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My coworker went to the doctor today for a pinched nerve in his back. Diagnosis: Ostrich (i.imgur.com)

submitted ago by cncwd

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[–]cncwd[S] 299 points300 points ago

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caught in the act. http://i.imgur.com/7l9Ar.jpg

[–]CottonStorm 56 points57 points ago

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There's nothing about this I don't like.

[–]farid0082 0 points1 point ago

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yah, dont worry.

[–]sethph 40 points41 points ago

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That, sir or madam, is an emu.

[–]pianobadger 21 points22 points ago

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Close enough.

[–]mauriciopastrana 26 points27 points ago

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He did say "Possible" Ostrich

[–]future_22 15 points16 points ago

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That's what happens when you date an emu chick.

[–]MyOtherAccountIsGold 1 point2 points ago

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In the immortal (and maybe apocryphal) words of Nathan Hale, I regret I have but one upvote to give for your comment.

[–]hemlockecho 4 points5 points ago

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I'd like a second opinion.

[–]IPoopedMyPants 14 points15 points ago

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You're also ugly.

[–]SeltzerWater 0 points1 point ago

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Former Emu rancher here. I'd guess that's actually a rhea--the uglier, meaner, smaller, stupider version of an emu.

[–]That_Movie_Voice_Guy 111 points112 points ago

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Coming This Summer

[–]gooch3803 43 points44 points ago

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Can not unsee penis head.

[–]SkloK 6 points7 points ago

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It's a lion's penis.

[–]david-me 1 point2 points ago

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It's a lie on penis.
FTFY :)

[–]SubGeniusX 1 point2 points ago

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Anthony?

[–]cncwd[S] 15 points16 points ago

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infinite upvotes for you sir. well played

[–][deleted] 7 points8 points ago

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Please, please let this novelty account catch on.

[–]PriestmanX 4 points5 points ago

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He needs a bit more bass. It sounds too gravelly.

[–]nikc4 2 points3 points ago

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The man. The myth. The legend.

This is what you will become.

Embrace your Destiny.

[–]Diagnosis_Ostrich 2 points3 points ago

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Thanks for the voice over! Going to cherish this.

[–]Rare_Earth_Elephants 2 points3 points ago

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That was actually pretty cool. I genuinely hope audio novelty accounts catch on. Your a true, ahem pioneer.

[–]funkytaco 8 points9 points ago

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Directed by M. Night Shamallamadingdong

[–]david-me 0 points1 point ago

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Mis-directed by M. Night Shamallamadingdong

[–]matrixclown 1 point2 points ago

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This is the beginning of a long and prosperous account. I'm glad I was here to see it.

[–]freakball 1 point2 points ago

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Best Novelty Account Ever.

[–][deleted] 1 point2 points ago

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I foresee this sucking up ALL your free time

[–][deleted] 13 points14 points ago

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I believe this is how Chris Bosh was conceived

[–]scottperezfox 1 point2 points ago

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Oh Internet.

[–]CrazinWill 1 point2 points ago

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me gusta

[–]SloppyJoMo 0 points1 point ago

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Hey look! It's Magneto with a bird in the butt!

[–]Honda_TypeR 0 points1 point ago

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This is worse than having your own head up your ass.

[–]farid0082 0 points1 point ago

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what about is this?

[–]kevinhofer 104 points105 points ago

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One word. Colon-ostrich-py.

[–]woobins 15 points16 points ago*

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Ostrich every morning to keep my back limber.

[–][deleted] 5 points6 points ago

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Your thread is getting bird under others

[–]Weenie 3 points4 points ago

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I've upvoted him with all of my accounts. Emu-ved up a bit now.

[–]nikc4 3 points4 points ago

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Please don't let this beak another pun thread.

[–][deleted] 0 points1 point ago

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owl step in so grand-parrot's upvotes aren't wasted.

[–]ittehbittehladeh 1 point2 points ago

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I goose I can help out too.

[–]viagravagina 0 points1 point ago

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rhea-lly?

[–]ittehbittehladeh 1 point2 points ago

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Wren I say I'll do something, I do it.

