Question: Hello, Dr. XXXXXXX You answered my last question, so to be up to date, I will direct it to you. You are free to look them up, I am the patient with Advanced atrophy of l. rectus abdominis after T12 Vertebrectomy 11/12. I am not a candidate For Bariatric Surgery having been refused by several programs. Mayo Clinic does handle Complex Cases where surgery is needed to repair problems with previous Bariatric Surgeries & also those with complex medical histories & that is now me, but only since tripping over phone cord in Nurse' Stations as RN. I am beginning to notice other changes-- some gradual, but in last few days some visible to the eye. I am loss here-as I think some may need your service as so far all of you seem to know what do in a few minutes what five or six Drs can't get since early 2013 when first S & S appeared. Your first Dr. got the logical answer in minutes with same set of S&S. Your Marketing Dept. may want to Target Market some Doctors, Enough. I am seeing some strange changes in hands & feet, cramping, drawing up, almost deforming overnight. Cold,with arthritic pain, which I was disabled for, but never noticed, but have certainly heard about over the years. They are painful & other joints as well. Is this an Emergency? I will alert my PCP & Plastic Surgeon tomorrow but reluctant, believe me, based on experience, to go to any ER. Next time I fx a wrist, I'll wrap it myself and see if it doesn't mend itself. I am frightened by sudden changes like this, though, no appetite, sleep, gradually changed in vision, taste etc. I know this is not your field, but I rely on you, & have a Orthopedic Surgeon who I like so will let him know, also. Can you assess my history? I can't seem to be able to actually grip this thing much longer? Thank you, Doctor.