Posted on Sep 1, 2014
Were you ever seriously misdiagnosed while in the military? The problem is often more complex than you think.
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They are called medical practitioners, not God. In no way am I trying to take away from our dedicated, hard-working providers. Many times, even the physician's hands are tied by the administrators who limit their options. Limited facilities, budget constraints, SOP's, epic caseloads, deployments, and over a decade of war on 2 fronts. Do you have any horror stories or close calls that are worth sharing (without pointing fingers)?
I walked around with a severely damaged C3/4 vertebra for 15 months before the Army rotated the MRI image and found it. I couldn't move my neck, and if I sneezed or coughed I thought I was going to die. Once they found the problem I was in surgery within 24 hours. I still have nerve damage to both arms. Sometimes a second opinion can save your life.
I walked around with a severely damaged C3/4 vertebra for 15 months before the Army rotated the MRI image and found it. I couldn't move my neck, and if I sneezed or coughed I thought I was going to die. Once they found the problem I was in surgery within 24 hours. I still have nerve damage to both arms. Sometimes a second opinion can save your life.
Edited 11 y ago
Posted >1 y ago
Responses: 68
I was MediVac'd out of Iraq in Dec of 2009 for a ruptured disc in my lower back. I went to Landstuhl for initial eval and then sent on to Brooke Army Med Center (BAMC) for further eval. On the 5th of Jan 2010 the neurosurgeon performed a discectomy, laminectomy, and an Open Transforaminal Lumbar Interbody Fusion (TLIF) fusing my L4-L5 vertebrae. This next part is a little hazy but when I awoke in the recovery room it felt like my right leg was going to explode. I was in the 7th level of Hell and screaming did no good. The nursing staff responded by giving me massive doses of morphine. I would drift in and out of consciousness waking only to scream while writhing in indescribable pain. I eventually went into acute respiratory failure and aspirated my own stomach fluids. I awoke to a crash team working to revive me. I had checked out of the net and only the quick thinking of a young 2LT nurse saved my life. He shot me up with Narcan which cancelled all the opiates out of my body. I remember this part very clearly. Two doctors were trying to determine if I'd had a heart attack, I was screaming and choking on my own puke, and an older woman nurse was whispering in my ear that everything would be alright. I asked for my wife and they said they'd sent her back to the hotel. I figured they didn't want her to see me die. Then someone pushed me forward to slide a film tray behind my back so they could take a chest x-ray and I felt a white hot stab of pain that went thru my entire body and I screamed so loud that I passed out. I next awoke 5 days later intubated in the ICU. The neurosurgeon had cork-screwed and crushed my L5 nerve root with a pedicle screw you'd have to see to believe. I would go on to have an additional 3 fusion surgeries (L4-S1) both Posterior and Anterior (back and front) and I have a spinal cord stimulator and an intrathecal pain pump to help me deal with lower back pain. I was eventually medically retired at 100% and I will face a lifelong challenge with basic activities of daily living.
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COL Roger Lintz
MAJ Wright,
Words cannot describe my complete and total sympathy for both you and your wife. Unfortunately having a serious major surgery that goes horribly wrong is like playing Russian roulette except when the gun goes off you don't die you only wish you were dead.
I failed to fuse 3 times so I understand exactly what that means as well as the 2nd and 3rd order effects it can have on pain. In my experience oral narcotics were not effective in the least other than to dull my senses and keep me in a constant fog but they did not stop the pain. Sadly, even having a spinal cord stimulator and an intrathecal morphine pain pump implanted has not stopped the pain but at least now its in the manageable range. I really hope your wife gets to that manageable state as well. As for you, I sincerely hope you get to the VA and get all the help you can get. You've earned it and you deserve it. All the best.
Roger
Words cannot describe my complete and total sympathy for both you and your wife. Unfortunately having a serious major surgery that goes horribly wrong is like playing Russian roulette except when the gun goes off you don't die you only wish you were dead.
I failed to fuse 3 times so I understand exactly what that means as well as the 2nd and 3rd order effects it can have on pain. In my experience oral narcotics were not effective in the least other than to dull my senses and keep me in a constant fog but they did not stop the pain. Sadly, even having a spinal cord stimulator and an intrathecal morphine pain pump implanted has not stopped the pain but at least now its in the manageable range. I really hope your wife gets to that manageable state as well. As for you, I sincerely hope you get to the VA and get all the help you can get. You've earned it and you deserve it. All the best.
