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In October of 2001 I went to our family physician for lower back, abdominal, and pelvic pain, and penciling of stools. She did a physical exam and checked me for a hernia. Then sent me for a CT scan and blood tests. |
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Went back to doctor for test results and continued pain: Test results not back yet and she insisted I couldn't just walk in and expect pain medication. I told her I just wanted my problems solved. Pain became unbearable so my wife to me to the emergency room where I was told it was possibly Diverticulits and treated with antibiotics and pain medications. |
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Went to family physician again for the pain and was told the CT scan showed what was thought to be a slightly bulging disk in lower back. She sent me to physical therapy on my back and told me to follow up with an orthopedic doctor. I stayed on physical therapy for two weeks with pain only increasing. Note: Scan showed no retroperitoneal mass yet something had to be there as this is when symptoms began. Could what they thought to be a bulging disk have been the onset of the RPF? I have since asked three different doctors to look at and compare this scan with recent ones but each said I'll get back to you, and yet they never did saying it was of unimportance. |
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Met with the orthopedic physician who said that smoking was my problem. After I had begged for help. The physician then said he had concerns that my stomach pains and bowel problems could not come from my back. He sent me for an abdominal ultrasound to check the sciatic nerve. |
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Back to the orthopedic specialist for results of the ultrasound which showed the sciatic nerve normal. Was then told to wear a lower lumbar belt for a while. Note: He was still treating this as a back problem even though he had said my stomach pains and bowel problems could not have come from my back. |
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Around November2001. Pain is worsened and severe, can't sleep so my wife took me to the emergency room. I was given a physical exam by the emergency room physician who said my problem was possibly prostate infection. He then prescribed me Cipro and told me to see a urologist. I was given an appointment to see him in two weeks. |
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One week later was in the emergency room again. Same symptoms, worse pain. Told them Cipro was not working. Once again given the same physical exam by the same e. r. physician and told it was still possibly prostate infection and that the Cipro needed time to work. |
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| Had an appointment with family physician which I called and canceled due to emergency room findings. |
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Appointment with the urologist - All the same symptoms, but by this time had also developed slowed urination, along with pain in my testicles and penis. After examination the doctor said that he could not feel what the e. r. doctor had felt but that they must know what they diagnosed and kept me on Cipro. He also stated that he did not think the back and bowel problems could be associated with prostate infection and that I should see the orthopedic physician again. Note: He did not agree with the previous diagnosis of prostate infection yet did not check into it any further or suggest any other possibilities. Being a urologist and my final diagnosis being considered a urological disorder, this urologist should have known the symptoms. He should have checked other possibilities rather than settling for the e. r. doctor's diagnosis that he didn't fully agree with in the first place. |
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| Met with the urologist again, still no change in symptoms. He told me to keep taking the Cipro (was on Cipro three months) |
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Appointment with orthopedic physician): He sent me for injection my back (November2002) Again: still treating me for a back problem even though he clearly said he did not feel my symptoms were coming from my back. |
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Follow up with the physician who did the injection: He put me on Neurontin (a pain medication) and set another date for follow up. |
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Follow up: Again scheduled another injection because medication nor first injection helped. Note: I questioned why the first injection was so high on my back as my pain was much lower. He said he had been misinformed by the orthopedic doctor as to the location of my pain. |
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| Had second injection: Still no relief |
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3 days after second injection I was once again back in the emergency room with same symptoms along with blood in stools and swollen testicle. CT scan was done and mass was found but at this time they thought it was an aortic bleed. Was admitted to the hospital and a second CT scan was done the next morning to see if there were any changes in the mass which helped them determine it was a solid mass. Colonoscopy done to determine why there was blood in stools. I was told a doctor would be in soon to discuss the results with me but did not see a physician again during my stay. When this was mentioned to the nurse upon my dismissal she said that the results came back okay and I was then told to follow up with the emergency room physician who said that there was no way this could have been missed on the first CT scan done a year ago by my family physician. The cardiologist who had been called in to help determine as to whether or not this was an aortic bleed, had left for a two week vacation the day before my dismissal but I was not told of this even when I asked about my test results, nor was I recommended to another cardiologist while he was gone. I found this out only by calling his office in reference to a note left with my pharmacist which stated I needed to contact my family doctor for refills if needed. |
