Silent Career Mistake Burned Out Rad Techs Keep Making

你做事很在行，病人信得过你，一来就点名要你，医生遇到复杂病例也总想让你来处理，对吧？

You're good at what you do, your patients trust you, they come in and ask for you by name, the doctors want you to do all the exams or these special cases, right?

同事们也都依赖你。

Your coworkers rely on you.

不管遇到什么问题，是病人流程，还是只是想知道休息室在哪儿，

If there is a question about anything, whether it's patient protocol or just where is the break room?

他们都会来找你。

They go to you.

经理一知道你排班，就放心多了。

Your manager relaxes when they know you're on the schedule.

有时候他们干脆直接请年假，因为他们知道有你在，你总在，处理好你的病例，事情也一直顺利推进。

Sometimes they just take their PTO because they know you got it, you're there all because you show up, you handle your cases, you keep things moving.

但有个问题从来没人问过：除了这栋楼里的人，外面还有谁知道你是谁？

But here's the question no one ever asks, does anyone outside that building know who you are?

不是你的执照、资质或各种技能，而是你这个人。

Not your license, not your credentials and all the modalities, but you.

如果答案是否定的，那你不只是累了，你正在被遗忘，而这个行业，从不等人。

If the answer is no, you're not just tired, you're disappearing and this profession, it is not waiting.

时间正在流逝。

Time is ticking.

这是几期放射技师播客。

This is a couple of rad techs podcasts.

我叫肖恩，是你们的主持人。

My name is Sean and I am your host.

我是一名有二十多年经验的注册放射技师。

I am a registered radiology technologist for over twenty years.

咱们来聊聊保持低调的代价，我这儿有几个解决办法给你。

So let's talk about the cost of staying invisible and I've got some solutions for you.

别走开，坚持听到最后。

So hang tight to the end of this episode.

你会喜欢的。

You're gonna love them.

系好安全带，我们开始吧。

Buckle up, let's get started.

大多数技术员都不会犯明显的错误。

Most technologists don't make loud mistakes.

你同意吗？

Do you agree?

我们一向很低调。

We're pretty quiet.

所以才有了这场‘被看见’的运动。

That's why there's this whole campaign on be seen.

我们希望外界能看见我们，也希望内部能彼此看见，真正了解我们这个职业的内涵。

We want people on the outside to see us, but also we wanna be seen in the inside, see each other, see what our profession is all about.

我们真的需要让别人深入了解，作为医学影像专业人员的我们是谁，但我们的声音并不响亮，尤其是在那些无声的失误上。

Like really, really get to know who we are as medical imaging professionals, but we're not very loud, especially when it comes to silent mistakes.

我们从不会不加规划就轻易放弃。

Like, we don't quit without a plan.

我们这份工作啊，一干就干很久，根本离不开。

Our jobs are pretty we're in them, we're in them.

对吧？

Right?

如果我们真打算换方向，也都是经过深思熟虑的。

And if we do decide to make a change, it's planned out.

可能去学点别的技能，或者干脆去做流动技师。

Maybe we cross train, maybe we decide to go be a travel technologist.

想往管理岗走？这些我们也都提前规划好了，你说是不是？

We've planned those things out, maybe we want to go into leadership, we usually plan those things out, right?

我们不会把职业生涯搞砸，不会说走就走、一走了之。

We just don't blow up our careers, we're just not like walk away and we're done.

哪怕处境再艰难——一个人值班、没人帮忙、被迫做关键决定，我们也不会放弃责任，哪怕那已经超出了我们的本职范围。

We don't stop caring, even during the most tough situation, whether we have to work alone, whether we don't have any help, whether we're put in situations where we have to make a call, we don't stop caring, even if it's not our job.

在医学影像领域，我们总是挺身而出，但有一个错误，安静却真实地存在。

In medical imaging, we step up to the plate, but there's one mistake, a quiet one that we do make.

你有没有因为太擅长自己的工作，反而忽略了职业发展？

Have you ever become so good at your job that you stop building your career?

我得承认，有些事我们闭着眼都能做，因为这已经是我们的日常工作了。

I'm going to raise my hand because there are things that we can do with our eyes closed and it's our job.

但通过这个播客，我希望你们认真思考一下，我们很多人犯的这个大错误。

But through this podcast, I want you guys to really think about this big mistake that many of us make.

我们太擅长手头的工作了，却没去规划职业未来，而在医学影像领域，这个问题就摆在眼前。

It's being doggone good at our jobs, but not building a career and it's right in our hands in medical imaging.

但我理解，放射技术和医学影像专业的学习确实不容易。

But I get why, radiology technology and medical imaging, all the modality schools, they are not easy.

有些人觉得，这行挺轻松的，比其他医疗职业简单多了。

I know people think, oh, they're a breeze, they're easier than other professions in healthcare.

我要说的是，根本不是这样。

Look, I'm here to tell you, it's not.

我们的临床要求是业内最高的之一，大多数医学影像项目至少要求1800小时临床实践，这还不包括理论课程。

We have some of the highest clinical requirements out there, 1,800 usually at a minimum for most medical imaging programs of clinical hours, that is not including didactic.

完成放射技术课程，可不只是轻描淡写地说一句‘我毕业了，拿了放射科学学位’就完事了。

Completing your radiology technology program is nothing to just say, yeah I did it, have a degree in radiologic sciences.

不，那真的很难。

No, it was hard.

上学本身就已经够折腾了。

Completing school was a lot.

考试一个接一个，第二天还得去临床，去临床的时候就像上了全职班，八小时常常拖到九小时、十小时，因为手术一拖再拖。

Exam after exam, clinical the next day, it's like working a full time job when you go to clinical, eight hours turns into nine hours turns into ten hours because that surgery case went a lot longer.