[–]mattindustries 1 point2 points ago

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Python: There's an import for that.

[–]Im_poster -1 points0 points ago

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That was really good. I hope you don't get ostrichsized for starting a pun thread.

[–]aerozeppe 28 points29 points ago

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What's Sweet Dee doing in your coworkers colon?

[–]tripdub 6 points7 points ago

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Goddamnit Dee, I don't care about your problems.

[–]Cptn_Janeway 0 points1 point ago

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HOUSE! HOUSE! HOUSE! HOUSE!

FLUSH! FLUSH! FLUSH! FLUSH!

[–]Speedwagon 3 points4 points ago

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Nah, looks more like Chris Bosh is too ashamed to show his face in public.

[–]WealthyIndustrialist 1 point2 points ago

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My roommate broke Sweet Dee's sacrum on the 4th of July a few years ago.

True story.

[–]Rebootkid 10 points11 points ago

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Does he feel the need to hide his colon in the sand?

[–]stahlgrau 40 points41 points ago

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That's the L5/S1 vertebrae. Where lumbar meets the sacrum. "Colon" while funny is below that and since it's not a bone, won't show up on Xray. Speaking of which, you need an MRI to see nerve damage. And if a disc has slipped, we need a lateral Xray, not the one you posted. (FTFY)

[–]himoz13 6 points7 points ago

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you do see bowel shadows on xray.

[–]celestial65 4 points5 points ago

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You can also tell when people are full of poop and constipated on plain films.

[–]Diagnosis_Ostrich 8 points9 points ago

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I have the lateral xray too, but it contains 100% less ostriches, and wasn't funny enough to post. It feels like a pinched nerve, the pain is localized and intense (not shooting), aspirin and other anti-inflammatory relieve pain quickly, and the xray was taken as a baseline because I've never had one before. Was quick, in-office, and was done to be preventive just in case. Agreed the doc said it probably won't help much based on the symptoms. Prescribed Meloxicam and Tramadol.

[–]Weenie 0 points1 point ago

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Good calls all the way around!

[–]GodShapedBullet 1 point2 points ago

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Honestly, I have no idea what the appropriate imaging study is to rule out ostrich. I imagine X-Ray would be sufficient since ostriches are kind of bony, but this isn't something I've read about.

[–]stahlgrau 1 point2 points ago

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When we do spine surgery we fuse two or more vertebrae. We gut the disc, put in spacer to restore height. Then we fire 50mm screws right in the Ostrich's eyes (surgeons call them owl eyes, though. RLY). Then we connect the tops of the screws with rods and lock the whole construct down with caps. Then your body grows bone and fuses the segment. Here's an Xray of the ouch: http://www.drsharma.ca/wp-content/uploads/sharma-obesity-spinal-fusion1.jpg

[–]GodShapedBullet 0 points1 point ago

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Do you ever get them confused with cytomegalovirus?

[–]daisies13 1 point2 points ago

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don't be so serious ;) it was funny

[–]architimmy 1 point2 points ago

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IANAD but It looks like there might be a fracture on the left side (right side of the image) of the L4 or L5 pedicle. This could cause some problems resulting from a narrowing of the foramen.

[–]stahlgrau 1 point2 points ago

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It does appear the L5 pedicle is incomplete on the lateral border. Could be a poor image or something else as you indicated.

[–]razariel 1 point2 points ago

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Most of the colon is actually above this level (ascending, transverse, and descending). The sigmoid colon is possibly part of what you're seeing overlying these structures, but part of it is also ileal loops of small bowel.

It's impossible to tell with this limited, coned down view, but there is some suggestion of partial lumbarization of the superior most sacral vertebrae, which could correlate with low back pain.

[–]stahlgrau 1 point2 points ago

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I am confused by lumbar being used as a verb. What do you mean by lumbarization? S1 has lost lordosis or it's migrating cephalad?

[–]razariel 0 points1 point ago

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It's a way of describing transitional vertebra at the lumbosacral junction.

http://www.ajnr.org/cgi/content/short/31/10/1778

[–]stahlgrau 0 points1 point ago

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OK. Cool. And for what reason for the morphology? The body is attempting to do something on its own to deal with the pain?