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Went back to the urologist due to swollen testicle and what I had been told was prostate infection. I was now told it was probably prostitis and was something I was going to have to live with and ordered an ultrasound for the testicle. Ultrasound came back okay showing only clear fluid in testicle. |
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Because my phone calls to my physicians were not being returned and I was not given any answers to many questions I'd had, I decided to send a fax to all three doctors...urologist, cardiologist, and the emergency room physician. |
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The cardiologist responded by calling to say he would get with the other physicians to see where we should go from here. He prescribed me Prednisone and told me "I'll call you back", but as before, he never did. When I was finally able to reach him again he said he was going to research it (the possibility of RPF and I was told that another CT scan would be needed to see if the Prednisone was working to stop the growth of the mass but one was not scheduled until I finally took it upon myself and called the nurse myself and insisted they schedule it. |
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| Once again we found ourselves waiting for calls that didn't come so my wife faxed them an angry letter. |
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Went to emergency room again due to severe pain. Saw the same e. r. physician once again who commented on my wife's fax saying she did not fully understand the situation or the seriousness of it. That's when she told him that this is exactly what needs to be explained to us. That we have repeatedly asked questions and gotten no answers. He then pressed harder and harder on my back causing redness and pain. Then recommended physical therapy saying nerves in the back can cause abdominal pain contradicting everything he had told us about Retroperitoneal Fibrosis, the seriousness of it, and how it was most likely what had been causing all the symptoms. I went there because of the pain but was given no pain medications. My wife had asked about blood test results and he said he'd go check on them and get back to us but he never did. An x-ray was also taken but again we were not told the results or even why it was being done in the first place. The nurse, hearing all the conversations and knowing of the situation suggested we go elsewhere and find another physician. |
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The cardiologist called the following day mentioning the emergency room visit and prescribed the pain medication that I did not get at the emergency room. He then ordered a needle biopsy. During this biopsy I experienced the same pains in exactly the same locations as I had told doctors and let them know this. Results of the biopsy showed Retroperitoneal Fibrosis around the aorta. Please note that a needle biopsy, even though the results may come back stating that there were no cancerous cells, this does not rule out cancer. With RPF to completely rule out cancer it requires a larger piece of the growth to get an exact diagnosis as to malignancy inside the mass. I was kept on Prednisone and pain meds. He explained that he knew very little of this condition but would do what he could. Unfortunately he never made any attempts to learn about what we were dealing with or even help us to find a physician who could help. |
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I decided it was time to look for a doctor on my own who knew of the condition and how to treat it. After many calls to numerous physicians I was finally given the name of one at a University hospital who had diagnosed and treated retroperitoneal fibrosis in his many years as a urologist. During our first phone conversation he immediately told me that all the symptoms I'd been having were signs of Retroperitoneal Fibrosis. He scheduled an open biopsy to determine malignancy and I was given a definite diagnosis of non-cancerous RPF. |
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August 2002: During the open biopsy I developed a severe bleed from the mass itself. The urologist had explained to my wife that in all his years as a surgeon, and of the RPF biopsies he had done, he had never seen anything like this. The mass was made up mostly of blood vessels and nerves entangled in fibroid tissue. What started out to be a simple biopsy, ended up in a battle to save me from bleeding to death. Because of this, attempting to remove the growth is out of the question. I am currently on Prednisone, Tamoxifen, and pain medications as a course of treatment to hopefully slow the growth of the mass and ease my pain. It has been recommended that I have a CT scan and blood work every six months to monitor the progression and medications. |
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After ten months of increasingly unbareable pain, growing symptoms, and excessive medical expenses I was finally given a proper diagnosis. October 2003: finally found a doctor willing to look at and discuss the first ct scan which we were told was normal ....not only was the mass clearly present, but in he ten months it took to get a diagnosis it had grown considerably. Had it been diagnosed with that first scan and treated promptly the mass could have been stabilized and my symptoms would not have progressed. |
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Since my diagnosis in August of 2002 I have been treated with daily doses of Tamoxifen, and occasionally Prednisone. From that time till my most recent scan in August of 2004 the growth of the mass has stopped. |
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