你还要轮第二班的临床，第二天又有一场考试等着，不能挂科，挂太多次你就得被踢出项目。

Then you have to do second shift clinical rotations as well along with an exam being due the next day and you can't fail but so many exams or you're out of the program.

压力真的特别大。

The stress is very high.

所以，好好夸夸自己吧，你坚持下来，完成了放射技术和医学影像的学业。

So pat yourself on the back that you finished radiology technology and medical imaging school.

你熬过了入职培训。

You survived the orientation.

我还记得刚参加医学影像项目的入学培训，那真叫一个煎熬。

I remember my orientation to medical imaging programs and it was brutal.

当时特别想进这个项目，人生这时候正需要它，可我知道自己要和很多人竞争——虽然不知道具体是谁，但压力真的太大了。

The stress of wanting to be in so bad and really needing this at this time in my life and knowing I was competing against, I didn't know who, but a lot of people and it was just a lot.

入学培训、各种问题，每次面试都不一样，每篇论文也得重新写，根本没法复制粘贴，因为每个项目的题目都不一样。

The orientation, the questions, each interview was different, each essay was different, you just can't copy and paste because the questions from each program is going to be different.

你挺过了入学培训，熬过了学业，终于摸清了自己的工作节奏，这太重要了。之前两年多你在学校，全是跟着别人的流程走，得按课程安排，听带教技师的，根本没机会找到自己的节奏，对吧？

So you survived orientation, you survived school, you learned your workflow like that is huge because you've been in school for the last two plus years learning someone else's workflow because you had to go by the curriculum, you had to go by the technologists that you were working with, how they did things, you never really got your feet in there to figure out your rhythm, right?

因为作为学生，你本来就是在学，现在突然被扔进一个新环境，得一边上班，一边适应医生的流程、护士的流程，每个科室还有各自的规矩。

Because as a student you're learning, so you've already done these other things, you're now thrust into the situation where you've got to learn your workflow amongst working with doctors who have their own workflow, nurses who have their own workflow, departments in each institution has their own workflow as well.

城那边的医院是那么干的。

So the hospital across town does it this way.

结果你临时去城另一边的医院值个班，发现人家又是一套做法。

Well, you pick up a PRN at another hospital across town and they do it another way.

这还只是临床流程的适应，就已经够折腾了。

Talk about learning workflows and that's just the clinical aspect.

那设备和电脑系统这边呢？

What about the packs, the computer aspect?

这边这个系统是一个系统，那边那个是另一个PACS系统。

This system over here is one system, this one is another PAC system.

我们的工作内容其实很多，但尽管如此，你还是会越来越快，不只是快，你还越来越熟练，也越来越有信心。

There is a lot to our jobs, but despite all of that, you get faster, not only faster, you get good at what you do at your job and you trust it now.

自己就能信得过自己，对吧？

Trust it by yourself, right?

因为这本来就是一个过程。

Because that's a process.

以前你总会想，哎呀，这个检查来了，我肯定做不好，还是叫别人来吧。

A lot of times you're like, oh no, this exam is coming in, I'm not going to be good at it, let's get somebody else to do it.

但现在你反而会说，好啊，心脏检查给我吧，我来处理。

But now you're like, oh yeah, give me the heart when I got it.

没问题。

No problem.

以前你一看到就躲开的那个人，现在反而成了大家一有这种检查就找的专家。

The one you used to run away from is now the one that you're like, she's the go to or he's the go to for that exam.

对吧？

Right?

你做了这么多努力，可生活突然压下来了——有孩子要养，有父母要照顾，说不定还是年迈的父母，你得上夜班、周末值班、加班，随时待命，这时候 burnout 才真真切切地袭来，对吧？

So you've done all of these things and then life hits, You got kids, you got parents, maybe aging parents, you're working second or third shift or pulling a weekend, you're in overtime, you're on call, the burnout starts to really, really get real, right?

是的，我们都能体会。

Yeah, we can relate to that.

于是你开始收缩战线，心想：我手头事情太多了，只要把本职工作做好，一切自然会好起来。一开始确实有效，这决定没错，就按工资要求的那样做事，埋头干活就行。

So you narrow your focus, you think I got too much on my plate, if I just do my job well everything will work out and for a while it does, this was a good decision, just do what they pay me to do, put my head down and do my job.

我干得不错，别人信得过我，我也信得过自己，直到有一天抬头一看，才发现自己的职业没动，可整个行业早就变了。

I'm great at it, they trust me, I trust myself until one day you look up and realize your career hasn't moved, but the profession has.

你先好好想想这句话——你抬头一看，十年、五年、二十年前你的职业状态，现在还是原地踏步，可这个行业呢？现在可真是飞速发展。

I'm gonna let you sit with that for a second, you look up and you realize your career is in the same place ten years ago, five years ago, twenty years ago, but the profession now is I mean, at it now you guys.

这个行业在技术上的爆发，简直让人难以置信，真把我惊到了。

It's mind boggling how this profession is taking off technologically wise, it is just blowing my mind.

我们跟得上吗？

Can we keep up?

现在出现了很多新岗位，可没人告诉过你，因为你当初觉得只要把本职工作做好，一切都会水到渠成。

New roles exist that no one told you about because you said if I just do my job well, everything will work out.

你能想到哪些现在才有、但十年前、二十年前你刚入行时根本不存在的新岗位吗？

Can you think of some new roles that exist now that did not exist ten years ago, twenty years ago when you started or plus.

你不妨好好想想，这真是个值得反思的时刻——我当初也必须停下来问自己：等等，二十年前，医疗影像领域根本没人想过还能有这种晋升机会。

I want you to kind of think about that, that's a moment of reflection because I had to do it, I had to say, wait a second, twenty years ago this wasn't even a thought to be in our profession as a opportunity to advance in medical imaging.

