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Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/18/2010 7:39 PM (GMT -7)   
 
 
   Dear Mike,
 
      My bumblebees are excited that the school year is almost over. They both have chorus preformances and have been praticing to no end! But, I think what they are most excited about is going to florida to see their grandmas, granpa and great paw paw. Their birthdays will be celebrated while we are in Florida, so we have a special "Disney Land Magic Kingdom" birthday planned. I hope they like their suprise birthday. I am also trying to finish my latest jewelry project in a hurry, as I want to make them both watches for gifts. :-)
 
      My husband just celebrated his birthday and I spent a loong time making his "big gift" from me. Butterscotch fudge, buckeye candy, butterscotch and milk chocolate candy bars, white chocolate lollipops, and white chocolate creme de menthe truffles. The girls made him key chains and lanyards for work. Our youngest little bee made one with her picture, little silver horse, and "key" charms and of course lots of sparkly beads. Our oldest busy bee made one with her picture, little silver fairy, "key" & "love" charms. It warmed his heart and I could tell he was touched. The store bought gifts this year were a new laptop & mouse. He has been doing computer electronic things all morning... so, I think he liked those too. blush
 
     I am... digesting things. Recieving the report that the rheumatologist complied for me has been emotional for me. I was told the "Mechanisim" of what was wrong with my body last fall, what would have to be done to combat the problems... But I was never give a diagnosis name. Looking back, so many people said repeatedly, "What is the cause of your boneloss?". I would reply,"I have a low calcium absorption rate. It is 0.0025 -0.0026" I was never given any other information. So many people said, "Oh, you have osteoperosis?" and I would say,"No, I don't think so." When I looked up osteoperosis on the internet there was the same exact discription my doctors had given me over & over, only difference was I finally had a "name" for the boneloss.
 
     Looking back, even when the nurse said, "Oh possible hypoparathyroidism." I was never told of the "name" of that one either from my doctors, I was just told the mechanisim in my body and what it was causing IE Congenetial cataracts, "crying" feeling in throat, deep burning, extreme tooth loss and a whole concophany of minor persistant aliments that soon subsided by the 3rd month of treatment. You know I was never even told I have insomnia? I found out from a perscription bottle. I know of course I woke up all night long.. but I had always assumed that "Insomnia" was the way it is protrayed on the television. One thing I know for sure, I hope my doctors continue to be this direct and forth comming from here on out.
 
     The radiologist report is startling. I have cried many times since recieving it. I remember last year I was told "Mild to moderate curvature of the lumbar spine, called levoscoliosis." ...Now reading about increase in the Lumbar levoscoliosis was upsetting, but expected. My left hip sticks out prodominantly and rotates towards the rear. There was no denying the lumbar deformity had increased... but it was the rest of the report that had me reeling.
 
      HOW dose that happen to a spine to QUICKLY? My last X rays were not more than a year old. I knew I had jumped immensily in pain, balance & endurance. I knew I had suddenly began dropping in hight.. 3.5 almost 4 inches.. But nothing could have prepared me for what the last pages of the report found....
    
     Secondary dextroscoliosis of the thoratic spine. An entire new curvature with rotation on the verticle axis? How could that be? In such a short amount of time?? ..it certianly explains the loss of hight. The intense "Itching under the skin" inbetween my shoulder blades that had begun at the end of last summer. The itching that could only be "scratched" by the "massaging high powered spray" of the front guest bathroom shower.... The "Balls of muscles" in the same area that came without any kind of warning or justification... It makes so much sense now.
 
     Narrowing of the spinal canal. "Stenosis". Where the vertebre is rotated on the verticle axis in the curves. Well... that explains the severe increase in pain since Christmas. Given the early pages of the report facet arthropy wasnt a suprise. The term "comes with the territory" comes to mind.
 
      ...I really don't think the radiologists (It looks like 3 signed off on my x rays...) had to add in all the disc space narrowing. I would think at this point it would be a given. Never the less it was added in to the report. Nothing, if not detail oriented.
 
