Me & my speech.

Archive for April, 2017

#17- Rhapsodie’s Visual PAIN Diary- April 2017

More here continuing from #16- Visual PAIN Diary- Winter into Spring 2017- Worse & Better At the present time, my LEFT Forearm, LEFT Calf, RIGHT Calf, RIGHT Forearm, LEFT Rotator Cuff, RIGHT Shoulder, 2nd to smallest toe on my Left foot, are my only real PAIN ISSUES that shift and vary with bone strain in movements. 

Presently

I generally get upmost days without any pain, but my movements during the day can and sometimes do cause PAIN.  A wrong step or a wrong lift can give me lightning pain followed by swelling and an ache that diminishes without more stress if I do not repeat that motion within the next week.

Sleeping is made way more difficult, because my left calf feels like it splits when I rest on my right side for 15 minutes or any more.  The exercises for my lower left ankle/calf assigned with physical therapy have increased and advanced the fever of my right calf. It only aches like a bruise presently.

Walking with my left calf wrapped causes pain like shoving micro spears into my bones near the last place a spike of pain happened if I’m on uneven ground and barefoot.  Walking with shoes and bracing causes me to ache whenever I take a step wrong at the store, like from pushing a shopping cart.  My right calf ONLY hurts when rubbed by hand to remove the swelling that centers over the fracture, that is as yet untreated, and when the fever in the calf gets bad my body temperature rises also.

ANTIBIOTICS CONTINUE TO REMAIN THE ONLY PAIN TREATMENT that removes pain.  But doctors’ have continued to ignore this sign of infections in the body. Prescribed treatments only fiddlefarden by brain to disguise from it the reality of pain.

  • Steroid– I was allergic so only 2 doses out of 7 were taken, a week of no pain, but I really injured areas that weren’t felt as being in pain.  Over 3 months of working to recover to the point I was previous to taking a single dose.
  • Acetaminophen/Cod 3o mg & Turmeric Cur-cumin– 24 hours of sleep with 36 hours of fuzzed brain, fluffing away the pain in disguising the problems from nerve central.
  • Aspirin/Ibuprofen– 5 to 12 hours of sleep
  • NSAID Cream– Anti-Inflammatory, I’ve only used one dose so far.

The fever in my right calf has been regrowing, today April 15th my temperature was over a degree above normal. The area of swelling on my right calf is not associated with ‘bone injury,’ but surgery was mentioned to me this last week.  My left arm though is the problem we’ve discussed through this set of blog posts, with the Visual PAIN Diary- From September 2013 into April 2017,

this is the last post for that section of this PAIN Care blog. Because I believe the plate for my LEFT arm has been moving around.  And thus the movement of the plate means that the areas of pressure from grip have shifted when pressing in areas also.

My sleep is again being problematic.  Because of so much lack of care, lack of physically moving properly regularly I’m almost incapable of walking presently.  The present medical system is set up to make sure anywhere there is a problem on your body you have to go in for a separate visit.

The Left shoulder injury could probably have been avoided if there had been care for my lower arm, but there hasn’t been, and I’m still having problems with my left lower arm & the recovery exercises for the shoulder exacerbate the problems with swelling of my Left Forearm.

But beyond them is how the patient will continue to suffer into the future and the cost settlements for injuries that are as yet uncared for as well as uncalculated into the lack of care … The lack of care results have led to a weak left arm, added to taking my ability to do the enjoyable tasks I still love as shared in the beginning of the document.

NEEDING LEFT ARM BRACING FOR ALL NORMAL TASKS,

many of which are avoided because of the work stress spiking pains:

  • Holding a bowl of soup, a small notebook, anything at all really with my lower left arm results in spiking and shifting pain with a single move.
    •  It’s really hard to eat a bowl of cereal.
  • Taking out trash, on the kitchen 15 gallon can has not been done, by me in over 2 years, my previous work at McDonalds involved lifting larger trash bags regularly.
  • Sorting through my storage of season clothes exchange took over 2 weeks, pain hindered me as did my arm not being powerful enough to brace a suit on a hanger single handedly with my left hand.
    • I have not washed a sink full of dishes since the week of the Steroid NO PAIN;
  • SWOLLEN NUMB FINGERS, specifically the 2 middle ones of my left hand, started feeling pinched about the summer of 2015 after the Steroid week & this reoccured in September & October of 2016.
  • SWOLLEN HAND, if my Left Arm is not angled up to sleep, I awake with it totally numb.
More ARM Work PROBLEMS,
  • Watering my plants is uncomfortable with my 1 quart watering container. 2 hands work best.
  • Adding water to the humidifier is done with the smallest cooking pot in the house, the 2 to 3.5 cup one. That’s between 16 and 28 ounces, a gallon of milk has to be lifted with 2 hands.
  • Lifting my drink mug with my left hand aches.
  • I do not comb my hair or brush my teeth with my left hand anymore either.
  • Washing Dishes, 1 piece at a time,
  • After doing anything normally easy for over 1 hour,
    • except for using the typing keyboard, it’s okay with resting my arm on the brace pad on my tucked down bear.
  • I haven’t sewn, sketched, crafted, read a book that weighs more than a Harlequin in over 6 months because my left arm can’t support the weight or the use angle stresses presently.

