Lazy Bones Radiology on Your X-Ray Tech Podcast

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Thank you for choosing yourxraytech podcast.

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Be sure to check out the links and sponsors in the description.

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Welcome to yourxraytech podcast.

在这档播客里，我们会聊放射科的相关话题。

In this podcast, we talk about radiology.

我叫杰森。

My name is Jason.

我是一名X光技师。

I'm an x-ray technologist.

今天我请来了一位嘉宾，Lazy Bones Radiology。

And today I got a guest, Lazy Bones Radiology.

他会跟大家聊聊介入放射学。

He's going to talk about interventional radiology.

他一会儿会聊聊X光，还有一些别的内容。

He's going talk about x rays and a few other things.

这场访谈一定会很精彩，这个播客肯定很棒。

It's going to be a great interview, a great podcast.

我特别期待。

I'm looking forward to it.

咱们这就开始吧。

Let's get it started.

我叫卡洛斯·比特拉戈-平松。

My name is Carlos Buitrago-Pinzon.

我是《懒骨头放射学》的创作者。

I'm the creator of Lazy Bones Radiology.

过去五年，我一直从事介入放射学方面的工作。

I work in Interventional Radiology, for the past five years.

我从X光专业一毕业就直接进入了介入放射学领域。

I went straight from X-ray school into Interventional Radiology.

我很幸运，因为当时我们医院正好需要介入放射科的技术人员。

I was very blessed because my hospital, they needed the, IR techs.

所以我还在上学的时候，他们就直接录用了我。

So when I was a student, they hired me right on.

我边干边学，顺利拿到了认证。

I got on the job training and I was able to get my certification.

通过X光技师考试后，七个月我就通过了介入放射科的考试。

After, once I passed my x-ray board, seven months later, I passed my IR boards.

节奏确实很快，但我每一步都乐在其中。

It was pretty fast paced, but I love it every step of the way.

我一会儿再聊从普通X光转到介入放射科这条路，咱们先回过头说说。

And I do want to talk about the path of going from x rays to interventional radiology in a few minutes, but let's bring it back a little bit.

介入放射科到底是什么？

What is interventional radiology?

用你的话来说，该怎么概括呢？

Like how would you sum it up in your words?

介入放射学主要是处理全身的血管系统，除了心脏以外。

So interventional radiology is pretty much we work with the vascular system of the entire body except the heart.

通常是在导管室里操作，从大脑一直到脚趾，包括动脉、静脉和器官。

Usually that's for cath lab, from the brain all the way down to your toes, arteries, veins, organ.

我们可以放置滤器、弹簧圈，任何跟血管或器官相关的治疗，我们都能做。

We're able to put filters, coils, anything that deals with the vascular system or the organs, we are able to, work on them.

真厉害。

Wow.

这挺有意思的。

That's interesting.

而且选择特别多，对吧？

And there's so many options, right?

介入放射学就是其中之一。

And interventional radiology is one of those.

各种选择。

Options.

介入放射学中最常见的手术是什么？

What is the most common procedure in interventional radiology?

这要看你在哪家医院工作。

So it depends on what the type of hospital you're at.

有些医院是专门化的。

So there's some hospitals that are specialized.

比如有些医院专注于神经领域，主要处理中风，或者脑部动脉瘤的栓塞。

Like for example, some are neuro based, so they deal with more strokes or embolizations of like aneurysms inside the brain.

有些医院更像是透析中心，经常处理动静脉瘘、人工血管和透析导管。

Some hospitals are more like dialysis clinic where you have like fistulas, you have grafts, you have dialysis catheters, and then some other specialties, like for example, they just do open heart or thoracic surgery.

还有一些专科医院，比如只做开胸或胸外科手术的。

Interventional can help as well.

介入治疗在这里也能派上用场。

Some are just everything, which is my hospital.

我们医院是综合性的，什么都能做。

We do pretty much everything.

一般来说，一次介入放射学手术要花多长时间？

On average, how long would you say an IR procedure take?

这得看具体做的是哪种手术。

Well, it depends on the procedure that you're doing.

