017 Category: Radiology Source Type: blogs

Lions and Sentinel Nodes! Oh My!
Eid Mubarak!It seems surreal that two weeks have passed so quickly. As today is the holiday of Eid Al-Adha, the hospital has very little activity, and I'm taking the day to pack, catch up on correspondence, and perhaps pay one last visit to Slipway for lunch.This was on Page 16 of the local English-language newspaper a few days ago. A coincidence with my arrival in country? I wonder...I haven't posted since heading out to Ngorongoro Crater, so let me briefly fill you in on that incredible experience. I'll place some photos here, but they can all be found at THIS LINK for your leisurely perusal. I left Dar in...
Source: Dalai's PACS Blog - September 1, 2017 Category: Radiology Source Type: blogs

Flavors of DVI
I just completed (a rather long) Day 4 at Aga Khan Hospital, here in Dar es Salaam, Tanzania (in case you didn't know where I was). As usual, time flies when you're having fun, and I really am enjoying my time here.Today was a day of many hats. In the morning, I played " real doctor " and attended an OB Gyn lecture series beamed over from the Aga Khan University Hospital in Nairobi:The full title was " Female Sexual Dysfunction and its Effects upon Fertility " and it was quite well done. While the lecture will have little impact upon my medical practice, I'm trying to get the staff used to me hanging ar...
Source: Dalai's PACS Blog - August 24, 2017 Category: Radiology Source Type: blogs

Patient ID
Hello from the Aga Khan Hospital, Dar es Salaam, Tanzania!Just wanted to let you know that I'm here and on the job. I've met so far with the head of Radiology (who is also the Chief of Staff of the Hospital), the head of IT, the Nuclear Medicine technologist/physicist, and briefly with the Regional CEO and the COO of the hospital. Everyone has gone out of their way to make me feel welcome here, and their warmth, and their pride in this amazing place is incredible.I am quite taken with the facility as it stands, but the additions, and plans for the future, will certainly propel AKH well into the forefront of patient care in...
Source: Dalai's PACS Blog - August 21, 2017 Category: Radiology Source Type: blogs

I Bless The Rains Down In Africa...
You just can't be in Africa without thinking of Toto's song by the same name, and I can't resist offering both the original and a very moving chorale version:OK.Now that we have that accomplished, let me sayJambo to everyone from here in Dar es Salaam, United Republic of Tanzania. I got in last night, and to adjust to the time zone (7 hours ahead of Eastern Daylight Time), I've done my usual brief walk-about. (I have to admit that it actuallydid rain today, and I was ratherdisappointed by the rain, as it made me decide not to take a boat-ride to the nearby island of Zanzibar. Oh, well.)Dar is a large city, the capital of T...
Source: Dalai's PACS Blog - August 20, 2017 Category: Radiology Source Type: blogs

Life Imitates Art: Apple Listens to Doctor Dalai
I'm sure this is all my doing. Remember my April Fool's Day post a couple of years ago about the " NEW Apple EMR " ?Well, it seems Apple has taken the hint. FromHealthcare IT News:Rumors are at a fever pitch that Apple has big plans for healthcare, including putting a medical record on the iPhone, possibly acquiring its way into the EHR market.From its leap into healthcare in 2014 with its HealthKit application programming interface in September 2014 to the June 19 revelation of Apple ’s work with the tiny start-up Health Gorilla, Apple has made a series of moves in healthcare that clearly indicate the comp...
Source: Dalai's PACS Blog - August 2, 2017 Category: Radiology Source Type: blogs

Excuses, Excuses, Excuses...Must Be The Russians' Fault, But The AI STILL Isn't Taking Your Job
Forgive me, loyal readers (both of you), for I have sinned. My last post was in May, months ago, and I've not posted since. This is unacceptable, and I humbly accept my penance of getting my writing back on track.But there are reasons for my sloth. No, the Nuance Ransomware foolishness is not at fault. Idon't use Nuance, and Ido apply security patches the moment they are released. Unlike Nuance. (I guess if you can convince the healthcare world that Speech Recognition actuallyworks, you must feel invincible.) As you know, I'm going on another Rad-Aid trip to Tanzania in a few weeks. My task there is to aid the growth of Nu...
Source: Dalai's PACS Blog - July 31, 2017 Category: Radiology Source Type: blogs

