Thursday, October 31, 2013
It's been quite a week here in Rochester. I have been to many appointments this week and am coming down to the last few. It seems as if a lot of what I have done is repeat gaining information that I brought with me from home, but they are very careful to gather their own data. The first doctor I saw was an internal medicine specialist. He went through all of the data I brought and then he diagrammed out my issues. After that, he and I diagrammed out my issues and a way to get at them--the big one being my back pain. He factored in OA, a lifetime of obesity, fibromyalgia, and my many joint surgeries and procedures to start with. From there, with me participating with everything, he developed a plan of what would help us get to the bottom of things and ultimately work on pain reduction.
As a result of this plan, I have had more xrays, lab work, an EKG, an appointment in their spine center, a visit with the dietician...which added in an appointment with their pain management department as well. The spine doctor was very thorough and believes that there are several layers of things we can try before surgery is needed. She doesn't think adding more trauma to my spine is a great choice after all I have been through. After going through all of the meds and treatments and care I have had, she is recommending that I have dual facet joint injections in my SI area to start with. This will be diagnostic and if this works the next step will be a 4 day procedure to do ablations on the same area to kill the nerves. If this isn't adequate, we will move on. Her most interesting comment was "Your xrays even look painful." I have had so many injections--and we discussed the amount of steroids in me--that I'm afraid that this is a bit of more of the same, but she had good reasoning behind doing this first. Since they had an appointment available here this week, we are doing this here--otherwise I would have asked my pain doc at home to do the injections.
Floyd is getting nervous that I won't be ready to catch the shuttle to the clinic, so I will share more--especially from the dietician later. She very clearly edorsed SparkPeople. That was reassuring and rewarding.
I'll check in later!!