{"id":8287,"date":"2017-01-22T16:13:58","date_gmt":"2017-01-22T21:13:58","guid":{"rendered":"http:\/\/blogs.nejm.org\/hiv-id-observations\/?p=8287"},"modified":"2022-06-04T05:50:58","modified_gmt":"2022-06-04T09:50:58","slug":"fun-medical-images","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/fun-medical-images\/2017\/01\/22\/","title":{"rendered":"Fun With Old Medical Images!"},"content":{"rendered":"<p>Welcome to <em>Fun with Old Medical Images!<\/em><\/p>\n<p>Here&#8217;s how it works: You&#8217;ll see a series of images &#8212; old, strange, and perplexing &#8212; and each will have\u00a0a caption that I have created for you <em>at no extra cost.<\/em><\/p>\n<p>Accustomed to high-quality and clinically\u00a0relevant information from your <em>NEJM Journal Watch<\/em>\u00a0contributors, you will laugh happily at the contrast between that solid content and this silly exercise, forgetting for a moment the complicated and sometimes contentious world we live in.<\/p>\n<p>See, this will be\u00a0<em>therapeutic.<\/em><\/p>\n<p>Off we go. Here&#8217;s the <a href=\"https:\/\/www.flickr.com\/photos\/internetarchivebookimages\/14764840305\/in\/photolist-ouHECa-ouD9MM-odq1XJ-ouTwvL-ouTAL9-ouFipH-orYsDE-ouHYqV-osBBj1-owUTBF-ouBLos-our1M8-odavrs-odjbfy-od9wCj-ownzfz-ouWX6o-odXLcN-oy57qT-8Fekc-odCko6-ouBLxW-odonUh-h5u88e-od9NnJ-oskHFm-odiFJ7-owovEp-osBkAN-odMCiv-ounuYB-ouqxbj-ouBGSE-ouAcpJ-ouYr9W-ocT56E-odG6yN-odZ6pW-ow7szu-owNA8p-otphCm-wNTNty-xrL8cE-oeoQ3y-xEpYEE-oeVzPJ-oeVVdw-xK1eVF-xrLrmo-oxDunP\" target=\"_blank\" rel=\"noopener\">first one:<\/a><\/p>\n<div id=\"attachment_8288\" style=\"width: 545px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/knee-in-hot-box.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8288\" class=\"wp-image-8288 \" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/knee-in-hot-box.jpg\" alt=\"knee in hot box\" width=\"535\" height=\"263\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/knee-in-hot-box.jpg 1600w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/knee-in-hot-box-300x148.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/knee-in-hot-box-768x378.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/knee-in-hot-box-1024x504.jpg 1024w\" sizes=\"auto, (max-width: 535px) 100vw, 535px\" \/><\/a><p id=\"caption-attachment-8288\" class=\"wp-caption-text\">&#8220;Perkins wondered whether his doctors might consider an alternative treatment for his migraines, as the heated box on his knee appeared to be ineffective.&#8221;<\/p><\/div>\n<p>Poor Perkins! I&#8217;m sure he&#8217;s also wondering why his doctors didn&#8217;t give him a pillow.<\/p>\n<p>That was fun. Ready <a href=\"https:\/\/www.flickr.com\/photos\/internetarchivebookimages\/14769732162\/in\/photolist-ov9JNw-owuaWM-owAwRt-ouNLkn-ourhwY-ouQErK-odXmfa-oujdmp-wiZX2R-aUUXfF-ourqjm-odoeiE-ouP3BC-odaL4H-oddTkd-ound4z-odLzfE-odf13r-oeT2mw-rn3YBJ-oeZFge-odEqhG-owi2Lh-ode6st-oujd8J-ouUh5S-owqoN4-ouHECa-ouD9MM-odq1XJ-ouTwvL-ouTAL9-ouFipH-orYsDE-ouHYqV-osBBj1-owUTBF-ouBLos-our1M8-odavrs-odjbfy-od9wCj-ownzfz-ouWX6o-odXLcN-oy57qT-8Fekc-odCko6-ouBLxW-odonUh\" target=\"_blank\" rel=\"noopener\">for #2?<\/a><\/p>\n<div id=\"attachment_8289\" style=\"width: 543px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/dreaming-of-food.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8289\" class=\" wp-image-8289\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/dreaming-of-food.jpg\" alt=\"&quot;The most commonly reported adverse events were lethargy, fatigue, and dreaming of milk, eggs, and rib-eye steaks.&quot;\" width=\"533\" height=\"175\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/dreaming-of-food.jpg 2048w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/dreaming-of-food-300x99.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/dreaming-of-food-768x252.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/dreaming-of-food-1024x337.jpg 1024w\" sizes=\"auto, (max-width: 533px) 100vw, 533px\" \/><\/a><p id=\"caption-attachment-8289\" class=\"wp-caption-text\">&#8220;Drug development of the novel\u00a0sleep aid was halted when many patients reported lethargy, fatigue, and vivid dreams\u00a0of milk, eggs, and lamb chops.&#8221;<\/p><\/div>\n<p>So many promising drugs fail during clinical trials due to side effects! At least dreaming of lamb chops\u00a0is safer\u00a0than QT prolongation.<\/p>\n<p>Now, <a href=\"https:\/\/www.flickr.com\/photos\/nlmhmd\/16086509097\/in\/dateposted\/\" target=\"_blank\" rel=\"noopener\">onto #3:<\/a><\/p>\n<div id=\"attachment_8290\" style=\"width: 556px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/four-not-moving.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8290\" class=\"wp-image-8290\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/four-not-moving.jpg\" alt=\"four not moving\" width=\"546\" height=\"343\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/four-not-moving.jpg 2048w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/four-not-moving-300x189.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/four-not-moving-768x483.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/four-not-moving-1024x644.jpg 1024w\" sizes=\"auto, (max-width: 546px) 100vw, 546px\" \/><\/a><p id=\"caption-attachment-8290\" class=\"wp-caption-text\">&#8220;Despite a full surgical schedule, Dr. Morrison had strangely not moved in well over an hour.