比如我们有个叫TIPS的手术，全称是经颈静脉肝内门体分流术，名字很长，操作也很复杂，就是从门静脉放个支架到下腔静脉，让血流绕开肝脏。

So for example, we have something called a TIPS procedure or transjugular intrahepatic portal systemic shunt, which is a very big word or very long process that we put a stent from the portal system into the inferior vena cava in order to bypass the blood flow.

这个手术可能三十分钟就完事，也可能要六个小时。

That could be a thirty minute or that could be a six hour case.

全看运气怎么样了。

It just depends on how lucky can you get.

动静脉瘘也是，有时候十分钟搞定，有时候得耗上四个小时。

And sometimes the fistula is the same way, ten minutes or you're there for like four hours.

腹主动脉瘤手术，对，就是腹主动脉瘤，我做过最长的一次差不多快八个小时。

Triple As or yeah, triple As, the longest I've ever done was like almost eight hours long.

那病人的血管解剖结构特别复杂。

It was like a very complex anatomy.

你得用上好几种不同的支架和栓塞操作。

You got to do a bunch of different stents, coiling.

还得把整个主动脉的走行都彻底摸清楚。

You got to do a whole mapping of the entire aorta.

那次手术整整做了八个小时。

That was like an eight hour case.

那真是特别特别耗人。

That was pretty, pretty hardcore.

但介入放射科的特点就是团队协作。

But the thing about Interventional Radiology, we work as a team.

旁边随时有放射科医生配合你。

So you have the radiologist right next to you.

你负责操作设备。

You're the tech.

还有洗手护士、巡回护士，整个护理团队都在一起。

You have the scrub, the circulator, you have a whole team of nurses.

整个团队都在为一个病人服务。

It's an entire team and squad that deals with just one patient.

这就是我喜欢介入放射学的地方。

And that's one thing I love about Interventional Radiology.

在介入放射学里，你是一个团队的一员，而且团队非常紧密，对吧？

With Interventional Radiology, you're part of a team and it's a very tight knit team, right?

比如X光技师，你也是团队一员，但这里的合作更紧密，大家彼此都特别熟。

I mean, X-raytech, you're part of a team as well, but this one's like, you're working very close, you know, and pretty much everybody knows everybody.

没错。

Absolutely.

你能谈谈团队协作吗？比如你的角色，还有你在介入放射学团队中的工作经历。

So can you kind of speak on that on the team, maybe your role and, you know, your experiences working in interventional radiology as a team, a member of the

我刚开始当实习生的时候，只是负责巡回协助。

So when I first started as a student, I was just circulating.

你得清楚该拿哪种导丝、导管，因为每种导丝和导管的型号和粗细都不一样。

So you have to know what wires to get, the catheters, because every single you have different types of wires, different types of diameters.

导管的形状各不相同，这样才能顺利进入不同的血管。

The catheters have different shapes on how we are able to access the vessels.

刚起步的时候，你得把每样器械的用途都摸透。

So when you first start, you have to know the product.

为什么用这个？

Why do we use it?

该怎么用？

How do we use it?

还有那些工具，作为技术员，你得清楚接下来该做什么步骤。

And like the stuff, because you have to be as a tech, you have to know what step is next.

这样才能走在医生前面。

That way you're ahead of the physician.

也好及时把医生需要的东西递过去。

And that way you're able to hand off what the physician needs.

刚入门的时候，你得先从巡台做起。

That's one thing that when you first start, you have to circulate.

等你熟悉之后，下一步就是和主治医生一起上台准备手术。

And then after you're comfortable, the next step is scrubbing in with the actual physician.

在我医院，你就是医生的得力助手。

You are literally the assistant of the physician in my hospital.

你得清楚每一个步骤，还有解剖结构，因为你是在协助医生操作。

And you have to know the steps, also the anatomy, because you're assisting the physician.

比如医生在处理出血时，你得知道现在在哪个位置、涉及哪些血管——这种导丝要配这种导管。

So the physician, for example, if you're looking at a bleed, you have to know where you're at, what vessels, like, okay, this type of wire goes with this type of catheter.

因为医生会说：‘我需要这个。’

Because the physician goes, I need this.

你得知道怎么准备，怎么确保所有设备都正常运行。

You have to know how to prep it, how to make sure everything's flowing correctly.