Just earlier this week a metal L door handle touched the upper edge of the YELLOW ORANGE bruise pain on the picture, the pressure felt like having a hand slap onto a bloody purple bruise beneath the skin. That area has never caused me any pain in the past; I would rate that at somewhere near ONE but less than that.  It’s the persistent re-ache that is most annoying.

Because months have passed since my last entry I’m adding details from the present situation and the pain shifting.  A situation which the doctors have listed as chronic pain, they’re stupid about that, but then they only read what others share with them before making a diagnosis. The February 2018 post demonstrates how the so called ‘chronic pain’ isn’t, it’s in fact circumstantial driven by life AND lack of proper treatment.

Other Connecting Posts

Please beware they are grouped based on a style of topics.

Diabetic’s and Treatments

[Sorry posts still need dividing & completing for better online reading.]

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#16- Visual PAIN Diary- Winter into Spring 2017- Worse & Better

Rhapsodie’s PAIN Diary continues from beyond the last post- #15- Visual PAIN Diary- July through December 2016- NO PROFESSIONAL CARE More Problems– The pain splitting AND swelling that resulted from the shoulder bracing demonstrated to me that also the injuries of my left calf were splintering as I feel towards my knee and towards my ankle.  With use my left arm is splintering towards my wrist.  This is not normal but maybe people with dense bones are more likely to have this happen because of the greater bone resistance to splitting breaks which separate bone parts completely.

Winter & Spring 2017 Swelling & Splitting Pain Tied Together

At present my Lower LEFT Arm suffers swelling and more, pictures from February to April of 2017 are demonstrative visuals. As you can see with the pictures, the swelling green section is over the lower forearm bone, it has not reached the wrist bones, but it is very close.

Osteoclasts were not allowed to work the separated bone into the freshened injury after the Father’s Day Fall of 2014.  After pushing a part of the bone down behind the plate as it was in my arm then did not realign on the injury properly, thus it did not heal onto the base bone properly.

This is only part of Rhapsodie’s issues, but having bones improperly cared for can weaken the overall body of any person.

  • How do multiple repeated spreading fractures weaken a person?
  • How does the lack of correct bone care hurt and add problems beyond pain?

There are definite answers to these questions, but in consideration of my left arm, more and more physical weakness hinders my physical activity and the muscle mass decrease has allowed my injured bone areas to sprawl with greater touchable ease and the lack of use has caused more body problems as well as fear that Osteoarthritis & Rheumatoid Arthritis will be suffered more than it ever should have because of NO DOCTORAL CARE & self patient education.

A person should work to retain body balances, if they do not work towards this through their life they could suffer more and more as we see repeatedly.  Originally the PAIN problems I had were just rated by me as accidents in which I would heal from with time.  But the years of growing issues, evidenced on these pages demonstrates how initial pain problems diagnosed incorrectly can expand and become worse problems for both patients and their serving medical people.  Especially when medical people don’t take the time to investigate more than ‘tell us how you would rate the pain?’  Followed by let’s prescribe a ‘drug.’

To me that’s not work to investigate or learn anything, if you reported to the local police that you saw a car off the road in an odd area with skid tracks through the snow an investigative vehicle would be sent to the location. The problem would be taken care of before the police left the area abandoned with no care for the people.

If the work to pursue diagnostics was done with a little more accurate understanding of the real pain being felt with the medical requests then there could be better care with hopefully less cost as well as time wasted for both the patient searching for care and the doctors who are working to provide care.

  • Why is it if a patient talks about pain, there is no care given?

NO wonder there are so many people suffering ‘prescription drug problems.’  For me, pain is a sign of problems, taking drugs to minimize pain weaken my body and add to problems I could get.

