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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Best Possible Treatments For Stroke ?

Hello and thank you for listening.10 years ago, I had an episode of what was originally thought of as a stroke by the doctor I went and saw. When it happened, it was during the night in my sleep(I remember feeling very unusual during my sleep). When I woke up, I couldn't see out of my left eye(it was like a white-grey covering was over it), my left side of my face was droopy, I felt extremely agitated without having an emotional cause for it and my speech was slurred. After they ran tests at the hospital, they couldn't find anything like a blood clot but thought I could have had a "mini-stroke". The doctor at that time asked me if I had ever been checked for MS because I was a seemingly healthy 35 year old. I said no, and they scheduled me for a specialist. After going to the specialist, they didn't see lesions in my brain, but they did find the proteins in my spinal fluid. I was placed on prednisone at that time. A month later, they did another spinal tap and it didn't show anything. I was having side effects from the prednisone that seemed to make the symptoms worse so I went off of it. The doctor started treating me symptom specific with cortisone shots in my feet to help the pain that would cause balance issues. I was also placed on a pain medication related to feet that caused temporal seizures during my sleep( I can't remember the name). I went off of this and started taking biofeedback and pain management classes with meditation and yoga that seemed to help and also lost 50 pounds. This seemed to help me keep it under control for about 5 years until I started having tremoring in my left hand(my middle finger seems to be especially affected), strange, severe pains in my knees and elbows, tingling in the elbows and knees but also in my big toe joints, but also this weird tremoring feeling during the night that seemed to start from my trunk/abdomen area and radiate out to my extremities. I got checked for MS, Lupus, and Rheumatoid arthritis. Nothing was found. I still have this off and on but now over the last year on my left leg it swells by the ankle and I have this burning topical pain when I touch it. I will also get this pain in the front of my neck and radiating with both arms. I sometimes get weird numb areas on my face and head, and now I'm getting the sudden, severe pain in my knees again during the night while I sleep along with the weird tremoring from my trunk. I feel this pain in my lower back. I am at my wit's end because all of it affects my sleep(I get a sudden startling insomnia and I can't go back to sleep) and it is affecting my work and sometimes personal relationships because of how out of it and exhausted I feel. What should I do?
Fri, 3 Jan 2014
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Diabetologist 's  Response
hi
welcome to our site

read your query
that is a very significant question
and i appreciate your problem

i will try my best to answer your query

from your query it seems that the MRI of brain was done only once and
was never repeated
i would suggest that the MRI be repeated once, with the screening of the entire spine
because sometimes the changes in the MRI occur late
and are not picked up initially

of course there is the diagnoses of TIA where the changes never happen

second
i wish you were here to examine
neurological diagnosis need a good history and examination
you have given a good history
but lot cannot be diagnosed without examination

i would also suggest a NCV of your limbs
there is a possibility of neuropathy that needs to be ruled out
and MS is a definite possibility

i am assuming that in doing so much
you were tested for thyroid and diabetes and the tests were normal
if not tested, please have them tested
along with vitamin B 12 levels

i hope this helps you
inform the reports mentioned above (if any)
so i can be of help further
best of luck

(please do understand that some problem remains as
online texting cuts down history and examination
thereby reducing the effect and efficiency
and increases reliance on tests)

dr.saumyamittal@gmail.com
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What Are The Best Possible Treatments For Stroke ?

hi welcome to our site read your query that is a very significant question and i appreciate your problem i will try my best to answer your query from your query it seems that the MRI of brain was done only once and was never repeated i would suggest that the MRI be repeated once, with the screening of the entire spine because sometimes the changes in the MRI occur late and are not picked up initially of course there is the diagnoses of TIA where the changes never happen second i wish you were here to examine neurological diagnosis need a good history and examination you have given a good history but lot cannot be diagnosed without examination i would also suggest a NCV of your limbs there is a possibility of neuropathy that needs to be ruled out and MS is a definite possibility i am assuming that in doing so much you were tested for thyroid and diabetes and the tests were normal if not tested, please have them tested along with vitamin B 12 levels i hope this helps you inform the reports mentioned above (if any) so i can be of help further best of luck (please do understand that some problem remains as online texting cuts down history and examination thereby reducing the effect and efficiency and increases reliance on tests) dr.saumyamittal@gmail.com