We are sure that most UK
GPs will have had patients bring pictures of various aliments to them in their
surgeries. These are not usually now on the old format of photographic paper
but are usually on a variety of electronic devices most usually a phone.
The common ones
we see are usually skin rashes or swellings that often come and go before they
can see a doctor or ones acquired overseas. We also get the privilege (?)
sometimes of images of bits of the body that would normally be found only on
the top shelf of one of those so called private shops and sometimes that is all
we are allowed to see as the patient is too embarrassed to reveal more than
their iPhone to their doctor.
Traditionally it is said
that the camera does not lie although the advent of photochop has altered this
statement somewhat and perhaps it is fairer to say now that the camera does not
always tell the whole truth.
The first of the above eye
images if seen by a doctor doing a routine baby check would normally strike
terror into a doctor seeing it for it is a) rare and b) not usually good news.
So when a concerned parent shows you an iPhone photograph like the one above,
one picks up the ophthalmoscope with dread.
However when you see the
image below using the simple ophthalmoscope, not the high tech iPhone the mind
goes into this does not compute mode. To refer or not to refer? The team member
concerned erred on the side of safety as they had been consulted by a highly
capable doctor in training who had asked them for a second opinion.
However, after some lateral
thinking combined with consumption of a few of our fermented five a day fruit
juices at the infamous Café Michelle this led us to google iphone white eye (on
a mobile device) and it appears that this may be artifact. Or is it?
We wonder if there has been
an increase in referrals for white eye due to modern technology? And if any
such increase is artifact or real disease or technology induced disease?
Will a parent with an iPhone do the same as we did and ignore the image they see?
Praise be to the Party for
advising us all of these potential hazards of modern technology long before we
figure it out for ourselves.
2 comments:
White reflexes in children may be retinoblastoma, but more commonly other things, in particular catching the optic disc directly.
probaby best to refer so all can sleep at night. This used to happen witb film cameras also.
Scary eyes! It's one those pictures that I wont look at. Horrible!
salon equipment
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