这样医生才能顺利做手术，而我也能保证整个流程顺畅无阻。

That way he's able to do his job and I'm able to keep the whole flow going.

那作为一名介入放射科的技术员，你的一天通常是怎样的？

So what is a day in the life as a technologist that works in interventional radiologists?

那具体是怎样的呢？

What does that look like?

你得在天亮前就起床，赶到医院，打开所有设备——大型C臂、手术室，确保所有物资都备齐充足。

So you wake up before the sun rises, you have to get it, get in there, turn on all the machines, the big C arm, all the suites, make sure everything's nice and stocked.

每天都要清点库存，我们用的东西太多了，比如弹簧圈、球囊、导管。

Every day we have to do inventory because we use so much, inventory, coils, balloons, catheters.

得确保每样东西都处在可用状态。

We have to make sure everything's up to par.

这样一旦出现紧急情况，我们就能立刻处理，不会出现‘缺了东西’的尴尬。

That way when, if an emergency presents itself, we're able to treat it with no, hey, we're missing something.

所以每天早上，在手术排满之前，我们先吃个早餐，顺便把当天所有病人的准备工作都做完。

So that's one thing that we do every morning, actually breakfast before all the cases start piling up, pretty much get all the patients that we have to get.

我们会检查他们的化验结果，确认各项指标都在正常范围。

We check their labs, make sure everything's in proper parameters.

如果发现异常，就得马上联系医生：‘这个病人的情况，您打算怎么处理？’

If anything is out of the ordinary, we have to call our physician like, hey, what do you want to do with patient?

实际上，在病人到达之前，我们早就把所有筛查都做完了。

Like pretty much we do all the screening before the patient even gets there.

护士们也会过来。

Also the nurses come.

他们还要确保所有药物和物资都提前准备妥当，等病人进手术室时一切就绪。

They also make sure all the medications, everything everything's prepped before the patient even gets into the actual suite.

因为病人一到，就得立刻开干。

Because once the patient gets there, it's showtime.

绝对不能说：‘哎，我缺这个。’

There's no, oh, I need this.

或者：‘我缺那个。’

I need that.

你必须把工作做到万无一失。

No, you have to, you have to do your job flawlessly.

对。

Yes.

有时候在手术中间还得临时拿器械。

Sometimes you get gear in the middle of a procedure.

比如你本来安排晚上八点或早上八点做手术，突然来了个中风病人。

Like for example, you're scheduled at 8PM or 8AM and a stroke comes out of nowhere.

你一整天的计划都得往后放，因为现在得马上处理一个中风、肺栓塞、消化道出血，或者下肢缺血的病人。

All your plan that you just planned for the entire day, you have to scoot to the side because now you have to treat a patient that's having a stroke or a pulmonary embolism or a GI bleed, cold leg.

这种急诊情况永远优先于你所有原定的安排。

Those type of emergency cases trump every single thing that you have planned.

先紧急处理完这个病人，再回头继续做原来的任务。

And then that way you can treat that patient emergently and then you continue on to your regular.

只要你值夜班，就得等到所有事情都做完才能走。

If you're on call, you do not leave until everything is done.

如果那个被推后的情况一再拖延，医生可能会想，算了，明天再做吧？不行，等不了。

So for example, if that case that you just pushed back keeps getting pushed back, the physician has the opportunity to like, all right, we can do this tomorrow or, no, we can't wait.

这事必须现在做完。

This will be done.

有时候一天能干到十个小时。

So sometimes it can be a ten hour day.

有时候甚至要干到十六个小时。

Sometimes it could be a sixteen hour day.

但幸运的是，我们是个团队，不是一个人单打独斗。

But luckily, it's a whole group, so you're not by yourself.

要是真让我一个人干，我早就不想干了。

And that's one thing that, like, if I was by myself, I would be like, oh, I hate my life.

好在我有个特别棒的团队，大家在一起还挺有意思的。

But luckily, I have a really good team and we we make it fun.

我们这儿的厂商代表也特别给力。

We have the really good reps that come in.

比如遇到特别长的手术，需要特定的器械，他们就会赶过来。

So for example, if we have a very long case and we need very, specific, product, they will come in.

