Testimony & Tent Making Ministry.

Ka lehkha zir laiin,”Lalpa ka thiamna leh finna te i tana hmamg thei turin min pui ang che” tiin ka tawngtai thina. Pathian khawngaihna zarah nikum kum tawp lamah Madhya Pradesh-ah Christian Hospital-ah hna ka hmu ve hloh maia.

Kan thawk lawp lawpa, theih ang tawkin thahnem ngai tak chungin. Mahse tlemin ka lung a awilo ve deuh hleka a chhan chu Case kan nei tlem thei lutuka (Hnathawh bawrh bawrh ka chak vang) Piangthar hlim ang deuh hian mi ka dem zung zunga, thahnem ngai tawk lovah midang te kha kan ngai vela mahse ka sawichhuak lem chuang lova. Ka tawngtai char chara I tana ai nasa zawka ka thawh theih nan tiin ka ti ta zela.

Tichuan Pathian khawngaihna vang bawkin MPSC through in ka tling ve hloh a. Tling awm tam tak an awm laiin vannei zingah ka tel taa. Posting an chhuak a “Chawngte” alo ni ta kuau mai. Ka chhungte leh laina thenkhatten, “A pawilo ania”. An han ti sap sap a achhan chu a pawi em vang ania haha.

Mahse thla 6 vel kan awm hnuah chuan Pathianin ka tawngtaina kha a takin alo changtir leh ta reng mai. Hna tha zawk min pe a. Zanah member pathum vel lek nen chakma hla kan han sa raih raih a. Lawm a kim. Rilru a hlim. Kan memberte (chakma) engtin nge ka puih ang tih leh engtin nge Pathian hmangaihna dik an hmuh ang tih ringawt ten kan rilru alo luah ta. Mahni in chawm chungin Lalpa rawng ka bawl ve thei ta reng mai.

Pathian nghak tlat rawh dawhthei takin. Harsatna lakah a kaichhuak ngei ngei ang che. I tawngtaina kha chhanin a awm ang. Pathian hi a awm ngeia, mi zawng zawng hmuhsit leh rethei ber ber te hnenah hian chiang em em maiin alo in lar thin zawk hi alo nia. Khawvela thil zawng zawng nei thei, mamawh apiang harsatna nei lova nei theite hnenah chuan Pathian hi hmuh alo har em anih dawn hi. Heng Pathian Fak chunga an nui hmelte, tih takzeta Pathian hnena an tawngtai te hi ani Khawvela thil mawi berte chu ni. Neih an neilo mahse an lawm em em zel. Sum luhna hnar pawh an neilo amaherawhchu engkim siamtu Pathian hian ala ngaihtuah sak zel hi ania.

Missionary a inpek angai kherlo. I hna rinawm takin thawk la. I awmna apiangah mite tana malsawmna i nih theih nan thawk thin la ringtu tha chu i ni mai. Khawvel zawng a buai telh telh dawn, lo buai mai mai rawh se. I hna ah lo rinawm zel la Pathian leh Khawtlang tan theihtawp chhuah thin bawk ang che. Tah chuan hlimna thuruk a awm.

Kum khat hna ka thawh ve tawhna lawm nan ka testimony kan share ani e. Nikum tun ang hun velah hian Kolkata atang Jabalpur panin ka kal mek lai ani chiah bawk.

Advertisements
Posted in Uncategorized | 2 Comments

Guide for the newly graduated Radiographers.

It’s been a year now tha I’ve graduated, got a job, left my job and got another job and now I’m in Chawngte; a place forbidden and cursed by my fellow Aizawlers. There has been so much learning right after my graduation that I think I can make around 6 complete books. That is with a BIG If!! If and only if I am good at writing and if I had recorded everything I’ve learnt for the past year then maybe. Yes, it might be a little bit less than that but yes 2-3 books can be written from one year of working experience. Such is the difference practical working of a radiographer and the theoretical learning is.

I’ve been blessed with two jobs during one year of my working experience and I have a lot to learn and lots more to share also. The things I’ve learnt are from two completely different setup; one is private/NGO and the other Govt. setup . I’ll try to summarise in a short simple way so that the reader (you)won’t feel bored reading my life experience and maybe gain a few points while staying awake to read it all through.

