Discussions By Condition: I cannot get a diagnosis.

To Richard Wayne

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: JCottleMD
  • February 15, 2009
  • 02:38 AM

Richard,

How is your wife doing these days? Have she undergone any further evaluation?

Let me know.

Best regards,

J Cottle, MD

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5 Replies:

  • Just bumping this thread forward. Let me know how your wife is doing. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • February 16, 2009
    • 01:17 AM
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  • Just bumping this up again so you dont miss it Richard. :)
    Tootsie 628 Replies
    • February 16, 2009
    • 11:56 AM
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  • Dr.Cottle, I just sent you a message 3-4 days ago,but I guess you didn;t see it.In it I asked how you could explain the synchronicity of her symptoms.They are bilaterally symmetrical and identical in both location and severity,whether they're a 5 or an 8 in intensity.I just don't see how this can be.Thank you.
    richard wayne2b 1232 Replies
    • February 16, 2009
    • 00:16 PM
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  • Richards, I'm sorry that our conversations continue become fragmented over the forum. I must admit that the symmetry of her condition is indeed an unusual presentation. I had responded earlier that aside from any psychogenic underpinnings, it would still be advisable to rule out an organic cause since she is reporting pain. If direct evaluation is nonproductive in localizing the problem, then imaging would be one of the few recourses available. I'm not certain that I understand her professed adversity to the arthrogram. Is she recalcitrant to any form of tests or just the arthrogram or procedures that would be somewhat invasive? I'd like to be able to offer more, but due to the obvious limitations I'm afraid I haven't anything further to offer at this point. If there is no demonstrated weakness or guarding and the use of her wrists reveals full function, then you may indeed be faced with a cause other than organic in origin. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • February 17, 2009
    • 01:25 AM
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  • Dr,Cottle,At last I have some good news.My wife had been having serious side effects from hydrocodone(memory lapses,belligerent behavior,etc.)and I have been trying to get her to try a different analgesic to no avail since she doesn't realize how serious her behavior has become,even on tiny doses of hyrocodone.Well,she developed cellulitis of her left leg so I asked a friend to phone her in some antibiotics and 10 Darvocet-n-100.Amazingly her wrist pain is responsive to the Darvocet!She rates her pain right now at a 3 whereas it usually would be at least a 7. her susually at least a
    richard wayne2b 1232 Replies
    • February 19, 2009
    • 00:57 AM
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