I had been having an ongoing argument with my internist about it- I keep telling him that no matter how many people he sees that walk and quack and are ducks, and that I MAY "walk and quack," "I'M NOT a DUCK!" lol.
I've had so many of my issues be ones that are NOT normal for someone my age or sex or even my race or ethnicity, etc., now, and a couple of rare conditions, and that's why I keep telling him not to assume anything with me, as in the case of my sacroiliac joint pain.
Many people have never heard of this joint. This is where it is, front view.

In this case, I keep telling him that I KNOW the pain that I've been having for over 5 years now that's been so bad, that I cannot stand or walk without being in extremely bad pain unless I take the morphine that he prescribes, is local pain directly from mostly my left sacroiliac joint. Once in a great while, the right side give me the same kind of pain, but rarely. On the other hand, HE would SWEAR that because we know I have degenerative disc disease AND at least one herniated lumbar, (lower back,) disc FOR SURE, that the pain I was having was "referred" pain from that disc to this area.
I've had all kinds of pain from all kinds of things for YEARS, including referred pain, and yes, I DO get referred pain in that area occasionally on one, the other, or both sides from that disc, (and possibly, I'll soon find out, some others,) but I kept telling him that THIS pain was NOT the same. Also, there was a time when the SI joints were blamed too often for low back pain, and found that it was not a common cause, and later, probably about the time MY doctor was attending med school, they were teaching that the SI joints were actually a pretty rare cause of this kind of pain, and that herniated discs were the most common cause.
Doctors, GPs, interists, I mean in particular, ALWAYS look for the most common causes and hardly ever want to think it's anything else, I've found.
I eventually went to the rheumatologist for other reasons, but it was he who sent me for the CT scan, I think out of curiosity to see if it really was more than anything else, but also because he's a good doctor and wants to help me, and I want to see if there's another way to treat it, (and all of my joints, etc.,) along with the morphine, in a more direct way, e.g. injections or something.
I got MY copy of the CT images on CD right after it was done, so I was the first to actually review it. And there it was. I saw it right away, it was plain as day.
Over the years, I've made a habit of getting my own copies of MRIs, the X-rays and CT scans as well as my OWN copy of the reports with the results from the radiology dept. I've had 8 years of time to spend looking up how to interpret this stuff and understand the terms and what I'm looking at, and since I'm a smart girl, (we won't know HOW smart until my therapist finishes scoring that 4 hour IQ and ADHD assessment test I took, lol, all she told me so far is that I definitely have ADHD because I did SO well on the intelligence part that by comparison, I should've done better on the ADHD part if I DIDN'T have it,) I knew I could learn to do it, and I have gotten pretty good at it.
So, the report didn't come for another few days, and when I got that, (again, before my doctor did,) I was LIVID with RAGE!! As it turned out, though they'd scanned the right body parts, there was NO MENTION of my SI joints in the report AT ALL!! It said "hip pain, low back pain" as the reason for the scan, which was NOT true, no one EVER said "hip pain," and they'd focused entirely ON my hips!! And, as it turns out, I have some problems THERE, too, that I didn't expect. I have some kind of "cysts" that have to do with arthritis, basically, my doctor said I have osteoarthritis of both hip joints, in the "socket" part of the ball and socket that makes up the hip joint. I've had pain there, but nothing compared to what I have elsewhere, so I never thought too much about it.
Needless to say, I showed up AT the radiology dept. and demanded that they have someone who knows how to read a CT scan re-read mine and do another report because they didn't even MENTION my SI joints, not even incidentally, which they would have done even if they were in good shape, because they were part of the scan.
I called my doctor AFTER that and told him what they did and asked if he'd call them to back me up, in case they didn't take me seriously, but I guess they did, he received an amended copy by the time I saw him a few days later- in which it mentioned, you guessed it, the problems with my sacroilac joints.
THIS is why I was so mad that they didn't even mention it in the report:
In this photo, you're looking at an axial, (overhead,) slice of my pelvic bones, ilium on each side of the sacrum and where you see the small split, that's the sacroiliac joint, (the same thing as the illustration above, but this is just and overhead "slice" of mine,) and the sacroiliac joint circled in red is my LEFT side.
It should look pretty much the same on both sides. If you are at all observant, you should see that unlike the other side, the side circled in red has some long "hooks" growing out of it. Those are osteophytes, aka, new bone growth, aka, arthritis, which also equals a WHOLE LOTTA PAIN EVERYTIME I TAKE A STEP.

That's just one tiny slice of it. The rest show different things going on, but the bottom line is, YES, the pain I've been having HAS been from that SI joint, no question about it, because those joints, like my hips, also have osteoarthritis...incidentally, so do my knees and who knows what else.
Yesterday, I went to my internist with that photo and the report, which he already had because I had my rheumatologist send it to him, and once again told him I'm "not a duck," and couldn't help being a bit smug about being right about the SI joint. He has a good sense of humor and took it well or I wouldn't have rubbed it in like I did.
Now we're onto arguing over whether or not I have a pheochromocytoma, aka, a rare tumor of the adrenal gland(s) because my endocrinolgist sent me for a blood test for it because I DO have most, if not all, of the symptoms of it, and my blood came back positive for too much metanephines, which is a marker in the blood FOR a pheochromocytoma, but it wasn't elevated enough to be diagnostic, so I have to do a 24 hour urine collection test- if THAT'S positive, I have one, if not on the adrenal gland, somewhere.
THIS time, I told my doctor, I don't know if I think I have it or not, but HE swears he doesn't think I do...which bothers me because he told me he missed it in a patient with classic symptoms when he was a 1st year resident and later, misdiagnosed 2 people WITH it who didn't have it, as if he was trying hard to make up for NOT finding it in that other person. So now, with me, he's trying hard to NOT diagnose me with it, but luckily, that's not his problem, it's the endocrinolgist's.
Sept. 4th is when I'll do that test, but who knows how long until I get those results.....

















