      What added insult to injury was the final page. Sclerosis of the sacroiliac joints. Great. Hardening of joints that had already previously rotated on the verticle axis over a year ago. Fantastic. My spines version of a "cherry on top" apparently.
 
      ..I cried while I tried to write in my journal. I cried while I tried to make the butterscotch fudge...and burned it, twice. Cried while I tried to make it through my increasingly painful days. ....now that I am out of tears all I can think is what , if anything, can be done to stop the progression. I have an appointment with the new spine doctor the week before I leave. What, if anything, can they do to help me walk? The uneven weight is tearing my knees apart. I hope they can help me to get a brace to help even out the weight of my torso.. Or perhaps send me to someone who can add extra sole on to my right shoe to help my "gait". I think my biggest worry is A) That they wont be able to make walking less painful before I leave to Florida B) That my spine is beyond repair.
 
     I know, after everything I mentioned, this last fear seems selfish and vain. But, my husbands family.....what if they stare at me? What if they don't recognize me anymore? Will I be treated differently now that I am sick? Will I embarrass them?  smhair ..I know, the least of my worries.
 
     So, now that I have written a short novel I will end this here. I didnt want to Hijack your thread where we wanted to hear an update from you. But, I know you have asked me many time how I am doing this last week, and dodged the questions everytime. I am sorry friend. I didnt mean to be rude, I just had alot on my mind.
 
*warm huggs*
     dani
     

 

 

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood

 

 


MIKEL99
Veteran Member


Date Joined Feb 2010
Total Posts : 914
   Posted 4/18/2010 11:04 PM (GMT -7)   
Sweetest Dearest Dani , I firstly thank you with all of my heart for confiding in me , I know the emotional toll this must take on you and your courage is amazing in light of the unfairness of the situarion .I really need to convey to you what it means to me when you open your heart and your life to me and confide these incredibly difficult challenges to me .I'm am humbled as never before , though we've never met I couldn't love you more if you were my sister , I have tears in my eyes as I write this just thinking of you suffering dear one , no one could deserve this less Dani , you are everything that is good in human beings , this rips me apart .I'm so concerned for you it will be difficult to focus on other things , I will because we must continue to do our best as you demonstrate every day .I beleive your huibby was trying to spare your feelings out of love , but in the end this is your life and if you demand information fron these doctors the must provide it regardless of what anyone says.I beleive your family will be even more loving with you , how could they not be ? Be honest with them Sweetheart they love you and want to know so they can do whatever it is to make your life easier , thats what people who care about each other do , you would do bthe same thing , you've nothing to hide or be ashamed of , you've done nothing wrong at all , so don't hide who you are , your a beautiful person with health challenges like many good people , share this with your family , they trult love you I firmly believe that .I'll be thinking of you and praying for you at all times Sweet Dani, please e-mail anytime , my spirit is with you always my wonderful friend , Mikel
HIV+ also Hep c , need hip replacement surgery on hold because of unknown but cellulitus-like ailment  .most pain from hip condition and cellulitus-like ailment .hands numb may have carpal tunnel syndrome now . Great frustration because doctors unable to diagnos ailment              .Medecines -    ,viracept,truvada, l Indomethacin  '                                                                                                                         


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/19/2010 9:26 AM (GMT -7)   
 
 
 
   Dear Mike,
 
      You always have a way of making me feel much stronger than I really am. I can't tell you how much I appreciate your freindship. Your constant support and gentle nature is uplifting and comforting.
 
     I know they tried to "protect me", all of them, in their own way. Looking back, perhaps it is what was best afterall. I do not think I would have been able to handle it all while I was going through surgery after surgery. But, I have made it VERY clear, that no matter what, I want straight forward answers. If I cry becuase of the answers, I just need them to be strong for me, and let me cry it out.
 
