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12/01/2008 18:59
king2626
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Hi all, as many of you know I am being treated for possible lyme based on a pos 31 and IND 34 and 41 along with shooting body pains (mainly joints), horrific burning nerve pains, extreme joint cracking, muscle twitches all over, etc etc...

A month after most of this started I noticed what feels like a constant bruise on the rightside of my spine..right above my bra strap. It sometimes burns--I feel it every day and more so in the am. Lately I feel it more, mayb because I keep pressing on it. Anyway, I got a full body bone scan and an MRI of my spine (non contrast). The bone scan did not show anything and the MRI showed mild DDD in my thoracic spine but not sure if its this EXACT area. I worry that something more sinister could be going on in my spine ie cancer.However I hope that would have shown in the MRI or scan?

I have asked for another MRI w contrast--what would you do or think? Something in the spine I think could cause all of these oddities aside from the extreme joint cracking. Guess I am second guessing my possible dx again

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12/01/2008 22:11
fluffyluggage
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If you're pressing on it, you certainly could be causing more distress to the area. Plus, you are worrying yourself into a panic. Your thoracic spine, as I'm sure you were told, is the region of your ribcage to your neck region, basically. So, it's possible that the area of mild DDD is where you are feeling the bruising pain. Some of that could be attributed to a possible Herx-like reaction, it's hard to know. It could also be attributed to a co-infection. Since we don't know if you were tested or are being treated for one, it's kinda hard to comment on the what-if's here...but those are some possibilities.

However, that being said, if your insurance will pay for a contrast study and you are truly concerned, I don't see the harm in doing it. There are very few side effects to one, except for the feeling of needing to pee! LOL... FWIW, I think you COULD be making trouble where there is none, but if your insurance will pay to put your mind at ease, why not go ahead and do it and be done with the worry, so you can stop stressing, eh? It's probably worth the co-pay to ease your mind or find something that so far they may have missed, wouldn't you think? Then you will have a better time accepting what is going on and can move forward with treatment without a constant worry.

I'd also highly recommend that you get tested for co-infections if you haven't already. It's a possibility that shouldn't be ignored when you have Lyme, and for some of the co-infections, Babesia in particular, the ab's used to treat LD don't work to kill them, and by ignoring them, you will never be free of LD. JMO, but it's worth looking into and asking your LLMD.

Good luck, and let us know how things go, wouldja? *hugs*

jen

Just because it's impossible doesn't mean it can't happen.

I'm not a doc, so anything I say is my opinion only. Nothing I say is meant as offense, I offer what I can as help.

I believe in educating myself on all my medical issues and being my own advocate, for no one else with do that on my behalf. I recommend we all do the same!

The definition of insanity is doing the same thing over and over again and expecting different results. Perhaps I truly am insane for expecting these docs to listen to me when I say the same things repeatedly to no avail? LOL. I am tired of seeking out new docs and getting the same result time and again...Forgive me if I seem bitter some days.

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12/01/2008 22:39
king2626
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Thanks so much. The bruise type pain came about a month after the other stuff. I literally feel it more when I press on the spine and have had my fiance massaging it---you are prob right, I should leave it alone.

I emailed my dr asking for a contrast study. This is just all confusing, I go from thinking lyme, to some other bacteria, to spinal cord tumors etc...I just want a FULL positive vs the pos of what I have,its hard for me to accept it IS lyme!

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12/01/2008 23:15
fluffyluggage
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Hey king,

I know it's really difficult. I think we may have talked about it, but I say it all the time. Remember that Lyme is a clinical diagnosis, and what that means is that tests should only be used to back up a doctor's diagnosis of the disease. They shouldn't be used as the definitive thing saying that's for sure what it is. They should be used in conjunction with other things, your symptoms and a physical exam. What's more important than tests, due to their unreliability, is the physical exam, but even moreso is your symptoms, and your history. Things like your exposure history to ticks, have you worked or lived around animals like cats, dogs, horses, etc? Have you lived in an endemic tick area (and don't listen to the idiots who say "ain't no ticks in [insert state]", cuz it's getting to where it's pretty much everywhere, but there are areas where it's really bad)? Have you visited areas were it's endemic? Those things, and others, all need to be taken into account BEFORE you start looking at tests, and then tests should be used to HELP make the diagnosis, but they should NEVER be used as the be-all and end-all of a diagnosis. Period. NO ifs, ands, or buts about it.

And that's a hard pill for those of us who've grown up in a society where testing has been such an ingrained part of our medical practice, I know. But I've worked in vet medicine, and I understand that testing is not always 100% reliable. I know that it can miss things, and I know that it's not always the answer. So to me, this is easier to get than it is for a lot of other people. For years, we've relied on testing. A negative means you don't have something, and a positive means you do, period. We've been taught that, it's been brained into us. But that's really not the case, EVER, to be honest. In every test ever taken, there is a fallibility factor that doctors don't tell you about. You get a negative test result, but it could be false. There's all sorts of factors that go into that, but it's always possible. False positives are so extremely rare that you just don't much see them, but it can also happen. The accuracy rate of a WB test is about 37%, I think. That's just unacceptable. But when you get a positive at all, you have it, hun. It's virtually impossible to get a false positive. And with IND (indeterminate) bands on the WB, they are treated as positives as far as treatment is concerned.

Honestly, if I had the WB test results you had, I'd be overjoyed. I can't get anyone to listen to me and believe that I have Lyme! I think you are LUCKY to have the results you do. Mine came back a flat negative, tho they were done by Spectra labs or someone like that, and the bands weren't separated, so I have no idea what it actually looked like, but just a plain negative. No questions asked. So, therefore, I'm just crazy. It's all in my head. I must have CFS/FMS, and nothing else. I'm to be dismissed.

And I'm not trying to make this all about me, either. I just want to try to help you accept it better...I hope that it did help at least some!

*hugs*

Jen

Just because it's impossible doesn't mean it can't happen.

I'm not a doc, so anything I say is my opinion only. Nothing I say is meant as offense, I offer what I can as help.

I believe in educating myself on all my medical issues and being my own advocate, for no one else with do that on my behalf. I recommend we all do the same!

The definition of insanity is doing the same thing over and over again and expecting different results. Perhaps I truly am insane for expecting these docs to listen to me when I say the same things repeatedly to no avail? LOL. I am tired of seeking out new docs and getting the same result time and again...Forgive me if I seem bitter some days.

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