谁会想到会有这种事？

Like, who knew about this?

谁会料到今天会变成这样？

Who knew this will come?

我们谁都没想到。

None of us.

现在有不少岗位，我们以前都做过，但如今已经演变成高度专业化的职位了。

So there are roles out there that many of us even did, but now they are specialized roles.

我能想到几个，你呢？

I could think of a few, what about you?

在评论里告诉我吧。

Let me know in the comments.

薪资范围已经变了，而你可能根本没注意到。

Pay ranges have changed without you knowing.

我不确定有多少人有同感，但我确实就是这样。

I don't know who can relate to this, but I am definitely there.

我当时还惊讶，人家怎么就能挣这么多？

I remember going like, people are making that?

我意识到得赶紧调整自己了，因为我还差得远。

Like, I need to start making some changes because I'm not there.

有些决定根本没征求你的意见。

Decisions were made without your voice.

大多数人其实并不清楚自己所在州的医学影像领域到底发生了什么。

Most people don't really know what's going on in their state when it comes to medical imaging.

谁有资格拍X光片？

Who can take an x-ray?

谁是没有资格拍X光片的？

Who can't take an x-ray?

如果不用读放射技术专业就能拍X光片，那他们在哪儿能这么做？

If they can take an x-ray without going to radiologic technology school, where can they do it at?

咱们得好好想想这些问题。

We have to kinda think about these things.

别忘了，你有没有遇到过这种情况：注册某个服务时，弹出一个小框问你是否愿意接收新闻通讯和订阅？

Remember, because you're you're not you know that little box when you sign up for something and it says, do you wanna opt in to receive newsletters and subscriptions?

这种事我们经常碰到。

And we get that all the time.

每次我在机场用WiFi，它总问我愿不愿意同意接收邮件，我每次都直接点取消。

Whenever I use the WiFi at the airport, it always tells me, you wanna opt in so we can send you emails and I'm like, nope, click opt out.

但这次的情况是，你根本没主动取消。

But in this particular case, you didn't opt out on purpose.

我故意点了那个框，但你没点取消。

I clicked that box on purpose, but you didn't click out.

我们都没人故意点取消。

None of us clicked out on purpose.

我们就像船一样，不知不觉就漂走了，结果呢？

We drifted and just like boats, what happens?

船一开始停在沙滩上，你躺在船上，晒着太阳，放松休息，沙子就在旁边，水也没漫上来，你根本没把船系在码头上，就那么躺着，结果几分钟后——连一小时都没到——你醒过来，发现怎么样？

They start out on the beach, you're on the beach enjoying yourself, relaxing, laid out and enjoying the sun, laying in the boat and you know you're you didn't tie it up to the dock, but you're just relaxing in your boat, in the water, on the beach, in the sand, you're not in the water and you wake up a few minutes later, not even hours later, few minutes later, what happens?

潮水悄悄涨高了，把你连船一起带得离岸更远了，可你连桨都没有，就这么漂出去了。

The tide went a little higher and came and took you on that a little further than you planned to ever go because now you don't have a paddle, you've drifted out.

那你怎么回去？

How do you get back?

但这次你不是故意不取消，只是不知不觉漂远了，可只要还能睡得着，就觉得挺安全，对吧？

But in this instance, you didn't opt out on purpose, but you drifted and drifted feels safe as long as you're right to sleep, right?

可直到某天你发现，自己真的在水里了，连桨都没有，回不去了。

Until it isn't because you're out there in that water with no paddle to get back.

天哪，你现在可是彻底被孤立了，不是丢工作，而是信息断了、薪资数据没了，连靠谱的薪酬行情都跟不上，市场动态也全然不知。

OMG, now you're professionally isolated, You don't lose your job, no, but you lose information, you lose salary data, you lose and I'm going say reputable salary data, you lose market awareness.

如果你不接触新信息，也不跟懂行的人来往，你就只能困在自己老一套的认知里，根本没法跟上变化。

If you're not informed or around people that are informed, you're kind of stuck back in what you know because you're not able to stay up to date.

你错失了所有早期预警信号。

You lose early warnings.

我们医学影像这一行的职责范围一旦有变动，等你听说的时候，早就已经落实了。

You don't hear about scope changes when it comes to our profession of medical imaging until they're already happening.

我记得二十多年前，那时候我刚做CT没几年。

I remember twenty plus years ago, I probably have been doing CT for a couple of years.

当时大家都在讨论放射科医师助手的事儿，比如技师能帮放射科医生做哪些工作。

And I remember all of this talk about radiologist assistance, you know, being in there with the radiologist, what they'd be allowed to do.

那时候这话题热得不行，我特别关注，我所在医院的放射科医生也特别支持技师参与进来。

It was talking then and I was interested and the radiologist at the hospital I was at, they were very excited for technologists to be able to do this.

那会儿整个环境都全力支持这件事。

So it was a place where they really were behind it.

后来我换了工作，但那时候没加入ASRT，也就没跟上最新动态。

And I moved on to another job, but I didn't stay informed because I wasn't a part of the ASRT at that time.

如果我当时加入了，就会认识那些能告诉我这事正在全美各地发生的人——现在回头看，我看到的职位数量简直让人震惊。

If I had been, I would have been connected with people who could have informed me that this is a real thing is happening and it's happening all over The US and to date the amount of jobs that I see, it's mind boggling.

但说到底，当你在专业上孤立时，你不会丢掉工作，却会失去关键信息。

But again, when you're professionally isolated, you don't lose your job, but you lose what information.

我分享这些个人经历，不是在说教，而是想告诉你：我完全理解你的处境，我和你一样走过这条路。

I give you personal experiences because I've been there, this is not me talking at anybody, this is me telling you I'm right there with you.