     I am concerned of course, for what will happen at my next appointment with the new spine specilist. All the X Ray findings, I am sure, have been sent to them aswell. I am anxious to see, what, if anything, can be done to slow or stopp the progression. If things keep going at this rate..... *bleh* I am not going to worry about that now. Just keep myself in the present and do what I can today.
 
     Very vain right? The least of my problems. I've never been one to judge others on appearance, let alone myself.... I just need to take a deep breath and toss social anxiety to the wind. It wont do me any good. There is no way I can change my looks, or my limp or my prodminant deformity. I think I am only thinking of it because it is easy here, with friends, to talk about it all. Easy with my doctors who are all amazed and very proud. Everyone at the girls school and in my community talks to me and truly sees me. Not my limitations. I think the anxiety just stemms from leaving my comfort zone. This too can be a positive experience, if I just take a deep breath and do the best I can.
 
      Thank you so much dear friend, you never cease to fill me with hope and joy. You are always in our hearts and prayers. Thank you *warm hugg*
 
*hugg*
   dani
 
 

 

 

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood

 

 


MIKEL99
Veteran Member


Date Joined Feb 2010
Total Posts : 914
   Posted 4/19/2010 10:35 AM (GMT -7)   
Your very , very welcome Dani girl , I so relate with you in many ways , but the one thing I learned is all we ever have is the present moment anyway , so thinking about possible futures is speculation and nothing more .And if I must speculate train myself to do it in a positive way , that things will improve , they have anr equal chance to improve or not so why not choose that it will improve ? Thats the hard part after being healthy for mot of my life I took my health for granted and then became depressed because I thought of it as unfair for me to have health problems ,when its simply a part of my life as it is with many others . Physical form is temporary anyway and isn't what makes us special , its our conciousness ,our personality our character that is remembered and eternal , it is our spirit .Yes its sad sometimes to have physical limits but its not something that can't be overcome ,I'll be with you in spirit every step of the way Dani .With Great Affection and love Your Friend Mikel
HIV+ also Hep c , need hip replacement surgery on hold because of unknown but cellulitus-like ailment  .most pain from hip condition and cellulitus-like ailment .hands numb may have carpal tunnel syndrome now . Great frustration because doctors unable to diagnos ailment              .Medecines -    ,viracept,truvada, l Indomethacin  '                                                                                                                         


tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2022
   Posted 4/19/2010 11:54 PM (GMT -7)   
Dear Dani
My dear friend, but your email brings me to tears. I don't know what to say. If you were here I would hold you in my arms and we would cry together. I am sending you my love from my heart. I hope that can help you. I would love to be able to put a smile on your face and see your face. I am sorry I have not been able to write recently but I have been so so sick I just have not been able to do much. I pray I have a good day soon so I can come and talk to you and the others and help with your suffering!!!!

God has a plan for all of us!!!

Hugs.
   
SUZANE
      
 Chronic, severe and continuous bilateral temporal headaches since April 2000.
 Poor prognosis, seen thousands of doctors, been on dozens of meds and tried all forms of treatment with no success.
 Currently Feb 2010: cycles of IV Ketamine infusion via a PICC line and pump at home with some success.
 Meds: oxycodone for breakthrough, cymbalta, vitamin D, B12, magnesium, omega 3, melatonin
 Profession: Part time registered nurse on Long term disability and applying for permanent disability thru CPP
 52 yrs old, female, married, two boys 19 & 21, live in Ottawa, Ontario, Canada
 
           


tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2022
   Posted 4/19/2010 11:54 PM (GMT -7)   
Dear Dani
My dear friend, but your email brings me to tears. I don't know what to say. If you were here I would hold you in my arms and we would cry together. I am sending you my love from my heart. I hope that can help you. I would love to be able to put a smile on your face and see your face. I am sorry I have not been able to write recently but I have been so so sick I just have not been able to do much. I pray I have a good day soon so I can come and talk to you and the others and help with your suffering!!!!

