I am in the Radiology Technologist program and I talk about the views to take for Femur and SI joints. Along with some pathology and diagnosis and treatment. I also take about a case study with a femur and hip fracture.
April 20, 2024
Routine Femur and SI joints
- Tammy DePottey
- April 20, 2024
- Jennifer Kenger
- https://youtu.be/p01gpQhI0ig
- sonography, Ultrasound
Halen Garcia
April 20, 2024 — 1:59 pm
I really enjoyed your presentation. Tell me more about how they would fix the femurs as far as surgery and being in the clinical setting. Along with the role of the radiologist tech during femur and SI joints surgery.
Tammy DePottey
April 21, 2024 — 12:32 pm
Hi Jennifer,
Your presentation was very informative, and I really enjoyed looking at the x-ray images you presented and reviewed. The case study was very interesting and it was nice to learn about the patients injury and her outcome post-op. Have you been able to participate in an surgery case like this in the operating room during your clinical rotations?
Jennifer Kenger
April 25, 2024 — 5:52 pm
Hi! Thank you for watching. I really enjoy looking up xrays for different pathologies along with case studies. I really enjoy these presentations as it is fun to share my knowledge. When I practice them at home, I have some family members listen to me and they enjoy looking at xrays and seeing how much I have learned. I have not been able to see SI joints in surgery or really done on xray, I did them a few times. I have seen femur surgery a couple times. I like that xray techs are important in surgery along with everyone else. Especially on ortho cases. They rely on us to help them find the holes to put screws in, make sure they are in the bone correctly, make sure they are drilling straight and doing different positions, ap and lateral, so that they can see inside the person. I found that confidence helps a lot, so you aren’t so intimidated and make mistakes. I also feel important going into surgery because I feel that we help a lot.
Jake
April 22, 2024 — 10:55 am
Hi Jennifer,
As another student in the R.T. program I think your presentation is very informative to everyone watching. I think as we develop and become even better at positioning patients for these views it’ll help our patients be more comfortable with R.T. procedures. One question I have for you is have you done many of these exams at your clinical site? I have only been able to do SI joints once so far, and same goes for femur. Also; what do you think about being in the clinical setting as a student? Thanks!
-Jake
Jennifer Kenger
April 25, 2024 — 3:58 pm
Hi Jake. Thank you so much for watching. I feel as those femur and SI joints are not as common at my site to do. I have only done femur a handful of times. And SI joints twice. I do believe. I have noticed that when someone has a trauma they like to have an xray of the whole limb and I like figuring out what is best for the patient as far as how can I do multiple xrays with out moving the patient to much. I have really enjoyed clinical setting. As I feel as I can apply what we learn in the class room into real life. I have seen a couple femur fracture in surgery. I like working with different techs so then I can learn how they do it along with few of my techs have just graduated a few years ago and they know about the program. They give me pointers on classroom work and the real life. Along with the working with older techs who have done this for a long time, they will share their tips and tricks on how to do things. I find my self mentally drained at the end of clinical because I’m trying to take it all in and absorb all the tech factors, when and why the techs change the tech factors, looking at the body and trying to see in the body. Trying to collimate good as we use 17×17 image receptor. Along with after I take the image, how does the image look, is it acceptable, are they rotated. How to rotate them the correct way. If the image is acceptable, what can I do next time to make it better. In surgery it is fun to get to know the doctors and what they like Along with a few doctors will tell you what is going on. And why they are doing it that way. It’s fun to think about all we have learned in class along with I hear Tammy’s voice in my head about is that acceptable, what would you different, and I can see why we learn the views on the table. I also found out. If you tell people your are a student, lot of the surgeons, will be patient with you and walk you through what you like. And then you just take in what they like. Along with trying to be a step ahead of the surgeons. For example, doing a cysto in surgery when they insert dye, be ready because they like for you to follow from the bladder to the kidney. Or when they insert the Stent. They want you to follow and take pics of kidney. Just crazy what we have learned in 8 months.
Kayla
April 22, 2024 — 11:20 am
Jennifer, of all of the presentations that I have watched, yours was by far the most fascinating! I find it so interesting that there are certain positions to see just one small specific part of the body, such as the SI joints you were discussing. If you are doing an oblique you have to make sure it is spot on or else you will not get what you want..so we develop really good critical thinking skills so we will not have to repeat an image. Those images you provided were super cool to look at and provide good diagnostic quality (as Tammy would say, “acceptable” lol). As a radiologic technologist student myself,I believe more people should watch your presentation so they can be INSPIRED to become like us and go through this program here at LCC. It is such an amazing feeling once you get to actually x-ray someone and see their fracture or pathology and you get to diagnose them (in your head of course). One question I have for you is how well do you enjoy being a part of this program? Also, how often would you say you get to do x-rays on SI joints at your clinical site? At my site, I never get to see them (probably like 2 times since I have been there) You did a great job, thank you for sharing! 🙂 -Kayla
Jennifer Kenger
April 23, 2024 — 10:34 pm
Thank you so much! I feel as though we have learned so much in a short period of time. I really appreciate sharing what we have learned. I feel more people need to know about this program and how in depth it goes. And it is not just point and shoot to get an image. I really enjoy this program and when you get that beautiful image, it makes me so proud. I also love hearing about what other people do and their accomplishment. I feel as though I do not get femur or SI joints at my site a lot. I have seen SI joints done once. And I have done them once, it is hard to get them in the right position but when you do it is so rewarding. I have seen femur fracture fix in the operating room. I did not realize that to insert a rod into the femur, they go in through the knee. And lately I have been seeing in surgery they make small cuts to insert nails and such for broken bones and rely on xray techs to take images so they can get the nails in the right spot. Anytime they place a plate and have to screw it in, they call it finding the perfect circle, and rely on xray to get the screw in the right spot. Moving the c-arm ap to lateral back. I also found the surgeons that I have worked with have been patient and some have even talked to me about what they are doing during the procedure.
