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Alan's Medical History
This is a brief medical history for Alan. It is here so that doctors may view and hopefully have suggestions about helping me with my medical problems. Contact Alan for latest information.


Click to view the following tables -
Physician appointments or Peripheral Neuropathy symptoms
Last updated 12/12/08
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Here is a list of most of the physician appointments -
Date Doctor City Description Treatment Weight
9/?/1979 Dr. Gillespie Oak Ridge Tonsillectomy 185
8/?/1985   Anchorage, AK Vasectomy
09/05/98 Dr. Russell E. Gibson Maryville, TN Sinus Infection Antibiotics
09/22/98 Dr. Russell E. Gibson Maryville, TN Sinus Infection Antibiotics
03/25/99 Dr. Russell E. Gibson Maryville, TN Sinus Infection Antibiotics
04/22/99 Dr. Russell E. Gibson Maryville, TN Sinus Infection Antibiotics
11/12/99 Dr. Russell E. Gibson Maryville, TN Tinnitus & Headaches Discuss and referall
12/06/99 Dr. Paul W. Hoffmann ? Maryville, TN Tinnitus testing Hearing tests for ringing in ear 220
Year 2000 Dr. Russell E. Gibson Maryville, TN Check Testosterone level Testosterone level at 268 (1st ever test?)
06/06/00 Dr. Russell E. Gibson Maryville, TN Sinus Infection Antibiotics 210
08/25/00 Dr. Russell E. Gibson Maryville, TN Sinus Infection Try Allegro - skin rash with 2 days
09/11/00 Dr. Russell E. Gibson Maryville, TN Sinus Infection Try Zyrtec
10/09/00 Dr. Russell E. Gibson Maryville, TN Skin Allergy to Zyrtec Stop use
11/15/00 Dr. Bob Overholt Knoxville, TN Cronic Sinus Infections CT Scan
12/15/00 Dr. Bob Overholt Knoxville, TN Cronic Sinus Infections No specific cure - steroid nose spray
02/12/01 Dr. Russell E. Gibson Maryville, TN Yeast Infection
05/01/01 Dr. Russell E. Gibson Maryville, TN Sinus Infection Antibiotics
06/16/01 Dr. Russell E. Gibson Maryville, TN Shoulder Injury from volleyball Xray & Steroid shot - Discuss pain and numbness in foot
07/02/01 Blount Memorial Rehab Center Maryville, TN Physical Therapy for Shoulder Pain Physical Therapy ordered by Dr. Gibson
07/16/01 Harry J. Casson Maryville, TN Foot Exam (steroid shot) Possible Tarsal Tunnel (suggests surgery) 240
07/18/01 Harry J. Casson Maryville, TN Steroid shot between different toes Result - possible neuropathy
08/10/01 Dr. Russell E. Gibson Maryville, TN Back pains
09/04/01 Dr. Henry C. Hooker Maryville, TN Initial PN exam Blood & Urine tests
10/25/01 Dr. Henry C. Hooker Maryville, TN Feet Exam EGM tests
11/08/01 Dr. Henry C. Hooker Maryville, TN Feet Discussion Start Neurontin
11/21/01 Dr. Russell E. Gibson Maryville, TN Sleep Problems Try Trazadone - 3 uses then stop (bad side effects)
12/08/01 Dr. Henry C. Hooker Maryville, TN Problems with Neurontin Try Topomax - 1 use then quit (very bad side effects)
01/07/02 Dr. Russell E. Gibson Maryville, TN Sleep Problems Start Ambien 10mg (using 10-20 per month)
01/09/02 Dr. Darrell Thomas Knoxville, TN PN Initial exam
01/16/02 Dr. Darrell Thomas Knoxville, TN PN Tests Start Trileptal
2002-2003 Dr. Darrell Thomas Knoxville, TN Multiple tests and consultations for PN
11/01/03 Dr. Darrell Thomas Knoxville, TN Stop taking Trileptal Constant pain level at 2
2003-2004 ? Milwaukee, WI Endoscopy & Colonoscopy Hiatel Hernia
2004-2005 Dr. Samuel Idarrage Milwaukee, WI General health issues Sleep, prostate, general health
08/01/03 Dr. Gary J. Leo Milwaukee, WI Start of Sleep Study - Takeda drug (Rozerem) Study at Dr. Idarrage's Office (extensive lab work for 1 year)
08/01/04 Dr. Gary J. Leo Milwaukee, WI End of Sleep Study Study at Dr. Idarrage's Office
