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Medical Forum / Diseases and Disorders / Arthritis / November 2006

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It's NOT all in my head afterall!

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Aim - 18 Nov 2006 07:51 GMT
Firstly, to all who replied to my previous post: THANK YOU. Your support
was so helpful. I logged in and read it on my cellphone while tossing
and turning from pain the other night, and while I couldn't reply from
there, reading your messages sure made me feel the support. I do love
you guys.

Second, HAS ANYONE TALKED TO GWEN??? I saw her post and didn't see any
followup from her or anyone who'd gotten ahold of her or her family.
PLEASE tell me I missed an update! It's now been 3 days since her post
and I'm worrying. She was my roommate at my first Gimpfest! I love that
lady.

So, on to the update. I'm doing better tonight. Saw my regular GP on
Wednesday and he essentially told me that RD was out of her mind. The
medical center where I go has all their patient records on computer now
(FINALLY) so he was able to show me her notes. He let me read them over
his shoulder as he was reading them. He had a look of absolute horror on
his face when I told him what she'd said, and immediately pulled up her
notes for us to read together. His face just dropped into a look of
disbelief and disgust as he read. She wrote that I'd had 10 of 18
trigger points. She never even checked them - she felt my hands,
squeezed my knees, one of which is inflamed and I said ow, and then she
pushed on my SI joints. I didn't react to anything but the knees, as I'm
fairly stoic unless it really hurts, and she was missing most of my sore
joints anyway. She dismissed my entire list of symptoms and said I had
"unsubstantiated complaints of musculoskeletal pain, likely due to
extensive history of depression/mental illness."

My GP put it best, "what the...? We're in Seattle. Anyone NOT on some
sort of treatment for seasonal depression is nuts." I then talked to him
about that "extensive history" - hypothyroid having been untreated for
so long, and then mistaken for depression. I've been stable on the combo
I take for the last 10-12 years. I take a higher dose in the winter, and
a very low dose in summer. I'd love to try tapering down a bit but I'd
like to get pain and such under better control first. He fully agreed.

I explained that when I was in college the student health center had put
me on a combination of prozac, imitrex and fen-phen and that threw me
into "serontonin syndrome" and made me very manic. They labeled me
bipolar as a result. He looked at me, and then scrolled up in my chart
and DELETED all references to bipolar disorder. He said that was a
ridiculous diagnosis, and shouldn't be in my chart if it was
drug-induced. He left the depression notes in, which is fine. As he put
it, everyone in Seattle has some method for dealing with the dark half
of the year.

Anyway, he gave me a small supply of pain meds so I could get some sleep
and break the pain cycle. And he is going to refer me to any RD I choose
as long as they are OUTSIDE that particular hospital system so that they
can't see the previous RD's notes. He asked me to "get on the internet
and do some research, and he will try to come up with some names too."
He's a really young, new doctor, so he doesn't know many specialists
outside Virginia Mason's system yet. But I like that he wants me to
specifically go outside the system so the notes won't follow me.

I'm definitely feeling better mentally about it all after seeing him.
Mad as heck after seeing the RD's notes, yes. But better about the plan
of attack.

Thank goodness for a good GP.

But I forgot to have him renew my placard. I'll call him on Monday and
ask. When I call about the referral to the new RD - whoever that may be.
Anyone know one in the greater Seattle area? I'm willing to travel an
hour or so, too.

Thanks for being here you guys.

Aim
Fire Chief - 18 Nov 2006 08:15 GMT
> But I forgot to have him renew my placard. I'll call him on Monday and
> ask. When I call about the referral to the new RD - whoever that may be.
> Anyone know one in the greater Seattle area? I'm willing to travel an
> hour or so, too.

American College of Rheumatology
http://www.rheumatology.org

On the lefthand side of the main menu, click on  "Locate a Doctor"

It will ask for a state - enter Washington.

You'll see a list of RD's.

... Why are there so many Smiths in the phone book?
... They all have phones.
Aim - 18 Nov 2006 08:18 GMT
Thanks Chief. I have that list, as well as the arthritis foundation's
recommendations. The thing is, this area has a LARGE number of very
well-respected RDs. One of them is the one I recently saw. Seattle is a
hotbed of research, as it's home to a number of pharmaceutical companies
and large teaching hospitals. I was more hoping for a personal
recommendation for someone who isn't a jerk. Sometimes these "world
renowned researcher" types are pompous, I've learned.

But I will definitely use the link as a starting point if nobody has a
personal favorite!!

How're you doing anyway? You're up late tonight. (I should talk, I know.)

