2 thoughts on “52F chronic pain Hx MS and Fibromyalgia, Pelvis MRI, please help”

  1. hilary.umans

    I’m receiving many comments….thank you—-keep them coming….
    I failed to mention the severe, global muscle atrophy, which I presume to
    be related to the reported history of MS.

    She is a clinic patient…I tried to call the doctor…but that was a while
    ago and I was afraid I would still be on hold.
    I will request that the doctor call me….hey, I can dream….

    On Tue, Aug 24, 2021 at 12:46 PM hilary umans <hilary.umans@gmail.com>
    wrote:

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  2. Thanks to everyone who responded.

    The consensus is TB…I agree it’s most likely.
    As Dr. Rubin suggested, something as simple as CXR and ppd might be
    diagnostic.
    My guess is she’s probably had BCG, but that’s just a guess.
    There’s plenty to biopsy.

    The only other imaging studies we have are recent C and L spine MRI (cord
    look normal) and Brain MRI from 2008 that was reported normal.
    No CXR.

    I have her last clinic note….described severe (9/10) pain and documented
    her sad mood. You think???!!!!
    I really wonder about the legions of people….mostly women, accused of
    having fibromyalgia—-to
    excuse the shortcomings of the treating physicians.
    But now I’m editorializing……

    On Tue, Aug 24, 2021 at 12:46 PM hilary umans <hilary.umans@gmail.com>
    wrote:

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