The GigHz Journal
Physician-led writing on the systems doctors were never taught — clinical AI, imaging decisions, reimbursement, taxes, ownership, markets, and identity. 2,319 posts · 19 topics
The Physician’s Asset Protection Stack: Why the Order is Everything
Physicians hear 'asset protection' as a single product to buy, usually from whoever is selling that product. It's…
The Attending Coverage Cliff: Why Your Financial Safety Net Resets at Graduation
A graduating resident's coverage was always handled by the institution. At the attending transition, everything resets at once…
The Disability Insurance Trade You Make Without Realizing It
Group coverage feels free or near-free, so it becomes the default. The costs surface later: it ends at…
The Physician’s Transition Trap: What Really Happens to Your Insurance Between Jobs
A physician negotiates the new contract carefully but treats the transition itself as paperwork. Between the last day…
The Legal Exposure That Arrives With Your First Employee
A physician opens a practice, hires a front-desk staff member and an MA, and assumes malpractice insurance is…
The Liability Blind Spot Hiding in Your Auto Policy
A physician household carries the same auto liability limits as their neighbors while owning multiples of the assets.…
The Definition That Can End a Medical Career: Deconstructing Physician Disability Policies
A proceduralist assumes the hospital's group disability plan protects their income. The definition inside the policy often covers…
The $90,000 Resignation Letter: A Physician’s Guide to Malpractice Tail Coverage
A physician signs an employment contract focused on salary and call schedule. Buried in the malpractice clause: coverage…
What Imaging Is Best for Initial Staging of Adult Ocular Melanoma? An ACR-Guided Workflow
ACR-guided imaging workflow for Adult. Ocular melanoma. Initial staging. (Staging and Follow-up of Melanoma): recommended study, differential, downstream…
Which Imaging Study Is Best for Suspected Recurrent Melanoma? ACR Workflow
ACR-guided imaging workflow for Adult. Recurrent cutaneous, muco-cutaneous, or ocular melanoma. Suspected regional recurrence or metastatic disease. Stagin
What Is the ACR-Guided Imaging for Surveillance of High-Risk Melanoma?
ACR-guided imaging workflow for Adult. Cutaneous or muco-cutaneous melanoma. Positive clinical or surgical regional lymph nodes or metastatic…
What Imaging Is Best for Surveillance of Node-Negative Cutaneous Melanoma?
ACR-guided imaging workflow for Adult. Cutaneous or muco-cutaneous melanoma. Negative clinical or surgical regional lymph nodes or metastatic…
Which Imaging Study Best Stages Newly Diagnosed High-Risk Melanoma in Adults?
ACR-guided imaging workflow for Adult. Newly diagnosed cutaneous or muco-cutaneous melanoma. Microscopic satellite in primary lesion biopsy specimen,…
What Imaging Is Needed for Initial Staging of Clinically Node-Negative Melanoma?
ACR-guided imaging workflow for Adult. Newly diagnosed cutaneous or muco-cutaneous melanoma. No signs or symptoms of regional or…
Which MRI Is Best for Symmetric Weakness Suspecting Peripheral Demyelination?
ACR-guided imaging workflow for Adult. Acute or chronic symmetric weakness. Suspect demyelinating disease of the peripheral nervous system.…
Which Imaging Is Best for New Deficits in a Known Demyelinating Disease?
ACR-guided imaging workflow for Adult. Known demyelinating disease. New or progressive neurologic deficits. Initial imaging. (Demyelinating Diseases): reco
Which MRI Is Best for Surveillance in a Stable Adult with Demyelinating Disease?
ACR-guided imaging workflow for Adult. Known demyelinating disease. Stable neurologic examination. Surveillance imaging. (Demyelinating Diseases): recommen
What Is the Right Initial Imaging for Suspected Transverse Myelitis in an Adult?
ACR-guided imaging workflow for Adult. Acute or subacute sensorimotor symptoms below a spinal cord level. Suspect transverse myelitis.…
What Is the Best Initial Imaging for Suspected CNS Demyelination in an Adult?
ACR-guided imaging workflow for Adult. Acute or subacute sensorimotor or brainstem symptoms. Suspect demyelinating disease of the central…
What Is the Best Initial Imaging for Suspected Breast Implant-Associated Malignancy?
ACR-guided imaging workflow for Adult of any age. Female or transfeminine. Suspected breast implant-associated malignancy. Breast implant of…
What Is the Next Imaging Study for Indeterminate Postmenopausal Pelvic Pain?
ACR-guided imaging workflow for Adult postmenopausal female. Subacute or chronic pelvic pain. Suspected gynecologic etiologies. US indeterminate. Next…
What’s the Best Initial Imaging for Postmenopausal Pelvic Pain with Gynecologic Suspicion?
ACR-guided imaging workflow for Adult postmenopausal female. Subacute or chronic pelvic pain. Suspected gynecologic etiologies. Initial imaging. (Postmenop
Should You Order CT for an Acute Flare in a Patient with Chronic Pancreatitis?
ACR-guided imaging workflow for Adult. Chronic pancreatitis. Suspect superimposed acute pancreatitis. Initial Imaging (Chronic Pancreatitis): recommended s
What Is the Best Initial Imaging for Suspected Chronic Pancreatitis in Adults?
ACR-guided imaging workflow for Adult. Suspected chronic pancreatitis or complications associated with chronic pancreatitis. Initial imaging (Chronic Pancr
Written and reviewed by Pouyan Golshani, MD, Interventional Radiologist — Last updated May 25, 2026
Part of the GigHz library: systems doctors were never taught.