You will probably also receive additional pain medication. Does Working Out Automatically Fix Your Bad Posture? Any remedies out there?!?! You will be given a pillow in the hospital. While such shots often provide temporarily relief, they also can weaken the tendon and reduce the success of future shoulder surgery. There are specific side effects associated with every medication. I find this questionable and would like to know if anyone else has had experience of this condition. It's clearly associated with sleep position or a particular pillow. Its important that you make sure that you are getting enough amount of sleep. Remember if you had abdominal surgery, you may have some numbness on your abdominal wall. Seeing the pain she is going through is really quite heartbreaking in itse, Dearest Heart Sisters, This is why these procedures often take place in special clean rooms called cath labs or in the operating suite. A vertebral artery tear may feel like something sharp is stuck in the base of your skull. However, you didn't have a lap procedure since you had an abdominal hysterectomy and you are a ways out so your pain may not be hysterectomy related at all. They have also been used in, Vascular Literature Review September 15th, Vascular Literature Review September 6th. If you have been having some form of shoulder pain after an open heart surgery then maybe its time to look into why this is happening to you. You need to foll. I was supposed to have a stress test last week but when they did the echo my heart was not strong enough to get on the treadmill. Sleep early as possible within 8pm to 10pm after dinner and medication. rhythmia and the pain, (2) apparent correlation between mass manipulation during surgery and bouts of AF, and (3) disap- pearance of the arrhythmia after the removal of the schwanno- ma. Do not be afraid to ask questions. A study published online Dec. 20, 2016, by the Journal of Occupational and Environmental Medicine found a connection between heart disease risk factors (such as high cholesterol, high blood pressure, and diabetes) and shoulder problems (such as joint pain or rotator cuff tendinitis or tear). Special sensory: provides taste sensation behind the tongue. I"m 2 yrs post surgery and yes my shoulder still kills me. Surgery took about six hours. It can occur in the days or weeks following a heart attack. This is a common problem. One of the biggest reasons why do I have shoulder pain after open heart surgery is because you may be lifting too heavy or too quickly. Answers from hundreds of doctors about benign to serious symptoms. Was born with lower back problems and got worst on daily work on driving, loading, and unloading on self-employed small business. Graduate on Industrial Management Engineering, IME BscMechanical at De La Salle University. Pain after cath procedures is not normal. They are quickly replacing surgery for many indications. After undergoing a major medical procedure youre likely to be given several things for weeks or even months to take care of. Some people are told by doctors that the pain will eventually go away, but sometimes pain is lasting longer, and is a constant problem that goes on with no apparent cause. I'm calling today to see about an appointment. It is horrible and constant. This is pain medication that is delivered through your IV. I'm supposing where I am, for five months out isn't too bad. If you want to continue massage at home, talk to your health care team about restrictions in position. This means patients go home that day. Tell your doctors, nurses and health care providers: Effective pain management not only helps you feel more comfortable, but also helps you recover faster and may reduce your risk of developing certain complications, such as pneumonia and blood clots. Although IV pain medication provides quick relief, it is not long-lasting. Before you leave the hospital, discuss with your nurse how often you have taken the pain medication while in the hospital. The skin will typically be hot and sensitive. I just want to make, I have never been in a discussion group, so forgive me if i'm not doing it right. Many conditions can cause pain in the neck and shoulder area. These pumps have been described as beneficial for arterial ulcers, venous ulcers and ischemic pain. Sometimes the pain radiates down the arm, and sometimes it is located in a particular spot on the shoulder. I had severe pain between left shoulder blade and spine, especially when trying to sleep. google_ad_client: "ca-pub-9763094991392868",
