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I'm an RN (registered nurse), not a doctor. And I only have a couple of years of experience (and that mostly in a well-baby newborn nursery.) But I have worked on medical/surgical floors of hospitals taking care of adults for short periods of time and here is the advice I have for you:
1) I believe you need to see a NEUROLOGIST as soon as possible. You say this has been going on for over a year now. This is hardly normal. You mention you've seen your doctor several times and that you've known him for years and that he's admitted that he doesn't know what the problem is. I'll go out on a limb and take a guess that this doctor is either a "general practitioner" or a "family practice" physician. Well....IT'S TIME TO FIND OUT WHAT THE PROBLEM IS. YOU NEED TO SEE A SPECIALIST, and a neurologist is probably the place to start. But it could also very well be a problem whose origin is orthopedic in nature (bones and stuff), so you may also need to see an orthopedist (or possibly even an orthopedic surgeon). In any case, you'll probably need an MRI at the very least (and probably other tests too) to GET SOME CONCRETE INFORMATION. A problem such as the one you describe is not likely to just "go away of its own accord." Also, the fact that you unintentionally dropped something out of your hand is worrisome. I don't want to frighten you, but they may want you to have an MRI (or other test) of the brain also. And probably x-rays of the cervical spine (the neck area) as well as x-rays of the arm/shoulder.
2) If you have migraines bad enough to have been given prescription medication, an MRI of the brain may also be warranted.
3) What is also quite troubling is this "poor circulation" you describe in your feet. You are 19 years old. Does this sound normal to you? You probably need to see a VASCULAR specialist who may want some more tests (usually an ultrasound-type test - messy with the goo they put on you, but painless). MRIs, I should mention, are also painless (except for having to hold perfectly still for a while).
4) You don't mention if your "doctor" has has all the routine blood work done. This, of course, should be done as a matter of course to give a first indication of some type of problem.
You didn't mention if your parents have health insurance coverage or not. If they DO, there is ABSOLUTELY NO REASON for you not to pursue these issues (ASAP) at these nearby "world class medical facilities."
If your parents do NOT have health insurance, then you'll need to do whatever you have to do (see someone at the Dept. of Social Services or possibly a clinic). You MOST DEFINITELY need to get a second opinion about your arm and the issues about your migraines and poor circulation also need to be addressed.
Get moving NOW!
Ronni (a cranky nurse)
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