Presently

I generally get upmost days without any pain, but my movements during the day can and sometimes do cause Pain.  A wrong step or a wrong lift can give me lightning pain followed by swelling and an ache that diminishes without more stress.  Sleeping is made way more difficult, because my left calf feels like it splits when I rest on my right side for 15 minutes or any more

#15- Visual PAIN Diary- July through December 2016- NO PROFESSIONAL CARE More Problems

Rhapsodie’s PAIN Diary continues from beyond the last post- #14- Visual PAIN Diary- August 2014 to Summer 2016 INACCURATE Records SUFFEREDThis wasn’t nice, but it was easier than suffering more shitty assessments, but the original shoulder brace shifted something else in my lower left arm. Some may find that their PAIN Diary progression may just have the pain minimizing and totally dropping away as injuries heal progressively.  This is what is normally anticipated with healing, and I’ve had multiple switch change pain placements that demonstrate this has been happening with me also.

BUT my lower left arm has NEVER been cared for appropriately by doctors.

July to August 2016

Problems from the lack of care, INACCURATE PAIN ASSESSMENT CORRESPONDENCE, incomplete and falsified records have extended to other body parts as well as my dignity, work ability, my family care with me and other doctor’s care of me. My left rotator cuff was knocked out of place in July 2016.  The drop in my shoulder was suffered with for months until August 28th when it was shifted back into position at home.

Then after my demand to go to emergency my need for proper shoulder care had me making my pain estimates what I assumed other people would say in the same situation.

September through December 2016

And my request at emergency got me a shoulder & lower arm brace that was used for 3 days at the start of September 2016, until I determined a more comfortable method because my lower Left arm suffered from wearing the cuff.

The MRI did display 3 injuries on that shoulder, but my high pain tolerance had me living for over 1.5 months with my shoulder dropped 1 to 2 inches below its natural location in the shoulder socket.  The accidental blanket re-shifting of my shoulder back into normal placement that happened on August 28th, 2016 was followed by:

  • August 28th visit to the Emergency Room.
  • 1 visit on September 3rd to a specialist- that prescribed a visit to get an MRI & a visit to a Rotator Cuff surgeon/specialist.
  • October 14, 2016 MRI.
  • Visit to another specialist was never handled by the office of the September 3rd visit; I set up my own, with another specialist visit on March 8th, 2017.
  • Followed by a, March 16th, visit to another surgeon/specialist for examination of my Rotator Cuff MRI.
  • This has been followed by his prescription to go for physical therapy at 8 visits, one of which cost $300. AND
  • Another visit scheduled with that specialist to review how progressive the physical therapy has been later this month.

This means I would have done better totally avoiding the doctors and doing an online search for rotator cuff care & rotator cuff exercises.

It definitely would have been cheaper AND much more progressively beneficial.  This has also been proven with the shoulder bracing. This shoulder brace, provided to me at the emergency room assisted in holding the shoulder in place, but it didn’t feel healthy.

There are multiple problems I associate with the lack of use of muscles of the arm, but the shoulder still needed to be braced because it had spent over 6 weeks out of position.  Above my wrist but below my scar some lighting bites of pain happen more and more progressively with the use of the hospital brace.

My 1st visit to a specialist confirmed that there was real injury to my shoulder.  And his prescription for another brace that was more comfortable was given to me.

My husband took me to a local pharmacy that had multiple brace types in stock.  With examining the package as well as other braces on the internet the cost of the internet brace was significantly less.  My husband purchased one of the online braces for me, BUT use of it also caused problems with my lower arm. The pressure of the brace along my arm felt like my bone was soft not stiff in the arm brace.

Another item had been used by me while waiting for the brace that I found good.

My Rotator Cuff Stuffy as shown in the picture here, held by my shoulder, allowed the rest of my body more comfort and freedom, but still braced my shoulder as you can see in comparing the pictures.

Many types of braces are available, the medical industry may not like this, but My Rotator Cuff Stuffy is not tactically bad other than the fact it was created as a stuffed animal and thus I restuffed it about a month ago for better comfort.  Its shape & size allows my underarm to be braced up and locked in place while the rear spread feet keep and raised head allow my body to hold it in place.   I have worn it under a coat, over flannel shirts, bathrobes, and against bare skin and t-shirts.

While my lower left arm has been protected there is more rawness, and I’ve felt the placement of the plate vary.  Now instead of along the scar where there was bone numbness when I touch the outside of my arm, it’s now below my arm and more towards my hand than my elbow.