还会买杯星巴克什么的，给我们提提神。

They'll buy a Starbucks and stuff like that just to keep us going.

这就是生活啊。

Is life, man.

给团队点个赞。

Shout out to the team.

当然了。

Oh, absolutely.

是的。

Yeah.

没错。

Yeah.

我很幸运能有一支这么棒的团队。

I'm very blessed to have a really good team.

这正是介入支持工作的特点。

And that's the thing about IR.

你每天都要和这些人紧密合作。

You get to work with people very closely every single day.

有些人啊，你感觉他们比谁都了解你。

Some people you're like, man, you know me more.

他们了解你，甚至比你老公还清楚。

You know me better than my husband.

我就说，哎，老兄。

I'm like, hey, man.

因为我们天天在一起工作，必须彼此信任。

Just because we work, like, we work so close that we have to trust each other.

我清楚得很，只要我需要什么，这个人一定靠得住。

Like, I know for a fact that if I need something, I can trust this person.

这个人绝对靠得住。

I can trust this person.

根本不用怀疑。

Like, I don't even have to question it.

我需要帮忙的时候。

I need something.

他们得自己把事情办好。

They need they do it.

如果病人情况危急，他们知道我能胜任自己的工作吗？

If the patient's crashing, they know I can I can do my job?

我能，他们也能做好自己的工作。

I can they can do their job.

整个团队之间有一种我非常钦佩的尊重氛围。

It's a level of respect among the entire team that I really, really admire.

想想你遇到过的最特别的病例。

Let's think of your your most interesting case.

有没有哪个病例让你印象特别深刻？

Like, is there a case that maybe stood out to you a little bit more?

在介入放射学领域，你遇到过最有趣的病例是什么？

What would be your most interesting case, in interventional radiology?

我最感兴趣的主要是深静脉血栓和肺栓塞。

So my favorite are, like DVTs and pulmonary embolisms.

只要是跟血栓有关的，我们都能进去把血块取出来。

Anything that deal with blood clots because we're able to go in and extract it.

比如腿里的深静脉血栓，还有肺栓塞这些情况。

So this includes inside the legs called DVTs or DVT, thrombosis, pulmonary embolism.

我们可以直接进入肺动脉，把里面所有的血块都清除掉。

So we're able to go inside the actual pulmonary arteries and extract all the clots inside of the pulmonary arteries.

中风的话，我们也能一路做到脑部。

Stroke, we're able to go all the way up.

从股动脉入路，一直上到脑部血管。

We access the femoral artery, go all the way up to the cerebros.

能把整个血栓吸出来，让中风症状逆转。

We're able to suck out the entire clot, reversing the stroke.

真的很厉害。

Pretty cool stuff.

所以我专门专攻血栓这类病例，因为教我的那位技师对这个特别着迷，她把我能教的都教给我了。

So anything with blood clots and stuff like that is one thing that I have specialized because the tech that taught me, she was very fascinated by it and she taught me everything that she knows.

所以我现在掌握了这些技能，可以教给来我们医院实习的学生们。

So now I have that knowledge and I'm able to teach that for the students that come inside of my hospital.

太棒了。

Awesome.

把知识传承下去，对吧？

Passing down that knowledge, right?

没错。

Yes.

就是这样。

There you go.

那我们回到正题吧。

So let's bring it back, right?

回到放射技术学校的话题上。

Let's bring it back to, radiology tech school.

你觉得放射技术学校难吗？

Would you say, or is radiology tech school hard?

刚开始学X光的时候，对我来说挺难的，因为我上夜班。

X-ray school, it was in the beginning, it was difficult for me because I worked night shift.

我总是很累，但我的老师们特别有干劲。

I was always tired, but my teachers, they they were so motivated.

他们都是非常热情的教授。

They they're very passionate professors.

他们一直鼓励我：你必须学好。

They've motivated me to like, hey, you have to learn.

他们从不会说，你累了就歇着吧。

I don't like, they're like, if you're tired, that's okay.

他们只会说，继续坚持。

Just keep pushing.

他们看到了我的潜力，我特别感谢我的教授们，因为一开始真的很难，但看到他们这么投入，我就被点燃了。

Like they saw the potential in me and I'm very grateful for my professors because at first it was very difficult, but once I saw the passion like that pretty much they hooked me into it.