PACS and the Grim Reaper
No, it's not what you think, so don't bring out your dead. You'll get the joke later on.I've maintained this blog for over 12 years, believe it or not. Despite my years of whining about PACS, I still love the concept, and to varying degrees, many of the products out there. Some I can praise, some I complain bitterly about, and some I have left alone because of the more and more complex nature of the hats I'm wearing in my old age.It is no exaggeration to say thatPACS has changed everything about what we do in Radiology. My First Law of PACS distills this to its essence:I. PACS IS the Radiology DepartmentThis concept i...
Source: Dalai's PACS Blog - May 17, 2017 Category: Radiology Source Type: blogs

#PutUnitedOutOfBusiness
United Airlines just crossed a line. Please read thisarticle from USA Today, and watch the disturbing video clips:LOUISVILLE — A video posted on Facebook late Sunday evening shows a passenger on a United Airlines flight being forcibly removed from the plane before takeoff at O’Hare International Airport.The video, posted by Audra D. Bridges at 7:30 p.m. Sunday, is taken from an aisle seat on a commercial airplane that appears to be preparing to take flight. The 31-second clip shows three men wearing radio equipment and security jackets speaking with a man seated on the plane. After a few seconds, one of the men...
Source: Dalai's PACS Blog - April 10, 2017 Category: Radiology Source Type: blogs

Cave Machinis
(Source: Dalai's PACS Blog)
Source: Dalai's PACS Blog - April 1, 2017 Category: Radiology Source Type: blogs

The Best Designs Of (For) Mice And Men
Of all the things you didn't know about me, perhaps the most irrelevant is the fact that I'm a frustrated inventor. Periodically, I come up with ideas of things that should exist but don't, and in general they don't for some very good reason. I did once go so far as to retain a patent attorney to research one of my brilliant intellectual offspring. He found the same thing had been " discovered " and patented four times before. That knowledge cost me $500. Of course, one would search the U.S. Patent Database today with Google. How times have changed.TheAgfa Daily Blog Update recently linked to anarticle celebratin...
Source: Dalai's PACS Blog - March 27, 2017 Category: Radiology Source Type: blogs

Hello, (Friends of Doctor) Dolly!
I know many of you are landing here thanks to my daughter, Dr. Dolly. She was just published on KevinMD.com, and my celebratory post on Facebook labeled her a " chip off the old Doctor Dalai " . Thus, her friends are now discovering whatIdo in my spare time. Hopefully this won't reflect badly on Dolly. She is, after all, at the beginning of her career, and I'm at the end of mine. We don't want potential employers, colleagues, administrators, scrub-nurses, or Uber-drivers to think she might turn out like me! (For privacy reasons, I'm not linking back to KevinMD.)In some ways,I've taken a page fromher book. While i...
Source: Dalai's PACS Blog - March 19, 2017 Category: Radiology Source Type: blogs

Out Of Antarctica
I had intended to post from Antarctica itself, but time somehow gets away from you wile in a place like this. So, I'm posting instead from the Scotia Sea en route to the Falklands.You might have heard of the Drake Passage between Ushuaia and the Antarctic. It is often windy and treacherous, and has become known to those with weak stomachs (such as yours truly) as the Drake Shake. Fortunately, we had one of the quieter rides, and so we refer to this area alternatively as the Drake Lake. (We've had some rough seas here and there anyway, and I'm trying to keep my meals from repatriating themselves to the outside world with an...
Source: Dalai's PACS Blog - February 18, 2017 Category: Radiology Source Type: blogs

Politicians and Penguins
My level of love for animals is mostly restricted to our two little fluff-balls at home, whose vet and kibble bills top the GDP of several small nations. Mrs. Dalai, however, LOVES animals, especially penguins. And so, when deciding where to go for our next big trip, she was quite clear on where she wanted to go. Antarctica!When Mrs. Dalai speaks, I listen. And so, we are presently on a ship traversing the Drake Passage, and will indeed reach Antarctica by tomorrow morning.Yes, it's getting colder...Supposedly the temperatures on the Antarctic Peninsula itself will be in the low 30's Fahrenheit, not quite as bad as I expec...
Source: Dalai's PACS Blog - February 11, 2017 Category: Radiology Source Type: blogs

Fovia Utopia
I've found over the years that the PACS field is rather mobile. A friend that worked for company A might now be found at company C having arrived there after doing time at firm B. You might remember back when Merge first bought out Amicas...there were some discussions about whom to keep and whom to let go, and I was rather vocal in urging (begging?) Merge to keep the folks who madeAmicasMerge PACS what it is. That didn't work out, but one of my friends from that realm is now with an amazing little company called Fovia. I sought him out at RSNA, as I usually do, and he showed me some cool stuff. Due to some personal things,...
Source: Dalai's PACS Blog - January 18, 2017 Category: Radiology Source Type: blogs

