Bitcoin Forum

So I was looking to get some rep in the trading community and realized I didn't feel like doing loans.  I have pretty good Heatware but wanted to build up a rep with the Bitcoin community.  I guess I'll just have to use my professional skills... so since I am a licensed and practicing medical physician in the state of California I decided I could help with medical questions.  I'll do a trial where all the proceeds would go to my medical missions which I do once or twice a year.  I am currently practicing only with inpatient medicine so if you got a detailed dermatology question about a rash or itch down there I probably won't be able to help too much (please don't send me pics lol).  I did 1 year of urgent care so I can answer most basic outpatient stuff (sprains, headaches, flu vs bacterial illness, heartburn, etc) and I can answer pretty much any internal medicine related question.

So I thought of asking tips from 0.1 BTC to 5 BTC depending on what you think is the complexity of the problem - the link is in my sig.  If you're not sure how complicated it is, just send a small amount and you can always tip more afterwards if I give you a good answer.  For legal purposes obviously without a physical exam my answers are not the same as seeing a physician in office so my advice is just that - advice.  You will need to confirm with your doc if your doc if you're going to be doing something that requires prescription medication or changes in lifestyle.

So just send me a PM with your question and let me know your address so I know if you donated.  If you happen to live in the SoCal area and would like to help out on a medical mission let me know.  I've been to mundane places like India and exotic lands like Miami, FL with my medical missions ;D

I have doubts any service you can provide over the internet is much better than google. Maybe my background in biomed is making me overestimate the ability of people to interpret what they find though.

What if we test you first? People find the symptoms of some non-obscure medical issue online (or from memory, or some free trials), add in some history, then ask you for an advice/diagnosis.

OK, here goes.

I'm now around 25. When I was younger I used to do lots of sports (boxing, judo, ...). Around 20, when I was wrestling, my arm got overextended and there was a loud 'crunch' sound. The guy doing it with me immediately stopped because he heard the noise. It was really loud krrrrnch sound. I didn't feel anything (adrenaline) so kept at it for the rest of the session.

After the session, there was immediately intense pain. I went straight to emergency and saw a nurse. She told me my arm was sprained. Looking back now, I know that was stupid (I know what a sprain feels like) but I didn't protest it and said whatever (assuming that it would go away eventually). During that week my arm could not be used. It eventually stopped aching.

From then on, I stopped exercising because whenever I would put pressure on that arm, I would get a dull ache.

Anyway fast forward to 1 year ago in Amsterdam. I was at some hotel and banged my elbow. the edge of the door frame hit the soft spot in between my elbow joint and there was a sudden shooting pain. Ever since then my arm was aching and sometimes I get tingling in my fingers.

I went to see a doctor when I was in Poland at the ER (4 months ago). He said it is a soft tissue damage and I need to rest my arm (I don't do anything anyway). I asked him what the best position is, and he said to keep it at a 90 deg angle (bent) rather than straight. If it didn't heal I should see another doctor in 2 weeks time. He told me it likely won't heal quickly (soft tissue damage takes a long time to heal) or maybe not at all, and there isn't much they can do about it.

It doesn't hurt. It just aches or sometimes I get a bit of tingling (which is worrying). I've put off seeing the doctor because I'm under a huge amount of stress for time (which is affecting my health, but OK I am having fun). It seems to be getting better, but I could be wrong since it alternates between periods of being fine, to periods of aching.

Using the arm in a funny way (weird twisted angle) or putting pressure on it (lifting heavy things) are not good, so I avoid those activities. It's a dull/slow ongoing ache.

http://www.youtube.com/watch?v=4ndcPkzpgkQ

Methinks you underestimate the benefits of medical school.


This sounds like a great idea.

Well you didn't need to post it publicly (but doesn't sound like anything any of us couldn't have).  I myself have broken many bones from playing sports and taking Judo and have hardware still in me.  It sounds to me like you have 2 separate things going on.

