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Hi everyone,

The angiogram produced better results than expected. The four coronary arteries

showed mild to moderate blockages, so no angioplasty required. The moderate one

was fifty percent blockage, but after medical consultations, angioplasty was

ruled out for various reasons. These blockages could not be causing any chest

pain, so the conclusion is that the severe chest pain is being caused by

costochondritis alone.

The angiogram was done under full surgical preparatory procedures, with the

addition of a narcotic injection for my severe chest and spinal pain to make me

more comfortable. It went smoothly. Not so post-procedure when required to lie

on the back perfectly still and right leg fully straight for six hours (head of

bed could be raised slightly after four hours). A nurse did fifteen minute obs,

checked the puncture wound site, and checked feeling and pulse in the feet.

Then, after two hours, a weeping bleed devolped from the femoral artery (the

puncture wound site) which could not be stopped after the nurse applied strong

pressure for ten minutes. It was stopped eventually by placing a medical

sandbag on the site for one and a half hours. This added two extra hours to

lying still and straight. Very difficult, but given paracetomol/high codeine

tablets periodically. At 2am the next morning in the hospital, I awoke with

massive spinal and chest pain, so a summoned nurse gave me a high dosage of

Oxycontin, which settled it, but not completely. Returned home with large, sore

bruises in the groin and top of the leg and an instruction list that for the

next two weeks: rest, no lifting or carrying of anything heavier than 2.5 kg,

little walking or standing, and other things. Also an instruction list on

caring for the badly bruised wound site and examining it twice a day for certain

things which would require immediate medical attention.

The next step is to bring forward, as a matter of urgency, my next

rheumatologist's appointment (he will have the results of a nuclear bone scan of

the spine and chest and a copy of the cardiologist's report). I believe he will

consult with, or send me directly to, my pain management specialist (who will

also have received copies of the reports), in order to try to come up with a

pain management (containment) strategy. Whichever, the costochondritis,

together with the again increasing spinal pain, is getting beyond my ability to

cope or perform the simplest of functions.

Regards, Gordon

[Ed. Note: WOW Gordon, I'm surprised you're back on the forum again so quickly -

I was just about to send an email to Lou inquiring about your status. I'm very

sorry to hear there was nothing they could do for you however, and that your

ordeal was essentially for naught. Hopefully, the nuclear bone scan will give

them enough information to help with the pain. You have my sincere wishes for

better days ahead. I can't believe they _still_ won't put you on the new

biologic drugs! :-( Ron]

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Welcome back Gordon. I was thinking about you alot. I'm so glad you didn't

have to have anything more drastic done. Having to lie still like that and

for so long is so rough. You take it very, very easy.

Carol in Vancouver, Washington

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