Most people who have heard the story of how a physiotherapist separated my shoulder have told me to sue. Certainly, during the 3 months of almost constant pain, I entertained the thought more than once.
But there's something about doing a master's in conflict studies - makes me evaluate any conflict in my life from a more theoretical point of view. Personal conflicts take on more significance as I found myself analyzing them and how they should be handled.
If I really believe that people in conflict should first try to talk honestly about the situation and hear the other person's perspective... well I guess that's what I should do.
But for all my lofty theories, I am still a chicken. It took my physio's secretary calling to check an address for sending my last bill for me to ask for an appointment to talk with her. I then had a week of restless dreams before the appointment - this morning at 11:30.
I went in prepared for the worst - armed with receipts of almost $350.00 in physio bills and a copy of the doctor's diagnosis of an A/C sprain (a separated shoulder).
She greeted me with a warm smile, wished me a happy new year and asked how my Christmas was. I was too nervous to make small talk, but I did make an effort to demonstrate friendliness and good intentions.
I started by saying that I wanted to talk about the 'whole shoulder thing', to give my perspective. I went over the events quickly and she agreed with me. She seemed glad to hear that I had got a diagnosis and treatment that has helped. She said it is very unusual for a shoulder to separate like mine did, but did not in any way deny that she had done that to me. I told her that since she knows my situation (full-time student, working part-time for an NGO), she could appreciate that this has been not only painful and disabling, but also very expensive. I asked if she would consider refunding the money I had paid for her treatments. She agreed immediately and asked if I would also like her to refund the physio I did at Carleton University. I handed over all my receipts and she said she would mail me a cheque for everything.
It was all over so quickly! Not five minutes had passed and everything was resolved. How long have I been mulling over this, frustrated and complaining? I'd like to think I've learned something today.
Showing posts with label shoulder. Show all posts
Showing posts with label shoulder. Show all posts
Monday, January 08, 2007
Saturday, November 25, 2006
did it work?
The question has been asked - has pushing the bones back together actually worked?
I'd say the answer is mixed. If we are actually dealing with a Grade 3 (see images showing the gradations of AC separation) - a sign of which is the raised bump on the shoulder - then I am not so sure that simply pushing on my bones is going to fix this. As perhaps is understandable, I have lost some faith in my physio. I would really like to get a second opinion.
Admittedly, after she pushed on my shoulder, it did seem to fall a bit lower (it had been noticeably higher). Also, while with my left hand I can reach behind my back up to my shoulder blades, with my right I could not get past my waist. Now I can force my hand halfway up my back. It's not pretty, it's not painless, but supposedly is a sign that things are on the mend.
I don't know how long it will be before I am back to normal however. But at least I can study, write papers and exams and read... that's about all I have time for these days anyway.
Thanks for the concern!
I'm paying for this?
Did you know that you can shift the position of your bones by pushing on them? Apparently you can - it's been done to me.
That migraine I wrote about in September was actually a misdiagnosed pinched nerve - which explains the jerking of my arm and the tingling in my fingers. I went to a physiotherapist who diagnosed me with thoracic outlet syndrome, which is basically a pinching of nerves from compression of bones or ligaments around the spine. The physio's solution for this was to manipulate my shoulder by pressing, tugging, turning, taping... to open it up so it would stop pinching the nerve that weaves through these bones. In three painful sessions she tried to shove my shoulder into "the right place".
Physiotherapy is not only painful, but expensive, so after a few of these sessions I told her that I would work on the exercises she gave me and perhaps come back to see her in a few months. On our last session she used super-tape to pull my shoulder down.
Foolishly I went to a yoga class that night, with my taped up shoulder freshly raw from the physio's pummeling. Half-way through the class I was unable to lift my arm above my head or support any weight with it.
That was almost 2 months ago. Since then I have been in almost constant pain - often it seems like hot knife blades are stabbing my shoulder. The weight of my small purse is too much for that shoulder. Reaching back to put my arms in the sleeves of my jacket is torturous.
But I went to 2 doctors, one of which told me (and I kid you not, I am quoting here) "Sit down and shut up... I don't care about your pain." Another one said it was a rotator cuff injury and to come back in 6 months if I still had pain. Sigh.
And I sit around getting fat since even going for a walk is too jarring. Yoga is out of the question, as are any of the other fitness classes I was doing. Dropped out of curling. No to volleyball invitations...
I was reluctant to go back to the physio who did this to me in the first place, but yesterday I finally went to see her, figuring that at least she knows my history and may listen to me...
So it turns out that she had been successful in pulling down my shoulder. Problem is - the collarbone didn't go with. She now thinks I have a separated shoulder - yup, that's the kind of injury that sidelines pro football players.
See where the clavicle is supposed to touch your shoulder? Well, mine doesn't. It's sticking up like there is marble tucked under the skin of my shoulder. Technically, I have an acromioclavicular joint separation, or AC separation.
