Chronic Pain Whatever the cause, support for managing long term or intractable pain.


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Old 10-05-2010, 10:14 AM #11
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well....i suspect you have an extremely mild scoliosis....and/or problem from when you fx your R scapula.....? this is a posterior/anterior view, yes? which means the L/R orientation is the same as the viewer.....
there is a widening of the space at the distal end of the R clavicle...and i am wondering about T 1 rib.....am having trouble appreciating all twelve sets of ribs, counting up from the bottom, .....I really am confused if this is AP or PA.....

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Old 10-05-2010, 03:56 PM #12
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Looks like you have a slight degree of scoliosis to me. But I wouldn't think it would cause THIS kind of pain.
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Old 10-05-2010, 06:53 PM #13
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well....i suspect you have an extremely mild scoliosis....and/or problem from when you fx your R scapula.....? this is a posterior/anterior view, yes? which means the L/R orientation is the same as the viewer.....
there is a widening of the space at the distal end of the R clavicle...and i am wondering about T 1 rib.....am having trouble appreciating all twelve sets of ribs, counting up from the bottom, .....I really am confused if this is AP or PA.....
Thank you for your reply, pabb. Yes, it does appear that I have a bit of scoliosis. No big deal. I think it's a fairly common condition. The view is from the front--the shoulder on the left side of the screen is my R-shoulder. It's a posteroanterior (PA) view--x-rays enter through the posterior (back), and exit out of the anterior (front).
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Old 10-05-2010, 07:26 PM #14
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Looks like you have a slight degree of scoliosis to me. But I wouldn't think it would cause THIS kind of pain.
Thank you for your reply, Leesa. Yeah, scoliosis isn't the problem. I should add that while I was in the military I had several cortisone injections into my ankles. I don't remember exactly how many, but I do remember a doc finally telling me that he wouldn't advise any future injections. One of the adverse reactions to methylprednisolone, for example, is "vertebral compression fractures". They took 11 x-rays, and my VA primary care doc said that I have a "small amount" of arthritis. Who doesn't? He was basically reading from the radiologist's report. He's apparently not "qualified" to read x-rays, but he has no problem prescribing methylprednisolone for my arthritis. Strange thing is, methylprednisolone can actually lead to "vertebral compression fractures". I assume this holds true for "cortisone" injections, as well.
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Old 10-05-2010, 09:10 PM #15
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I'm sitting here with 11 x-rays, and I'm thinking they must show something that accounts for the pain (neck, R-shoulder/arm). My VA primary care doc's diagnosis is a small amount of arthritis, but he's not even qualified to read an x-ray. I tried to get my VA neurologist (I have Parkinson's) to take a look at the x-rays, but he refused. He plainly stated that he's not qualified. I don't understand. How is it that a "neurologist" isn't qualified to read an x-ray? Am I supposed to assume that at some point during his college years he made a conscious decision to NOT school himself in this particular area of expertise? Am I supposed to assume that at some point he decided that this particular skill wouldn't come in handy at some point? Exactly how does one decide to precisely delegate this responsibility to someone else? More importantly, "why" would any doctor decide to let someone else handle this responsibility? It makes no sense to me. Wouldn't it be a "liability" for a doctor to rely on a radiologist in this manner? Hmmm...Maybe that's IT. Maybe the doc just wants a chance to let someone else take responsibility and blame. If we can spread this disease thin enough, maybe we will ALL come out ahead in the end. When the wrong diagnosis finally shows itself, the "lessers of expertise" can be blamed first, and the Ph.D's involved will have had their fair warning? The patient can at least rest easy in between his accusations.
There's a lot more going on in my life right now, if you haven't already guessed. It has to do with my exposure to trichloroethylene (and other VOCs) at Camp Lejeune NC, and at the Naval Air Warfare Center, Hughes Aircraft, Raytheon Technical Services, all at Indpls. It also has to do with the VA's way of spreading "thin blame" for what they call a "neuropsychiatric exam" as a requirement for DBS surgery...which reminds me--exactly "why" is that power-supply so huge? I mean, I know for a fact that power-supplies do NOT need to be that big...OK, I guess you think I'm rambling on by now...I guess I am...too tired to elaborate...I need some lawyers.
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