你不知道其他技术员的薪资水平，只能靠猜，或者勉强相信别人说的，但别忘了，别人在社交媒体上晒工资单，并不代表真实全面的情况。

You don't know what other technologists are making so you guess or you do the best you can to think that people are telling you the truth, but just because someone shows you their check on social media, remember that doesn't give you the full data.

我要想准确评估自己的价值，光看‘某某人赚多少’是不够的——那个人的背景、居住地、技能范围，和我根本没法比。

When I look at things that give me the full data when it comes to salary, so I can make an informed decision about my worth, It's more than just this is what XYZ is making, who is not a person that is comparable with my background, where I live, what I can do.

就算对方也做CT，而且经验年限和你一样，也不代表他们做的检查和你完全一样。

Even if that person has been doing CT and you do CT for the same amount of time, that doesn't mean you do the same CT scans.

更不意味着他们掌握同样的放射治疗技术，或者有相同的经验。

That doesn't mean you know how to do the same radiation therapy procedures or have the same experience.

这并不意味着你们俩作为核医学技师是完全等同的。

It doesn't mean that you both are equal as nuclear medicine technologists.

就算你们都是介入放射技师干了十年，一个在手术中心工作，另一个在创伤医院，经历也完全不同。

Just because you both are interventional radiology technologists for ten years, they may have worked in a surgery center, you may have worked in a trauma hospital, not equal.

一个可能住在怀俄明州的小城镇，另一个却住在洛杉矶。

They may live in small town Wyoming, you may live in Los Angeles.

所以，保持信息畅通特别重要——你永远不知道哪个州正在推动放松监管，直到它直接威胁到你的工作环境。

So there is, so it is very important when it comes to not losing information, you don't know which states are fighting deregulation until it shows up in your backyard.

我不清楚你怎么样，但我记得第一次看到有人只接受过八小时培训就去拍X光片时，我简直震惊了，每个州的规定都不一样。

I don't know about you, but I remember the first time I saw someone who had eight hours of training taking an x-ray and I was like, oh, mind boggling and each state is different.

你知道你的州是怎么规范这个职业的吗？

So do you know how your state regulates your job?

这一点非常关键。

That is important.

最重要的是，我总说先去读放射技术学校，这也不是铁律，只是我个人的看法，但我坚信多一种选择总没坏处。

And most importantly, I always talk about going to radiology technology school first and it's not a hard and fast rule, it's just my opinion, but I believe in options.

我这么说是因为我相信有多重选择，而以这条路作为起点，能让我在战略上拥有更多可能性。

I said that because I believe in options and to me starting out with that as my foundation gives me options without in a strategic manner.

但如果你在这个行业里闭门造车，信息闭塞，失去的不只是信息，更是机会。

But when you stay isolated in this profession, lose information, you lose information, but you lose options.

我跟你说，像信息学这类岗位，你可能早就干着信息学专家和技术员一直在做的事了，谁想到护理人员不是唯一被招聘的信息学人才，IT也不该由外行包办，医院其实特别需要有医学影像背景的放射技师来担任信息学岗位。

Let me tell you, roles like informatics, you may have been doing what informatics specialists and technologists have been doing for years, who knew that nursing would not be the only informatics people hired, that IT would not be done, that hospitals need radiologic technologists with a medical imaging background in their informatics roles.

这事儿我们当初真没料到，但确实存在。

That's one of those things we didn't foresee, but it is real.

教育岗位也越来越多，私立和公立的医学影像专业项目不断涌现，急需合格的教师。

Education roles, we are seeing more and more private schools and public schools with medical imaging programs opening and they need qualified educators.

领导力特别重要，它直接影响我们为患者提供的照护质量，影响学员的培养，也塑造整个科室的文化。

Leadership, leadership is so important because it shapes the care we give to our patients, it shapes the students that are trained and the culture of a department.

作为技师，你应该清楚什么叫顶尖的领导力，我很欣赏美国放射技术人员协会提供的领导力通道，能帮你一步步成长为顶尖人才。

So you as a technologist understand what it looks like to have cream of the crop leadership and I love that the ASRT has leadership channels where you can actually be guided toward being one of the top leaders.

ASRT能为你打开的路实在太多了，每一条都能带来新的选择。

There are so many things that the ASRT opens up to you to give you options.

作为医学影像和放射治疗专业人员，我们在现代医疗中至关重要，但很多人并不了解我们的故事。

As medical imaging and radiation therapy professionals, we're essential to modern healthcare yet many don't know our story.

所以，现在是我们该被看见的时候了。

That's why it's time for us to be seen.

美国放射技术人员协会通过前沿教育、专业交流以及在州和国家级政府的积极倡导，推动我们行业的发展。

The American Society of Radiologic Technologists works to advance our profession through cutting edge education, professional networking, and fierce advocacy at state and national levels of government.

了解更多ASRT如何提升医学影像和放射治疗专业人员的地位，请访问asrt.org/be-seen。

Discover how the ASRT is elevating medical imaging and radiation therapy professionals at asrt.org slash be seen.

不只是继续教育学分，还有他们的领导力学院——无论你是学生还是技术人员，这些资源你都能免费享用，而别人得花几千美元才能参加。

Not just CEU credits, but their leadership academy, whether you're a student or a technologist, these are things that you get to take advantage of that most people pay thousands of dollars for in other organizations to go to you.

这些都包含在你的会员权益里，你只需要成为会员，申请并符合资格就行。

That's part of your membership and all you have to do is be a member and apply for it and qualify for it.

高级实践岗位，比如放射医师助手，以前没人想到会有这个方向，但现在它在稳步增长，未来只会比我们想象的更大。

Advanced practice, already talked about radiologist assistance, nobody foresaw that and it is steadily growing and it is just going to be even bigger than I think we can imagine.