The pain splitting AND swelling that resulted from the shoulder bracing demonstrated to me that also the injuries of my left calf were splintering as I feel towards my knee and towards my ankle.  With use my left arm is splintering towards my wrist.  This is not normal but maybe people with dense bones are more likely to have this happen because of the greater bone resistance to splitting breaks which separate bone parts completely…

Other Connecting Posts

#14- Visual PAIN Diary- August 2014 to Summer 2016 INACCURATE Records SUFFERED

So ended the previous post- #13- Visual PAIN Diary- July 2014- Painful Pokey Boney Walk The amount on a pain scale was about a 6 with my arm down, but with the arm up against my chest it was only depleted with shoving the Pokey Boney back into place behind the plate.  It didn’t go back onto the bone, but at least it wasn’t sticking out any more.

August & Fall 2014- Frictional Discomfort

There were months while I rubbed at a very tiny protuberance that  shifted and rubbed behind the plate that hid the bone from my fingers.  Sometimes a boney section pecked out from between my solid bone area and the plate that remained as a fracture support.  My arm continued to suffer shifting and rubbing feelings of pain, until I finally pressed it down to a more comfortable location multiple months later.

But the bruising on my arm was continually being felt.  In fact to this day I can touch the exact locations I rubbed and shifted against for months, seeking comfort with my Left Forearm, as are pictured here:

But multiple inaccurate reports used by doctors & medical technologists have caused them to fake in the estimates while not doing proper examining.

The ONLY accepted official report about my 2005 surgery was the false one stuffed in my files.  The X-rays of that arm show glass or gravel, like the plate was to be seen as, but NO CARE HAS BEEN GIVEN, because it has been the patient’s word against the doctor’s inaccurate testimony.

How can we as patient’s continue to accept these inaccuracies AND live by them when we have the exact opposite actually happening to us.  Well we human’s do like to be dumb and ignorant when it is too much work to fight for truth and right.  Isn’t that why Hitler was so successful with the persecution camps?

The Infrequent & continual rubbing of my lower arm resulted in getting the bruised deepening area feeling on the bone,  but there was ALWAYS another item keeping my fingers separated from the bone.

  • Wouldn’t a removed plate on my left arm have allowed me to feel the touch of my fingers against the bone?
    • For many years there have areas of my lower left arm that do not feel the pressure of my fingers, since 2000, and it still continues.

Presently I feel body areas under my right hand and fingers on my left arm, but my left arm does not feel the same fingers any deeper than the skin, no matter how deep I push against the painful areas of my Left Lower arm.  The pressure push feels like pushing into a deep raw bruise.


Since Then

There were many interstitial circumstances, at least from my living time, varying things between September 2014 and the Summer of 2016, but most were minor enough to not be specifically remembered.

But during the Winter and Spring of 2016 I had

  • trouble with my right shoulder, causing me to use my LEFT Forearm a lot more than over the previous 2 years.
  • My left shoulder was definitely weakened because of not being exercised properly because a leaning function in our narrow hall, 23 inches wide OR less with sliding door only partially open, in
  • July 2016, caused me to dislocate my Left Shoulder ROTATOR CUFF in more than 3 areas.

This was proven after it was brought back into position August 28th, the MRI results done in October 2016 showed there was more than one area of injury which I’m still getting care for.  The only way I was taken seriously by the doctor was my lie about the so called level of pain I was feeling, since it was disruptive AND no care for deeper injuries was ever received.

This wasn’t nice, but it was easier than suffering more shitty assessments, but the original shoulder brace shifted something else in my lower left arm…

Other Connecting Posts

Please beware they are grouped based on a style of topics.

Diabetic’s and Treatments

[Sorry posts still need dividing & completing for better online reading.]

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#13- Visual PAIN Diary- July 2014- Painful Pokey Boney Walk

As was shared with the previous post- #12- Visual PAIN Diary- June 2014- Father’s Day Weekend after the work to repair my leg you would think that if there were other injuries with my arm, I could also work them into repair.  But there is a great factor hindering me, it is the plate that still exists in my arm.  If that plate was gone, I could have put the bone fully back in position just as I originally did with my lower left leg.

From the visuals a person who is trying to understand the pain another is feeling can also relate better with the situations that led to actions based on feelings that may not necessarily be understandable without the visual connections. I’m not talking about pain alone, but how different aspects of nature can vary the actions of the person who took actions that are not understood fully by others.

Please remember that I have to make visualizations because there were no photos taken previous to suffering the many problems that resulting from real injuries AND multiple doctoral inaccurate assessments that are causing pain.  At times PAIN that has been severe enough to cause me to get nauseous or weak AND to become more and more incapacitated with doctor’s not making assessments properly because of their inaccurate basis of PAIN assessments.