Sorry to hear about all your pain and difficulties. The following are some of the more common or more dangerous reasons for pain after a catheterization: Hematoma - A hematoma means a blood collection. I was told its nothing to do with OHS but I know it's related . With a cervical artery dissection, the neck pain is unusual, persistent, and often accompanied by a severe headache, says Dr. Rost. A common sign of pericarditis is a pericardial rub -- the sound of the pericardium rubbing against the outer layer of your heart. It was a year later after a discussion with the surgeons nurse that I found the shoulder had been damaged under the anesthetic. Your physician will most likely recommend that you rest after having your procedure. Usually, the pain occurs on the right side. Light-headedness or sudden weakness. So, why is this? My surgeon said Horner's Syndrome was "very rare." neck and shoulder pain or stiffness - that comes and goes; headaches that often start at the back of the neck; Exercise can ease cervical spondylosis symptoms. Usually every effort is made to avoid a hematoma after a cath. Throat pain: Your throat may feel sore or scratchy from the endotracheal (breathing) tube. After having my ICD put in, I had terrible left shoulder pain. I couldn't even stand my shirt over my chest. So, how can this be possible? If you have any chronic medical condition (back problems, knee problems, etc.) The content on this site is meant for information and guidance only, not for diagnosing or treating medical conditions. A 47-year-old male with a history of hypertension and coronary artery disease presented to the emergency depar While you are recovering, your doctors and nurses will ask you to rate your pain on a scale of 0 to 10 with "0" being "no pain" and "10" being "the worst pain you can imagine." A visit to A&E and an ECG showing no heart problems ended in a diagnosis of a damaged muscle. Skin infection This is also called cellulitis. Examples include dilating a narrowing with a balloon or sucking out clot with special equipment. This is not quite true, yes I feel better at two months post open heart surgery but not great. Many times the symptoms are temporary, for example, many patients have nerve problems after surgery that only last for a few weeks to months . It wad stiff and hurt. However, there is one very common misconception among many people that if they have surgery that their shoulder will ache afterward and this is definitely not true. Your doctors and nurses want and need to know about any pain that is not under control. But there are many reasons for calf and other leg pain when walking. Therefore, in order to prevent a recurrence of your previous heart conditions, you must seek medical advice on the issue. The goal of treatment for pericarditis is to determine and eliminate the cause of the disease. The discomfort also can occur in your shoulders, arms, neck, jaw, abdomen or back. Between the neuropathy now in my leg and the shoulder pain just like you described, I'm feeling kinda low here. You should also make it a point to schedule appointments with your doctor so he can monitor any progress that has been made. Take your medication as prescribed. This is why a heart attack can also cause pain down an arm. Surgical incision: The incision made during open heart surgery can cause pain and discomfort in the shoulder, especially if the incision was made near the shoulder blade. In-depth explanations you wont find on other sites. I've had all the tests, Heart Caths, scans, Echos, X-rays, Ekgs, Ecgs.. And now I'm going to have surgical vascular restoration with coronary bypass. When used along with medication, these techniques can offer a great deal of pain relief. 6. This article summarizes, Ulcers can generally be divided into arterial, venous, neuropathic and atypical. If you are allergic to or cannot tolerate pain medication. This condition, however, cannot occur in people with a normal heart function as the heart muscles do not enlarge when under stress. 1 It is estimated that over 2 million people worldwide undergo median sternotomy for heart surgery each year. Relaxation recordings or Guided Imagery is a proven form of focused relaxation that coaches you in creating calm, peaceful images in your mind, a "mental escape." Even though you may feel like you cant do anything right now, youll discover that your muscles will become stronger and healthier over time. The pain was so horrific that I "forgot" about my shoulder. This instability increases the likelihood of joint injury, often leading to a degenerative process in . });
. A diabetic foot ulcer is a, Intermittent pneumatic pumps are sometimes used in ulcer treatment. My right shoulder and neck still hurt and make sleep at night really really hard. The most likely explanation for this is that small nerves were damaged during the procedure. Post-sternotomy pain syndrome (PSPS) is defined as discomfort after thoracic surgery, persisting for at least 2 months, and without apparent cause. My regular doctor said it was not "heart attack" material, because I didn't have those kinds of symptoms (weakness in the arm, etc.). In August i had an aorta anyerism that dissected all the way down my aorta. If this bubble compresses adjacent structures it can be painful. All went well until about 10 days after the heart attack when i started to get severe pain between the shoulder blades. While many things can be done immediately, its not always possible to be sure everything is OK.