Roger
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COL Roger Lintz
SSG LoGiudice, (Doc)
Sadly I was never offered decompression therapy prior to my surgery. I was treated briefly by a Navy Chiropractor but my back was so messed up even he was unable to help much. After I was evacuated out of theater to Brooke Army Med Center I underwent a Provocative Discography exam and let me tell you that was utter and complete B.S. For those who don't know what the procedure consists of I'll briefly explain. The doctor administers a local anesthesia and then inserts large needles into the disc space of all of my lumbar vertebrae. He then systematically pressurizes each vertebrae until he can replicate your back pain. When he hit my L5 I almost passed out and screamed like I'd just been bayonetted. I had a grade V Dallas tear of the disc with extravasation into the intrathecal disc space. It was ruptured and collapsed. Why they couldn't have done an MRI or CT with contrast is beyond me. Oh well I digress. Thanks for the info Doc. For those who still have hope I would highly recommend this decompression therapy. If it works and you can tolerate the pain why take the risk, IMHO.
Sadly I was never offered decompression therapy prior to my surgery. I was treated briefly by a Navy Chiropractor but my back was so messed up even he was unable to help much. After I was evacuated out of theater to Brooke Army Med Center I underwent a Provocative Discography exam and let me tell you that was utter and complete B.S. For those who don't know what the procedure consists of I'll briefly explain. The doctor administers a local anesthesia and then inserts large needles into the disc space of all of my lumbar vertebrae. He then systematically pressurizes each vertebrae until he can replicate your back pain. When he hit my L5 I almost passed out and screamed like I'd just been bayonetted. I had a grade V Dallas tear of the disc with extravasation into the intrathecal disc space. It was ruptured and collapsed. Why they couldn't have done an MRI or CT with contrast is beyond me. Oh well I digress. Thanks for the info Doc. For those who still have hope I would highly recommend this decompression therapy. If it works and you can tolerate the pain why take the risk, IMHO.
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Sgt Packy Flickinger
Col Roger Lintz (sorry the @ thing isn't working) cutting back on beer is almost a downvoteable offence. Maybe even an article 92 hearing. ;)
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Back. right after 9/11, the Army had a catch-all diagnosis for soldiers seeing a mental health professional: personality disorder. Today, many of those soldiers would be considered a PTSD case.
Husband was discharged with it. RE code 3. Been re-diagnosed several times with no such disorder.A great soldier with multiple awards, prior Spec Ops selection, and dropped like a hot potato. No chance of reentry because he must appeal directly to the Board in D.C for change of code.
*sigh* A second opinion can save your life. Yes. And sometimes, it comes too late.
Glad somebody caught your issue in time. Spinal problems are nothing to play "hit and miss" about!
Husband was discharged with it. RE code 3. Been re-diagnosed several times with no such disorder.A great soldier with multiple awards, prior Spec Ops selection, and dropped like a hot potato. No chance of reentry because he must appeal directly to the Board in D.C for change of code.
*sigh* A second opinion can save your life. Yes. And sometimes, it comes too late.
Glad somebody caught your issue in time. Spinal problems are nothing to play "hit and miss" about!
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Cpl Dennis F.
SGT (Join to see) Thanks. Ooooooooo redheads get me in trouble. Pretty ones get me in LOTS of trouble;)
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Cpl Dennis F.
SFC Mark Merino I believe that Clyde, my gunner's letter to the VA sealed the deal for me. The last line was ".....for Dennis Vietnam was 15 minutes ago." Sadly true. My statement package was about 50 pages long with crew letters, 3 private Drs. letters and recently declassified after action reports. Even though I am now covered I am still appealing for the mine damage to my back just cause they screwed me for so long and I am in daily pain of varying levels. Never give in!
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SFC Mark Merino
Cpl Dennis F. PLEASE get an advocate like the American Legion. Never try this crap on your own. They have too many ways to screw you. The service officers from the Legion or the VFW, DAV, etc have lawyers and they have been sent to DC for training. They might even be able to do some things retroactive. If there is a way, they will find it. I knew a guy who paid a lawyer to help him and the American Legion did more for me...faster....FREE....and they didn't get 30% of my back pay. Be patient. Be real patient. If you get with the VA there, get them to send you to a residential PTSD program. It is mostly Vietnam vets and about 25% more recent vets. You won't get screwed financially either, they will pay you for 100% disability for every month you are in the program (since you obviously can't be working). It saved my life brother. I was drinking a bottle a day and FEARED going to sleep. You deserve peace.
