Pacemaker Placement, Hip Bursitis both hips severe, shoulder surgery & fear of brachial plexus issues (after reverse shoulder surgery about 5 years ago)

I had my consultation yesterday with my Cardiologist about the Holter Monitor and the low heart rate about 17 hours a day... we DID decide to go ahead with the pacemaker... everyone and everything I've read, talked to etc... even a couple of my other doctors feel it's a good idea, and "may help" some of the fatigue, the weakness in my legs, even the spider veins in my ankles, plus give me back more energy that I seem to be "losing" in the past year or so... I just can't seem to be able to keep up with the house, going to the market, and just days in general. Even though I am up and around, I seem to just be so "slow" and feel like I run out of energy much sooner that things to do... 

NOW I KNOW that some of that is the RA, the Lupus, "age" of course, the chronic pain and so forth, and there are no "guarantees" how much the pacemaker will help, but I feel it will give me back some of what I seem to have lost as far as stamina, especially outside doing my yard, flowers, and I so love being outside when the weather is nice (by the way I drove through the Cemetery yesterday and those HUGE OAK trees that looked like they just completely died that are in a row of about 10 where my Mom and Dad's graves are, THEY ARE COMING BACK OUT!!! 

I was so thrilled to see them leafing out..I think when they were building all of the new apartments right next to there, they must have "sprayed" something or did something to really knock them down hard, so when I saw each one slowly but surely with the new growth on them, I knew my Dad was happy... that is why they picked that site... Dad always loved trees, lawn work, gardening and so forth... anyway, I think wrote that I got the left hip injected Monday, and even though I have to wait (this Orthopedic doctor) won't inject them at the same time and then he makes me wait three weeks before I have the right one done... which sucks... it would be better for me to have it closer together to SO HIPS are better at the same time. But I know due to injecting the joints with corticosteroids they like to be cautious.... 

I go to the eye doctor tomorrow, I am really "past due" since I take Plaquenil, and it can cause Macular Degeneration... & I usually go yearly and I've missed I think almost 2 years..jus due to everything else, it seems I never can find the time plus I can "check them at home and do frequently with a special chart I look at. But the double vision and my vision in general has also changed again... so I "may" need new lens and HOPE NOT! All of these doctor co-pays, and then the Outpatient charge for anything I have done like the Endoscopy and now the Pacemaker, have a larger co-pay now... and of course the hospital always wants is ALL up front.... and hell my glasses if I need new lenses, the "prism" in the for the double vision makes them cost even more...plus I got ready to make the eye appt and found out my "usual" eye doctor retired! 

Luckily, I had been to another one last time, and I really liked him... and he is close, just over in Waxahachie, so at least it's not Dallas. But, I went to make the Endocrinologist appt that my PCP wanted me to see, and SHE CAN'T SEE MY TILL LIKE THE END OF JULY!!! So, I found a couple that take my insurance and they are closer to me, although still in Dallas not as far as this other woman... but I've got to get everything else "caught up"... I have to see my other Orthopedic Surgeon since we think my lumbar spine is causing a lot of my severe pain also in my hips and down my legs, plus the shoulder he replaced... it's not been "the same" and feels almost like that "brachial plexus" ball of nerves, are on fire...I can't stand to "touch my right shoulder" in many places..it was never "the greatest" but was so much better after the replacement BUT after that 2nd cervical neck surgery, (I know they had to have me lying in a very odd position) they must have had that shoulder in a position, that ever since, something is just wrong.... so he is the one that does the spinal surgeries, the shoulder replacement and so forth...

HELPING A DEAR FRIEND TO FIND A PAIN DOCTOR IN THE SEATTLE, WA - AREA... PLEASE LET US KNOW...

Jim in Washington State is having a very, very DIFFICULT TIME finding a "good and non-quack Pain Specialist.... He is at his wits end, and just cannot find one who will even prescribe his Baclofen, and meds such as that!...much less any of the narcotic meds he needs now after the accident!!!! 

IF ANYONE has ANY IDEAS, suggestions, doctors, someone they may know in the Seattle Area, PLEASE SEND HIM A MESSAGE AND LET HIM KNOW !!!!!! I Know he is about at the end of his rope like many of us, and Seattle USED to be the "better" place for this type of thing not worse... maybe even across the pass over in the towns across and to the East, or down towards Portland... 

he is living in a very small country town out kind of South East a ways from Seattle... so even if it were out in that direction it would be okay, and in fact better!!!!! I told him I would try and think of something myself, or someone else he could see etc... but things are nuts in the realms of pain doctors, as so many of us know!!!! But, please send him a message if you do know of any type of information that may help him....

hugs, Rhia his FB page is James Sheffer so just send him a private message and let him know if you can think of anything....