The first thing you want to do right after graduating when you start job hunting, aim for a place where you will be the junior radiographer . I know I know, you’ve been dragged, pushed and tormented during your internship year , I’ve faced that as well but I’m telling you this because you are going to benefit from it. There are just so many things to learn in Radiogrpahy alone, not to mention the work ethics, the professional management and what not. So you can always learn from your seniors. I was unfortunate/fortunate to have chosen a job where I was the only radiographer, it pushed me to a point where I had to learn everything the hard way and even few things I din’t learn up until the end of the year.
Another point is something that goes on the same line as making decisions on what kind of job to choose. And that is the option of accepting a job only for big bucks. Calm down!! You’re going to earn enough but first we have to shape you for the future. And Yes, big bucks doesn’t always guarantee you work sarisfaction so always consider these few points: –
-Is the hospital having large number of patients:OPD and IPD??
-Is it paying enough to survive??/ Is the pay reasonable??
-Is the work environment good??
-Is there anything I can learn from them??
Consider these few things before accepting your offer and you never know you might be diagnosing disease in a multi speciality hospital with good salary. Just don’t be in a hurry and make a foolish decision.

The next thing we must know is how the office works and how to write different application. And please be tech savvy in this generation!! Please!!?? Cause if you’re a radiographer and you don’t know how to work in a compmuter and execute few functions than your limit of growth has already reached and you’re liable to be put out of business. So, be tech savvy, know how the office processess/works , know how to write applications and always be ready to learn . This is as important for private sector as it is for public sector.

The other thing which I want to give a very high level of importance to is respecting elders. Your seniors, whether , they might have a certificate to show you; or not, you might not even know half of what they have learnt after years and years of experience. So respect them and give importance to what they have to say ( are you listening juniors?? >_<) listen to them, interact with them and ask them. You’ll learn a great deal of new stuffs from them.
And last but not the least know that cassette and intensifying screen comes in separate materials HAHA!! You don’t want to be a laughing stock to your seller so , keep that in mind. Did I say last ?? well, I remember one last thing. Always be confident. Never doubt yourself. Make the patient believe that you are taking a radiograph of his knee when in fact it has to be his shoulder. And when they ask you can still make them believe that, that is the shoulder HAHA!! Kidding . don’t do that. Just be confident, and always work hard, give your utmost for the patient to the patient and always and always follow ALARA thank you.

Posted in Uncategorized | Tagged , , , | Leave a comment

Rebooting our Education system??

While going home I over heard a conversation btween three groups of girls. I wouldn’t say that they are a representation of what they gossip nor would judge them in any way. I just want to analyse the fact that there are three groups of people and all of them would most likely have different outcomes after their graduation judging from their topic of conversation?

First group of people i came across to were talking about their friends, i’m assuming their crush and their social circle. They were talking about them and telling themselves, “I wouldn’t want a guy who talks about bikes only…”. And so on… (they were three)

The other groups were just infront of the previous groups. Now they were two. Two girls talking about their fright of giving tests. How they dread to sit in the first bench and give their exams….

The last one was alone. She listened to songs and blocked out the world by putting on her ear piece. She was walking and just contemplating i suppose.

From their talks any other person can deduce that they will either be ambitious or would just love and disappear in the fashion world of our youths and be a nobody. I wouldn’t want to be judged according to some non sense but since these are all the thoughts that goes into my mind, I suppose I’m not offending anyone. But, yeah some may come and put a finger on me but yeah leave it.

And so I was saying…. Let us try to create an environment where the things that our youths talk about are JEE, IAS, NEET, etc. (To stop anyone from telling me that they might be kids, apparently they were of my size or a little bit short, so I think they would be around either 8-9 std all 6 of them). I am saying this because of the small experience i have had while I was their in pune for my Junior College i. e. Std 11&12 in pune. There, the kids; even std 7-10 they were all taking tuitions and talking a lot about these exams and competitions. I was always amazed by them. And i too was engrossed in that environment and thank God it has not evaporated since then. But, still i lacked what they had. Perseverance. They would persevere and wait patiently. They would go to study in tuition everyday. Every evening, until they attain what they aspire. And that is progress. We might say that, that system is pointless and would find many faults in that but we don’t even have that work culture to begin in the first place. We would rather criticize from our couch and point fingers. Real mature!!
Most of the students even came in rickshaws, pulleys, etc. Meaning they weren’t all from above middle class families. The hunger to succeed was with every class in the society.

In the same way the drive to be successful has to be inculcated in our youths. Their gossip can’t be taken as a reference in any way but at least that is showing us that there needs to be more of the second group then the first one. The last one will eventually move to either the first group or the second group so no worries.