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Middle of the afternoon, chatting with the BN master gunner, started feeling light headed, short of breath, and an odd pain in my chest.
Aid station couldn't help, so I went to the ER.
ER immediately hooked me up to a heart monitor, and found nothing wrong.
They took an X-ray of my chest and found nothing wrong.
Grasping at straws, they had me drink a nasty concoction to numb my throat (thinking acid reflux). Didn't work.
Send me home with a 3 day no PT profile.
The next afternoon the hospital called me at the motor pool and asked me to come back in. Turns out a SPC medic noticed a collapsed lung (they are not as obvious as you might suspect) on the X-ray that the doc had missed.
Aid station couldn't help, so I went to the ER.
ER immediately hooked me up to a heart monitor, and found nothing wrong.
They took an X-ray of my chest and found nothing wrong.
Grasping at straws, they had me drink a nasty concoction to numb my throat (thinking acid reflux). Didn't work.
Send me home with a 3 day no PT profile.
The next afternoon the hospital called me at the motor pool and asked me to come back in. Turns out a SPC medic noticed a collapsed lung (they are not as obvious as you might suspect) on the X-ray that the doc had missed.
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SSG Genaro Negrete
This is the stuff I love about medicine. Unfolding the mysteries of the human body. Needless to say, some are better detectives than others....
SFC Stephen P., what was done after that SPC found the tension pneumo?
SFC Stephen P., what was done after that SPC found the tension pneumo?
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SFC Stephen P.
Demerol, chest tube, 3 days in the ICU, incentive spirometer, Percoset, Albuterol, some convalescent leave, 30 day profile (put new meaning in the term 'breathe at own pace')
First day off of profile, I called cadence on the BN run. Next morning, collapsed again.
Second round no ICU and morphine instead of Demerol.
Pro tip: chest tube insertion is a bad time to discover an immunity to morphine.
The offending lung was modified before the expiration of the second profile.
First day off of profile, I called cadence on the BN run. Next morning, collapsed again.
Second round no ICU and morphine instead of Demerol.
Pro tip: chest tube insertion is a bad time to discover an immunity to morphine.
The offending lung was modified before the expiration of the second profile.
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PO1 (Join to see)
Wow sorry you had to go through that twice. Chest tubes suck, I have placed a few in my day, one thing I got good at real quick, only because I know how bad it sucked for the people I was working on. Hopefully you dont have to go through that again. Stay motivated!
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SFC Stephen P.
There was a 3rd chest tube with the scarring procedure. I was gassed on that one.
The tubes aren't too bad in conjunction with functional narcotics. In their absence, a couple of nurses to hold me still during installation seemed to do the trick.
No recurrence since then (a couple of scares, but everything checked out). The scarring procedure apparently did the trick.
The tubes aren't too bad in conjunction with functional narcotics. In their absence, a couple of nurses to hold me still during installation seemed to do the trick.
No recurrence since then (a couple of scares, but everything checked out). The scarring procedure apparently did the trick.
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I had a TSgt who worked for me and then he transferred to our HQ. He got sick and they diagnosed as Lupus. They wanted to medically retire him and he fought it. Our general got involved to no avail. The medically retired him. About four years later they examined him and said he didn't have Lupus after all. They told him he had to go back on active duty or take a lump sum (small lump sum). By that time he had of course excepted the medical retirement and had a good civilian career going for him so he decided to just take the money. He died about 8 years after that, with guess what? Lupus!
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I fully understand all and agree there is nothing wrong with a second opinion. Remember this, just like anything else not all Providers are created equal and not all medics know what they think they know. Your MD's/DO's that come in to practice are 99% straight out of school and have had no residency yet, which means they are just GP's (general practitioners). Don't expect much, but the smart ones will realize their scope of practice and punt you to a specialist.
I have been in medicine for a long time now, I have learned a great deal and truly care about my Marines/Sailors and anybody else that walks into my office.
A good Practitioner will take the time a listen to and treat the patient as a whole. That is why I am applying to DO school when I get back, I love their Philosophy on medicine and how they work with their patients as a team. Not that Allopathic (MD's) are bad by any means I just prefer the Osteopathic approach to medicine.
I have been in medicine for a long time now, I have learned a great deal and truly care about my Marines/Sailors and anybody else that walks into my office.
