X-Rays

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Yes, I am currently taking Imaging Diagnosis. One might ask what that has to do with Oriental Medicine, but we are health care practitioners and it has plenty to with practicing.

To many patients, we are thought of having similar knowledge to their general practitioners. Taking a thorough history is critical. We should have knowledge of what medications our patients are on, what surgeries they have had, and what their blood workup data shows. Many patients will also present with X-rays and having knowledge of anatomy and popular pathologies as well as understanding the radiologist's report is critical to your practice. Patients may be simultaneously working with another doctor and having the ability to effectively communicate with their other docs is critical. It not only benefits the patient's care but also relays a message of competency to their Western docs.

In Imaging, we were first introduced to normal radiographic anatomy of the upper and lower extremities as well as on MRI and CT. The normal anatomy didn't seem too difficult because it looked similar to the cadavers we dissected. Next, we explored advantages and disadvantages of radiography and when other imaging may be needed. Discography, bone scan, ultrasound, CT scans, and MRIs were also discussed in detail. 

Each technique is unique and so is the reason it is used. For example, a physician will order X-rays to see bone and articular relationships and whether further testing is needed. CT scans demonstrate great bone and tissue clarity using an iodinated contrast and also the most radiation. It can be used to diagnose cancers, cardiovascular disease, infections, and traumas. MRIs are expensive but do not offer the radiation that the other two do. They can be used to visualize pathologic tissue including bone marrow, nerve roots, spinal cord, or disc herniation or degeneration. Pathologies such as those in the bone, soft tissue, chest, and abdominal cavity will be discussed.

Dr. William Bogar, our instructor, is a graduate of National's chiropractic program and also completed a residency in radiology and earned a diplomate from the American Chiropractic Board of Radiology. He also is the Chief of Diagnostic Imaging and Residency and has at least two residents working under him currently. Dr. Bogar is a very easy-going professor, but he is very passionate about being knowledgeable in imaging. He shares many stories with us, which makes the material even more interesting to learn. I enjoy the class because it allows me to discuss the information I have learned with my husband who is also in Dr. Bogar's radiology class in the DC program.

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