Personal Narrative: A Trip To A Girl's Dawn

I do not think that this was the etiology for the spell that she presented for in June. I think that was a transient global amnesia, which resulted in the discovery of the fibromuscular dysplasia. Currently, she does not have any evidence for large vessel TIAs or strokes to suggest that the fibromuscular dysplasia of the internal carotid arteries is symptomatic. She does have small vessel ischemic disease and does have a history of high blood pressure. She was not on a baby aspirin a day. She is currently on a baby aspirin a day. Antiplatelet medication is the treatment of choice for fibromuscular dysplasia in the absence of severe stenosis or frank aneurysm.

throughout her lower extremities bilaterally. She has 2+ knee and angle jerks bilaterally. Straight leg raising is accomplished at 90° on the left, however on the right patient complains of low back and leg pain at 60°.

Patient is a 50-year-old-year-old left-handed white male who presents with his wife for evaluation of multiple symptoms that have been present since an MVA in 02/2013. At that time, he was T. boned and his car was totaled. He has amnesia for the event and is unaware whether or not he hit his head. The airbag did deploy. Afterwards, he was confused and noted significant pain in his neck and upper back. Since then, he has had multiple symptoms. He does have involuntary twitching on the right, more than left, both hands, legs, and sometimes feet. He demonstrates one of these twitches and it looks like a focal myoclonic jerk of a limb. These occur on a daily basis. He also has problems with his left thumb and index finger locking up. When he is fatigued, especially when his neck gets tight, he has some problems with word finding, paraphasic errors, and syntax errors. He did see Anthony P. Knox,

She was referred to, see a neurology doctor. Client reported she is currently seeing Dr. Lempert/Neurology.

She has disc herniation at L5/S1 that may also be a contributor and mimicker of her symptoms.

The pain for her began approximately 10 weeks ago upon waking and for no known reason, this shows that she is at the early stage of the condition (frozen stage 2) and is experiencing pain with limited movement and stiffness. The pain is now easing but glenohumeral joint range is restricted to 90 degrees flexion and abduction, 5 degrees medial rotation all with a hard end feel.

The symptoms begin in one part of the body, such as the face, neck, vocal cords, an arm or a leg and may spread to other parts of the body. They usually increase during stress, emotional upset or fatigue and decreases during rest and sleep. Dystonia can be inherited, caused by medication or some other underlying complication, but for the most part it is not known how it is contracted. An estimated 500,000 people in the United States have been diagnosed with Dystonia with an estimated 500,000 yet to be diagnosed or were misdiagnosed, making it the third most common movement disorder behind essential tremor and Parkinson’s disease. Dystonia is a mystery to many doctors and can take years to diagnose. Dr Mahlon DeLeon, medical director of the Dystonia Medical Research Foundation says, “Dystonia’s wide variety of forms has caused the disease to be misdiagnosed and there was a period of time when physicians thought this could have been in the mind. Now the medical community understands Dystonia’s symptoms are not all psychological and the recent discovery of new genes creates opportunities for advancements in treatment and eventually a

So, I want to begin by saying, I didn't finish this book. I had so many problems with the writing and characters that I did not enjoy reading it for the most part.

The patient denies any history of muscle disease. He has not really noted any twitching, fasciculations. He denies any neck or back pain.

plantar reflex. She has sensory loss over her left hemibody and left side ataxia as well in fingerto-

He had stood in the dark, gloomy doorway — illuminated only by the small front porch light — mute and motionless for a few seconds; he had been preparing not just himself, but me too for what he was about to reveal. I guess that somewhere deep down I knew what it was the whole time. I mean, they were gone for many hours and only returned around one on a school morning; what else would that mean? He hesitantly approached. Even a few feet away, the medicinal scent of the emergency animal hospital radiated off of him. He peered down into my eyes; that’s when he finally said it. “I’m sorry, Hun, she’s gone.” He was talking about my Golden Retriever, Kylie, who meant more to me than anyone or anything in life. As he finished, tears started

Dystonia is a neurological disorder that affects an individual’s movement. Greek for “altered muscle tone,” dystonia causes one’s muscles to involuntarily contract (Moberg-Wolff, Barna, & Thiyagarajah, 2014). Multiple types of the disorder are classified based on the location of the movement dysfunction. It is a possibility that a person can experience multiple types of dystonia simultaneously (“Dystonias Fact Sheet;” Phukan, Albanese, Gasser, & Warner, 2011). Dystonia does not have much specificity in its presentation or cause and can appear at anytime during the lifespan (Geyer & Bressman, 2006). To be diagnosed, a series of assessments must be conducted including blood tests, urine tests, MRI and CT scans, as well as EMG tests to measure

Darkness swarms in from the windows of the castle walls, covering the room. I pace up and down the length of the room, muttering under my breath. Water floods through my veins, wanting to escape. Pausing mid-step, I make shapes with it in the palm of my hand, getting more and more precise with the second. All the while I can only picture two people; the servant girl, the one that just walked in my room before sundown, and my father, telling me to find someone that has the same magic as me in order to prosper.

“Congratulations it is a girl”. These are the final words that I told a girl, the last ones she would hear before I took her life. I wanted her to die like this sad, lonely, and in fear. No one would understand why I felt this way. My only friend were the voices that were in my head yelling and ringing like sirens, never stopping making me want to hurt people and do bad things. I wanted to control it, everyday before I go I want to stop myself, but I just can't.

36 years old male had sudden onset giddiness associated with blackouts which started 5-6 years back. He took symptomatic treatment for the same. Recently, six weeks back he noted that he could not walk normally. There was swaying bilaterally but more so on the left side. The relatives at home noted that his gait was altered. He came to our OPD clinic for swaying, impaired gait, dysarthria. On enquiry it was found that he had a long history of