Post Peak Medicine

Guidelines for contributors

Contact us

Introduction

PART 1: FRAMEWORK AND BACKGROUND

Three possible futures

Peak what?

Historical perspective

Awareness and denial

Medical literature review

Legal and ethical issues

Financing a practice

Armed conflict

Peak population and dieback

Personal preparation

Further reading

PART 2: SPECIALTIES

Anesthesiology

Dentistry

Dermatology

Emergency medicine

Family medicine

General surgery

Internal medicine

Midwifery

Nursing

Obstetrics and gynecology

Optometry

Orthopedic surgery

Otolaryngology

Pediatrics

Pharmacy

Psychiatry

Psychology

Public health

Radiology

Urology

 

 

 

 

 

 

 

 

 

 

 

Radiology

I am looking for a radiologist to write this section.

Physicians who work in the field of medical imaging are often referred to as "radiologists" because this branch of medicine had its origin in x-rays.  But time and technology have moved on, and there are more diverse choices in medical imaging than ever, some of which do not involve the use of x-rays, for example, magnetic resonance imaging (MRI), ultrasound and nuclear medicine (using radioisotopes).  How do you see your working practices changing if declining oil reserves creates problems in the manufacture and transportation of materials and the supply of funds?

Potential changes which one could argue might occur include:

  • greater use of technologies like ultrasound, MRI and digital x-ray imaging which only require an input of electricity (which could be generated locally)
  • less use of technologies which require the import of materials such as wet-film radiography and radioisotope scanning
  • less use of defensive radiology.  For example, if a minor and probably non-significant abnormality is seen on an image, it is quite common at the present time for the radiologist to recommend, and the treating physician to order, a followup image a few weeks or months later "to ensure stability".  The detection rate of significant treatable abnormalities in the second or third image is probably much smaller than in the original image.  At what point do we say "a single image is enough"?  

For further information please see "Guidelines for contributors" or contact info@postpeakmedicine.com