Awesome Article from the National Pain Report ON Treating The Patient Not the Label

 Terrific Article on National Pain Management - ON Treating The Patient - Not The Label

 

http://nationalpainreport.com/treat-the-patient-not-the-label-8829300.html

By Terri Lewis, PhD
Terri Lewis, PhD is a frequent contributor to the National Pain Report. She is a daughter and a mother who has witnessed chronic pain first hand. She currently serves as an Assistant Professor, Rehabilitation Counseling and International Programs Consultant at National Changhua University of Education in Taiwan. She originally published this column on Linkedin on January 17.



Follow on Twitter - for National Pain Report

@NatPainReport

@Tal7291

Pain Pump Replacement in the wee hours of tomorrow morning,..

IN October 2010 I had the original pain pump put in, which should have lasted 7 years or more... and here we are 5 years and its been in "stall" for months.... LOTS of things have happened between 2012 to 2015... some good, some horrible... and some I am so fed up in dealing with... I am SICK OF BEING SICK, I AM SICK OF SURGERIES, DOCTORS, HOSPITALS, TEST, LAB WORK, MEDS AFTER MEDS... Does it EVER END??? or at least get somewhat better... For some reason I am having one of these "diassociative" realms, where I feel I am here but not here... I've had this a couple of times in the past about 4 years, especially when there is just too much to deal with... and I think that is where I am at... I want this surgery, and the other at least one in my cervical spine taken care of... and I want some kind of freaking normal to exist... Sometimes I guess maybe that is too much to ask for... so my friend Carrie is picking me up at 4:30 AM and I have to be at the outpatient surgery center to check in at 5:30AM I HOPE that means I am "first up" and can get in and get out.... and we don't have to spend a whole lot of time up there, but they will intubate me, and put me under completely due to the type of surgery it is... so keep me in your thoughts and prayers, along with my Mom, who is totally worried, and Jim... and my kids... plus Carrie please prayer that she is able to drive and be safe.... she has also back issues badly, having several surgeries herself... so I am sure this will not be pleasant for her either... I shall post when I can... 


Now here I am facing yet another surgery, and two after this one if my neck and lower back don't improve... 

Where do you Go? Hip, lower back pain - CT Scan shows "something" yet it seems like now enough to cause this type of pain...

I've been going over and over this stupid CT Scan from a month ago. I wished I could get more information, but when I look up what is being told on it, I am getting a "google" search of all types of issues. Some of them may pertain to me, and others I am not sure of.

I am sure of a couple of things. I almost am to the point I cannot sit at my computer. If I sit here more than 10 minutes, my hips, butt and lower back just throb, burn, ache, and it feels like very deep bone pain.

Nothing has really changed since the injections (Transforminal Epidural Steroid Injections) which were two weeks ago, as of tomorrow. I thought I had felt a bit of relief that first couple of days afterwards. But, then I began to notice my hips once again feel like they are on fire if I sit for very long at a time. I can get up, walk around for awhile, then the pain comes back, resonating kind of from my tailbone, down into my hips, around the outer part of my thighs, and often into my calves and down into my heels. I notice if I try and get out in the yard to pull weeds from the flowerbeds, pick up things and put them in our trash cans outside, try and break down small limbs from the trees and also trash them... after a bit, again that deep down kind of like a burn starts again. So, if I sit for too long, especially here at the computer, or if I go and walk or stand is the worst for a long time, my hips and very lower back just hurt like hell.

I am still in the thinking that I have two problems... the hips and then my lower lumbar spine about where it joins at my tailbone. That is actually where the CT picked up some issues, I have vertebra I think, that has "slipped forward"... plus I have the Retrolisthesis


which is also meaning it has slipped the opposite of what many of them do... plus I have known about my "crooked spine". Now the levoscoliosis I guess is enough that it shows on the scan. All of which even though don't appear on the CT as being horrendous, as before they have done Scans, X-rays, MRI's that show not so bad. Then they decide to open the joint up and take a look, and sure enough the "arthritic" degeneration and damage was where it was not seen on those scans.

http://www.spinal-foundation.org/conditions/vertebral-slippage... 

It has been exactly two weeks ago today, since I had the "Transforminal Epidural Steroid Injections" in my very last Lumbar spinal vertebra L-5 and then I believe S-1 shows issues also.

I thought right after the injection that it felt better. Yet, after a couple of days, I began having the same types of issues, pain when I sit for very long at the computer, pain if I stand too long in one place, or even if I walk for a long distance, especially like shopping... where you stop, then walk a few steps, and over again....

My thoughts are that I have two issues, as I've said all along. I feel both hips are a part of this, simply because this is what has happened a couple of times over the past 6 or so years. It seems about once every two years my hips act up, probably more like bursitis. Which, my orthopedic surgeon seems to think that "bursitis" of the hip would not cause all of the pain I am having! WELL, I have news for him. I've had it before and it hurts like hell. So, where he gets off thinking that my hips are not the issue and my back is, I am not sure...

Anyway, I am headed to Dallas in just a bit to follow up on those injections. While I am at my pain specialist, I will ask him what his opinion is on having this discogram/discograph... that the ortho doc seems to think I should have....

When I return, I will update everyone on the situation!