The July 2014 Pokey Boney Walk

On an excursion to from the mailbox in July of 2014, the extent of the Father’s Day Weekend Fall of JUNE 2014 was demonstrated. Pulling the mail out of the box with my right hand was done, and it was passed into my left, but something popped.  It wasn’t too bad that instant, but the joggling mail envelops made things worse.

(A) Natural Walking Arm Angle

I felt like a raw scab was being ripped inside my left arm, and with a single inaccurate step I almost passed out.

The PAIN was on the lower side of my arm. The pressure on the skin shifted as I moved my arm, eventually though clumsily my right hand located a slight protuberance poking away from my left arm.  For all who have never scraped themselves and crawled on the injury, the pressure pain, from the arm with the protruding bone resting against the skin below, felt like having a raw scrape that was cared for land repeatedly on gravel against the exact same location.

(B) Raised View of LEFT Forearm

Raising my arm, caused the ache to intensify against the skin, but it minimized the scraping scratching raw pain of shifting bone weight. My right hand couldn’t really find the problem after my arm was lifted at a certain angle, but there was an angle of touch that was sickening.  The closest place was over 100 yards away from where I was standing, I HAD TO DO SOMETHING!

Shifting the mail, and trying to rub the pain away, was not helping things were getting worse.  I needed to see the problem, so capturing the mail against my chest with my partially raised LEFT arm allowed me to work on getting rid of more pain.  Working to view the situation took some effort.

My view of the painful area was not easy to see from my natural viewpoint as shown in this mirror image here. The red mark on the sketch is approximately the location of where Pokey Boney was located on my Left Forearm.

(C ) Pokey Boney Injury Sketch

With my arm across my lower breast there was nothing to see, I had to shift my wrist down while raising my shoulder up to get the bone to act like it did with my arm down.

OUCH!

Finally I saw the issue, though I felt a lot in the meantime. I do not have an accurate view to share with you, so this picture has been sketched with an oversized  Pokey Boney addition.

Please remember that the bone was trying to poke out of my skin, I was alone in the yard, the house was so far away, I had to do something.  Shaking my head to keep me from  stumbling into the darkening or collapsing from pain, I shoved my Pokey Boney down away from the skin, but NOT back into place.

The amount on a pain scale was about a 6 with my arm down, but with the arm up against my chest it was only depleted with shoving the Pokey Boney back into place behind the plate.  It didn’t go back onto the bone, but at least it wasn’t sticking out any more…

Other Connecting Posts

Please beware they are grouped based on a style of topics.

Diabetic’s and Treatments

[Sorry posts still need dividing & completing for better online reading.]

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#12- Visual PAIN Diary- June 2014- Father’s Day Weekend

The PAIN Diary Timeline begun with the 2000 car accident, followed by the 2005 screw removal, and furtherance of problems in 2013-#11- Visual PAIN Diary- 2013 Stressed Injury continues here. But please be aware there are multiple associated accounts because of the weaknesses growing from a lack of a care as well as the need for proper treatments as well as care with assessments. 

June 2014- Father’s Day Weekend Fall

I stepped down into a hole with my left leg, it was disguised by grass, and I was unaware of it because it had not been there in my previous memories. I took photos of the hole, but it just looks like a grass dip, so they are not being shared.

As my left calf twisted in a full to the ground fall, both my arms braced out to support my weight, my left arm caught most of my weight as that was my collapsing side.  My stronger right arm was away from the fall, thus my left arm suffered more problems, but it wasn’t for another month or so that I really noticed any major ache in the arm.  Because my left calf suffered more from the Father’s Day Weekend Fall.

Yes I had also previously injured my left calf, but the dancer’s injury of the fracture to the Left Calf was never seen by doctors until 8-10-2014, in the body X-rays taken after my car accident.

Again I believe my really high pain tolerance assisted me in putting those bones back in place after the returning home from school where I’d injured the leg.  That work at home was done with the use of ibuprofen and aspirin which also helped decrease the possible swelling.

Original Fixing of the LEFT Calf Injury

Originally the injury only was felt by my suffering and the very slight protrusion of the smaller bone that sliver was held mostly in place by the larger outer piece of bone I had to shift out of the Tibia.  While the bones didn’t protrude too much until after I popped them fully out of place because that injury had 2 larger and one micro piece layered on the back inside of my LEFT Tibia no one in my family even felt the injury.

