Have Medical Questions? Ask a Doctor Online!
Welcome, My answers are for educational purposes only. Remember please, that we do not get paid if you do not click 'accept' / give positive ratings!
why were the blood tests ordered?
what are your symptoms?
I went to him saying that I lately experienced some pain behind my knees
and I it felt a little stiff behind the knees
And I haden't seen the doctor in a year anyway...
I also went to him because I have a pain in the left shoulder...
There are some movements I can't make with my left arm...
so the monocyte result is only significant if your white blood cell count is completely out of bounds.... it is of very little significance in most cases, and yours would be a case in which I think the monocyte count (a type of white blood cell) is of no help at all, and an abnormal value does not help to get to a diagnosis in your case
the d dimer is a test to assess for clotting
and it's very non specific
meaning a slightly positive test
which I believe yours is
depening on the normal range for that lab that did the test
Ok, may I ask another question?
is also very non specific
your doctor ordered it to get an idea bout the possibility of you having a blood clot
it's slightly abnormal
so now I think he will have to do ultrasounds of your legs to check for clot
He did the ultrasound and didn't find anything...
then the d dimer is a not significant in your case
and you can likely ignore both these results
they do not lead to a diagnosis
So, he put me on nabumetone.... I'm a little concerned about the possible side effects of that medication...
it's very similar to motrin
what do you know or think about that medication?
what side effects are you concerned with?
i think it's a good choice
I looked online and they said it can cause heart attack or something like that
it does not cause heart attacks
it has some irritating effect on the stomach
and can be hard on the kidneys if used for a long time
but it's very much like taking motrin (ibuprofen)
i see what you are talking about now
MAYO CLINIC ON RELAFEN
the warning re heart attack and stroke is there
and it is for people who already have problems with their heart
this medicine is very safe
you must understand that the reporting requirements for drug side effects are such that
if there is ANY evidence, even one in ten thousand chance, that a drug may have a side effect... then it is required to be reported
obviously you can not do studies on humans
and give one group a certain drug
and one group another
So if I don't have previous heart problems, this is not likely to create any new condition to me?
so these side effect warnings are often developed 'retrospectively'... in other words... scientists use statistics and look at thousand of people who have been on a specifiic medicine
if they see a patern they report it
which is why even aspirin
has a warning label that would scare you silly
and 'yes' to your last question
It did scare the hell out of me !
so... I hurt my left shoulder and that's why i got to this point...
let me show you something.... are you willing to take a little test for me?
what kind of test?
a simple question
okay, give me one secone
what do you think cause the following in overdose....
stand by one second
Are you still here?
the following substance, when consumed in excess can cause
that link came up as a copy
the following subtance when consumed in excess can cause
Hyponatremia symptoms include:
do you know what it is?
no, I don't
what is it?
my point being
my point is that
the side effect profile of most drugs will scare you to death
because they have to list all POSSIBLE side effects
If you are afraid of the Relafen
there is really no difference between it and motrin
so you could simply take motrin instead
Well, I've never taken any of those medecines... and I'm very suspicious of taking any medecine as I've always been very healthy...
that's why when I have to take anything new I go look it up on the internet to get any info I can...
good for you
Now I still need to see what my doctor is going to do for my left shoulder
when I lift it up it's painful
I took one of the nabumetone yesterday, but it doesn't seem to be taking care of that pain...
it is not the kind of medicine you take one time
I used to push very hard on my left arm trying to wash my back during my showers...
the NSAID class needs to be taken as directed, every day, on a schedule, to achieve it's maximum anti-inflammatory potential
tylenol works soon after you take it
And I think that's where that pain is coming from.... any idea?
relafen and similar drugs need to be taken consistently and as directed
sounds very much like a rotator cuff problem, perhaps a shoulder joint problem. does not sound like surgical problem, sounds like something that physical therapy and rehabilitation will make better.
physical therapy? rehabilitation? ... lot of money? long time treatment?
have no idae
you are asking me to guess
because i can't see your xray and can't do an exam
educated guess on my part
The problem is my doctor didn't even order an xray....?
should I suggest it?
the thing is an xray only looks at bones
and bones are usually normal unless there is a specific injury
But what I like is the "not surgical" part of your answer...
so an Xray may be good to have as a baseline study
but it will likely be normal
and your doctor has the benefit of being able to examine you
so if he chose not to do an Xray he is likely right
But when I talk to him next time I'll bring it up
do you have any final questions for me about this?
rotator cuff.... is that a very serious problem?
not unless you have a complete tear
but there will be pain...
and if you can raise your arm above your head you do not
let me send you some info
thanks for your support today!
i think you will find this interesting
ROTATOR CUFF INJURIES MAYO CLINIC
anything else tonight?
No, I think we discussed it all
Thanks a lot!
if this has been helfpul to you
please do leave positive feedback
and good luck
in your recovery
thanks for your question
ask for me anytime if you choose to use this service again
very enjoyable speaking with you
I definitely will!
is there a way to save this chat session?
you can cut and paste it into a word document or email
you can also retrieve it
at any time
by clicking on the 'my questions' link at the upper right of your screen
you got excellent!
I will sign off now
and go get a bite to eat
Save & Exit