Coincidence?: Part 3

This is slowing becoming a replay of 2009! After the doctor’s office FORGOT to forward my request for a referral to an orthopedic surgeon last Friday before closing, I was forced to wait until Monday to call and see if that requested had been filled. This morning I called and since the nurse practitioner who saw me wasn’t in the request had been passed to the doctor. I was told to call back after lunch time.

After waiting another 3 hours I finally put in a call to the office. I got lucky and got the nurse’s assistant. I explained the situation and then wanted to know the update on my referral request. She told me that the nurse practitioner wanted me to go for physical therapy for 2-3 weeks BEFORE seeing an orthopedic surgeon. Huh?

So let me get this straight, neither the doctor or the nurse practitioner can confirm what the problem with my left knee is, either a sprain or tear of the MCL. This was the same condition 3 years ago when I was told by my doctor, consequently I fell down the stairs a few days later and got a referral to see the orthopedic surgeon. Instead I was “pre-authorized” to go to physical therapy for a condition that CANNOT be verified!

As of today, now 8 days after injuring my left knee the only symptom that has improved to a degree has been the swelling. Quickly perusing the Internet for a few signs of a possibly MCL tear, I found this from Cedars-Sinai:

  • Pain, which can range from mild to severe, depending on how serious your injury is
  • Stiffness
  • Swelling
  • Tenderness along the inside of the knee
  • A feeling that your knee may give way under stress or may lock or catch.

Let’s take the list from the top. Pain, yup! I have it, but it does range from sever to mild, depending on what I am doing. If I am standing for any period of time, the pain becomes too much. Sitting at work, it’s not bad, it doesn’t go away.

Stiffness. Sure thing. If the knee is bent too long it’s sore and stiff on the back of the knee. Conversely if I have been laying in bed and try to get up, it takes a bit to get the knee to bend, but the pain is always there.

The swelling comes and goes with the amount of time I am on my feet. The longer I am standing, the knee will start to swell. If I am sitting, such as at work, the swelling does decrease. I have also notice an odd bulge that pushes out from the left side of my knee. I figure that is probably just fluids, but I can’t confirm that.

The MCL region of the left knee is still tender, has been since last Sunday evening when something popped and the pain flared up. Even to the tough, the region is warm and very tender. Pushing or probing the area is quite sore.

Finally what concerns me most, having a feeling my knee will give away. I had it happening once and I fear it will happen again, unannounced without warning. I take extra care in walking up and especially down the stairs. Last thing I want is another fall on the stairs as I had in 2009. It was also be the quickest way to get that referral I should of had last Monday!

Now I probably could have pushed the issue and might do so tomorrow. I know my body better than my doctor. All the signs of a possible tear are evident, but WHY they won’t give me a referral is anyone’s guess. This is just one more situation in which my doctor isn’t out for my best interest. His office has been on my shit list since January I met with the doctor to compare my blood tests (July, 2011 vs December, 2011) and he didn’t think I could sustain a plant-based, whole food diet. That same appointment saw him prescribe 50,000IU/weekly of Vitamin D for a reported “deficiency.” He has been wrong too many time recently and I am not happy.

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  1. Pingback: Coincidence?: Part IV – The Bullshit

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