A good Practitioner will take the time a listen to and treat the patient as a whole. That is why I am applying to DO school when I get back, I love their Philosophy on medicine and how they work with their patients as a team. Not that Allopathic (MD's) are bad by any means I just prefer the Osteopathic approach to medicine.
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SFC Mark Merino
PO1 (Join to see) Outstanding feedback and I'm glad you are going for the gusto. What will you owe the service after they train you? 6 years?
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PO1 (Join to see)
Depends which Officer route I take. I can go the MSC IPP route to become a PA or go the Navy HPSP route to become a full Physician. Either way they both require a 10 year commitment if I want to retire as an Officer, which obviously I plan to do. Already pot committed at this point.
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Reading some of ya'lls horror stories make my ordeal sound petty but at 26 years old I feel like an old woman lol. I was involved in a motor vehicle accident at the age of 22 before my first deployment and by the time we got back from 15 months in Iraq, I started going to our MTF because of the pain in my neck and back. They did usual xrays, mri's, treatment with muscle relaxers, those lidocaine patches, physical therapy, the usual. It wasn't until I got to Fort Bragg when my pain started to escalate and I was having days where I felt like I was going to die. Turns out my C3/4/5/6 vertebra and T spine are severely damaged so I was thrown around between different pain clinics, was told I'm too young for surgery, and now I'm finally at a pain management clinic where I can still function. But yeah, 26 years old screwed up back for the rest of my life.....lovely. Anyone else have chronic back pain?
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SPC Stephanie Oanes
I know the feeling sister! Shots and therapy don't help so I'm stuck on narcotics and muscle relaxers until I keel over. Wish there was a permanent solution.
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SPC Susan Brown
Yes, caused by Tripler and the student airmen who gave me an epidural that almost killed me. I am told that my back problems are everyday back problems and that I cannot receive compensation for it. Even though it has been 8 years that I've been dealing with it. I've gotten shots, done therapy, more shots, therapy, medication both opiates and nonconventional but there still hasn't been much relief.
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I was going through my medical records since I'm filing a VA disability claim, and I shit you not, I have a diagnosis of "vaginal bleeding" in my file.
When I really stopped and thought about it, it really kinda summed up my 12 years of service ;)
When I really stopped and thought about it, it really kinda summed up my 12 years of service ;)
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PO2 Kimberly Miller
Oh wow! How nice of them to be practicing medicine and not know the differences in anatomy.
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SFC Mark Merino
We had a PA when I was a grunt that thought it was hilarious to give everyone an anal probe when the complaint was back pain. He wanted to "rule out prostate cancer". If you had 10 witnesses bring you in with a 2x4 sticking out of your lower back you were still getting the hook.
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CPT (Join to see)
Those infantry and SF PA's have a pretty good sense of humor - I personally love those former 18 series guys who go the PA route.
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I hope this does not sound like a pat on the back for me, or a my profession is the best post, but, as an Army Physical Therapist, I have revised many orthopedic diagnoses that were sent to me from the Medical side. The biggest thing that I have seen in my 20 years as a PT (civilian and military) is that if you listen and ask the right questions you can have your problem answered before you touch a patient. Then, you can fine-tune your tests for a definitive diagnosis and treatment plan, which in my case has been immediate referral out of my clinic for more definitive care because the problem was out of my scope of practice.
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CPT (Join to see)
Sorry I missed some backspaces and deletes in my first sentence. I apologize. I will not burden you with correction; it mostly makes sense after that. If not, I will understand downvotes.
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SFC Mark Merino
I hope I didn't come across as trying to diminish the skills and expertise of our medical professionals. That wasn't my intention of this thread.
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CPT (Join to see)
Negative, SFC Merino. The point of my post was that there are lots of things missed because of feeling that you (the Practitioner) don't have time to listen to your patient. My point is that, especially in the Military, people will tell you what's going on with them with limited thought of playing the system because we have healthcare coverage; they just want to get better and back to their jobs.
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SGT Steve Vincent
Sir, with all the problems I had, I can honestly say my PT docs were outstanding and are the only reason it took me a mere 16 months to get cut on, instead of never! They went to bat for me when my chain of command started talking about malingering charges. Seriously, my 1SG was talking about UCMJ because he said I was faking it. This after showing him x-rays, MRIs and talking to doctors on the phone. Well, maybe talking is too pleasant a word... He cussed out my full bird Psychiatrist, while I was sitting in front of him, and then he made a phone call to my BDE CSM, who then managed to beat me back to my company. That had a pleasant ending, for me at least...
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