&#8221;<\/p><\/div>\n<p>Such stillness in that room! And who&#8217;s the uniformed man in the upper right? Is he a scribe?<\/p>\n<p>We&#8217;re on a roll! <a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#\/media\/File:Typhoid_inoculation2.jpg\" target=\"_blank\" rel=\"noopener\">Here&#8217;s #4:<\/a><\/p>\n<div id=\"attachment_8291\" style=\"width: 508px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/scary-shot.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8291\" class=\" wp-image-8291\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/scary-shot.jpg\" alt=\"&quot;I'm bravely getting my vaccine even though you're scary, and women make better doctors.&quot;\" width=\"498\" height=\"364\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/scary-shot.jpg 6108w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/scary-shot-300x220.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/scary-shot-768x563.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/scary-shot-1024x750.jpg 1024w\" sizes=\"auto, (max-width: 498px) 100vw, 498px\" \/><\/a><p id=\"caption-attachment-8291\" class=\"wp-caption-text\">&#8220;I&#8217;m bravely getting my vaccine even though you&#8217;re very scary, and women make better doctors.&#8221;<\/p><\/div>\n<p>That&#8217;s one smart girl &#8212; she <a href=\"http:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/article-abstract\/2593255\" target=\"_blank\" rel=\"noopener\">reads the literature!<\/a> And she knows for a fact that Andrew Wakefield (not in this picture) <a href=\"https:\/\/en.wikipedia.org\/wiki\/Andrew_Wakefield\" target=\"_blank\" rel=\"noopener\">is a fraud.<\/a><\/p>\n<p>The laughs keep coming, so let&#8217;s go <a href=\"http:\/\/stocklib.com\/media-15270023\/doctor-visiting-ill-man.-created-by-lamy-published-on-magasin-pittoresque-paris-1843.html\" target=\"_blank\" rel=\"noopener\">on to #5:<\/a><\/p>\n<div id=\"attachment_8293\" style=\"width: 460px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/doctor-doing-housecall.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8293\" class=\"wp-image-8293 size-full\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/doctor-doing-housecall.jpg\" alt=\"doctor doing housecall\" width=\"450\" height=\"392\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/doctor-doing-housecall.jpg 450w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/doctor-doing-housecall-300x261.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/a><p id=\"caption-attachment-8293\" class=\"wp-caption-text\">&#8220;The good news is that his pulse is stronger. The bad news is that Uber is now on surge pricing.&#8221;<\/p><\/div>\n<p>Here the key question &#8212; did medical insurance in mid-19th century France cover the cost of Uber for housecalls? I did a <a href=\"http:\/\/bfy.tw\/9d6F\" target=\"_blank\" rel=\"noopener\">quick search<\/a> &#8212; fascinating result.<\/p>\n<p>Should we finish with a neat half-dozen? Why not, <a href=\"https:\/\/www.flickr.com\/photos\/x-ray_delta_one\/24826664685\/in\/photostream\/\" target=\"_blank\" rel=\"noopener\">here&#8217;s #6:<\/a><\/p>\n<div id=\"attachment_8294\" style=\"width: 484px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/eye-test.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8294\" class=\"wp-image-8294\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/eye-test.jpg\" alt=\"eye test\" width=\"474\" height=\"372\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/eye-test.jpg 2048w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/eye-test-300x235.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/eye-test-768x602.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/01\/eye-test-1024x803.jpg 1024w\" sizes=\"auto, (max-width: 474px) 100vw, 474px\" \/><\/a><p id=\"caption-attachment-8294\" class=\"wp-caption-text\">&#8220;Patients were thrilled with the new device, which both measured intraocular pressure and gave a quick hair blowout.&#8221;<\/p><\/div>\n<p>Nothing but fun at this ophthalmologist&#8217;s office! Eye\u00a0appointments always last too long, so why not get checked for glaucoma <em>and<\/em> get a bit more stylish at the same time?<\/p>\n<p>Thank you for taking this tour of <em>Old Medical Images,\u00a0<\/em>I hope you enjoyed it as much as I did.<\/p>\n<p>Next time, we&#8217;ll go back to our usual programming.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to Fun with Old Medical Images! Here&#8217;s how it works: You&#8217;ll see a series of images &#8212; old, strange, and perplexing &#8212; and each will have\u00a0a caption that I have created for you at no extra cost. Accustomed to high-quality and clinically\u00a0relevant information from your NEJM Journal Watch\u00a0contributors, you will laugh happily at the [&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],"tags":[5832],"class_list":["post-8287","post","type-post","status-publish","format-standard","hentry","category-health-care","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\/8287","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=8287"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8287\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=8287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=8287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=8287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}