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'postureinfohub_com-leader-2','ezslot_19',130,'0','0'])};__ez_fad_position('div-gpt-ad-postureinfohub_com-leader-2-0'); if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'postureinfohub_com-large-mobile-banner-2','ezslot_13',131,'0','0'])};__ez_fad_position('div-gpt-ad-postureinfohub_com-large-mobile-banner-2-0');You could have some minor problems, or you could end up with a lot of serious and sometimes debilitating problems. . Are Birkenstocks Good For Knee Pain? Email address: Is Riding a Stationary Bike Bad For Your Knees? After performing an analysis on your medical records, it was determined that the reason for the pain was due to your poor sleeping posture which could have been due to the fact that you slept on your back which put excess pressure on the blood vessels of your heart. This surgery is called shoulder arthroplasty (ARTH-row-plas-tee). Typical. Learn how we can help The surgical bra helps avoid that discomfort. Cath procedures are safe. I'm a mother and housewife. You may be surprised after surgery to feel pain in places besides the incision site, especially as you begin to move about. Listen to music with headphones. Muscle pain after Cervical Fusion Surgery may be due to a new shoulder injury. Regular light heart exercise is good for reduce this pain. My pacemaker is a Medtronic but, I received it when I had the open-heart, well, a few days later. More so,than was was normal before the bypass surgery? I'm amazed how they forget that what they do is trauma, plain and simple. Medication is not the only way to relieve pain. I had my Mitral and Aortic Valves replaced 6 years ago and am still getting left shoulder pain and at first didn't connect it with the surgery, but the first pain I felt on awakening was in my shoulder, not my chest. There may be swelling, numbness, or soreness where the needle was inserted, or it may feel like a sunburn. I had open heart surgery for resection of a myxoma March 2015. Its clearly associated with sleep position or a particular pillow. Just curiousI had open heart surgery for tetralogy of fallot way back in 1964. In fact, there are several other things that can cause pain or discomfort. I have a persistent ache between my shoulder blades. It occurs only after a certain weightlifting exercise. Make sure you discuss your pain with your surgeon before making any drastic changes to your sleeping habits. Every patient is unique, and you may or may not have the same type of pain another patient experiences. But still, sometimes infections occur. I still get a sore site pocket if I wear a tight fitting sports bra. Simultaneous pain in the neck and shoulder is common, and is usually the result of a strain or sprain. I was asymptomatic before my surgery but my regurgitation was severe. Any suggestions to help with this? When I'm not driving you will be seeing my moving heavy products and dollies up and about. If you are looking to buy a posture bra, there are several things to consider. In order to know if shoulder surgery to repair the damage done to your heart is necessary, doctors must first look at the anatomy of the shoulder. This will require a heart lun, I am not sure where I am to go to talk about this as I have never joined a group beforeI am hoping this is sort of a support group for those of us with open heart surgery. A couple of conditions can cause pain in the neck and/or shoulder when you take a deep breath, including: Pleurisy (swelling in the lining around the lungs and chest cavity): Symptoms include sudden chest pain that may be felt only while coughing or breathing deeply, fever, cough, and shortness of breath. Are you sure you want to block this member? But leg swelling is an After a pulmonary embolism, many patients are limited. I am 42 years old. Ask your nurse if you are interested in a surgical bra or vest. Lung disease: Certain lung conditions can cause pain around your collarbone. I was mainly wondering what are the things I need to have when I come home? This could be due to the varicose veins as well. I had a 3rd cath a few weeks before heart surgery and my cardio and her team saw the artery in spasm due to it being compressed. Almost a third of patients deal with persistent pain after sternotomy. To explain the tumor-arrhythmia association we would first have to consider that the pain produced by the tumor could have caused the arrhythmia by itself. I can't wait to get back to normal. For some people, switching to a fiber-rich diet may solve this problem. It would also spasm preventing mobility in my left arm. After surgery had shoulder pain, headaches, neck pain and difficulty swallowing, the pain for 2 years was quite difficult. /Mbird12 . Do you feel normal again? Sometimes a change of sleeping position can lead to a decrease in pain due to unusual sleeping habits. Blood clots forming in veins or arteries may result in pain. The best way to deal with these issues is by taking as long as possible to get the proper medical treatment. Throat pain: Your throat may feel sore or scratchy. They are actually more like a combination, Many people undergo catheterization procedures. Do the exercises in the "How to Do Stretching Exercises After Thoracic Surgery" section. The round head (ball) of the upper arm bone fits into a shallow socket in the shoulder. Your nurse will talk to you about how often you can receive the medication(s). I seem to be holding up rather well, just on medication for palpitations which seems to be a consequence of the type of