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Medical Forum / Diseases and Disorders / Hepatitis / June 2009

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My sore shoulder

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Waterspider - 13 Jun 2009 07:11 GMT
I think I have a pinched nerve from straining my shoulder a couple of months
ago. Shoulder's still sore, arm is prickly/tingly/pins-and-needles and my
fingertips are numb. So, I made an appointment to see the doctor, expecting
a referral to a physiotherapist. It's a new doc. I seldom go, and there is a
quite a turnover at our little clinic.

In getting a bit of my medical background, he asks if I'm in menopause.
"Yes."
"Are you taking a hormone replacement?"
"No."
"How long have you been in menopause now?"
"Since 2001, when I did treatment for hepatitis C, it immediately put me in
menopause."
"How did you get hep C?"
"Um, it shouldn't make any difference how I got it..."
"It makes a difference."
"Why does it make a difference?"
"You tell me how you got it and I'll tell you why it makes a difference."
"Okay. I used IV drugs in 1982 and I'm pretty sure that's how I got it."
"IV drugs. Yes, that would be how you got it."
"So why does it matter how I got it?"
"Well, depending how you contracted it, you could have been exposed to other
health risks, like if it was sexually transmitted."
"But hep C isn't a sexually transmittable disease."
"Yes it is."
"No it isn't."
"Yes, it is."
"Well, I suppose if both people had bloody open sores when they had sex..."
"So it's a sexually transmittable disease."
"But the hepatitis C virus is not transmitted through vaginal or seminal
fluid."
"Look, ma'am--"
"--Don't call me ma'am."

(me and doc glare at each other for a pregnant pause)

Doc bows out of the staring contest by writing on a pad of paper for a
couple of minutes, rips off a sheet and hands it to me.
"You haven't had a complete physical in over five years, so I'm sending you
for some blood tests, make an appointment at the front desk."
... and hands me the blood and urine test requisition form.

"But... what about my shoulder?"
"Make another appointment. We spent too much time on that other stuff."
Thip - 13 Jun 2009 12:27 GMT
Do what I did--change doctors.  They're hard to come by in this rural area,
but I found one.  Then I told the new one WHY I changed doctors.  End of
problem.
Waterspider - 13 Jun 2009 19:32 GMT
> Do what I did--change doctors.  They're hard to come by in this rural
> area, but I found one.  Then I told the new one WHY I changed doctors.
> End of problem.

I love where I live, but choice of physician and access to specialists is
not an option. We're limited to whatever doc is doing his shift at the local
clinic, and they're far from the cream of the crop. I'm fortunate it's
nothing serious, and it is funny in a sitcom kinda way. What blew my mind
was his ignorance about hepatitis C.

Hope you're having a great summer, Thip :-)
dBo - 13 Jun 2009 20:42 GMT
yeah, haha! It's like they asked me here where I live during annual
physical if I "felt safe at home?" (yeah, i got rid of him years ago!)
and if I wear a seatbelt (all the time!) - why doesn't anybody ask
things like "did you ever have a blood transfusion prior to 1990?"

Seriously, WS, it sounds like you are experiencing the same sort of
malady I went thru a number of years ago - terrible numbness in my
left arm, pins and needles that went all the way down to my fingertips
- if I raised my left arm, my fingers would go tingly numb in an
instant. I couldn't hold onto anything. It was getting down right
scary!

They sent me for physical therapy for it, and it was THERE that one of
the therapists mentioned having been thru the same thing, I can't
remember what the affectionate nickname for it was, but she told me it
had to do with a nerve running up your arm into and underneath your
collar bone, and it was very common in college students, for example,
who sat in chairs with those dumb little side desks that caused them
to lean on the one arm....

At that point I realized that a recent change in position at my
employment had moved me to an area where I was working all day on
computers that were lined up in rows, on these banquet sort of tables,
as opposed to at a desk, and I was guilty of resting on my forearms
against the edges of the tables as I worked....

Guess what? Once I became aware of that, and made the appropriate
changes to correct my "ergonmics" and avoid doing that, it magically
cleared up quickly. :) Best of luck in your search for answers. From
my past experience,I would suggest you closely examine changes in your
life recently that may had led you to change the way you are doing
certain things, that could be causing that kind of a problem..hope
that helps, but if not, yeah I can relate also to having only access
to limited medical care, having spent almost ten years living on an
island myself...

