u/amp501

"No one has ever told me that before"

I'm not sure what's in the air recently but I have been having many difficult operators. Whether it's pool inspections or food inspections, I seem to be getting a lot of "nobody ever told me that" or "the last inspector never said that this was a problem", and just generally argumentative operators when it comes to violations or obtaining corrective action.

My typical calm but firm response of "I don't know what happened before, I wasn't there. But I am here now and right now it's not in compliance etc" doesnt seem to be working well. People continue to dispute things and try to go around me to my manager? Luckily my manager is supportive, but I want to get to a point where I can be the one to handle these situations without them having to become involved.

What are some responses or skills that have helped you all in this aspect?

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u/amp501 — 4 days ago

Here's a rundown of what's happened.

About 6 weeks ago, I woke up with horrible shoulder and shoulder blade pain. Thought I slept wrong and ignored it. Popped some ibuprofen.

3 weeks go by, the pain isn't going away but getting worse. Go to orthopedic clinic. Get diagnosed with scapular dyskinesia. Get signed up for PT.

1 week later, pain is increased significantly. Noticing tingling feeling down my arm into my hand and ring and pinky finger. Decreased function of my arm in general. Hand and arm starts turning bluish purple. Go to urgent care. Urgent care says go to ER immediately.

Go to ER, it's a horrible experience. This woman was awful, but that's another story. X-ray is normal. Arterial ultrasound is normal. She says you're too young and healthy, it's probably EDS and Raynaud's. Go home. Follow up with Ortho.

Two days later, I follow up with Ortho. He is shocked that ER sent me home, says my ER clinical notes are horrible. Go back to ER immediately I'm telling them you're coming and to do a MRI stat.

I go back to ER. They take labs, all normal. They say they wanna do a CT first instead of an "expensive MRI". I said why? The ortho said he wants me to have an MRI right now. They say we can see things first in an CT, and then maybe we will do MRI. there were many issues, contrast timing was off, but they brushed it off. Said CT is normal. It's probably TOS related to EDS. Go home.

I call my Ortho. He is again shocked they didn't do more for me. He sends me referral to a TOS group (I won't be able to get an appointment for months). Orders me an MRI angiogram venogram with contrast, I'm getting this done next week.

I've never been diagnosed with EDS, but I have suspected it for some time.

My current symptoms are: feeling like my shoulder blade is being ripped off, deep pain under my collar bone, pain on the outside of my shoulder, lightning pain down my arm into my hand, minor swelling in my hand, and overall decreased function and weakness.

I'm crossing my fingers that the imaging I'm getting next week is productive. I know a diagnosis can take a long time, but I'm feeling very defeated thus far.

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u/amp501 — 28 days ago