从那以后，一切就变得顺其自然了——人体结构、各种体位，全都自然而然地掌握了，全靠教授们的那份热情。

And after that, it just became second nature, like the human body, everything, all the positioning, it just came so naturally because of the passion that my professors had.

刚开始确实挺难的，但后来像物理这些内容，因为我本来就是物理背景，所以学起来特别顺手。

So in the beginning it was hard, but after a while, like the physics and stuff like that, I'm a physics background, physics and exposure was like easy for me.

那时候我还是学生，就能把知识点吃透，还经常帮同学补课——要是教授讲得不清楚，下课我就跟他们说，我来教你我是怎么理解的。

So even as a student, I understood the material and I was able to teach my fellow classmates like, hey, if the professor wasn't teaching it, where like he wasn't explaining it well, after class I would be like, hey, this is how I do it.

在放射科学校，大家都是互相帮助、一起进步的。

And that's one thing that in x-ray school, work together and we learn together.

从放射科学校认识的朋友，到现在都成了我一辈子的挚友。

And now I have lifetime friends for the rest of my life from x-ray school.

我真的很感激这段经历。

And I really appreciate it.

确实不容易。

It was hard.

未来的学员刚开始会觉得很难，但只要肯下功夫，一定能够通过。

So future students is gonna seem hard in the beginning, but if you put forth the effort, you're definitely gonna pass.

学放射科会为你打开无数扇门。

X-ray school is gonna open so many doors for you.

千万别放弃。

Do not give up.

你根本不知道这个领域有多棒。

You don't understand how great of this field how how great this field is.

曝光这部分可能会有点难，但别放弃。

Exposure is gonna be a little bit difficult, but don't give up.

毕业后你会有很多机会。

You're gonna have so many opportunities after school.

这话说得一点没错。

And that's facts right there.

放射科机会确实很多，但挑战也不小，对吧？

There's a lot of opportunities in radiology, but it does have its challenges, right?

确实有不少挑战。

It does have its challenges.

咱们来聊聊这些挑战吧。

So let's talk a little bit about that.

你觉得当一名放射技师有哪些优点和缺点？

What would you say are some of the pros and cons of being a radiologic technologist?

优点？

Pros?

你的职业前景一定会很好。

You will definitely have a better career.

医疗行业永远不会消失。

Healthcare is never going to go away.

不管现在AI多发达，电脑技术多先进，都替代不了真人。

Like all this AI stuff and all that computer, they can't compete against someone.

病人疼得厉害需要拍片时，放射技师永远都是不可或缺的。

When someone's in pain and you have to get an x-ray, x-ray technologist are always gonna be there.

这个职业，无论在世界哪个角落，你都不愁没工作。

So this career, you're always gonna have a job anywhere in the world.

人人都有可能摔断骨头。

Everybody's gonna break a bone.

这个领域的需求一直都很高。

This this field is always gonna be in demand.

缺点呢，有时候工作时间确实很长。

Some of the cons, sometimes it's just like long hours.

这要看你在哪儿工作。

It depends on where you work.

有些机构接的检查量比较少。

Like some facilities only do certain amount of cases.

有些地方只做有限的几种检查之类的。

Some facilities only do limited studies and stuff like that.

比如在创伤医院，工作节奏会特别紧张，工时也特别长。

So like trauma one hospitals, you're going to be really, really hectic, work hours.

所以你得想清楚自己想要什么样的工作。

So you just got to look at what you want to do.

如果你在家庭诊所工作，生活会更轻松，周末和节假日都能休息。

If you have a family clinic life is more better because you have weekends off, holidays off, stuff like that.

我觉得这就是唯一的一个缺点了。

That's the only thing that I see as a con.

你得能灵活安排自己的时间。

Like you have to be flexible with your time.

在你看来，你会推荐放射科吗？或者你觉得放射科值得吗？

So in your opinion, would you recommend radiology or in your opinion, do you feel radiology is worth it?

我百分百觉得放射科值得。

I 100% think, radiology is worth it.

以前我干过餐饮和建筑，每天都觉得自己特别糟。

Before this, I was in restaurants and construction and I hated myself every single day.