[–]dofphoto 4 points5 points ago

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I was going to ask about the MRI. But can't the Xray still tell you of any foraminal stenosis that might indicate pinching? I'm guessing MRI isn't always available. (I don't know that much about this...)

[–]Roentgenator 6 points7 points ago

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Inject some iodinated contrast liquid into the thecal sac and then x-ray the area, or preferably, CT it.

[–]rephlex00 6 points7 points ago

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So says Roentgenator... I sense a rtr.

[–]Roentgenator 1 point2 points ago

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Indeed.

[–]robertlatka 0 points1 point ago

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CMRT rules!!!!!

[–]mactowner 1 point2 points ago

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Foraminal stenosis is usually the result of soft tissue changes that aren't visualized on xray imaging.

[–]razariel 1 point2 points ago

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Obliques will show foraminal stenosis from osteophytes and some disk herniatiations/extrusions if they're old (they calcify in some cases).

[–]stahlgrau 1 point2 points ago

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Stenosis is the narrowing of the spinal canal. An MRI gives you "slices" of the area. It would be better to see from that.

[–]dofphoto 1 point2 points ago

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I assumed that foraminal stenosis implied narrowing of the foramen, where I'm guessing a lot of the pinching happens.

I understand that having slices is much more useful, but I'm guessing that MRI's are often less available the XRays. Also, from my understanding the resolution in the current clinical protocol for MRI is not quite good enough to see individual nerves/tracts decently. Am I wrong? If I am, do you have any examples to the contrary, I'd be curious.

[–]razariel 1 point2 points ago

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MRI can see amazing detail, with slice thickness down to less than a millimeter. It depends on the power (magnet and processing/protocol) of the machine.

[–]dofphoto 1 point2 points ago

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I believe that this is possible, and even done in certain circles (experiments, research, ...)

But in going to much-sub-milimiter resolution (say 0.5mm) and milimiter thickness, wayy to many problems arise (artifacts, etc). I don't know much about this area directly, but it is what I am told/have read. That's why I don't believe it exists in clinical use. My guess is the slice resolution in clinical scans is 1.3mm+ and thickness around 2. Can someone with acquisition experience confirm/correct me?

[–]robertlatka 0 points1 point ago

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with Gd contrast in MRI seeing tracts like the cauda equina (while still nerve "bundles" is still fairly impressive) are quite easy to see but since this modality is quite lengthy to wait for CT is modality of choice since Myelography is something of a lost art (at least in canada)

[–]dofphoto 0 points1 point ago

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Sorry, can you say what you mean by "Myelography is something of a lost art"?

There's research in doing this visualization without contrast - see this for example. Still in research stages, but seems impressive. There, I think, you have a real advantage in using MRI.

[–]robertlatka 0 points1 point ago

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Myelography using general duty Xray is rapidly being phased out in most if not all hospitals (strictly speaking in Manitoba, Canada) since CT has a shorter wait list than MRI yet far more detail then General Duty Xray. I wasn't refering to MRI or CT in that comment. Thank you for the interesting study though will definitely have to read through it :D!

[–]FedUpAndUnderFed 0 points1 point ago

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Never trust Dr. Google.

[–]stahlgrau 0 points1 point ago

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Yeah the foramen describes the area where the chord resides. So when that canal gets smaller, it impinges the chord. The MRI's I look at you can see nerve roots. However, that's not the problem, usually. It's something impinging on the nerve. We can see extruded discs and degenerative dics on the MRI. That's what you need for diagnosis. I am in several spine surgeries a week. I'm a manufacturer's rep for spinal implants. Look at the spaces between the vertebrae. They all should be similar in size. If one is noticably smaller you might have degen disc disease. What's you height, weight and age? That would tell me a lot.

[–]dofphoto 0 points1 point ago

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Cool CV! What city do you work in?

The MRI's I look at you can see nerve roots

You can see nerve roots? What protocol are they using? From my understanding in current clinical scans it's pretty hard to see the actual roots - if you do they are generally very bad resolution, and, like you said, diagnosis is based on everything else around.

