Alexander Arzeno, MD is the most professionally disinterested non analytical person I have seen. After seeing him for daily, sweat inducing, blinding pain at the very specific finger touch spot of T10, he looked directly at my MRI showing clearly a T10 Enneking stage 2 intra-osseous Atypical Vertebral Hemangioma (AVH) and stated that he had never seen any hemangioma that caused issues before, therefore, would not even conceptualize that this could be a problem for me. So in his eyes he still hasn't seen a hemangioma that causes a problem.
He sent me away with a diagnosis of "lumbar" pain... and an unsigned (worthless as In Washington State, unsigned referral orders from an actual provider (not a CNA, MA or RN) are generally considered incomplete and invalid for processing, as they lack the necessary authorization. ) order for physical therapy for lumbar pain... pain which I don't have and never told him that I did have. I shouldn't have to detail that I am an RN with a BSN to prove that I know the difference between thoracic and lumbar vertebrae.
Additionally, professionally, he should have considered any differential diagnosis.
Luckily for me, following on from this visit, my ARPN PCP immediately knew and recognized the problem, sent me to a different specialist who immediately understood what was occurring, they immediately created a treatment plan for the T10 Enneking stage 2 AVH and my insurance immediately approved the plan. All of whom knew more about thoracic medicine than this professionally and intellectually disinterested individual. I'm not sure if he is just lazy, completely bored by his career choice or very negligent, but his ignorance caused 6 additional months of severe pain and debilitating life changes. Moreover, he will continue to misdiagnose thoracic pain as lumbar pain and dismiss severe pain due to Enneking stage 2\3 hemangiomas for anyone who misguidedly chooses him as a person to visit for pain.
For anyone doubting the information re AVH here, you can google Enneking stages or review the below paper.
https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2025.1632237/full
If any attorneys out there feel I have a case against this provider for negligence, please contact me directly. read more