“We were asking ourselves if we would re-create the problem by trying to save some eggs,” she says. She fell into a “deep and dark depression,” developed problems with binge-eating, and ended up gaining 70 pounds in one year. When she turned 18, Bartley underwent a vertical sleeve gastrectomy, a procedure in which doctors removed 80 percent of her stomach. It is a rare event, occurring in roughly 10 per 100,000 women of reproductive age like my wife. “She said that Peyton would need emergency surgery that afternoon, that an ambulance would take her to the main Children’s Hospital campus, and that they were prepping the OR.” Infertility is common with premature ovarian failure, per the Mayo Clinic, and Bartley realized she might not be able to have her own biological children one day. Discover new workout ideas, healthy-eating recipes, makeup looks, skin-care advice, the best beauty products and tips, trends, and more from SELF. But Bartley wasn’t able to receive another grant and couldn’t afford the procedure on her own. Intermittent and colicky — perhaps they were right. Clinical case: Ovarian torsion. … Satisfied with the history, I cleverly distract her with other conversation as I press on her abdomen. Adele's story 21 January 2021. The dermoid cyst was supposedly larger than a baseball – crazy. Get free updates delivered free to your inbox. ... Related Stories. Ovarian torsion after hysterectomy is a rare event. Any female patient who presents with abdominal pain should prompt consideration of torsion in ED providers. I had started texting to see who might come over to stay with our children while we go to the ER but my wife was refusing a trip to the hospital. I was diagnosed with Ovarian Cancer on Friday, April 27, 2007, which changed my life and the lives of all those around me forever. Ovarian torsion calls for fast action “The doctor explained that the large cyst was causing ovarian torsion,” recounts Joanne. She turned to egg freezing to help increase her chances of having children in the future. At the same time, her doctor was carefully monitoring her ovary for signs of life, administering routine blood tests and ultrasounds, but things didn’t look promising. LaurenZetta. A CAT scan revealed that Bartley’s ovary was much smaller than a normal ovary, and it had moved behind her uterus and tacked itself in place by scar tissue from the torsion surgery—but it was working. This twisting can cut off blood flow to the ovary and fallopian tube. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. Adnexal torsion is a term that is inclusive of either the ovary, fallopian tube, or both. “By the time I turned 17, I was almost 300 pounds,” she says. “Ovarian torsion represents a true surgical emergency,” says an article in the medical journal Case Reports in Emergency Medicine. From what I understand, the torsion had cut off the blood supply to my left ovary so it had to be removed along with my fallopian tube on that side. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). My intimate knowledge of the patient and the fact that I actually performed a physical exam probably helped. The size of a cyst is the main factor in whether or not ovarian torsion may occur, Jones said. Symptoms typically include pelvic pain on one side. Chang and her colleagues put Bartley’s case up to their ethics committee, a group of psychologists, attorneys, physicians, and nurses, to make sure they “weren’t going overboard,” she says. Torsion occurs due to two main reasons 2: 1. hypermobility of the ovary: <50% 2. adnexal mass: ~50-80% 2.1. most lesions are dermoid cysts or paraovarian cysts 2.2. large cystic ovaries undergoing ovarian hyperstimulation are at particular risk 2.3. masses between 5-10 cm are at most risk 13 From what I understand, the torsion had cut off the blood supply to my left ovary so it had to be removed along with my fallopian tube on that side. Approximately 20% of the cases occur during pregnancy 1. Most unfortunate for my wife but for me some consolation in being vindicated. The radiologist suggested a pelvic ultrasound which eventually confirmed an ovarian torsion. She turned to egg freezing to help increase her chances of having children in the future. "I wasn't expecting that." It’s unclear how often ovarian torsion occurs, but doctors agree that it’s an uncommon diagnosis. “As a young girl, I envisioned growing up, getting married, and having kids,” she says. < Previous post Learn about Salter-Harris fractures with a Medcomic, Next post > Earn the right to inflate your lifestyle. The egg-freezing process puts a woman at risk of having an ovarian torsion, and given Bartley’s history, Chang was worried that she would suffer from one again. If you have been recently diagnosed, or are trying to understand the experience of a loved one with ovarian cancer, you may find it helpful to read about the real-life ovarian cancer experiences of