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Radiologist

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Real-Life Communication

You are a radiologist who has been called in by a fellow doctor to meet with a patient of his. Mrs. Reed has been having difficulty eating lately. She says that every time she enjoys a meal, her stomach causes her so much pain, she nearly doubles over at the table.

The doctor has told the patient that he wants to run a series of tests -- mainly imaging tests -- that you as the radiologist would interpret to figure out why she has so much pain.

The patient seems very worried. She's wary that too many medical tests may cause their own set of problems. She has asked the doctor for a detailed explanation of the tests she would undergo. The doctor asked you to provide the details.

You will be administering two tests: an ultrasound and a CAT scan test. Your task is to explain the tests, their risks and benefits. Write a few paragraphs explaining these tests to the patient. Be sure to put it in your own words, and in plain language.

Here's some information:

Ultrasound

Device:
A small paddle that reflects ultra-high-frequency sound waves off the patient's stomach.
Preparation:
Some cold but harmless jelly will be smeared on the stomach to allow the paddle to move.
Test:
Pulses of sound are sent into the area being tested and then "read" as they return by an oscilloscope, a device that measures sound waves.
Results:
A series of "pictures" of the stomach that can be checked for problems.
Duration:
The whole test should last less than 30 minutes and results are nearly instant.
Risks:
Virtually none. The sound waves have not been shown to cause any health problems, which is one reason the test is used with such frequency on pregnant women.

CAT Scan

Device:
CAT stands for computerized axial tomography. The device is really a modern X-ray machine, using low doses of radiation and computer technology to take detailed pictures of the human body.
Preparation:
Patient cannot eat 24 hours before the test and patients are sometimes given mild sedatives to help them relax.
Test:
The patient is moved back and forth in tiny increments while the machine takes dozens of images that make up a composite to be analyzed by doctors.
Results:
Photograph-quality pictures inside the human body. CAT scans allow specific areas to be targeted.
Duration:
The test should last about 40 minutes.
Risks:
Because of the radiation, some risk is present. However, current standards allow most healthy patients to take up to three such tests each year safely.

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