07/26/04 Dr. Stuart Fine Milwaukee, WI Check for Vasectomy Reversal Lump on Prostate found in routine exam, 8 biopsy samples taken
07/28/06 Dr. Stuart Fine Milwaukee, WI Discuss Prostate Cancer Lab results show Prostate Cancer 265
7/29-10/24 Milwaukee, WI Workout at gym - 2 hours / 3 times per week Required to lose weight and reduce stomach size before prostate surgery
10/25/04 Dr. Christian P. Pavlovich Baltimore MD Laproscopic Radical Prostatectomy John Hopkins Bayview Medical Center 225
01/05/05 Dr. Samuel Idarraga Milwaukee, WI P.N., incontinence and depression Cymbalta 20mg to 60mg in 1 month
06/01/05 General PN pain increases from 2 to 4
07/01/05 Dr. Samuel Idarraga Milwaukee, WI Problems with Cymbalta Stop taking Cymbalta due to problems with medicine head and no relief from pain
09/07/05 General PN pain increases from 4 to 5
02/01/06 General PN pain increases from 5 to 6
02/22/06 Dr. Darrell Thomas Knoxville, TN Initial Meeting for PN increased pain including new numbness in hands - Start Lyrica 150 265
02/24/06 Dr. Darrell Thomas Knoxville, TN Test hands & arms for PN
03/23/06 Dr. Darrell Thomas Knoxville, TN PN Biopsy (2 locations on left leg) Results - Small Nerve Peripheral Neuropathy 270
04/13/06 Knoxville, TN Bone Scan Negative for cancer - arthritis in knees and right shoulder
04/20/06 Harriet Starkey, N.P. Knoxville, TN Increased pain Increase Lyrica 150 > 300
04/28/06 Dr. Gregory Wheatley Knoxville, TN Massive pain at end of day (level 8-9) Tramadol for temp relief - bad side effects (out 2 work days & weekend)
Weight loss goes un-noticed until 5/9
05/09/06 Harriet Starkey, N.P. Knoxville, TN Off Lyrica - start Zonegran, Lidoderm, Lexapro Having severe side effects to decreasing Lyrica 225
5/9-5/23 Harriet Starkey, N.P. Knoxville, TN P.N. and pain problems Many discussions with Knox Neurology about pain and medicines
05/23/06 Harriet Starkey, N.P. Knoxville, TN Total mental breakdown Final meeting about P.N. medicines
05/26/06 Knoxville, TN Stop using Lyrica, Zonegran, Lidoderm Quit seeing Dr. Thomas
05/30/06 Worley Fain III, PHD Maryville, TN Mental Health - discuss thoughts of suicide Wants me to continue Lexapro
06/05/06 Blount Memorial Rehab Center Maryville, TN Physical Therapy for Back & Leg Pain Physical Therapy ordered by Dr. Gibson 6-5 to 6-29
06/06/06 Worley Fain III, PHD Maryville, TN Mental Health Discussions about pain and worry of cancer return
06/07/06 Amelia Rule, N.P. Knoxville, TN Meet about PN pain (1) 40mg/day Oxy, 12.5mg Ambien CR, Lexapro 10mg
06/12/06 Start of constant constipation problems and intestinal cramps
06/20/06 Worley Fain III, PHD Maryville, TN Mental Health Discussions about pain and stress
07/07/06 Nicole Wilson, N.P. Knoxville, TN Meet about PN pain (1) 20mg/day Oxy, 12.5mg Ambien CR, Lexapro 10mg, GlycoLax
07/21/06 Dr. Russell E. Gibson Maryville, TN Review Testosterone test Level at 208 (previous test in +/- 2000 at 268)
08/17/06 Dr. Paul A. Hatcher Knoxville, TN Urologist Initial meeting to discuss low testosterone level - problems due to previous prostate cancer
08/08/06 Donald Douglas PAC Knoxville, TN Meet about PN pain (2) 20mg/day Oxy, 12.5mg Ambien CR, Lexapro 10mg, 30/month Actiq 600mcg
08/14/06 Dr. Frederick Radoff Maryville, TN Meet about sleep problem Discuss problems with sleeping, suggest overnight sleep study
08/16/06 Dr. Frank McNeil Knoxville, TN Meet doctor fill out disability insurance paperwork
08/17/06 Dr. Paul A. Hatcher Knoxville, TN Urologist 2nd meeting to discuss new testosterone level of 160 - waiting for notes of biopsies from prostate surgery
08/21/06 Dr. Frederick Radoff Maryville, TN Overnight Sleep study Put on CPAP machine (horrible)