The brilliant solution? Push them back together! I'm not kidding, I lay on my left side while she pushed on that painful tip of clavicle that's poking up. She alternated this with ultrasound to try and keep the swelling down.
Yes, first she pulls my bones apart, now she is pushing them back together.
And I'm paying for this??
That migraine I wrote about in September was actually a misdiagnosed pinched nerve - which explains the jerking of my arm and the tingling in my fingers. I went to a physiotherapist who diagnosed me with thoracic outlet syndrome, which is basically a pinching of nerves from compression of bones or ligaments around the spine. The physio's solution for this was to manipulate my shoulder by pressing, tugging, turning, taping... to open it up so it would stop pinching the nerve that weaves through these bones. In three painful sessions she tried to shove my shoulder into "the right place".
Physiotherapy is not only painful, but expensive, so after a few of these sessions I told her that I would work on the exercises she gave me and perhaps come back to see her in a few months. On our last session she used super-tape to pull my shoulder down.
Foolishly I went to a yoga class that night, with my taped up shoulder freshly raw from the physio's pummeling. Half-way through the class I was unable to lift my arm above my head or support any weight with it.
That was almost 2 months ago. Since then I have been in almost constant pain - often it seems like hot knife blades are stabbing my shoulder. The weight of my small purse is too much for that shoulder. Reaching back to put my arms in the sleeves of my jacket is torturous.
But I went to 2 doctors, one of which told me (and I kid you not, I am quoting here) "Sit down and shut up... I don't care about your pain." Another one said it was a rotator cuff injury and to come back in 6 months if I still had pain. Sigh.
And I sit around getting fat since even going for a walk is too jarring. Yoga is out of the question, as are any of the other fitness classes I was doing. Dropped out of curling. No to volleyball invitations...
I was reluctant to go back to the physio who did this to me in the first place, but yesterday I finally went to see her, figuring that at least she knows my history and may listen to me...
So it turns out that she had been successful in pulling down my shoulder. Problem is - the collarbone didn't go with. She now thinks I have a separated shoulder - yup, that's the kind of injury that sidelines pro football players.
See where the clavicle is supposed to touch your shoulder? Well, mine doesn't. It's sticking up like there is marble tucked under the skin of my shoulder. Technically, I have an acromioclavicular joint separation, or AC separation.The brilliant solution? Push them back together! I'm not kidding, I lay on my left side while she pushed on that painful tip of clavicle that's poking up. She alternated this with ultrasound to try and keep the swelling down.
Yes, first she pulls my bones apart, now she is pushing them back together.
And I'm paying for this??
Thursday, September 14, 2006
at least it's better than the alternatives
So I have apparently experienced my first migraine. As I explained to the TeleHealth nurse over the phone, then to the triage nurse in the ER, then to the first nurse to see me after waiting over an hour, then to the two doctors who subsequently saw me - what started as a headache in the early evening turned into excruciating pain which woke me around 1 a.m.
In the next half hour, I think I took 800mg of Advil - 400 of which was liquid gels. But steel claws were gripping my temples and the pain went all the way to my toes. Dizziness, nausea, difficulty breathing, tingling sensation... I had the works.
I woke V around 1:30 and that's when he phoned TeleHealth. I felt like I was dying, but the nurse still made me give my address, postal code, telephone number, date of birth, etc before asking about my symptoms. She recommended I go to an emergency. "Do you understand my recommendation?" she asked.
"Yes," I breathed.
"Will you go to the emergency?"
"Yes."
I thought I would throw up or pass out on the drive there, but the cool breeze from a window open onto a rainy night helped a little. There was still a vice grip on my head and now my right arm and leg had started twitching and shaking. By the time we got to emergency, my right hand felt like it was asleep (and it hasn't completely woken up since).
Emergency wards are such dreary places. Not at all the drama of tv's ER. A nonplussed triage nurse took my blood pressure and temperature, asked me a few questions and told me I was "textbook". Whatever that means.
The room was large and harshly lit. Most of the rows of chairs had curved bars between each seat which prevented lying down. But after an elderly couple left, V and I were able to get the only 4 seats without where I could lie my shuddering body down with my head on his lap. Fear Factor was playing loudly from the tv suspended from the ceiling. Doors opened and closed, people walked or shuffled by. We waited.
It was about 4:00 a.m. by the time they called me into a small examination room. So close to another room, I heard every detail of the complaint from the woman in the room next to mine. She had come in because she was concerned by a blood pressure reading of 175 and likely waited as long as I did only to get told that in the emergency ward they really aren't going to do anything for you if it's still under 210.
The 800 mg of Advil were finally taking some effect and my headache came in waves instead of the unbearable pressure. I was expecting to be similarly dismissed. As usually happens when I start to recover after complaining a great deal, I feel sheepish and almost guilty that the pain is no longer so severe, my symptoms no longer intense.