不是因为你不够格，而是因为你没及时听说这些机会。

So not because you're unqualified, but because you never heard about them in time.

这说得通。

That makes sense.

你可能早就超配了，但要是没及时听说这些机会，就等于一直在拼命追赶。

You're probably overqualified, but when you don't hear about things in time, it's kind like you're trying to play catch up.

但还有一件事，大家都不太提，那就是你会失去议价能力。

But here's the quiet one people don't talk about, you lose leverage.

我们说过信息渠道会丢失，但更严重的是，你会失去议价能力。

We talked about losing information options, but you lose leverage.

到了谈条件的时候，你手里的数据根本不够看。

When it's time to negotiate, you don't have the right numbers.

到了该换工作的时候，你连个靠谱的人脉都没有。

When it's time to move, you don't have connections.

人脉真的很重要。

Connections are important.

到了该转型的时候，你连从哪儿下手都不知道。

When it's time to pivot, you don't know where to start.

就像在一部好电影或一本好书看到一半才开始，对吧？

Nothing like starting in the middle of a good movie, right, or a good book.

我认识一些医学影像领域的技术人员，他们直到几个月后才得知重大的职业变动，不是因为他们不关心——他们其实很在意——而是因为身边没人掌握最新信息。

I've met technologists in medical imaging who found out major professional changes months later, not because they didn't care, we care, but because no one in the circle was plugged in.

如果你周围的人，不管是同事还是朋友，知道的和你一样多，或者一样少，那你的筹码、机会和信息都会几乎为零，最后你只能被动退出。

If you're around everyone at your job or in your circle and they know just as much as you know or just as little as you know, your leverage, your options, your information is going to be zilch and limited and you're going to be opting out.

这不是能力问题，而是系统性的问题。

That's not a skill issue, that is an infrastructure issue.

下面是一些人给出的真实理由，这些理由确实存在。

So here's some reasons people give and they're real reasons.

这些都很真实。

These are real.

我们别轻易否定任何一条。

Let's not discount any of these.

别觉得自己只是在抱怨。

Don't feel like, oh, I'm just complaining.

不，这些感受都是真实的，我们都经历过。

No, these are real and we all feel them.

精疲力尽确实说得通。

I'm burnout makes sense.

如果你从来没感到过疲惫，那只是因为你干这行还不够久，还没在医疗行业待够时间。

I mean, you've never been burned out, you hadn't been working long enough and you hadn't been in healthcare long enough.

这完全说得通。

This makes sense.

但孤独会让精疲力尽加剧，对吧？

But burnout grows fastest in isolation, right?

我们都可能精疲力尽，但孤独会加速这个过程。

So we all get burnt out, but it is sped up by isolation.

当你与外界脱节时，每个问题都像是你个人的失败。

When you're disconnected, every problem feels personal.

当你与他人连通时，模式就会显现，解决办法也随之而来，对吧？

When you're connected, patterns become visible as solutions follow, right?

我们都认识那种朋友，当你情绪低落的时候，打个电话过去，他们总会开导你，给你一些建议，打个比方，帮你换个角度看问题，然后说，要不你试试这么办？或者你有没有想过那样做？

Cause we all have that friend that when we're down, we're feeling some kind of way we can call them up and they kind of like tell us, give us some good advice, give us a good analogy, help us to see things in a different way and we go and they say now let's do it this way or have you thought about doing it that way, right?

你本人就是这样的朋友，或者你身边有这样的人。

You've been that friend or you have that friend.

好的制度能减少阻力，孤立只会加剧疲惫。

Infrastructure reduces friction, isolation increases exhaustion.

所以那些专业协会，现在就只是用来凑学分，我见得太多了。

So professional societies are just CEUs, I see it all the time.

我以前也以为大家都是这么用的。

And I thought that that's how many people use them.

我几年前当会员的时候，就是这么用的，难怪没效果——因为协会根本不是这么用的。

That is how I used professional societies when I was a member years ago and that's why it didn't work because that's not what they are.

这就像只拿手机当计算器用，对吧？

That's like using your phone only for the calculator, right?

我们都知道，手机能做的事多得多。

We know our phone could do so much more.

手机能拍照，能打电话，还能干好多别的事。

Our phones can take pictures, our phones can call people, our phones can do a lot of things.

我们能用手机录音、测量，也能用它来计算。

We can record things, we can measure things with our phone and we can use the calculator.

对吧？

Right?

所以它们的功能可不止是赚继续教育学分。

So they're not just for CEUs.

我之前提到过学生领导力学院和奖学金这些事。

I mentioned earlier about the leadership academy for students, scholarships.

你可以参与倡导活动，还有很多别的选择。

I mean, you can get involved in advocacy.

除了继续教育学分，还有很多其他机会，奖学金总额都超过五十万美元了。

There are so many things beyond CEUs and the scholarships are like over 500,000.

我做过一期播客专门讲这个。

I have a podcast episode on that.

你可以回去听一下。

You can go back and listen.

我会在描述里附上链接，但你还是回头听听我今年为ASRT做的那些播客吧，听完你肯定会惊讶：原来还有这回事。

I'll link them here in the description, but go back and listen to the podcast I've done this year for the ASRT and you're going to be like, wow, I didn't know this.

记住，完善的基础设施能减少障碍，孤立只会加重疲惫，而你的圈子能帮你看到更远的地方——只要你找对了圈子。专业协会的用途远不止提供继续教育学分。

Remember, infrastructure reduces friction, isolation increases exhaustion and your circle can help you see beyond where you see if you have the right circle and professional societies are not just used for CEUs so much more.

感觉有点别扭。

It felt clicky.

是啊，我们都经历过，参加过一些活动，总觉得格格不入。

Yeah, we've all been there, we've been to things and it felt like I'm not in the click.