  • My 1st attempt at repair resulted in passing out, while also determining that the pieces were not appropriately reinstalled in my leg.
  • My 2nd attempt with the pieces fixed the problem almost totally but I had worked the layering out by then AND I had iced my calf. So there was a small bone medium bone sliver, layered in first followed with a just a micro shiver that had to be held in place until I butted in the 3rd largest piece into the Tibia overhand where the larger bone had cracked but had remained captured previous to my release of it.
  • After that I let myself relax to sleep for a bit, with ice again to assist me in massaging the injury smooth with my hands outside the injured bone.
The 1st Record Doctor’s Ever Received of Injury to Left Calf

Eventually this injury was found by doctors in the 8-10-2000 car accident body X-ray, I have never seen the picture the doctor had.  BUT the work I had done for myself resulted in praise by the professional orthopedic surgeon who did my Lower Left Arm work in 2000.

NO ONE but me witnessed any other reason for injury in my lower left calf, previous to the time starting in 2014.  The original injury didn’t turn black or blue & it didn’t noticeably swell either, but I did wear a couple of ace bandages on the lower calf for about 4 weeks as I felt it needed support.  Likely a doctor would have made that a longer time, but I never did more than mention the injury to my parents… Oh the ‘foolishness of youth’ is haunting me now.

After the work to repair my leg you would think that if there were other injuries with my arm, I could also work them into repair.

But there is a great factor hindering me, it is the plate that still exists in my arm.  If that plate was gone, I could have put the bone fully back in position just as I originally did with my lower left leg…

Other Connecting Posts

Please beware they are grouped based on a style of topics.

Diabetic’s and Treatments

[Sorry posts still need dividing & completing for better online reading.]

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#11- Visual PAIN Diary- 2013 Stressed Injury

Continuing from post- #10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS- Maybe the pain & injury diary can grow value in pain assessments as well as more accurate treatments. Like

  • what if the doctors had a visual flip-book relating the pain as well as the injury progressing as I have suffered?
  • what if the medical community had made assessments accurately for me instead of basing things on their own personal ratings of my pain estimates?…

September 2013

2013 Forearm Brace against fall pressure collapse ache that varied from the fall and diminished in generally over months.

  • I had passed out for over 30 minutes.
  • The work done in the previous years of college with jobs as well as taking on the care of grades didn’t happen.
  • I was exhausted all of the time.
    • For the time after that fall, I remained in college until graduation taking a full course load, but not doing the extra work previously practiced during my college time.
    • The injurious fall that caused the faint was from my right calf, a multiple fracture was displayed on the one X-ray of June 10th, 2014.
    • The X-ray was left unexamined by all my doctors.
  • My one viewing of the 6-10-2014 right calf X-ray showed a dancer’s fracture of the inner back Tibia, but as the hospital ‘lost’ the picture I have not received any treatment.
  • Antibiotics were being used by me early in June 2014, the pain went away for a time.  An itchy calf had me rubbing it, and I pushed in part of the unhealed calf fracture.

And this is only part of my calf story, further mishaps are causing more problems, but there are only mentions with this section, because we are sharing a Visual PAIN Timeline for the LEFT FOREARM.

But please be aware there are multiple associated accounts because of the weaknesses growing from a lack of a care as well as the need for proper treatments…

Other Connecting Posts

Please beware they are grouped based on a style of topics.

Diabetic’s and Treatments

[Sorry posts still need dividing & completing for better online reading.]

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Continuing from the previous post- #09- Detailing Diaries Could Limit Inaccurate PAIN Assessments–  The bone injury assessments aren’t as easy for the doctors to see after time continues to pass. BUT let me demonstrate how the detailing could add value to visual assessments by medical professionals..

8-10-2000 Original Injury Sketch

This was from a car accident! The original accident was with the weight bearing bone of my left arm. According to medical information, “Often a fracture of the mid shaft of the ulna is not associated with an injury at the elbow or the wrist, [TRUE WITH ME]. It can be treated with a long arm cast, or with surgery. Plates and screws or intramedullary pins are both effective treatments.” With my car accident the picture is my memory of the injury.

Bone fracture repair is used when a broken bone does not or would not heal properly with casting or splinting alone. Improper healing that requires ORIF surgery can occur in cases when the bone is sticking through the skin (compound fractures)…” This is consistent with the injury that I had.

The orthopedic specialist that did the surgery told me that the lack of inflammation and coloring was very abnormal. He also told me that my bone density was super high, a very good reason to expect that the screws would need to be taken away at a later time. The experimental straight plate material that was put in my arm & the external padded brace was wrapped around the bandage holding the staples and 4.5 inch scar in place.

Of course I can only share with you my visual memories, but the pain assessments can’t be accurate because I was drugged with the emergency ambulatory care.  The visual memory is from being awoken by the doctor so that the hospital could get my desire for treatment.

