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An allegorical image contrasting open gates in a sunny, green path with medical indications like "Persistently Elevated Serum Calcium" and "Persistently Elevated Parathyriod Hormone," and closed, rusty gates in a dark, barren path with contraindications like "Normal Serum Calcium" and "No Surgical Plan." The destination is "Parathyroid Scintigraphy."

The indications and contraindications for parathyroid scintigraphy, as defined by The American College of Radiology’s appropriateness criteria, can be analogized as open or closed gates: INDICATIONS: Gate #1: persistently elevated serum calcium Gate #2: persistently elevated parathyroid hormone Gate #3: surgical plan (for parathyroidectomy) CONTRAINDICATIONS: Gate #1: normal serum calcium Gate #2: normal parathyroid hormone Gate #3: no surgical plan Can you generate an image visually contrasting those indications versus contraindications? For example: On the left side of the image, you could show three open gates in succession, leading to the procedure: parathyroid scintigraphy. On the right side of the image, you could show three closed gates in succession, prohibiting parathyroid scintigraphy. Ideally, it would probably be best to position the destination (parathyroid scintigraphy) in the middle of the overall image, with that path open on the left (with all three gates being open) but closed on the right (with all three gates closed). Feel free to be as whimsical or mocking as you wish in visually depicting this because over the past several months I have invested several hundred hours researching and documenting this topic, and then doing my best as a retired physician and medical educator to educate Munson on the relevant science, but it still feigns ignorance of the relevant standard of care (the ACR appropriateness criteria) and so far has refused to even acknowledge Ver mais

#medical #allegory #illustration

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