How now, which of your hips has the most profound sciatica?
Measure for Measure
Question: I drive a fair amount as I commute to work and live in a rural area. After just a few miles, I get serious pain from under my wallet that goes down my thigh into my leg. It is more than just aggravating. Sometimes I have to pull over and walk it off. What is causing this? Is there a treatment?
To answer the last question first, there is very likely a conservative non-surgical treatment for this condition that is easy and inexpensive. The treatment, as always, depends on the cause.
Now let's discuss the first part of the question. We need to do a physical exam with neurological and orthopedic testing to really see the source of your pain. Sometimes x-ray or other imaging is necessary. Together, the history, exam, and imaging gives us a fairly complete picture with a high degree of accuracy.
As you know, millions of people are losing their health care benefits as a result of Obama care in direct contradiction to the president's promises to the contrary. We also now know that he and his party knew three years ago that this would happen. Indeed, every Democrat in the Senate voted against a provision that would have prevented the loss of these healthcare plans that the government now calls "inadequate."
None of this should be a surprise. In a way, it is a campaign promise kept, as Barack Obama always stated that he preferred a single-payer system. This means doing away with the private insurance industry in favor of a government run healthcare system.
Citizens are now discovering multiple hidden costs associated with Obama care. Besides the 21 new taxes, millions of people losing their healthcare plans, the loss of doctors and clinics, layoffs of nurses, potential closures of hospitals, etc., there is perhaps a more sinister hidden danger: You may lose your privacy forever.
Question: I thought the President said that we could keep our current insurance plan and our current doctor, and that rates would fall as insurance became more affordable. Now I am reading that due to Obamacare, none of that is true, and my rates are going to be much higher. Why is all this happening? What happened to all the "reform?"
I hear this question pretty much daily. It is troubling, indeed.
Insurance theory might be trace to Chinese traders around 3,000 BC. They insured themselves against loss by literally spreading risk. A large load of goods for trading might be loaded onto multiple ships for transit so that the loss of any one ship would not be catastrophic or total. Thus, managing risk means spreading it so that it is borne by many.
Question: It's time for flu season again. What is the latest information about the vaccine options? Am I better off without it?
Having been in critical care nursing as well as chiropractic, I have a foot in both worlds. Wisdom dictates to me that vaccines, like any other drug, should be used very carefully, and only when they are shown to be effective with minimal side effects. The new flu vaccine has shown me nothing in the research to make me think it is effective, even if it is safe.
First, at this writing, there is no flu problem. The Center for Disease Control (CDC) in Atlanta admits that all is quiet on the flu front as of this writing. Nevertheless, new vaccines have been produced this year, including one that "protects" against three different strains of the flu virus.
Remember that this year's vaccine was made last year, using complete guesses as to which strains of flu would be prevalent. That kind of guesswork does not lead me to a position of comfort related to whether this vaccine, or any other flu vaccine, will be effective.
Question: My doctor said I probably have rheumatoid arthritis, so I should just get accustomed to the pain, take my medications, and work through it. What do you think?
Unfortunately, some healthcare providers label anything that is painful as "arthritis." The word has virtually lost its meaning as a result. If you were told you had rheumatoid arthritis, I am going to assume for this discussion that you had lab work for verification of the diagnosis.
Rheumatic diseases include more than 100 conditions, including doubt, fibromyalgia, osteoarthritis, psoriatic arthritis, and others. Rheumatoid arthritis is one of the rheumatic diseases that affects about 1% of the population, or nearly 3,000,000 people. It often begins in middle age and is more frequent in older generations, but young people and children can also suffer from it.
What distinguishes rheumatoid arthritis from other arthritic conditions? The joints are tender, warm, and swollen. You may experience fatigue, sometimes with fever, associated with just feeling lousy. The pain and stiffness may last for more than 30 minutes after a long rest. The wrist and finger joints closest to the hand are the ones most affected. Your neck, shoulders, elbows, hips, knees, ankles, and feet can also be affected. This condition is symmetrical, so if you have it in one hand, you will have it in the other as well.
Linda was on her way to work as usual one day last week. She got into the car as she always does with her purse and a few items she needed for the day arranged on the front seat. She started down the driveway toward the street hurriedly, no doubt in attempt to make up for time lost on a last-minute crisis with a child. Near the end of the drive way was a large preoccupied deer, literally in the headlights, grazing in the yard. Both the deer and Linda were startled, as neither expected the other.
Linda slammed onto her brakes. Since the paved driveway was dry, traction was excellent. This alarmed the deer, who gracefully melted into the receding darkness of the early morning. Linda's car stopped moving, but neither Linda nor the items on the front seat did. Fortunately, she did not have hot coffee in her hand.