HOW TO X-RAY a SHOULDER | shoulder y | fix repeat | radiology program | tips tricks | positioning

Manual Technique Cards available @ XRAYREY.COM
MY FAMOUS XRAY SHOES! 🦴👟- amzn.to/2KxVmtW
POSITIONING GUIDELINES IN YOUR POCKET!- amzn.to/34KFJaL
Stop using tape for your makers and use RADHESIVE!!!!- amzn.to/2XeL70y
Best Scrubs on the Market! (What I wear)- fitscrubs.com (use code: “XRAYREY”)
EQUIPMENT I USE
Camera
Sony a6600: amzn.to/2QBbSJx
Sigma 16mm f/1.4 (blurry background): amzn.to/2Dbljwh
Cage for Camera: amzn.to/32GSPmE
Screen Protector: amzn.to/34KfiBT
Batteries: amzn.to/3hHlRZO
Memory Card: amzn.to/2YN1lzl
Mic: amzn.to/34G0B2W
Cheaper Mic Option: amzn.to/3b6bZGy
Lighting: amzn.to/2Df7xZA
My Setup
Desk: amzn.to/3lvc4YW
Shelves: amzn.to/3lFQa5A
LED Strips: amzn.to/3b83fj6
X-ray Viewer/Lightbox: amzn.to/3luOpbd
Holder for Viewer: amzn.to/32BXVRb
Frame for Certs: amzn.to/32DvYsb
Salt Lamp: amzn.to/2Ga3pLw
Use Your iPhone
Cell Phone TriPod Adapter: amzn.to/32AHqVr
Power Bank: amzn.to/32w0PXu
External HD: amzn.to/3bkPDkR
Apple Lightning to USB3 Camera Adapter: amzn.to/2EIdKgW
**Making a goal of 1k subs by June 🙌🏽
And as a thank you, I’ll be giving away a set of "FIT Scrubs" (what I wear)(fitscrubs.com) to a lucky winner. I truly appreciate you all! Thank you for supporting me and believing in me to help you along your journey.**
In this video, I demonstrate how to x-ray a shoulder, a routine shoulder 2 view minimum exam (internal, external, and shoulder-Y). This is my protocol at my facility. Other views can be ordered by the physician. I shoot my shoulder-Y's PA, as this is the view I was taught in school. It limits the radiation to the thyroid. I recommend getting used to the AP position as well for trauma cases.
I also recommend not using my "method" in your 1st year LOL I don't remember exactly when I started it, but I do remember trying it out once I got tired of going back for a simple turn of the hand. Try it out when you get more experience, and lmk what you think.
As this is my first positioning video, please give me some feedback on the layout of the video. I thought it would be beneficial for you to "observe", then "assist", and finally you can go out there on the floor and "perform" just like you would in real life.
See you at the top!
#xraytech

[@XRAYREY]

0:33 “REAL-TIME” Exam 2:40 Exam Breakdown 3:37 My method of explaining int & ext rotation 4:40 Shoulder-Y breakdown 6:06 How to fix your Y repeat

[@XRAYREY]

I have C, T, L-spine, chest, and knee recorded. Just need to edit them. Happy positioning!

[@harryclark4376]

Love the energy bro!! I'm a final year radiography student from UK. Be cool if you could do x-ray positioning videos relating to adaptive technique e.g. when the patients is in a bed/trolley and is unable to move independently; resulting in us having to position the tube/detector around them.

[@abuashbinrabi1330]

Friend do you know any immobilization device use in x ray,CT,MRI during processing of different body parts ?

[@sunthiasaintilme654]

Hey Rey, can you make a video with an easy way to get the y-view on an AP projection. Most hospitals perform the AP scapular y instead of the PA

[@XRAYREY]

I can go over that in a future video on trauma shoulders. In the meantime, just use this video and flip the patient. The positioning and radiographic criteria and how you fix your repeat will be identical, just the AOI and "pivot point" will be the shoulder further away from the bucky

[@shellysadventures2875]

I recommend checking out Wikiradiography "Lateral Scapula Radiography" helped me a lot

[@sunthiasaintilme654]

Michelle Ferd thank you!

[@kayhix7603]

Great video. I've been a tech for about 6 years now and wondered when someone would highlight us on KZbin. Our students struggle with C-ARM and surgery cases the most, I've been thinking about doing some videos in the OR but I'm camera shy....could you do a mock surgery case?

[@XRAYREY]

Just messaged my OR tech about it. I definitely feel their pain as i did too. Just because i didn’t have enough experience. My facility had me mainly on the floor. I’ll let you know ASAP! Thank you for the suggestion. Will give you a s/o ✊🏽

[@kayhix7603]

@@XRAYREY Excited to see the final product! Love what you do!

[@krissym3578]

These are the best I've seen, positions, radiograph & anatomy, and how to fix the position. Thank you so much! I look forward to more of your positioning videos.

[@XRAYREY]

Glad it was helpful! thank you so much for sharing

[@abuashbinrabi1330]

sir,could you please tell me the name of those immobilization devices use in x ray,CT,MRI during processing of different body parts ?

