[annapurna]

I mentioned this years ago but it's worth retelling the story given your lead-in. Six years ago Laura was working with a radiologist, the only radiologist in Utah that we were actually able to speak to ourselves. He understood Laura had an artificial disk at L5S1 and what that meant to her spinal mechanics and had adjusted the MRI parameters to "throw" the metal artifact away from her facets at that level. While he was reading the MRI, composing his report, and explaining things to us, he casually mentioned that most radiologists wouldn't read or report facet joint condition. He pointed our that, with fusion as the only option, radiologists "knew" that facet joint condition wouldn't be the deciding factor for treatment and they didn't bother trying to look. He was willing to acknowledge that the whole situation shifted with use of ADRs but told us not to expect that look from anyone else in his profession unless significant education efforts were made ahead of time.

On top of that, another doctor just told us about the very high likelihood of the radiologist reports in this area being dry-labbed, but that's due to another problem, unrelated to education and experience.