One of the many X-Ray's I had to take

One of the many X-Ray’s I had to take

Egypt has an abundance of doctors of all specialties! Like Pharmacies you can find a doctor’s clinic almost on every block! They are everywhere!

I always find it amusing how some of my fellow Egyptian’s who live in places like the Emirates, Europe and North America will not have lazic eye surgery or their dental work done until they come to Egypt for an extended visit. It isn’t because the doctors here are any better than the ones abroad, it’s because the amount you would pay for simple surgeries or checkups is cheaper here in Egypt than it is other countries.

However, if MAJOR surgery is needed then those who can afford to go abroad, will pay the hefty bill without hesitation. One of the main reasons is because the aftercare (nursing) here is appalling to say the least. Their skills are lacking in more ways than one and I wouldn’t trust most of them to care of a pet cat.

I have to be totally honest, there are a great number of doctors in this country who are phenomenal and are excellent in their line of work! They are very well-trained and knowledgeable in their field of expertise. Then you have those who aren’t as good as the others and often times misdiagnosed patience.

After returning from my summer vacation I had noticed that I had been getting sharp pains in my right him and my Achilles tendons were causing me pain as well. I went to an Orthopedic Surgeon and gave him all the details I possibly could. He gave be the basic examination and asked me to get an x-ray and a blood test. Neither showed anything serious thank goodness and I was told I only needed to take Vitamin B-12 shots for the hip and for my Achilles he advised me not to walk barefoot anymore and to always wear slippers. So, not having a medical degree myself, I did as I had been advised and the pain in the hip subsided for a while but my Achilles tendons were still hurting.

A month later, the pain came back with a vengeance and that’s when I decided that I would go for a second opinion. The second doctor asked me to get an x-ray, MRI and blood test. I did as I was told and came back with the results to be told that I had ‘Gout’ (high Uric Acid levels). Gout is a strand of arthritis and it’s hereditary. I didn’t think that the diagnosis could be wrong because my mother has it and a cousin has another form of arthritis. I did find it weird that I had it considering I don’t eat or drink most of the food that would cause Uric Acid levels to spike. So, I did my homework and researched how I can improve my way of living and what are all the foods I should avoid eating and what I shouldn’t eat during an attack. I quickly came to terms that I would be living with this for the rest of my life and started to rethink the activities I took part in. I was very upset that I had to pass on trying out and joining the Women’s CaiRoller Derby Team, because it would be too much strain on my joints. It also meant that Operation Megan Fox would have to be put on hold too (my goal to losing the kilos I had piled on to reach my goal weight). I watched what I ate and tried to exercise, but there were times when the pain was excruciating and wished for amputation.

Every Christmas I send a lengthy annual news letter to family and friends abroad filling them in on my news and adventures and my diagnosis was included in it. An old High School friend who has a strong medical background in diseases contacted me and asked me a series of questions about my diagnosis and strongly suggested I go to a Rheumatologist to get a more concrete answer about my Gout Arthritis. I had nothing to lose, so I asked friends to help me find a really good doctor and I have to say that they really came through for me! I somehow got an appointment with one of the TOP Rheumatologists in Egypt/Region, which is almost impossible; the waiting list to get an appointment is usually a few months!

The day of my appointment I went with all my tests, x-rays and MRIs for him to see and I gave a very detailed history of ailments as well as family history, which was recorded by the assisting doctor. He did a basic examination until the doctor came in. When THE doctor came in, he read over the details and asked for further details. As he read and I spoke you could see his mind at work making a list of possible diagnoses and with the answers you could see him mentally illuminate them too. He then put me through a series of tests and twisted my limbs in all directions making me feel like a human pretzel. Once he had pin pointed where the pain was coming from, he then checked all the x-rays, blood test results and MRI scans I had brought with me. I felt like I was sitting in the presence of the medical version of Sherlock Holmes and his trusty partner Dr. Watson. When he was done, he put my mind at ease and told me that I have nothing serious and that I did NOT have Gout or show any signs of getting it any time soon! (PHEW!!) What I did have was an old untreated injury to the hip and mild tendonitis of the Achilles heels and I needed to take anti inflammatory pills for a month as well as 1 months of physio- therapy and to come back for a checkup in 2 months time.

It took 6 months and 3 doctors to figure out what was wrong with me! I am among the lucky ones, some people don’t find out until years later, or never do. My mother is one of them, for eight years she had been suffering from back pain and was told it was a slipped disc. She wasn’t convinced and went to other doctors and did her own research until she discovered she was suffering from sacroiliac and a hip problem. For 3 years she was told she didn’t need hip replacement until she self diagnosed herself again and insisted on going to another doctor and found out she needed immediate hip replacement because she had not only worn away the ligament but the ball of the joint by 3cm, so she had one leg shorter than the other.

I guess the moral of the story is, sometimes you find the needle in the hay stack and get the correct diagnosis of the bat, other times you have to keep going back for second, third, fourth, fifth and sixth opinions until your instincts tell you not to look any further. It’s a gamble !

Three weeks after visiting the rheumatologist, I can honestly say that I do feel better. I am able to Zumba and Belly dance with little pain. I have been going to physio for just under a month and my Achilles is feeling better, but my hip is still aggrivating me. I am optimistic!

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