“Don’t order your coffin yet, it’s nothing,” the radiographer told Barbe Dolan during her appointment.
It was 2002. The mum-of-three from Sydney had just returned to part-time work when she felt the large, hard lump under her arm while showering. She was raising a young family – a six-year-old daughter and two sons, 10 and 12 – and hoped it was all in her head, that is was just a cyst.
Unfortunately, it wasn’t.
“I’m quite aware of my body, and when I discovered [the lump] I thought ‘Oh, what’s that’. But then you wonder if it’s your mind playing tricks on you, [whether] this might go away. Eventually I had to take the plunge,” she told Mamamia.
“At the time I went and had an ultrasound and the radiographer said, ‘You’re fine’. At that stage, it was what I wanted to hear, so I was quite happy with her saying that. But that gave me false hope.”
Top Comments
I'm a radiographer. Even if we think it's nothing, we aren't able to tell patients one way or another (I mean-a pretty obvious broken arm is one thing...). We are trained to take the images, not read them.
And even if I think it's nothing, it still gets sent to a radiologist (who is a doctor trained to read the images) and they send a report with their findings to the referring doctor.
this has been my experience the odd times I've had dealing with radiographers; both times for slightly odd lumps (thankfully nothing terribly exciting so far!), they've been very calm and pleasant and non-scary, but always, always got a radiologist to come and look and pronounce, without saying much either way re any sort of possible diagnosis. It's best to be sure that what you're being told is most likely to be clearly factual, even if those facts are hard and possibly worrying.
While I know this to be totally true I also have had some experience of the flip side. My daughter had hurt her shoulder coming off her bike, we went to the hospital & were assured it couldn’t be broken as she just sat there holding her arm. During her X-ray I heard the radiographer gasp out loud & call for a Dr immediately, my daughter’s ball joint in her shoulder was cracked right through. I remember her saying to me that it was a significant break. Another occasion I begged the radiographer to give me some idea of the findings of my ultra sound which she did. There are some very kind souls out there who are able to give you an idea without actually giving you the entire information. I’m guessing it’s a potential minefield for both sides but I would never blame a radiographer for giving or not giving information as it is not their job.
It's not a "minefield" so much as a dangerous overstepping of professional boundaries if a radiographer attempts to interpret images. They simply are not qualified or trained to do so. The problem arises not when they make a call on a finding that is so obvious almost anyone could pick it, but when they miss a critical pathology because of their lack of training, but offer false reassurance to the patient (which can then lead to the patient not bothering to follow up with their doctor because they got the "all clear").
An obviously broken arm/leg etc in the ED is one thing, and I will say something. But not only am I not trained to read the images-even for really obvious cancer that I can see-but I'm not trained or qualified to tell someone they have cancer. Nor do I want to be that person. That's for their doctor to do.
I'm also not going to say it looks fine to me, incase there's something there that I haven't noticed. It's actually not a kind soul that tells you to wait til you follow up with your doctor-what if I said it was fine, and you went to the doctor and it wasn't? What if I say I can see something and it turns out to be a benign cyst and I've stressed you out for nothing.