God has a plan for all of us!!!

Hugs.
   
SUZANE
      
 Chronic, severe and continuous bilateral temporal headaches since April 2000.
 Poor prognosis, seen thousands of doctors, been on dozens of meds and tried all forms of treatment with no success.
 Currently Feb 2010: cycles of IV Ketamine infusion via a PICC line and pump at home with some success.
 Meds: oxycodone for breakthrough, cymbalta, vitamin D, B12, magnesium, omega 3, melatonin
 Profession: Part time registered nurse on Long term disability and applying for permanent disability thru CPP
 52 yrs old, female, married, two boys 19 & 21, live in Ottawa, Ontario, Canada
 
           


Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 4/20/2010 4:00 AM (GMT -7)   
HI Dani,

I want to first off offer you prayers and hugs for all that you are going through...you are a very tough cookie to have so much on your plate each day and still take time out for others to offer your sweet empathy...

I just wanted to ask the last time you had actual MRI's of your spine? You mention that a lot of these tests are x-rays..which any good board certified Neurosurgeon/Orthopedic surgeon would always order a MRI (with and without contrast), to see what is truly going on...An x-ray is never consclusive for stenosis, or any type or nerve/disc issues....An MRI will see every bone, nerve, muscle, all tissue, disc, and spine..

And having a Dr. who is Board Certified/Fellowship trained...are the best of the best in spine issues...and just because they have 'surgeon' in their name...most of them are not as 'cut happy' as others...because they have been around longer and know that there are many ways to treat and have dozens of modalities at their disposal to help with back/neck issues and pain..

So, just wanted to offer a suggestion about the spine issues and certain Dr. to see to really get the full picture...

Sending you some hugs this am Dani:)


SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Dec 2006
 
 

Post Edited (Snowbunny21) : 4/20/2010 10:41:25 AM (GMT-6)


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/20/2010 9:39 AM (GMT -7)   
 
 
   Dear Suzanne,
 
     Good morning *hugg* I am glad you stopped by. How are you feeling? How much longer is this last round of infusions and how do you feel about it? I know you have had a hard time. It was really nice to catch up with you at chat night. I hope you can find a few moments to rest at some point today.
 
     Thanks so much for your support. I truly means a great deal to me. I am slowly comming to terms with it all. Thou I am unsure what, if anything, my doctors will do with all the information.
 
     I hope your body lets you rest up today. Take it easy and know you are in our hearts!
 
*hugg*
   dani

 

 

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood

 

 


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/20/2010 11:07 AM (GMT -7)   
 
 
   Dear Snow,
 
     Good morning *hugg* Thank you for your support. I means a great deal to me. I cant thank you enough. How are you doing today? Good I hope. Today is my lazy day, and thank goodness. I have needed a lazy day for a while now.
 
     I see specialists that have sub speciality in spinal deformities. They are part of a "team" of doctors who all communicate regurlary to take care of me. Board cert doctors are a must in the private hospital chain I am seen in (all of my doctors are within the private hospital aswell). They don't contract out. But, sub specialities in spinal deformities is what is also need for my circumstances. Since so little can be done for people, like me, with progressive spinal deformities until they reach a certian degree of 50+ (I'm not to that degree yet), have persistant pain (Pain is pretty bad for me), and/or are casuing breathing / heart problems due to space restriction. Restricts my options. cry
 
      I just had the latest X rays done 2 weeks ago. (..maybe three weeks ago now) :-)  4 views of each area of the spine (4 areas) and 2 views of each hip. I usually have MRI s done on a regular basis, last one being spring of last year. So, I am sure when I see them next month they will tell me what images or pictures they require next. I have other doctors I need to see for the beginning of next month, who want imagies and testing of their own. Otherwise I would try to see the spine specialists sooner.
 
