"Degenerative changes are seen at T3, T4, and TSH."
Friday, March 8, 2013
Great radiology reports
"Degenerative changes are seen at T3, T4, and TSH."
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From a thoracic spine MRI:
"Degenerative changes are seen at T3, T4, and TSH."
A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
"Degenerative changes are seen at T3, T4, and TSH."
Welcome to my whining!
This blog is entirely for entertainment purposes. All posts about patients, or my everyday life, or anything else may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate. I could be making all this up. I may not even be a doctor. The only true statement on here is that I probably drink more Diet Coke than you do. A lot more.
Singing Foo!
Singing Foo!
Twitter fans- you can follow me @docgrumpy
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
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2013
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March
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- Patient quote of the day
- Mary's desk, March 27, 2013
- WTF?
- Memories...
- Perseveration
- Weekend reruns
- Hospital rounds, Thursday night, 7:10 p.m.
- Reasons Mary drinks
- Advice for grads (new and old)
- Ouch
- Why do I bother?
- Patient quote of the day
- Mary's Desk, March, 2013
- Deja Vu
- History rerun
- Sunday afternoon
- "I've been through my MacBook on a drive with..."
- Great radiology reports
- Mary's desk
- And I feel fine
- The heat is on
- More great survey moments
- Sales call
- 1980's PSA, remade at my house
- I think they're trying to tell me something
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March
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17 comments:
Taking sales rep boasting to a whole new level: "Our new MRI is able to detect 100% more Hormones than those of our competitors, think of all the blood drawings you could avoid..."
TSH? Thats good... last I heard it was only able to be done via the yellow or red routes!
I have been taking thyroid medication for almost 20 years and I don't recall ever having an MRI on my spine done to check my TSH levels!
The spine bone is connected to the thyroid bone?!
That explains so much about me...
That made me laugh :D Sometimes you go on autopilot.
They can test your thyroid hormones by MRI now? Sweet!
Now the imaging center can bill for an MRI of the thoracic spine AND the thyroid. Ka-ching
Most likely scenario: Voice rec may have heard T7-8 as TSH
@Stacey Gordon, that's sort of what I was thinking. Or maybe it's an entry for "damn you, autocorrect!". A comment on another blog I read had had the name "Tam" changed to "Myer" by the poster's phone.
Stacey, I bet Dr. G with his experience of "Draggin" Dictate, can confirm that as a possible cause for the blunder.
BUT aren't people supposed to proof this stuff? Lives are at stake.
Yep, yet another fine example of the neuro-endocrine feedback loop system at work.
Now, when we check your thyroid labs the results will also spit out an MRI report, works both ways.
You know how it is, you get to a certain age and everything starts going wrong at once.
(Actually it looks like it could be a text-expander generated error to me.)
Damnit Jim, I'm not an endocrinologist!
Five spine surgeries and umpteen MRIs and X-rays pre and post -- I KNEW they missed something!!
I design medical software...Some of our Urologist customers started using a certain voice-recognition software dictation system, and suddenly they were documenting "a reptile dysfunction" a lot.
This made me wonder...Is a Dragon a reptile?
Is a Dragon a reptile?
It depends on the author and the mythos involved.
Some dragons have a reputation for sunning themselves on hot rocks, like giant lizards. Leading some to believe they are reptiles.
Others have hot smoking blood, meaning they are exothermic not cold blooded, therefore, not reptiles.
Since paleontologists now believe that many dinosaurs were warm-blooded, put me in the not-reptile camp.
The only known species of dragon, currently not extinct, the Kimodo Dragons, are definitely reptiles.
Gotta love DragonSpeak. My fav is when I say "patient" and it types "Haitian".
"34 year old Haitain seen today..."
One day, half my patients were Haitain.
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