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antoinehx
09-01-2007, 03:13 AM
Definitions :

Stupidity : The first signs of intelligence are revealed by the ability of creatures to use tools. On the contrary, inability to use proper tools shows a lack of intelligence or stupidity.

Cautiousness : When you don't know wether something is highly probable, it's better not to assert it.

Humility : When you don't know wether something is highly probable, it's better to refer the matter at stake to someone who is more knowledgeable.

Final diagnosis :

I went to visit a last physician specialized in shoulder injuries caused by sport activities to get a final diagnosis of my shoulder troubles. I was not optimistic about this last appointment because I thought that everything had been said or done to alleviate the pains I was feeling in my right shoulder. But to my surprise, the last physician made a very different diagnosis from previous doctors.

Examining my shoulder, he discarded the two previous diagnosis of my last two physicians that is acromio clavicular disjunction and tendinitis.

According to him, I am suffering from a slap lesion of the shoulder, a fracture of the glenohumeral antero inferior (fracture glenoidienne antero-inferieure) and a lesion of the shoulder pad (bourrelet). I need to do now further medical investigations that is an arthroscopy of the shoulder to verify that everything is in order.

So physician number one and two made wrong diagnosis or wrong guesses because they didn't make proper medical investigations even using Xrays or examining carefuly my body. They used the wrong tools or used the right tools in the wrong way to deliver wrong diagnosis.

On the other hand, it seems that the three of them agree to something, that is the treatment. There is nothing to do now for my shoulder as the healing process is coming to its end. But in fact after my appointment with doctor number two, doctor number one said that I should do a cortisone injection and this injection could be done by himself or doctor number three after my last appointment. So even on the treatment they are in fact disagreeing because doctor number three is recommending no injection at all.

Conclusions :

I lost many months not knowing the truth about my shoulder injury. Would I have saved time to heal if I had met doctor number three sooner ? I am not sure but it's a good guess to think so.

Last but not the least, nobody is perfect, especially doctors so check out your doctor by visiting another doctor or two or more !!!

Notes :

Physicians do a great job, one of the greatest for human kind and I respect them and modern medicine very much, they have already saved me from a lot of grave health problems.


Previous article : no supplement found for a nearly 4 month old shoulder injury

Injury and treatment :

Saturday May 12: I was playing my favorite sport when suddenly without any forewarning I felt that I could no longer lift my right arm, it was too painfull to do such a simple movement. I had to stop practicing right away for what I thought was a muscle tear and a one week break. I had never experienced before any such injury, especially in my shoulder.

Week 1 : I decided to stop playing my sport for a couple of days because it?s the best recommendation when suffering from pain in a body part. Nevertheless I went to the gym to measure the extent of my injury or the possible recovery progress. Still I could not lift any weight with my right arm therefore no bench press at all.

Week 2 : Still no sport but only lifting weight at the gym without training the shoulders.

Week 3. Workouts at the gym but no training of the shoulders. At the end of the week I decided that it was high time to see my physician after 3 weeks and virtually no recovery progress.

Week 4 : According to my doctor I was suffering from an acromio clavicular disjonction though the injury was not the result of any shock. I had to stay away from my sport for another 3 weeks, taking no pills, just waiting to fully recover was his recommendation.

Week 5 and 6 : Workouts at the gym and waiting to recover.

Week 7 : I was still feeling pains in my shoulder so I decided to go back to my doctor to tell him that there was no improvements. He told me simply to wait and see another 3 weeks because acromio clavicular injuries take time to heal.

Week 8 and 9 : Workouts at the gym and waiting to recover.

Week 10 : I made an attempt to play again my sport. Though it was possible to practice it was still too painfull.

Week 11 : I went back to my doctor to tell him that my shoulder was still painfull. He told me that I might have a decalcification in my shoulder bones. He told me then to do X rays of my shoulder. Examining the Xrays, the new doctor told me that I might be suffering from a tendinitis in my shoulder.

Week 12 : I went back to my sport still suffering in my shoulder. Contrary to the first time when I tried to play my sport the pain was this time milder.

Week 13 : The pain in my shoulder was still sensible but milder and I started to train my shoulders again with light weights.

Week 14 : I still feel pain in my shoulder but now I know that?s I am going to see the end of my troubles.

Week 16 : I have an appointment at the end of August with a surgeon specializing in shoulder injuries especially caused by sport activities. I am afraid that this appointment will be pointless because by then my shoulder will have fully healed. However it?s a good precaution to see a last doctor.

Conclusions :

1. Physicians do make diagnosis mistakes.

After 3 appointments my doctor could not make out the appropriate diagnosis of what I was suffering. It?s only a second doctor who told me that I might be suffering from tendinitis in light of the X rays.