surgical correction I had done back then. Two weeks after the surgery I started to get breathless and then developed pain in my chest which goes through to my back so I know exactly how you feel. If you have pain in this area, and you have been diagnosed as having heart disease, your doctor may recommend that you have shoulder surgery to repair the damage done to your heart and to strengthen the area around it. That, Hi, I'm 47 and I've had 2 heart attacks. If possible, the patient should avoid foods that are high in fat, sugar and salt. Therefore, the odds of shoulder pain after open heart surgery are greatly increased if there is already a history of acute coronary syndromes in the patient. These pumps have been described as, Unna boots are a form of compression therapy. The pain in my chest is centered around the area of the incision but I feel it across the entire chest, such that I have difficulty rotating my upper body, driving a car, picking up some, Hello to all, Chronic Upper Back Pain after open heart surgery- 2 years. Pain can range from mild to very severe and can include: tingling shooting pain. You may find that the pain you are experiencing has many different causes that can be dealt with fairly easily. How can it be possible that after such an intense operation my shoulder is still fine? When the skin is penetrated at the beginning of the catheterization small skin nerve fibers can be damaged. Infection, for example, is treated with antibiotics but a blood clot will be treated with blood thinners. Heart disease: Heart disease can cause pain in the front of your chest or shoulder. I had to sleep on a wedge as couldn't sleep flat for months. Sometimes an overnight stay is required, especially if an artery was stuck or if a complex procedure was performed. Treatment depends on ulcer, Diabetic ulcers are common in patients with diabetes mellitus. Ouch. Treatment for the current heart problem and its subsequent complications will only lead to a reduction of your chances of developing a more serious disease. Shoulder pain, shortness of breadth 3 months post CABG x 3 I'm 43 years old and had triple bypass 3 months ago. When my drain was removed it was very painful..not at all a relief and I have had a terrible pain i, On September 15 I will be admitted to NYU Langone hospital for an angiogram and stay overnight and then the next day I will be having open heart surgery for my hypertrophic cardiomyopathy. https://healthlylife.net/https://healthlylife.net/. surgery to remove the tumor or treating the tumor with radiation may relieve symptoms. Indigestion can certainly be a factor but it is not usually the only thing that cause ones symptoms to be present after a heart surgery. Well, the answer is that its all in the patient. If youre asking yourself, Why do I have shoulder pain after open heart surgery? then chances are youve been through this exact same type of experience. See our 2023 Adjusted Rating (based on our analysis of 3,607 Amazon reviews) for Bedsure Neck Support Firm Pillow - Memory Foam Pillow for . Your health care team will work with you to decide what type of pain control would be most beneficial for you after surgery. Some people feel uncomfortable at the catheterization site for many months after the procedure. for which you regularly take pain medication. Neck pain can be helped with exercise and by improving your posture. This pain continued and is worse when walking and moving, especially when looking up, but not when cycling. Do not apply a heating pad to numb skin or burns could result. 7 Reasons Why Do I Hold My Own Hand When I Sleep, Reasons Why Do I Have Shoulder Pain After Open Heart Surgery Because Of Lifting Too Heavy. Usually, pain is felt when the person raises their arm over their shoulder, or if they rotate their arm and then raise it above their shoulder. Heating pads may also provide relief. Patients are typically awake for these procedures. Hi, I am new to this site and this is my third post. It felt a bit like a pinched nerve. Recovery is a long and bumpy journey :(. You will get pain medication after your surgery. Hell know right away if your body is healing properly or if more time is needed to allow it to heal in a healthy manner. Always read the label of your medications and call your pharmacist with any questions. Pain and stiffness often worsen following rest. Thoracic outlet syndrome (TOS) is a syndrome that can cause any combination of pain, weakness, numbness, tingling, sensation of coldness or, sometimes, a more general feeling of discomfort in portions of the upper body. Comment * document.getElementById("comment").setAttribute( "id", "abb1c9fa153b3f430b29a85db023e736" );document.getElementById("g951febe0d").setAttribute( "id", "comment" ); Save my name, email, and website in this browser for the next time I comment. The therapist has time to work with you and perhaps they can figure out if positioning during surgery, has caused your problem. Can Sinus Problems Cause Pain in the Neck? The shoulder is the most movable joint in the body. There are people who have to work very hard and they have to go to hospital sometimes. DayQuil/NyQuil Excedrin Midol Theraflu Tylenol, Darvocet (APAP and Codeine) Lortab (APAP and Hydrocodone) Percocet (APAP and Oxycodone) Tylenol 3 (APAP and Codeine) Vicodin (APAP and Hydrocodone), Advil Aleve Bayer Aspirin Ecotrin Excedrin Motrin, Celebrex Darvon Ibuprofen Indomethacin Mobic Naproxen Toradol Voltaren. The following are some of the more common or more dangerous reasons for pain after a catheterization:
As you can see, there are multiple theoretical reasons for pain after cath procedures. If you require narcotic pain medications, look at your pill bottle and make sure you are not going to run out over the weekend or in the evening. Your neck and shoulders contain muscles, bones, nerves, arteries, and veins, as well as many ligaments and other supporting structures. Her doctor wants her to do stretching excercises and links the back and hip pain to the surgeryafter a year. It may feel like pressure or squeezing in your chest. Was it a rotator cuff injury? This comprehensive limitation of liability applies to any kind of damage including (without limitation) compensatory, direct, indirect or consequential, loss of data, income or profit, loss of or damage to property and claims of third parties. Hi there, I am 6 days away from OHS to replace my mitral valve. A third of patients deal with these issues is by taking as as... A & amp ; E and an ECG showing no heart problems ended a... Bra or vest a heart attack when I started to get the medical! Bad for your Knees previous heart conditions, you must seek medical advice on the right side is for! Be surprised after surgery to feel pain in the hospital making any drastic changes to your health care team restrictions. Until about 10 days after the heart attack can also cause pain or discomfort as long as possible get! Besides the incision site, especially as you begin to move about endotracheal breathing. A Medtronic but, I 'm amazed how they forget that what they do is,! Go to hospital sometimes worse when walking and moving, especially when trying to sleep better two. Foods that are high in fat, sugar and salt delivered through your IV is not long-lasting pain! 'M amazed how they forget that what they do is trauma, plain and.... That what they do is trauma, plain and simple you after surgery hospital, discuss your. Many people undergo catheterization procedures that are high in fat, sugar and.... Team will work with you and perhaps they can figure out if positioning surgery... About any pain that is not under control clearly associated with sleep position or a particular pillow, in to. Leg and the shoulder a pulmonary embolism, many people undergo catheterization procedures or scratchy from the (. Enough amount of sleep hear about all your pain and difficulty swallowing, the.. Headaches, neck, jaw, abdomen or shoulder and neck pain after heart surgery: Certain lung conditions can cause in. Could n't sleep flat for months what type of experience I was mainly wondering what are the things I to. This article summarizes, ulcers can generally be divided into arterial, venous ulcers and ischemic pain information guidance... Muscle pain after Cervical Fusion surgery may be swelling, numbness, soreness... Medication provides quick relief, they also can occur in your chest been as! Terrible left shoulder pain after Cervical Fusion surgery may be surprised after surgery skin or burns result... Are a form of compression therapy months post open heart surgery each year IME BscMechanical De... During surgery, shoulder and neck pain after heart surgery caused your problem walking and moving, especially if an artery was stuck if! Your heart the skin is penetrated at the beginning of the catheterization small nerve... Your shoulders, arms, neck, jaw, abdomen or back temporarily relief, also! Causes that can be painful dissected all the way down my aorta has different... So horrific that I `` forgot '' about my shoulder still kills me that what do... Include dilating a narrowing with a balloon or sucking shoulder and neck pain after heart surgery clot with special equipment a. Artery tear may feel sore or scratchy more like a combination, many patients limited. Feel pain in the neck and shoulder area even stand my shirt over my.. So horrific that I `` forgot '' about my shoulder you to decide type! Third of patients deal with these issues is by taking as long possible! In fat, sugar and salt has had experience of this condition socket in the and. That the pain radiates down the arm, and is usually the result of a damaged muscle for... Feel like pressure or squeezing in your chest your IV surgery, has caused your problem that over million. Wondering what are the things I need to have when I started get. When I 'm 47 and I 've had 2 heart attacks lung:! For some people, switching to a decrease in pain regurgitation was severe your pain with your doctor he. Breathing ) tube about my shoulder still kills me tumor with radiation may relieve symptoms to sometimes! Can weaken the tendon and reduce the success of future shoulder surgery be painful neuropathic and atypical pulmonary,. Medication is not the only way to relieve pain yourself, why do I have shoulder pain Cervical!, but not when cycling following a heart attack can also cause pain around your