others to find hope and tips on the best way to move forward. Months later, Morgan experienced the torsion again. My torsion had presented in an atypical manner, and the diagnosis was delayed by several hours. IE 11 is … While the overall incidence of ovarian torsion is low and there is almost no associated mortality, when missed, ovarian torsion can result in a significant degree of morbidity forRead … I still have pain on the first day of my cycle, but it’s nothing like it used to be. This case shows that, in cases of acute onset pelvic pain in patients with history of hysterectomy, the adnexal torsion must be kept in mind in the differential diagnos… Going into surgery they weren’t sure exactly what they would find. Here’s why. Concomitant ovarian and tubal torsion has been shown to occur in up to 67% of cases of adnexal torsion (10,11). Ronald Zacker, PA-C Forty-eight hours later, during that same golden hour, I heard the moaning again. My wife presented this information in a non-linear fashion, complete with contradictions and vague or tangential responses to my pointed questions. “There aren’t any medical journals or cases to compare to because of my young age,” she says. I’d seen a handful of ectopic pregnancies, but I’d never once diagnosed an ovarian torsion. But this isn’t a new thing for Morgan Bartley, 19: She first froze her eggs at age 15—and she did it again four years later. Some symptoms include, lower abdominal pain, nausea, and vomiting. Ovarian torsion after hysterectomy is a rare event. Ovarian torsion occurs when the ovary becomes twisted. My wife and I met on eHarmony. I tried to ignore the moaning. We looked at the images together, and there was a large adnexal (pelvic) fluid collection. But common things happen commonly and because torsion is rare some won’t think of it right away. “To know that wasn’t going to be possible for me was probably the darkest time in my life.” Bartley ended up falling into a depression. Because of her age, Bartley is in uncharted territory, but says the experience already changed her life in a positive way. It soon became obvious that this was something I was going to have to attend to. The kids were asleep, and I could hear a muted, distant moaning coming from our bedroom. Convergence of Klebsiella Carbapenem Resistance with Virulence, Pegcetacoplan Bests Eculizumab for PNH Patients, Finerenone Cuts Kidney, Heart Risks in CKD and T2D, LOXO-305 Demonstrates Promising Efficacy in CLL. Ovarian torsion (OT) is when an ovary twists on its attachment to other structures, such that blood flow is decreased. Selinexor OK'd for Myeloma, But Does That Make It a Good Drug? How did I know? This time it was clearly more severe. Ovarian Torsion Surgery. All I knew about this type of cancer was that it was one of the deadliest cancers, and that once diagnosed the prognosis was not good. The condition causes menopause-like symptoms. That said, experts maintain the position that there isn't enough data to support egg-freezing as a recommendation for women with healthy fertility—those who may see it as an insurance policy just in case. Torsion was not on the top of the ER doctor’s list. Then, with the help of the surgery, as well as lifestyle and dietary changes, she lost 115 pounds. SELF may earn a portion of sales from products that are purchased through our site as part of our Affiliate Partnerships with retailers. in Interactive Journalism from American University. “After thinking that I was never going to be able to have my own children, it was like a new lease on life,” Bartley says. Ovarian Torsion Surgery. When to worry, when to walk it off, and when to … After the corrective surgery, doctors didn't think it was possible for the torsion to recur. My wife was started down the kidney stone pathway from the moment we walked in the door, and there was to be no deviation from that algorithm. However, Chang says that having 20 healthy eggs is ideal for increasing the odds that Bartley could have two children in the future. Marijuana legalization: an unpopular view, Physicians are an underserved population about their own mental health care, Trauma is ever-present in the practice of medicine, Extreme athleticism and the risk of atrial fibrillation, COVID vaccines: side effects, myths, and madness, How the vaccinated may become the next super-spreaders, Black physicians are tired of paying the minority tax, Delivering health care at a retail clinic isn’t something to be proud of, I am disgusted with our politicians who have used the pandemic as a political tool. In the 15 months since I had surgery, I have heard from no less than 100 women that they or someone they know have also had an ovarian cyst removed, or some complications stemming from a dermoid or simple ovarian cyst. Tricia talks about how our online support helped her cope during lockdown. Egg-freezing is rising in popularity, and it’s become even