Monday, October 13, 2008

A few KEY definitions

So today I start my continued journey in the wild world of Arnold Chiari Malformation Type 1 or ACM / CM. I will begin with stating I am not a doctor but have no doubt read more then most of the doctors I have wasted co pays on over the past 35 months. I still do not have the Medical Certificate hanging on my wall, so bare in mind these are MY opinions with some facts / definitions.

Incidental:

4 dictionary results for: incidental
Dictionary.com Unabridged (v 1.1) - Cite This Source - Share This in·ci·den·tal
–adjective
1.happening or likely to happen in an unplanned or subordinate conjunction with something else.
2.incurred casually and in addition to the regular or main amount: incidental expenses.
3.likely to happen or naturally appertaining (usually fol. by to).
–noun
4.something incidental, as a circumstance.
5.incidentals, minor expenses.

[Origin: 1610–20; incident + -al1]

How many of us have heard/read the words "Incidental Findings" after we have had CT / MRI's done? These are not incidental, we came for medical explanation and help to a problem..... finding something is what we are looking for! Stop dismissing the signs and symptoms that can be seen on scans, PLEASE!

Borderline:
3 dictionary results for: borderline
Dictionary.com Unabridged (v 1.1) - Cite This Source - Share This bor·der·line
–adjective
1.on or near a border or boundary.
2.uncertain; indeterminate; debatable: not an alcoholic, but a borderline case.
3.not quite meeting accepted, expected, or average standards.
4.approaching bad taste or obscenity: He made several borderline remarks that offended them.
–noun
5.a person suffering from borderline personality.

[Origin: 1865–70; border + line1]

This may be another term you may hear a lot. I do not believe that any CM is Borderline. It is either there or not. Herniated or not. Either yes or no in black and white.... No 2 brains will every be the same. This is fact. Do we have Borderline Cancer......NO. Do we ever have Borderline Strokes........NO. Why is it so different when we speak about Brain issues? Most everything can be labeled borderline........depression, migraines, ADD, insomnia, loss of memory. In fact these borderline symptoms are connected to CM. Giving further reason to deem the "Incidental Finding" as CM.

By now if you are HERE , you may have been told by your PCP, ER Dr. or NL that there was an Incidental Finding of Borderline CM. However "we" "I" feel you are suffering from Migraines and stress, soft tissue injury (whiplash), depression or yet the ever famous Chronic Pain Syndrome.....that's a biggy for some doctors! STOP them right there!!!! No I mean STOP them from speaking another word......... Ask this question?: How many patients have you succesfully treated with Incidental Findings of Borderline CM? You need to get a number of patients in YEARS, if they can not give you a quick firm responce, politely let the doctor know you are going to do a little research on this matter and you would like to get a referral to a specialist. Before you leave ask for a copy of the scans, I mean the hard copy's. You will need these. Never leave your films with anyone.

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