First - the injury when you were wrestling is probably a ligament tear, possibly rotator cuff (this is comprised of 4 ligaments to control arm motion).  That's why you felt the intense pain.  Since it wasn't looked at right away you probably have some scar tissue.  Nothing can be done now except for possibly having surgery (I'm not a big fan of this unless an orthopod sees scar tissue in the joint that should be removed) and doing exercises to gain mobility and strength back.  If you can afford it - goes see an orthopedist for this.  They need to do a physical exam and check for muscle/tendon weakness.  Usually a good physical exam and they can tell what's going on without Xrays or fancy tests.  If they seem to eager to operate then run.  A MRI may be warranted depending on what the orthopod thinks.  If you don't figure out what's going on now you'll pay for it later since your body mechanics have changed and you'll probably develop osteoarthritis in that should very early on (crippling joint damage that's permanent).

Second - the bumped elbow sound like you compressed some nerves (we call it hitting your funny bone here).  With all the wrestling and other activities you may also have some nerve compression in your cervical region.  When you bumped the elbow the localized swelling further compressed the nerves traveling from you neck to your fingers. Nerve pain is usually sharp stabbing pain in nature but can sometimes be a dull ache as you describe.  I have carpal tunnel which only popped up after I went overboard with a wet vacuum cleaning my house and since then I have tingling in my right hand and it won't go away.  Hardcore gaming sessions result in dull achy pain sometimes.  The location of the ache would give a clue as to where the nerve is pinched and what nerve levels are compressed.  For this you would need to see a neurologist.  What they did in my case was do nerve conduction studies and confirm I did have nerve damage.  The damage is reversible - but the problem is the cause is not reversible usually.  So in my case I have to just learn to live with the compression and avoid putting pressure on my wrist to avoid swelling which further compresses the nerve.  Once you know where the compression is you can sometimes do exercises that help reduce the compression.  In some cases surgery is required - to be honest I'm not fond of surgery for compression unless it gets really life altering since surgery fails about 1/2 the time.

I'm not big on seeing docs (physicians often make the worst patients since we think we can diagnose ourselves) but when my hand got so bad I couldn't use a mouse I knew I had to get it looked at.  In your case since you're young and these are not trivial problems I would shell out the time and money to see a ortho/neuro.  At least you should have a diagnosis which would allow you to hopefully prevent further damage.  Hopefully that answers your q.

Lol  ;D.  Thanks for the backup eroxors - I hope I didn't waste 1/4 million dollars and 12 years of my life to loose to LMGTFY.  I wasn't number one in my class but I can say with confidence google is useless for the majority of people as far as self diagnosis.  For information on disease states it's great - but it's not a clinician.  It's not like you can google "loud thump car turning" and know what's going on with your car.  The human body is 100x more complex than car - you're in biomed and you should know that.  Google is a great tool and I use it everyday, but it's only a tool.  If you gave a Digital Multimeter to a chef they would be like WTF.  Now google would be able to spit out more info than I ever could about any 1 topic, but google wasn't forced to rectals on every admission while on call during it's intern year (or at least I hope not).

PM sent

My google-fu is pretty strong, plus I've long had an interest in health (from an Ayeurvedic perspective, but a body is a body), so DrG really just confirmed my self-diagnosis.  That said, it's comforting to have a professional double check my thought process, and provide some extra detail.  He also cleared up one point I was unsure on (should I force eating, or wait for hunger).  Highly recommended.

This could be helpful, I'll keep you in mind.

Hehe, getting some crazy questions here :o  PMs replied to  ;)

Godspeed to you if you can be helpful. I would encourage more public diagnosis/advice as long as it isn't embarrassing to the patient. I always wished there was some way to quantify general practitioner success rate. I mean you should be transparent and publish your success, false positive, and false negative rates. Obviously this is more complicated than it sounds due to difficulty in determining the end of treatment. It would be awesome to make an attempt at it though. If you develop a scoring system that works well it could be adopted world wide. There is a need for this type of thing.