不过，非正式聚会本来就不算一个社交网络，有时候确实会让人觉得不自在。

Well, unmeeting isn't a network, sometimes things may feel clicky.

我也去过，也试过，结果就是：哎，那场面真尴尬。

I've been there, you know, done that and it's like, oh, that was awkward.

但你不会因此就不去了，你会去找下一个适合的地方。

But then you don't stop going, you find another one to go to.

你总会遇到合得来的人，总会碰到一个让你特别有共鸣的环节。

You're going to click with someone, you're going to find a session that really speaks to you.

但别因为有一次感觉不对就放弃了。

But don't stop because one felt clicky.

可能只是那个场合不太适合你。

Might not have been just the right one.

也可能是你选的环节本身不好，或者会议不够理想，那就换一个试试。

You might have chosen one that wasn't good, a meeting that wasn't good, try another one.

一次对话不等于建立了关系，彼此了解需要时间，就像你了解别人一样。

One conversation isn't a relationship, it takes time for people to get to know you like it takes time for you to get to know them.

连接靠的是反复互动。

Connection takes repetition.

信任也是。

So does trust.

别忘了，你花时间去了解别人，别人也需要时间来了解你。

Remember just the way you take time to get to know people other people have to take time to get to know you too.

所以把这些借口全扔了吧，别再说什么负担不起。

So throw those out the window and I can't afford it.

我知道我以前总说，正是这些理由让我迟迟没去RSNA，但我真希望当年早就去了。

I know I've said that that's what took me so long to go to RSNA, but I wish I would have gone years ago.

在医学影像、放射技术和放射治疗领域，大多数技术人员因为不了解自己的市场价值而损失的钱，远超他们花在会员费上的金额。

Most technologists in medical imaging and radiologic technology and radiation therapy lose more money by not knowing their market value than they ever spend on memberships.

就说ASRT的基础会员吧，你付的钱能换来那么多资源，我到现在都没用完，2026年我用这些资源的频率会超过我的继续教育学分——那些权威文献、白皮书，天哪，真的太棒了。

I mean, you take the price of a basic membership with the asrt and all that you get, I have so many, so many things I have not used and I'm going to use them in 2026 more than my CEUs, but the direct readings, the white list papers, oh my goodness, those were excellent.

我还专门拍过一个视频介绍那篇论文，内容实在太好了。

I did a video on that too, it was such a good paper.

还有那么多资源，比如领导力学院。

I mean, are so many things, the leadership academy.

我真盼着自己早点有资格申请。

I just can't wait till I qualify to apply.

我一定会去参加的。

I am definitely doing it.

但大多数技术人员其实都不了解市场行情，所以才亏了钱。

But most technologists, you know, we do lose money by not knowing the market.

对吧？

Right?

这就好比你想卖房子，周围人都在卖和你一模一样的房子，标价一百万，你当初买的时候只花了十万，结果有人跑来说：我出二十五万买你的。你肯定不干，直接加码：三十五万，我卖了。

It's like if you wanted to sell your house and everybody around you was selling the same exact house as you for half $1,000,000, you paid a 100,000 for yours, somebody comes up and says, I'll give you 250,000, no, no, I'm gonna up it, I'll give you $350,000 for your house.

你根本不用装修。

You don't have to fix it.

你什么都不用做。

You don't have to do a thing.

你一直想搬回老家，或者换个地方住，买个公寓。

You've been trying to move back to your town or move somewhere else, get a condo.

你能把这笔钱全揣进兜里，你猜为什么？

You're gonna be able to pocket that much money because guess what?

你的房子早就付清了，根本没欠十万，你当初花十万买的，现在早还完了。

Your house is paid off, you don't owe a $100,000, you paid a 100 but you've paid it off.

这3块5全是你的，你直接拿走就行。

That whole $3.50 is going to be yours, so you take it.

然后你跟邻居吹牛，说我要去度个长假，准备坐一个月的邮轮， condo 也挑好了，马上签合同，最后白赚三十五万。邻居一听就说，恭喜啊，但你知道吗？你这房子要是卖，起码能卖五十万，甚至更多，你有泳池，我们可没有；你家有围栏挡隐私，我们连个影儿都没有。

And then you're talking to a neighbor bragging and telling him, yes, I'm going on a long vacation, we're going take a month long cruise and I already got my condo picked out, I'm going to close and I'm walking away with 350,000 and neighbor one says, congratulations, but did you know you could have got at least half 1,000,000 if not more because you got a pool, we don't have a pool, you have a privacy fence, we don't have a privacy fence.

你家全屋都是新窗户，我们家哪有这待遇。

You have brand new windows throughout your whole house, we don't have that.

你当场傻眼了，根本不知道自家房子值多少钱，白白亏了这么多钱。

Your mouth falls to the floor because you didn't know the market value of your home, you lost so much money.

这代价可真不小。

Now that's expensive.

下一个借口是：我职业生涯都快到头了。

The next one is I'm too far into my career.

说实话，如果你还剩十到十五年能干，真不晚，你照样还在做医学影像、放射科这行，这职业对身体太友好了。

Let's be honest, if you have ten to fifteen years left, it's not too late, you're still going to be working in medical imaging radiology, this career is so good to our bodies.

我认识不少人，从1967年就开始当技师，到现在还在干呢。

I know people still working and they've been at techs since 1967 y'all.

其中一个是外出巡检的技术人员。

So and one of them is a travel technologist.

这才是真正的影响力。

Now that's influence.

选择不参与，本身也是一种主动的选择，哪怕看起来像是被动的。

Choosing not to engage is still a choice even when it feels passive.

第四部分，这里才是彻底改变一切的关键视角。

Segment four, now here is the reframe that changes everything.