08/28/06 Dr. Frederick Radoff Maryville, TN BPAP machine delivered tested for 10 days, couldn't use due to PN and unable to sleep
09/07/06 Ed Roland CRNP Knoxville, TN Meet about PN pain (3) 20mg/day, 12.5mg Ambien CR, Lexapro 10mg, 20/month Actiq 800mcg
09/19/06 Dr. Frederick Radoff Maryville, TN Meet to discuss BPAP Dr. says surgery is only alternative to BPAP
10/10/06 Ed Roland CRNP Knoxville, TN Meet about PN pain (3) 20mg/day, 12.5mg Ambien CR, Cymbalta 20mg, 30/month Actiq 800mcg, Zelnorm 6mg 230
10/11/06 Get Tennessee disabled parking license plate
10/25/06 Worley Fain III, PHD Maryville, TN Mental Health Discussions about pain and stress 235
11/09/06 Ed Roland CRNP Knoxville, TN Monthly PN meeting Discussion about pain. Ed passing me up to Dr. McNeil for further medicine review 235
11/14/06 Dr. Frank McNeil Knoxville, TN Meet about PN pain Discuss medicines
11/15/06 Worley Fain III, PHD Maryville, TN Mental Health (bi-weekly meeting)
11/29/06 Worley Fain III, PHD Maryville, TN Mental Health Unable to attend due to excess pain
11/30/06 Dr. Russell E. Gibson Maryville, TN Abdominal Pain Severe Abdominal Pain, nausea, light-headed, close to passing out, temporary loss of hearing 235
12/11/06 Dr. Mark Anderson UT Medical Gastro problems Initial consultation - Glycolax and Levsin 235
12/14/06 Dr. Frank McNeil Knoxville, TN Meet about PN pain Change Oxy from 3 to 4 per day, change Actiq to Fentora, change Lexapro from 10 to 20mg per da 235
01/09/07 Dr. Mark Anderson UT Medical Gastro problems 2nd consultation - continue Glycolax, stop Levsin 240
01/15/07 Ed Roland CRNP Knoxville, TN Meet about PN pain Change Fentora back to Actiq 245
01/17/07 Cindy Payne-Smith N.P. Knoxville, TN Initial Meeting for PN & Depression Recommend - Psych & Neurologist - agrees with current meds+ 245
01/31/07 Kate Hume N.P. Knoxville, TN Initial Meeting for Depression Recommended change Lexapro & Neurofeedback 240
02/14/07 Dr. Frank McNeil Knoxville, TN Meet about PN pain Changed Actiq to 60/month and 240mg Oxy/day 240
02/15/07 Dr. Berta Bergia Knoxville, TN Initial Meeting with Neurologist for P.N. Blood tests ordered 245
02/22/07 Nanci Chaffin MS,MSS,LPC Knoxville, TN Neurofeedback 1st session - problems with dizziness & insomnia
02/26/07 Nanci Chaffin MS,MSS,LPC Knoxville, TN Neurofeedback 2nd session
02/27/07 Dr. Kenneth Jobson Knoxville, TN Initial Meeting with Psychiatrist Very good meeting to discuss collaberation with Buongernio 245
02/26/07 Nanci Chaffin MS,MSS,LPC Knoxville, TN Neurofeedback 3rd session
03/02/07 Abercrombe Cancer Knoxville, TN Bone Density Test Test for Dr. McNiel
03/02/07 TN Drug & Alcohol Alcoa, TN Blood work Tests for Dr. Bergia & Dr. Jobson
03/02/07 Dr. Frank McNeil Knoxville, TN Meet to discuss Actiq & Anthem BCBS Paperwork to get approval for 60/month 249
03/05/07 Dr. Russell E. Gibson Maryville, TN ECG Test for Dr. Jobson - for Amitriptyline
03/06/07 Nanci Chaffin MS,MSS,LPC Knoxville, TN Neurofeedback 4th session
03/08/07 Nanci Chaffin MS,MSS,LPC Knoxville, TN Neurofeedback 5th session
03/09/07 Blount Memorial Rehab Center Maryville, TN Physical Therapy for Balance Control Physical Therapy ordered by Dr. Bergia 3-9 to 4-26
03/14/07 Nanci Chaffin MS,MSS,LPC Knoxville, TN Neurofeedback 6th session - problems with session - stopping for a while
03/15/07 Dr. Frank McNeil Knoxville, TN Meet about PN pain Increase pain medications 245
03/20/07 Dr. Kenneth Jobson Knoxville, TN Review tests and start new medicine Start Amitriptyline
04/05/07 Dr. Paul A. Hatcher Knoxville, TN Urologist - Testosterone Level & Leaking New blood test for Testostorone level and PSA value
