11/24/2025
I've had conversations with several of you about my concern with the contrast agent used in "MRI with contrast."
Now, I have little problem with MRI. it's a brilliant technique. I've had a lot of them. When I was a graduate student, a few of my colleagues actually used to use my brain as a test subject, apparently my brain is photogenic. (haha at least part of me is!) so I've spent many an hour in that MRI tube. And I'm fine, right? (😜)
But those MRIs were not done with contrast agent.
The contrast agent, gadolinium, is something that is known to actually show up on x-rays years later. Why do I know that? Because we were trained on knowing what it is, when we were learning how to interpret x-rays for Chiropractic school.
If enough gadolinium is present years later to show up on x-ray, how much of it is stored in other tissues in the body?......... and for how long?
Whether to get an MRI with contrast, this is what's called a decision point. There is a value to it in certain circumstances, but MRI with contrast is not something to be deployed without a clear indication, particularly if alternatives are available.
Cough, cough ultrasound ..........
With any intervention or test, a patient (healthcare consumer) must ask the following questions :
what are the risks intrinsic? Known, and are there unknown risks?
what are the benefits to be realized if this intervention is used?
are there other means by which I could achieve this benefit (alternatives)?
Is there a risk to not having intervention or test done?
These questions are the basis for a little tiny thing called informed consent.
And legally, this is a conversation that is supposed to happen with every patient, regarding every intervention.
Informed consent/informed choice cannot happen without ***information.
You know when you just sign that little box at the front desk on check into your medical appointment, without any conversation ?......
"I hereby consent to whatever treatments the doctor recommends."
That's kind of like signing a blank check. Doesn't your health and well-being, the care of your body,  deserve more than that?
it's far beyond time for us as healthcare consumers to question what is offered, because that act makes us participants and partners in the healthcare process rather than an object to be treated. 
and for the time being, I won't even get into the distinction between informed consent and informed choice.......... but there certainly is one.