But the first nurse to see, a young man with a non-hurried, gentle manner, listened carefully and then fetched me a hot blanket to try and stop my shaking. Another 20 minutes or so later - which I spent lying on a too-short exam table in a narrow room with cold bare walls around and neon lights above - a young female doctor came in. Immediately she asked if I would like the lights dimmed. Thank you!
I was starting to feel like a warped record, but she listened carefully, asked quite a few questions, checked my reflexes, my neck, my head, sensation in my hands, my grip, etc... She seemed uncertain so she fetched the attending. He was a short man with a huge grey beard and closely cropped grey hair (by this time I was finally opening my eyes). He checked my balance, my eyes, my hands, etc. I was impressed with the concern both he and the young woman still hovering nearby showed.
They consulted with each other and after awhile the young doctor came back to tell me I was free to go. It is not uncommon for women in their 30s to start developing migraines. Now I just need to figure out the triggers. What sucks is that besides trying to guess the triggers, there is little I can do. But still, I was relieved with this diagnosis since it was better than the other possibilities they had been checking for - like a stroke or meningitis.
We got home around 5:30 in the morning. If it was summer, the sun would have been coming up. The headache was fading and pure fatigue was taking its place. V deserves a medal for sitting up all night with me - and still getting up for work in the morning.
As for me, I'm just laying low today. My mind is dulled with sleepiness and the lingering ache between my temples. Outside it's a grey, cold rainy day. If I can stay awake I will try to make a dent in the masses of reading I now have as a grad student...
In the next half hour, I think I took 800mg of Advil - 400 of which was liquid gels. But steel claws were gripping my temples and the pain went all the way to my toes. Dizziness, nausea, difficulty breathing, tingling sensation... I had the works.
I woke V around 1:30 and that's when he phoned TeleHealth. I felt like I was dying, but the nurse still made me give my address, postal code, telephone number, date of birth, etc before asking about my symptoms. She recommended I go to an emergency. "Do you understand my recommendation?" she asked.
"Yes," I breathed.
"Will you go to the emergency?"
"Yes."
I thought I would throw up or pass out on the drive there, but the cool breeze from a window open onto a rainy night helped a little. There was still a vice grip on my head and now my right arm and leg had started twitching and shaking. By the time we got to emergency, my right hand felt like it was asleep (and it hasn't completely woken up since).
Emergency wards are such dreary places. Not at all the drama of tv's ER. A nonplussed triage nurse took my blood pressure and temperature, asked me a few questions and told me I was "textbook". Whatever that means.
The room was large and harshly lit. Most of the rows of chairs had curved bars between each seat which prevented lying down. But after an elderly couple left, V and I were able to get the only 4 seats without where I could lie my shuddering body down with my head on his lap. Fear Factor was playing loudly from the tv suspended from the ceiling. Doors opened and closed, people walked or shuffled by. We waited.
It was about 4:00 a.m. by the time they called me into a small examination room. So close to another room, I heard every detail of the complaint from the woman in the room next to mine. She had come in because she was concerned by a blood pressure reading of 175 and likely waited as long as I did only to get told that in the emergency ward they really aren't going to do anything for you if it's still under 210.
The 800 mg of Advil were finally taking some effect and my headache came in waves instead of the unbearable pressure. I was expecting to be similarly dismissed. As usually happens when I start to recover after complaining a great deal, I feel sheepish and almost guilty that the pain is no longer so severe, my symptoms no longer intense.
But the first nurse to see, a young man with a non-hurried, gentle manner, listened carefully and then fetched me a hot blanket to try and stop my shaking. Another 20 minutes or so later - which I spent lying on a too-short exam table in a narrow room with cold bare walls around and neon lights above - a young female doctor came in. Immediately she asked if I would like the lights dimmed. Thank you!
I was starting to feel like a warped record, but she listened carefully, asked quite a few questions, checked my reflexes, my neck, my head, sensation in my hands, my grip, etc... She seemed uncertain so she fetched the attending. He was a short man with a huge grey beard and closely cropped grey hair (by this time I was finally opening my eyes). He checked my balance, my eyes, my hands, etc. I was impressed with the concern both he and the young woman still hovering nearby showed.
They consulted with each other and after awhile the young doctor came back to tell me I was free to go. It is not uncommon for women in their 30s to start developing migraines. Now I just need to figure out the triggers. What sucks is that besides trying to guess the triggers, there is little I can do. But still, I was relieved with this diagnosis since it was better than the other possibilities they had been checking for - like a stroke or meningitis.
We got home around 5:30 in the morning. If it was summer, the sun would have been coming up. The headache was fading and pure fatigue was taking its place. V deserves a medal for sitting up all night with me - and still getting up for work in the morning.
As for me, I'm just laying low today. My mind is dulled with sleepiness and the lingering ache between my temples. Outside it's a grey, cold rainy day. If I can stay awake I will try to make a dent in the masses of reading I now have as a grad student...
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