During my clinical observations, I spent a total of 19 hours at the imaging center, emergency room, as well as the computed tomography departments. The facility practices state of the art digital radiography, which is a world away from my original clinical observations of the late eighties when film was used. I found, the advantages of using digital radiography include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Through the use of digital radiography, I was able to view every image as it was happening, which made my experience flow much more smoothly than the original observations of the late eighties. Even though many procedures were observed during my clinical observations, my time in the fluoroscopy department was truly intriguing. Initially, I would observe a lumbar puncture while in the fluoroscopy department. Before the patient entered, the radiographer ensured the room was sterilized and all instruments were accessible. The patient was placed lying in the prone position on the examination table at which time the radiologist arrived and explained the procedure to the patient. A ruler was then placed on the patient’s spine to mark a guide point by the radiologist and an image was taken. The area of the spine was then sterilized, draped, as well as injected with anesthetic while patient stayed very still. Once the area was numb the radiologist carefully inserted a needle into the lumbar area of the back while images were being taken. The live images were taken until the needle reached the spinal canal at which time five samples of cerebrospinal fluid were collected. The needle was removed slowly and a band aid placed. I would also observe a myelogram which was conducted the same way; however, this procedure would be completed in the CT department. Because of this, I would see everything as it happened with the lumbar puncture with the exception of contrast being injected...
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