You are so bad Adal......but the truth is an endocardial biopsy may be in play if there is any evidence of cardiomyopathy. Also, have they done a stress test to try and bring on the pain so that it can be captured on ECG or echo when it happens? The GI guy may also need an UGI to check for esophageal spasm which can hurt like a heart attack.....

You're too young for this garbage!

ss

Thanks for weighing in Syd, I didn't want to keep knocking on your door for my lil drama. No stress test as the pain is not replicated by exercise (although I'm sure if someone tried to make me run a mile right now I would probably stab them with a really big knife) Also the echocardiogram and CT-A showed no abnormalities.

I'm going to work on getting copies of this stuff now.

We should start taking bets.... :munchin

I already bet a doughnut. Figured an LE type would be all over dat :D

The cyclic nature of the pain and fever/night sweats bring a few things to mind - I'm glad you're getting this worked up. There are more things than the gall bladder in the vicinity of the ultrasound probe that could lead to a painful scan, so don't go hanging your hat on anything until you get confirmation from the docs interpeting the ultrasound - even if they see something, I am a firm believer of "tissue is the issue" and biopsies/cholcystectomy are needed to secure a diagnosis.

Best of luck!

Oh, I definitely "got" it ;). I was thinking we should put a good bottle of Tequila or Scotch up for the person who makes the correct "diagnosis" first. Something like these two.... Maybe this will get the competitive minds involved.

(With admin permission obviously)

Rules: This is purely a game of sport all of the disclaimers in this thread (link) ARE applicable. The "Winner" will receive from me 1 of these bottles (or a bottle of like value) shipped to their address of choice. (I'm sure I could talk TS in to sending it for me incase anyone doesn't wish to disclose there address to me). I will update this thread as I get new info, labs, etc.

I obviously have a vested interest in this so I have zero problem putting a few dollars up to help the info to flow....

Got a better idea. If it's the gall bladder I will send you the one of your choice. If it's not then I will send you the one of my choice. That way you get a little something to help you feel better either way ;)

Well I do love my good booze, but from what I'm hearing from a few I know who had their gallbladder removed I'm maybe out of the drinking club. :(

Okay I have my CT-A and my Echo images... I had to do some software leveraging to get them to a readable formate. I think what I will do is upload them (as I had to export as video do to the amount of images) via youtube and share the links via PM. Delta's and student PM me and I will be happy to share the links with you. As for the short term here are two images to look at. :rolleyes:

An earring?

Based on the images, if it's what I think it is, I don't want to bet ... because I don't want to win....

Oh thats not fair at all.... thats like saying "Pandora don't open the box" :)
Win or lose it will inevitably happen (if your right) And I would rather know now they be in the dark for days or weeks. ;)

Also I have to images up via youtube if anyone wants to see them shoot me a PM.

thanks for weighing in UWOA!

Yeah, but I'm not an expert at reading pictures so I could be way wrong and cause unnecessary heartache ... now that I think about it, I should have kept my mouth shut.

That said, the esophagus is where my attention was focused.

I think we should listen to Eagel5US and stop speculating when we don't know this patient from Adam's housecat. We could be stressing our friend out with speculation. I agree it is interesting and intriguing but let's not muddy the diagnostic water.

Good luck with the scope brother.