I pray to be her patient, Dr.Herbst!

Here is an excerpt of some typical medically based information, found readily on the web, with just a quick search on where my struggle begins.

Pain & weakness from Dercum’s Disease (adiposis dolorosa) is often attributed to lipomas (fatty deposits) applying pressure to nerves. This explanation is included in many definitions of the disease [1,2,3]. This theory has not been confirmed histopathologically in patients with Dercum’s Disease[4]. However, nerve compression secondary to adjacent lipomas is a recognized medical condition[5,6,7]. Most lipomas are asymptomatic, but they can cause pain when they compress nerves[8]. In fact, neuropathic pain related to subcutaneous lipoma without direct nerve compression is possible[9]. Lipomas exhibit a different cytokine profile than normal adipose, which may contribute to neural inflammation or microvascular changes[9].

In the meanwhile... I will chronicle medically related incidents while in prayer that a Doctor will be wise and thoughtful enough to take heed when we meet & ultimately work with Dr. Karen Herbst's (AZ) protocol, that I might eventually have relief from these varying conditions that plague!

I would like to will my body to Dr. Karen Herbst for her exclusive use! In fact she doesn't even need to wait til I'm dead!! 

And my greatest prayer would be that these efforts all go toward forwarding my descendants futures!!

My right knee .. Also a component of DD

http://www.hss.edu/conditions_patellofemoral-disorders-overview.asp#.U37inhnD8m8

http://www.nlm.nih.gov/medlineplus/ency/article/000452.htm

Anterior knee pain is pain that occurs at the front and center of the knee. It refers to many different problems, including:
Chondromalacia of the patella -- the softening and breakdown of the tissue (cartilage) on the underside of the kneecap (patella)
Runner's knee (sometimes called patellar tendinitis)
Causes
Your kneecap (patella) sits over the front of your knee joint. As you bend or straighten your knee, the underside of the patella glides over the bones that make up the knee.
Strong tendons help attach the kneecap to the bones and muscles that surround the knee. These tendons are called:
The patellar tendon (where the kneecap attaches to the shin bone)
The quadriceps tendon (where the thigh muscles attach to the top of the kneecap)
Anterior knee pain begins when the kneecap does not move properly and rubs against the lower part of the thigh bone. This may occur because:
The kneecap is in an abnormal position (also called poor alignment of the patellofemoral joint)
There is tightness or weakness of the muscles on the front and back of your thigh
You are doing too much activity that places extra stress on the kneecap (such as running, jumping or twisting, skiing, or playing soccer)
You have flat feet
Anterior knee pain is more common in:
People who are overweight
People who have had a dislocation, fracture, or other injury to the kneecap
Runners, jumpers, skiers, bicyclists, and soccer players who exercise often
Teenagers and healthy young adults, more often girls
Other possible causes of anterior knee pain include:
Arthritis
Pinching of the inner lining of the knee during movement (called synovial impingement or plica syndrome)
Symptoms
Anterior knee pain is a dull, aching pain that is most often felt:
Behind the kneecap (patella)
Below the kneecap
On the sides of the kneecap
One common symptom is a grating or grinding sensation when the knee is flexed (when the ankle is brought closer to the back of the thigh).
Symptoms may be more noticeable with:
Deep knee bends
Going down stairs
Running downhill
Standing up after sitting for awhile
Exams and Tests
The health care provider will perform a physical examination. The knee may be tender and mildly swollen, and the kneecap may not be perfectly lined up with the thigh bone (femur).
When you flex your knee, you may feel a grinding sensation below the kneecap. Pressing the kneecap when the knee is straightening out may be painful.
X-rays are usually normal, although a special x-ray view of the kneecap may show signs of arthritis or tilting.
MRI scans are rarely needed.
Treatment
Resting the knee for a short period of time and taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, or aspirin may help relieve pain.
Other treatments or self-care for anterior knee pain include:
Changing the way you exercise
Learning and performing exercises to both strengthen and stretch the quadriceps and hamstring muscles
Losing weight (if you need to)
Special shoe inserts and support devices (orthotics -- for people with flat feet)
Taping to realign the kneecap
Wearing the correct running or sports shoes
Surgery for pain behind the kneecap (anterior knee pain) is rarely needed. During the surgery:
Kneecap cartilage that has been damaged may be removed.
Changes may be made to the tendons to help the kneecap move more evenly.
Outlook (Prognosis)
Anterior knee pain often improves with a change in activity, exercise therapy, and the use of NSAIDs.
Possible Complications

When to Contact a Medical Professional
Call for an appointment with your health care provider if you have symptoms of this disorder.
Alternative Names
Patellofemoral syndrome; Chondromalacia patella; Runner's knee; Patellar tendinitis; Jumper's knee
References
Collado H, Fredericson M. Patellofemoral pain syndrome. Clin Sports Med. 2010;29:379-398.
De Carlo M, Armstrong B. Rehabilitation of the knee following sports injury. Clin Sports Med. 2010;29:81-106.
Steiner T, Parker RD. Patella: subluxation and dislocation. 2. Patellofemoral instability: recurrent dislocation of the patella. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Dree's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:chap 22:sect C.
Silverstein JA, Moeller JL, Hutchinson MR. Common issues in orthopedics. In: Rakel RE, ed. Textbook of Family Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 30.
Update Date: 6/29/2012
Updated by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington; and C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
Browse the Encyclopedia
MedlinePlus Topics
Arthritis
Knee Injuries and Disorders
Images
Chondromalacia of the patellaChondromalacia of the patella
Read More
Broken bone
Dislocation
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Hips hurt

Occasionally, this bursa can become inflamed and clinically painful and tender. This condition can be a manifestation of an injury (often resulting from a twisting motion or from overuse), but sometimes arises for no obviously definable cause. The symptoms are pain in the hip region on walking, and tenderness over the upper part of the femur, which may result in the inability to lie in comfort on the affected side.

