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Wednesday, November, 25, 2009
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Brain Talk or How to Make Sense of your MRI

Merely Me
Merely Me
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I am a mother, a writer, and now an MS patient

I just got diagnosed with MS in October of 2007 although my very...

Merely Me

Wednesday, November 12, 2008
View All of Merely Me's Posts
So maybe some of you have gotten an MRI.  And you get this report back which is pretty much written in doctor-ese.  "What in the heck does this mean?"  you think to yourself.  I was a student in Psychology many years ago and so I know a little bit about the brain but I could make ...
  1. MRI
    Denise Coleman
    Wednesday, November 12, 2008 at 11:48 AM

    Wow!  That is the most informative, understandable explanation of what an MRI on a person with MS might look like and what the narrative for that MRI means.  Thank you so much. I wish more doctors would take the time to sit and go through the MRI with their patients and give as thorough an explanation as you just did.  Wouldn't it be nice if every doctor's office had a staff member who sat in on visits with the patient and explained what the doctor said or what the tests meant and was able to make sure the doctor explained everything to the patient in terms he or she could understand.  Many of us bring someone to the visit with us, a family member or friend, but some of us don't have anyone to bring, and even if we do that person isn't  trained to work with the doctor and the doctor may not care for a stranger asking questions or explaining his remarks.

     But a person who is trained to work with the doctor, has built a relationship with the doctor, and has the doctor's permission to be there and ask questions could be a very valuable asset and make our office visits so much more informative and pleasant.  I hate leaving a doctor's office with more questions that when I got there, don't you?  Maybe this staff member could be called a Patient Advocate and each doctor could have one on staff who would have a good enough understanding of the specialty to be able to ask valuable questions.

     Perhaps that is your calling for a next life; start this profession, train professionals, and work with patients yourself. I bet you would be excellent at helping people with difficult diagnosis to learn how to make the best out of their doctor's visits. 

    Thank you again!

    Denise

    Reply
    re: MRI
    Merely Me
    Wednesday, November 19, 2008 at 11:44 AM

    wow...you are so inspirational Denise.  I have been wanting to get back to you for some time now to personally thank you for your wonderful comments and support.  This is a wonderful idea of a patient advocate.  I guess we all are this...just by writing and sharing information and stories with one another.  I do wish there was some way to help the system.  I think I will be writing a letter to my neurologist soon to tell her why I don't wish to come back.  All these times I have been in to see her and not once has she had the MRI there to show me...anything. 

     

    I am getting all fired up again so I better quite while I am ahead.

     

    Thank you again for your comment and I want to catch up with you and read what you have been writing lately.

    Reply
  2. Untitled Comment
    Paul
    Wednesday, November 12, 2008 at 01:14 PM

    I think I've had three MRI's in my life, two with contrast of some kind. One of the brain and one of the chest, one other for something. The huge difference between us is that I've no idea what the reports said, just that the doctor related, they didn't find anything, also a huge difference. Had there been, my interest would have been as great as yours; the human body is a miracle and a curse.

     

    I'm not happy there were any symptoms for you in the first place.

    I'll second, Denise, if I may, she made a great comment and an equally great suggestion. There is no end to the gifts you have, lesions or not. Thank you for this defining post.

    Reply
    re: Untitled Comment
    Merely Me
    Wednesday, November 19, 2008 at 11:47 AM

    How did you fare with the MRI's when you had them?  I do get so stiff in there and I always develop some sort of itch.  For someone with claustrophobia it must be a nightmare.  I was mentally uncomfortable at first but I just close my eyes now.  I am getting used to them fortunately or unfortunately.

     

    As always...thank you for your comments.  They are much appreciated.

    Reply
    re: re: Untitled Comment
    Paul
    Wednesday, November 19, 2008 at 12:05 PM

    I was as still as a fallen tree. I was so interested in the process, the IV, the forms signing, their movements, the thought that my brain might have to reveal itself, physical ailments, anyway. :) Too much noise, even with the ear phones; it is not an unknown anymore and I have no problem with them.

    Medicine and my body have a great arsenal to scare the crap out of me with yet, if they wish.

    Reply
  3. MRI
    gentlespirit
    Wednesday, November 12, 2008 at 02:41 PM

    WOW! THIS WAS A REALLY GREAT EXPLANATION OF AN MRI! THANK YOU. AND THIS SUBJECT IS ONE MOST OFTEN ASKED, BY PATIENTS TO THEIR NEUROLOGIST, TOO.

     

    ONE THING I WOULD LIKE TO POINT OUT THOUGH, IS THAT *SOMETIMES* THE DYE USED FOR CONTRAST, CAN CAUSE PROBLEMS, ESPECIALLY IF THE PATIENT HAS ALLERGIES. THE PATIENT SHOULD ALWAYS LET THE TECHS KNOW OF ANY ALLERGIES THEY HAVE, BEFORE PROCEEDING.

     

    AGAIN, THANKS FOR A VERY WELL EXPLAINED DEFINITION OF AN MRI. SOMETHING MANY NEUROS ARE EVEN HESITANT TO DO, I'VE FOUND.

