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Ezra
Social climber
WA, NC, Idaho Falls
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Tar,
Your local rheum has a point, after all the frigging testing that's been done maybe it's worth ruling everything out. I can't advise you on what to do there.
As for the vascular docs for compartments testing, you could try local first, or just go strait for the experts. A good local guy with an open mind could do the testing and confirm or deny increased ICP, and perform the surgery too. But can you find a local who's never diagnosed it before and who has an open mind? Again I can't advise.
If you know that even if a local vascular guy gets a negative result for increased ICP, and you will then go to the experts in the field, than skip the local guy.
I guess it all comes down to ruling out everything versus accepting some doubt (even if the level of doubt is very small).
Best
-e
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Lynne Leichtfuss
Social climber
valley center, ca
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Mar 10, 2009 - 12:55am PT
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Tan Slacks, Great news ! Life is not really "whole" without the musica. Perfect ! Anything I can do to help let me know. You guys are great for being at this event. Lynnie
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Tui
Boulder climber
SD
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Mar 10, 2009 - 01:55am PT
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Miracles happen here all the time. www.ibethel.org Why not try it. You have nothing to lose by going there. Seriously.
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Todd Gordon
Trad climber
Joshua Tree, Cal
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Mar 10, 2009 - 10:42am PT
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Live music from the world's greatest garage band;....and , for those who are aware;...the band is made up of climbers....Don Ried, Big Al Bartlett, Dan Zacks, and Mike (non-climber.....so he is the only sane one....).....sure to be an evening to remember......Let the music move you, or just stand there and stare in disbelief.........Time to shake your booty, shake your money maker, and throw it down....
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Tarbuster
climber
right here, right now
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Mar 10, 2009 - 01:42pm PT
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That's great news!
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Rick A
climber
Boulder, Colorado
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Topic Author's Reply - Mar 10, 2009 - 02:24pm PT
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Roy,
That should take care of the PA system we talked about!
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ron gomez
Trad climber
fallbrook,ca
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Mar 12, 2009 - 10:32pm PT
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this needs a bump, so here ya go!
Peace
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Tarbuster
climber
right here, right now
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Mar 12, 2009 - 10:47pm PT
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A phenomenal response by all you nice people.
Dana sent me a packet rich with case reports on compartment syndrome of the forearm; adding quite a lot to many of the links that we've been mulling over here.
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Lynne Leichtfuss
Social climber
valley center, ca
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Mar 12, 2009 - 11:59pm PT
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I'll bring my tambourine...course won't interfere with ze band.....:D Peace and Fun, lynnie....Looking Forward !
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SteveW
Trad climber
The state of confusion
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Mar 13, 2009 - 10:38am PT
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Hey Lynne--is that a GREEN tambourine????
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Prod
Trad climber
A place w/o Avitars apparently
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Mar 13, 2009 - 10:54am PT
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Royboy... er... Tar,
I don't think I can make it to the shindig, but if you go for the tent revival as advised a few posts up I'll be there for that one, and I'm taking acid.
Prod.
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Rick A
climber
Boulder, Colorado
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Topic Author's Reply - Mar 15, 2009 - 10:24pm PT
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Music from the legendary Cactus Pricks, slides from Dean, memorabilia auction,tall climbing tales...It will be quite a night.
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Todd Gordon
Trad climber
Joshua Tree, Cal
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Mar 15, 2009 - 10:43pm PT
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Here it comes;....
Is the Sushi still on?
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Bullwinkle
Boulder climber
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Mar 16, 2009 - 01:00am PT
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donny lou reed, that's what I'm talking about.
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Lynne Leichtfuss
Social climber
valley center, ca
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Mar 16, 2009 - 01:30am PT
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SteveW....starting out with the red and working on over to the green tamborine. Heard the Cactus Band at Stephanie's Birthday Party over Thanksgiving ...... they Rocked pretty good :DD lrl
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neebee
Social climber
calif/texas
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Mar 16, 2009 - 01:32am PT
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hey there lynne gal!... say, HAPPY eve to you!... god bless! just passing through some post tongiht, then i got to go edit....
i am a happy camper... my new rat-mouse is working...
