Perfectly Paranoid

I recently pinched a nerve or strained my shoulder real bad. It happened out of nowhere after simply turning my head. I can move my arms and rotate my shoulders, push, pull row, over head movement all without any pain but when i tilt my head back as if to look at the sky, the inside of my shoulder pinches really bad. It feels like either the middle delt head or the ligament attachment inside the very middle of my shoulder. Its not the front or rear delt for certain. The pain is the worst when I hold my arms strait out in front of me or rest them on a desk and then tilt my head back. My concern is that I may have torn something? As I said, I experience no pain from normal shoulder exercises so i do not think its a muscle strain. I would like to continue to work out as I normally would [with obvious deference to the injury in my shoulder]. The trigger for this pain is just so odd and dislocated from the shoulder, I fear I may have injured something other than a slight muscle strain.

Any ideas? thanks.

I have a 1997 Nissan Pathfinder SE. I recently had the alternator and battery replaced hoping it would solve my problems but these few remain...

When i first start driving [within 10 minutes] If I hit the window buttons, it some how interrupts the ignition circuit and momentarily kills the car. Like the spark plugs just aren't getting spark for a second, then the car resumes driving normal when you let off. If I hit the brakes or turn the fan on [A/C , or heater] it makes the headlights dim and cuts out the radio.

Something is seriously shorting out. I have checked the fuses and even the tail light connectors, alternator connector etc. Nothing looks abnormal.

Please help. This is really annoying...

Second MRI done Today

EXAMINATION: LUMBAR SPINE MRI WITHOUT INTRAVENOUS CONTRAST.

HISTORY: Lower back pain.

COMPARISON: None.

TECHNIQUE: Multiplanar MR imaging of the lumbar spine was

performed utilizing a 1.5 Tesla system. Sagittal and axial T1 and

T2 images obtained from the lower thoracic spine to below the

lumbar sacral junction.

FINDINGS:

The study is of good technical quality.

For the purposes of this dictation there are presumed to be five

lumbar vertebrae. Numbering is based upon the anatomic

configuration of the lumbosacral junction. Please correlate with

plain film radiographs prior to intervention.

Retroperitoneum: The visualized retroperitoneum is normal.

Vertebral bodies: Bone marrow signal intensity is normal.

Alignment is anatomic. There are no findings to support

spondylolisthesis or spondylolysis.

Conus: The conus terminates at T12. Visualized portions of the

cord demonstrate normal signal intensity.

L1/2: Normal.

L2/3: Normal.

L3/4: Normal.

L4/5: Mild settling of the disc in the sagittal plane with disc

desiccation. Shallow concentric disc Protrusion. Central/left

paracentral annular tear. The neuroforamina are patent.

L5/S1: Settling of the disc in the sagittal plane with disc

desiccation. Shallow central disc protrusion. No significant

encroachment on the thecal sac. Neural foramina are patent.

and this is the first one

LUMBAR SPINE MRI WITHOUT CONTRAST

HISTORY: Low back pain.

COMPARISON: Lumbar spine series, 29 January 2007.

TECHNIQUE: Examination was performed on a GE Signa EXCITE 1.5 Tesla

scanner. Sagittal T1, fast spin-echo T2 images were acquired through

the lumbar spine along with angled axial T2-weighted fast spin-echo

images through the disc spaces of L3-L4 through L5-S1.

FINDINGS: There is a transitional vertebral situation as there are 25

cervical/thoracic/lumbar segments on the scout images as opposed to

the usual 24. Hypoplastic ribs are noted on the inferior most

rib-bearing vertebra on the comparison plain films. For the purposes

of this interpretation, the inferior most lumbar-type segment will be

referred to as L5 and 13 rib-bearing vertebrae will be assumed.

Marrow signal of the bones imaged is normal without fractures,

contusions, or destructive lesions of bone. There is disc desiccation

at L4-L5 and L5-S1 and relative disc space narrowing at L5-S1

associated with endplate irregularity and mild signal dropout adjacent

to the endplates consistent with sclerosis with slight endplate

marginal spurring. There are several small endplate invaginations

(Schmorl's nodes) at L2-L3 and L3-L4 not associated with adjacent

marrow edema. Alignment is normal without spondylolisthesis or focal

kyphosis of the lumbar segments. The central canal and neural foramina

are widely patent.

At L4-L5, there is broad posterior disc bulging that anatomically

appears to be inconsequential not resulting in significant central

canal or foraminal stenosis. There is, however, increased signal

amongst the posterior annulus fibrosis at L4-L5 suggestive of annular

tear which can be contributory to nonspecific back pain symptoms.

There is circumferential disc bulging at L5-S1 without significant

encroachment on the central canal, nerve roots, or neural foramina.

There is a focus of high signal amongst the anterior midline annulus

fibrosis at L5-S1 also suspicious for annular tear, again possibly

contributory to nonspecific back pain symptoms.

The conus terminates at the T13-L1 level. Portions of the cord imaged

are normal without masses, syrinx, or cord signal abnormality.

Incidentally noted on the scout images are wedge compression

deformities of T8 and T9 that morphologically are likely chronic

associated with endplate irregularity and are devoid of significant

adjacent marrow edema.

IMPRESSION:

1. Degenerative disc disease changes at L4-L5 and L5-S1 with probable

annular tears at posterior midline L4-L5 and anterior midline L5-S1

which can be contributory to low back pain symptoms. No significant

disc herniations, central canal or foraminal stenoses.

2. Incidental note of wedge compression deformities of T8 and T9

demonstrated on the scout images (nondiagnostic sequence). Recommend

correlation with clinical history for thoracic spinal trauma and

review of systems for pain referrable to the thoracic spine. Recommend

correlation with plain films.

I have a bidder who is winning on one of my auctions who is 2 days old. My settings do not allow people without paypal accounts to bid, but how do i know if their account has been verified? Is this the same thing? I sent the invoice with the requirement to pay within 48 hours or i will cancel their bid and send out a second chance offer to someone else.

My brothers wife took her 5 children in to get he flu shot today and only 2 were allowed to take it due to other medical conditions. The other 3 were denied because the government has rationed the amount of the vaccine that can be given out due to limited supplies.

If the government passes the single payer government option, and supplies are limited or money is limited what do you think they government will do? If they would ration a simple flue shot what would stop them from rationing all aspects of care?

They are rationing the swine flu vaccine, do you really think the government wont ration other things?

Currently i get about 12 mpg and i haven't checked what it will do on the highway. I was hoping to help things out by adding a cold air intake and a cat back 5" exhaust system and swapping the 4.10 gears in the axles for a set of 3:73's i got for a few dollars. the truck is too old for electronic adjustment. What kind of fuel economy could i achieve this way and am i even thinking on the right lines? what other things could I do cheap and easy.

1994 F-350 extended cab 7.3L turbo diesel.