In that situation my pinky toe on my left foot which was dislocated hurt worse than my arm, it distracted me from really feeling any problem with my arm.  The localized pain killer had not been applied for surgery.

2000 Injury Scar & 2005 Scar after Screws were Removed

The information shared with the section about My Pain Tolerance is HIGH (A Self Assessment describes how the work in my arm resulted in minimal injury.  As stated previously the INACCURATE ASSESSMENT of the PAIN & the CT results by the other hospital could have caused other major body problems, but I knew my body better and worked to get the proper care.  The specialist did NOT base his estimates on my pain statements, BECAUSE before seeing me he had taken the time to do a proper visual survey of the evidence because I had made sure that he got the visuals so that the inaccurate technical reports of the other hospital weren’t his only evidence about the situation.

The day of the surgery after the screws were removed the surgeon who took care of the problem said that, “the screws holding the plate on my arm were removed with my fingers, they were barely in the bone.” This was after I asked why the scar bandage was so small in comparison to the whole plate scar that I had, it was less than 2 inches long while the original plate scar is over 4.5 inches long.

A visual reminder for you of my scar of 2005:

In general with a full plate removal, according to another medical document, from the Malaysian Orthopaedic Journal 2009 Vol 3 No 1 “…Refracture is the most common complication following removal of implant… The forearm should also be protected from heavy loads by splinting for [2] to [4] weeks…”

BUT FOR ME IN 2005, my screws were removed by hand & as more evidence that the PLATE WAS NOT removed I was told by the professional surgeon, “you can return to work like normal tomorrow, there are no restrictions.”  So on my return to work, 4 days after the surgery, the next week because of the extra days I’d previously taken was abnormal for a plate removal.

The plate in my arm has aggravated the present pain situation and proper doctoral assessments, even though the doctors have not heard me because they have been misled by INACCURATE reports based on other inaccurate reports & BAD PAIN Assessments.

This visual addition along with my information from #03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance and other posts can assist others to see in some ways why the Summer 2014 injury care action taken by me did not result in the better care results from doctor’s.

Detailing Information Visually

Maybe the pain & injury diary can grow value in pain assessments as well as more accurate treatments. Like

  • what if the doctors had a visual flip-book relating the pain as well as the injury progressing as I have suffered?
  • what if the medical community had made assessments accurately for me instead of basing things on their own personal ratings of my pain estimates?…

Other Connecting Posts

Please beware they are grouped based on a style of topics.

Diabetic’s and Treatments

[Sorry posts still need dividing & completing for better online reading.]

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

Continued from #08- Inaccurate PAIN Assessments MADE a BIT Better– Because of my pain WHICH HAS NEVER BEEN CHRONIC, shifting and changing based on actions and bone shifting having different time ratings to add the colors to the pictures is useful.  But there is more like the detailing that for me is necessary because there is no reference when doctors only see you every 6 months or when there is a specific problem THAT THEY HAVE RECOGNIZED.

WE AS PATIENTS, who have NOT received proper injury treatment, NEED TO KEEP Visual DIARIES, so that doctors can view the progression of pain at least with coloring in pain variables and area changes.

Like for me which pain has never been consistent, it always comes from actions that have increased problems and actions that have effected previous areas where pain was in the past but had been gone for a long while.  That is a reason that detailing visuals can really assist others, like doctors OR other healthcare OR physical therapy people, realize what issues you, a patient, is trying to share with them.

Detailing Visuals

Visual descriptions may be generified, but people with problems may also need more details.  If I had taken photos or sketches of my arm, with the problems showing, even only the pain charted I could have drawn or colored in the pain variables over time as well as the location shifts so that the doctor’s assessments could be more accurate.

The medical society could do this work also, but in my experience they haven’t done so yet.

Rhapsodie’s Visually Detailing Pain & Variations

My left forearm pain has grown with problems over time, just with using enlarged clips of the pictures from the National Institute Of Pain with added detailing as remembered over time more details of understanding could be seen.

Let me show you my recent work with detailing some of the advancing stages of arm problems based only on my memories from 2014 up to now with the newer problems that grow on my left forearm.

As previously mentioned, the injury to my lower left arm was originally fractured in a car accident. This sketch was pieced with the picture shared by the book and my information added.

AND during the summer of 2014 after taking a twisting fall in 2013 where my weak arm suffered some.  THEN there was another fall around Father’s Day 2014 that dramatically increased my problmes.  This was demonstrated later, in July of 2014 as I was carrying some envelopes of mail up from the mailbox and a piece of bone popped up out of the bone on my left arm.  Instead of taking a picture with my camera, I stood in the yard and pushed the bone down away from the skin.

