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To Whom It May Concern, Over Two Years Ago, Sometime

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Posted on Sat, 4 Jan 2020
Question: To whom it may concern,

Over two years ago, sometime in either September or October of 2017, seemingly out of nowhere I began to experience all of the following symptoms simultaneously:

* Stuttering and locking up while speaking.
* Difficulty in reading and comprehension.
* Structural alterations in my skull.
* Constant tightness and discomfort in certain areas of my head, in my neck, on my shoulders, and on my upper back.

In regards to my speech impediment: I had never previously stuttered until I developed these neurological complications in late 2017. Now, I frequently lock up while speaking, especially when in stressful situations. When I lock up, I find it difficult to pronounce certain sounds, which causes me to often reword whatever I am trying to say. If I try to pronounce a sound I’m having trouble with, then I begin to stutter. I have likewise noticed that this stuttering and locking up seems to be directly related to the tightness I feel in the back of my skull, in my neck, and in my upper back. For when the tightness increases, so does my difficulty in speaking smoothly.

In regards to my difficulties in reading and comprehension: when I began to develop these neurological impediments, I also noticed that I could no longer read as smoothly and effectively as before. Now, instead of my eyes smoothly gliding from left to right on a page, they skip from word to word and seem to fixate upon a single word before going to the next one. In addition, I have a much greater difficulty comprehending what I’m reading, and I usually find myself unable to connect whatever I’m reading at the end of a sentence or paragraph to what was at the beginning of it. And speaking more broadly, I feel that my thinking has become more fragmented and shallow. I often have difficulties comprehending more involved ideas and it seems to me that my mind’s agility and ability to make connections has decreased. I have likewise noticed greater difficulties in memory and retention.

In regards to the structural alterations in my skull: around the same time that I developed the other complications, I also noticed that some deformities took place in the my skull. One of the changes was that the crease between my nose and forehead had deepened, and that my forehead began bulging out more and down upon my nose. Another change I noticed was that my right eye began to droop more as compared to my left one—that is, the bone behind my right eyebrow. In other words, the asymmetry that previously existed between my left and right eyebrow became skewed so that now my right eyebrow hangs lower than my left one.

Furthermore, I noticed that my right eye in general has shifted slightly to the right, something that was confirmed by my doctor. But when I was referred to see an optometrist, I passed the vision test and was told my eyes were fine. However, I have a sense that the change in my visual asymmetry might be partly responsible for the visual fragmentation I experience while reading.

In regards to some of the tightness and discomfort I began to feel around the same time: the aforementioned impediments were coupled with this feeling of constant mild pressure in various areas around my head and upper back. In particular, I constantly feel a certain tightness and discomfort in the following areas: in my neck, particularly the upper neck that seems to be located behind the occiput; in my shoulders and trapezius in general; and in my upper back, particularly in a very specific upper area on my spine.

As part of my pursuit for healing, I have seen a couple of neurologists, both of which were unable to help me as they could not diagnose anything particularly wrong with me. I have also spent several weeks with a chiroproctor, who was also unable to help me. I likewise had a sleep study done several years back to try to determine the cause behind my sleeping issues. The sleep study only determined that I went into deep sleep much less frequently than an average person, but it did not find the cause of it. (As a side note, I have been also dealing with terrible, poor-quality sleep for years).

One other thing worth mentioning is that several years ago I got Invisalign to straighten my teeth, and because it wasn’t able to fix my underbite, I am now wearing braces. I have no idea whether the shifting of my teeth in the last several years could be in any way related to these complications, but I am mentioning this here just to be safe.

My personal speculation is that sometime ago something has caused a structural change in my skull and/or neck and spine, which in turn is causing all these neurological impediments by the pressure that is being exerted in various areas around my head, neck, and spine. Something just feel constantly tight and agitated. I particularly feel a certain constant mild agitation behind my occiput and in specific area of my spine. I also feel that the poor-quality sleep I have suffered for over five years is partly caused by the tightness I feel along my neck and spine, since I can never sleep well so long as that tightness is present. Whenever I stretch, the tightness goes away for a short period of time before shortly thereafter returning. And even if I do stretch, I can never fully relax these areas.

