He thinks it is pretty likely there is a tiny tumor (less than grain of sand or grain of rice and undetectable by an MRI at that scale) impinging on a nerve. It would be consistent with her symptoms and his exam. She is scheduled for a nerve conduction test on Monday morning. If they can find it, they could in theory radiate it. He thinks it is likely in her upper brachial plexus or in her C-6 cervical spine.
In the meantime he want to get her off ibuprofen and prescribed a new anti-seizure med that has nerve pain reduction properties.
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