spacer About SPin-DR and
Frequently Asked Questions:
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spacer Mission Statement:
Our mission is to provide fast, expert MRI readings...with a smile.
 
SPin-DR Services:
[1] SPIn-DR provides expert interpretation of MRI scans from independent MRI centers.
 
[2] We also provide second opinion interpretations of MRI scans, CT scans, nuclear medicine, ultrasound or plain film radiography are available by appointment.
 
[3] We promise accurate and consitent readings by a board-certified fellowship-trained MRI specialist with a Ph.D. in magnetic resonance.
 
[4] Turn-around time for interpretations is usually within 48 hours.
 
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spacer  Frequently Asked Questions:
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What is needed for the best MRI interpretation?
For the best MRI interpretation, the referring physician should provide a complete history. The reading will address any findings that may be responsible for the patient's symptoms. Any specific questions will be answered in the impression. A copy of office notes or previous operative notes would be helpful. Any previous films including CT, MRI, nuclear scans or plain films that are supplied will be correlated with the MRI scan and returned promptly.
 
Why do you delay reading MRI scans if plain films are not supplied?
In most cases, the MRI may be read without any plain films for comparison. However, it is always easier to make a confident MRI diagnosis when you have the plain films for confirmation. Tentative diagnoses of calcific tendinitis, osteophytes, myositis ossificans, fibrous dysplasia, fibrous cortical defects, encondromas, hematoma, hemorrhages, and fractures are made obvious when the MRI scan is correlated with plain films or CT scans or bone scans. In fact, about 5-20% of readings change with plain film correlation at the time of the reading. For example, an interpretation without plain films may read 'narrow desiccated disc bulge or protrusion or osteophyte...' while the same scan read in conjunction with the plain films can state 'left posterolateral osteophytes compressing the cord 20% at C4-5'.
 
If plain films are required, but not delivered within 3 business days, a report will be issued without correlation.
 
Where did the name 'SPin-DR' originate?
The name 'SPIn-DR' is an acronym for
St.
Petersburg
Independent
Diagnostic
Radiology.
 
It has a double meaning, too.
 
The physical basis of MR Imaging is the spin of the hydrogen nucleus, or proton. Without this spin, there would be no MRI. Dr. Herbst has a Ph.D. in physical chemistry where he studied the physics of nuclear magnetic resonance (which is the basis for MRI) and used it to measure water transport across red blood cell membranes. Dr. Herbst later studied MRI with with Bill Bradley, Jr., M.D., Ph.D. who is one of the worlds biggest MRI gurus. He also teaches MRI physics to radiology technologists at St. Petersburg Junior College. You can see that Dr. Herbst must really love MR. For these reasons, Dr. Herbst is really a doctor of "spins" and so the name is certainly appropriate.
 
Why did you quit Price Hoffman Stone and Associates?
It was only after a great deal of thought and planning that I resigned from the best radiology group in St. Petersburg. During the 7 years that I was there, I became a partner, the director of MRI, a musculoskeletal specialist, a mammography specialist, and was able to perform nearly all interventional radiological procedures including angiography, biopsies, drainages, and the new breast stereotactic and ABBI procedures. During my regular work day, I also received MRI scans from MRI centers, lawyers, and referring physicians who wanted my readings. This extra work began to build up to a point that I could not do both jobs at once.
 
I had to choose one or the other--to be a general radiologist or to be an entrepreneur, reading MRI scans in a new kind of radiology practice. Based on my unique training and the strength of my interest in MRI, I chose the latter.
 
I want it to be clear that I have no arguments with Price Hoffman Stone or their radiologists, with Bayfront Hospital or their administration, or the Suncoast Clinic. I am forming this independent corporation as a way of getting back to MRI, to devote more time to MRI education, and to be able to spend more time with my family while preserving, or even increasing, my income. Oh yes, and no more calls, no weekends, no holidays.
 
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spacer  Vacation Questions:
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What is your vacation policy?
I love my work. I devote most of my time to my profession. However, there is more to life than work, and no one ever wished on their deathbed that they had spent more time working and less with their families. I intend to play as hard as I work, and for that I make no apology.
 
Why don't you get a locum tenens physician to cover you when you are gone?
The credentialling requirements of the dozens of insurance plans make it impossible to get a locum tenens physician credentialled in time for coverage, even if I started six months before my vacation. It would not do any good to hire someone who could not read for a subset of the patients. Besides, even at my previous position where I had six good MR readers backing me up when I was away, I always came back to a large stack of studies to read or overread when I returned.
 
What should a referring physician do while you are gone?
Please instruct the imaging centers to hold non-emergency scans until I return. Have your emergency cases read elsewhere. I will be glad to look at them when I return if you want. A verbal report is no charge. A written overread will be billed to the insurance company or to the imaging center, so I will need a written prescription for the overread and preauthorization.
 
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