We need a change in our Education system.

Posted in #education #politics | Tagged , , | Leave a comment

World Radiography Day 2017 .Mizo Article.

X-ray tih a ngaih thu kan doctorten min hrilh hnuah a then chu hlau leh khur chungin, rilru nuamlo em emin, zam tak chunga X-ray lak angai thin. Eng vanga hlau em em nge kan nih? X-ray hi enge ni re re?

X-Ray hi enge anih tih kan hriat hma leh eng hian nge mite rilruah hlauhna pe/dah tih kan hriat dawn chuan a hmasaberah engtia lo awm nge tih hi hriat han tum phawt ta ila. Kan thil tum ber chu awareness pek ani bawk si a. Chumi tur chuan a chanve hriat a chanve hriat loh a awm thei silo, “Half knowledge is poisonous” an lo tih kha maw mifing hmasaten. “A bul tan that chu a zatve zo ang kan ni” an tih thin angin A bul atangin kan chhui anga a zatve chu kan hre duak mai ang.

*Khai a!!! Eng thil nge ni a kha kha???!! *

Kan hriat tawh angin x-ray an hmuhchhuah dan hi, thildang an hmuh chhuah dan ang thovin accident/tihpalh thil thua hmuhchhuah ani a. A hmuchhuaktu Sir Wilhem Cornard Roentgen hian enge anih a hre silova X tiin a vuah ta renga( Maths-a kan chawh thin angin, let x be the chumi khami kan tih ang deuh khan animai). Chumi a hming phuah chu vawiin ni thleng hian a pu hlen ta ani. A hmuhchhuah ni hi November ni 8, 1895 ani a. Mak ve deuh chu amah Pu Roentgen-a hi Color Blind(rawng hmu kimlo) ani a chuvang pawh chu aniang a mit hi rawng/eng dangdai lakah a sensitive bik em em an lo ti nih . Midangin eng (light) an hmuhloh kha a hmu te pawh ani mahna. Midang experiment leh thil siamchhuah atang thovin ani hian experiment a bei ve a,(helaia kan hriattura ka duh chu khang hunlai khan experiment an bei nasa em em a, golden age of Physics an lo ti reng anih kha)midangin experiment an tih tawh,engmah an hmuhchhuah siloh atang ten an tihdan thenkhat paihin an la tih loh te a belh ve leh a, a chhunzawm chho zel a.

November thla, ni 8 tlai lam khaw thim thet thet lam tawh ah Pu Roentgen a chuan Cathode Ray( https://googleweblight.com/i… cathode ray awmzia hre duh tan link ah hian) tuna kan tube light var hman ang hmang hian experiment a neia. Tube chhungah khan tuna gas an dah ang nilovin gas dangdai tak mai hi a dah lut a. Chumi tube chu voltage sang tak hmangin a cathode(negative charge) lam atangin karen a luhtir a. Chutia a tih chiah chuan eng alo in pechhuak kha ania (a heading ang khian, “Khai a!! Eng eng nge kha kha” ati pawh ani maithei haha)chumi eng a pekchhuah chu lehkha dum chhah deuh mai hian a tuam a a enchhin leh ta zel a. Screen(thing phek chemical a chiah) pakhat Barium tetracyanoplatinate(x-ray absorber tha deuh mai) ah chuan chumi eng chu a lo in chhun tih ava hmu a, experiment hrang hrang a kalpui hnuah he eng/ray hi x-ray an tih chu alo ni ta ani.

Hemi X-ray a hmuhchhuah vang hian Nobel Prize dawng hmasa ber ni turin kum 1901 khan chawimawi alo ni tawh. Hemi lawmman a dawn piah lamah hian Sir Wilhem-a hian a thil hmuhchhuah hi Company hnenah leh sawrkarah patent duh miah lovin, a hlawkna hi mipui ta tur ani ati tlata, a experiment te chu mi Zawng zawng hmuh theihin a pholanga. He a rilru thatna avang hian mi tam takin an hman tangkai phah a, a bik takin khang hunlaia indopui 1-naa hliam tuar te kha, mi tam tak nun a chhanhim sak ani.

