{"id":3168,"date":"2011-08-20T07:03:37","date_gmt":"2011-08-20T12:03:37","guid":{"rendered":"http:\/\/polarbear60.org\/randr\/?p=3168"},"modified":"2011-08-20T07:03:37","modified_gmt":"2011-08-20T12:03:37","slug":"referring-rheumatology","status":"publish","type":"post","link":"https:\/\/jeanschara.com\/pmtoo\/referring-rheumatology\/","title":{"rendered":"You&#8217;re Referring Me To &#8230; Rheumatology?"},"content":{"rendered":"<p>My knee has been acting up lately.\u00a0 I talked with my doctor about it at my semi-annual check up in June, and he offered to get me started on the referrals with the orthopedist and maybe getting an MRI to see what&#8217;s happening in there.\u00a0 I told him I didn&#8217;t think we were ready for that yet, and decided to wait.<\/p>\n<p>I have a couple of things happening on my right side that I think are working together to make me uncomfortable.\u00a0 I suspected, and confirmed with X-Rays in June, that I broke a bone in my foot either late last fall or in February.\u00a0 I suspect I broke it last fall and aggravated it in February.\u00a0 At this point, it doesn&#8217;t matter when, but there&#8217;s a definite crack in the bone on the X-ray (right where I&#8217;m feeling pain).\u00a0 When I saw the podiatrist in July, it wasn&#8217;t bothering me much, but he told me these breaks can be tough to get healed, and if it bothered me some more to contact him, and we&#8217;d talk about getting a bone growth stimulator.\u00a0 I have an appointment for the 30th to talk about this.<\/p>\n<p>My knee is still bothering me, and a couple of weeks ago, my calf began to ache.\u00a0 I suspect this is related to some sympathetic pain generated by compensating for foot and knee problems.\u00a0 To test my theory, I asked to borrow hubby&#8217;s crutches (he hasn&#8217;t needed them in years) to use them to relieve stress on the right leg.\u00a0 As I suspected, using the crutches resulted in the calf ache disappearing.\u00a0 It didn&#8217;t do a lot for the foot or the knee, but it didn&#8217;t seem to hurt either.<\/p>\n<p>I debated the benefits of getting the foot taken care of and seeing if that took some stress off the knee.\u00a0 I&#8217;m not convinced surgery would be the best or even most advisable solution, but I&#8217;m not sure what else an orthopedist would recommend.\u00a0 Then, yesterday, I did a mild hyper-extension of the knee while mowing the lawn.\u00a0 That hurt.\u00a0 It felt like I may have done some damage &#8212; kind of like a sprain but still no real swelling &#8212; maybe a little above the knee, but there is more pain in more places than usual around the knee.<\/p>\n<p>So, today, while I was in Temple anyway for some other appointments, I stopped at my doctor&#8217;s front desk in the clinic to find out what we needed to do to get a referral.\u00a0 This is where things got interesting.<\/p>\n<p>The tech at the desk appeared to pull up my record and read some stuff.\u00a0 She asked if I had osteoarthritis.\u00a0 I do.\u00a0 She asked, &#8220;Why don&#8217;t I get you a referral to the rheumatologist.&#8221; (She works the internal medicine (my doctor), rheumatology, and urology desk.)\u00a0 I pondered this and asked, &#8220;Rheumatology?\u00a0 I thought we were talking orthopedics?\u00a0 What does a rheumotologist do?&#8221;<\/p>\n<p>She said, &#8220;They can give injections and things. I&#8217;ll check with the nurse, and see what she says.&#8221;<\/p>\n<p>I said, &#8220;Okay,&#8221; and sat down while she took some paper off the printer and stepped into the back.\u00a0 A very short time later she returned and said, &#8220;The nurse says she&#8217;ll do a referral, and we can schedule it today.\u00a0 The rheumatologist is in the same hallway as your doctor.&#8221;\u00a0 So, I&#8217;m set up for Wednesday.<\/p>\n<p>I\u00a0 pondered this idea, came home, and did some research.\u00a0 I&#8217;m thinking I should have seen a rheumatologist some time ago.\u00a0 There are a whole host of chronic illnesses a rheumatologist works with the patient and her medical team to manage, and I have several of them (osteoarthritis and carpal tunnel syndrome are two).\u00a0 I&#8217;m looking forward to this visit to see what I&#8217;ll learn.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>My knee has been acting up lately.\u00a0 I talked with my doctor about it at my semi-annual check up in June, and he offered to get me started on the referrals with the orthopedist and maybe getting an MRI to see what&#8217;s happening in there.\u00a0 I told him I didn&#8217;t <span class=\"excerpt-dots\">&hellip;<\/span> <a class=\"more-link\" href=\"https:\/\/jeanschara.com\/pmtoo\/referring-rheumatology\/\"><span class=\"more-msg\">Continue reading &rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[11],"tags":[],"class_list":["post-3168","post","type-post","status-publish","format-standard","hentry","category-health"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/posts\/3168","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/comments?post=3168"}],"version-history":[{"count":0,"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/posts\/3168\/revisions"}],"wp:attachment":[{"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/media?parent=3168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/categories?post=3168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jeanschara.com\/pmtoo\/wp-json\/wp\/v2\/tags?post=3168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}