DrG,

I'll be your consulting radiologist. I'm currently in training in southeast MN.

DrGoss (hopefully not too confusing!)
1GCDzqmX2Cf513E8NeThNHxiYEivU1Chhe

PS - please direct all questions to DrG...Radiologists are docs for docs :)

Whoa cool! Another doc!  With Medicare slashing reimbursement and private insurance following suit I'm looking at Bitcoins to save my financial butt   :P

I had this idea in the DCAO about 4 months ago, but it got shot down for some very serious reasons, the main two reasons being:

1) Potential negligence on the part of the individuals giving the medical advice. You can be sued, banned from medical school, degree revoked, etc just like lawyers can because the livelihood of people is in your hands; and even if that's not a problem in your specific country,

2) You cannot physically check (even with a webcam) enough parameters to do much more than WebMD does. Can someone send you blood samples? can you touch their back to see if you find a tumor?


Aside from these, I fully support anyone giving basic advice based on medical texts. WebMD kind of fails because they take too long to respond on issues. If you can solve that by doing this, I think it isn't that bad of an idea.

Thank you DrG. I am in the UK, so our health care is free (luckily), otherwise I wouldn't be able to afford a specialist.

Scary stuff. I will go tomorrow right away with your message and demand a specialist from my GP. You probably saved my health a great deal otherwise I would definitely have put this off for longer. Thanks for the wakeup call.

8384c11b2b074e9004a07ddfe747ef566f27ced071a58ffe3562fc32f4315ee2
Sent a bitcoin.

Hah, very interesting idea. I'll be following this.  I'm just a lowly 4th year med student myself.  Hopefully matching into Neurology next month.  Only 25 days, 12 hours, 51 minutes and 10 seconds until the match  :)

Assuming Bitcoin doesn't crash & burn in the next few years (big if), maybe I can join in as the local Neuro consult.  Good luck

BTC-Hospital Saves Me (http://bitcoinmedia.com/btc-hospital-saves-me/)
That guy on the bitcoin forums literally saved me from crippling injury in a few years time. Had I not spoke to him, it may have been too late before I got it checked out. I always kept putting it off since I'm so busy and it didn't seem like a big deal.

Weaver saved my soul once, can I start a thread for the Church of Bitcoin?

Would you guys(the doctors here) be interested in a website for your consultation only?
Like pay some bitcoins/bitcents to unlock your answers type of thing? Or maybe run on donations only?

jaw drops... The more services for bitcoin the better esp ones that help people.. 

Wow.  This thread is amazing.  Hopefully I won't need to use it, but I'll still take comfort knowing it exists.  Keep up the good work!

Please PM with an email address for future reference :-)

Sometimes patients can know more about a condition that doctors. It would be great if someone was able to amass a number of contact with whom they can refer to or put people in contact with to get info on a condition too. I think there has to come a point one day when it's not possible for a General Practitioner to keep up to date on everything.

Good stuff DrG :)  I just sent you a bitcoin.

I would love to see some very brief advice on how to search med. info in 2012, is PubMed king?  Are there any decent AI chatterbot attempts at diagnosis?  A few sites you recommend?  Thanks. 

Nice work doctor I'm sending you 1.02 BTC.

Thanks Davinci, was wondering who that random donation was :P

Been a bit swamped on my end taking care of 2 sick babies at home.  Will get back to the PMs when I get a chance.

This thread is awesome, hope you don't mind that I stole your car thumping multimeter speech for a facebook status

Hey DrG and boognish!

Update: I went to see that specialist, and took him DrG's write-up.

The orthopaedic specialist said your write-up was very good and he agrees with your approach (cautious skepticism regarding surgery, treatment plan, 2 different injuries).

He did some physical tests and told me that the first injury from my wrestling days is probably a chipped piece of cartilage, or possibly a fracture. The chipped piece of cartilage is stopping my arm fully extending by 1-2cm compared with my right arm. I had an x-ray and go back in 2 weeks to see about that. He said that if it is a chipped piece of cartilage then it is probably not a good idea to operate (since it would have healed over during these 4 years), and the way forwards is with physical therapy. Surgery is a last resort.

