links for 2010-02-09
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And some actual descriptions of the exercises at the end of this article.
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More about the study.
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Interesting. I should give this a shot. Couldn't hurt.
Costochondritis is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the breastbone or sternum. The condition causes localized chest pain that you can reproduce by pushing on the cartilage in the front of your ribcage. Costochondritis is a relatively harmless condition and usually goes away without treatment. The cause is usually unknown.
Relatively harmless? Perhaps, but it hurts like bloody hell. This is the current working theory for the health issues I’m having lately. It feels a bit different than the pleurisy that I previously had reoccurring over and over, although when I look back at a couple of those blog entries, I realize some of them were this instead.
And it’s a bit maddening because the symptoms closely resemble a heart attack or heart difficulties, so the first couple times I went to the emergency room (believe me, if I could have avoided out of going, I would have) both I and the doctors freaked the hell right out until it became apparent that my heart is just fine. More from WebMD:
Costochondritis is also considered as a possible diagnosis for adults who have chest pain. Chest pain in adults is considered a potentially serious sign of a heart problem by most doctors until proven otherwise. Chest pain in adults usually leads to a battery of tests to rule out heart disease. If those tests are normal and your physical exam is consistent with costochondritis, your doctor will diagnose costochondritis as the cause of your chest pain. It is important, however, for adults with chest pain to be examined and tested for heart disease before being diagnosed with costochondritis. Often it is difficult to distinguish between the two without further testing. The condition affects females more than males (70% versus 30%). Costochondritis may also occur as the result of an infection or as a complication of surgery on your sternum.
(Emphasis mine.)
This is the fourth time I’ve had this occur, and each time, the emergency room doctors spring to action, and then when they realize I’m not having a heart attack (my EKG is normal, and subsequent testing shows I’m fine) they act kind of disgusted with me for causing a fuss, and then send me home referring me to follow up care with my primary care physician. You may learn more about vein conditions and treatment here.
By the time I can get in to see my physician, the pain has subsided, and they don’t do a whole lot to try to figure out what the issue was. This time around, I decided to change the game and made an appointment with the doctor first. My regular PCP wasn’t in, but the on call doctor got to see first hand how much pain I was in; enough to want to send me to the emergency room. I explained to him I had had this happen 3 times before and they decided there was nothing wrong with my heart (the most recent time, my cardiologist actually eventually ordered a cardiac catheterization that definitively proved the issue wasn’t my heart.)
This time, the on-call doctor was able to see all that in my charts and put it together. He made me go to the emergency room to rule out a blood clot in my lungs, and once they did that, I went right home, but the emergency room suggested this “Costochondritis” or “chest wall syndrome” as the cause. I need to follow up again with – my PCP.
The gap in my health care is between my Primary Care Physician and the hospital – they like to play a game of hot potato with me. The PCP wants me to go to the hospital for anything they can’t figure out, but the hospital only wants to rule out anything life threatening and send me home without further investigation, so no one ever solves the problem or follows up on anything.
And as far as I’m concerned, I’m so sick of doctors and hospitals and gowns and waiting around with Stephanie — who is as stressed out as I am about the whole business — that I want to avoid the whole thing unless I absolutely can’t function, so I’m not motivated to figure out what the hell is going on, either.
At least this time I’m closer to understanding what’s going on, but no closer to getting anything resolved. I’m loath to keep asking for pain medication because I don’t want to be dependent on it, but without it, I’m completely dysfunctional.
All of this is driving me completely crazy, too. I’m just tired of the whole mess.
After reading a couple articles on the health benefits of stand-up work stations, I decided to give it a shot at work. The top is a shelf from my locker/cabinet, and the books are, well, books. I originally planned to find a table of the appropriate height; the shelf/books idea is from my co-worker Rich. Turned out to be a great alternative, since I can slide a book in or out of the stack to customize the height in a way that I wouldn’t have been able to with a table, and once I got it set up, it was clear that my height estimate was wrong.
So far, I’m enjoying it. I’ll have to see how I feel at the end of the day and after a few days of trying it.
So…… tomorrow I have to have a Colonoscopy. Woohoo! No, Katie Couric will not be there to film it. And yes, I am old. OLD. Just yesterday I was reminiscing about something that happened in college in 1987 – twenty years ago.
a) I’m reminiscing now? Great. People just love that.
b) I still think I’m a college student. I still have that “final in a class I forgot I signed up for and never attended” dream regularly. That counts, right?
c) TWENTY FRICKIN’ YEARS AGO? OMFG.
This is a follow-up thing from my diverticulitis problem back in May. It’s mainly a precaution to ensure I don’t have colon cancer or polyps. Both are unlikely, given my age, but they want to shine a light up there to be sure.
So today I’m not allowed to eat anything but non-red jello (something about the dye) and clear liquids, and tonight I have to “prep” for the procedure. Not going into details; use your imagination for that. As I was leaving the pharmacy this morning after filling the appropriate prescription, the guy actually said “have a good day!” and then remembered what drugs I had just purchased and giggled. Funny guy.
