Jun 20, 2010 -
comments
It prints down to two pages. It is kinda long, but then my history is too.
Symptom Time Line for Tonya XXXXX
June 17, 2010
continuous discomfort, Guerra on vacation, went to ER
tests: blood and urine, EKG, CT Brain, carotid duplex
treatment: 1000 mg IV SoluMedrol
conclusion: no TIA, follow-up with neurologist or PCP for continued SoluMedrol treatment
June 15, 2010
• May 2010 symptoms still present
• eyes fluttered uncontrollably and left pupil went in towards nose - lasted 10 minutes
• disoriented, brain was slow to respond, dizziness
• blurred vision, pain and pressure in eyes
• increase in pain, right side more weak
conclusion: called Guerra, on vacation. nurse got referral to ophthalmologist
went to ophthalmologist same day
conclusion: possible episode of myokymia OU - refer to neurologist
dry eye - increase artificial tears and use AT ung OU QHS, continue Restasis
June 10, 2010
follow-up with Guerra
treatment: SoluMedrol dose pack, change in medications
June 09, 2010
pain too intense, couldn't get in to see Guerra, went to ER
treatment: 125 mg IV SoluMedrol, 30 mg IV Toradol
conclusion: refer to Guerra for additional SoluMedrol, recommend EMG for right arm
May, 2010
• pain increased tremendously, very weak legs, burning pain in right arm, pinkie and ring finger numb - Guerra changed meds
• major fatigue, stabbing pain behind left eye - off and on (forgot to tell about)
• urinary incontinence, constipation - Guerra gave new med
• severe skin sensitivity, off balance, heat/light sensitivity
• vibrating feeling around torso area, spasms around ribs on right side - off and on - Guerra gave new med
• major tinnitus, head feels full, off and on headaches, vertigo - Guerra referral to hearing center
• trouble swallowing, choking - Guerra referral to speech therapy
• UTI - treated with antibiotic
June 2009
• pain increased, severe weakness
• left side of face dropped, double vision
• major fatigue, confusion and brain is slow
• tremors returned, trouble swallowing and painful
• skin sensitivity, heat and light sensitivity
went to PCP - Guerra
treatment: SoluMedrol injections
diagnosis: Nonspecific Neurological Syndrome, June 2009 Neurodegenerative Polyneuropathy, February, 2010
Neuropathic Muscular Atrophy with periods of exacerbations, February, 2010
conclusion: showed improvement a little each day
ophthalmologist - monocular diplopia, dry eye
August 2008
began seeing Dr. Guerra, current PCP
began symptom management
tests: MRI, EMG/nerve conduction study, X-rays, upper GI series, blood and urine tests, EKG, PFT, renal ultrasound
referrals: neurologist - Dr. Delio
orthopedics - Dr. Lindberg / Dr. Birkholm - drop foot care/brace
ophthalmologist - Dr. Goodman - dry eye, double vision
occupational therapy - Mobility Therapy - mobility aides
July - August 2008
• pain increased, still in legs and right arm
• fatigue increased, heat/light sensitivity, tremors returned
• very weak legs, cannot climb flight of stairs
January 2008
• pain increased, still in legs and right arm
• severe leg weakness, trouble bearing weight
• fatigue increased, tremors returned
went to ER, admission for 5 days
tests: MRI, blood
on-call neurologist
conclusion: no diagnosis
December 2007 - January 2008
pneumonia / bronchitis
treatment: antibiotics, breathing treatments
May, 2006
• tremors (meds are helping)
• pain in legs and right arm (meds are helping)
• general weakness
Cleveland Clinic for second opinion, concerned with still having a few lingering problems
tests: MRI, EMG
conclusion: post-neuro syndrome, virus in neurological system, no TIA evident
prognosis: symptoms will not progress, may stay same or go completely away in time
return to ER if new symptoms arise or old symptoms progress for MRI and LP
November, 2005
went to 1st neurologist
tests: MRI and LP - both negative
conclusion: no MS - case closed
October, 2005
Went to PCP: no reflexes in legs
August, 2005
• all previous September 2004 symptoms returned, plus:
• pain in both legs and right arm
• very weak legs
• heat/light sensitivity
• breathing issues
went to ER - thought I was having another TIA
tests: MRI, X-rays, LP, blood, urine
treatment: IV pain med. breathing treatment
conclusion: TIA negative, pneumonia, possible MS, refer to neurologist
September, 2004
• tingling right, backside of head
• pins and needles and weakness, right arm
• tremors, fatigue
• dizziness, disoriented
went to ER.
tests: blood and urine, C-Scan
conclusion: UTI, ear infection, TIA
treatment: antibiotics
all symptoms went away within about 2 weeks, except fatigue but that wasn't as strong