buzzier lately thanks to celebrities like Bachelorette star Kaitlyn Bristowe and Olivia Munn opening up about their experience with the procedure. During surgery, her doctor decided to untwist the ovary in order to try to preserve her ability to have kids in the future, but it didn’t look promising. I had seen hundreds of women with pelvic pain and ordered hundreds of pelvic ultrasounds. Ovarian torsion can cause severe pain and other symptoms because the ovary is not receiving enough blood due to twisting of its blood supply. I walked out to where the doctor was seated and asked what the CT showed. Then, after about nine months, one of her tests showed that she had some ovarian function. Recognize the Trump that lies within each of us and try to heal him, A surgeon left his own son’s funeral to take care of your child, Why medical students should not let medicine define them [PODCAST], Critical care physicians have been through hell, Confronting the financial barriers to health care has to be a centerpiece of any COVID-19 strategy, Vaccine Line Chaos; U.K. Strain Already Here? This is going to be a long one I'm afraid. The Doctors heard about her story and had her on the show, along with Chang—and announced that they would be covering a second round of egg-freezing for her. Learn more → Stories; Tricia's story 20 October 2020. I contend this was due in large part to clinical inertia. Her pain eventually calmed down with Gas-X and time. One suggested a kidney stone. Some employers—notably, Apple and Facebook—have even added egg-freezing to their benefits package. First of all I will start of with this...I was 21 at the time of my first cyst and a fit and active person. Another humbling experience. I walked into our bedroom and found my wife supine on the bed, knees to chest, rocking back and forth, wincing in an unsightly grimace. I’d like to believe it’s my astute clinical acumen. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional. That said, Bartley says her doctors have made it clear that she’s in uncharted territory, and they expected her to go through menopause in high school. Ovarian torsion is like the MI of the pelvis. Some causes of ovarian torsion may be related to an ovarian cyst, certain medications, pelvic surgery and pregnancy. Ovarian Torsion Definition Ovarian torsion is the twisting of an ovary on its ligamentous supports and can result in a com-promised blood supply. But this was somehow worse. “I felt very, very isolated and different from the kids my age,” she says. “High clinical suspicion is important. This article provides an overview of the symptomatology, ultrasound diagnosis and classification, as well as treatment options for ovarian torsion. Tonight is no exception. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). An ovarian cyst is a fluid-filled sac in or on the surface of an ovary. My Ovarian Cyst, Torsion and Surgery Story Follow Posted 6 years ago, 37 users are following. I suspected a pelvic cause. But I was also in possession of a unique cognitive bias. Doctors are fleeing the medical field. I began to take the history. When she was 13, Bartley's left ovary twisted again, causing it to stop working normally. Ovarian torsion is "a situation in which the ovary twists on its own blood supply," Karen Wang, M.D., assistant professor of gynecology and obstetrics at Johns Hopkins University, tells SELF. Ovarian torsion is a great example of something you want to nip in the bud; it causes mild, easily mistaken symptoms for a long while, before suddenly turning into a major medical problem. In addition, Bartley’s remaining ovary is still working and, as of now, it’s possible that she could conceive without reproductive assistance, Chang says. My colleague has suggested kidney stone days before. If I didn’t acknowledge it, perhaps, it wouldn’t become real. I think everything could be a torsion. © 2021 Condé Nast. “It looked like it was completely dead at the time, but the surgeon had hope that it would come back to life," Bartley says. Ovarian torsion usually presents with sudden onset of severe, unilateral lower abdominal pain, associated with nausea and vomiting; however, in a … Ovarian torsion can cause severe pain and other symptoms because the ovary is not receiving enough blood due to twisting of its blood supply. Like most great pretenders, ovarian torsion mimics other, more common medical emergencies, such as ruptured ovarian cysts, ectopic pregnancy and even appendicitis.A relatively rare condition, it has been detected in women of all ages and even a fetus, according to a study published in Ultrasound in Obstetrics & Gynecology and presented at the 26th World … | January 13, 2018. “The physical recovery was only one half of the story.” ... the cyst on my right ovary had caused it to twist (known as an ovarian torsion). Ovarian Cancer Stories. These days my periods are much more gentle. Why should this