Thursday, October 22, 2009

Um, Not In My Office

I was flipping through a throw-away medical journal last night when I came across this picture.

Gotta tell you guys, if I did something that looks like this to a patient (especially one in hot pink undies!) I'd get my butt dragged in front of the state medical board.

(click to enlarge)

21 comments:

Dr. Phil said...

What? No thong? I am always amazed at the people who come in wearing their thong....When they are there for abdominal pain. Didn't you think you might have to put a gown on?? Or the teen girls that forget to tie their gown, then have to bend over for their scoliosis test....Whoa Nellie. And better yet is the occasional person that has an awkward pause when asked to put on the gown... "I'm not wearing underwear today....."

Doris said...

I think I read somewhere that hot pink underwear renders useless all attempts at therapy...

What I want to know, what sort of examination table is that? With the paper notices...notifying what?

>:)

Doris

HeatherLynn said...

ok, so i'm not one of you "medical people"....someone tell me...what exactly IS a: "Posterior glide of ilium test?"

Just curious....

Oh, and I never wear a thong to the dr.'s office....I have rules rules about thongs...#3 - I never wear them to the gym or when I go running, and #2 - never to the Dr's office and #3 - always put panties in the laundry hamper...

it's kinda like robert's rules of order for panty ettiquette....

~hl~

Stacey said...

Why? It's a perfectly legitimate soft tissue funtion/dysfunction test. I'm sure the specialties that use such a test don't appreciate you insinuating that there is something sexual about it.

Helen said...

Doctor's appointment = the plaintest, most respectable looking underwear I own.

ERP said...

Posterior Glide. Sounds like a competitor to KY Jelly!

ERP said...

Stacey. Lighten up.

Sally-Sal said...

Get thee behind me, doctor.

Anonymous said...

So, what symptoms do I have to feign to get my doctor to do this test for me? ;)

Anonymous said...

This just doesn't look um, very clinical, or professional. No rubber gloves, nor disposable examining table cover, a black 'clinical' jacket.

Looks, like the patient told the doc on the elevator ride up to the office that he/she had heard a 'posterior ilium glide test was the latest thing, it'd take just a minute, and could he perform, umm, administer, it in 2 minutes..' or maybe they just got off the tennis court, and someone said something about Long Island Tea or something cold, and then someone's spouse said, "Hrmmph', and then someone else said, 'Well, let's just take a look, hmm, may be just a hunch, but let's see about that posterior ilium glide', and found that he was doing some research for an anecdotal report for American Neurology Association, hence the actual unrehearsed photo with no trace of identifying features, but usually don't see these kind of photos in American Pharm Science, JAMA, Burns, SCCM, or even Drug Topics, so wouldn't know if neurologists routinely see these kind of diagnostic procedures in their practice.

I've only done the 'close your eyes and touch your nose' and 'try to walk in a straight line'. (If they'd a told me ahead of time, I could've practiced.)

Joni Ahlquist said...

I do admit, it does look odd at first. I remember doing this all time time in college.

student dr. blaze said...

I hate to impede upon the joke (because if I didn't know what it was, I'd think it was hilarious, too...), but to quench the curiosity of the masses, I'll tell you: it's an osteopathic test. As in, osteopathic medical treatment. Which, believe it or not, physicians are licensed to perform. In this country. If I remember correctly, this one is to determine whether the psoas muscle is eliciting pain as opposed to visceral pain.

Incidentally, during the nearly two years that I attended osteopathic medical school, we had weekly labs during which we had to perform such procedures on one another. When they didn't look like this, they nearly always involved me (or the "practitioner") having to stick my boobs in my classmate's ("the patient") face. I once asked my physician (who happens to be a D.O.) about said awkwardness, and he explained that how one practices osteopathic manipulative medicine (OMM) outside of medical school is different than how you *have* to practice it for board exams. Hence having to put yourself in as many awkward positions as possible with your patient. I swear, one might have better luck learning OMM for the boards by studying the Kama Sutra....

Just FYI, of course. ;-)

The Antuinge Man said...

But mightn't this be considered a neurological treatment for some of your patients?

Anonymous said...

Does anyone else think the patient's thigh size doesn't match the rest of her body. (I'm assuming it is a female. You never know...)

Anonymous said...

There is not a single published study demonstrating improved patient outcomes as a result of performing this diagnostic test, and it should be abandoned. Except by slob pervert doctors.

Anonymous said...

@ERP:

Mayhaps you have visions of Astro-Glide dancing through your head?

Doc G - have you ever performed this test on a patient?

TranscriptionistTia said...

My chiropractor did something similar to me (and he had a great idea, as an aside, they gave everyone a pair of basketball-type gym shorts to put on before manipulation, and into a hamper for washing afterwards; totally eliminates all pink thong incidents).I was having some hip/sciatic pain. He applied pressure and I became flatulant. Moral of the story? Don't go to Taco Bell *before* your osteopathic/chiropractic treatment.

Grumpy, M.D. said...

Anon 8:43- Nope. Not in my exam repertoire.

Anonymous said...

All I could think of was the "cure" for hysteria at the turn of the last century, which involved inducing paroxyimal uterine contractions to alleviate "female hysteria". Worked great. but today we call them orgasms!

Jackie

Maha said...

LMAO! Guaranteed a few eyebrows would be raised if a anyone was ever seen performing this test on a patient!

Anonymous said...

DOs do this all the time.

 
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