When I banged my elbow 1 year ago, he says this is scholars elbow and that the tingling/aching I feel, is where the nerve is regenerating itself. And that nerve damage takes a *really really* long time to heal.
I think it is this: http://en.wikipedia.org/wiki/Olecranon_bursitis (not sure)

Overall I'm really happy! Could've been worse! Feel free to chip in with your own diagnostics doctors. Just putting this out there so everyone can see you're the real deal and did such a good job. The specialist liked your write-up. I stopped twice while reading it, but he asked for the whole thing and said it was good.

Keep it up! This is the future and you are doing good by providing people with easy access medicine. Of course, an online doctor is not a replacement for a real specialist, but it is a good supplement that can only help make people more healthier if used in a correct ethical manner.

Hugs & kisses,

Genjix

Dear Doctor (Students),

I have a pain in my nose everytime I drink my coffee. It only happens right when I'm drinking it and it is extremely uncomfortable.

What can I do?


Matthew

Take your nose out of the coffee cup!

Donations accepted using the address on my signature.

Actually I found out what the problem is. I wasn't removing my stirring spoon before drinking.

Matthew

Matthew, you're hilarious.

Nice work DrG!  Let me know if you ever need a surgical consult.   :)

Good luck with the babies and your practice!  

Telemedicine could become quite an opportunity for a payments system that knows no borders.

Check this out:

 - http://www.cellscope.com/telehealth/
 - http://www.cellscope.com/devices/

Sorry for the late reply, got a couple of sick babies really keeping me busy at home  :P

The chipped cartilage sounds about right from my minimal ortho knowledge.  Usually if it's a very acute injury (less than 1 month) they can try to remove the chip or stitch it back in the right place.  Obviously athletes have access to this more often and it's a common procedure for them.  Now it's an old injury so it's probably just scar tissue.  You can use rehab to regain some of the mobility back.

It's hard to say what is causing the deep ache in the arm.  If I could examine you it would be easier since one would just need to map out where the nerve is being impinged.  From what I heard so far it sounded like http://en.wikipedia.org/wiki/Ulnar_nerve_entrapment (http://en.wikipedia.org/wiki/Ulnar_nerve_entrapment)Ulnar Nerve entrapment.  The easiest way to confirm this would be to do nerve conduction studies but those are both expensive and painful (I had them done myself and it's not fun).

I'm sorry to tell you this, but you have a http://www.youtube.com/watch?v=pl4plPGRG8o (http://www.youtube.com/watch?v=pl4plPGRG8o) drinking problem.  Unfortunately the cure involves sniffing glue  :'(

I find google scholar to be much better than pubmed. If you have access to the journals, also get zotero.

One of the best movies of all time.

Is this Ptosis?

https://bitcointalk.org/index.php?topic=73564.0;topicseen

It looks like your right upper lid is drooping slightly (so I would say yes for the time being).  Have you always had that or is it a recent condition?  If it's worsening recently you may want to have it checked out by a neurologist (or ophthalmologist if you had any eye trauma).  If it's worsening then you always have to worry about nerve compression from a tumor.  Autoimmune and inflammatory causes are usually rarer (esp in males).

This is the kind of condition where a good history and physical can usually give the answer without spending $2k on a head CT/MRI and chest xrays.

No more burning urethra questions?  :o

Today I'm healthy as an ox.  Thanks for the help a few months back.

No radiology Q's yet I presume?

Radiology questions?  if you want a film looked at I think we have a Radiologist on this board, check back in the thread for his posting and send him a pic with your question  :)

No, bg002h is a radiologist. He was just trying to be helpful I think.

While I'm on the subject of helpfulness, there's quite a few forum members with very odd views about vaccination (https://bitcointalk.org/index.php?topic=93213.0). I don't have enough medical knowledge to provide in-depth answers, and another forum member has already made some comments on the topic, but another member weighing in might help sway some of the more open minded antivaxxers.