[@Sharikayoub]

yes i can

[@juanb795]

That's an interesting way of doing it, Rey. Here where I live, some locations would even include a little bit of spine for them shoulders! And the Y we usually do it AP...👌🏼

[@jamesbuckner6980]

We are on upper extremities shoulder, elbow, humerus, and forearm. Very helpful video! Thanks Rey 🙌🏾

[@XRAYREY]

No problem!!

[@erinmoriarty1060]

Do you have any videos for Portable AP Y positioning?

[@XRAYREY]

not as of yet, it's almost impossible to borrow the portable in times like these

[@Captivating28]

wow thank you for that lil pep talk at the end. x-ray student here and shoulder-Y got me doubting myself big time

[@NexIpsum]

love your channel, thank you! I work in an Orthopedic office and the shoulder series they want here is the Grashey in neutral and external rotation, outlet y-view, and SI axial. If you did a video covering those that'd be amazing. i am always looking to improve my skills.

[@XRAYREY]

Those are some detailed views! I don’t do them routinely but done when ordered rarely. I’m currently working on other videos, but if you’d like to hop on a zoom call email me!

[@veronicapena5776]

Can you do a video for axillary view and modified axillary view pls

[@XRAYREY]

noted! will do a part 2 with grashey

[@Arethereanyhandlesleft]

AP shoulder should include the sternoclavicilar joint medially. Your projection did not.

[@Ekruu_k]

Analyse and present Austrians Medical Radiologist Technology or society code of practis or ethics???

[@saraallen6678]

I haven't reached clinicals yet but does your tube move when you move the bucky? all on it's own? We have an old school type of tube and bucky in lab and we have to move each separately.

[@cocogoat7667]

Just started my rad tech career, its been overwhelming. But thanks for these vids so helpful!

[@XRAYREY]

Welcome to the family!

[@adilenetarango8690]

Literally best videos out here for projections! Thank you so much for the work you put in to making these! I graduate my program in 6months and COVID really set us back! So grateful for these!!!

[@XRAYREY]

I appreciate you! And I’m grateful i can help

[@mariia_17]

You must have graduated already, congrats!

[@zeap711]

Just stumbled through this channel but definitely something I needed to hear. Thank you so much!

[@brenavarra3685]

You make these look so easy

[@XRAYREY]

I once struggled. Product of learning from my mistakes and an abundant of repetition

[@graceappiah7236]

What’s the centring point for the PA shoulder

[@alexisisidoro6472]

Bro thank u !! So beneficial and ur so underrated, I'm so glad u are making these

[@ymcgill62]

Where do you get you markers from? Or are thy giving to you?

[@yoli1342]

My son is 22 years old what advice can you give him if he wanted to start

[@annaagustin4955]

That’s internal rotation and external rotation is t it

[@lifelongcommitmentwiththea6394]

Thanks I’m glad I found your channel I will share your channel with my classmates! This is my first time seeing the y view poisoning from a PA view. I’m in my 2nd year getting ready to start our spring semester ❤

[@lupitohh]

I like to touch my patient haha and speak all at the same time O.o

[@reynainiguez706]

Thank you so much for this

[@Samson-dn4eo]

can you do a video on the grashey i suck at those

[@annaagustin4955]

Is that the y view the 3rd image?

[@1Missysunshine]

Hi there, question 😊. What do you think about starting this career at 52 years of age? I’m a young 52 years though, lol 😝

[@XRAYREY]

Tbh it’s hard for me to say lol I just turned 30. But I do know that there are elder students in the program. I’d say if your heart is in it. You have a passion for it. You can do it!

[@heatherschweetpea5259]

I am 42! You are never too young or too old to change your life.

[@TheThriller4]

Communication is key. Moving an injured patient siring words and not hands is a challenge we’ve all faced. From the looks of the X-ray taken, the way you’re moving him is just hurting him more.

[@nannetishekinah3869]

I struggle with ap oblique of the shoulder

[@TejRecordz]

hows the program going

[@skywater133]

Nice video, doing the whole exam then going back and showing your thought process was a good way of laying out the vid, very helpful! I’m a first year student. Keep it up! 😊

[@livionian9142]

Great video really helpful, could you do one showing axial shoulder & modified axial's?

[@ieshaholt1724]

I would love for you to talk about how to fix a grainy image. Example for lumbar spine was 75 Kvp and mAs 30

[@gabestreet8218]

Hey Rey! I’m a 2nd year student and my clinical sites protocols are very different, which I know every hospital or outpatient center is different but it’s interesting seeing something new! We do a normal AP internal rotation, then we do an oblique view or grashey with a external rotation. Then we do our Y-view AP instead of PA but I honestly think the PA is easier.

[@drewgg7814]

Most helpful video I’ve found yet. Thanks so much

[@AnnagmOohYea]

Sooooo helpful!!!! Thanks

[@XRAYREY]

You're so welcome!

