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Hi,
So my appointment with the Rheumy is March 13th, and I have been keeping a pain journal since the end of May. I have just started adding other odd things that may or may not be relevent.

I use a Mild/Moderate/Severe pain scale, as opposed to a 1-10 (does it matter?) Where Mild is just that annoying pain, but it dose not affect my daily activity, Moderate is painful and starts to affect my daily activity, and sever is exruciating, and severly effects my daily activity.

Opinions are greatly appriciated in both how my journal is presented, and anything else you wish to add...

Also, I have not added anything over a year old, suchs as complications during both pregnancies, and other health problems I have had, should I add all of that, even if i dont remeber the dates? Im sure that my file at the doctors office is very complete (my rhumy is in the same hospital as my clinic, so I think he will have full access to all my file)...

[B]Odd things (with in the past year)[/B]
• Rash around mid section and forearms
• Clicking in throat
• Yeast infection (first ever)
• Ocular Migraines (infrequent, average 2-3 a year)
• Fingers can turn pale when cold (have turned blue three times since January 6)
• Frequent cold hands and feet (always feeling cold)
• Dizzy spells
• Nausea spells
• Frequent headaches, even when taking Tylenol/naproxen
• Red rash on one cheek with little white raised bumps (lasted three days)
• New food allergies (apples, carrots, cherries, hazelnuts…)
• Swollen lymph node in armpit
• Frequent swollen lymph nodes in neck
• Swollen painful bump behind ear
• Extremely tired (despite sleeping 9 hours)
• Losing train of thought mid sentence
• Mixing up common words

[B]Pain Journal[/B]

MAY

Since May 13
• Knee pain – inside and outside
• Right and Left wrist – top and bottom
• Right thumb
• Left knuckles
• Right and Left shoulders
• Right and Left Elbows – mild
• Neck
• Left side jaw
• Left Hip

May 29
• Right wrist – moderate
• Index finger – severe.

May 31
• Left wrist – inside, moderate
• Right wrist – inside, moderate

JUNE

June 1
• Right wrist – moderate,
• Right shoulder – moderate

June 2
• Full right hand and wrist,
• right hip,
• right shoulder

June 4-5
• Left wrist

June 10
• Right index finger

June 14-15
• Left foot/ankle (top)

June 21
• Right big toe

June 25-26
• Left knee - severe,
• Left ankle – severe
• Right shoulder – mild

June 27
• Right shoulder – moderate
• Left knee - mild
• Left ankle – mild

JULY

July 4-5
• Left wrist

July 5-7
• Right shoulder (back)

July 6-7
• Left Shoulder

July 21-23
• Right wrist, thumb area

July 24
• Right wrist - severe
• Right knee – severe
• left shoulder – mild

July 25
• Left shoulder – moderate

July 27-28
• Right wrist – moderate
AUGUST

August 11
• Right wrist – moderate

August 16
• Right shoulder – mild

August 20
• Right ankle – moderate


SEPTEMBER

September 5
• Right elbow, inside – moderate

September 16-17
• Left shoulder – severe

September 18-19
• Left ankle – severe

September 27
• Left wrist – moderate

OCTOBER

October 9
• Right wrist – severe

October 10
• Right wrist – mild

October 15
• Right shoulder – moderate


NOVEMBER


DECEMBER

December 20 – 24
• Left knee – moderate to severe
• Left shoulder – moderate
• Left wrist – mild

December 26
• Right hip – moderate

December 26-29
• Right shoulder – severe

December 30-31
• Right shoulder – moderate
• Left wrist – moderate


JANUARY

January 1 – 3
• Right shoulder – mild

January 4
• Right wrist – mild
• Right shoulder – mild

January 5
• Right shoulder - mild
• Left shoulder – mild
• Right wrist - mild

January 6-7
• Shoulder and neck area - mild

January 8
• shoulder and neck area - moderate

January 7-9
• Shoulder and neck area - severe

January 10-11
• Shoulder and neck area - severe in morning. Moderate in evening.

January 12 -13
• Shoulder and neck area - moderate in the morning, mild in the afternoon.

January 14
• shoulder and neck area - moderate in the morning, severe in the afternoon

January 15
• Shoulder and neck area - moderate in the morning, mild in the afternoon. Shoulder tip hurts around 4am when lying down.

January 16
• Shoulder and neck area - moderate. Shoulder tip hurts around 4am when lying down.

January 17
• Shoulder and neck area - moderate in the morning, mild in the afternoon. Shoulder tip hurts around 4am when lying down.

January 18
• Shoulder and neck area - mild. Shoulder tip hurts around 4am when lying down.

January 19
• Shoulder and neck area - mild.



[B]Days in Pain by Month[/B]
June 2011 - 11
July 2011- 11
August 2011 - 3
September 2011 - 6
October 2011 - 3
November 2011 - 0
December 2011 - 11
January 2012
February 2012
March 2012
TOTAL

[B]Days in Pain by Area [/B]
Right Shoulder - 16
Neck/ Shoulder Muscles - 13
Right Wrist - 11
Left Shoulder - 6
Left Wrist - 6
Right Hand - 3
Left Knee - 3
Left Foot/Ankle - 3
Right Hip - 2
Right Foot/Ankle - 2
Right Elbow - 1
Right Knee - 1
Left Hand - 0
Left Hip - 0
Left Elbow - 0


[B]Previous Medical Issues[/B]
• Tubes in ears as a baby
• Hospitalized for pneumonia around the age of six
• Frequent hospital trips for Asthma (between the ages of 7-11)
• Stool sample for frequent diarrhoea, came back normal, was said to be stress related.
• Borderline high blood pressure and protein in my urine with first child, born 3 weeks early.
• Tachycardia, chest pains, spotting, with second pregnancy, born 6 weeks early.
o Underwent EKG (came back abnormal)
o Went to heart institute, EKG was ok, Echo was ok, slow valve pumping.
o Had legs and Lung scans for clots. (results were negative)
• Kidney infection – spent the day in the ER with IV and IV antibiotics, no UTI prior to





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