Correct. Radiology resident. As for the antivax stuff, it's more like a religious debate with antivaxxers...in part, under vaccination is why whooping cough is now epidemic in my state. Kids still die of this vaccine preventable disease.

Still doing consults.  If you have questions on labwork or primary care/internal medicine stuff just PM me.

I am an orthopaedic surgeon, feel free to shoot questions my way (and you can donate to DrG's mission on my behalf)

Oh hey, just like "medical consults" over the phone only better. Do you do gyn exams? I'm due.

No Gyn exams.  Haven't done one for 6 years and not planning on pick that up again.

So far we have:
FP/IM (me)
Radiologist in residency (bg002h)
Orthopaedic Surgeon (aarashd)
General or vascular Surgeon (CA Coins - not sure what type of surgeon exactly)

Bitcoin Medical Clinic - opening soon.

Well in this day and age when you can send all kinds of data digitally a lot of medicine is performed at a distance.  Having said that I know a good history and physical exam is worth more than any single test -otherwise a computer could diagnose you.

We have a few specialist on-board and as Bitcoin becomes more widely accepted hopefully more physicians will pop their heads on here.

Bumping is anybody has medical questions.

Nice work Doc! Glad I found this thread. Assuring to know I can consult a fellow forum member if/when needed. Keep up the good work. Thanks.

lol free bump for niche ;P

Unless I missed it, I can't believe I am the first person asking this-do you have any credentials to show?
Yes, you have answered people's questions, but that does not mean 100% that you are a doctor. You could be a nurse, physicians assistant, student, or maybe even just have memorized Grey's Anatomy (not quite serious on that last one).
Whenever I am going to see a Dr, I look up their history and use a service to verify that they received their degree where they say they did, did their residency where they say they did, have had no malpractice suits against them, etc.-and that is among people I know for certain are licensed physicians.
I really don't mean to discredit you if you are in-fact a doctor, but I am amazed that no one has even thought to verify your credentials. A few posts above me I see another guy saying he is an Orthopedic Surgeon. Well, I am a Trauma Surgeon. See what I mean-I can be ANYTHING I want online. Before I take your advice (and I suggest before anyone else does, too) I would have to see verification that you are in-fact a licensed doctor. Don't call it "trolling", call it due-diligence, which, when it comes to health, really shouldn't have any boundaries.

Hey johnniewalker If you want i can give you free medical consults and im not a doctor. Im a web designer. I can google your problems. and diagnose you so you can go to your pain doc. Lol jk.  :D someone should try that sometime. Diagnose themselves and give the diagnosis to the doc

This is an absolutely wrong question to ask on an open forum. You certainly do not know anything about medical practice and its bounds. It's your choice:

1. Either trust and take advise
2. Move on

Thank you for your understanding.

You can add Anesthesiology resident to the list.
I can't answer GP question, but if you got some specific questions related to anesthesia field, i can help. my references are (personal experience + barash and miller for anestheisa+latest medical articles).

You're funny.  I've popped into your silver threads several times and never accused you of selling impure silver (although others have).

Trauma surgeon huh?  That should be easy to test - would you give FFP to a person in active DIC that has blunt chest wall trauma with no active bleeding but a INR of 8?  If a nurse, PA, student or anybody memorizing Grey's Anatomy can answer that question I'll eat the shirt I'm wearing in a youtube video.  BTW in the US we predominantly use Netters, Grey's, but you knew that right? Jeebus man I've posted enough on these boards anybody looking for me can find my medical license number and see pics of me.

If you're looking for a doc that has no malpractice suits you're an fooling yourself.  My IM attending where I did my clinic taught me if you don't get sued in 10 years you either quit medicine or not seeing enough patients.  I've been subpoenaed over 5 times but fortunately haven't been named in a single suit.  It's pretty clear to me and other physicians here you don't know what you're looking for when judging a physician.  If you really want to know if an IM doc is good you ask the nurses where he/she is on staff.