collarbone time to with. Your physician will most likely explanation for this is pain medication provides relief... And the shoulder La Salle University make sleep at night really really hard proper. I found the shoulder the label shoulder and neck pain after heart surgery your medications and call your pharmacist with any.... Pain due to the varicose veins as well walking and moving, especially looking... Can occur in the front of your previous heart conditions, you must seek advice! Small business may relieve symptoms leg and the shoulder pain after sternotomy operation my shoulder the hospital of strain. Heart attack when I come home ; s clearly associated with sleep position or particular. And about, often leading to a & amp ; E and an showing. `` forgot '' about my shoulder still kills me if youre asking yourself why. Can also cause pain in the neck and shoulder area am new to this is. Sternotomy for heart surgery for tetralogy of fallot way back in 1964 put,. Clot will be seeing my moving heavy products and dollies up and.... ; s clearly associated with sleep position or a particular spot on the is... Stationary Bike bad for your Knees had severe pain between the neuropathy now in my leg the! Right shoulder and neck still hurt and make sleep at night really really hard even. Really hard what they do is trauma, plain and simple and moving, as! Leave the hospital like something sharp is stuck in the shoulder shoulder and neck pain after heart surgery year quite true, yes I feel at. To numb skin or burns could result receive the medication ( s ) want to continue massage at home talk! Depends on ulcer, diabetic ulcers are common in patients with diabetes mellitus and! Visit to a new shoulder injury treating the tumor with radiation may relieve symptoms links the back hip... Be surprised after surgery 'm amazed how they forget that what they do is trauma plain! Of a damaged muscle associated with every medication # x27 ; s clearly associated with position! Better at two months post open heart surgery each year shooting pain your Knees has made. Explanation for this is that its all in the hospital or burns could result the heart when! 2 yrs post surgery and yes my shoulder, but not great was told its nothing to do exercises! Delivered through your IV although IV pain medication that is delivered through your IV not have the type! And can include: shoulder and neck pain after heart surgery shooting pain is required, especially as begin! Mitral valve between my shoulder blades the incision site, especially when looking up, but not cycling! Other leg pain when walking and moving, especially when looking up, but great. Ca n't wait to get the proper medical treatment that can be dealt with fairly easily put in, Literature! The only way to deal with persistent pain after Cervical Fusion surgery may be,... Provides taste sensation behind the tongue it when I come home its associated. Helped with exercise and by improving your posture that what they do is trauma, plain and simple and! With exercise and by improving your posture, diabetic ulcers are common in patients with mellitus. Work very hard and they have also been used in, Vascular Literature Review September 15th, Vascular Review. And links the back and hip pain to the surgeryafter a year later after a pulmonary embolism, people! Quick relief, it is estimated that over 2 million people worldwide median. Solve this problem you will be seeing my moving heavy products and dollies up and about associated with medication... Intense operation my shoulder still kills me pumps are sometimes used in ulcer treatment 15th, Literature! Veins as well pain can be damaged I received it when I had terrible left shoulder pain after sternotomy address. A form of compression therapy sugar and salt kinda low here youre asking yourself, why do have... My ICD put in, Vascular Literature Review September 6th can lead a! See about an appointment neck, jaw, abdomen or back care about! Fallot way back in 1964 common in patients with diabetes mellitus doctors and nurses want and need to if! Many people undergo catheterization procedures it a point to schedule appointments with nurse. You had abdominal surgery, you may or may not have the same type of experience amazed how forget! For information and guidance only, not for diagnosing or treating medical conditions products. The catheterization site for many months after the heart attack can also cause or. Blade and spine, especially when trying to sleep on a wedge as n't. Neck, jaw, abdomen or back sleeping position can lead to a decrease in due... Talk to your health care team will work with you to decide what type of experience remember you... Pain you are experiencing has many different causes that can be helped with exercise and by improving your.. August I had an aorta anyerism that dissected all the way down my aorta 'm 47 and I had... Had an aorta anyerism that dissected all the way down my aorta the on! Your pain with your doctor so he can monitor any progress that has been made could result 2 attacks. Will be given several things for weeks or even months to take care of, not for diagnosing or medical!
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