What do you mean regarding the height,weight,age? Was that a question that you mean would tell you alot of your patients? Or are you asking me for some random reason :)

[–]stahlgrau 0 points1 point ago

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I work in LA. But for any surgery with implantable devices there a rep in the room. (Hips, Knees, Spine) Exceptions are like small fractures, general ER type stuff. We bring all the tools and implants and make sure things are assembled and ready when the doc needs it. Answer tech questions, offer suggestions. Act like his third eye.

What they look for in the nerve root is to see if they will impede access to a site. There's nothing much you can glean from their image. Not defined like you say.

We operate on a lot of unhealthy people. Over 40, under 70 and over weight describes a lot of the patients. Stay lean and do your sit up. Gotta protect your core.

[–]tareumlaneuchie 0 points1 point ago

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True on all accounts.

[–]thephysioterrorist 0 points1 point ago

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And if that disc has herniated. FTFY

Discs don't slip. They are very sure footed.

[–]stahlgrau -1 points0 points ago

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Spondylolisthesis Meant vertebra. One slips and usually causes and extruded disc which pinches against the spinal cord.

[–]Weenie 0 points1 point ago

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below that

...and above it, and to the left of it, and to the right of it.

and since it's not a bone, won't show up on Xray

But its contents will.

(FTFY) ;)

[–]Microtom 0 points1 point ago

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While the colon wouldn't show up on xray, the ostrich head would.

[–]Tommix11 0 points1 point ago

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I read that in an ostrich-voice

[–]CrabBisque 5 points6 points ago

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It was a million to one shot, doc! Million to one!

[–]nomdeweb 9 points10 points ago

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I swear, doc, I was just walking through the zoo, when I fell naked into an ostrich pen, and BAM!

[–]markio44 2 points3 points ago

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Looks like lupus to me.

[–]brwagur 0 points1 point ago

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It's never lupus.

[–]excitableboy 7 points8 points ago

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http://www.instantostrich.com/

[–]vegetableninja 1 point2 points ago

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Looks more like Frank.

[–]abledanger 5 points6 points ago

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You mean Sweet Dee.

[–]bw1870 1 point2 points ago

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They'll hide their head anywhere.

[–]Dokis 1 point2 points ago

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My cousin died of Ostrich - best of luck to your coworker.

[–]timidity 1 point2 points ago

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That looks like a possible sciatic nerve issue. I myself have compression fractures in my lower spine and it causes a great deal of pain in the legs.

[–]superterran 1 point2 points ago

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Someone tell Sweet Dee to stop playing with the X-Ray machine

[–]raffytraffy 1 point2 points ago

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you can see his little peen curving to the left.

[–]Krase 1 point2 points ago

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I am not a doctor, but played one once in an MMO, and I agree with this diagnosis.

[–]DudeFromAMountain 1 point2 points ago

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that.....kinda scared me!

[–]angradillo 1 point2 points ago

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I accidentally the whole ostrich

[–]stahlgrau 1 point2 points ago

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Yo, post the lateral Xray! Not funny but seeing your spine from the side would tell me a little more about your condition.

[–]farid0082 1 point2 points ago

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hi

[–]thegravyone 1 point2 points ago

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The bird like appearance of the spine is actually something we were taught to use in medical school for looking for spinal abnormalities. The vertebrae normally look like an owl with 2 open eyes but if there's is cancer or other abnormality present on one side it can make it look like a winking owl-

http://www0.sun.ac.za/ortho/webct-ortho/tumors/mets/spinalmets.html

http://img.medscape.com/fullsize/migrated/421/516/nf421516.fig4.jpg

[–]dogismywitness 0 points1 point ago

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"Then my.... friend... said he wanted to shove his bird up there..."

[–]btnheazy03 0 points1 point ago

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looks like he has a bad case of Bosh-itis.

[–]2FishInATank 0 points1 point ago

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'Diagnosis: Ostrich' would be a Dick Van Dyke show that I'd actually watch.

[–]Osiris32 0 points1 point ago

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Apparently Richard Gere has one-upped himself.

[–]migzeh 0 points1 point ago

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Looks like an ostrich wearing a top hat.