我在学X光的时候，还曾在沃尔玛上夜班。

Like I used to work in Walmart, like while I was in X-ray school, like overnight sometimes.

天哪。

Like, oh my God.

只要我通过了X光认证，就一下子打开了好多机会。

It's just, once I passed my X-ray boards, it opened so many doors.

现在我能学习，还能和我喜欢的人在一起。

Now I'm able to learn, be with people that I love.

X光培训真的为我打开了很多机会。

X-ray school really opened the doors.

放射科是最好的行业之一。

Radiology is one of the best fields.

这个行业正在迅速发展。

It's a field that's growing a lot more.

比如你的播客、我的YouTube频道、你的频道，现在越来越多的人开始了解放射科到底是做什么的，因为很多人还以为放射科就是按按钮的。

Now for example, your podcast, like my YouTube channel, your YouTube channel, like more people are seeing what radiology is because a lot of people are like, oh, they're just button pushers.

不是这样的，完全不是。

No, no, no, no.

放射科这个领域每天都在快速扩张。

The field of radiology is so is growing every single day.

技术越来越先进，像核磁共振、超声、核医学，这些都属于放射科的范畴。

Technology is getting better, like MRIs, ultrasound, Nukemed, all that falls under radiology.

一旦你拿到X光执照，就会打开无数种可能。

You have so many different doors that open once you get your x-ray license.

说实话，这真的会改变你的人生。

Honestly, it's going to be life changing.

这话一点不假。

That facts right there.

我问你个问题啊。

And let me ask you this, right?

因为CT和MRI现在特别火，对吧？

Because CT, MRI are very popular, right?

X光也很受欢迎。

X-ray is very popular.

但介入放射学反而容易被忽视。

I think interventional radiology goes under the radar a little bit.

想进入介入放射学领域，光有副学士学位够吗？还是必须得有本科学历？

So to get into interventional radiology, can you still do that under your associates or do you need a bachelor's in order to get into interventional radiology?

广告结束后我们马上回来。

We'll be back after a quick break.

我的网站 yourxraytech.com 上有超酷的放射科T恤、内搭衬衫、笔记本和贴纸，快来看看。

Some of the coolest radiology shirt, under scrubs, notebooks, and stickers are available at my website, yourxraytech.com.

去逛逛吧。

Check it out.

你只需要拿到放射技师的副学士学位就够了。

All you need is your associate, x-ray associate.

不需要本科学历。

No bachelor's required.

有些医院可能会要求，但说实话，介入放射学根本没有正式的教育体系，就像你说的，这行太冷门了。

Some, some hospitals might require it, but honestly it's just there's no formal education for interventional radiology because like you said, it's very not well known.

我上学的时候压根儿不知道有这回事。

Even when I was a student, I didn't even know about it.

说来好笑，我后来是怎么接触到介入放射学的。

It was funny how I got introduced to interventional.

我当时还是学生，正坐在休息室里闲着，有个技师——现在是我的主管——过来说：嘿，需要个人帮忙操作C臂。

Like I was a student, I was just chilling in the break room and one of the techs, he's now my manager, he's like, hey, I need someone to run a C arm.

结果其他技师都没说‘不行，我太忙了’。

And none of the techs were like, nah, I'm I'm too busy.

我当时就个学生而已。

And I was a I was just a student.

我就说：我去吧。

I was like, I'll go.

就这样，我第一次接触到了介入放射学。

And then that's how I was introduced to Interventional Radiology.

我之前根本不知道这行的存在。

I didn't even know about it.

我上手干的第一件事就是同时操作两台C臂，做双平面椎体成形术——就是往椎骨里插杆子，注入骨水泥来修复压缩性骨折。

And the first thing I did was, two C arms at the same time doing biplane, kyphoplasty, which is, sticking, rods inside someone's vertebral bodies to put cement in order to reverse compression fractures.

这就是椎体成形术。

That's what a kyphoplasty is.

我当时就想，原来你们平时干的就是这个？

And I was like, wow, this is what you guys do?

他说，你根本不知道，这还只是冰山一角呢。

He's like, you got you don't even know that this is the tip of the iceberg.