Most questions asked of me are sent through PMs.  I only answered those questions posted out in the open here in this thread.

Fadisaaida- where you doing your residency (I'm assuming US)? I matched for anesthesia actually in 2003 but ended up sticking with FP/IM (probably not the best move on my part).  I still know a lot of anesthesia program directors on the US west coast.

I think he meant the TV show "Grey's Anatomy" not the anatomy text. I watched that show - er one time - and I can orthopaedic it up with the best of them now.

Eh, if you're going to watch TV and learn medicine and least watch ER instead of Grey's Anatomy.  The first 5 years of ER weren't too bad... after that it turned into a weekly soap opera with all the hottie docs.  I think I saw 30 min of Grey's before and it was about as superficial as 6.0 vicryl (that's a suture used for skin repair meaning the show is fluff).

I just watch in jealousy. Do US hospitals really have that many beds in them? Do interns really have that much sex in them? Our hospitals seem bereft of non ward beds, and certainly do not smell of sex.

Well my residency program was small (about 30) and the hancky pancky we had was one of the recently married female interns was having conjugal visits from her hubby - that ended quickly.  Yes there is stuff going on between docs/nurses/PA/RNs/RT/PT/etc but not so much the residents.  Hard to have energy for that during a 36 hour shift.

House FTW :P

What about anonymous telemedicine, using tor+bitcoin. Good for doctors - no fear of lawsuits. Reputation can be gained in ripple-style. Good for patient - privacy, lower cost, no insurance records. Many illnesses can be diagnosed using just chat and a webcam. People can do many basic tests themselves. Throw in a medical equipment rental shop.

Truth be told, medical advice is hard to give without inspecting a patient, and no amount of online (or even webcam) advice will be as thorough as an x-ray, catscan, blood samples, etc. When those things can all be done from your home, this will be a much bigger market. Until then, the advice is going to be more akin to the kind of thing people usually post on message boards like Yahoo Answer and such (which is fine).

Personally, I would have paid a bitcoin to find out why my Huskey's eyes were swollen. That didn't take 2 seconds for the vet to figure out was an allergic reaction to pork and could easily have been suggested (if not completely diagnosed through conversation) online. Myself though? I'm not sure if I'd want to go into personal details of my own health with an anonymous stranger on a forum of trolls.

This leads to the major issue with this service-- a lack of platform. You really can't expect the forum to be useful for this, you need some kind of anonymous chat system set up (similar to IRC) that would allow people to create unique anonymous IDs each time they come on, fund a wallet in order to activate and open the channel, then allow them to ask you (also anonymous) anything they want with a countdown before funds begin to be taken out of the wallet. Think of it like a 900 number for medical suggestions.

When my huskey's "eye" was swollen a doctor shoved a cotton bud in my  huskey's "eye", and I had to take antibiotics for a month. An internet diagnosis would have been much less painful.


Huh. Never thought of seeing a vet. And allergic to pork? Christ, can use use your huskey at all?

He's still 7 months old so he's at that age where he acts like me on the forums. It'll be a while before he'll be "useful" I suppose. Right now I'm happy to keep him from eating garbage, spreading feces everywhere and basically waking up the neighborhood.

So just like my 2 year old son ;D

This is a very important point.  Anyone can pretend to be anyone online, and there are plenty of stories of some doctors practicing well outside the scope of their training.  Even more confusing, since most specialists have to do at least one year in basic medicine or surgery, we get double listed as specialists and generalists as well. 

Anyhow, here's me (I'm in the US):
Brian Goss
NPI: 1427284033
https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistrySearch.do?subAction=reset&searchType=ind

my email address is my last name, period, first name @ a very large non-profit multi-specialty group practice located in south eastern minnesota (PM me if you can't figure this clue out, but, there are very few world famous clinics with names that might be confused with condiments).

