my fistula arm hurts and has slight edema

I called the doctor this morning.
Background:
I have been feeling weak lately, and tired. Running around a lot, working in the garden and on the house.

So, this past Saturday I was planting bulbs for spring, and lifted a bag of garden soil with my fistula arm. It was heavier than expected, and hurt a bit.... but I thought to myself, "My doctor said not to baby the fistula arm, and I can't be accused of that."

Online I read not to lift with it, but my doctors said that's just right after surgery.

a few times, I have worn shirts that caused pain and restricted the arm. I changed the tightest ones.

I try to lay on my fistula side, but stretch my arm out. Sometimes I find that I'm laying on the arm when I wake up.

Now:
anyway, my shoulder hurt yesterday, and then my chest, so I figured it was from the strain when I lifted the bag. My inner elbow hurt, too, which it has been doing on and off. I've also been thinking my hand loses circulation easily, but it's also getting cold, so...

last night, I slept at 9pm and got up at 1:40 am cause we are having people over and I needed to prep house. I had only gotten three hours sleep the night before, so when i got home, I did at few necessary chores and went up to bed. My husband woke me before two, I meant to getup at three, so I took a nap on the couch. I then woke up feeling my arm sort of throbbing, and my hand looked swollen a bit, but it went away quickly. I had been laying on my arm.

The shoulder and elbow are achy, and I have nerve lai. By my write and in my upper arm. I did my house cleaning, and as I was washing dishes, noticed my hand and forearm looked a bit like they had extra fluid. The skin is tighter and holds a shape when pinched longer than my other arm, so I'm sure there's mild edema. I had to call the on-call doc cause it was 7am. I just got an ultrasound the other day and was told I wouldn't really need to see the access people as much now. So I'm at work just waiting for another call from the docs. They said come in to ER if it gets worse. Color is ok, not as good as right hand. Some numbness and tingling, not bad. Thrill is ok, but not quite as strong as usual. Not bad, though.

so has anyone else had this?

sorry so long, took my ADHD meds early and they have way worn off.