      ..sometimes I wish there was a "fix" for it. As vain as it sounds especially estetically speaking. It wasnt so bad last year. But, now I always look like I am about to side stepp. I don't really want to get any shorter either. I know, I know. Don't sweat the small stuff...shakehead
 
     I need help walking thou. That is formost on my mind as of late. It is only getting worse and worse. I was kinda hoping to talk them in to getting me a scoli brace, to help even out the weight distribution. My knees are getting torn up from walking. Something needs to be done. Another thought that comes to mind.. When I was at the social secuirty office a man came in with his hip high up like me. Only he didnt have the "Lift and step" walk. Only a slight "shuffle" to his walk.  When he sat down I noticed he had an extra inch and half sole added to one of his shoes. I wonder if I could get something like that? I am willing to try anything at this point.
 
     I wont ramble on endlessly. So, I will end this here. I do hope you have a few moments to relax today.
 
*hugg*
  dani
    

 

 

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood

 

 


tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2022
   Posted 4/20/2010 1:02 PM (GMT -7)   
My post got lost Dani. I will send another soon.

Prayers to all
   
SUZANE
      
 Chronic, severe and continuous bilateral temporal headaches since April 2000.
 Poor prognosis, seen thousands of doctors, been on dozens of meds and tried all forms of treatment with no success.
 Currently Feb 2010: cycles of IV Ketamine infusion via a PICC line and pump at home with some success.
 Meds: oxycodone for breakthrough, cymbalta, vitamin D, B12, magnesium, omega 3, melatonin
 Profession: Part time registered nurse on Long term disability and applying for permanent disability thru CPP
 52 yrs old, female, married, two boys 19 & 21, live in Ottawa, Ontario, Canada
 
           


MIKEL99
Veteran Member


Date Joined Feb 2010
Total Posts : 914
   Posted 4/20/2010 2:12 PM (GMT -7)   
Dear Dani girl , I beleive those are orthopedic shoes your talking about .It is also possible to get a shoemaker to add height to one heel or sole of the right or left shoe .I'm expoierencing that because its taking so long to get my surgery my right hip has ''settled'' and my right leg is shorter by maybe a quater of inch and I put a insert in my right shoe and its easier to walk for sure  , so give that try and see if it helps
HIV+ also Hep c , need hip replacement surgery on hold because of unknown but cellulitus-like ailment  .most pain from hip condition and cellulitus-like ailment .hands numb may have carpal tunnel syndrome now . Great frustration because doctors unable to diagnos ailment              .Medecines -    ,viracept,truvada, l Indomethacin  '                                                                                                                         


Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 4/20/2010 2:24 PM (GMT -7)   
Thanks for all the info Dani...I'm sorry since I am fairly new that I didn't know your full story with all the other Dr.s you have seen...so I am glad that you have access to all those specialists...

And don't worry..we can all be vain at times with certain things...I know for me..I have had 4 teeth crack (none in front so far) over the last 8 months..and until I can save enough money to get to the dentist..I am so self conscious! Add that to my 3 scars on my front of neck, huge one on back of neck when I wear a ponytail and can be seen..

I know it's different for each person..and I am sure it's hard for you thinking that people are looking at you in a certain way...My ex said the most cruel thing when we had a big group of church people over for a party..and looking at videos..and he says loudly.."Oh look...that's before you had that big scar on your neck"!

I try each day to give it up to the big guy:)..and hope that some day a great guy will not care at all and love me for me:)

So I am sending you some big hugs...again..you are a truly remarkable woman and handle so much in your life but still give of yourself to us here all the time!!
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Dec 2006
 
 


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/20/2010 6:20 PM (GMT -7)   
 
 
   Dear Mike,
 
     *warm huggs* Does insurance cover getting the extra sole put on? Or how much was it to get it done and how long? Does it have to be dress flats, or can it be added to a tennis shoe? I'm sorry for asking so many questions, I would love to have it done if it isnt too costly and can be done to my "Ultra light" sneakers.
 
