Age: 53.0
Sex: M
Vaccine: LYME
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, Paraesthesia, Pulmonary function test, Shoulder pain
Clinical narrative: 1)8/1999 Left elbow swelled up about the size of half an orange. Drained and injected 3X.Operated on 3/2000.  2)1/2000-2/2001 Left heel pain & numbness. Injected 2X. Comes and goes.  3)5/2001 Severe pain in left knee. Surgery performed on joint 2/28/2001. Problems with pain in the knee afer surgery for 5 months. Injected 3-4X.  4)5/2001 Pain in left hip. Sometimes it feels like it's out of joint. Pain goes away as fast as it comes, sometimes lasting 6-8 hours. Dr. prescribed muscle relaxers and anti-inflamatory medication.  Still happens.  5)6/2001 Developed dry eye problem. Herrick plugs were inserted into the drain ducts of my eyes to help retain moisture. Severity changes day to day.  6)11/29/2001 Sever pain in both shoulders. Surgery performed 2/2003 on right shoulder. Surgery performed on left shoulder 12/2004.  At present in therapy for left shoulder. Had to have it injected on 1/18/2005. Having problems with severe pain in right shoulder. Emergency room visit on 9/28/2004, felt like it was out of joint. Cleared up in 24 hrs. Reoccured on 1/19/2005, injected on 1/20/205 & 1/27/2005. These problems are ongoing.  7)11/20/2002 to present. Leaky bowels and severe rectum cramps that last up to 20-30 minutes. Received medication for the cramping, changed diet and do exercises to strengthen rectum muscle. Had colonoscopy on 9/203 to band the skin in my rectum ti help tighten it up. No change at present 2/1/2005 in the problem.  8) 5/2003 Emergency room visit for a lung problem. Shortness of breath, coughing,& wheezing. Developed same problem 12/2003 along with chest pain. Heart ruled out, put on Prednisone 2X. Lump removed from my lungs on 2/16/2004  9) 8/15/2003 to present. Developed ringing in my ears. Diagnosed with Tinnitus, told to live with it. Started getting worse 4/2005.  10) 4/12/2004 developed high blood pressure. Put on Micardis.  11) 10/2003 to present. Gland under my left jaw swollen. Told to keep an eye on it. Seems bigger today and a second smaller lump has appeared.  12) 5/2004 Both hands fall asleep (numb & tingle) with pain and have a hard time getting them to wake up. Carpal tunnel performed on left hand 7/26/2004. Left hand, meaning thumb & finger, doesn't fall asleep now and the right hand only does it occasionally. However, now the little fingers and the sides of my palms on both hands fall asleep all the time.  13) 9/23/2004 Pain right elbow. Injected.  14) on and off for 2-3 years I get pain on both sides of my back(kidney?) thatlast about 24hrs.  15)General: For four years I've had off and on night sweats. Concentration and memory are a problem. A good nights sleep is hard to comeby. Sex drive has dropped way off. Some problems seem to go away and then come back. 60 Day follow up: Still having problems with both shoulders pain both hands going numb, little fingers and side of palms, thumbs and fingers of right hand. Ears ringing bad. Slight numbness in both feet, left heel pain.  Per the follow up report-Still having operations. Problems with my nerves. After my sugeries I always have problem recurring. I require injections of Cortisone, Prednisone and anti-inflammatory. Hands shake and I can't write anymore.