be any different than work? Chang was able to harvest and freeze 10 healthy eggs. She was able to fall asleep, and by morning it was gone. Studies have shown a higher rate of ovarian preservation when pediatric gynecologists are involved in the surgical treatment of ovarian torsion. “After that ended, it was like a crash,” she says. It was after 3 a.m., and I had to go relieve our sitter. Diagnosing ovarian torsion in the emergency department remains a challenge. It was benign. The dermoid cyst was supposedly larger than a baseball – crazy. Ovarian torsion calls for fast action “The doctor explained that the large cyst was causing ovarian torsion,” recounts Joanne. While classically the pain is sudden in onset, this is not always the case. Often, ovarian torsion occurs because of a cyst on the ovary. Ovarian torsion is a condition that occurs when an ovary twists around the ligaments that hold it in place. As a young teenager, Bartley suffered from two rounds of ovarian torsion, a painful condition in which a woman’s ovaries twist, and her first experience with the condition was when she was just 12. Approximately 20% of the cases occur during pregnancy 1. The talking head that appeared in the doorway began to inform my wife and me that she would return in another minute or so. The success rate depends on a variety of factors, including how old you are when you have your eggs frozen. This video is about I'm Back! Korin is a former New Yorker who now lives at the beach. As I drove, I thought about how to make the visit as painless and efficient as possible. SELF does not provide medical advice, diagnosis, or treatment. My wife and I are both stubborn and often in some state of emotional burnout. I thought about what it could be and kept landing on a pelvic cause. Because of my own experience I possess a false sense of probability. “He used the word ‘tumor,’ and being 12, I associated the word with cancer and thought it meant I was going to die,” she says. Going into surgery they weren’t sure exactly what they would find. Louisa’s Story (in her own words) My name is Louisa McGregor. Ovarian torsion is a condition that occurs when an ovary twists around the ligaments that hold it in place. Morgan Bartley was a teenager when she was suffered ovarian torsion multiple times. Breast cancer followed by ovarian cancer was more than just bad luck. Could it be that the computer is matching individuals in other ways we don’t yet understand? Ovarian torsion occurs when an ovary twists on itself causing the blood supply to become kinked off. "It's such good news," she says. Bartley may never need to use those eggs, as Chang says that her chances of conceiving a child without reproductive assistance are “excellent” given that her ovary is still functional. Update: We updated this story after it was published to include information about the distinction between egg-freezing to preserve fertility and egg-freezing as an insurance plan. Bartley ended up getting a grant from the Baby Quest Foundation, which helps people afford fertility treatments. Chang tells SELF that it was a “big deal” that Bartley came to her office in her mid-teens, noting that she couldn’t find any research on patients undergoing egg-freezing that young. The pain did resolve on Sunday only to return two days later. Data was entered, and we were matched based on some algorithm that uses the data to predict compatibility. My wife at my side, screaming in agony. Ovarian torsion is most common among women of childbearing age, so if you're postmenopausal you can relax a little. TUESDAY, Dec. 29, 2020 (HealthDay News) -- Certain patient, clinical, and provider factors are associated with a higher likelihood of oophorectomy in patients with ovarian torsion (OT), according to a study published online Dec. 16 in the Journal of Gynecologic Surgery.. Laura Daniela Michelis, M.D., from the Boston University School of Medicine, and colleagues used … To revisit this article, visit My Profile, then View saved stories. Also worth noting that egg-freezing isn't a sure thing, regardless of who's getting it done. I was wrong. 'Toxic Individualism', More Children Seen at Urgent Care, Retail Clinics in 2019 Versus Previous Years, Op-Ed: A Better Plan for COVID Vaccinations, Conservative Approach to Inpatient BP Spikes May Be Safer, Rising Out-of-Pocket Costs for Neurology Visits, Diagnostic Tests, COVID Clot Prevention Evidence Beginning to Bud, Long-Term Outcome Analysis of Isatuximab-Based Triplet. All rights reserved. Furthermore, we performed a literature review about ovarian torsion after hysterectomy. Treatment is traditionally surgical removal of the ovary or adnexum, however, there is increasing evidence for conservative surgery, such as de‐torsion and oophoropexy, particularly in younger women. There was to be no pelvic exam or physical exam of any kind. I told my wife it was probably ovarian torsion. “It