于是我就开始频繁往那边跑，一去再去看。

So then I started to keep I started going and going.

就这样，我慢慢接触到了介入放射学。

And that's how I got introduced to interventional.

我特别想让更多人了解介入放射学，因为很多人根本不知道我们具体做什么。

That's one thing that I want to do, like more awareness of interventional radiology, because a lot of people don't know what we do.

就连我工作的医院里，那些高管和管理层，也完全不清楚我们的工作内容。

Even in my hospital where I work at, the CEOs or top management stuff like that, they don't even know what we do.

他们就觉得，哦，把病人送去介入科，人出来就治好了。

They're just like, Oh, they just send them to IR and they come back fixed.

他们不了解我们的工作，但有你们帮忙，我们就能让更多人知道介入放射学有多精彩，这领域值得被更多人了解。

They don't know what we do, but with your help, we can spread awareness of interventional radiology because this is a field that's very interesting and a lot of people should know about more.

有些人今天在这期《Your X-Ray Tech》播客里，第一次听说介入放射学。

So for some people, this is the first time hearing about interventional radiology right here on yourxraytech podcast.

这些信息直接来自懒骨头放射科医生本人，对吧？

And the information's coming from Lazy Bones Radiology himself, right?

所以这可是第一手资料。

So this is straight from the source right here.

他刚上完班就来录这期播客了。

I mean, he just came from a shift right before the podcast.

是的，我特别喜欢这个播客。

Yeah, I love this podcast.

没错。

There you go.

这可是最真实、最原汁原味的分享，对吧？

So it's as real as it gets, right?

你刚才讲了自己是怎么进入介入放射学这个领域的。

So you talked about how you got into interventional radiology.

你当初是怎么进入放射科领域的？

How did you get into radiology in general?

是什么让你决定走这条路的？

Like, what made you decide I'm going to take this path?

说来有点搞笑。

Funny story.

我在工作中摔断了胳膊。

I broke my arm at work.

因为骨折位置正好在大结节，我做了好多次X光、核磁和CT检查。

And so I had to get multiple x rays, MRIs, CTs of my arm because I broke it right at the greater tuberosity.

那时候需要拍很多影像资料。

So I needed a lot of imaging and stuff like that.

每次去做检查，我都忍不住问：那是什么东西？

Every time I had to get it like an image, was like, what is that?

那个地方是断了吗？

Is that broken?

那些技术人员总是说：先生，我们不能告诉您。

And like the techs would be like, sir, we can't tell you.

我们不是医生。

We're not the physician.

我就想：拜托，这还用说吗？一眼就能看出来。

I was just like, come on, you can tell that.

别人都能看懂的。

Like how everybody does it.

正是这些经历让我对放射科产生了兴趣。

But that's what interests me into radiology.

整整两年，我胳膊都动不了。

For two years, I couldn't move my arm.

所以不得不反复做各种影像检查。

So I had to get multiple imaging and stuff like that.

这也促使我选择了放射科，而我当时就读的学校正好有X光专业。

That's what promoted me into the field of radiology and where the college that I was at, they had the x-ray program.

所以我当时就想，我对医学领域特别感兴趣。

So I was like, I'm interested in the medical field.

我想当医生。

I want to be a doctor.

不如先去看看这个X光项目到底是怎么回事。

Let's just get, let's see what this x-ray thing is about.

这样至少能先踏进这行的大门。

That way I can get my foot in the door.

这是我做过最明智的决定之一，现在我能和世界上顶尖的医生一起工作。

That was one of the best decisions I've ever made because now I work with some of the top tier physicians in the world.

他们做的实时手术案例，会在迪拜、巴西、葡萄牙、纽约，还有全美各地进行直播演示。

They do live cases that are presented in Dubai, some in Brazil, Portugal, New York, all throughout The United States.

在佛罗里达，就介入放射学这一块，我们是全球最大的团队之一。

Here in Florida, in the interventional radiology world, we're one of the biggest in the world.

他们经常参加世界各地的学术会议。

Like they go into conferences worldwide.

我所在的医院里，有一群顶尖的医生，我能有机会向他们学习。

I'm in the hospital that some of the best physicians and I have the opportunity to learn.