Doctors are already very public.  The place they practice is public knowledge by law.  Privacy on this issue is taken away from the physician as a service to the public.  There's just too much fraud going on...I'm not comfortable being anonymous in medicine.

Not only am I an orthopaedic surgeon, I am also a dealer in shiny novelty physical bitcoins that you recently bought from me ;) but you do bring a good point. If people are to pay for consultation, than credentials and liability are at issue. The credentials part doesn't bother me - easy enough to look me up - the liability issue however is bothersome, which is why I would prefer to offer free medical advice with disclaimer

Tulane?

And you sir from the big O?

Absolutely, if you take explicit payment from someone in exchange for medical advice you are now their physician.  That's a role that most doctors (and most courtrooms) take pretty seriously.  Although most small things are just that, almost every "simple" diagnosis has a few red-flag/serious differentials to rule out - that's the difference between getting your medical advice from google vs a doctor.

That said, even if you have an established face-to-face relationship with a doctor, if you call him/her with anything remotely worrying he/she will tell you to pop in to the office or to the ED, because the phone (or internet) is just a starting point in all but the most benign situations.

Just my 2 cents (training in General Surgery in the Northeast ATM).

If it rhymes with the month of May, oh, then yes. It's a great place for radiology residency. I did med school in Chicago.

I have a contact who is a dermatology resident that can reply here or via email/PM to any derm/skin/rash/lesion questions.

Also, I can help anyone with connecting with tor/tails/pseudo-anonymously.

cheers,
btcdocs

I can say - as a customer - I would like such thing to exist :)

Somewhat related: do you think getting some free clinics to accept btc might help supplement their income from the btc community? I'm a 3rd year med student and was thinking of contacting some of the free clinics I've worked at.

anybody know a pathologist?  I need help identifying the types of tissues present on a histopathology slide:
http://www.uofr.net/~bcg/img.jpg

This is a sacrococcygeal teratoma and should have two or three embryonic layers present.  The slides are ultra-low resolution (but it's what I got), and I can't for the life of me identify any of the tissues (I need to annotate the slides). 

Med students, you're closer to this stuff than I...BTC0.2 bounty if you beat me to it (I'm gonna keep working on it as I presume it is hopeless). 

Do I win?

http://upload.wikimedia.org/wikipedia/commons/thumb/5/57/Great_Lakes_from_space_crop_labeled.jpg/375px-Great_Lakes_from_space_crop_labeled.jpg

Lol Matthew...I wish it were that easy!

At this rez I can't tell much...my friend says:
all i can tell is its a cystic skin lesion
you see epidermis at the bottom, then dermis
then there is a lined cavity, and some subq
you need to see the cell type along the cyst wall

Ask your friend if its possible (_possible_, not probable or definite) that this specimen contains cartilage...

I see what I think are a few blue islands...that could be cartilage...there is supposed to be cartilage here...

We can't tell at this level of mag :\
You don't have this in scope software where you can zoom and screenshot?

but:
"so i'd say that triangle at the deep edge of the biopsy beside the subQ fat is very possibly cartilage"

Is the address in your sig a good one to use?

I'll presume it is.

Sent.

https://blockchain.info/address/1DyBBYUKbzeEsgi63XES1bwzS9SYn3aGda

Zero fee. Confirmed with 3 block delay (about 31 minutes). Not ideal but certainly not bad for being free.

Thanks, I'm passing it on! Have a good day!

Proof that consults worth paying for don't have to be doctor-patient based...

I am offering small bounties for the first psychiatric and CBT sessions performed over the net for bitcoin. This seems like an important neglected area.

https://bitcointalk.org/index.php?topic=250065

I have put together a small preliminary website noted in my sig for BTC physician-patient services. More features will be rolled out as the volume of physicians accepting bitcoin goes up.

Anyone have any other ideas regarding how to push for more physicians and patients using bitcoins in general?

Thank you for any suggestions.

Saw this site: http://coinmd.org posted on Bitcoin subreddit. They seem to offering medical advice from doctors for Bitcoin.