[@KevDoza]

this is dope. thanks for this

[@suzannestabler9883]

I LOVE your channel! I wish that I had this when I was a student. You are doing a GREAT job, providing an incredibly valuable service! Your technical instruction is awesome, and the inspiration you give to the world is so invaluable. THANK YOU! Looking forward to seeing much more from you.

[@Gogies777]

had shoulder x ray today(both shoulders are frozen due to mva) technologist manner does seem to make a difference.The guy who attended me was bossy and unsympathetic.has some questions about shielding but responded in annoyed manner.Is there a chance that due to annoyance that he might exposed me to higher radiation dosage by increasing MaS and ms excessively?is this a possibility,not saying he did it but no idea how much radiation can one get from it when used carelessly.

[@XRAYREY]

unfortunately we are all human and this can happen. Not giving the tech an excuse, but you can say this for any other profession. To answer your question, there is a chance, but highly unlikely for a shoulder exam. I wouldn't worry about it at all. I recommend you calling and filing a complaint, however.

[@NoWayJose3456]

Amazing videos!! The most helpful videos I’ve seen. I just got a job as a CT student that will also be doing x-ray at a well ranked institution in my state. I haven’t done x-tables in over 10 years as I’ve only worked in a clinical setting. I’ve been feeling anxious to say the least. I have to look through your vids to see if you have a x-table hip. Can you go over well known portable trauma views like C-spine?

[@NoWayJose3456]

Just found the x table hip video. Yessssss!

[@r.n.morielmaranon1495]

thank you that you're vlogging this kind of job. its a big help to me or us that going to take this rad tech course this coming school year.

[@ajlaramedina]

I just graduated and started my new job, and the Y is the bane of my existence. I love this video it helped a lot and I love your energy, you've gain a new subscriber!!

[@shellysadventures2875]

Would you have really repeated both of those shoulders?

[@reiannasanchez3850]

Just wondering why the IR orientation is done portrait. Should it be crosswise for internal, external rotation and grashey to catch the sc joints and soft tissues of the arm?

[@XRAYREY]

For most places, yes. I failed to mention that my facility doesn’t need the whole clavicle

[@zagivens7733]

I’m so glad I came across this video ! My classmates and I needed more practice outside of lab for shoulder ! Thank you !

[@kennyx8482]

love the motivational bits at the end

[@kmanyip683]

Can you do an AP projection Y?

[@JaydE3much]

2 dislikes? Lol, how sway? #why?

[@hallepena8507]

you are a life saver. thanks

[@heatherschweetpea5259]

This was awesome! Thanks so much! Hope you do more!

[@lorenagomez9533]

Something I really needed to hear! Thank you so much :)

[@XRAYREY]

Glad it was helpful!

[@medstarta6711]

Heyy ... I'm 2nd year student from India ... We also operate CT and MR machines.. You to?

[@XRAYREY]

Hey there! Yes we do

[@DrSlick]

@@XRAYREY You have your MR license?

[@daisymaze101]

Great video!! I wanted to ask if you have done an axillary for the shoulder?? Or a velpeau? I get a lot of humeral head fx and the DR asks for a velpeau. If you have any tips? I’ve tried modified velpeau but my image is blurry.

[@XRAYREY]

I’ve done an axillary when ordered by the DR but never a velpeau. Would a trans thoracic not be ok?

[@daisymaze101]

X-ray Rey unfortunately no, he’s a specialist. I believe it’s an OID problem... maybe 🤔 anyway love your videos!

[@achoosachoos1369]

Hi Rey Could you please make a video about shoot through view of shoulder

[@XRAYREY]

I'm not sure if I understand your request. Grashey?

[@achoosachoos1369]

@@XRAYREY Thank you ☺️ i also checked with other radiographer Got the answer that typically the transthoracic view is the shoot through for shoulder

[@marielagarza1178]

Can you do a positioning video on ribs? Please😭

[@XRAYREY]

ribs and skull work on top of the list!

[@casandrabarrios3086]

Tomorrow I start second semester and On yo taking shoulder x-rays ! This will help thank you ☺️

[@XRAYREY]

Lmk how it goes! I’m interested on how well it will help students. I knew I was pretty intimidated. It didn’t take me 2nd year to finally grasp the concept of the Y. GL!

[@casandrabarrios3086]

X-ray Rey will do it’s not till next week and oh my gosh it definitely not my favorite so far ... thank you!!

[@b.o.4469]

Good shit!

[@DrSlick]

Are you needlessly exposing your co-worker?

[@XRAYREY]

Lol never once exposed him

[@ieshaholt1724]

I take my test pretty soon.. so this video helps alot

[@XRAYREY]

Good luck!!!

[@jibinjoshy7234]

Nice video ....

[@XRAYREY]

Ty!

[@blissfulmom21]

Thank you!!🦋💜

[@XRAYREY]

You’re very welcome!

[@wwefroogy]

Thinking about quitting IT to pursue this. I got all my prereqs done so it would just be rad tech classes left to take. Cool videos, also always great to see a fellow Pinoy on KZbin.

[@XRAYREY]

That seems like a common job to transition from for whatever reason lol I’ve heard several people do that. All been successful tho 👍🏽 Salamat po! 🇵🇭