I almost feel like I need to see a doctor of Osteopathy.

I can easily provide additional information upon request.


Respectfully,

Kacper
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Follow up: Dr. Dr.Albana Sejdini (0 minute later)
To whom it may concern,

Over two years ago, sometime in either September or October of 2017, seemingly out of nowhere I began to experience all of the following symptoms simultaneously:

* Stuttering and locking up while speaking.
* Difficulty in reading and comprehension.
* Structural alterations in my skull.
* Constant tightness and discomfort in certain areas of my head, in my neck, on my shoulders, and on my upper back.

In regards to my speech impediment: I had never previously stuttered until I developed these neurological complications in late 2017. Now, I frequently lock up while speaking, especially when in stressful situations. When I lock up, I find it difficult to pronounce certain sounds, which causes me to often reword whatever I am trying to say. If I try to pronounce a sound I’m having trouble with, then I begin to stutter. I have likewise noticed that this stuttering and locking up seems to be directly related to the tightness I feel in the back of my skull, in my neck, and in my upper back. For when the tightness increases, so does my difficulty in speaking smoothly.

In regards to my difficulties in reading and comprehension: when I began to develop these neurological impediments, I also noticed that I could no longer read as smoothly and effectively as before. Now, instead of my eyes smoothly gliding from left to right on a page, they skip from word to word and seem to fixate upon a single word before going to the next one. In addition, I have a much greater difficulty comprehending what I’m reading, and I usually find myself unable to connect whatever I’m reading at the end of a sentence or paragraph to what was at the beginning of it. And speaking more broadly, I feel that my thinking has become more fragmented and shallow. I often have difficulties comprehending more involved ideas and it seems to me that my mind’s agility and ability to make connections has decreased. I have likewise noticed greater difficulties in memory and retention.

In regards to the structural alterations in my skull: around the same time that I developed the other complications, I also noticed that some deformities took place in the my skull. One of the changes was that the crease between my nose and forehead had deepened, and that my forehead began bulging out more and down upon my nose. Another change I noticed was that my right eye began to droop more as compared to my left one—that is, the bone behind my right eyebrow. In other words, the asymmetry that previously existed between my left and right eyebrow became skewed so that now my right eyebrow hangs lower than my left one.

Furthermore, I noticed that my right eye in general has shifted slightly to the right, something that was confirmed by my doctor. But when I was referred to see an optometrist, I passed the vision test and was told my eyes were fine. However, I have a sense that the change in my visual asymmetry might be partly responsible for the visual fragmentation I experience while reading.

In regards to some of the tightness and discomfort I began to feel around the same time: the aforementioned impediments were coupled with this feeling of constant mild pressure in various areas around my head and upper back. In particular, I constantly feel a certain tightness and discomfort in the following areas: in my neck, particularly the upper neck that seems to be located behind the occiput; in my shoulders and trapezius in general; and in my upper back, particularly in a very specific upper area on my spine.

As part of my pursuit for healing, I have seen a couple of neurologists, both of which were unable to help me as they could not diagnose anything particularly wrong with me. I have also spent several weeks with a chiroproctor, who was also unable to help me. I likewise had a sleep study done several years back to try to determine the cause behind my sleeping issues. The sleep study only determined that I went into deep sleep much less frequently than an average person, but it did not find the cause of it. (As a side note, I have been also dealing with terrible, poor-quality sleep for years).

One other thing worth mentioning is that several years ago I got Invisalign to straighten my teeth, and because it wasn’t able to fix my underbite, I am now wearing braces. I have no idea whether the shifting of my teeth in the last several years could be in any way related to these complications, but I am mentioning this here just to be safe.

My personal speculation is that sometime ago something has caused a structural change in my skull and/or neck and spine, which in turn is causing all these neurological impediments by the pressure that is being exerted in various areas around my head, neck, and spine. Something just feel constantly tight and agitated. I particularly feel a certain constant mild agitation behind my occiput and in specific area of my spine. I also feel that the poor-quality sleep I have suffered for over five years is partly caused by the tightness I feel along my neck and spine, since I can never sleep well so long as that tightness is present. Whenever I stretch, the tightness goes away for a short period of time before shortly thereafter returning. And even if I do stretch, I can never fully relax these areas.

