Kimberly J. Gambarin, MD
At age 33, I thought I had it all – a wonderful husband, a beautiful 3 year old daughter, and a blossoming career as an Infectious Disease doctor. I enjoyed competitive martial arts, playing the piano, gardening, crocheting, cross-stitch, tennis, and cooking to name just a few. I had even worked as a paramedic/firefighter before finishing medical school.
Then in 2003, a shoulder injury changed my life. I had surgery to repair a left labral tear and the pain began. It started first in the left shoulder, an intense, burning ache. No amount of pain medication seemed to control it. I was referred to Dr Matthew McCarty, a pain specialist, who performed a stellate ganglion block and diagnosed me with RSD / CPRS. Despite upwards of 20-30 stellate ganglion blocks, 8-10 pulsed radiofrequency ablations, a bupivacaine catheter in the shoulder, multiple trigger point injections with botox and steroids, a magnesium infusion, a spinal cord stimulator trial, and years of behavioral therapy working on relaxation techniques, I could find no lasting relief.
The pain spread over the next four years, first down the left arm, then up the right. I developed high blood pressure and panhypopituitarism. I have lost much of the hair on my body and frequently sweat profusely even in air conditioning.
The pain spread down my legs and I began to have trouble
walking and frequent falls. I developed marked swelling in my extremities, especially on the left. Even with diuretics I need shoes two sizes larger than my normal size. I gained 50 lbs from the steroids and water retention.
Now age 38, I have difficulty writing, cutting meat, doing my hair or makeup, or opening up a can of soda. Most recently I have developed problems chewing and I often choke. The most devastating of all, however, has been the inability to pick up or hug my daughter for almost 5 years.
I am blessed with a very understanding child and a very supportive husband and family, but this does not begin to relieve the depression this disease has caused. A once highly active individual, I am crippled in the prime of my life.
I was first exposed to ketamine in February 2008 when I received a 10 day trial of 50 mg/hr x 4 hrs/day. I sustained significant relief and was able to cut my medications in half. The effects lasted for about 6 weeks with some lasting relief even out to 3 months. I was then referred to Dr Robert Schwartzman for evaluation for the ketamine coma. I subsequently was referred to Dr Anthony Kirkpatrick for enrollment in the ketamine coma study and possibly a chance to get my life back.
Kimberly J. Gambarin, MD
Austin, Texas USA
August 17, 2008
Measurement of Pain Thresholds .... Learn more
Kimberly Gambarin, MD, an expert in infection control has allowed the Foundation to share her comments about the San Jose Hospital in Monterrey, Mexico.
Her email below was sent to Timothy Lubenow, MD, Professor and Director of the Pain Center at Rush University Medical Center in Chicago.
From: Kimberly Gambarin
Hi Dr Kirkpatrick- I wanted to give you the good news. I have finally taken the leap and opened my own practice. I start monday. It is called Hill Country Infectious Disease Consultants. To start I am just going to do inpatient consultation. If all goes well maybe I will open an outpt practice in a year or so. I found someone who is willing to cover for me when I need ketamine or other procedures. Wish me luck! Thanks for everything!
Kim Gambarin, MD
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