{"id":8518,"date":"2017-11-05T07:19:59","date_gmt":"2017-11-05T12:19:59","guid":{"rendered":"https:\/\/blogs.nejm.org\/hiv-id-observations\/?p=8518"},"modified":"2019-04-28T10:28:59","modified_gmt":"2019-04-28T14:28:59","slug":"fun-old-medical-images","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/fun-old-medical-images\/2017\/11\/05\/","title":{"rendered":"More Fun With Old Medical Images!"},"content":{"rendered":"<p>Sometimes we clinicians, researchers, teachers, and medical administrators need a break from our grueling work schedules and responsibilities.<\/p>\n<p>With that in mind, I offer a second installment of <em><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/fun-medical-images\/2017\/01\/22\/\" target=\"_blank\" rel=\"noopener noreferrer\">Fun With Old Medical Images!<\/a> &#8212;<\/em>\u00a0which I&#8217;ve cleverly entitled, <em>More Fun With Old Medical Images!<\/em><\/p>\n<p>With an up-front thanks to the <a href=\"https:\/\/collections.nlm.nih.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">National Library of Medicine<\/a>\u00a0&#8212; who are truly putting our taxpayer dollars to good work &#8212; let&#8217;s get started.<\/p>\n<p>Here&#8217;s Numero Uno:<\/p>\n<div id=\"attachment_8520\" style=\"width: 344px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/anatomy-labeled-jacket.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8520\" class=\"wp-image-8520\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/anatomy-labeled-jacket.jpg\" alt=\"\" width=\"334\" height=\"528\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/anatomy-labeled-jacket.jpg 474w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/anatomy-labeled-jacket-190x300.jpg 190w\" sizes=\"auto, (max-width: 334px) 100vw, 334px\" \/><\/a><p id=\"caption-attachment-8520\" class=\"wp-caption-text\">Before her annual Thanksgiving swim in the Atlantic, Kristin always donned her confusing protective wetsuit.<\/p><\/div>\n<p>Confusing is right! If you want to be even more befuddled, here&#8217;s what the <a href=\"https:\/\/flic.kr\/p\/oydF9c\" target=\"_blank\" rel=\"noopener noreferrer\">owner&#8217;s manual says<\/a>:<\/p>\n<blockquote><p>The health guide: aiming at a higher science of life and the life-forces, giving nature&#8217;s simple and beautiful laws of cure, the science of magnetic manipulation, bathing, electricity, food, sleep, exercise, marriage, and the treatment for one hundred diseases: thus, constituting a home doctor far superior to drugs.<\/p><\/blockquote>\n<p>Never mind the manual, let&#8217;s go swimming! But don&#8217;t you think long sleeves would be warmer? <em>Brrrr.<\/em><\/p>\n<p>Speaking of bare arms, on we go to <a href=\"https:\/\/flic.kr\/p\/667gzE\" target=\"_blank\" rel=\"noopener noreferrer\">#2<\/a>:<\/p>\n<div id=\"attachment_8519\" style=\"width: 393px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/shirtless-lab-tech-nlm.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8519\" class=\" wp-image-8519\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/shirtless-lab-tech-nlm.jpg\" alt=\"\" width=\"383\" height=\"315\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/shirtless-lab-tech-nlm.jpg 698w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/shirtless-lab-tech-nlm-300x247.jpg 300w\" sizes=\"auto, (max-width: 383px) 100vw, 383px\" \/><\/a><p id=\"caption-attachment-8519\" class=\"wp-caption-text\">The draconian new infection control policy went way beyond &#8220;bare below the elbows.&#8221;<\/p><\/div>\n<p><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/should-doctors-still-be-allowed-to-wear-white-coats-you-decide\/2015\/11\/01\/\" target=\"_blank\" rel=\"noopener noreferrer\">White coats may spread germs!<\/a> So do <a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0195670112000072\" target=\"_blank\" rel=\"noopener noreferrer\">neckties and jacket sleeves!<\/a> Arrghhh, bugs are everywhere!<\/p>\n<p>The only solution &#8212; wear <em>nothing<\/em>, as this handsome fellow is doing.<\/p>\n<p>And no, I have no idea whether he&#8217;s wearing trousers.<\/p>\n<p>Here&#8217;s <a href=\"https:\/\/flic.kr\/p\/e8qThf\" target=\"_blank\" rel=\"noopener noreferrer\">#3<\/a> for consideration:<\/p>\n<div id=\"attachment_8521\" style=\"width: 389px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/monkey-scribe.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8521\" class=\"wp-image-8521\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/monkey-scribe.jpg\" alt=\"\" width=\"379\" height=\"307\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/monkey-scribe.jpg 2692w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/monkey-scribe-300x244.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/monkey-scribe-768x624.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/monkey-scribe-1024x832.jpg 1024w\" sizes=\"auto, (max-width: 379px) 100vw, 379px\" \/><\/a><p id=\"caption-attachment-8521\" class=\"wp-caption-text\">The doctor always trusted Herbert, his Diagnosis Monkey, to review patient charts when planning his day at the office.