Dr. Sim Hoffman is a nuclear radiologist who specializes in many imaging techniques to help with diagnosis and treatment. One of these methods is the x-ray arthrogram. This employs the use of a special kind of x-ray machine (fluoroscopy) to take a series of pictures of a joint using a radioactive dye. The use of the dye with the x-ray machine allows him to examine in detail the various structures of a joint in the human body. This can include muscles, tendons, ligaments, cartilage, and joint capsules. The dye is used because these intricate structures are not able to be seen with traditional use of an x-ray machine alone.
This method of diagnosis is most often used when an individual is experiencing pain in the joints. This technique allows a radiologist to examine the soft tissues within the joint. A traditional x-ray will only show bones, leaving much to be questioned regarding joint pain and/or joint damage. Arthrograms are traditionally performed on the following areas of the body:
An arthrogram can be used in the following ways by a certified radiologist:
1. Find injuries or other problems within a joint
2. Locate cysts or other abnormal growths
3. Monitor a needle when taking a tissue sample from a joint
4. Monitor a needle when injecting pain treatments
There are a few individuals who should communicate important messages with radiologists like Dr. Sim Hoffman before receiving an arthrogram. These include pregnant women, those with allergies to contrast materials, iodine, or anesthetics, individuals with asthma, people taking blood thinning medications or who have any blood conditions, have a current infection in the joint, and those with diabetes.
Sim Hoffman has been working as a Medical Director at various medical groups around Los Angeles for nearly twenty years. The field of medical management is growing, with an increased need for medical management in hospitals, managed care organizations, long-term care facilities, and other organizations. These types of positions require more than attendance at a medical school, they require specific training to be successful. Here are the steps you need to take to enter into the field of medical management.
1.You need to become a board-certified physician in order to be able to gain the respect of the physicians you manage.
2.Gain the practical knowledge, you need to become a clinician by practicing medicine for three to five years. You don’t need to practice full time, but you do need to have experience dealing with patients, insurance companies, and government regulations.
3.Serve on task forces and committees to gain experience performing management tasks.
4.Take management courses and participate in seminars. This will teach you the basics of management.
5.Improve your communication and listening skills.
6.Get to know people at the hospital and various medical associations. Networking can give you your best chance of landing a job as a Medical Director.
Experienced and competent Medical Directors are in high demand. Whether you are a practicing physician or resident thinking about starting your career as a Medical Director, these easy steps can get you started on the right path. Sim Hoffman is the Managing Director at Advanced Professional Imaging Medical Group in Buena Park, California.
When physicians need to detect injuries, lesions, or tumors on the spine, they have a radiologist like Sim Hoffman perform a myelogram. This is a type of radiological technique that is used to build up an image of the spinal cord. Due to the mineral content of the spine, it can be extremely tough to find any kind of issue or injury.
The procedure begins with a spinal tap being performed on the lower region of the spine. Once this is completed, the radiologist injects a contrasting dye into the spine. At this point, you may be placed on a rotating table and strapped into place. The table is then rotated, so the patient is upside down for a few moments, before being returned to a normal position. This allows the contrast dye time to spread through the spine. From here, x-rays are taken of the affected area and a blood patch is used to seal the wound made to the spinal column.
This type of procedure may be completed in order to diagnose a variety of different disorders that are related to the spine. If you have numbness in your arms or legs your doctor may request a CT myelogram. It is also used to check for spinal stenosis or a narrowing of the spine. It is also used to determine if you have any tumors or infections along your spinal canal.
While myelograms aren’t used very often these days, it can be a great tool for radiologists like Sim Hoffman to build a three-dimensional, computer generated image of the spine. If you have been experiencing spinal pain, and diagnostic tests like a CT scan or MRI are inconclusive, you may have to undergo a myelogram procedure.