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New - Idiopathic Hypersomnia & Possible CREST

34 posts in this topic

I'm just so angry right now the surgeon did not do a pathology report. That may have been a chance to slow down or stop things to come in the future. It was a lost opportunity and I'm the one left empty handed.


I don't understand how a surgeon could tell me he doesn't know what it is, he's never seen it before, send me to an oncologist, remove the thing and not send it to pathology.

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The rheumatologist is saying since my Raynaud's started around 12/13 that it's probably not associated with any autoimmune disease.


She says floaters are not associated. Lots of people have them.


I don't know why so many people on here have posted about them. They drive me nuts.


Basically, it's sounding like she doesn't think I have CREST.


But, this mysterious shoulder thing keeps nagging at me that something is going on.

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The aggravating thing is you can't do anything about a doctor's screw up. And, if nothing happens for another 3 years, he's got no liability. I'm going to give this surgeon a piece of my mind at the follow-up appointment.

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dejavu. I know it's hard to sit back and wait. The doctors tend to do that with us. Watching and waiting can help prevent a wrong diagnosis or it can prevent them from giving you a drug that may be to powerful for you at the moment but may be needed in the future. It might not work in the future as well if you have already been exposed to its properties too soon. I have been asking for plaquenil myself for a couple years. Once I almost left with a prescription. Then my doctor said wait 6 months until your next appointment see if you really need to start another medication. Six months went by and I was going to ask again, but in the meantime I was started on cholesterol medication, and osteo medication so I guess I am happy I am still not taking the plaquenil. I just get by with other anti-inflammatory medications that are prescribed to me. It does seem strange to sit back and know you are ill and not taking something for it. Time will tell what you will need, and when you will really need it.


I thought everything that was removed from a persons body went under some type of dissecting process at the time of surgery and also sent to outside laboratories. Maybe that only happens with suspected cancerous products within us. I really don't know but, you would have thought there would have been some type of pathology report. Sorry to hear things weren't taken care of properly. That does happen to all of us at one time or another.

Strength and Warmth,



Sheryl Doom

ISN Support Specialist

(Retired) ISN Chat Moderator

International Scleroderma Network (ISN)

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Hi dejavu,


I'm sorry your doctor appointment didn't go as well as you'd hoped. My heart goes out to you, as I know very well what it is like to have hopes dashed over a possible diagnosis or a hoped-for treatment.


Maybe some of the testing that they are doing now will show something, you never know.


When people have calcinosis it often appears in multiple places in the body. So even an x-ray of your hands could still show if the nodule on your hand is calcinosis, and usually doctors can tell it's calcinosis just by looking at the lumps. Therefore, all is not lost if you still have the hand bump and if the doctor looked at it or will be x-raying it.


Calcinosis is also very easily recognized by surgeons, as it is a very common condition. In fact, because calcium deposits are so common, that is why they are not diagnostic of scleroderma in themselves and why they need to appear in conjunction with a whole constellation of symptoms. I have had several tumors removed that perplexed the pathology department. One of them had to be sent to several different labs for analysis over a period of months -- and it came back perfectly normal, albeit weird. To me the important thing was that it wasn't cancer and that is pretty obvious and is diagnosed or ruled out right away in the vast majority of cases. Anyway, they were just that, weird but benign growths, not diagnostic of anything (except perhaps inherited weirdness!)


Same thing with Raynaud's, because it is an extremely common condition in healthy people, and it very often onsets in young women. And of course, you figured out the floater thing by now, that the reason people with scleroderma have floaters is because they are very common in healthy and sick people alike, and not because of being caused by scleroderma.


We have continual issues trying to clarify on the forums what is normal and occurs in many people versus precise and documented symptoms of scleroderma. For example, nearly all people with scleroderma could claim to have thick calluses on their feet (especially if they haven't had a recent pedicure) -- and so could just about all of the regular, healthy people in the world. So even though people with scleroderma would typically have calluses, it does not mean that it's a symptom of scleroderma, or even that it is caused by a disease process.


One of the things that makes internet research on medical issues so very frustrating for all of us is that we can easily leap to conclusions about our health, while not having a full background of many years of medical training behind us. We just don't know the difference between things that can occur in normal and healthy individuals versus those that are directly related to serious illnesses. And how can we be expected to?!