Aim

>> But I forgot to have him renew my placard. I'll call him on Monday and
>> ask. When I call about the referral to the new RD - whoever that may be.
[quoted text clipped - 12 lines]
> ... Why are there so many Smiths in the phone book?
> ... They all have phones.
Harvey R. Stone - 18 Nov 2006 11:56 GMT
> Thanks Chief. I have that list, as well as the arthritis foundation's
> recommendations. The thing is, this area has a LARGE number of very
[quoted text clipped - 10 lines]
>
> Aim

Thank you for taking part here.   What you have had to say about how over
the years a persons life can come apart through no fault of their own.   It
helps to see ourselves in what you say and our history with the practice of
medicine.
   I also can read the anger and pain you have from all this.   The only
way I know of to get rid of that you may not be ready to do and it brings a
tear to my eyes that something I might say might make things worse.   We all
have scar tissue on our soul that make working through a problem kind of
special and only unto ourselves.   I can only say that God knows the little
girl inside Aim that has been hurt and has needs.
in my prayers
Harv
Aim - 18 Nov 2006 22:56 GMT
Hiya Harv
Long time no talk. Actually, I'm not angry at all - more relieved that I
have such a fabulous GP who I've been lucky enough to find. As for "life
coming apart..." I have an amazing job that I look forward to going to
every day and where I'm appreciated fully, a wonderful volunteer
position that fills my heart, and the best family and home life i could
dream of. If that all adds up to "falling apart" then I suppose you
could say it is. But I sure don't see it that way. I consider myself
quite blessed.

It's been a long time since I checked in here, so I can't expect that
anyone would necessarily know how well things are going overall.
Unfortunately, the other day I was frustrated after a bad experience
with a new specialist. But we all have those occasionally. It's
certainly not a reflection on my overall quality of life! I'm sorry to
see that it appeared that way to you.

I wish you well. I hope you're as happy these days as I am! :)

Best to you and yours.

Aim

>> Thanks Chief. I have that list, as well as the arthritis foundation's
>> recommendations. The thing is, this area has a LARGE number of very
[quoted text clipped - 23 lines]
> in my prayers
> Harv
Harvey R. Stone - 20 Nov 2006 12:28 GMT
Now,,, that is more like it...   It is such a blessing to have a job that
you look forward to and volunteering can make each day a blessing.   It is
good to see you on the board and please do not stay away so long.
Harv
> Hiya Harv
> Long time no talk. Actually, I'm not angry at all - more relieved that I
[quoted text clipped - 46 lines]
>> in my prayers
>> Harv
Harvey R. Stone - 20 Nov 2006 12:42 GMT
"Aim"

Ps,,, Its not like sitting and talking to someone,,,, all we can do is to
read the words.  We can not see your face or watch you while you talk and by
the way,,, you have a right to be angry about some of it and talking about
it here is the right thing to do.

Harv
smithupj@yahoo.co.in - 20 Nov 2006 13:53 GMT
> "Aim"
>
[quoted text clipped - 4 lines]
>
> Harv
DeeTee and Bob Taggart - 18 Nov 2006 14:20 GMT
"I was more hoping for a personal recommendation for someone who isn't a
jerk."

Chief, did she just insult you?

DeeTee (running and hiding before Aim can catch her)

> Thanks Chief. I have that list, as well as the arthritis foundation's
> recommendations. The thing is, this area has a LARGE number of very
[quoted text clipped - 27 lines]
>> ... Why are there so many Smiths in the phone book?
>> ... They all have phones.
Fire Chief - 18 Nov 2006 16:27 GMT
Aim wrote:

> "I was more hoping for a personal recommendation for someone who isn't a
> jerk."

And DeeTee asked:

> Chief, did she just insult you?

Not in the least.  I knew she wanted a recommendation from someone who
is happy with their RD, but if there was no one in her corner of the
world, the list would come in handy.

... Old age is not for sissies.  Been there, done that,
... and have a closet full of T-shirts to prove it.
Fire Chief - 18 Nov 2006 16:22 GMT
> But I will definitely use the link as a starting point if nobody has a
> personal favorite!!

I did not know Seattle was such a scientific community.

> How're you doing anyway? You're up late tonight. (I should talk, I know.)

Mary's 80-ish client hasn't been well this week. She spent the night
(second night this week) with the client instead of coming home after 6
hours work (she'll get overtime), so I had no reason to rush to bed.
<G>

The client's son-in-law died in CT last week, and all family members
from this area are there for the services.  And no one has been in
contact with the client since they left.

... The older we get, the fewer things seem worth waiting in line for.
Aim - 18 Nov 2006 23:01 GMT
>> But I will definitely use the link as a starting point if nobody has a
>> personal favorite!!
>
>  I did not know Seattle was such a scientific community.

It's a surprising place, this city. We've got a lot of technology of all
types, but we're a bit quiet and understated about it all.