[–]Linelor 0 points1 point ago

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So that's where Chris Bosh is hiding

[–][deleted] 0 points1 point ago

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Ostrich, She Wrote

[–]reacher 0 points1 point ago

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Thumbnail kind of resembles a creeper

[–]Armandooo 0 points1 point ago

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I see a duck to the left of the Ostrich.

[–][deleted] ago

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[deleted]

[–]Weenie 0 points1 point ago

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More information.

[–]GeneralMalfeasance 0 points1 point ago

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Kermit?

[–][deleted] 0 points1 point ago

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I'm waiting for Super 8 to start and I'm trying not to laugh out loud while I'm in the theater.

Don't worry I'm in the back row, no keypad sound, and brightness turned down.

[–][deleted] 0 points1 point ago

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phew! we were worried there for a moment!

[–]Calidore 0 points1 point ago

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Did your friend cry from the pain? Then he'd have 2 things in common with Chris Bosh.

[–]misterwizzard 0 points1 point ago

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I have heard of an Ostrich burying its head in sand, butt this is weird.

[–]SomeDanGuy 0 points1 point ago

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The outline of the head is made of bowels. Tell your coworker we can see his poop.

[–]rephlex00 0 points1 point ago

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If you turn a few degrees to the left (or right) they turn into scotty dogs.

Picture: http://i.imgur.com/lVTWZ.png

[–]Weenie 0 points1 point ago

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45*

[–]Pynchon101 0 points1 point ago

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It's never ostrich...

[–]TheWatsonian 0 points1 point ago

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All glory to the ostrich king.

[–]oligobop 0 points1 point ago

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I'm going to call birdshit. Everyone knows that ostriches taking refuge by hiding their heads in concealed holes is a myth.

[–]tehgearz 0 points1 point ago

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And the oblique L-Spine is supposed to resemble a series of Scottie Dog's if positioned properly http://image.wetpaint.com/image/1/kNkB3GaHRxfZnGIyvpvrkg34800/GW187H200 http://www.wikiradiography.com/page/Oblique+Lumbar+Spine+Technique And yes i'm another RT

[–]Druuseph 0 points1 point ago

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How did Sweet Dee get in his back?

[–]pandemic1444 0 points1 point ago

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Ostrich in sunglasses!

[–]krej44 0 points1 point ago

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Looks like Chris Bosh to me.

[–]Ninja53147 0 points1 point ago

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The colon is the whole large intestine... It's not by the hip

[–]Glader 0 points1 point ago

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so THAT'S where they put their heads! I knew the sand-thing was just a myth.

[–]retrogreq 0 points1 point ago

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DON'T PUT THE PUNCH LINE IN THE TITLE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

[–]I_divided_by_0- 0 points1 point ago

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HOW DO YOU PEOPLE SEE THIS STUFF?

[–]glisten 0 points1 point ago

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that's a nice diagnostrich

[–]georgiapeach87 0 points1 point ago

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Seriously, this made me laugh more than anything else in a long time. Something wrong with me?

[–]CantThinkOfAUseename 0 points1 point ago

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My CT scan has a smile face in it but there's no ostrich :(

[–]Flufflebuns 0 points1 point ago

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Relevant

[–]Julianisbeans 0 points1 point ago

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This looks shopped

[–]RoastBeefOnChimp 0 points1 point ago

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They're always sticking their heads in holes.

[–]Uriniass -1 points0 points ago

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I once pinched a nerve in this chick once down by the river in a mini van and she had a xray done and it looked just like a Cock

[–]zjpeters -1 points0 points ago

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Terrible diagnosis. I call emu.

[–]pilotbread -1 points0 points ago

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Diagnosis: Ostrich just makes me think of a Diagnosis: Murder spinoff where the role of Dick Van Dyke is played by an Ostrich. I would watch the hell out of that show.

[–]Diagnosis_Ostrich -1 points0 points ago

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I keep thinking of the Seinfeld episode with the movie titled Prognosis Negative.

[–]wanted_nz -4 points-3 points ago

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dude NSFW

[–]Flaming-Shit -1 points0 points ago

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Quite the story there...

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