Dr. Phillips
is a Professor in the Departments of Radiology, Neurosurgery, and
Otolaryngology-Head and Neck Surgery, and the Director of the
Division of Neuroradiology in the Department of Radiology,
University of Virginia Health Systems, Charlottesville, VA.He is
also a member of the editorial board of this journal.
The other day, I was thinking about how I would describe my
average workday to a lay person-let's call him John Q. Public
(JQP). JQP has little knowledge of medicine, or radiology,
specifically.
Me: "Well, most of the day I look at pictures, and then I talk
into a microphone about what I see. Occasionally, I go stick
needles into people and inject them with a compound that is both
safe and heavily iodinated, or perhaps safe and swimming with
gadolinium, or maybe safe but radioactive. Occasionally, I just
look at the pictures to figure out what is wrong with something and
other times I make pictures of the things that are wrong, fix them,
and then take more pictures." Confused yet?
JQP: "Man, I have no earthly idea what you do. It sounds weird.
Did you say 'radioactive'?"
Me: "Well, I really am a doctor. I finished medical school.
Honest."
Long pause…
JQP: "Okay, well, that explains the sticking needles in people,
and maybe the fixing part."
Me: "Yeah, I'm a special kind of doctor. One who is really good
at looking at pictures and finding things that are wrong."
You must admit this is an obvious truth; we radiologists have an
unusual job, difficult to explain to "JQP."
How many of you have been referred to as a
technologist
? How many of you have been called a
radio-ologist
? How many of you have been asked where the water fountain or
bathroom is? Our specialty gets modest, at best, respect. We're the
folks responsible for that last line in the bill from that recent
hospital stay, and no one in the family has any remote idea which
doctor you were. "Was that the guy who pulled your tube out?" You
know what I'm saying.
I actually think that radiology has had reasonable exposure in
movies, TV, and popular culture. Unfortunately, most of the time,
someone who could not
possibly
be doing the task is performing it on screen-certainly not a
radiologist. It's usually ER docs, surgeons, technologists,
Frasier, etc. My favorite scene with a real honest-to-goodness
radiologist is in the movie
Altered States
, where a lateral neck radiograph at the Brigham is taken for
interpretation. Mason Parrish (as played by Charles Haid) says to
Eddie Jessup (William Hurt): "I'm gonna' show these to someone who
can read them right, 'cause you're reading them wrong, that's all
there is to it… I'm gonna' show these to a radiologist!"
Ha! I love it. That guy knew his specialties
and
his limitations. You know what would be great? We need a song. If
we were just mentioned in a song or two we'd get some recognition.
The song should swing, with a real catchy, hopefully danceable
rhythm. Or, maybe we need someone to be our spokesperson. What we
need is Bob, the gruff but lovable radiologist. "Hey, you kids get
away from that PET scanner!" Maybe we need a recurring character on
Barney,
or
Teletubbies
. I think we have to get to them when they're young, before they
can walk. An alternative might be a weekly spot on the
Today
show, or, even better,
Oprah
. I'd stay away from
The View
, however. That's just my opinion.
It would be nice to be viewed in a positive light and not
necessarily the glow from a flat-screen workstation.