I almost feel like I need to see a doctor of Osteopathy.

I can easily provide additional information upon request.


Respectfully,

Kacper
doctor
Answered by Dr. Dr.Albana Sejdini (7 hours later)
Brief Answer:
Muscular skeletal issues noted,but other issues to consider as following

Detailed Answer:
Hello Kacper,

Thank you for providing details regarding your health situation. I see that it is very fastidious at your young age (27 years).

Now, I have noted you've been experiencing several problems with no answer from the specialists you've consulted so far:
- optometrist - happy to know nothing wrong in your sight, but I think you should consult with an eye specialist and not an optometrist only. We should evaluate the changes not only on your sight but to inner parts of the eye including retina, blood supply, etc. Plus, the eye specialist will evaluate the changes in movements of your eyes as you mentioned above.

- neurologist - very happy to know nothing neurologist has been found so far. Then, all the symptoms you are experiencing is muscular-skeletal. To me, you need to consult further with orthopedic specialist to evaluate if there is any change in your vertebral spine especially of the neck area.

To me, you need physiotherapy to strengthen the muscles of the spine and help blood circulation in the head. Physiotherapy should be run for long period.

You need also to run daily exercises on your own in order to strengthen the muscles of the spine.
Plus, to take magnesium supplement for the spasms of the muscles and to get more relaxed.

- With regards to bad sleeping quality: that has happened due to being anxious about problems you faced.

To me, should also get a good examination of the blood supply by running Doppler ultrasound of the blood vessels supplying head.

You said to have other lab tests, you can send the reports to me, I'm particularly curious to know your complete blood profile for anemia, blood cholesterol, thyroid function. So, please send the reports if you have any.


Discuss this with your caring doctor. Looking forward to get the requested reports in.

Dr.Albana Sejdini
Family Doctor
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr.Albana Sejdini (0 minute later)
Brief Answer:
Muscular skeletal issues noted,but other issues to consider as following

Detailed Answer:
Hello Kacper,

Thank you for providing details regarding your health situation. I see that it is very fastidious at your young age (27 years).

Now, I have noted you've been experiencing several problems with no answer from the specialists you've consulted so far:
- optometrist - happy to know nothing wrong in your sight, but I think you should consult with an eye specialist and not an optometrist only. We should evaluate the changes not only on your sight but to inner parts of the eye including retina, blood supply, etc. Plus, the eye specialist will evaluate the changes in movements of your eyes as you mentioned above.

- neurologist - very happy to know nothing neurologist has been found so far. Then, all the symptoms you are experiencing is muscular-skeletal. To me, you need to consult further with orthopedic specialist to evaluate if there is any change in your vertebral spine especially of the neck area.

To me, you need physiotherapy to strengthen the muscles of the spine and help blood circulation in the head. Physiotherapy should be run for long period.

You need also to run daily exercises on your own in order to strengthen the muscles of the spine.
Plus, to take magnesium supplement for the spasms of the muscles and to get more relaxed.

- With regards to bad sleeping quality: that has happened due to being anxious about problems you faced.

To me, should also get a good examination of the blood supply by running Doppler ultrasound of the blood vessels supplying head.

You said to have other lab tests, you can send the reports to me, I'm particularly curious to know your complete blood profile for anemia, blood cholesterol, thyroid function. So, please send the reports if you have any.


Discuss this with your caring doctor. Looking forward to get the requested reports in.

Dr.Albana Sejdini
Family Doctor
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Dr.Albana Sejdini (9 hours later)
Thank you, Doctor, for your detailed analysis and answer.

As a follow up to you commentary, I have few questions:

- What sort of magnesium supplement should I purchase? What dosage? What kind? And how often should I take it?

- How is an orthopedic specialist different than a chiropractor? Just asking because I already seen a chiropractor over two year ago, who adjusted my spine and neck without any good fruit.

- What specific exercises are recommended for me to strengthen my back and neck muscles? Should I just ask the orthopedic specialist for these when I see him?