     

    ~GS~

    Reply
    re: MRI
    Merely Me
    Wednesday, November 19, 2008 at 11:49 AM

    Hey there...

     

    You make a really important point about the contrast and how some are allergic to it.  I originally had that warning in my post but my piece was getting too long so I omitted it.  I am glad you share that information here in your comment.

     

    Thank you so much for both your comment and your kind words.  I hope you come back to read and to share more.

    Reply
  4. MRI
    Larry
    Wednesday, November 12, 2008 at 09:15 PM

    Great job of providing useful information about an MRI. I wish with all the MRI's and Spinal Taps I have had leading up to diagnosis, that I would have had so much knowledge as you show in your article.

    Reply
    re: MRI
    Merely Me
    Wednesday, November 19, 2008 at 11:51 AM

    Larry...may I ask how many MRI's and spinal taps did you have?  I opted for no spinal taps...I am a big chicken.  Do you feel that the spinal tap helped you to get the diagnosis or not?  Just curious.

     

    Thank you so very much for coming by and commenting.  I hope to see more of you here.

    Reply
    re: re: MRI
    Larry
    Wednesday, November 19, 2008 at 10:30 PM

    I have had 7 MRI's over the long course of being diagnosed and 4 Spinal Taps. The only thing I got from the Spinal Taps were bad headaches. The Spinal Tap provided me no help in getting a diagnosis but they may for others.

    Reply
  5. MRI explanation
    AngelsMS
    Thursday, November 13, 2008 at 01:07 PM

    WOW! Thank you. That was a truly wonderful explanation complete with links for more information. Thank you again!

    Reply
    re: MRI explanation
    Merely Me
    Wednesday, November 19, 2008 at 11:52 AM

    And thank YOU for coming by!  Hope to see you again here on Health Central.

    Reply
  6. Untitled Comment
    Anonymous
    Thursday, November 13, 2008 at 04:15 PM

    Now this is really helpful.  And thank you for the work of digging out what all this stuff means.  I suppose doctors have to be precise when they talk to one another, but it sure is difficult for me to know what they are talking about even when you have it in black and white.  I do wish there was a "patient's translation" required for every medical report that I ever read... again.. this is great.

    Reply
    re: Untitled Comment
    Merely Me
    Wednesday, November 19, 2008 at 11:54 AM

    Good point!

     

    Yes we need a translator for medical-eze speak.  This would make a wonderful occupation I think.  I appreciate your thoughts...do come again.

    Reply
  7. The People Side of Medicine ...................
    Anonymous
    Saturday, November 15, 2008 at 11:34 AM

    There are two aspects of medicine.  One is the Technical side and the other is the People side. 

     

    I think that all too often Doctors let the Technical side of medicine dominate their interactions with patients and they pay only minor attention to the People side of medicine.  Perhaps they are more comfortable being technicians than they are advisors and confidants to people.  Maybe that is reflective of their training as the training is geared mostly to the Technical side than to the People side.

     

    Don't get me wrong, the Technical side is very very important.  No one wants a doctor who doesn't know what he is talking about.

     

    But what I am saying is that the People side of medicine is just as important and should not be neglected.  If the doctor is right on, but can not communicate his findings results and recommendations to the patient, then what good is that?

     

    For some time we have contracts that are in people readable form rather than in legalese.  Why not test results that are in people readable form? 

     

    It is admirable that you have done research to find out what your test results mean, but you shouldn't have had to do this.  It should all be there for you spelled out in a way that you could easily understand!!!!

     

    I think the medical profession is missing something important here and you have hit the nail right on the head.  I hope doctors read your article.  They can learn a lot from it!!!!

    Reply
    re: The People Side of Medicine ...................
    Merely Me
    Wednesday, November 19, 2008 at 11:58 AM

    I hear you and I so agree!

     

    If only the docs would read my post here.  lol  Fat chance huh?  There are some wonderful doctors out there who have both the qualities you speak about but I fear due to time constraints the people side goes right out the window.  It is no wonder patients are not talking to their doctors.  There is a lot wrong with the current system and...I really don't know what it would take to fix it.  So in the meantime...we patients are our own researchers, translators, and advocates. 

     

    I really love your insighfulness and I hope you come back to read more of the posts here on health central.

    Reply
  8. Untitled Comment
    Me - Jen
    Saturday, August 15, 2009 at 01:52 AM

    Hello there, I had my first MRI a year ago, after some symptoms while running and going thru many other tests.  The did my brain, neck, and overall spine.  It came back positive for white spots looking like lesions on my brain.  I then got a referal to a great neurologist at an ms clinic for further evaluation to see if I met the criteria, he ordered a number of other tests, including a spinal tap, visual, and an electrical test sort of (ECG?) (cannot remember the name now for response time of muscles from the brain), and to take geneology history.  The spinal tap and the ECG came back positive and this was enuf for an official diagnosis.  He then order a furhter MRI with gadolinium.  Overall, as I wanted to start treatment early the spinal tap though the headache was horrible was worth it as I got my diagnosis sooner, than waiting for the 2nd MRI. 

    Reply
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