>> How're you doing anyway? You're up late tonight. (I should talk, I know.)
>
> Mary's 80-ish client hasn't been well this week. She spent the night
> (second night this week) with the client instead of coming home after 6
> hours work (she'll get overtime), so I had no reason to rush to bed.
> <G>

*giggle* I hate those kind of nights! I'd much rather the "rush to bed"
type, but sometimes life gets in the way, eh? :)

> The client's son-in-law died in CT last week, and all family members
> from this area are there for the services.  And no one has been in
> contact with the client since they left.

Oh, that's really sad. There are worse things in the world than being
alone, that's for sure. However, being forgotten by family must be
terrible. I can't imagine. Terribly sad. I'm glad Mary is there! She's a
special lady.

Give her a hug from me. And ask her for one back! (that's from me too)

Aim
DeeTee and Bob Taggart - 18 Nov 2006 14:18 GMT
{{{{{{{{{{Aim}}}}}}}}}}  Oh, how important it is to have a good GP!! Hang in
there, Little Sis!

DeeTee

> Firstly, to all who replied to my previous post: THANK YOU. Your support
> was so helpful. I logged in and read it on my cellphone while tossing and
[quoted text clipped - 62 lines]
>
> Aim
Aim - 18 Nov 2006 23:02 GMT
Thanks DeeTee! You're absolutely right. I do like my GP a lot.

A.

> {{{{{{{{{{Aim}}}}}}}}}}  Oh, how important it is to have a good GP!! Hang in
> there, Little Sis!
[quoted text clipped - 67 lines]
>>
>> Aim
Carole - 18 Nov 2006 19:20 GMT
Glad to hear your gp has a brain :-))  And I'm glad too to hear that you
are going to go to a different RD. I wish I knew of someone in Seattle,
but I never got to an RD down there.

BTW, I'll be in Seattle on December 21st. David Lanz is doing a winter
solstice concert at Benaroya Hall. It's going to be super!

Carole :)

> Firstly, to all who replied to my previous post: THANK YOU. Your support
> was so helpful. I logged in and read it on my cellphone while tossing
[quoted text clipped - 65 lines]
>
> Aim
Aim - 18 Nov 2006 23:02 GMT
oooh! Maybe we can arrange something beforehand.
Or if you make it down even as far as everett or so, let me know - we
can always come North and meet.

Aim

> Glad to hear your gp has a brain :-))  And I'm glad too to hear that you
> are going to go to a different RD. I wish I knew of someone in Seattle,
[quoted text clipped - 76 lines]
>>
>> Aim
Carole - 19 Nov 2006 03:45 GMT
Well, I'll be coming down early as I have to help David with some things
before the concert. I do the CD and songbook table with his wife. And we
have to sort tickets and do a number of other things to get ready for
that evening. I guess you'll be working earlier in the day, right?

Carole

> oooh! Maybe we can arrange something beforehand.
> Or if you make it down even as far as everett or so, let me know - we
[quoted text clipped - 10 lines]
>>
>> Carole :)
Aim - 19 Nov 2006 08:51 GMT
generally speaking I am at work from 7:30-4 or so. But I can ALWAYS
arrange to leave early on a given day with a bit of advanced notice. I'm
fortunate enough to have gotten a few promotions in the last year (with
another BIG one coming my way in December or January) and with them,
more freedom to flex my hours slightly here and there. Among other perks.

Are you a coffee fan? I have a habit of bringing a pound of your choice
of coffee for folks if you are.

A.

> Well, I'll be coming down early as I have to help David with some things
> before the concert. I do the CD and songbook table with his wife. And we
[quoted text clipped - 17 lines]
>>>
>>> Carole :)
DeeTee and Bob Taggart - 19 Nov 2006 22:45 GMT
Do you also bring that awesome hot chocolate mix?

DeeTee (drooling at the thought)

> generally speaking I am at work from 7:30-4 or so. But I can ALWAYS
> arrange to leave early on a given day with a bit of advanced notice. I'm
[quoted text clipped - 28 lines]
>>>>
>>>> Carole :)
Carole - 20 Nov 2006 17:59 GMT
Congrats on the promotions, Aim! Way to go!!

I am a coffee fan, however I can only have decaf due to my CHF.

Hugsies,
Carole

> generally speaking I am at work from 7:30-4 or so. But I can ALWAYS
> arrange to leave early on a given day with a bit of advanced notice. I'm
[quoted text clipped - 29 lines]
>>>>
>>>> Carole :)
Nann Bell - 18 Nov 2006 20:09 GMT
God bless your GP.