Don't Spamalot...Or Even A Little!!!
We all know what SPAM is...unsolicited e-mail that clogs your inbox. But as with beauty, the definition of SPAM may well be in the eyes of the beholder. Or the SPAMMER.After receiving yet another piece ofshi... I mean SPAM from someone who friended me on LinkedIn for the express purpose of SPAMMING, I wrote this little article for consumption on that site:A follow up from last year's SPAM post. DO NOT USE LinkedIn to SPAM other members. I've made the mistake of accepting contact requests, and my new " friend " proceeds to bombard me with messages and emails about their " wonderful new product/software/servic...
Source: Dalai's PACS Blog - December 16, 2016 Category: Radiology Source Type: blogs

Artificial Intelligence at RSNA: I'm Sorry, Dave. I'm Afraid I Won't Be Taking Over...
DISCUSSION all over RSNA was Artificial Intelligence, and in particular, AI as applied to Radiology. Well, let's be even more specific. There was a cloud (pun intended) hanging over McCormick, the specter of RSNA Yet To Come, which I quite presciently predicted in my 2011RSNA Christmas Carol:I sat down on a PET/CT gantry and bowed my head. The room spun, and when I looked up again, we were seated on a bench beside Lake Michigan. It was a blustery day, with winds one only sees in Chicago in the winter. Strangely, I felt no chill, as I watched leaves blowing through the PACSman's shadowy figure.I looked behind me and gasped....
Source: Dalai's PACS Blog - December 11, 2016 Category: Radiology Source Type: blogs

Home Sweet Home
I'm back home from my adventures, so these posts will go back to being boring as usual. But, I still have to tell you about my final triumph. Well, perhapstriumph is too strong a term, but we did have a bit of success. As you see in the image above, we sent a nuclear study, a thyroid scan, from the e.cam to the PACS, where it can be seen on the laptop above. This is definitely the first time this has been done at Korle Bu, and probably the first time in Accra and all of Ghana, and maybe Western Africa as well. We've made history!But all good things must come to an end, and it was time to prepare to go home. There had been ...
Source: Dalai's PACS Blog - November 8, 2016 Category: Radiology Source Type: blogs

It's Just Another Manic Monday...And Tuesday...And Wednesday...
I'm still here in Accra, this morning working on some stuff before my appointment with the Head of Nuclear Medicine here at Korle Bu Teaching Hospital. More on nuclear things momentarily.We hit the ground running on Monday, after the emotional trip to Cape Coast the day before. We were to meet with the Head of IT and tour the facilities (Brian tells me there is a server room that is right up there with most he's seen) and speak with those knowledgeable in a locally-developed mini-EHR designed for the OB-GYN Department. But due to various scheduling conflicts and the Head of PACS IT taking ill, we ultimately met simply with...
Source: Dalai's PACS Blog - November 2, 2016 Category: Radiology Source Type: blogs

Slave Castle
There are a few places on our lovely planet that sit in silent testimony to the horrors man can inflict upon his fellow man, and I had the honor and privilege to visit such a place today. I write this with difficulty, but it must be written. What I've felt today must rival what one feels at a concentration camp (I've yet to visit one, but I must). There is nothing but sadness at this place, the knowledge of just how low humanity can sink, how evil can take over a good man's soul.We left early this morning for a three-hour drive from Accra in a VERY small Hyundai, over relatively good roads. The trip was uneventful, except ...
Source: Dalai's PACS Blog - October 30, 2016 Category: Radiology Source Type: blogs

Weekend Update
I have a short report covering the past couple of days'activities, but despite the relative brevity, you may rest assured that things remain busy here in Accra!On Thursday, Ben had asked me to look into sending exams back to the modalities in case something needed to be printed from the console and not PACS. (Brian continues to make progress in DICOM printing from Merge PACS; there is still a contrast issue with the printed films.) While I was able to find the mechanism to do this, the transmissions did not go through completely, and I think this indicates a problem with the configuration on the modality end. However,...
Source: Dalai's PACS Blog - October 30, 2016 Category: Radiology Source Type: blogs

Preliminary Status
This morning, I spent an hour demonstrating Merge PACS to the residents and those attendings who were able to, well, attend. I went over some basics of the PACS, as well as a few of the more powerful tools, and everyone seemed to grasp very quickly what I had to offer. In particular, in working with several residents in CT and MRI, I found ALL were using the worklists as I had suggested. Wonderful!!! I was able to show those in the CT reading room the ease with with they could create 3D renderings. We tried this with both thin and thick data, and of course the thins gave the best result.While watching the workflow, it beca...
Source: Dalai's PACS Blog - October 27, 2016 Category: Radiology Source Type: blogs