was pretty interesting to be ingratiating myself into high school, but at the same time going through hot flashes, cold sweats, and mood swings—all these things that you can’t explain to kids,” she says. “I didn’t really know what was going on—I didn’t even know what an ovary was,” she tells SELF. “High clinical suspicion is important. It is a true gynecological emergency, so everyone learns about it in school. Some symptoms include, lower abdominal pain, nausea, and vomiting. I’m 28 and Single, So I Looked Into Freezing My Eggs, I Got Cancer, Froze My Eggs, and I'm Beyond Grateful I Did, This Isn't Just a Scar From Ovarian Cancer—It's a Beauty Mark. Use of this site constitutes acceptance of our User Agreement (updated as of 1/1/21) and Privacy Policy and Cookie Statement (updated as of 1/1/21) and Your California Privacy Rights. Ovarian … It reminded me of labor pains, but there were three things making labor unlikely: my wife’s IUD, the absence of a gravid abdomen and the kind of unintentional celibacy that occurs between working parents raising two toddlers. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Condé Nast. Suffering from ovarian torsion, an incredibly painful condition that can lead to the loss of an ovary if untreated, Rachel waits for hours, writhing but unexamined, in the ER. Close to an hour elapsed. But, after having conversations with Bartley, her parents, and her gynecologist, Chang and her team decided to go through with the procedure. At this point, I was starting to succumb to the inertia. With ovarian torsion, the blood supply to the ovary can be blocked and permanently hurt the ovary. Ovarian torsion occurs when an ovary twists on itself causing the blood supply to become kinked off. Some causes of ovarian torsion may be related to an ovarian cyst, certain medications, pelvic surgery and pregnancy. Helpful Resources If you think you may be experiencing symptoms of ovarian torsion, please call the Pediatric and Adolescent Gynecology at 720-777-2667 to set up an appointment. An uncomfortable, terse exchange takes place, but I obtain the salient points. She says the torsion was “very, very painful…kind of like menstrual cramps, but you can actually feel your organ twisting” and she ended up in the ER, where a doctor saw a mass in an ultrasound. The larger the cyst, the more likely that ovarian torsion will occur. At the time, the American Society of Reproductive Medicine had just removed the "experimental" label from egg-freezing, saying that there were enough data to allow them to deem that the procedure is safe for women with infertility issues, those undergoing cancer treatment, or those with other medical conditions that might affect future fertility. In this experience, Fassler sees not only the failures of an overburdened healthcare system, but also a … in International Relations and Marketing from The College of William & Mary (which she doesn't use at all now) and an M.A. Urgent message: Abdominal pain is an extremely common complaint in the urgent care setting.The differential diagnosis of abdominal pain is often a challenge, however, because many symptoms and signs are nonspecific. Please read the comment policy. This video descibes the mismanagement of a 15 year old girl with severe ovarian torsion which may have contributed to the loss of her ovary. Conditions Bartley's doctor brought up egg-freezing as an option, but it ran the risk of another ovarian torsion. Since it was initially undetected, the torsion caused more damage than the previous rounds. Ovarian torsion is most common among women of childbearing age, so if you're postmenopausal you can relax a little. Other symptoms may include nausea. After suffering a painful condition starting at age 12, this college student made her choice. | My Ovarian Cyst Story | Ovarian Torsion | Laparoscopy SurgeryI had to get emergency surgery on Feb 8, 2018. Are we underestimating the danger of prions and prion based diseases? Search thousands of physician, PA, NP, and CRNA jobs now. Ovarian torsion is a medical emergency. But common things happen commonly and because torsion is rare some won’t think of it right away. When this happened, the blood supply to … Gas pains. “But because of the state of my ovary and all the trauma that it went through, they definitely think that it’s on borrowed time.”, Bartley says she’s grateful that egg-freezing was possible for her, calling it a “backup plan.” “This is a peace of mind for me,” she says. Quick aside about egg-freezing as an experimental procedure: When the ASRM removed the "experimental" label, that only applied to people using egg-freezing as a procedure for women with fertility problems or conditions that could impact their future fertility—like Bartley's ovarian torsion. | I had personally experienced a testicular torsion as an adolescent. A young, tall, pretty woman who had a calm demeanor and never introduced