Today was my appointment with the Neurologist. Ok, it's after 1am now, so yesterday, Sept 8th. I wasn't seen until about 10pm, and then I was in the office for quite a while, hearing the strangest, freakiest, good/bad thing ever from Dr. Luis Frias (who remembered me after 3 years, btw, and switched to English for my benefit).
"What has happened to you in the three years since I last saw you?" he inquired. "Why did you never come back?"
I told him my GP at the time had left me over in mental health because she said I had Fibromyalgia and was depressed. He wanted to know what mental health said. "Fibromyalgia, but not depressed." What was I on at mental health? I listed all the meds, including Effexor. "How did you feel on Effexor? Did you sleep well?" "I overslept. I was a total zombie. Why?" "Effexor is a stimulant." "What???" "You were never supposed to be on any of that. Why didn't they give you the Relafen I recommended?" "The GP said no." "Why didn't you come back for your EMG?" "Same reason." "I need to tell you something..."
"Okay"
"You don't have Fibromyalgia.""What???""Remember three years ago I tested your reflexes?" By then I was just wide-eyed and nodding. "Not only did all of them work, there were a couple you should have whacked me upside the head for touching at all." At that point I was gaping as much as my bad jaw allowed. "Hold out your hands and spread your fingers."
I did, thinking
This is totally weird. What do my fingers have to do with anything? Dr. Frias took a long toothpick-like stick and placed it over my left pointer finger. "See how your finger isn't straight? This stick should be right in the middle of your fingernail, but your fingernail is way off to the side."
"That's been that way since I was little," I said.
WTF with the finger thing? So I have weird hands. "So... I have weird hands. What does that have to do with why I'm in pain all the time?"
"You have advanced Degenerative Osteoarthritis.""WHAT?!?"I simultaneously burst into tears and started laughing. I asked him how 5 GP/Internists, three Psych Docs, and a Fisiatrist could all have been so wrong for 6 years, and he said "Frankly... most doctors wouldn't know an elephant if it sat on them," was his reply. He obviously thinks very little of non-specialists. He also said he felt really bad that I had to go through three extra years of medical ping-ponging and thinking I had Fibromyalgia rather than being treated.
He's known for three years. I've known for just over three hours. My brain still hasn't quite gotten around it.
I saw a Neuro when I was 16. He said Lupus. That came back negative. They bounced me to a Rheumatologist. SED rate came back normal. If only that Rheumy had taken two seconds to look at my hands!!! Rheumatoid Arthritis shows an elevated SED rate; Osteoarthritis doesn't. And it never crossed anyone's mind? Not when I was 9 and couldn't touch my toes, 10 and dislocated my hip playing tetherball, 12 and the endlessly unhealing hairline fracture in my right ankle, 15 and my left ankle turned under, 16 and my hip dislocated/relocated and left me in a wheelchair for a month, 20 and got random water on the knee, 21 and the TMJ kicked in, 21.5 and the pinched nerve in my back put me on a cane for 2 years, 22 when I first asked if I had Carpal Tunnel Syndrome because my fingers go numb and swell often, 25 and lost the use of my arm, or 27 and displaced the right meniscus in my jaw.
I thought all this crap was on the Fibro checklist and I'd just gotten bitch-slapped with the majority of what's on the list. I started listing these off, and Dr. Frias said "Yes" to the question "Is this related to the Osteoarthritis?" to all of them. "Aren't those all on the Fibromyalgia list, though? That's why I thought I had it." "TMJ is. Not a displaced meniscus. Your Maxillofascial Surgeon probably knows that, too. Did he ever ask?" Yeah. He did ask about arthritis, and I said I had a normal SED rate. Now I have to call him and tell him I have Osteoarthritis. It may change his opinion about my surgery. He may need to re-word the request to the Reform. I need to call the investigator from Patient Protection, too, once he gives his opinion.I also need to strap my arm to my chest for three days, then gently physical-therapy it until I'm able to hold it at a 90 degree angle from my body, change all my meds as soon as I can get to the pharmacy in the morning, replace my medic-alert, research the hell out of Osteoarthritis, and completely re-define my approach to pain-management and injury-avoidance.
Holy shit, you guys.
The word I used when I called Leo with the news at 11pm was "bendy". My fingers are bendy, and so is my brain right now. I haven't quite absorbed it just yet. It's a genetic gift from Grandma Helen, and I'll probably pass it on to my kids. The only positive thing here is that it's treatable. And it sure as hell explains that partial compression in my cervical spine and why I'm half an inch shorter than I used to be.
Two-part EMG and an SSEP in October. Been there, done that, rather get inked (it hurts much less). Water therapy was mentioned. More counseling was recommended, but I don't want to go back to the public system... it's detrimental to my mental health. :P
Lots to think about.