*warm huggs*
     dani

 

 

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood

 

 


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/20/2010 7:04 PM (GMT -7)   
 
 
   Dear Snow,
 
     Hey there *hugg* I understand about the teeth, I really do. Its hard, with face, teeth, eyes, deformities .. its the first thing people see!!! shakehead  And I don't know if it is the same with you, but for me my doctors ignore the "looks" and the change in appearance. I wish at time that cosmetics were covered under insurance when it deals with scarrs or alterations to appearance due to illness or injury. I'm not asking to look like a super model, but... a little help would be nice at times. Instead all they want is to make sure the basic functions work. smhair
 
     You know if I don't know if I ever mentioned this but March of last year I was eating breakfeast and two teeth crumbled out of my mouth. Think I was just eating some smoked sausage and pancakes... The next week 3 more crumbled out (like chalk).... Fast forward a bit and by the end of June they were all gone save for 1 on top and 6 on bottom (apparently even those were compramised under the gum line). But, I don't want you to think it hurt, it didnt. None of the doctors or surgeons wanted to do anything until they pin pointed why it happened, so needless to say there was no hiding it for a few months.
 
     It scared alot of people because there I was smiling and laffing, then just weeks later I look like something halloween dragged in. Up until that point I had effectivly hid everything (all of it), from everyone. But with the teeth, it couldnt be hidden anymore. So I had to begin talking about everything that had happened for 6 to 8 months before that with my spine & everything leading up to my "teeth horror". Suddenly I had alot of support. Husbands friends, company, school (my "friends" scattered like flies). There I was scared to no end (honestly the doctors scrambling didnt help the fear!) But, shortly after my pain psychologist suggested online support groups and that was how I found Healing Well (tried scoliosis forum but there is much fighting over braces vs surgery there).... the rest is history. So I guess it was a good thing I lost all of my teeth after all. But it ceritanly hurt my pride to have so many people see me while I looked so awfull! I really do understand how you feel.
 
     I hate it now when I hear of someone going through dental pain or having oral surgery. Especially from a financial point of view. My dental coverage was a joke. I was given 2K and thats it! They even tried to argue about how many x rays I had. I only had 3 sets and then one last one a week before the oral surgery. That really got me angry because it wasnt like the puny amount of insurance even came close to holding a candle to the overall cost.  
 
     More than anything I am sorry you have to endure through any of it. It is hard when there is no hiding that you ve been through painful experiences. We are very blessed to have you here. You make a difference in so many lives *hugg*
 
     I see I am beging to ramble. I am sorry, I have tendancy to do that. I hope you can find a few moments to relax tonight.
 
*huggs*
   dani

 

 

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood

 

 


MIKEL99
Veteran Member


Date Joined Feb 2010
Total Posts : 914
   Posted 4/20/2010 9:57 PM (GMT -7)   
Dear Sweet Dani , I bought some Dr.Scholls in serts and put them in my right sneaker or shoe .Medecaid covers this for me and I think most insurances do cover this .If  your insurance covers this PLEASE see a orthopedic doctor and get fitted for your shoes and/or sneakers , I beseech you to do this because if my suggestion caused you any additional pain or suffering I'd never forgive myself , so please good friend do this the safe way , doctor supervision .I beleive for shoes they put the lift on the outside bottom of the shoe , like adding an additional heel or sole , for sneakers( and I'm not positive they do this with sneakers , I was told they do) you may be able to put whats like a combination lift/cushion type deal  .I pray this can help you a little , I would try the Dr. Scholl insert and if it feels better then see the ortho doctor , I'll be keeping my fingers crossed for you Dani girl !!!  Mikel


HIV+ also Hep c , need hip replacement surgery on hold because of unknown but cellulitus-like ailment  .most pain from hip condition and cellulitus-like ailment .hands numb may have carpal tunnel syndrome now . Great frustration because doctors unable to diagnos ailment              .Medecines -    ,viracept,truvada, l Indomethacin  '                                                                                                                         

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