{"id":10454,"date":"2022-06-06T10:43:24","date_gmt":"2022-06-06T14:43:24","guid":{"rendered":"https:\/\/blogs.nejm.org\/hiv-id-observations\/?p=10454"},"modified":"2022-06-07T07:59:56","modified_gmt":"2022-06-07T11:59:56","slug":"still-more-fun-with-old-medical-images","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/still-more-fun-with-old-medical-images\/2022\/06\/06\/","title":{"rendered":"Still More Fun with Old Medical Images"},"content":{"rendered":"<p>Back in the Before Times, this site would occasionally dabble in lighter fare:<\/p>\n<ul>\n<li><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/tag\/id-cartoon-caption-contest\/\" target=\"_blank\" rel=\"noopener\">Cartoon caption contests<\/a><\/li>\n<li><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/are-id-doctors-the-worst-dressed-specialists\/2012\/07\/10\/\" target=\"_blank\" rel=\"noopener\">Commentaries on doctor attire<\/a><\/li>\n<li><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/morgans-vote-favorite-caption\/2016\/09\/11\/\" target=\"_blank\" rel=\"noopener\">Thoughts on the first-name &#8220;Morgan&#8221;<\/a><\/li>\n<li><a href=\"https:\/\/twitter.com\/buitengebieden\/status\/1533022340887486466?s=20&amp;t=ShPbhfDhg-BwCP2bWisXfA\" target=\"_blank\" rel=\"noopener\">Penguins chasing a butterfly<\/a>\u00a0(Well, actually, this is a new one!)<\/li>\n<\/ul>\n<p>https:\/\/twitter.com\/buitengebieden\/status\/1533022340887486466?s=20&#038;t=ShPbhfDhg-BwCP2bWisXfA<\/p>\n<p>And, the subject of today&#8217;s post &#8212; <em><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations?s=fun+with+old+medical+images&amp;fulltext=fun+with+old+medical+images&amp;searchPointer=This+Blog\" target=\"_blank\" rel=\"noopener\">Fun with Old Medical Images<\/a><\/em>.<\/p>\n<p>Here&#8217;s how it works: We display an old medical image &#8212; something with long-expired copyright protection to reassure my editors and keep me out of trouble. Then, through the magic of the internet, I give it a fresh caption and a brief commentary.\u00a0It may or may not have an ID theme.<\/p>\n<p>Surprised that something with the NEJM Group imprint would stray into such territory, you will then smile at the incongruity and maybe even laugh a little. All for the usual bargain price of this fine content.<\/p>\n<p>(We accept all major credit cards, PayPal, and cryptocurrency. And, I&#8217;ve been told, your purchase is FSA-eligible for reimbursement.)<\/p>\n<p>Off we go with #1 &#8212; always good to start with an ID one:<\/p>\n<div id=\"attachment_10457\" style=\"width: 386px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10457\" class=\" wp-image-10457\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-04-at-7.18.29-AM.png\" alt=\"\" width=\"376\" height=\"326\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-04-at-7.18.29-AM.png 1656w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-04-at-7.18.29-AM-300x260.png 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-04-at-7.18.29-AM-1024x888.png 1024w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-04-at-7.18.29-AM-768x666.png 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-04-at-7.18.29-AM-1536x1332.png 1536w\" sizes=\"auto, (max-width: 376px) 100vw, 376px\" \/><p id=\"caption-attachment-10457\" class=\"wp-caption-text\">&#8220;And this here, Miss, is why I&#8217;m going to get my N95 mask.&#8221;<\/p><\/div>\n<p>Could it be TB? It can <em>always<\/em> be TB. Better take precautions!<\/p>\n<p>Now, for #2, a grim visitor &#8212; or is it?<\/p>\n<div id=\"attachment_10458\" style=\"width: 417px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10458\" class=\"wp-image-10458\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/40657863861_3a45c373dd_b.jpeg\" alt=\"\" width=\"407\" height=\"453\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/40657863861_3a45c373dd_b.jpeg 763w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/40657863861_3a45c373dd_b-269x300.jpeg 269w\" sizes=\"auto, (max-width: 407px) 100vw, 407px\" \/><p id=\"caption-attachment-10458\" class=\"wp-caption-text\">&#8220;Didn&#8217;t you say you wanted a cup of sugar?&#8221;<\/p><\/div>\n<p>Don&#8217;t judge a book by its cover &#8212; or more accurately, don&#8217;t prematurely judge a scary skeleton handling an hourglass as a portent of death. He&#8217;d heard you needed a kitchen staple and is just being neighborly!<\/p>\n<p>There&#8217;s plenty of time to finish baking that cake before the scythe deals its final blow.<\/p>\n<p>Let&#8217;s stay (roughly) with this time period &#8212; early 19th century, according to my crack research team &#8212; with #3:<\/p>\n<div id=\"attachment_10460\" style=\"width: 398px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10460\" class=\" wp-image-10460\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.36.47-AM.png\" alt=\"\" width=\"388\" height=\"432\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.36.47-AM.png 1056w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.36.47-AM-269x300.png 269w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.36.47-AM-920x1024.png 920w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.36.47-AM-768x855.png 768w\" sizes=\"auto, (max-width: 388px) 100vw, 388px\" \/><p id=\"caption-attachment-10460\" class=\"wp-caption-text\">&#8220;Thorsten, time to check again on that prior authorization for semaglutide.&#8221;<\/p><\/div>\n<p>Ah, the travesties of insurance coverage and prior authorizations &#8212; a problem even in 19th-century England, I guess!