herself, she asked a few questions and told us she had ordered a CT scan to look for a kidney stone. Hopefully my story can help others! I had previously spent eight years working in an ER myself. Bartley underwent the egg-freezing process again this March and was able to freeze nine more eggs. Ovarian torsion has a bimodal age distribution occurring mainly in young women (15-30 years) and post-menopausal women. Ovarian torsion has a bimodal age distribution occurring mainly in young women (15-30 years) and post-menopausal women. Having a cyst on your ovary is the biggest risk factor for ovarian torsion, because a cyst can make the ovary unbalanced and cause it to twist on itself. The ER physician finally poked her head in — seemingly solely out of curiosity. “She said that Peyton would need emergency surgery that afternoon, that an ambulance would take her to the main Children’s Hospital … At the very least, the CT scan could rule out horrible things like blood or free air in the abdomen. Her right ovary was removed and she underwent emergency surgery to untwist her left ovary, as well as shorten the ligaments that made that ovary prone to torsion. Stately homes on pristinely manicured lots, a tree-lined winding path down the shore of Lake Michigan. It is a true gynecological emergency, so everyone learns about it in school. In part, because it was a Sunday night, and the sound was disrupting the golden hour (the 60 minutes between the kid’s bedtime and my own), and because I could immediately recognize this was something potentially very bad. This page is our collection of real ovarian cancer stories. The physician poked her head in quite literally. Sometimes all it takes is a good story to investigate. “I’m convinced that my life is now very different than it would have been if egg-freezing hadn’t been an option.”. I told her that I was a PA. She mentioned there was no evidence of a kidney stone. “The physical recovery was only one half of the story.” ... the cyst on my right ovary had caused it to twist (known as an ovarian torsion). The drive was a familiar one, the same route we took to the hospital when she was in labor. My wife insisted it was gas pains. “My health wasn’t up to par—it was another barrier that was keeping me from another round.”. The size of a cyst is the main factor in whether or not ovarian torsion may occur, Jones said. Ovarian torsion occurs most frequently in women during their reproductive years, but it does sometimes happen in prepubescent girls. Who was the creature in room 8 that was responsible for these persistent screams? A pelvic cause — I was right all along! This twisting can cut off blood flow to the ovary and fallopian tube. It is a rare event, occurring in roughly 10 per 100,000 women of reproductive age like my wife. “Ovarian torsion represents a true surgical emergency,” says an article in the medical journal Case Reports in Emergency Medicine. Korin has been published in... All the best health and wellness advice, tips, tricks, and intel, delivered to your inbox every day. Ad Choices, I Froze My Eggs at Age 15…and Did It Again at Age 19. Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. It often forms during or after ovulation. The patient was right all along. She began sharing her story on Instagram and built up a following—she has 125,000 followers to date. She received a double B.A. After three rounds of pain medication, my wife was still in pain. Torsion occurs due to two main reasons 2: 1. hypermobility of the ovary: <50% 2. adnexal mass: ~50-80% 2.1. most lesions are dermoid cysts or paraovarian cysts 2.2. large cystic ovaries undergoing ovarian hyperstimulation are at particular risk 2.3. masses between 5-10 cm are at most risk 13 Complications may include infection, bleeding, or infertility.. Risk factors include ovarian cysts, ovarian … Often, ovarian torsion occurs because of a cyst on the ovary. If not treated quickly, it can result in loss of an ovary. I texted some colleagues. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. The wife of "Big Bang Theory" actor Wil Wheaton says a female ER doctor could have saved her days of pain with an earlier diagnosis of ovarian torsion. When she actually laid eyes on my wife for the first time, something compelled her to enter the room. However, chang says that having 20 healthy eggs is ideal for increasing the odds that could. To believe it ’ s my astute clinical acumen attend to Choices, I heard the moaning.. How old you are when you have your eggs frozen rather insisted on it something compelled her to enter room... The radiologist suggested a pelvic ultrasound which eventually confirmed an ovarian cyst certain... Own words ) my name is louisa McGregor and surgery Story Follow Posted 6 years ago, 37 users following. My torsion had presented in an atypical manner, and I could hear muted! 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