SRT并不是一个继续教育学分追踪工具。

SRT is not a CEU tracker.

记住，你身边的人可能会劝你：2026年自己试试看吧。

Remember your circle may tell you that, try something out in 2026 for yourself.

别让这些团体和匿名评论者影响你，让你白白花钱。

Don't let these groups and anonymous commenters sway you and cost you money.

ASRT提供的是真实医疗影像技术人员的薪资数据。

ASRT is salary data for real medical imaging technologists.

这不是靠猜测，也不是从网上随便抓点数据拼凑起来的。

It is not guessing, it's not pulling data from the internet to putting it together.

如果你了解他们的薪资数据是怎么来的，就会知道他们会发问卷，让我们匿名提供一些信息，然后把这些数据整合起来——因为他们希望你能拿到应得的报酬，同时也能掌握足够的工具去好好谈判，思考自己该学哪些技能，把数据转化成对你有用的信息，最后有底气地去谈条件。

If you understood how they come up with salary data, we get surveys asking us to tell anonymously certain aspects so they can put all this together because they want you to be able to make what you deserve, but to also go in there equipped with the tools to be able to negotiate properly and think about the skills you're going to learn and being able to take that data, translate what you have from the data for yourself and put it all together and go in and negotiate.

这本身就是一个非常重要的能力。

I'm going to tell you that's a skill right there.

提前关注立法方面的潜在威胁，了解你所在州对像你这样的影像技术人员有哪些要求——比如能拍X光、做放射治疗，以及哪些岗位必须持证才能操作核医学。

It's early awareness of legislative threats, educating yourself on your state and what it requires of people like you, imaging technologists who can take an x-ray, who can do radiation therapy, who is allowed and needs to be licensed to do nuclear medicine.

这些信息你都可以主动去了解、去发声，不管是跟家人、朋友，还是亲近的人说，怎么表达都行，关键是让你看清这个行业的未来走向。

These are things that you can educate yourself on, advocate for, whether it's to your family members, your friends, your loved ones, however you choose to do it, it's visibility into where the profession is headed.

它不只是一个会议主办方，更是一个立法监督者。

It's not just a conference host, it's a legislative watchdog.

ASRT就是这样的组织。

That's what the ASRT is.

一旦工作范围受到威胁，执照资格被质疑，职责被重新定义，第一时间站出来回应的，都是那些早已连接在同一个网络里的人——他们懂行话，也清楚状况。

When scope is threatened, when licensure is questioned, when roles are redefined, The people responding are already connected, they're already in that network, they understand the lingo.

这不仅仅是建立人脉，更是获得机会。

It's not just networking, it's access.

获得导师的指导、参与委员会、参与那些决定招聘和领导层决策的对话。

Access to mentors, access to committees, access to conversations that shape hiring and leadership.

你有没有写过关于医学影像、放射技术或放射治疗的文章？

Have you ever written an article about medical imaging or radiologic technology or radiation therapy?

你有没有想过要写一篇？

Have you ever wanted to?

他们一直在寻找像你这样的技术人员来贡献力量。

They're always looking for technologists like you to contribute.

想想把这写进你的简历里，天啊，这太有分量了。

Think about putting that on your resume, oh my goodness, that is huge.

还有谁曾经主动邀请技术人员撰写医学相关内容？

Who has ever offered to have technologists write about anything medical?

这是你突破自我、实现职业跃升的绝佳机会，让你不只是做个技术娴熟的员工。

This is your opportunity to advance your career in ways you never thought, to be more than just good at your job.

加入ASRT并不是要你牺牲生活，而是在你下班后，为你打开那些决定你职业未来的关键场合。

Being a member of ASRT isn't asking you to volunteer your life, it's offering access to the rooms where your profession is shaped while you're clocking out.

这可是实实在在的资源，各位。

That's infrastructure you guys.

展望2026年，现实是技术正在飞速发展，人工智能已经来了，我们拦不住，也别指望它能倒退回去。

So here's the reality as we go into 2026, technology is accelerating, AI is here, we cannot fight it, we can't tell it to go back where it came from.

它已经深入到医学影像和放射治疗领域了。

It is here and it is in medical imaging and radiation therapy.

工作流程越来越紧，压力是真实存在的，不管你身在哪个州。

Workflow is tightening, oh pressure is real no matter what state you're in.

如果你不在做决策的房间里，而你本可以进去，那决策就会在你缺席的情况下做出。

If you're not in the rooms where decisions are made, which you can be, decisions are going to be made without you.

你可能会说，反正决策也轮不到我，但想想2026年你为《扫描杂志》写的那篇文章吧。

You may say, oh it's going to be made without me anyway, but think of that article that you're going to write in 2026 for the scanner magazine.

想想你可能在工作中做的那场演讲，去激励同事，教大家更精准的体位摆放，或者优化你们科室的系统和流程。

Think of that presentation that you may give at your job to inspire your technologists or teach better positioning or teach better systems or workflow for your department.

你正在让自己进入那些做决策的场合。

You're putting yourself in these rooms where decisions are made.

我们有时候觉得，只有坐在决策室里，或者当上高层领导，才算参与决策。

Sometimes we think decisions have to be being in rooms where decisions are made or being at the top executive level.

其实不是，加入ASRT并参加领导力学院，就是学习领导力的方式。

No, and you learn leadership by being a member of the ASRT and going through leadership academy.

这没什么戏剧性，这就是系统运作的方式。

That's not dramatic, that's how systems work.

如果你把自己搞得隐形了，却还抱怨被忽视，那谁也逃不掉，我们都曾这样。

You can't complain about being overlooked if you've made yourself invisible and we're all guilty for various reasons.

记住，这个行业在前进，而你的可见度，才是关键变量。

Remember, the profession is moving, visibility is the variable.