就因为一次胳膊骨折，我居然能有他们这样的导师。

And I have the opportunity to have mentors like them just because of one broken arm.

每次说起这事我都觉得好笑，要不是当初摔断了胳膊，我现在根本不会干这一行。

It's funny every time I say it, I'm like, man, if I would have not broken my arm, I would not be in this profession right now.

这挺有意思的。

That's interesting.

一件倒霉的事，反倒带来了转机。

Something came out of an unfortunate event.

没错，就是这样。

Exactly, man.

算是因祸得福了。

Made some silver lining.

因祸得福。

Silver lining.

现在胳膊完全好了吧？

And the arm's good now, right?

你这胳膊可真棒。

You're good arms.

哎呀，你啊。

Oh, you.

我会一直保持双臂完好无损。

I'll keep my arms perfect.

这就对了。

There you go.

我肯定医生们也很高兴你加入了，他们能安心做自己的工作，因为你提供了所有必要的影像和相关支持。

And I'm sure the physicians are glad that you're on board too, and they get to do their part, because you're providing the images and everything else that comes with it.

所以，这也是我为什么总想强调我们这个领域，因为很多英雄都默默无闻，对吧？

So, again, that's why I like to highlight our field because I don't think like a lot of the heroes go under the radar, right?

而且大多数人也挺乐意这样。

And most are okay with that.

他们上床睡觉时心里踏实，觉得自己做了这么多，却没人知道，但这也无所谓。

They go to bed okay with, I did all this and nobody really knows, but it's okay.

所以我们只是稍微点亮一下这些日常的付出，对吧？

So we're just shining a little light on the everyday things, right?

各个领域的技术人员，你们都该为自己感到骄傲。

All the techs of every single field, you guys should be proud.

放射科，我们是医疗领域的双眼。

Radiology, we are the eyes of the medical field.

没有我们，医生根本看不见情况。

Without us, they can't really see.

不管哪位医生，没有影像支持，他们根本没法开展工作。

Like no matter what physician there is, without imaging, they will not be able to do their job.

介入放射学是其中一个方向，对吧？

Interventional Radiology is one of the paths, right?

你从X光起步，后来转到了介入放射学，现在也是持证的介入技师，对吧？

So you went from x-ray to interventional radiology, and you're credentialed under interventional right?

你的名字里就带着这个头衔。

You have that in your name.

你能简单总结一下，从普通X光技师成长为介入放射技师的过程吗？

So can you sum up or give us a summary version of how you go from an x-ray tech to an interventional, radiology tech?

通过X光课程后，就得参加认证考试。

Once you pass your x-ray school, you take your registry.

要做介入放射，总共得完成将近两百例操作。

For IR, you have to do a total of almost 200 cases.

每例都得做记录。

You have to document.

你可以按类别来分组完成。

You can do categories.

具体怎么做要看你能接触到哪些病例，但总共必须记录满两百例。

It just depends on what, what you, what cases you have available, but you have to document 200 cases.

我是通过ASRT完成认证的。

I went through ASRT.

他们有一个在线的十二门课程，你必须全部通过，才算完成正规教育。

They have a online 12 course, like 12 program course that you have to pass in order to have your formal education.

等你把这些都做完之后，就要去参加执照考试。

And then after that, once you complete all that, you take your board.

并没有专门的学校培训，全靠在岗学习。

Like there's no schooling for it, but it's on the job training.

你得随时待命。

So you have to take a call.

该做的事一样都不能少。

You have to do all the things that you have to do.

你得学得快。

You have to learn fast.

介入放射学这行，一点都不轻松。

One thing about Interventional Radiology, it's not easy.

就像直接跳进深水区一样。

It's like jumping into the deep end.

没有那种小试一下、先沾沾水的意思。

There's no little, oh, let me dip my toe in here.

不，他们是直接把你扔进去。

No, they throw you in there.

你得挺住。

You have to survive.

你得清楚自己在做什么。

You have to know what you're doing.

你得快速适应。

You have to adjust.

好了，这就是你必须做的事。

Okay, this is what you gotta do.

多做笔记，向护士学，向医生学。

Take lots of notes, learn from the nurses, learn from the physician.

这是你必须做的一件事。

That's one thing you have to do.