Marisela Trevino
April 22, 2024 — 11:22 pm
Hello, Jennifer! I really enjoyed your presentation! I loved his thorough you were with your topic, I found it very informative. Especially when you spoke of the different pathologies and began to show pictures of the fused SI joints. Your presentation is something that could be shown to first year students one day, just by how you explained the topic so well. In your clinical area, have you done many femur and SI joints? Have you comped on one of them yet? I know that because of our limited time in this presentation, not many case studies could be spoken of. But during your research, have you come across any other interesting case studies? And if so, what were they and the pathology/injury that accompanied it? I also enjoyed how you showed all of the prosthesis’ and different types that were used, have you ever seen one done during surgery? Or a hip replacement? Is surgery and the use of the C-arm something that interests you?
Jennifer Kenger
April 25, 2024 — 4:21 pm
Hi, thank you for watching! I feel we have learned so much in the eight months we have been in this program. I have really enjoyed doing these presentations, as I feel like doing research helps even more in the learning department. I have never seen a SI joint screwing or any surgery of the matter, so looking up pictures and reading on how surgery is done is so interesting. I have broken my femur and I have a rod and some screws so being able to watch a few femur surgery’s was really cool. While doing the research I found a few cases studies that I wanted to use, another reason I liked doing these presentations. I find the scoliosis ones interesting, how they have to wait till a certain age to do the surgery so that way they don’t have to go in and adjust the rods and screws at a later date. I was able to watch a few hours of a scoliosis surgery. Due to the surgery being long, they take breaks seriously. Along with anti fatigue mats. I think my favorite surgery’s are hip replacements, I have only done a couple but as someone who took care of people after hip replacement. I enjoyed knowing more about how the process is done for hip replacements. I like the tables they use. It makes it easier to do danneiuls miller’s, the lateral hip view. The tables they use is called a fracture table, and they drop the non surgery leg down to make it easier for the c-arm to get in there. The c-arm is intimadtaing to use at first, I am happy we had some practice time in the classroom. It is a lot to move it into a sterile field and make sure to not hit anything with the c-arm. I have hit the lights a few times. But I am learning to not make that mistake again. And being confident helps with being in surgery. I say this because if your scared and intimidate it will only make matters worse. Along with take your time, but not too much time as the surgerons will get impatient. After I am in a surgery, I will go over what I could have done better and run through the movements of the c-arm in my head. To help me for next time
Jennifer Kenger
April 25, 2024 — 4:20 pm
Hi, thank you for watching! I feel we have learned so much in the eight months we have been in this program. I have really enjoyed doing these presentations, as I feel like doing research helps even more in the learning department. I have never seen a SI joint screwing or any surgery of the matter, so looking up pictures and reading on how surgery is done is so interesting. I have broken my femur and I have a rod and some screws so being able to watch a few femur surgery’s was really cool. While doing the research I found a few cases studies that I wanted to use, another reason I liked doing these presentations. I find the scoliosis ones interesting, how they have to wait till a certain age to do the surgery so that way they don’t have to go in and adjust the rods and screws at a later date. I was able to watch a few hours of a scoliosis surgery. Due to the surgery being long, they take breaks seriously. Along with anti fatigue mats. I think my favorite surgery’s are hip replacements, I have only done a couple but as someone who took care of people after hip replacement. I enjoyed knowing more about how the process is done for hip replacements. I like the tables they use. It makes it easier to do danneiuls miller’s, the lateral hip view. The tables they use is called a fracture table, and they drop the non surgery leg down to make it easier for the c-arm to get in there. The c-arm is intimadtaing to use at first, I am happy we had some practice time in the classroom. It is a lot to move it into a sterile field and make sure to not hit anything with the c-arm. I have hit the lights a few times. But I am learning to not make that mistake again. And being confident helps with being in surgery. I say this because if your scared and intimidate it will only make matters worse. Along with take your time, but not too much time as the surgerons will get impatient. After I am in a surgery, I will go over what I could have done better and run through the movements of the c-arm in my head. To help me for next time.