- Should I have the "good examination of the blood supply done by running Doppler ultrasound of the blood vessels supplying head" done before I see the eye specialist? And more generally, in what order do you recommend I do all the things you advised? I want to tackle this one step at a time and in proper order.


As far as my blood test results go, I'm having some difficulty accessing them. But I can tell you that all my blood tests, including thyroid testing, came up negative: they were all within normal range.

I'm looking forward to your answer so that I may proceed accordingly.


Respectfully,

Kacper
default
Follow up: Dr. Dr.Albana Sejdini (0 minute later)
Thank you, Doctor, for your detailed analysis and answer.

As a follow up to you commentary, I have few questions:

- What sort of magnesium supplement should I purchase? What dosage? What kind? And how often should I take it?

- How is an orthopedic specialist different than a chiropractor? Just asking because I already seen a chiropractor over two year ago, who adjusted my spine and neck without any good fruit.

- What specific exercises are recommended for me to strengthen my back and neck muscles? Should I just ask the orthopedic specialist for these when I see him?

- Should I have the "good examination of the blood supply done by running Doppler ultrasound of the blood vessels supplying head" done before I see the eye specialist? And more generally, in what order do you recommend I do all the things you advised? I want to tackle this one step at a time and in proper order.


As far as my blood test results go, I'm having some difficulty accessing them. But I can tell you that all my blood tests, including thyroid testing, came up negative: they were all within normal range.

I'm looking forward to your answer so that I may proceed accordingly.


Respectfully,

Kacper
doctor
Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
Following answers to your questions.

Detailed Answer:
Hello back Kacper,

Thank you for providing the requested details. The following are the answers to your questions:
- we recommend magnesium 300 mg or 400 mg once daily, but not more than 450 mg per day. If you use a combination of magnesium and vitamin B6 that's great.

- indeed, chiropractor and orthopedic doctors are addressing the same health problems related to the muscular-skeletal system. The way they use is a bit different: chiropractor hands-on techniques (massage therapy) orthopedic more traditional.

So to me, you should consult with the orthopedic doctor first in order to understand your real problem. Then if massage therapy is the only solution, we can discuss again with the orthopedic doctor about the best massage therapy and exercises that would help ease your problems.

- Yes, can run Doppler ultrasound before seeing an eye specialist

- the consultation order is 1. orthopedic doctor 2. chiropractor or massage therapist 3. Doppler ultrasound of blood vessels of all your body focusing on the blood supply of the head 4. eye doctor

Take note that depending on the findings, these specialists could ask for other more specific tests. Take the reports of your blood tests and let these specialists have a look as a starting reference.

Never mind for the test reports, just let the specialists have a look.

Hope I answered your questions. Let me know if you have any other questions.

Regards


Dr.Albana
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr.Albana Sejdini (0 minute later)
Brief Answer:
Following answers to your questions.

Detailed Answer:
Hello back Kacper,

Thank you for providing the requested details. The following are the answers to your questions:
- we recommend magnesium 300 mg or 400 mg once daily, but not more than 450 mg per day. If you use a combination of magnesium and vitamin B6 that's great.

- indeed, chiropractor and orthopedic doctors are addressing the same health problems related to the muscular-skeletal system. The way they use is a bit different: chiropractor hands-on techniques (massage therapy) orthopedic more traditional.

So to me, you should consult with the orthopedic doctor first in order to understand your real problem. Then if massage therapy is the only solution, we can discuss again with the orthopedic doctor about the best massage therapy and exercises that would help ease your problems.

- Yes, can run Doppler ultrasound before seeing an eye specialist

- the consultation order is 1. orthopedic doctor 2. chiropractor or massage therapist 3. Doppler ultrasound of blood vessels of all your body focusing on the blood supply of the head 4. eye doctor

Take note that depending on the findings, these specialists could ask for other more specific tests. Take the reports of your blood tests and let these specialists have a look as a starting reference.

Never mind for the test reports, just let the specialists have a look.

Hope I answered your questions. Let me know if you have any other questions.

