For Your Amusement
 

I get soooo tired of hearing about neuros that make up their own rules to diagnose MS, or misunderstand the McDonald Criteria, or who are just plain arrogant and dismissive. One day I woke up with this playing in my mind:

Patient walks into doctor's exam room and nurse asks, "Why are you here?"

Patient - "I've been diagnosed with ADS - Appendage Dropoff Syndrome."

Nurse, "Okay, the doctor will be in shortly."

Doctor - "Good Morning, I'm Dr. Pfufinek. What can I do for you?"

P - "Well, I was diagnosed two months ago with ADS, but now my insurance has changed, and I'm worse, so I'm coming to you for care"

Dr. - "How was the diagnosis made?"

P - "Well, first my pinky and ring finger on the left fell off. Then, a month later my left nostril fell off. And shortly after that I lost my right earlobe."

Dr. - "I don't diagnose ADS until 4 appendages have dropped off."

P - "Well, that is four, a nostril, an earlobe and 2 fingers!"

Dr. - "I would count the two adjacent fingers as one appendage."

P - "Okay, that's why I'm here. Yesterday my right arm dropped off, and I'm really worried! That makes 5 appendages, or four by your count. Shouldn't I be on some Disease Modifying Drugs to slow all this down?" The Patient lays the arm down on the doctor's desk.

The Doctor puts on gloves and distastfully sets it aside. "Hmm...Does your urine glow in the dark?"

P -"No, but the McDougal Criteria don't require urine to glow in the dark. And besides, only 80% of confirmed cases have it"

Dr. - "I won't make the diagnosis without glowing urine. Besides you're too old"

P - "But, there is no upper age limit. Lots of people older than me have been diagnosed with ADS. I've already been diagnosed and I'm getting worse. I'm desperate! Every morning I count everything to see that it's all still there!"

Dr. - "Ahhhhh, I see. You're anxious....Do you have a history of anxiety?"

P - "Only since things started falling off on me."

Dr. - "I think you should have a psychiatric evaluation. This all is just probably a stress reaction.

P - A STRESS REACTION!!!! MY ARM JUST FELL OFF!!!

Dr. - "Hmmph! Have you had all of the mimics excluded? "

P - "I think so, I was checked for Farm Equipment Accidents, Gangrene, Motorcycle Crashes, Recurrent Ninja Attacks, Machine Shop Malfunctions, and evidence of Werewolf Infestation. And of course, I was checked for Absentmindedness, but there was no evidence that I merely mislaid something and didn't notice."

DR. - "Is that all?"

P - "I think so. What about a DMD?"

DR. - Well, I don't think you're bad enough off yet to begin treatment. And there is no evidence that your disease is progressing.

P - What!! MY ARM JUST FELL OFF!!!

Dr. - "Any number of things could have caused that."

P - I don't understand how you can say that. Other people with less disease than I have get the DMD's. That's the current recommendation. How can you say I'm not "bad enough?"

Dr. - "You can still walk and have full full use of your left arm, except for the two fingers. They really aren't that much help anyway. But, you should be evaluated for Leprosy. Many people don't know that this, too, can mimic ADS. It's rare, but someday I will find a case. I have a contact at a leper colony in Brazil." The doctor walks to the door, "Nurse, Please quarantine our patient here and make preparations to ship him immediatley to Brazil."

The Patient is led away in shock and bewilderment.

Sound familiar to anyone?

Quixxle

Now that was the best thing I've read for a long time. Sounds VERY familiar, except you left out the sobbing that follows the shock and bewilderment...

I know what clinic that guy works for!

Yeah, let us all know if you find yourself in a crate destined for Brazil:eek:!

Quix

You are BRILLIANT!!!

This is the funniest thing I've read in ages!

You ought to make a career as a satirist. You could write for any of the late-night talk shows.

The list of mimics had me rolling on the floor!!! Recurrent Ninja Attacks--Machine Shop Malfunction-- laughed my head off!

P (from floor): Oops, there went another appendage!

Dr: Well, your head is not technically an appendage.

Nancy T. (who just learned the word "leprosarium" from a manuscript I'm editing)

Isn't there a medical journal or other publication aimed at doctors out there who would be brave enough to publish your piece?

OK, I didn't mean literally possible..Though I do lose track of the occasional appendage, I usually find that they're still attached..:D

I taught Emotionally Disturbed teenagers , do attacks from wanabee Ninjas count? I had a collection once of Ninja Stars. and had a pair of numchucks.
(I had a polar bear (rubber) head too - the things we get!!!)

You have great wit Q.

From those of us who have been there over and over - thanks for the laugh.

I was one of the lucky ones and didn't have to go through Limboland. I was DX in 1975 with a Mileogram and a process of elimination, by a top notch Neuro/Neurosurgeon.

I stopped seeing a Neuro, after the DMDs failed me, I progressed to SPMS, went on LDN, which Neuro, of course :eek:, wouldn't prescribe and finally realized that, I was wasting my time and money. My PCP takes very good care of me. He gives me my Prozac. :D

Quix, you are a gem.:Tip-Hat: If I could, I'd be rolling on the floor, laughing at your scenerio..:ROTFLMAO:. Please don't stop..:hug:

I'm sorry for implying that you had taken this literally. I was just trying to be droll and playful. I often find that my head is difficult to find.

Q

Gosh, no need to apologize! I've been known to believe almost anything..
Do you ever watch Boston Legal? Wasn't it Michael J Fox's character who died and several of his body parts went missing (they were sold separately..just like batteries)..?

Oh..I've been accused of being "random", too. Whatever that means..:confused:

Absolutely, that could be added to ADS Mimics. Hmm....Would the teenagers "have" to be disturbed? Come to think of it, according to Bill Cosby, "disturbed teenagers" is redundant.

Who was it that said, "Raising teenagers is like trying to nail JELLO to a tree?"

Yours in limb loss, Quix

This article should be sent to every neuro journal. I would love to see this published.;) Very good.