Daily Symptoms
Last 20 Weeks Stacked
Physical Pain (Previous 30 Days)
This highlights the trends of the last 30 days for physical symptoms.
Mental Health (Previous 30 Days)
This highlights the trends for the last 30 days for mental health symptoms.
Skin
Digestion
Reproductive
26 days since the start of my last period on May 13.
Interactive
This graph is interactive.
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Storytime
Location Based Mood
Correlations and other stats
Ketamine
Nightmares and S.I.
Density
Pain and Mood
| (1) | (2) | (3) | |
|---|---|---|---|
| (Intercept) | −0.40* | −0.55*** | 0.44*** |
| (−2.31) | (−8.15) | (3.74) | |
| overall | 0.06*** | ||
| (3.48) | |||
| forearm | 0.10*** | ||
| (11.46) | |||
| back | −0.03* | ||
| (−2.08) | |||
| N | 398 | 398 | 398 |
Other Correlations
| (1) | (2) | (3) | |
|---|---|---|---|
| (Intercept) | 3.85** | 2.85*** | −1.48** |
| (3.08) | (14.67) | (−2.84) | |
| overall | 0.19 | ||
| (1.45) | |||
| mood | 0.56*** | ||
| (17.28) | |||
| fatigue | 0.92*** | ||
| (14.05) | |||
| N | 398 | 398 | 398 |
History Highlights
General info
- 38 y/o
- Female
- White/Jewish
- Married
- 5’5”
- ~297 lbs
- Pansexual
- Moderate caffeine use
- Every day smoker since age 14
- No alcohol
- Daily cannabis use for pain since 2016
- Not pregnant and no desire for children
- 1 pregnancy, stillborn at 42 weeks 08/2006 (age 21)
Family history
- brother (32): type 1 diabetes (diagnosed at age 11), ADHD, additional mental health issues
- brother (36): type 1 diabetes and celiac (diagnosed in 30s)
- sister (27): mental health issues, obesity, chronic back pain (disk issues), hidradenitis suppuritiva
- father (64): obesity, gastric bypass, alcoholism, substance abuse, opiate dependency, narcissism, likely additional unknown and undiagnosed mental health issues
- mother (62): obesity, type 2 diabetes, arthritis
- paternal grandmother (deceased): lupus, bipolar
- paternal grandfather (deceased): unknown
- paternal aunt (deceased): breast cancer (diagnosed age ~40, died at age ~43)
- paternal aunt (deceased): unknown
- maternal grandmother (deceased): unknown psychiatric issues, chronic back pain, carpal tunnel syndrome, opiate dependency
- maternal grandfather (deceased): relatively healthy to my knowledge, died of intestinal disease (unsure of specifics)
- maternal uncle: unknown
- maternal uncle (deceased): COVID-19
Symptoms/Diagnoses
- Constant electric, shooting pain from my abdomen to my right thigh, numbness of the top and outer area of my right thigh, disrupting sleep, painful to empty bladder, reducing mobility
- since 10/12/2023
- Chronic and increasing pain in both forearms (spreading to wrists and hands)
- since 12/2021
- Chronic back pain varying from moderate to severe, but always present
- since 2015
- Chronic and debilitating fatigue
- since 2019
- Limited mobility and inability to complete many regular daily activities without assistance
- since 2020
- Obesity and increased weight gain due to mobility issues and pain
- since 2022
- Various other intermittent issues
- Recurring subcutaneous cyst (neck)
- since 02/2022
- Hidradenitis suppuritiva
- since 2018 (diagnosed 2022)
- Cutaneous lupus
- diagnosed 06/2020
- Recurring subcutaneous cyst (neck)
- Mental health
- GAD
- since 2018
- SAD/Agoraphobia
- since 07/2019
- Depression
- since age 11
- ADHD
- diagnosed age 7
- PTSD
- since 11/2006
- Nightmares
- since 2005
- SI
- since age 11
- GAD
- Hepatitis C
- diagnosed 2011
- treated with Harvoni in 2015
- no viral load detected since 2015
Recent Imaging
- MRI - 11/07/2023
- Brain
- All clear
- Lumbar
- Herniated disks L3/L4/L5
- Brain
- Back X-ray - 10/24/2023
- All clear
- MRI - 06/08/2023
- Lumbar, Thoracic, Cervical
- No evidence of cord compression
- Lumbar, Thoracic, Cervical
- Chest X-ray - 06/08/2023
- All clear
- CT - 06/07/2023
- No evidence of muscle inflammation or breakdown
- Upper limbs X-ray - 05/31/2023
- All clear
Medications and Providers
| Current Medications | |||||||
| Medication | Amount | Unit | Per day | Time of day | Prescriber | Reason | ...8 |
|---|---|---|---|---|---|---|---|
| Venlafaxine | 150 | mg | 1 | AM | Psychiatry | depression | NA |
| Hydroxychloroquine | 200 | mg | 2 | AM/PM | Rheumatology | cutaneous lupus | depleted |
| Pregabalin | 200 | mg | 3 | AM/lunch/PM | Orthopedic | pain | depleted |
| Prazosin | 2 | mg | 1 | PM | Psychiatry | nightmares | NA |
| Nortriptyline | 20 | mg | 1 | PM | Neurology | nerve pain | depleted |
| Meloxicam | 15 | mg | PRN | Rheumatology | pain | NA | |
| Tizanidine | 2 | mg | PRN | Pain Management | pain | NA | |
| Methocarbamal | 1000 | mg | PRN | PCP | back pain | NA | |
| Clindamycin | 1 | % | topical | PRN | Dermatology | skin cysts | NA |
| Triamcinolone | 0.1 | % | topical | PRN | Dermatology | eczema | NA |
| Vyvanse | 10 | mg | rarely | PRN | Psychiatry | focus | NA |
| Alprazolam | 0.5 | mg | rarely | PRN | Psychiatry | panic attacks | NA |
| Providers and Diagnoses | |||||