CERVICAL STENOSIS

Cervical stenosis is a condition characterized by a narrow spine which can result in the compression of the spinal cord. Compression of the spinal cord is the most common cause of spinal cord dysfunction, called cervical myelopathy. Cervical stenosis may be congenital, meaning that you are born with a narrow spine, or it may be acquired and result from herniation of a disc or the development of a bone spur. Frequently it is a combination of both a congenital and an acquired problem. Symptoms Cervical stenosis only causes symptoms if it causes compression of the nerve roots or spinal cord. If so, the patient is said to have radiculopathy (compression of a nerve) or myelopathy (compression of the spinal cord). The symptoms of radiculopathy are limited to pain, weakness or numbness in one arm. The symptoms of myelopathy are much more diffuse and can be quite confusing. Patients with this condition may complain of headache which may be confused with migraine. They also complain of nausea, vomiting, dizziness, vertigo, sensitivity to sound, light, and smells, widespread pain, weakness, clumsiness, balance problems, difficulty with memory and concentration, urinary urgency and frequency, disturbances in bowel habits, and fatigue. Diagnosis Cervical myelopathy is diagnosed by detailed history and physical examination. The first step in diagnosing myelopathy is for the physician to recognize that what seem like common symptoms are, actually, something larger. The cause of myelopathy is determined by MRI scan which will show spinal stenosis and spinal cord compression. Other causes of myelopathy besides spinal stenosis include multiple sclerosis, vitamin B-12 deficiency, spinal cord tumor, syringomyelia, AVM of the spinal cord and Chiari malformation. Treatment The treatment of spinal stenosis may include surgical and non-surgical therapies. Non-surgical therapies include medications and neck immobilization with a collar or by traction. Surgical therapy involves relieving the compression of the spinal cord by enlarging the spinal canal. There are several ways to accomplish this depending on the cause of the compression. View Cervical Stenosis MRI Scan Images Cervical Stenosis MRI scan images can be viewed by clicking here.

Rheumatology

Explanation:
Rheumatology refers to the medical study of diseases that cause inflammation and pain in muscles or joints. Many rheumatic diseases feature immune system abnormalities. Therefore, rheumatology also involves the study of the immune system. A doctor of this specialty is called a rheumatologist.

Cholesterol

Most ingested cholesterol is esterified, and esterified cholesterol is poorly absorbed. The body also compensates for any absorption of additional cholesterol by reducing cholesterol synthesis.[9] For these reasons, cholesterol intake in food has little, if any, effect on total body cholesterol content or concentrations of cholesterol in the blood. Cholesterol is recycled. The liver excretes it in a non-esterified form (via bile) into the digestive tract. Typically about 50% of the excreted cholesterol is reabsorbed by the small bowel back into the bloodstream.

Function
Cholesterol is required to build and maintain membranes; it modulates membrane fluidity over the range of physiological temperatures. The hydroxyl group on cholesterol interacts with the polar head groups of the membrane phospholipids and sphingolipids, while the bulky steroid and the hydrocarbon chain are embedded in the membrane, alongside the nonpolar fatty-acid chain of the other lipids.
Through the interaction with the phospholipid fatty-acid chains, cholesterol increases membrane packing, which reduces membrane fluidity.[12] The structure of the tetracyclic ring of cholesterol contributes to the decreased fluidity of the cell membrane as the molecule is in a trans conformation making all but the side chain of cholesterol rigid and planar.[13] In this structural role, cholesterol reduces the permeability of the plasma membrane to neutral solutes,[14] protons, (positive hydrogen ions) and sodium ions.[15] Within the cell membrane, cholesterol also functions in intracellular transport, cell signaling and nerve conduction.

Cholesterol is essential for the structure and function of invaginated caveolae and clathrin-coated pits, including caveola-dependent and clathrin-dependent endocytosis. The role of cholesterol in such endocytosis can be investigated by using methyl beta cyclodextrin (MβCD) to remove cholesterol from the plasma membrane.

Recently, cholesterol has also been implicated in cell signaling processes, assisting in the formation of lipid rafts in the plasma membrane. Lipid raft formation brings receptor proteins in close proximity with high concentrations of second messenger molecules.[16] In many neurons, a myelin sheath, rich in cholesterol, since it is derived from compacted layers of Schwann cell membrane, provides insulation for more efficient conduction of impulses.[17] Within cells, cholesterol is the precursor molecule in several biochemical pathways. In the liver, cholesterol is converted to bile, which is then stored in the gallbladder. Bile contains bile salts, which solubilize fats in the digestive tract and aid in the intestinal absorption of fat molecules as well as the fat-soluble vitamins, A, D, E, and K.

Cholesterol is an important precursor molecule for the synthesis of vitamin D and the steroid hormones, including the adrenal gland hormones cortisol and aldosterone, as well as the sex hormones progesterone, estrogens, and testosterone, and their derivatives.[4] Some research indicates cholesterol may act as an antioxidant.[18]

Medical news today ; dercums described by Doctor\ Patient

http://www.medicalnewstoday.com/releases/5253.php