Name: Jane M Paterson

Sex: Female

Country: Scotland

Age:63 years

Diagnoses: Parkinson's Disease, Hyperlipidemia

Date:June 4, 2014

Days Admitted to Hospital: 23 days

Before treatment:

The patient suffered from stiffness of her right limbs 12 years ago without obvious inducement. She suffered from motor retardation. With the progress of the disease, the weakness of her four limbs was aggravated and she moved more slowly. Her daily life activities was influenced severely. She was diagnosed with Parkinson's Disease. She started taking Ropinirole and Selegiline for treatment. The symptoms was alleviated. But she had cold symptoms, persistent joint pain and right lower limb's edema. So she stopped the medication. She came to our hospital two times in 2007 and 2008, after treatment, the movement her limbs was improved. The discomfort of both lower limbs was alleviated. She took Sinemet 50mg qid and Trastal 50mg tid regularly. She started took Sinemet 50mg +L-dopa100mg 4 times every day from 5 years ago. The patient had dyskinesia of her left lower limb a year ago. Before the treatment, the patient still had stiff of her four limbs, bradykinesia, weakness and dyskinesia. She needed assistance to turn over or get up. There was no hereditary disease.

Admission PE:

Bp:126/76mmHg; Hr: 85/min. Br: 19/min. Temperature: 36.9 degrees. The respiration in both lungs was low, no dry or moist rales. Through auscultation, the heart sound was low and dull, the cardiac rhythm was regular. The abdomen was flat, with no masses. The abdominal muscle was tight.

Nervous System Examination:

Jane Mitchell Paterson was alert and her spirit was normal. Her speech was low and the speed was faster than normal. Her memory, calculation abilities, and orientation were almost normal. Both pupils were equal in size and round, the diameter was about 3.0mm. Both eyeballs could move freely and both pupils were sensitive to light stimulus. The forehead wrinkle pattern was almost symmetrical and bilateral nasolabial grooves was symmetrical. The corner of the mouth was symmetrical too. She had strong muscle to lift her soft palate. She could turn her neck with strong muscle. She couldn't shrug her shoulders. Her left lower limb had involuntary movement and Left lower limb had clockwise gait when she walks. The muscle strength of her four limbs was at level 5. The muscle tone of her four limbs was normal. Bilateral abdominal reflexes were not elicited. Left lower limb had tendon hyperreflexia. The tendon reflex of other limbs was active. Left side Babinski sign was suspicious. The deep sensation and shallow sensation were almost normal. Both sides did the rapid rotation test in a slow manner and left side was more severe. Other coordinate movement examination was almost normal. Meningeal irritation was negative.

Treatment:

Jane Mitchell Paterson received all of the relevant examinations. The patient received treatment for nerve regeneration and to activate stem cells in vivo. She also received treatment in order to expand the blood vessels in order to improve the blood supply to the brain, provide nourishment to the neurons, and to add neurotransmitter. This was combined with physical rehabilitation training. According to the changes of her illness, we adjusted the treatment.

Post-Treatment:

The patient has reduced the dosage of levodopa and takes 500mg each day. The patient can shrug shoulders after taking sinemet. She can turn over and get up by herself. The dyskinesia of left lower limb is alleviated obviously. The clockwise gait of left lower limb is alleviated. Both hands in a normal functional position when she did the rapid rotation test and the action was more flexible than before.

Email:

Date: 2014-07-05

Hello. We arrived home safe but tired a week a go. Things are going OK and I think I'm having less off time, with the Parkinson meds lasting longer, just as Dr Wu suggested though not within 2 or 3 days.