我今天不是来激励你们的，这不是重点。

So I'm not here to inspire you, that's not what this is about.

我来是想跟你们说说我亲眼看到的。

I'm here to tell you what I've watched.

医学影像和放射治疗师们一直表现优秀，我们始终可靠、始终忙碌，却不知不觉失去了存在感——不是因为我们不够好，也不是因为我们缺乏人脉，事实就是如此。

Medical imaging and radiation therapists stay excellent, we can stay dependable, we can stay busy and we slowly lose visibility, not because we weren't good, not because we weren't connected, but here it is.

讨论薪资时他们不在场，设计岗位时他们没参与，决定工作范围时他们没出席，直到某一天，他们才意识到，这个行业已经悄然向前，而自己却被抛在了身后。

They weren't in the room when salaries were discussed, they weren't in the room where roles were designed, they weren't in the room when scope decisions were made and one day they realized the profession moved forward without them.

我在这个领域已经待了二十多年，亲眼见过太多比我还聪明、还敏捷、还专业的人，最终也遭遇了同样的情况。

Again, I've been in this field of medical imaging and radiation therapy for twenty years plus I've seen it happen to people who were smarter, faster and more skilled than me.

2026年，早就不是2016年，更不是2006年了。

2026 is not 2016 or 2006.

光有专业能力，已经不足以保护自己了。

Competence alone is no longer protection.

你们不需要去竞选职位，不需要拿麦克风，也不用在社交媒体上发内容，更不用什么事都做，但你们必须明白：仅仅按时上班，不等于在经营事业。

You guys, you don't need to run for office, you don't need a microphone, you don't need to be on social media making content, you don't need to do everything, You do need to stop confusing showing up to work with building a career.

一份工作，不等于一个职业。

A job is not a career.

去看看薪资数据，认真研究一下，加入州级或本地的专业协会，哪怕只参加一次对话也好，但别等到存在感成了分水岭时，才感到惊讶。

Look at the salary data, study it, join state societies, local societies, have one conversation or don't, but let's not be surprised when visibility becomes the dividing line.

别再站在自己专业的 sidelines 了，几位放射科技人员该行动了。

This is a couple of rad techs stop standing on the sidelines of your own profession.

如果这段话触动了你，别一滑而过，以为以后再处理也来得及。

If this episode hit, don't scroll past it like a thought you'll deal with later.

迈出一步，重新回到专业内部，而不是在外部旁观。

Take one step that puts you back inside the profession instead of watching it from the outside.

去 asrt.org 看看薪资数据、奖学金信息，找找你能参与的方式——写篇文章、提交上去、报名当演讲者、重新联系你们州和地方的协会。

Go to asrt.org, look at the salary data, look at the scholarships, look at ways that you can get involved, write that article, submit it, sign up to be a speaker, reconnect with your state and local societies.

你不需要把所有事都做完。

You don't need to do everything.

你只需要别再让自己被忽视。

You just need to stop being invisible.

好了，大家先休息一下，但这件事真的对我很重要。

All right, y'all quick break, but this is something really close to my heart.

如果你喜欢这个播客，那你一定会爱上我们做的东西。

If you're loving this podcast, then you're going to love what we've created.

拉切尔，这位放射技师，写了一本终于让我们出现在大众视野里的儿童读物。

Rachel, the radiographer, a children's book that finally puts us on the map.

这本书既有趣又有教育意义，而且特别之处在于，作者是一位真正的医学影像技术人员。

It's fun, it's educational, and it's different because it's written by a real medical imaging technologist.

没错，就是我。

Yep, me.

钱德里亚，我是一名放射技师，同时也会操作核磁共振和CT设备。

Chandria, I am a radiologic technologist, MRI technologist, and CT technologist.

而拉切尔，她的目标是让孩子们明白，医疗行业远不止医生和护士。

And Rachel, she's on a mission to show kids that healthcare is so much more than just doctors and nurses.

很多人不知道，我们其实是全国规模最大的医疗职业群体。

Most people don't know this, but we are the largest healthcare profession in the nation.

但在基础教育中，我们却总是被忽视。

Yet somehow we're invisible when it comes to early education.

这就是拉切尔站出来的原因。

That's where Rachel steps in.

这本书以亲切、有趣、容易理解的方式，向小学生、图书馆的孩子，甚至医院里的孩子介绍X光、核磁共振、核医学和放射治疗的世界。

This book introduces children, especially in elementary schools, libraries, and even hospitals to the world of x rays, MRIs, nuclear medicine, radiation therapy in a way that's friendly, engaging, easy to understand.

老师们特别喜欢，因为这简直是故事时间的完美读物，还能无缝衔接STEM教育。

Educators love it because it's the perfect story time read that ties right into STEM education.

帮助孩子们了解医疗职业，减轻他们对医疗检查的恐惧。

Career awareness and eases fear around medical exams.

家长们也特别喜欢。

Parents love it.

技术人员都喜欢，最重要的是，孩子们一看就懂。

Technologists love it, and most importantly, kids get it.

更棒的是。

And here's the cherry on top.

每售出一本书，都会有一部分收入用于每年颁发一笔500美元的奖学金，奖励给放射技术专业的学生。

A portion of every book sale goes towards a $500 scholarship we award every year to a student in a radiologic technology program.

如果你想支持下一代，帮助更多人了解我们的行业，就去访问 rachaeltheradiographer.com 吧。

So if you want to support the next generation and help spread awareness about our field, head over to rachaeltheradiographer.com.

网址是 rachaeltheradiographer.com。

That's racheltheradiographer.com.

让更多人拿到这本书，激发更多想象。

Let's get this book in more hands and more imaginations.

好了，我们继续回到播客。

Now let's get back into the podcast.