NO VISUAL EVIDENCE was left for the doctors that they took time to examine or see, AND no one has even gathered accurate assessments of that arm because  the 2005 screw removal surgery report was falsified.

BUT maybe if I had previously added the visuals into a timeline of events incorporating any personal pain feelings the doctors’ would accord more serious attention to the injury now. I have not done things that way because of my ignorance of how the doctors misdiagnose based on limited information.  Previously my diabetes was appropriately diagnosed when I was 5, because the Hemoglobin A1C taken from my blood placed my blood sugar levels as being way outside normal, and my parents were witnesses to how sick I was and the amount of time I lived sickly.

The bone injury assessments aren’t as easy for the doctors to see after time continues to pass. BUT let me demonstrate how the detailing could add value to visual assessments by medical professionals…

Other Connecting Posts

Please beware they are grouped based on a style of topics.

Diabetic’s and Treatments

[Sorry posts still need dividing & completing for better online reading.]

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#08- Inaccurate PAIN Assessments MADE a BIT Better

As ended the previous post #07- Inaccurate PAIN Ratings with NO Applicable Associations- Notice how I varied that doctor’s statement.  It was done, in my estimate, because my doctors have taken it upon themselves to offer assessments based on their inaccurate work & because I had not read through this article with articulation for the types of pain to share previously.  This means there is a need for doctors to supply for patient’s corresponding information that can be related to by the doctor & other medical people too so we as patient’s aren’t inaccurately mislabeled or inaccurately cared for.

Rhapsodie’s ways to share more accurately pain feelings with doctors

The pain specialist information from WebMD can be used, but without having corresponding visuals doctors are likely to make inaccurate assessments.  The National Institute on Pain Control (NIPC) has a great way of assessing pain given for FREE to patients and doctors, but none of my medical practitioners have used it.  Getting this printed AND filled in for your doctors COULD greatly assist them in evaluating you and me also.

Detailing the reinjury to my lower left arm, as was never done till now, during the summer of 2014 after taking a twisting fall in 2013 then again around Father’s Day 2014 causing further problems.  Added to me by the self care for my bone popping as I was carrying some envelopes of mail up from the mailbox was NOT detailed by anyone.

Instead of taking a picture with my camera, I stood in the yard and pushed the bone down away from the skin.

  • But what if I had done more?
  • What if I had taken photos, instead of working myself out of the pain by moving the bone?
  • What if I had done a running visual report for the doctors to look at?

I don’t think they would have found anything with images, because my dense bones and the plate disguised the reinjury, but at least I could have visuals to share. But it hurt and for me, the way to minimize the hurt was to realign the bone more properly, then and there as I was walking into the house with the mail.

The medical reports as followed were only based on the wonderful ‘rate your pain from 0 to 10, and the doctors added me to a chronic pain complainer with NO ACCURATE TREATMENT ALSO.

Basic Visuals to Share

As NO VISUAL EVIDENCE was there for the doctors to view AND no one has even taken accurate visual assessments of that arm even though there are reports made with no visual evidence because it was falsified.  An ultrasound of that arm is unlikely to cause a lot of pain, is safe, and is non-invasive.  It also is cheaper than an MRI or a CT scan, but it has not been done.

But presently on top of wanting accurate treatment, I really wish the doctor’s did more than read inaccurate assessments done by the same hospital that couldn’t even discern that screws were coming out of that arm back in 2005.  My desire for that also includes having them relate to my pain properly.

Look at how the assessment is done in split assessments with both visual AND by descriptions, partially detailed from the work shared by the National Institute on Pain Control (NIPC):

They are asking you the patient in pain to make mark or color in the pain so that doctors can see it.  Also there is a packet of information that includes questions relating to the pain and the feel of it.  The question below is 20 out of 20; showing that there is way more investigative than most doctoral assessments.

This can assist in getting more accurate assessments if the doctors saw how variables shifted and changed with time and situations if they made any assessment beyond the simplified give us an estimate of your pain, rate it from 0 to 10.

Just having charted this information, maybe with multiple copies of this pain chart can add to the doctor’s knowledge if the patient is using the reports to show how the pain varies with the incidences and the work done that causes the pain to result.

Because of my pain WHICH HAS NEVER BEEN CHRONIC, shifting and changing based on actions and bone shifting having different time ratings to add the colors to the pictures is useful.  But there is more like the detailing that for me is necessary because there is no reference when doctors only see you every 6 months or when there is a specific problem, THAT THEY HAVE RECOGNIZED…

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