Taht RD must have studied with the one I saw at the last place we lived.  The
first visit with that guy was ok, but subsequently he sat on the other side
of the room for the whole visit (yes, I WAS taking showers and using
deodorant!) and never looked at a single joint.  When he took to berating me
about the decision my PCP and I had reached regarding staying on Premarin, it
was the last straw.  Our insurance then didn't cover office visits and we
couldn't afford another new patient fee, especially when we knew we'd be
moving soon, but htere was no way I'd darken his door again.  I, too, had an
excellent PCP and she agreed to monitor my labs until we moved and I got set
up with docs here.  She was a better RD than my RD was.  Good docs are such
gems, the bad ones are so dangerous.

Signature

Nann
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Simply the thing I am shall make me live --- William Shakespeare

d'huit - 18 Nov 2006 21:05 GMT
well, heck.  i never doubted, that it was not all in your head, for a
moment!  thank goodness you have a great gp, indeed!  bummer that the idiot
rd's chart notes can't simply be deleted, too.  i hate when things, like
judgments about us, follow us around that are not correct and/or are
misleading.  it takes so much energy to have to keep backtracking to explain
everything.

no news about gwenie, yet.  i've been trying to reach her or her daughter in
law by phone.  no luck.  it is getting worrisome.

i supposedly found a good one in puyallup; two friends reccommended her
highly.  but i haven't set up an appmt. with her yet.  if you're interested,
the rd's name is:  nancy s. karr.

take care, hon.

kate

Firstly, to all who replied to my previous post: THANK YOU. Your support
was so helpful. I logged in and read it on my cellphone while tossing
and turning from pain the other night, and while I couldn't reply from
there, reading your messages sure made me feel the support. I do love
you guys.

Second, HAS ANYONE TALKED TO GWEN??? I saw her post and didn't see any
followup from her or anyone who'd gotten ahold of her or her family.
PLEASE tell me I missed an update! It's now been 3 days since her post
and I'm worrying. She was my roommate at my first Gimpfest! I love that
lady.

So, on to the update. I'm doing better tonight. Saw my regular GP on
Wednesday and he essentially told me that RD was out of her mind. The
medical center where I go has all their patient records on computer now
(FINALLY) so he was able to show me her notes. He let me read them over
his shoulder as he was reading them. He had a look of absolute horror on
his face when I told him what she'd said, and immediately pulled up her
notes for us to read together. His face just dropped into a look of
disbelief and disgust as he read. She wrote that I'd had 10 of 18
trigger points. She never even checked them - she felt my hands,
squeezed my knees, one of which is inflamed and I said ow, and then she
pushed on my SI joints. I didn't react to anything but the knees, as I'm
fairly stoic unless it really hurts, and she was missing most of my sore
joints anyway. She dismissed my entire list of symptoms and said I had
"unsubstantiated complaints of musculoskeletal pain, likely due to
extensive history of depression/mental illness."

My GP put it best, "what the...? We're in Seattle. Anyone NOT on some
sort of treatment for seasonal depression is nuts." I then talked to him
about that "extensive history" - hypothyroid having been untreated for
so long, and then mistaken for depression. I've been stable on the combo
I take for the last 10-12 years. I take a higher dose in the winter, and
a very low dose in summer. I'd love to try tapering down a bit but I'd
like to get pain and such under better control first. He fully agreed.

I explained that when I was in college the student health center had put
me on a combination of prozac, imitrex and fen-phen and that threw me
into "serontonin syndrome" and made me very manic. They labeled me
bipolar as a result. He looked at me, and then scrolled up in my chart
and DELETED all references to bipolar disorder. He said that was a
ridiculous diagnosis, and shouldn't be in my chart if it was
drug-induced. He left the depression notes in, which is fine. As he put
it, everyone in Seattle has some method for dealing with the dark half
of the year.

Anyway, he gave me a small supply of pain meds so I could get some sleep
and break the pain cycle. And he is going to refer me to any RD I choose
as long as they are OUTSIDE that particular hospital system so that they
can't see the previous RD's notes. He asked me to "get on the internet
and do some research, and he will try to come up with some names too."
He's a really young, new doctor, so he doesn't know many specialists
outside Virginia Mason's system yet. But I like that he wants me to
specifically go outside the system so the notes won't follow me.

I'm definitely feeling better mentally about it all after seeing him.
Mad as heck after seeing the RD's notes, yes. But better about the plan
of attack.

Thank goodness for a good GP.

But I forgot to have him renew my placard. I'll call him on Monday and
ask. When I call about the referral to the new RD - whoever that may be.
Anyone know one in the greater Seattle area? I'm willing to travel an
hour or so, too.

Thanks for being here you guys.

Aim
Diane - 18 Nov 2006 22:54 GMT
aim, i'm so relieved for you that you have a good. . . great. . .  GP!
your previous post about the RD made me furious.

as to gwen, i am very worried too.

diane
 
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