It was reported the pt was complaining of systemic problems and believes her fatigue, malaise and hypersensitivity over her entire body are due to the metal in the device implant placed in her great toe on (b)(6) 2014.It was reported the surgeon is looking for info of history of other similar cases, evidence the device does not cause these issues and agreement/confirmation that an allergic reaction would be localized to the great toe area.Add'l info has been requested.Add'l info rec'd 5feb2015: rec'd a phone call from the reporter of the complaint.She and the physician believe the pt thinks her toe implant will have similar problems as metal-to-metal hip implants.She wants to explore if there are metal ions in her blood stream causing systemic problems.The physician is sending the pt for a second opinion and recommended she go for environmental testing.(b)(4) wants to know when the (b)(4) conversation with dr.(b)(6) occurs.Device remains implanted.More add'l info rec'd via email 5feb15: i just heard back from the physician.He stated that the pt has been diagnosed with idiopathic environmental intolerance (aka multiple chemical sensitivity); this is new since surgery.She is unable to work and now has a new sensitivity to fragrances and headaches- this is what she is calling whole body allergic reaction.She is also having typical pain, stiffness adn swelling in the joint.She is being referred to another physician who uses these implants.
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