crazy appointment-overwhelmed | Arthritis Information

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So, had my followup with the pain dr. regarding the botox injections. I had called on Monday to let him know that I am having the crazy chest pain, shortness of breath, and tightness again. I have had chronic costochondritis (sp?) for years. He has been giving me injections. The nurse said that he could fit me in at th end of the day for injections, but to see the PA for the appointment. Love him...

Anyway, He saw me walking back and I guess I didn't look too hot. He told the PA that he would see me for the appointment as well, but he wanted her in there to hear and "interesting case". Is that a compliment?

He is not happy with the chest. He could feel the inflammation around the sternum. I also told him how I have to "pop" my chest when the pressure gets really bad. Otherwise I can't get a deep breath. That really concerned him. He is worried that the sternum is breaking down. I asked him what the long term issues would be, and he didn't really have an answer. I am to be scheduled for a heart echo and lung function test. I go back next week for more injections under xray. He also sent me home with an inhaler and a few new anti -inflammatories,   One is called Indocin. Any experience out there???

Needless to say,we spent about 5 min on the jaw. I feel bad for whoever had the appointment after me. He spent close to 45min with me, doing injections and talking. He told me he was worried but we would work on the problem. I have been seeing him for years so I appreciate his honesty. I just get so frustrated. I look up everything I can with RA and the chest, sternum, or chest wall, and I just don't find anybody else with this problem to this degree. I don't want anybody else to join my club...but it is lonely.

End on a good note....Tomorrow is the last day with kids...Whooo Hoooo Oh Rebecca- I really feel for you. I'm so sorry these problems keep mounting up. I've been having a lot of troubles (non-RA related) for over a month and was just feeling overwhelmed. Then I read this post and it puts a new perspective for myself in my mind.
You're in my prayers for relief and answers. Enjoy your summer off! You do take off right? Hope you don't have to work a summer job to make ends meet.
Rebecca, girl...  Roccy, that sounds so difficult for you to live with, and the uncertainty about the future makes it scary and yes, knowing nobody else with your symptoms makes it lonely. Although about the last one, there must be others with sternum and chest problems from RA, you just can't be the only one!  I've been on display as an interesting case before too, when in hospital... sort of embarrassing but very validating that it is real.

 
I'm interested in hearing what they plan to do about your sternum. Are you saying you have RA bone erosion there too? I wonder what the pop is due to? What do xrays show?
 
I sure hope all the injections provide relief for you.
hugs,
CathyMarie
Oh I forgot- I took indocin during my onset but it didn't do anything for me and they took me back off. wow..... I"m so sorry you have these additional issues..   sounds very painful..   how do you "pop" your chest?  sounds like a kind of burpy thing?.. getting the air out?
 
I really hope that you don't find any additional issues and that these are clearing up for you.
 
Enjoy the summer months..   you deserve them.. You have one of the most difficult jobs!  and not nearly as rewarding as it should be!! 
HUGS!!! I was on Indocin before and had a bad stomach reaction, but I guess that is true of a lot of NSAIDs and just specific to the person. 
 
I am so sorry about all your pain and the uncertainty!  As you know I also have jaw/chest problems although not as bad as yours.  My chest was the first joint that hurt badly before I got my RA dx.   I think a lot of the time when I think I have heart (pericarditis) or lung involvement is because the chest stuff is so bad--but not that bad, I am so sorry!  I have never had to pop my chest, I can't imagine. 
 
Take care, and hang in there!
I have a lot of problems in the chest wall/sternum. It can be so painful. I feel for you....mine isn't nearly as bad as yours sounds; that must be misrable.
 
What are you getting botox injections for? I'm sure you've talked about this but I seem to have missed that discussion. Where are you getting them?
Thanks for the kind words.  It does help. 
By the way, I do post at another site, so some of you are not crazy if you feel like you have seen this before :)
 
OH...Botox is for the jaw muscles.....
 
He had mentioned some other tests, but I think the echo and function test are first priority. He had wanted me in sooner to get that done but I am going out of town next Wed(our last teacher work day is Tuesday). I have cancelled pretty much every trip this last year due to RA and the jaw. I am on 40mg right now of pred and he said to obviously continue that. Pred would be the treatment anyway if there was inflammation around the heart/lungs. His concern is that I would try to taper it causing the problem to get worse. So, I promised to take it like a good little girl. He also gave me his number in case I would have to go to urgent care or something if the breathing got really bad. That way I won't have to try to explain the whole situation to somebody who probably thinks I don't know anything.

I think I am going to say something about his PA when I see him again. I just don't want to be "that" patient. I have only seen her twice(counting yesterday). The first time I saw her she proceeded to see how inflammed and tight the neck, and shoulder were and asked me why I was on her service since she cani't do the injections. Hmmm..you work here lady. She then proceeded to spend 20min complaining about the fact that her daughter didn't make the middle school volleyball team and all the kids that did were way worse than she was and that the coach is a total &*tch. Nice. Yesterday, after the dr. listed the million meds he wanted me to start he asked if I knew how to use an inhaler. Nope.... He then looked to her and said-you have asthma, you can take care of that. He obviously had to run since he had spend the afternoon with me as a walk in. So, she hands me the prescriptions and I said-oh, is this the one for the inhaler. She said yes...and walked out. HUH??? She was like a jack rabbit....gone.... I don't blame the dr.-he had it covered.

So, I went down to the school nurse and she explained it. Not complicated of course. She was annoyed that the appointment ended that way. In her opinion, I had an awful appointment-especially since I went in for the jaw. She said, as a nurse, she would have sat down with me after the dr. left and asked how I was feeling about it, or did I have any questions. I get along with everybody. If I don't, I tolerate them well. I do have a good relationship with the dr, so I just need to say something. He only uses the PA when patients are being monitored or to check the result of an injection, so I don't see her very much. One day, if I dream, maybe I will just be one of his monitored ones...
rocckyd2009-06-05 08:55:36 Keep dreaming, Rebecca, it is what keeps us going!
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