Hemi hi Radiology lo chhuahna bulpui ber chu ani a, hemi hnu hian thil tam tak siamchhuah leh ani tawh, mahse heta tang hian bul anlo tan vek ani. CT Scan kan tih te, MRI, USG, Nuclear Imaging, leh a dang te, lo chhuahna chu Sir Wilhem Cornard Roentgen a thil hmuhchhuah vang hi alo ni. Mahse mi tam takin nunna an chan phah ve bawk a. Khang hunlai khan a hlauhawm dan te an la hrechiang silova. Mithiam Scientist tam takin an nunna thapin damlo leh mite dam nan tiin an nun an lo chan tawh reng ani.

Hemi a hlauhawm dan leh engtin nge an hriatchhuah chungchang hi a lehpekah kan sawi leh dawn nia

Posted on the 4th November 2017

Posted in Uncategorized | Tagged , , , | Leave a comment

World Radiography 2017 Excerpt

Damdawiin kan kala File lian pui kawm eng ngei mai kha miin an ken kan hmuh chuan kan rilruah, “A serious ve hle ani maw a damlo awmpui chu” emaw, “A damlo serious deuh ani maw” tih alo lang nghal vat zel(A eng kan tih chhan kher chu Civil lama an film cover hi a eng vek ania). Chutiang bawkin Trinity Diagnostic Center Plastic bag lianpui pui te pawh a sawi tel theih awm e.

“Photography ang deuh hi ania”, an ti thin awm e technician thenkhat chuan (a hlau deuhte hnenah) ani ve deuh reng bawka mahse photography ai chuan a film hian pawimawhna a nei tam mah zawk awm e. Chhungkaw thenkhat tan phei chuan thin phu dep dep chunga an Report nghak te pawh an awm ang bawkin thenkhat tan chuan lawmna/damna report ropui ani leh lawi bawk si.

Radiology hi kan hriat angin Medicine (Damdawi) leh Medical Setup a ban pawimawh berte zinga mi ani mahse Mipuite hian kan hriat loh tam tak a awm. Kan hriat loh a leiah “Technician te chu fourth grade kaisang mai mai alawm” ti te hian an lo sawi mai thina a pawi. A diklo. Min enkawltute zinga pawimawh berte an ni tih hi kan theihnghilh fo thin. Natna hrechhuak hleithei lovin damdawiinah awm reng ta ila, a hrehawm tur zia. Mahse chutiang nilova kan natna te hriatchhuah anih vat theih nana theihtawp chhuahtu te chu kan technician te hi an ni.

Photography ah mi tam tak an tui chhova DSLR kan nei deuh fur hlawm ta mai. Photographers an tam tlukin inla photographer an tam. Thla an la dawna, “Ti khan aw che suh aw! ” te an tia thla an lak dawnin in pose angaia che lova din te angai. Chutiang ang tho chuan Chet loh te, exposure setting te leh thil hrang hrang rem a ngai. Kan huang a in anglo mai ani e. Photography kan hre hlura Radiography erawh kan hre leh lawi bawk silo.

Tunkar chho chu World Radiography Day 2017 denchhen in tunkar chhung leh karleh ni 8 thleng hi Radiographic week observe ani dawna chumi chhung chuan Radiolgoy lama kan hriat awm physics tlemte leh X-ray,CT Scan, MRI, USG (Ultrasound) leh Radiotherapy (Cancer treatment) lo chhuah dan, a pawimawhna, a thawh dan leh a hlauhawm dan tawitein Mizo tawngin ka thiam ang angin post ka ka lo tum dawn nia.

Tun kum “World Radiography Day 2017” theme chu “Emergency Radiology” ani.

Posted on the 3rd November,2017.

 

Posted in Uncategorized | Tagged , , , | Leave a comment

More than just a ‘button pusher’

More than just a ‘button pusher’

R.K. Vanlaldinpuia, CHC, Chawngte

We may have heard this meaningful quote, “Nothing in the world is more dangerous than sincere ignorance and conscientious stupidity.” – Martin Luther King Jr. And at the same time, there is another quote by anonymous,  ‘Ignorance is bliss’ is this actually true in today’s time ? In actual sense,  ignorance isn’t really a bliss but a curse we have to realise this, why ? lets read on.

We are not in the early 90’s anymore, but in the 21st century, the information age. We can travel around the world on our palm, while we defecate, yes that’s the disgusting truth for many of us but we do that very often. In today’s world, posting things on social media with half information or wrong information can go a long way in creating unnecessary chaos. Not just on social media; the information we read and gossips we read and spread can also be counted. Those small gossips and friendly talks gave rise to this particular word, “Button Pusher”.  They are mostly referred in our local community as X-ray technicians  and in abroad radiographers or technologists.  Let us try to debunk who and why this particular name has been given to one of the vital pillars of Medical Setup.