04/05/07 Dr. Gerald Fried Knoxville, TN Behavioral Therapy
04/10/07 Dr. Kenneth Jobson Knoxville, TN Discuss dose-down Narcotics Start Zyprexa and dose-down by 20mg every other day 252
04/11/07 Dr. Frank McNeil Knoxville, TN Meet about PN pain Pain medications to stay the same 251
04/12/07 Dr. Paul A. Hatcher Knoxville, TN Follow-up Discuss Testostorone Treatment Additional tests after reviewing Prostate biopsies
04/17/07 Dr. Gerald Fried Knoxville, TN Behavioral Therapy Discuss EMDR and calming
04/18/07 Dr. Kenneth Jobson Knoxville, TN Psych, PN and medicines Discuss dose-down Narcotics - start off Oxy & Actiq
04/26/07 Dr. Kenneth Jobson Knoxville, TN Psych, PN and medicines Discuss dose-down Narcotics - almost off Oxy - still using Actiq
04/30/07 Dr. E. Jay Mounger Knoxville, TN Urologist - Check Testicles for Cancer Scrotal Ultrasound - Ok
05/01/07 Dr. Kenneth Jobson Knoxville, TN Psych, PN and medicines Cancelled due to leaving early on vacation
05/08/07 Dr. James C. Denneny, III Knoxville, TN Meet about sinus surgery Looked at Nasal problems - Turbinates, Hole & Small passages 255
05/08/07 Dr. Frank McNeil Knoxville, TN Meet about PN pain Discuss down dosing - Off Oxy - 30 Actiq only for vacation
05/08/07 Dr. Gerald Fried Knoxville, TN Behavioral Therapy Missed due to conflict with Denneny
05/09/07 Dr. Kenneth Jobson Knoxville, TN Meet about PN pain Off narcotics - Start Zyprexa & Cymbalta
05/15/07 Dr. James C. Denneny, III Knoxville, TN Meet about Nasal Surgery CT Scan & Discuss surgery 265
05/23/07 Blount Memorial Rehab Center Maryville, TN Physical Therapy for Conditioning & Strength Physical Therapy ordered by Dr. Jobson 5-23 to 6-22
06/05/07 Dr. Kenneth Jobson Knoxville, TN Meet about PN pain 8:00 AM
06/11/07 Dr. Frank McNeil Knoxville, TN Meet about PN pain 1:15 PM 275
06/11/07 UT Hospital Knoxville, TN Blood work PSA & Testosterone Level for Dr. Hatcher
06/19/07 Dr. Paul A. Hatcher Knoxville, TN Urologist 2:30 PM - Check PSA & Testosterone Levels
07/09/07 Dr. Kenneth Jobson Knoxville, TN Meet about PN pain Discuss problems with sleeping, change Zyprexa to Seroquil
07/10/07 Dr. James C. Denneny, III Knoxville, TN Nasal Surgery open sinuses, decrease turbinates, close hole
07/16/07 Dr. James C. Denneny, III Knoxville, TN Post Nasal Surgery Left nostral great, right side blocked
08/06/07 Dr. James C. Denneny, III Knoxville, TN Post Nasal Surgery Left nostral great, right side blocked (slightly better) 260
12/01/07 Dr. Russell E. Gibson Maryville, TN Insomnia Increase Trazodone 260
03/13/08 Dr. Russell E. Gibson Maryville, TN Yearly Check Also check Lexapro reduction, increased pain level 260
03/27/08 Dr. Russell E. Gibson Maryville, TN yearly Check - Finish tests (EKG, etc) 272
04/14/08 Donald Douglas PAC Knoxville, TN Meet about PN pain Start with (1) 20 Oxy and (1) 5 Oxycodone 5 CR 265
05/14/08 Donald Douglas PAC Knoxville, TN Meet about PN pain Increase (2) 20 Oxy and (1) 5 Oxycodone 5 CR + Temazepam 255
06/13/08 Prescription pickup only Knoxville, TN Meet about PN pain Same (2) 20 Oxy and (1) 5 Oxycodone 5 CR + Temazepam 250
07/07/08 ? Female NP Knoxville, TN Meet about PN pain Increase (3) 20 Oxy and (1) 5 Oxycodone 5 CR + Temazepam 250
08/13/08 Prescription pickup only Knoxville, TN Meet about PN pain Same (3) 20 Oxy and (1) 5 Oxycodone 5 CR + Temazepam 250
09/12/08 ? Paul PAC Knoxville, TN Meet about PN pain Discuss slieeping problem - no change, Change IR medicine 253
10/13/08 Prescription pickup only Knoxville, TN Meet about PN pain Did not see doctor  
11/12/08 Prescription pickup only Knoxville, TN Meet about PN pain Did not see doctor  
12/12/08          
1/12
2/12
3/13
         