<\/p><\/div>\n<p>Confession: I&#8217;m not sure what a &#8220;Diagnosis Monkey&#8221; is either.<\/p>\n<p>But if monkeys can type Shakespeare, maybe they can make medical diagnoses too. And imagine if you had one! What fun!<\/p>\n<p>Can Herbert also work with modern EMRs? What about EHRs? What&#8217;s the difference anyway?<\/p>\n<p>And not only is Herbert a crack diagnostician, he&#8217;s also great at selecting ICD-10 codes. Today&#8217;s best: \u00a0<a href=\"https:\/\/www.healthcaredive.com\/news\/the-16-most-absurd-icd-10-codes\/285737\/\" target=\"_blank\" rel=\"noopener noreferrer\">W61.62XD:\u00a0Struck by duck, subsequent encounter.<\/a><\/p>\n<p>Which reminds me &#8212; make sure you <em>always<\/em> schedule a follow-up after a duck assault. That initial encounter never quite captures the whole essence of the duck-striking.<\/p>\n<p>Here&#8217;s <a href=\"https:\/\/flic.kr\/p\/odhTrB\" target=\"_blank\" rel=\"noopener noreferrer\">#4<\/a>:<\/p>\n<div id=\"attachment_8522\" style=\"width: 315px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/eye-protection.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8522\" class=\"wp-image-8522\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/eye-protection.jpg\" alt=\"\" width=\"305\" height=\"430\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/eye-protection.jpg 958w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/eye-protection-213x300.jpg 213w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/eye-protection-768x1082.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/eye-protection-727x1024.jpg 727w\" sizes=\"auto, (max-width: 305px) 100vw, 305px\" \/><\/a><p id=\"caption-attachment-8522\" class=\"wp-caption-text\">Form, function, fashion, and fun &#8212; Ray-Ban&#8217;s latest styles are sure to entice beachgoers everywhere.<\/p><\/div>\n<p>Get it? They&#8217;re sunglasses! Imagine how popular you&#8217;ll be at the pool wearing these sleek specs.<\/p>\n<p>It was tempting to go topical with a solar eclipse reference on this one, but the next eclipse won&#8217;t occur in the USA until\u00a0April 8, 2024.<\/p>\n<p>And if there&#8217;s one thing we stress on this highly educational NEJM Journal Watch site, it&#8217;s clinical relevance. We want to be <em>useful.<\/em><\/p>\n<p>Finally &#8212; and aren&#8217;t you sad we&#8217;re nearly done? &#8212; here&#8217;s <a href=\"https:\/\/flic.kr\/p\/oeYmk1\" target=\"_blank\" rel=\"noopener noreferrer\">#5<\/a>:<\/p>\n<div id=\"attachment_8523\" style=\"width: 377px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/sisters.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8523\" class=\"wp-image-8523\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/sisters.jpg\" alt=\"\" width=\"367\" height=\"220\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/sisters.jpg 1108w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/sisters-300x180.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/sisters-768x460.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/11\/sisters-1024x614.jpg 1024w\" sizes=\"auto, (max-width: 367px) 100vw, 367px\" \/><\/a><p id=\"caption-attachment-8523\" class=\"wp-caption-text\">Janet&#8217;s countenance before (right) and after (left) her morning cup of coffee.<\/p><\/div>\n<p>As if we needed additional proof of the <a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/nutrition-and-healthy-eating\/expert-answers\/coffee-and-health\/faq-20058339\" target=\"_blank\" rel=\"noopener noreferrer\">health benefits of coffee,<\/a> there&#8217;s a profound transformation for you.<\/p>\n<p>And I suggest that Janet choose her profile photo for OKCupid <em>after<\/em> that morning cup of Joe.<\/p>\n<p>That&#8217;s all this time, folks. We&#8217;ll be back next episode with more highly valuable medical knowledge.<\/p>\n<p>Meanwhile, can&#8217;t the police do anything about this scofflaw?<\/p>\n<p><iframe loading=\"lazy\" title=\"Bird Grabs Fish in No Fishing Zone\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/tlp8yXBh6pY?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>Sometimes we clinicians, researchers, teachers, and medical administrators need a break from our grueling work schedules and responsibilities. With that in mind, I offer a second installment of Fun With Old Medical Images! &#8212;\u00a0which I&#8217;ve cleverly entitled, More Fun With Old Medical Images! With an up-front thanks to the National Library of Medicine\u00a0&#8212; who are [&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":[1160],"class_list":["post-8518","post","type-post","status-publish","format-standard","hentry","category-health-care","tag-old-medical-images"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8518","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=8518"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8518\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=8518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=8518"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=8518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}