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neebee
Social climber
calif/texas
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Mar 16, 2009 - 01:35am PT
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hey there tarbuster... say, hope you are faring well, these days... just dropped in to say god bless...
just happened to run into ol' lynne first, through...
:)
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healyje
Trad climber
Portland, Oregon
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Mar 16, 2009 - 02:03am PT
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Tar,
Hey, my apologies for only now getting back to you on your letter. My only real comment on going over it again is to add high-level' to the description of your climbing and 'otherwise very' to your initial description - I think they need to know you're a lifelong high-performance athlete and not just a continuing weekend warrior type. Otherwise I'd say you're good to go.
Now I just need to sort out a flight, and I'm guessing if I rent an SUV or minivan I can just crash in it somewhere on the premises or nearby or in the park? Again, I've never been in that neck of the woods so don't know my way around at all.
Any word from that German doc at all...?
Joseph
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Male patient, 48 years of age, otherwise very physically fit and active.
Presents with intransigent forearm fatigue, bilateral, medial compartments, 12 years.
(complicated with persistent bi-lateral, lateral epicondylitis/tendonosis)
Additionally presents extreme cold sensitivity to all extremities, yet capillary refill is robust.
Vasodilators at the arteriole level, two week course, give no relief to cold symptoms
(nifedipine, time release)
No history of major surgeries or protracted medication.
Severe concussion, age 12.
Initial physical exams negative for compartment syndrome and thoracic outlet compression.
3 mm bulge at C5/6 confirmed with MRI at C-spine; deemed irrelevant by neck/neurosurgeon.
Three consecutive nerve conduction studies over eight years, negative.
Although presenting symptoms for diagnoses are incomplete, the following are suspected:
Chronic Compartment Syndrome:
inter compartmental pressure has not been tested; doppler yields a negative
http://www.jbjs.org.uk/cgi/reprint/78-B/5/780
Exercise-Induced Thoracic Outlet Compression:
CT angiogram during a variety of positions has not been performed; thoracic pulse is good
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1764965
Following exclusion of these two diagnoses listed above, could a congenital microvascular insufficiency be further complicated with the following aggregate, so as to precipitate permanent bilateral forearm fatigue?
Cardiovascular risk factors collateral to gum disease
Peripheral trauma to the hands from severe second-degree frostbite injury
10 years of sustained, high-level rockclimbing at five days per week
7 additional years of sustained fine motor skill work at a sewing machine at six days per week
Adrenal fatigue
High level of homocysteine
At year 17 of consecutive repetitive stressors: rapid onset of bilateral forearm fatigue occurs
Note that following the combined 17 years of repetitive stress noted above, the 12 ensuing years have encompassed a 70-90% reduction in said stressors, with little to no recovery.
(I’m leaving any detail or a link to Reflex Sympathetic Dystrophy Syndrome out; I mentioned that I would include it because I had heard that it can be caused by damage to blood vessels; frostbite in my case.
So many of the presenting symptoms are so severe and I just don’t show them, that I didn’t run it down any further, but I thought someone familiar with that syndrome might be able to cross-link that particular causal factor and it’s propagation routine.)
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Lynne Leichtfuss
Social climber
valley center, ca
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Mar 16, 2009 - 02:05am PT
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neebee, howdy there Gal ! As always, you are the Best ! Wish I could be as upbeat as yo are all the time. Best to all your endeavours. Lynne
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Lynne Leichtfuss
Social climber
valley center, ca
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Mar 16, 2009 - 02:07am PT
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Yo Nature, good question posted.....Is the Sushi still on ??? Peace to you and loving my Yoga classes. Boy do they lend alot to the physical, mental and breathe life of a human. I recommend Highly. lynnie
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