Many things can frighten us out of our minds, not knowing the difference, for example, between an instance of dry eyes brought on by a fan blowing hot air at us for an afternoon versus continual burning dry gritty eyes for years that are part of diseases like Sjogren's. We read "dry eyes" and easily freak, whereas what is really intended is "totally bone dry eyes for days, weeks, months and years on end before an eye doctor will be able to see and diagnose dry eyes, which still means that it could occur all by itself or as a symptom of a disease like Sjogren's, which sounds very serious but like as not won't kill you or even disable you, and which is usually treated by symptom management only -- which means, often, using regular over-the-counter eye drops."


The best we can do is go to the doctor and ask them about our troublesome or worrisome symptoms, and let them decide, exactly as you have done. Plus, your doctor is not done with their evaluation yet as they will consider the test results, too.


You've done well, actually. You prepared as best you could, you brought your symptoms to a rheumatologist. You had reasonable suspicions under the circumstances. You have established a baseline, in case anything ever gets worse or changes, and you even have a rheumatologist on your medical team now to turn to, if/when you need to.


All of this is "good stuff", even though it is disappointing from not having a fast or easy (so to speak) answer to long-standing and perplexing health problems.


Here are some extra warm hugs, just for you.



Warm Hugs,


Shelley Ensz

Founder and President

International Scleroderma Network (ISN)

Hotline and Donations: 1-800-564-7099


The most important thing in the world to know about scleroderma is sclero.org.

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Well, I'm convinced now I'm going to be found negative for any autoimmune disease, even though I am the infection queen.


I'm going to focus on trying to get something for the CFS and arthritis.


I really want prednisone 5mg for two months and plaquenil.


As far as the calcium goes, I'll have my phosphorus checked out. Maybe, there's an imbalance there.


I'm throwing my hands up.


Now that I take medication for narcolepsy, I'm more awake.


I just need my physical fatique and weakness treated. Then, I'll try to get on with my life.


I'm so sick of doctors and no one knowing why I feel this way. I'm totally over it. Way, way, way over it.


I just hope the calcium doesn't come back to bite me later, if that's what it is.

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Hi Michele,


Sounds like a pretty common appointment scenario, unfortunately. I guess the only thing I can think of is to get complete copies of ALL your records from ALL the doctors you've seen, including any places like hospitals and urgent care centers. There might be something in there that will enable someone to feel comfortable in making a diagnosis. Reading the records yourself, first, then making a copy and highlighting anything that you think is especially pertinent would be helpful. Tip: never hand over the copies you have gotten. They'll be the clearest and most legible ones. Make copies from them and then mark-up or pass on those second-generation copies.


I know you are frustrated to the maximum, but hang in there.

Jeannie McClelland

(Retired) ISN Director of Support Services

(Retired) ISN Sclero Forums Manager

(Retired) ISN Blog Manager

(Retired) ISN Assistant News Guide

(Retired) ISN Artist

International Scleroderma Network

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I'm going back to the surgeon that removed the "unknown white thing" from my shoulder.


If he didn't do a pathology report then I'm going to get him to consider whether or not it was calcium.


I'm so aggrevated.


I may be able to get plaquenil for my current FMS and CFS dxs. But, if I do have a calcium problem, I do not want it to go untreated.


There's the medical help that I want. Plus, I thought getting a disabled parking placard in NYC might be easier with a CREST diagnosis.


We can treat any medical problems I have that we can find independent of a formal diagnosis, but I need that parking placard to function properly.


CFS, FMS, 6 buldging/herniated discs and Raynaud's is not enough for the parking placard. I need the placard because of my physical fatigue. I have to walk 8 blocks to where I park my car as it stands and it's killing me. Public transportation is killing me, too.



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Hello Michele


Should you find out you do have calcinosis you may find it helpful to look at the information we have on site about calcinosis. Unfortunately there is no real treatment for it, it's more a case of managing it and should you have to there are many here who would be able to give you the benefit of their experience.


Take care.

Amanda Thorpe

ISN Sclero Forums Senior Support Specialist

ISN Video Presentations Manager

ISN Blogger

(Retired) ISN Sclero Forums Assistant Manager

(Retired) ISN Email Support Specialist

International Scleroderma Network (ISN)

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