2. I made myself a wrong diagnosis too.

I thought I was suffering from a muscle tear in my deltoids but could not figure out that I was in fact suffering from a tendinitis though I am used to such pain in my arms or ankles.

3. Time and patience were my best helps.

Yes with time my shoulder is healing but it was very difficult to wait so long. I take now anti inflammatory pills for an injury in my ankle after slipping and falling and it?s helping my shoulder too.

4. Doing weight lifting has been helpfull too.

Not at the beginning though because it was too painfull to lift even my arm. But at the end, even when feeling pain it helped me to recover better movements and confidence that I could one day recover fully. I lift weights but pretty light when training my shoulders, not more than 80 lbs. I don?t try to push myself at all, it?s just about exercising my muscles not trying to test my limits. I hope that one day I will be free of pain in my shoulder.

5. I could not find any supplement to facilitate the recovery process.

mark118
09-01-2007, 04:38 AM
Physicians are only human and are clearly not stupid since they have to get into med school and pass the exams, which most can not.

But best of luck recovering.

antoinehx
09-01-2007, 05:35 AM
Physicians are only human and are clearly not stupid since they have to get into med school and pass the exams, which most can not.

But best of luck recovering.

Unfortunately going to med schools and passing exams doesn't prevent physicians from making from time to time wrong and irresponsible diagnosis as proven in my case.

buffmanjohnson
09-01-2007, 05:40 AM
just dont go back to those ones then. find a good one and stick with them

mark118
09-01-2007, 05:41 AM
Unfortunately going to med school and passing exams doesn't prevent physicians from making from time to time wrong and irresponsible diagnosis as proven in my case.

I know, hence my everyone is human comment. Human body isn't like a car where a fault can often easily be detected and resolved.

It's unfortunate and realy do hope he recovers from his problem but it sounds like scapegoating.

antoinehx
09-01-2007, 06:19 AM
It's unfortunate and realy do hope he recovers from his problem but it sounds like scapegoating.

I will in the future for other medical problems still visit the doctors that I met, one is my usual doctor and the second one I believe did his Xrays in a proper way. They are both nice and clever human beings.

But my conclusion remains the same, don't trust blindly any doctor.

JackG
09-01-2007, 09:47 AM
I will still visit the first two doctors that I met, one is my usual doctor and the second one I believe did his Xrays in a proper way. They are both nice and clever human beings.

But my conclusion remains the same, don't trust blindly any doctor.

X-rays will not be the definitive answer to find a slap lesion, what you should have asked for was an Mri. The third doctor sounded like he was just gun-ho and wanted to go in right away. There was no MRI done with an arthrogram? Also, you should have just not worked upper body at all. I know its an addiction to work out and I had to stop working out upper body for my shoulder last summer from a split in a tendon. It sucks, but it's the only way to gaurantee it heals correctly.

antoinehx
09-01-2007, 10:26 AM
X-rays will not be the definitive answer to find a slap lesion, what you should have asked for was an Mri. The third doctor sounded like he was just gun-ho and wanted to go in right away. There was no MRI done with an arthrogram? Also, you should have just not worked upper body at all. I know its an addiction to work out and I had to stop working out upper body for my shoulder last summer from a split in a tendon. It sucks, but it's the only way to gaurantee it heals correctly.

Hello man,

Thank you for sharing your experience.

To tell you the truth I don't know exactly what a slap lesion represents.

I think you are right, I should not have trained the upper body.

The next medical investigation step will be a shoulder arthroscopy but no Xrays. There is no MRI scheduled either but arthroscopy seems to be a more advanced technique than MRI.

I have an appointment for an arthroscopy next Thursday 6. September.

Good to know that you have experienced such injury yourself.

JackG
09-03-2007, 10:34 AM
Hello man,

Thank you for sharing your experience.

To tell you the truth I don't know exactly what a slap lesion represents.

I think you are right, I should not have trained the upper body.

The next medical investigation step will be a shoulder arthroscopy but no Xrays. There is no MRI scheduled either but arthroscopy seems to be a more advanced technique than MRI.

I have an appointment for an arthroscopy next Thursday 6. September.

Good to know that you have experienced such injury yourself.

arthroscopy just means hes gonna put you under and look in your shoulder with a camera basically. the doctor is gonna make a hell of alot more money doing surgery than prescribing a MRI.

antoinehx
09-03-2007, 10:40 AM
arthroscopy just means hes gonna put you under and look in your shoulder with a camera basically. the doctor is gonna make a hell of alot more money doing surgery than prescribing a MRI.

Thanks for your opinion.

But I don't worry for the cost because my medical insurance is going to pay for it.

Futhermore, he is not going to do himself this operation but another doctor in the same hospital. So he is not going to benefit himself from this small surgery.