| Provider | Specialty | Issue(s) | Diagnoses | Last Visit | Next Visit |
|---|---|---|---|---|---|
| Dr. Ana Rodriguez | Psychiatry | mental health concerns | depression, GAD, SAD/social phobia, ADHD, PTSD | Apr 2, 2024 | Jun 18, 2024 |
| Karensa Lynch, LPC | Therapy | mental health concerns | depression, GAD, SAD/social phobia, ADHD, PTSD | May 24, 2024 | Jun 5, 2024 |
| Anne Engelhart, NP | Internal Medicine | primary care | NA | Jan 31, 2024 | Jan 31, 2024 |
| Dr. Myint Myat Thway | Rheumatology | fatigue, chronic pain, muscle weakness | cutaneous lupus | Jan 12, 2024 | Jan 12, 2024 |
| Dr. Chandra Adams | Gynocology | IUD removal, PCOS? | bacterial vaginosis, PCOS | Dec 28, 2023 | Dec 28, 2023 |
| First Coast Dermatology | Dermatology | skin cysts, rash, infections | hidradenitis suppurativa, subcutaneous cyst, eczema | Nov 29, 2023 | Nov 29, 2023 |
| Matthew Smith, DO | General Surgery | subcutaneous cyst (neck) | surgical removal | Dec 28, 2023 | NA |
| Dr. Nolan Gall | Orthopaedics | lower back pain | herniated disk | Nov 22, 2023 | NA |
| Dr. Ramon E Bautista | Neurology | fatigue, chronic pain, muscle weakness | no neurological issue | Nov 14, 2023 | NA |
| Midtown Neurology | Neurology | fatigue, chronic pain, muscle weakness | no neurological issue | Nov 8, 2023 | NA |
| Dr. Christian Albert Koch | Endorcrinology | fatigue, chronic pain, muscle weakness | no thyroid issue | Oct 31, 2023 | NA |
| Florida Regional Pain | Pain Management | chronic pain, treatment-resistant depression | NA | Oct 30, 2023 | NA |
| Dermatology Associated of Georgia | Dermatology | skin cysts, rash | hidradenitis suppurativa, subcutaneous cyst | Sep 10, 2023 | NA |
| Dr. Margaret Ann Riso | Pain Management | forearm pain | NA | Sep 7, 2023 | NA |
| Dr. Sabitha Aligeti | Psychiatry | mental health concerns | depression, GAD, SAD/social phobia, ADHD, PTSD | Aug 28, 2023 | NA |
| Dr. Katina Christina Tsagaris | Rheumatology | fatigue, chronic pain, hair thinning | cutaneous lupus | Jun 19, 2023 | NA |
| Dr. Lattisha Bilbrew | Orthopaedics | forearm pain | bilateral tennis elbow | May 31, 2023 | NA |
| Dr. Amanda Lauren Dempsey | Orthopaedics | forearm pain | bilateral radial tunnel syndrome | May 17, 2023 | NA |
| Dr. Joshua Huffman | Chiropractor | lower back pain | herniated disk | Jun 1, 2021 | NA |
Full History
I have been experiencing pain in various parts of my body for about 10 years. I have been to a variety of specialists over the past 8 years with no diagnosis other than cutaneous lupus but the rheumatologists have confirmed that it’s only in my skin, and there is no indication of a flare-up causing pain.
The following is an edited report from the doctor who took a full history while admitted at Emory University Hospital in June 2023:
-2009 completed rehab for IV substance use (heroin, cocaine) with few relapses after 1.5 years of substance use
-2010-2012 pt active, living “clean” with high attention to her diet, able to bike 50+ miles per day
-2010-2013 had regular periods
-2011 diagnosed with hepatitis C
-2013-2014 began to have bouts of diffuse pain “flares” lasting days at a time, which would significantly limit her ability - these lasted for several days and would abate on their own
-02/2013 Mirena IUD placed for contraception
-06/2014 moved to Atlanta and secured housing
-2014-2020 ongoing intermittent back pain and flares that incompletely self-resolved after several days
-01/2015 secured medical insurance
-09/2015 treated for hepatitis C infection for 3 months as part of Harvoni trial, hep C quant negative at 6 months
-11/2018 first appearance of hidradenitis suppuritiva (lower abdomen)
-03/2019 increased frequency of hidradenitis suppuritiva (usually under breasts, occasionally in the groin)
-06/2019 SAD symptoms began, including agoraphobia
-10/2019 involuntary psychiatric hospitalization for SI
-04/2020 IUD removed, replaced
-06/2020 noted by dermatology to have rash on the face/arms with sun sensitivity, diagnosed with cutaneous lupus
-2020 started on Plaquenil
-09/2020 lumbar MRI showed 3 protruding disks, decompression treatment with PT, massage, ultrasound, and electrotherapy ~8 weeks, minor temporary results
-09/2020-07/2021 regular PT and worked up to 10-20 min walks almost daily
-12/2021 began having BL forearm pain (first in right forearm, left began several months after)
-01-08/2022 regular aquatic exercise (2-3x/week), reduced back pain
-03/2022 first noticed and attempted to drain subcutaneous cyst seen on imaging, became inflamed several times with increasing size, pain, and duration
-01/2023 began being much more limited by her forearm and back pain and more sedentary, requiring significant help with ADLs from partner, increased SAD symptoms including agoraphobia (and fear of driving)
-02/2023 I&D in ER for subcutaneous cyst (neck)
-06/2023 progressive worsening of muscle weakness, most profound and on a daily basis in last 3 months, able to walk short distances but quickly becomes fatigued and achy all over before she has to stop