From the reports taken from February 2017 to August 2017 there has been 9956 x-rays done and 1956 CT scans done in Civil Hospital Aizawl alone.  From the numbers we can see that they have pushed the button one too many times this year itself. So what does these button pushers do anyways? The patient comes in and then they push the Exposure button right? Lets try to find out more.

Who is an X-ray technician/Radiographer?

We’ve been referring to them as button pushers so lets just continue with that until we find out why they are called so. To be that person who pushes the button inside the Radiology Dept. or Lab.  One has to go through a series of painstaking Academic and Practical Examination. And yet they would actually start learning after they graduate.

To be a button pusher in India there are 2 years Diploma and a full fledge Bachelors Degree. The entry qualification for Bsc is +12 with Physics, Chemistry & Maths/Physics, Chemistry and Biology in their subjects.

These are some of the Syallabuses a button pusher studies during his academic life as an undergraduate student in  UGC recognized colleges. Before, I’ve mentioned that the real learning starts only after their graduation, and so they start learning to handle machines on their own, knowing that they have within their grasp a  lethal weapon(radiation) that they need to wield to diagnose the patient, yet if any negligence involve the outcome, a disastrous one. (sorry for the dramatic comment there, I just couldn’t help myself).  During their internship they’ve been asked to mop the floor, run errands along with practical learnings like hands on study.  But now, in their Labs or in their work stations their theoretical knowledges need to be put in to good use. The Patient Care and management class, the Radiation protection class and The anatomy class all of that comes into play to produce an image exposed with the least radiation dose but achieving the best possible image for better diagnosis.

So what is X-Ray?

Before learning what is x-ray let us know who discovered it and how he discovered it?

X-rays were discovered by Sir Wilhelm Cornard R¨ontgen in 1895. He received Nobel prize in Physics for this in 1901 (the very first Nobel prize!!!). R¨ontgen was working on investigating cathode rays (electron beam in an evacuated tube called Crookes tube) and a fluorescent screen painted with Barium accidently left near the tube glowed green even though the tube was covered with a black screen. He investigated this effect further and showed that the radiation could pass through matter, including human skin and named these mysterious rays X-rays. We now know that X-rays are part of the Electromagnetic (EM) spectrum. Visible radiation(Visible light) are also part of the EM spectrum but only occupy a tiny range.

To put it in simple terms X-Ray is nothing but a part of so many rays that are present in the Universe i.e. The Electromagnetic Spectrum, and it was accidentally discovered hence the X. (remeber in maths we use to write let x be the so and so… Yes, this was the unknown ray so he called it ‘x’)

X-rays are a part of the electro magnetic spectrum.  All electromagnetic radiation have the same velocity i.e 3×10^8 m/s however they all differ greatly in wavelength and frequency.  Before I confuse you  with all these jargons of details let me  keep this aside and explain what is Electromagnetic Radiation and its related terms. But before that,  please do study the figure given here of the elctromagnetic spectrum.

The electromagnetic spectrum. Frequency and photon energy are directly related; frequency and photon energy are inversely related to wavelength.

  1. What is electromagnetic radiation?

Electromagnetism is a branch of physics involving the study of electro magnetic force, a type of physical interaction that occurs between electicrally charged particles. The electromagnetic force usually exhibits electro magnetic fields such as electric fields, magnetic fields and light is one of the four fundamental interactions in nature.

(i) Fundamental interaction:

In physics the fundamental interactions also known as fundamental forces, are the interactions that do not appear to be reducible to more basic interactions. There are four fundamental interactions known to exist; the gravitational and electromagnetic interaction, which produces significant long range forces and whose effects can be seen directly in everyday life and the strong and weak interactions, which produce forces at miniscule subatomic distances and nuclear interactions.

  1. Radiation:

In physics radiation is the emission of transmission of energy in the form of waves or particles through a material medium. This includes electromagnetic radiation such as radiation waves, micro waves, visible ligt, x-rays and gamma radiation.

 

Ok ! So, does all these happen inside that huge machine kept in Civil Hospital??

Yes, all these interactions and actions we’ve just learnt happen inside that huge machine. No, not on the table but the x-ray tube that the button pusher moves around. Let me tell you how it actually works inside the x-ray tube.