I was going to add a funny picture to this post, but I made the mistake of searching the word colonoscopy on google images. Don’t do that. Instead, I’ll provide you with the obligatory unicorn chaser:
I finally managed to get around to getting tested for allergies yesterday, in my ongoing quest to figure out what the hell is causing my repeated bouts of Pleurisy. In the case of airborne allergies, I am apparently allergic to 3 things: Household Dust (to which I have a particularly bad reaction) and the pollen from Hickory and Walnut trees.
I’m so thankful I don’t have a reaction to cats or dogs. I can’t begin to tell you how I would have felt about that.
BUT. Ohmygod, the things we have to do to our house regarding dust. My stuffed monkey collection. The BOOKS. I have to find some way to keep everything clean, or it has to go. And we have SO MUCH clutter that needs to be sold or donated to goodwill.
My head is spinning just thinking about it. We’re also trying to show the rental house, which also needs to be cleaned, and we’re going on a Cruise for Dan’s 40th birthday at the end of August. I’m absolutely overwhelmed with everything.
A very disturbing Associated Press report about a rare set of deaths in the Fort Wayne area.
FORT WAYNE, Ind. — A rare degenerative brain disorder was suspected in the deaths of four people in northeastern Indiana during the past five months, health officials said.
Allen County Health Commissioner Deborah McMahan said the deaths were suspected to have been caused by Creutzfeldt-Jakob Disease. After the third death, McMahan contacted the state health department and asked that the federal Centers for Disease Control and Prevention be notified.
Northeastern Indiana’s hospitals serve about 1 million people, McMahan estimated. Based on CDC figures of fewer than 300 cases a year across the country, the Fort Wayne area might expect one death from the disease a year.
Testing of brain tissue from two victims was planned as that is considered the only definitive way to determine whether a person had CJD. Health officials said the four deaths appear to be from classic CJD and not related to mad cow disease, which is linked to the rare variant CJD found in humans.
Pam Jacquay of New Haven lost her 53-year-old husband, John, to the disease in March. She said that within weeks after Christmas he couldn’t drive and soon forgot how to do common tasks such as dressing and shaving.
“One minute he could do something and the next minute it made no sense to him. … In the last week of his life he lost any ability to communicate with us at all,” Jacquay said. “This just wasn’t the way it was supposed to happen.”
She said she hoped health officials continue to investigate the reasons for the area’s number of cases and that increased awareness will lead to treatment for what is now an incurable disease.
State epidemiologist Bob Teclaw said he was not drawing any conclusions from the deaths in northeastern Indiana. At this point, “we’re in the wait-and-see mode,” he said.
Well, that makes me feel safer. Think maybe instead of “waiting and seeing” perhaps they should be looking at what all these people had in common? Like what food with imported ingredients they all ate, or what meat products they consumed?
UPDATE: This is passed along by one of my readers:
OK – mad cow – possibly through feed given to cattle here in Indiana via grain mills that also process venison. And – have they looked into the chronic wasting disease issue? That is a big bad TABOO subject here in Indiana because of the backroom political deals done by the current administration to accommodate canned hunt operations which are supposedy illegal on the books. Nevertheless, the Amish are raising shooter bucks to be sold for canned hunts and canned hunts are continuing and the DNR openly says they have “prosecutorial discretion” and do not prosecute on canned hunt violations. Obviously, you can see where a truck can be driven through the loopholes monitoring CWD. ALSO – NE (McIntosh/Reed) Indiana has two canned hunt operations that have violated various other permit issues and have been allowed to continue. All very interesting. SO – am wondering if the Chronic Wasting aspect is being seriously looked into. Let me know. I have been following this for eight years – the lack of agricultural/DNR oversight in Indiana on CWD and canned hunting.
Take a look at this link on Chronic Wasting Disease, which is basically a disease that attacks deer, in the same family of diseases as Creutzfeldt-Jakob Disease and Mad cow disease.
A bit more from the reader quoted above:
Originally, there were great plans to monitor for CWD – in Lake County, IN there was even an additional feel for picking up roadkill because CWD was reported in nearby Illinois. Most of those precautions have been done away with once the ten operations were allowed to operate because of a special court injunction. It just all went off the radar screen.
Yes, these cases can be sporadic – but the sudden appearance of these “sporadic” cases defies the odds. Venison is ground up and fed to cattle. We have rendering plants that do this. At first there were strict requirements for animal feed plants in Indiana that used venision (road kill) and the DNR even wrote the Feds a complaining letter because they were not able to monitor the rendering plants because the plants knew that if even one case of CWD was found, they would be shut down. So – everyone took their chances and it all just blew over. Maybe …… who knows.
Anyway, I have that letter that was sent to the feds and also the DNR said they would check thousands of deer for CWD and, of course, did not. I am by no means saying this is the reason. Not at all. But – it is a dirty little secret in Indiana. If everyone’s luck holds out, no one will get the CJD that would result from chronic wasting disease. The domestic deer are monitored minimally and only recently. The secret shooter buck industry works behind the scenes. The motto of the shooter buck farmers in WI was – this is in print (shoot shovel and shut up). Of course, prion borne disease cannot be sterilized or buried. That is the threat of it. Incineration of the elk out west that had CWD was astronomicaly expensive. Anyway, I could go on and on. Just some food for thought. Venison can be put in chili, etc – the blades used to cut through deer spines can be infected – no sterilization works. That is why the rendering plants did NOT ALLOW the INdiana DNR to come in and inspect. Interesting, no?