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Questions posted in the
Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.
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Subject: Re: fatigue/head injury/m.s.
Your suggestion of Amantidine (Symmetrel), is that in addition to the pemoline and phentermine? I am assuming that you have had an appropriate routine medical workup for fatigue to investigate things like thyroid disease - yes, i get a chem 22, a t3, t4, a b12 and folates every month It is also possible that in your particular case your prior head injury may have caused additional, subtle, injury to your brain (especially if you lost consciousness as a result of the injury) that may be turning what would have otherwise been a dime's worth of fatigue caused by your M.S. into a dollar's worth. Yes, i was unconscious and suffered a subarachnoid hemmorage - but how does that make the fatique worse and will it ever get better? Because your fatigue does appear to be adversely affecting your functioning at work (without a doubt, I was a reporter and now have been switched to the copy desk, a demotion as far as i am concerned) and perhaps at home (also true as I am a single mother), and also sounds progressive in nature if I am inferring correctly, (you are) it would seem reasonable to look for some of the more common medical underlying causes of it - (such as?) This should be done in conjunction with your treating primary care physician and/or neurologist, of course, as information that we provide n the forum is intended for general medical informational purposes only, and is limited by the specific information provided to us in the question. We hope you find this information helpful. If you would be interested in a second opinion at the Cleveland Clinic, our Mellen Center is the largest center devoted exclusively to the diagnosis and treatment... (what is your opinion of Washington University's program in St. Louis, specifically John Trotter's MS Clinic - that's where I get my primary specialty care done. What would be the benefit of a second opinion and, how do you compare yourself to Dr. Timothy Vollmer at Yale, another doctor I have worked with.) ------------------------------------------------------------------------------------------------------------------ Sharon, We do not have the time resources to answer detailed followup questions, as the purpose of the forum is to provide folks with general information about the question they are asking. As the primary purpose of the forum is information, not marketing, I do not feel it is appropriate to "compare" ourselves to any other group of physicians.
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