           
           
           
           

 

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Here is a synopsis of the Peripheral Neuropathy symptoms -

The chart shows the dates when new symptoms appeared.

Date Numbness Breakthrough Pain (Level) Burning (Level) Other
01/01/01 Left big toe Sensitivity to heat in feet, hands and mouth
06/16/01 Left big toe and bottom of foot Left big toe (2) Left foot (2)
07/16/01 Left foot and right big toe Left foot (3) PW
07/18/01 L & R feet L & R toes (4) L & R feet (4) extreme PW
09/04/01 L & R feet to ankles L & R feet (6) occasional PW
10/25/01 L & R feet to calf L & R feet (6), calf (4)
01/09/02 L & R feet to below knee Feet (4-7) L & R feet to ankles (4)
11/01/03 L & R feet to below knee Feet (7 down to 2 w/ occasional 7)
06/01/05 L & R feet to just above knee Feet (3)
04/01/06 Back side of upper legs Feet (3), Legs (5)
09/07/05 3OF on both hands 3OF (2)
02/01/06 Outside edge of palm & LMB L & R leg (6), LMB (8) & buttocks (8) L & R feet and outside edge of calves (4)
04/28/06 Outside edge arms to elbows F&L (8), LMB (6), buttocks (6) L & R feet (4), outside edge of calves (3) & back of legs (2)
05/26/06 Abdomen Middle back between shoulder blades (8) All legs (4) and buttocks (6) Sensitivity to clothes (especially when touching body hair)
11/13/07 Penis Shoulders (4), Elbow (4) , Knees (6) LMB (6) Sensitivity to people touching or rubbing skin or body hair
01/10/07 Penis mostly during erections (2-6)
01/20/07 Extreme sensitivity to cold
02/03/07 3OF and outside arms (4) Extremely stiff body after waking for 1 hour or so
02/14/07 Dizziness mostly in mornings with other times occasionally (lasts usually for 2-5 seconds)
03/05/07 Start to leak, especially at night after 3-4 hours sleep
03/30/07 Last leak at night (not sure why it stopped)
04/30/07 Same as up toe 2/1/6 Feet (5), Legs (3) L & R Feet (3)
03/27/08 Feet (8), Legs (6) L & R feet and outside edge of calves (4) occasional to extreme PW
08/01/08 Intense Pain just prior to Urination (8) Lasts at 1-2 seconds
Narcotics Dose-down
04/11/07 F&L, 3OF, OA, LMB Feet (6) F&L (4), LMB (4), 3OF (2), OA (1)
04/12/07 F&L, 3OF, OA LMB (4-8) F&L (4), LMB (4), 3OF (2), OA (1) DWU, EDM (6-9), ESC (8), PW (6)
04/13/07 F&L, 3OF, OA All F&L (4), OT (7), LMB (7) F&L (4), LMB (4), 3OF (2), OA (1) DWU, EDM (6-9), ESC (8), PW (6)
04/14/07 F&L, 3OF, OT, LMB Feet (8), LMB (7) F&L (4), LMB (4), 3OF (2), OA (1) DWU, EDM (6-9), ESC (8), PW (6)
04/22/07 F&L, 30F, OT Feet (7) F&L (4), LMB (4), 3OF (2), OA (1) SH (6), SC (5), PW (5)
Off all narcotics
03/27/08 F&L, OT, LMB F&L (8), OT (7), LMB (6), 3OF (4) F&L (4), LMB (4), 3OF (2), OA (1) SH (6), SC (5), PW (5)
Pain has slowly become greater over last 6 months
04/15/08 F&L, OT, LBM, 3OF F&L (8), OT (7), LMB (6), 3OF (4) F&L (4), LMB (4), 3OF (2), OA (1) SH (6), SC (5), PW (5), DS (8)
Restart narcotics
12/09/08 F&L,3OF, Butt, 3OF Feet (6), OT (5), 3OF (4) F&L (4), OT (3), 3OF (2) DWU, ESH (9), ESC (9), DS (8)
 

 

Abbreviations used in PN symptoms -
F&L = feet and legs (all)
OT = Outside thigh
LMB = Lower middle back
UMB = Upper middle back
3OF = 3 outside fingers
OA = Outside arms
PW = Painful walking
DS = Difficult sleeping thru night
DWU = Difficult to wakeup
EDM = Extreme dry mouth
ESH = Extreme sensitive - heat
ESC = Extreme sensitive - cold
SH = Sensitive - heat
SC = Sensitive - cold

 

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