The x-ray tube consists of a cathode and anode. The cathode acts as the source of electrons which are accelerated and strike the anode (for safety issues the anode is grounded and the cathode is maintained at a high negative potential with respect to the anode) which acts as the source for producing X-rays. Most of the energy of the incoming electrons get converted to heat (X-ray production is a highly inefficient process. Typically 1% of the electrons get converted to X-rays). In more simple meaning, the cathode is heated with a high kiloVoltage of energy thus producing electrons from the cathode(-ve) directing towards the anode(+ve) opposite charges attract.. Thus, x-ray production is also due to thermionic emission.  And so, cooling water is flowed through the anode for heat extraction. X-rays are produced in all directions and come out of the tube through the Beryllium window while the rest are blocked by the metal shielding. The emission of X-rays depends on the energy of the electrons striking the anode target, which in turn depends on the applied voltage.

All these happens within seconds when the button pusher pushes the button.

(So, we’ve reached to the point where a button is being pushed. Sounds easy right?)

Ok, we’ve now figured out why they are called “button pusher” and learnt what X-rays are. But are they safe? Being on the harmful side of visible light from

 

Is this safe?

Yes, it is, if it is handled by a trained professional.  And No, if some button pusher barges in and considers it a piece of cake.

This is why a certified technician is needed to operate radiation. Without the knowledge of Radiation Hazards and its Risks no one should be made to handle any radiation emiting machines.

We should know that humans have always been exposed to ionizing radiation. Some ionizing radiations (such as those emitted by uranium) occur naturally in the earth’s crust and in its atmosphere (from the sun and cosmic reactions in space). These radiations are present in the structures in which we live and in the food we consume; radioactive gas is present in the air that we breathe, and there are traces of radioactive materials in our bodies. These radiations are referred to as natural background (environmental) radiation. The levels of natural background radiation vary greatly from one geographic location to another. The greatest portions of our exposure to background radiation comes from naturally occurring sources such as these. In addition to natural background radiation, we are also exposed to sources of radiation created by humans.  Artificial or man-made background radiation sources include such as medical and dental x-rays, nuclear testing fallout, and radiation associated with nuclear power plants. Figure 1.4 illustrates the approximate quantity of radiation received from natural and artificial sources. The population’s exposure to various sources of ionizing radiation. Natural background radiations (the earth, the sun, building materials) compose the majority of our exposure. Medical radiation is the largest portion of our exposure to artificial sources of radiation. Occupational radiation, nuclear energy, and fallout are responsible for only a minute portion of our total exposure.

However, since 65% to 80% of the body is composed of water, most interactions between ionizing radiation(X-rays)and body cells will involve radiolysis(molecular disintegration resulting from radiation) of water rather than direct interaction with DNA. The majority (approximately 90%) of cell damage is repairable. However, subsequent or multiple “hits” to the same cell are more likely to leave permanent damage. Diagnostic x-rays are considered low LET(Amount of Energy produced) radiation; the approximate LET of diagnostic x-rays is 3 keV/μm.

And we should know that Each member of the world’s population bears a particular genetic dose of radiation. Its sources include environmental exposure, radiation received for medical and dental purposes, and occupational exposures. The quantity of exposure to each individual depends on that individual’s geographical location (environmental radiation and elevation of terrain).  Overall general health, the accessibility of health care, and occupational workers are suppose to abide to radiation protection guidelines. Generally speaking, the genetic dose to an individual is very small. Some individuals may receive no genetic dose in a given year, some individuals are past their reproductive years, and some individuals will not or cannot bear children.  Even if some individuals receive larger quantities of radiation exposure, its impact is “diluted” by the total number of populations. This concept is referred to as genetically significant dose, defined as the average annual gonadal(reproductive organs) dose to the population of childbearing age, and estimated to be 20 mrem.

Knowing all these is vital, because with knowledge comes power. And with power comes great responsibilities. Therefore, your local friend who is a technician is responsible for protecting you from unwanted radiation exposure, at the same time he/she is helping Doctors diagnose your disease process.

How can I protect myself?

