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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Discomfort On Left Side, Stabbing Pain Under Left Breast, Hurts To Breathe. Had A Spinal Surgery. How To Get Over It ?

I am 43yo Caucasian woman. I had my 3rd spinal surgery on March 13, 2013. The procedure was an anterior fusion of T-8 and T-9 because it was pinching my spinal cord 3.5-4 mm. The fusion itself went well although I spent eight days in ICU before being transferred to a regular room for two additional weeks. For my neurosurgeon to have access to the anterior thoracic portion of my spine, I had to have a thoracic surgeon open my L side, insert chest tubes and deflate my L lung. The surgeons also broke a piece of my rib to use as an autograft in the fusion. about two days after surgery, while in ICU, after physical therapy, my vitals were not looking well and the doctor quickly performed two bronchoscopies on me (VERY UNCOMFORTABLE) removing blood, fluid and plugs. One plug was the size of a "mouse" according to the doctor. My collapsed lung had re-inflated after the procedure and all seemed well. It's now almost two months later, and I have severe discomfort on my L side and once or twice a day I have stabbing pain under the L breast that radiates about two inches further left. I am short of breath (but that could be due to inactivity) and it hurts my L lung to breathe, shallow breaths to deep breaths. My blood pressure is low and my heart rate is usually over 100 bpm (tachycardia). I am on pain management and have been for two years for the spinal issues, but the meds don't seem to alleviate the deep pain in my L lung and discomfort on my L side. FYI, I have SLE (systemic lupus) DX made in 1988, but symptomatic since 1982. My Rheumatologist did a blood test (cannot recall the name of the test) on me five+ years ago and told me the test showed I was prone to DVTs. I dismissed it. My lupus has been fairly stable for ten years. I don't know if I need to go to the ER to make certain this is not a blood clot or just dismiss it as post-surgical pain. It is not getting any better and the days are turning into weeks with no change. What should I do and if I go to the ER, what should I tell them, and what tests should be performed? Perhaps I should try to ignore it, but the stabbing pains are hard to ignore! AAAAA YYYY@YYYY AAAA
Tue, 4 Jun 2013
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Pulmonologist 's  Response
hello sir/madam
i have gone through your case. i think you must go for a d-dimer test at the earliest. if it comes out to be positive for pulmonary embolism you can go for MRI Angiography for confirmation. please go to the ER and tell the about your past treatment history and current problems.
wish you good health
regards
Dr. Gurpreet
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Severe Discomfort On Left Side, Stabbing Pain Under Left Breast, Hurts To Breathe. Had A Spinal Surgery. How To Get Over It ?

hello sir/madam i have gone through your case. i think you must go for a d-dimer test at the earliest. if it comes out to be positive for pulmonary embolism you can go for MRI Angiography for confirmation. please go to the ER and tell the about your past treatment history and current problems. wish you good health regards Dr. Gurpreet