651. Why I Drive Two Hours for an MRI: Comfort, Clarity, and MS Care at Duke
28 Jan 2026 · 7 min
Derek Cole explains why he drives two hours to Duke for MRI scans instead of using a closer facility. Duke's cooler temperature, staff communication during the scan, and same-day doctor visits make the difference. He's had no new MS lesions in 13 years and hopes his September infusion continues that streak.
Chapters
I'm headed to Duke for my annual mri. Some people might ask, okay, I live, like, two hours away from Duke. Why would I go all the way to Duke for my mri? Two reasons. Usually, how we set this up is my doctor is at Duke, so I go towards, you know, morning, midday to get the mri, and then when the results come in, meet with that doctor a few hours later. So killing two birds with one stone, one photo. Get it done. The doctor had to cancel my appointment later today, so we're going to do a virtual appointment in a few days, but still going to Duke for my mri. So there's quite a few Duke affiliates around me. I went to one before, or I used to go to one quite a few times, especially during COVID because everything was virtual. And, you know, I wasn't. I wasn't going to see the doctor, so might as well do it more local. But the last time I did it there, a few years ago, they kind of keep that room warm, right? So if you have Ms. Like me, you don't. When. When you heat up, you hear my slurring here, but when you heat up, you. It kind of, you know, makes the symptoms worse than if you were cool. So that was one reason. They keep it kind of warm in. Plus, I'm in there for about 45 minutes because they do a brain and a spinal cord MRI against my baseline to see if there's been any progression or if I need to react in any kind of way. Now, there hasn't been new lesions in. Since I first had the MRI, like, you know, 13 years ago, so been blessed. Very good news. Praying for good results today. But back to the local stuff anyway, to keep it warm. And there is no clock. Okay. So I'm a little claustrophobic, especially when it gets warm, and. And the mask is on my face and. And the machine. And, you know, it's not the best environment. Okay. So they keep it warm, but then they never talk to you. I mean. I mean, Duke does it the right way, in my opinion. They keep it cool. People, you know, going through the MRI machine say, hey, we're going to do the side of the head. It's going to be 15 minutes doing this. It's gonna be 10 minutes. Hey, we're doing this. It's gonna be 20 minutes. All right, so you got kind of a. Kind of an idea of the time frame and the time left and when. When I did it locally, it was warm. Of course, I'm a little cluster of it, but nobody was talking to me, so I didn't know if I've been in the MRI for half an hour, 40 minutes, 10 minutes. You know, I'm talking to myself, trying to. Trying to make it through, trying to calm myself down. And finally, the only time I've ever hit the little button they give you. I finally had to hit the button. I was like. I couldn't take it anymore. So they, you know, pull me on. The machine lady comes up. She's like, oh, you only have three minutes left. I was like, man, that was good information before I got up. So, anyway, we don't do that anymore. We go to Duke. They talk to you. They give you headphones. They let you listen to music. It is not quite as claustrophobic. They don't put the mask on too much anymore unless it's old school, but the machine still makes you feel a little claustrophobic. But, you know, I'm fine. I'm fine with it if. If I'm cool, if I get a blanket, if they're talking me through it. Hey, we got 10 minutes. Hey. Just 15 minutes. Hey, this is 20 minutes. Hey, this is whatever. I'm fine. But it was sitting there, warm, claustrophobic, not knowing if I'm, you know, 10 minutes in, 20 minutes in, half an hour in. So, anyway, that's why I really get it done at Duke. Most time, the doctor meets me that afternoon, so I get both of it done. I do have my infusion coming up in September, so this is usually before that for the mri, for the script to write, my. To get it done in September. Excuse me. But anyway, head to Duke, see what's going on. I'm gonna. Stop light. That's what I'm. I'm looking at you. But, yes, it's mri. MRI time, so it is what it is. Keep praying. Keep believing, praying for good results. No new lesions, no active lesions, no progression of the existing lesion. So I'm praying for all that. But. But yeah, headed to. To Durham. See y' all soon.
More from Derek


713. Fan "On" or "Auto"? The Thermostat Setting That Could Be Making Your Home More Humid


712. Why Is My Upstairs Always Hotter Than Downstairs? The Truth Every Homeowner Should Know