Health care professionals involved in prescribing and delivering radiologic examinations i. e. X-ray technician/Radiographers, have an obligation to keep nonproductive radiation exposure to all individuals as low as possible.  Possible abusive overuse of radiologic (and other diagnostic) examinations is currently being scrutinized by many health care facilities as part of a continuous quality improvement program. Some formerly routine examinations are now considered excessive and unnecessary.  For example, routine chest x-ray on admission to the hospitals, are no longer performed unless the patient is admitted as pulmonary medicine or surgical service;  preemployment chest and/or lumbar spine examinations are frequently considered to have little benefit.  In states having no licensure requirements for radiographers, physicians and hospitals often assume the responsibility of hiring only credentialed radiographers. Participation in quality assurance ensures that imaging equipment is functioning optimally and that image quality is up to expected standards. Radiographers must consider patient’s dose when selecting exposure factors. One component of a radiographer’s professionalism.  As stated in the principles of the AERB Code of Ethics, it is to consistently employ every means possible to decrease radiation exposure to the population. Radiographers must follow the ALARA principle (keeping exposure As Low As Reasonably Achievable) as they carry out their required tasks. The radiologic facility must undergo appropriate radiation surveys.  Staff must be properly oriented and regular inservice reviews of radiation safety must take place.  Proper radiation monitoring and review of monthly radiation reports is essential.

Apart from these, there are few equipments and techniques a radiographer can protect the patient and himself/herself are as follows –

1.Beam restrictors.

  1. Shielding.
  2. Exposure Factors.
  3. Image Receptors.
  4. Grid and Air Gap techniques.

And most importantly ALARA.

In India we have AERB (Atomic Energy Regulatory Board) regulating all the facilities and machines and performing quality assurance program (through an ongoing preventive maintenance program and appropriate inservice education) that assures proper equipment function and compliance with established standards. We (Mizoram) are the second state in India to have RSA(Radiation Safety Agency) headed by Dr. Khamsuanpau.  So we are in great hands in the Radiation Safety Department.

Let me share a small excerpt from ISRT(Indian society of Radiographers and Technologist) monthly magazine shared by Dr. Madhu Sharma leading radiologist in Mizoram and the HoD BRIT, Ripans about Radiation Safety.

“A chef should know how to manage fire so that it doesn’t become a menace. Similarly we have to know how to manage radiation” Dr. Madhu Sharma, HoD BRIT, Ripans.

Rightly so, Radiation should be managed to produce the least possible radiation at the same time using it to the fullest potential. Radiation as a profession will not be going out of business in the near future nor will it go out of fashion for the foreseeable future.  From the First World War the likes of Madame Marie Curie using her portable x-rays kept in ambulances made a lot of difference in the war fronts and till today Radiation has saved many lives including our own family members.

Additional Information.

Apart from the normal x-ray there are Interventional Radiology done with X-rays, CT Scan and MRI under the Radiology Department.

Interventional Radiology can be divided into two Vascular and Non Vascular. In vascular we have IVU, HSG(Hystero Salpinography) and Non Vaschlar interventions like Barium Meal, Barium Swallow, etc.

CT scans are a whole new topic which needs another fresh article for itself. Likewise MRI is also another topic but relating to magnets.

We’ve debunked the word “Button pusher” and got an idea of what X-rays are and what it can do. And Apart from debunking we’ve learnt a whole lot about Radiation and its association with our everday lives. So now,  it’s our decision whether we want to uphold the profession as a “Button pushers job” or “Someone who protects me from unwanted radiation.  In our present world of Sickness and Pot holes,  we might face a time when we need to be diagnosed with any one of the modalities or an X-ray due to any kind of accidents or unwanted illness.  All in all, each team of a medical setup has their own importance so, let us not be the one to cause disharmony amongst them.

 

 

Posted in Uncategorized | Tagged , , | 2 Comments

Chin, chong cheng

Chin chong cheng chung

No we are not chinese,

Chinese be mocked at;

Knowing they be compared to Indians

Yes, we are Indians.

By birth right, by civil right and

By Governance Right we are Indians.

The irony of it is stupendous.

Chose we not to be Indians.

Fought hard till our last breath we did.

Lives lost, a thousand fold,

Women raped a hundred fold

Yet, the end was a tragedy,

The resolve a curse to our names.

 

A father chooses not his child.

Yet, a father cares and loves whatsoever

India chose to be our father.

Yet, differentiated us from others.

Tribals we are from ancestors.

Not long has our race been formed.

A child’s innocence, immaturity and foolishness

We brought along with us.

Looked up we did to our father

But never had he cared to listen;

Listen to his children’s cry.

Little we ask, little we demand.

Yet, more a precious lives you chose to take.

Heart broken, molested and humiliated

Is what your so called children feel

Posted in Uncategorized | Leave a comment