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Author Topic: Back to school :-)  (Read 2693 times)

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Offline X-ray

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Re: Back to school :-)
« on: December 18, 2006, 02:29:24 PM »
Speech and language therapy...you better get friendly with the radiographers, my son. And be prepared to put up with very difficult and messy investigations.
We used to have a dedicated speech and language slot every week in the radiology department. We would have a radiologist, a radiographer and a speech therapist (and of course the patient).



These patients were usually post-operative from throat and neck surgery (usually a cancer removal). This often leaves them with swallowing disorders, which can be quite serious if food/drink goes into the lungs.

The speech therapist makes a special mix of barium meal, tailored for each patient. They feed the patient while he is being X-rayed. It is full motion video X-ray, saved to tape or as a digital animation. This enables them to see the swallowing mechanism and any leakage, frame by frame if necessary.
Typical meals are crushed biscuits in barium, or a barium, banana and custard mix, or several types of neat barium (of different thicknesses).
That job needs an enormous amount of patience and perseverance. And it can be really messy. I think speech and language therapists are also in a good position in terms of international demand, so you should find it easy to migrate somewhere if you want to, with that qualification.
Did you have a walk-around at a hospital before you chose that line of study? It is essential that you do so if you haven't already.
 

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Re: Back to school :-)
« Reply #1 on: December 23, 2006, 12:52:51 AM »
@ moto

What you had was a double contrast barium meal to look for gastric ulcers.
They need the gas in the stomach to expand it so that all the gastric mucosa can be seen when it is coated with the barium. Otherwise without the gas it is all folded up and you can't see the ulceration.
That's why they tell you not to burp. And if you do, they give you more of the liquid and granules to make more gas.

If they are looking to see if you have reflux (an unusual 'heartburn') then they can tilt your head down and get you to drink that barium while they X-ray you.

There is one piece of hardware in the BBOAH that is related to radiology (nuclear medicine gamma camera input card) and we had a thread here some time ago about a special 060 board and software for an ultrasound machine.
IIRC JetfireDX is the one who knows about that.

As for working together: it is not likely, young grasshopper. There are some procedures that you get to avoid when you attain a certain rank, and I rate those speech therapy procedures high on that list.
But I suppose you can never say never...
 

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Re: Back to school :-)
« Reply #2 on: December 23, 2006, 01:08:06 AM »
I should add that what the speech guys do is not technically a barium meal, it is called a video swallow. But the meal or 'food' that they give the patient to swallow, is customised and is barium-based in most cases (but you do get iodine-based liquids that can be swallowed if you are worried that barium can go into the lungs).
Don't worry, you will come across all of these delightful mixtures and procedures. Maybe as a student you will be made to taste them all, as we were when we were students.
 

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Re: Back to school :-)
« Reply #3 on: December 28, 2006, 02:28:52 PM »
So Moto, you didn't tell us whether you went on a hospital visit.
Did you go? (I strongly recommend it, in fact I would make it mandatory before anyone embarks on a career like that).
What were your impressions? What sort of hospital was it?
 

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Re: Back to school :-)
« Reply #4 on: December 29, 2006, 12:10:51 PM »
That's not good enough, mate.
I can't stress it enough, you need to be shown the clinical environment that you are going to be working in before you enrol.
Many students drop out because they suddenly realise that the university's outline of the career doesn't match what goes on in the hospital itself. This happens with all allied health professions. You need to tag along with a speech therapist at a hospital for at least a day.
I have helped several prospective students to see that radiography isn't for them.
You can't beat the advice of a qualified member of staff: it will beat the lecturer's advice and the university brochure hands down.