<\/p>\n<p>Please note the tried-and-true humor technique I used there, mixing the old image <a href=\"https:\/\/www.nytimes.com\/2022\/05\/31\/health\/obesity-drugs-insurance.html\" target=\"_blank\" rel=\"noopener\">with a modern concern<\/a>. Yes, it&#8217;s easy, but remember &#8212; these are <em>Old<\/em> Medical Images. And I&#8217;m not <em>that<\/em> old. Never saw this one in medical school, for example.<\/p>\n<p>Let&#8217;s get fit with #4:<\/p>\n<div id=\"attachment_10464\" style=\"width: 388px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10464\" class=\" wp-image-10464\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-10.15.20-AM.png\" alt=\"\" width=\"378\" height=\"514\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-10.15.20-AM.png 1118w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-10.15.20-AM-221x300.png 221w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-10.15.20-AM-753x1024.png 753w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-10.15.20-AM-768x1044.png 768w\" sizes=\"auto, (max-width: 378px) 100vw, 378px\" \/><p id=\"caption-attachment-10464\" class=\"wp-caption-text\">Gertrude didn&#8217;t consider it a full workout until she&#8217;d completed at least 30 minutes on the automated Exer-Master.<\/p><\/div>\n<p>Well of course she didn&#8217;t consider it a full workout &#8212; that side-saddle mount looks mighty comfy, and the powerful Exer-Master\u00ae engine is doing most of the work! Get this person a Peloton! Then she&#8217;ll know the meaning of &#8220;exhaustion for those with disposable income.&#8221;<\/p>\n<p>For #5, we&#8217;ll visit a commonly done test on inpatient medical services everywhere:<\/p>\n<div id=\"attachment_10463\" style=\"width: 382px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10463\" class=\" wp-image-10463\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.58.38-AM.png\" alt=\"\" width=\"372\" height=\"445\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.58.38-AM.png 1056w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.58.38-AM-251x300.png 251w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.58.38-AM-857x1024.png 857w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-5.58.38-AM-768x918.png 768w\" sizes=\"auto, (max-width: 372px) 100vw, 372px\" \/><p id=\"caption-attachment-10463\" class=\"wp-caption-text\">The medical team was pleased that the patient easily passed his swallowing study.<\/p><\/div>\n<p>No mechanical soft solid diet for him! And don&#8217;t make the &#8220;have a frog in your throat?&#8221; joke &#8212; he&#8217;s sensitive about that.<\/p>\n<p>Let&#8217;s finish with #6, a more modern, &#8220;hip&#8221; offering, hip in more ways than one:<\/p>\n<div id=\"attachment_10465\" style=\"width: 354px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10465\" class=\" wp-image-10465\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-3.05.06-PM.png\" alt=\"\" width=\"344\" height=\"375\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-3.05.06-PM.png 1168w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-3.05.06-PM-275x300.png 275w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-3.05.06-PM-937x1024.png 937w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2022\/06\/Screen-Shot-2022-06-05-at-3.05.06-PM-768x839.png 768w\" sizes=\"auto, (max-width: 344px) 100vw, 344px\" \/><p id=\"caption-attachment-10465\" class=\"wp-caption-text\">A little golf. A little oil painting. Later &#8212; a slimmer figure!<\/p><\/div>\n<p>Don&#8217;t take our word for it. Pony up your <a href=\"https:\/\/grooveland.tumblr.com\/image\/177108278165\" target=\"_blank\" rel=\"noopener\">$3.88 for Item 56 F 5965<\/a>&#8212; <em>inflatable sauna shorts<\/em> &#8212; and you too can knock inches off your hips and belly!<\/p>\n<p>Comes in a wide range of colors never before seen in nature.<\/p>\n<p>That&#8217;s all for today, folks. If you&#8217;ve read this far, I hope you&#8217;ve enjoyed this latest installment of\u00a0<em>Fun with Old Medical Images.\u00a0<\/em>And, if not, we&#8217;ll be back with more grim pandemic news next time.<\/p>\n<p>Chicken!<\/p>\n<p><iframe loading=\"lazy\" title=\"Magic Word Wakes Doggie from Deep Sleep || ViralHog\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/4kJl3FRZUFk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Back in the Before Times, this site would occasionally dabble in lighter fare: Cartoon caption contests Commentaries on doctor attire Thoughts on the first-name &#8220;Morgan&#8221; Penguins chasing a butterfly\u00a0(Well, actually, this is a new one!) https:\/\/twitter.com\/buitengebieden\/status\/1533022340887486466?s=20&#038;t=ShPbhfDhg-BwCP2bWisXfA And, the subject of today&#8217;s post &#8212; Fun with Old Medical Images. Here&#8217;s how it works: We display an [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,5,1],"tags":[5832],"class_list":["post-10454","post","type-post","status-publish","format-standard","hentry","category-health-care","category-infectious-diseases","category-uncategorized","tag-fun-with-old-medical-images"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/10454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=10454"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/10454\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=10454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=10454"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=10454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}