Regards


Dr.Albana
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7300 Questions

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To Whom It May Concern, Over Two Years Ago, Sometime

To whom it may concern, Over two years ago, sometime in either September or October of 2017, seemingly out of nowhere I began to experience all of the following symptoms simultaneously: * Stuttering and locking up while speaking. * Difficulty in reading and comprehension. * Structural alterations in my skull. * Constant tightness and discomfort in certain areas of my head, in my neck, on my shoulders, and on my upper back. In regards to my speech impediment: I had never previously stuttered until I developed these neurological complications in late 2017. Now, I frequently lock up while speaking, especially when in stressful situations. When I lock up, I find it difficult to pronounce certain sounds, which causes me to often reword whatever I am trying to say. If I try to pronounce a sound I’m having trouble with, then I begin to stutter. I have likewise noticed that this stuttering and locking up seems to be directly related to the tightness I feel in the back of my skull, in my neck, and in my upper back. For when the tightness increases, so does my difficulty in speaking smoothly. In regards to my difficulties in reading and comprehension: when I began to develop these neurological impediments, I also noticed that I could no longer read as smoothly and effectively as before. Now, instead of my eyes smoothly gliding from left to right on a page, they skip from word to word and seem to fixate upon a single word before going to the next one. In addition, I have a much greater difficulty comprehending what I’m reading, and I usually find myself unable to connect whatever I’m reading at the end of a sentence or paragraph to what was at the beginning of it. And speaking more broadly, I feel that my thinking has become more fragmented and shallow. I often have difficulties comprehending more involved ideas and it seems to me that my mind’s agility and ability to make connections has decreased. I have likewise noticed greater difficulties in memory and retention. In regards to the structural alterations in my skull: around the same time that I developed the other complications, I also noticed that some deformities took place in the my skull. One of the changes was that the crease between my nose and forehead had deepened, and that my forehead began bulging out more and down upon my nose. Another change I noticed was that my right eye began to droop more as compared to my left one—that is, the bone behind my right eyebrow. In other words, the asymmetry that previously existed between my left and right eyebrow became skewed so that now my right eyebrow hangs lower than my left one. Furthermore, I noticed that my right eye in general has shifted slightly to the right, something that was confirmed by my doctor. But when I was referred to see an optometrist, I passed the vision test and was told my eyes were fine. However, I have a sense that the change in my visual asymmetry might be partly responsible for the visual fragmentation I experience while reading. In regards to some of the tightness and discomfort I began to feel around the same time: the aforementioned impediments were coupled with this feeling of constant mild pressure in various areas around my head and upper back. In particular, I constantly feel a certain tightness and discomfort in the following areas: in my neck, particularly the upper neck that seems to be located behind the occiput; in my shoulders and trapezius in general; and in my upper back, particularly in a very specific upper area on my spine. As part of my pursuit for healing, I have seen a couple of neurologists, both of which were unable to help me as they could not diagnose anything particularly wrong with me. I have also spent several weeks with a chiroproctor, who was also unable to help me. I likewise had a sleep study done several years back to try to determine the cause behind my sleeping issues. The sleep study only determined that I went into deep sleep much less frequently than an average person, but it did not find the cause of it. (As a side note, I have been also dealing with terrible, poor-quality sleep for years). One other thing worth mentioning is that several years ago I got Invisalign to straighten my teeth, and because it wasn’t able to fix my underbite, I am now wearing braces. I have no idea whether the shifting of my teeth in the last several years could be in any way related to these complications, but I am mentioning this here just to be safe. My personal speculation is that sometime ago something has caused a structural change in my skull and/or neck and spine, which in turn is causing all these neurological impediments by the pressure that is being exerted in various areas around my head, neck, and spine. Something just feel constantly tight and agitated. I particularly feel a certain constant mild agitation behind my occiput and in specific area of my spine. I also feel that the poor-quality sleep I have suffered for over five years is partly caused by the tightness I feel along my neck and spine, since I can never sleep well so long as that tightness is present. Whenever I stretch, the tightness goes away for a short period of time before shortly thereafter returning. And even if I do stretch, I can never fully relax these areas. I almost feel like I need to see a doctor of Osteopathy. I can easily provide additional information upon request. Respectfully, Kacper