1 Whats Bothering Me. Lanny M. Hackney August 2009 I started college at NSU Oklahoma.

I undertook studies as a double major in communication and marketing. I have sat at my desk for long hours sometimes 12-14 at a time. I drank beer at least every day during this time up until about1 year ago. I did not exercise very much and if I did it was regular walking to and from where I needed to go all within 1-2 miles distance from home. About 4 months ago I started running and working out again 3 times a week, but there became a large amount of pain in my neck and wrists followed by warm sensations in my feet. It is now May 6, 2013 and I have not used any alcohol as I did in the past just a drink once in awhile. Around a year or so ago I went to my doctor Cathy Welch at the Jack C. Montgomery VA Medical clinic in Muskogee, Oklahoma complaining of shoulder pains and chest pains. I was seen regularly for the shoulder pain which was about the top of my left pectoral muscle and went toward center of my chest along the collar bone. I had been going to the VA for 2 years, the 3 and 4th visits being about the newly formed spidering of veins in my feet and my veins in my legs hurting. I was told many times by ER doctors that my veins could not hurt there are no nerves in them. This one particular time I was given neuropathy pain medicine Gabopentanol if I am spelling it right and sent home ordered to do follow up. I have had constant chest pains and anxiety and panic attacks following my chest pains and breathing rapidly or heart rate sudden changes. Along with my prescriptions of Tylenol 3 and various anxiety medicines, I was forced to see mental health for anxiety as a result of my many visits to the ER complaining of chest pains when breathing, my veins in my arms and wrists burning and hurting. I now have the veins on my left side of my head and neck throbbing and knot in it. The doctor Cathy Welch told me about a year ago that it was my lymph nodes swelling and it should pass when they do their job.

2 She had given me antibiotic for upper respiratory infection and sent me home. I have asked for an appointment again to be seen about my chest hurting 7 months ago or so and she only gave me a regular check up. I am now in serious pain every day my upper thigh left side feels like something cutting it from inside from time to time starting at the inner thigh just above my knee and extends toward my middle inner left thigh. My groin throbs from time to time when my neck throbs. Simultaneously I get warm sensations in my left foot and my neck and left ear. I went to the ER on this past Saturday May 4th with my left side of my face tingling again and left eye twitching while my neck was throbbing feeling and if it was almost pulsing. The result of this visit was the doctor on duty (Braden) telling me he would order a thyroid tests on my blood and urine samples given; that normally they do not do these unless ordered. He also assured me I had some infection in the back of my throat and prescribed an antibiotic Zithomycin. Although he stated bacterial infection he said he did not look at my blood work. I can feel the veins on the left side of my head are enlarged in comparison to the ones on the right of my head when this throbbing becomes more prominent. Right at my left ear another lymph node is swollen and behind my left ear I can feel tenderness and swelling. In the main part of my left neck near my jugular area it appears that there is something blocking it from feeling it and the sensations I get like some small pin point poking outward from time to time. I have another Doctor Appointment on the 14th which I feel might not be soon enough. I fear the pain located from the center of my sternum just to the left 2 inches is associated with this pain when I breathe in. There is also now a pain in my left arm just above the elbow and along my left side rib cage and a knot that has formed in my lower left back over the past 1.5 years. A knot which I was told by my Care provider at the last visit was, with no examination other than touching it, a knot in the muscle and it should be fine. This particular visit I was seen for my head hurting

3 tremendously to the point it hurt my ability to think and focus. I am getting these headaches for no reason at all and they come on suddenly. When the headaches come the veins in my head are enlarged and/swollen and the throbbing on my neck left side about the jugular area becomes again prominent. The swelling is causing pain in the back side of my neck now as well and the left temple and right temples will throb as well, but only from time to time. The throbbing in the jugular area where the lymph node is at or whatever perceived obstruction is there is constant. I can check my pulse my just counting the beats as I feel it in my chest beating hard and in my neck. I feel tingling like something moving there once in a while. My plan is to do a walk in tomorrow May 7th 2013 and explain myself once again to the staff and hopefully my doctor if I can be seen. I f not I may have to seek another Medical opinion but I do not have insurance as I am not employed just in school as a student. I have done countless hours of research in scholarly reviewed articles from the Journal of the American Medical Association, Ear Nose & Throat journal, Nephrology Nursing Journal, British Journal of Cardiac Nursing on: Pulmonary Emboli (PE), Venous Thrombosis, Veinous Thromboembolism, and Deep Vein Thrombosis (DVT). I have also read many academic case studies where General Practitioners misdiagnose more than 65% of PE and DVT as upper respiratory infections and the patient dying afterward in the hospital after embolism occurs (Saunders A., 2004: Evening Herald, 2013). It is also notable that left internal jugular vein thrombosis is not something to deflect as anything less than serious (Sacramella J., 2003). The chest pains, anxiety, worries of breathlessness, superficial veins spidering about the extremities, visible lumps in veins of my forearms, brown splotching appearing after it hurts for weeks near veins and staying permanently are all signs and symptoms of something more serious than my physician or the policy of the hospital is willing to admit. My warrant for this is just pure due

4 diligence and feelings of these effects. So to my reader, I urge you to take note of these circumstance whether they be clotting or some other ailment. Furthermore, should one not be able to determine what it is then it is acceptable to defer to someone who can. So that others can learn from this and prevent any physician mishaps as no human is perfect in reference to the research and misdiagnoses. I understand that some facilities are limited in capability and staffing but deflecting the patients concerns with notions or suggestions that come with no examinations of what the patient is concerned with is unethical and impractical regardless of the limitations of the facility. Please help me, and others that my befall what is ailing me. I know others have more serious things ailing them, but they may at least know what it is where as I do not. References Headley C, Melander S. When It May Be a Pulmonary Embolism. Nephrology Nursing Journal [serial online]. March 2011;38(2):127-152. Available from: Academic Search Premier, Ipswich, MA. Accessed May 7, 2013. Potts K. Assessment of a patient presenting with suspected pulmonary embolism. British Journal Of Cardiac Nursing [serial online]. October 2012;7(10):483-489. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed May 6, 2013. Saunders A. GP fails to diagnose fatal blood clot. Dominion Post, The [serial online]. December 30, 2004:A6. Available from: Newspaper Source Plus, Ipswich, MA. Accessed May 6, 2013. Scaramella J. Hyperhomocysteinemia and left internal jugular vein thrombosis with M&eactute;nire's symptom complex. ENT: Ear, Nose & Throat Journal [serial online]. November 2003;82(11):856-865. Available from: Academic Search Premier, Ipswich, MA. Accessed May 6, 2013. Student killed by blood clot. Evening Herald (Plymouth) [serial online]. July 25, 2006:2. Available from: Newspaper Source Plus, Ipswich, MA. Accessed May 6, 2013. Castao C, Serena J, Dvalos A. Use of the New Solitaire AB Device for Mechanical Thrombectomy when Merci Clot Retriever Has Failed to Remove the Clot. Interventional Neuroradiology [serial online]. June 2009;15(2):209-214. Available from: Academic Search Premier, Ipswich, MA. Accessed May 6, 2013.