Saturday, October 24, 2009

Interesting Week

Well I received my first comp this week and almost had a second. I comped out on my Head/Brain without and got the room set up and waited for the next patient which was a Rt shoulder exam. The patient finally showed up late and I got him all situated on the MR couch with the coil in place, started to move him in the machine and he freaked out. He was very claustrophobic and could not do the exam. It never fails!!!!!! Oh well maybe I will be able to comp out on my sholder next week.

Besides all that I did get to see an interesting case. A patient came in that was not able to walk and we had to use the MR wheelchair to get him in the room. He had only bent over to get into a file cabinet and from there he could not straighten back up. He was around 300 pounds and had very broad shoulders. We had to raise his arms over his head to do his lumbar exam. While scanning we could see a blowout on his disc space between L3 and L4. I have seen alot of bad disc spaces but this one looked like it had a balloon about the size of a nickle on the posterior side. No wonder he could not walk, even the Radiologist came out to talk about this scan with us. He stated he hadn't seen a blowout this bad in a long time. Just looking at his pictures made my back hurt. Talk to you all later, hope everyones clinicals are going well.