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Fireside Chats, Episode 72: Being A Doctor

This week, welcome Steven Neeley, MD to the show. Dr. Neeley is a radiologist at New Mexico University, and is the very first medical doctor to appear on Fireside Chats. Our discussion today revolves around two pillars: What it's like to become a doctor, and what it's like to be a doctor. Two related questions, certainly, but also two radically different things. What's it like to have someone's life in your hands? Is medical school as difficult as it seems? Are family and friends annoying when they want you to look at something? And -- perhaps most fundamentally -- is the American health care system broken? If so, how do we fix it? We cover all of that and much, much more.

Fireside Chats, Episode 72: Being A Doctor

Comments

Thanks for listening! Ain't nothing wrong with a lil Diablo 3 every now and again.

Colin Moriarty

Wonderful guest to have on. Thoroughly enjoyed your twos discussion on the healthcare system as a whole. As always, keep up the great work. :) I got a laugh at the bit where he said that sometimes all he really wants to go do is play Diablo 3. While listening to this episode I was planning on playing Diablo 3 on my Switch afterwards.

Michael Raymond

Nice! Glad you liked it. Thank you for listening.

Colin Moriarty

My favourite episode yet. Pretty much every question asked was something I’ve always wondered about, esp the male gynaecologists! Could have easily listened for another two hours

Daniel

This show always seems to come back to religion, somehow. LOL.

Colin Moriarty

Thanks for listening. =)

Colin Moriarty

Great episode! Been working as a medical coder/biller for a couple radiologists that I’ve never met haha.

Angel Urbina

Man thank you for continuing to showcase that not all religious folks are nut jobs. I know that wasn’t the primary focus of this discussion but it’s awesome to see 2 people, one religious, one not religious have respectful meaningful discussion sharing their belief systems. All this while also allowing for the fact that both people could be completely wrong.

Owen

Right on! Glad you enjoyed the episode. =)

Colin Moriarty

What I'm learning with Fireside Chats is that I'm continuously surprised by how many of any kind of person listens to the show. Each time there's a topic, people in the orbit of said topic reveal themselves! =)

Colin Moriarty

This was a fun listen for me. I spent 5 years as a film room clerk in a local hospital. I got to hang films, digitize previous exams, drop exams for the doctors to read in PACS, and interact with the Radiologists a good bit. One of my favorite jobs. :)

Jason Stafford

I've never seen a rCBF scan for autoimmune encephalitis specifically before, but my assumption would be that the ordering service just wants to know if there are any large perfusion assymetries due to the encephalitis. Maybe to figure out where to target during an endovascular proceedure. At our institution it would be much more likely that the patient would get a perfusion CT or MR to look for that sort of thing.

Steve Neeley

I have a question. I work in nuc med and the other day we got an in-patient order for a RCBF scan on a patient with autoimmune encephalitis - does that normally present with perfusion abnormalities? We do few brain scans as it is, and I've never seen that on a req before, seems like something for MRI (although maybe they have reasons for not doing MRI)

Marty Blois

I'm surprised at how many rad techs listen to the podcast. I work in nuclear medicine myself, and the radiologists we work with are awesome and approachable. Although it's difficult to find radiologists specially trained for nuclear medicine.

Marty Blois

If you wanna do a Fireside Chat on your craft one day, DM me!

Colin Moriarty

I'm happy to hear that you liked this episode, Matthew. Thank you for listening!

Colin Moriarty

Well Colin and Dr. Neeley I have to say I really enjoyed this one. I am a part of the medical field working as well as almost life long patient since I have been a type 1 diabetic for 26 years. I really feel like diabetes is a very misunderstood disease and in many cases such as type 2!diabetics can be prevented with healthy diet and exercise. On the radiology side I currently work in my local ER as a CT Technologist here in Southern California and have worked in Interventional Radiology doing biopsies, kyphoplasties, etc before that. It really just since I joined the field in 2009 is amazing how fast technology is moving forward. I feel like imaging is one of the most important parts of medicine because it gives such quick answers to so many issues. Colin the most interesting thing is how many different specialties in the medical field there are as I’m sure Erin has told you. Such as radiology techs, respiratory techs etc. it really when you dive in is amazing. Thank you both for the great show.

Eric S

This is awesome! This is why I’m glad you do your own thing. I appreciate you Colin!

Matthew Weinhagen

There's certainly a "type" when it comes to people who choose to go into nursing, and I think you could really dive into that very well.

Forrest Hunter

Thanks for being on the show, doctor!

Colin Moriarty

Thank you so much! Glad you enjoyed.

Colin Moriarty

I've technically had a nurse on, yes -- my girlfriend is an ER nurse -- but not about nursing per se, no.

Colin Moriarty

I'm here if anyone has any questions. Thanks Colin for having me on the show.

Steve Neeley

Really enjoyed this one. I’ll share it with some doctor friends

Andy Reno

Can't wait to listen! Have you had a nurse on yet? I'm a nurse, and we all have crazy stories, haha; I'm sure your girlfriend has told you some. I think it'd be interesting to have one on, especially since it's such a female-dominated field (I'm firmly out-numbered!). Maybe do a chat with your girlfriend.

Forrest Hunter


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