In the past few weeks, I'm am learning to write again. I recall handwriting becoming oddly difficult as we transitioned into 100% cursive writing for the year. I'd love to see my earliest writings. I chalked all this up to "It's just hard to write in cursive anyway." This SPS like working diagnosis is getting better and better. I have a follow up appt on the 11th. Cheers.
Monday, March 9, 2015
Saturday, March 7, 2015
EMG Stress test for cold?
While researching in Neuromuscular Disorders in Clinical Practice, I'm curious why no one mentions stress tests of cold for spasms during EMG's. I'm still not sure what they're looking for, but this book is the second place I've seen mention, some SPS patients may normal EMG's.
I really need to look at my file....
I really need to look at my file....
How bad can it hurt? Part 1
I'd like to make a shout out to the Journal of CLINICAL NEUROMUSCULAR DISEASE. I am accelerating my learning by diving into your material. I know my post primary education exams spoke highly of me in many disciplines of knowledge, but I wasn't expecting the bootstrap myself into medical investigations.
My next shot out was to this photo someone shared on FaceBook:
https://www.facebook.com/941KTFM/photos/a.10151751747718877.1073741832.319892343876/10152067880853877/?type=1
My point being, I'll take one of these "bull heads" to the foot (anything but the heel please!) over a muscle spasm. I've had the displeasure of striking these a few times squarely on the heel. My more severe muscle spasms have felt this way.
Back when I lived on Grandview Hill in Provo Utah, I walked behind a few homes in the alley aka old railbed of Independence Avenue. I remember walking headstrong into a patch. You know that voice in your head, you just got to suck it up for a sticker or two and move on? Well yeah, I had that voice. I plowed right into this field barefoot. I was about six or seven steps in until I maxed out my pain tolerance.
While in Morgan Hill, CA I had a pain "seizure". I am still researching what can cause this. Can we put Science to the test?
Stiff Person Syndrome is a bust on GAD antibody grounds.
SPS however may require looking at stiff limb syndrome. A different antibody may be at work. I'm looking into Amphiphysin now.
http://docs.justia.com/cases/federal/district-courts/california/candce/5:2011cv03472/242970/50/
http://www.questdiagnostics.com/testcenter/BUOrderInfo.action?tc=900591&labCode=AMD
http://www.neurology.org/content/71/24/1955
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2676978/pdf/6078.pdf
http://journals.lww.com/jcnmd/pages/results.aspx?txtkeywords=sps
http://journals.lww.com/jcnmd/Citation/2003/03000/Clinical_Approach_to_a_Patient_Presenting_With.9.aspx
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