Happy summer, ladies! :)
Cactus Jammies - 15 Jun 2009 00:20 GMT
>> Do what I did--change doctors.  They're hard to come by in this rural
>> area, but I found one.  Then I told the new one WHY I changed doctors.
[quoted text clipped - 7 lines]
>
> Hope you're having a great summer, Thip :-)

Hey WS,
 Google 'Thoracic Outlet Syndrome'
it is also mentioned here:
http://www.umm.edu/patiented/articles/how_carpal_tunnel_syndrome_diagnosed_00003
4_7.htm


TOS is similar in origin to CTS.  This may be your problem.

take care

Cactus Jammies
Tie Dye wiz
Waterspider - 15 Jun 2009 20:13 GMT
>>> Do what I did--change doctors.  They're hard to come by in this rural
>>> area, but I found one.  Then I told the new one WHY I changed doctors.
[quoted text clipped - 19 lines]
> Cactus Jammies
> Tie Dye wiz
Ya might just have something there, CJ, I've been a chronic sloucher all my
life :-)
On another topic, how would one purchase one of your fabulous tie-dye
shirts?

Spidey
Cactus Jammies - 19 Jun 2009 13:41 GMT
> On another topic, how would one purchase one of your fabulous tie-dye
> shirts?
>
> Spidey

Spidey,

I will get back to you on that.  I am in full production mode for a couple
of music festivals and farmers' markets.  And I will be away learning how to
build acoustic guitars in Saskabush for the whole month of July.  About that
thoractic outlet stuff, there is inflamation in the muscle shealth that
surrounds the outlet itself, causing pressure on the nerve 'branch', thereby
causing the phantom symptoms in your fingers, shoulder and forearm, etc.

obligado

cactus jammies
chardonnay9 - 17 Jun 2009 05:16 GMT
>>> Do what I did--change doctors.  They're hard to come by in this rural
>>> area, but I found one.  Then I told the new one WHY I changed
[quoted text clipped - 19 lines]
> Cactus Jammies
> Tie Dye wiz

I had a similar experience. I didn't mention the numb fingertips for
years because I figurd it was CTS till my present doc (on my first visit
to her) told me that with CTS the thumbs are never numb while for TOS
they will be. Pain doc had me go get a MRI on the neck and bingo!

It's taken months but this week I'm seeing a chiropractor, going for PT
and getting shots in the neck, in that order. Can hardly type because of
the pain and numbness.

Char
Suri Cruise - 17 Jun 2009 04:11 GMT
> I think I have a pinched nerve from straining my shoulder a couple of months
> ago. Shoulder's still sore, arm is prickly/tingly/pins-and-needles and my
[quoted text clipped - 40 lines]
> "But... what about my shoulder?"
> "Make another appointment. We spent too much time on that other stuff."

Oddly enough, I had an appointment today for much the same thing, and
they also treated me differently after reading the hep c thang on my
medical forms...

Have you had an MRI on your neck? If not, get one with someone
else...you may benefit from a cervical epidural...
chuck - 19 Jun 2009 17:43 GMT
I had a sore shoulder for weeks. Finally went to the doc. He said I had
calcium in the joint and that a cortizone shot would fix it. I took the
shot. He said if it's not better in two weeks come back and he would repeat.
Two weeks later he repeats the procedure. About another month goes by and
still no good. I go back and he basically shrugs his shoulders. After about
another month it finally feels better but now the other one is hurting!! I
think the dragon burns out your joints as part of his quest to eventually
bury you. I've had sore knees (both), sore hips (both, front an back), sore
shoulders (both), Burning in the big toe (right side only) pain in the neck
(my neck and me too). The joint pains all go away after a few weeks or
months (except I'm still a pain in the neck) only to be replaced by another
pain. The further through my Tx I get the less of a problem I'm having with
my joints. Go figure. I hope the Tx cures this for me for good too.

>I think I have a pinched nerve from straining my shoulder a couple of
>months ago. Shoulder's still sore, arm is prickly/tingly/pins-and-needles
[quoted text clipped - 41 lines]
> "But... what about my shoulder?"
> "Make another appointment. We spent too much time on that other stuff."
 
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