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Paul McCoubrie - The Rules of Radiology

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Paul McCoubrie The Rules of Radiology
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Book cover of The Rules of Radiology Paul McCoubrie The Rules of - photo 1
Book cover of The Rules of Radiology
Paul McCoubrie
The Rules of Radiology
1st ed. 2021
Logo of the publisher Paul McCoubrie North Bristol NHS Trust Bristol UK - photo 2
Logo of the publisher
Paul McCoubrie
North Bristol NHS Trust, Bristol, UK
ISBN 978-3-030-65228-9 e-ISBN 978-3-030-65229-6
https://doi.org/10.1007/978-3-030-65229-6
The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2021
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

To my lovely prize-winning author wife, Rachel, for her support, tolerance, and damn fine editing skills. This book wouldnt be in your hands without her.

Preface

Hello and welcome to this book.

If you have bought this book then you are either a radiologist or someone who is interested in radiology. Or possibly my mother (Hi Mum!). Irrespective of who you are, hopefully youll find much in the following pages that will be directly relevant to your personal and professional life. It may even raise a dry smile: Lord knows that those have been in short supply recently.

This book addresses what I see as the most important issues in radiology. To be specific, it takes a critical look at the day-to-day practice of radiology and teases out the important bits. Not always the popular or topical bits, but the nitty-gritty of what radiology is actually all about. These are the topics that radiologists know intuitively but actually rarely discuss. I explain why these topics are so important and should be discussed.

It isnt a textbook by any stretch of the imagination; there are plenty of those already. Nor is it a manifesto; Im no politician. It isnt just a critical look at the world of radiology but it gives considered guidance about how radiologists and others can not only survive but also thrive amidst the tricky modern medical world.

In that respect, it is a letter to my younger self. Apart from saying, sit down, shut up and get a haircut, this overlong letter contains all of the scraps of wisdom Ive gathered thus far in my time on this planet. By presenting these as Rules to be obeyed, it makes up an unofficial curriculum for young radiologists starting out into the world. For others it provides a reality check; a mirror to hold themselves up against. It is an extensive critique of modern radiology but it also conveys a valuable message of hope in these turbulent times.

You will note that this book deals with Rules of Radiology #1-50 but there are multiple references to Rules #51-100. These are listed in Appendix 1. My intention is write a second volume to cover Rules #51-100. However, I am contractually obliged to not do so for a year from the publication date of this book otherwise my wife says she will probably leave me. Given that Im rather fond of her, you will have to wait for the second volume, I am afraid. But hopefully it will be worth the wait.

Acknowledgements

All the artwork are original pieces by John Charlesworth, my immensely talented Uncle. Many thanks to him.

Several individuals have offered support and constructive comments. Id particularly like to thank Barry Kelly but also Adrian Brady, Giles Maskell, Philip Ward, Guy Burkill, and last but not least, my father, Malcolm McCoubrie.

Paul McCoubrie
Bristol, UK
Contents
The Author(s), under exclusive license to Springer Nature Switzerland AG 2021
P. McCoubrie The Rules of Radiology https://doi.org/10.1007/978-3-030-65229-6_1
1. Rule #1 / / Obey The Rules
Paul McCoubrie
(1)
North Bristol NHS Trust, Bristol, UK
Paul McCoubrie
Email:

Your reason is to knowingly breach The Rules isnt good enough. It never will be. It is also forbidden for someone familiar with The Rules to knowingly assist another person to breach them.

The average reader will look at the introductory paragraph and be slightly baffled. Of all the medical specialities, why does radiology need Rules? And why do radiologists have to obey them? Furthermore, why do radiologists have to insist that others obey the Rules in a similarly rigid fashion? And more to the point, who is this McCoubrie chap and why the hell does he think he can tell others what to do? So many questions, such anger , such perplexity.

Before anything else, I should point out The Rules are my opinions. They arent a legal document. Im not going to instruct counsel to prosecute you in the event of a transgression. But if you dont obey The Rules then I will do what all right-thinking Britons do when severely provoked. I will fix you with a hard stare and tut quietly.

The other thing is The Rules is predominantly a work of satire. You may quote them freely but they arent evidence-based or in any way binding. So, for Gods sake, dont quote me in anything serious. Im not appearing as an Expert Witness on the back of one of my assertions. But I am being perfectly serious in my satirical aims. My goal is to first make you laugh then make you think. As George Bernard Shaw once wrote, My method is to take the utmost trouble to find the right thing to say, and then to say it with the utmost levity.

By way of introduction, Im a middle-aged male white British radiologist (Fig. ). Ive specifically tried to avoid any cultural bias but if some unconscious bias has crept in, I apologise. This said, The Rules apply to all radiologists irrespective of age, gender, cultural heritage or country of residence.
Fig 11 By way of introduction Im a middle-aged male white radiologist The - photo 3
Fig. 1.1

By way of introduction, Im a middle-aged male white radiologist

The book is about radiology. Not radiotherapy or anything to do with radios. If you arent medical, radiology is sometimes known as the X-ray department, roentgenography (only in the US) or the loathsome medical imaging. Radiology is a post-graduate medical speciality. Like Anaesthetists , patients are often surprised that we are doctors and not some technically-trained Surgeons handmaiden.

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